I work in NC and that is not the way triage is in any of the hospitals that I am familiar with. Registration clerks are the first to see the patients. They only get the basic info, name, dob, c/o, and then the patients are sent to triage. The clerks always call for a RN if they feel the situation warrants. If anything, they call at times when the patient could wait, but they know when they are unsure that they are to call for help. This works well for our busy ER.