I have been having some issues with crowd control lately, especially in the triage area. I am having pts or family members of pts waiting to be seen interrupting me while I am with another pt who deserves my undivided attention. Sometimes they actually surround my cubicle and stare at me ot tap on the window. If I don't move fast enough for them, they bypass me and go to security and tell them that they or their family member is REALLY sick and REALLY needs to be seen NOW. SO then security brings them to me and interrupts my current triage and 9 times out of time, it is bullshit and the pt is in no distress. Abd then when you get the one pt who IS in distress and DOES need to be seen immediately, a riot breaks out because I am seeing this one before that one. Security is of NO help. Last night I was interrupted by a pt who had been there twice already b/c he had gotten kicked in the testicle. HE had had 2 ultrasounds which were normal but he was still in a lot of pain. Some woman who wasn't even a family member told me that she thought we misdiagnosed him and that we should check his appendix because the pain had moved to the lower left side of his abdomen. To ease her mind, I tried to explain to her where the appendix was located and that his pain was most likely related to the injury and that he would defintely be seen asap. She told me that I was confrontational with her and that she didn't like my tone of voice. I asked her to have a seat in the waiting room as she was being disruptive and she refused, pulled up a chair and continued to talk down to me. Meanwhile this poor guy is doubled over in pain. So then she of course goes off to complain about me and management kisses her ass, even though they were on my side. She is probably writing a letter to administration as we speak. My point is she was NOT a family member, she was completely wrong and she prevented me from getting the guy inside in a timely manner.I also had a clerk last night inform me that her sister, who was in NO distress was here. I had 4 pts in front of her, that were actually pretty sick. THe clerk kept calling me to tell me her sister hadn't been seen yet. Duh. SHe then bypassed me and took her sister inside who was d/c 2 hours later. THIS is what I am talking about. I don't know how to deal with the masses because no one seems to back me up. Any advice, before I go off and stick a pencil in my eye? I actually cried last night.