National emergency declaration creates H1N1 options for EDs.

ED managers will have more latitude to deal with H1N1 surges thanks to President Obama's recent declaration of a national emergency. Here are some strategies that will help you keep things running smoothly. Determine your department's "tipping point," beyond which you must consider regulatory waivers to maintain efficient flow. Arrange for alternate treatment sites off-campus. Design a simplified screening process in the event of a medical screening exam (MSE) waiver.