ABSTRACT
Mary Washington Hospital is located in Fredericksburg, Virginia, about 40 miles due south of Washington, D.C. The hospital has served the local population for more than 100 years in three different locations. The current facility was built in 1993, originally having 300 private inpatient rooms and 25 emergency department (ED) beds. The story presented here is the evolution of this ED through the work of literally hundreds of staff members in the ED, auxiliary services, inpatient wards, and hospital administrators. The ED team is pictured in Figure 10.1.
