ohhhh, my gosh........ we just started mini registration in our er. on average we have about 32 pt's waiting at any given time. we have 3 nurses in triage, 2 to triage, one to sit at the entrance desk. now the rn at the entrance desk has to type in the pt's info, ss #, look up name info or start a new chart if the pt hasn't been seen before. when we type in this info, we get a face sheet for orders and stickers with pt id # on it. the system ( i don't mind saying is mckessen) it is so user unfreindly ! the problem is , we control 2 different doors, the constant flow of pt's aking "how much longer, why did those people go back before me" etc... etc... you know how it goes. we also have to keep track of who is going back when and to where, answer the phone.the list of what we do is never ending. i guess i wounder what other nurses thoughts are on , nurses taking over so many other areas jobs that ours is becoming rediculously busy. over the past few months, we go out get our own pt's , make beds, clean rooms, transport pt's to x-ray, admission room etc... we do our own ekg's , lab work and the usual flow of med orders etc. shouldn't we have house keeping clean the room, ( i don't mind cleaning my mess, removing linen) but mopping ? nurse techs to go out to bring pt's back, lab to draw blood do ekg's and registration to do mini reg so that we don't miss a pt coming in clutching their chest while we're using a rediculously user unfreindly mckessen system. i can see somthing really big being missed because we are so occupied doing other things besides, good critical thinking. (oh don't forget pres ganey. how silly of me not to think about comfort care cart and keep the movies running so pt's don't get frustrated). thanks for listening.