It’s an ED manager’s worst nightmare: You have one of the most overcrowded and underfunded EDs in the country. Of the 40 patient care spaces for adults, five to 15 are filled at all times with admitted patients waiting for a bed. And here comes your accreditation surveyor wanting to know how you’re complying with the new 2005 standard to ensure those patients are receiving the same level of care as inpatients (LD.3.11).