
Emergency room is bleeding out – Staff demands immediate action
The safety of staff and patients in the emergency department of Landspítali in Fossvogur is threatened every day. Infection control, fire protection or personal protection cannot be guaranteed. Staff and patients are therefore in a situation where the risk of infections, accidents, violence and other serious incidents is obvious and ongoing. This situation has been clear for years but has been ignored by health authorities. Action must be taken now, otherwise the consequences will be on an unprecedented and catastrophic scale.
This was among the things that came out at a joint meeting of emergency room staff unions held on Wednesday, February 11. The meeting was attended by Efling, the Icelandic Nurses' Union, the Icelandic Medical Association, the Icelandic Nurses' Association and Sameyki. There was a huge crowd at the meeting, about 180 people, and the sound was heavy.
At the meeting, the emergency room staff described the situation there in such a way that no one listening should be misled into thinking that there was an emergency there. The department's response capacity is paralyzed due to the large number of hospitalized patients there, who should be transferred to appropriate inpatient wards in the hospital. Staff expressed fatigue, anguish, sadness and anger at the situation, but also pride, solidarity, and a desire to be able to do their work in decent conditions. The demand is that the competent authorities immediately respond to previously reported information about the situation and immediately make improvements, for the benefit of staff, patients, relatives and society as a whole.
The meeting unanimously, with loud applause, adopted a resolution describing the situation and calling for action. The resolution can be read below.
RESOLUTION OF THE EMERGENCY DEPARTMENT STAFF MEETING OF THE COUNTRY HOSPITAL
February 11, 2026
The conditions at the emergency room at the National Hospital in Fossvogur are so serious that they put the safety of patients and staff in immediate and unavoidable danger every day. This has long been public and acknowledged by the hospital's management, the Office of the Director of Health, and health authorities, without any adequate response.
The daily number of hospitalized patients far exceeds what the premises, staffing and security systems can handle. The result is that neither patient nor staff safety, adequate infection control, fire protection or personal protection can be guaranteed. The hospital has been on the highest alert level for more than a year without the health authorities having responded. The inaction reflects the helplessness and laxity that the National Audit Office has pointed out.
The Director of Health confirmed in a memorandum on June 2, 2022, that the emergency department did not meet professional standards due to overcrowding, excessive patient numbers, and understaffing, and that neither patient safety nor quality of service could be ensured. The Director of Health stated at the time that it was in fact best to close the department due to the dangerous and unacceptable conditions, but also acknowledged that this was not a realistic option since the department is one of its kind in the country and provides vital services.
These serious statements by the Director of Health were ignored. Since then, the situation has not improved, but has worsened.
Over 100 patients are typically housed in a space designed for 36. Isolation is impossible, agitated or unstable patients are not guaranteed safety, and oxygen tanks and other equipment are littered in the emergency room corridors with obvious fire and explosion hazards. This is a serious safety threat to staff and patients, and with this number of patients, the working conditions for staff are completely untenable.
The emergency department has long been treating hospitalized patients who should be in appropriate inpatient units. It is not the role of the emergency department to operate a double inpatient unit on top of emergency services. It paralyzes the emergency department's response capacity and prevents staff from having the privacy and peace to carry out their statutory duties of receiving and treating the injured and critically ill.
Staff are forced to work in conditions that go against their professional knowledge and accepted standards of good and safe healthcare. Such a situation is indefensible and has a lasting and negative impact on staff and the quality of service.
Staff and patients are placed in situations where the risk of infection, accidents, violence, and serious consequences is obvious and persistent.
In December, eight staff members were diagnosed with latent tuberculosis. This highlights the consequences of infection prevention and control measures not being in line with laws and regulations. Inaction in the development and investment in healthcare infrastructure has created a systemic problem that is now clearly and dangerously evident in the emergency department.
We demand that the workplace comply with laws on health, safety and working conditions and that immediate action be taken, as there is an ongoing and worsening emergency situation and it must be addressed immediately.
We also demand that those parties with statutory responsibility respond immediately and follow up on comments, audits, and committee findings that have previously been made:
- The Office of the Director of Health will monitor improvements based on the findings of an assessment of the department's conditions.
- The Occupational Safety and Health Administration conducts a comprehensive assessment of employee facilities and responds to violations of occupational safety and health laws.
- Health inspectors will assess the situation with regard to hygiene and infection control.
- The fire department follows up on its assessment of the fire risk due to oxygen equipment and congestion.
- The Privacy Office will investigate the situation with regard to patient privacy and protection.
- Health authorities should conduct an assessment of patient harm and mortality with regard to length of stay in the emergency department.
The safety of patients and staff must no longer be a sacrifice. It is completely unacceptable that these conditions have been left unaddressed for years despite repeated warnings. Instead of promises, we demand improvements. Those who govern and monitor the healthcare system must take responsibility and exercise their power immediately.
Resolution sent to:
The Office of the Director of Health,
Administration,
Reykjavík Health
, Capital Region Fire Department
, Data Protection
Officer, Director of the National Hospital
, Ministry of Health
Ministry of Finance
Prime Minister's Office
Welfare Committee of the Parliament
The Budget Committee of the Parliament
Copy: Media




