erdiane, In my ER the first person to see a pt is the nurse. It sounds like we use a system that is similar to what your manager is going to switch to. When the patinet walks in the door they fill out a form with general info (name, time, PCP, and cheif complaint) and are called to be triaged by the triage RN based on time of arrival and accuity. I agree that it is tough to have to play greeter and handle all of the visitors and do your triage, but I think that there are merits because a lot of the time I notice that the CC is not the reason the pt is actually there and having an RN to sort it out helps. I would say that we see at least that many pts on a normal day and this system seems to work. on a side note, i'm from cleveland and have been thinking about doing travel nursing, and phoenix is high on my list. what do you think of it out there, how are the RNs treated, is the pay good? any advice you have would be appreciated. Thankx