Sorry- you are correct about the evaluate vs treat subject. But, it does take time to evaluate- sometimes more time than it takes to treat. Fast track does not violate the principle of triage. You're just diverting those patients to an area involving less acute care.
The NPs and PAs were brought in to take care of the non-emergent patients, and the fast track was built for that purpose only. It didn't take away resources. We were a teaching hospital, so the residents and attendings were freed up to take care of the more emergent patients. I've seen it work. You are fighting a losing battle if you think you can turn away all non-emergent cases. There are many reasons more and more people are using the ER as their primary, but that's a whole other thread.
I have admitted more than my share of those who came in as non-emergent, and ended up staying a few days for workups, etc. The emergent cases still got priority in admissions, BTW. They also got priority on the radiology lists, etc. Our ed had their own radiology dept. separate from the main hospital, though. Our whole thing was set up to help get the emergent cases seen faster, without those taking the emergent cases having the non-emergents thrown in, taking up their time and resources. This way, the nurses who had the trauma room didn't have to leave Joe Bob with the flu-like symptoms without a nurse for 2 hours. Joe Bob would be treated and streeted, without having to wait until that nurse wasn't tied up any more. Thus, that bed was opened up for another patient to be seen.
It might be helpful to post a sign in the waiting room stating that non-emergent cases will be treated in the fast track area.
Add to that, the fact that when the fast track was slow, we would float over to the main ER or triage and help out if needed.
Your facility is looking at numbers. If the numbers show a higher throughput, they are not going to get rid of the fast track. If Joe Bob is not taking up that bed for the 2 extra hours that his nurse was in the trauma room, that's 2 more hours of an open bed for other patients.