How the Washington hospital where a nurse called 911 built back its resilience

On an October day in 2022, Kelsay Irby, BSN, RN, then nurse at Silverdale, Wash.-based St. Michael Medical Center, called 911 for backup when the emergency department became overwhelmed with patient boarding. Now, after hospital leaders spent time crafting a plan for resilience, the hospital has shared the strategies that helped it turn things around.