ValleyRN

Hello! I need to know what you all are doing in your ER's. My NEW ER manager has recently removed the assessment from the triage process. Thats right, no assessment of distal CMS for lower ext injuries, no neuro baseline check on HA's, no bowel sounds or specifics documented on abdominal pains. This has me very confused. How do we back up our acuity levels assigned to pt's if we do not document even a condensed assessment by exception?? I am, of course, referring to those pts that are send to the waiting room to await bed availability. The charge nurse is ultimately responsible for ensuring pt flow and appropriateness of care. I cant understand how to do this when I come in at 7pm to 10-15 waiting pt's with various complaints who have been waiting and I have noting but VS, HX, and complaint. I need advice and resources to take to my Mgr. Where are the standards of care for ER?????