Not that I am anywhere near bilinguial, but any simple conversations that I can have with Hispanics/ Latino population I do (not hard to do in the ED). I carry around note cards with simple phrases, my palm has a great progam from Skyscape, and "Spanish for Health Care Professionals" by Barron's Publishing is very good. Plus, I am researching immersion programs at the moment to attend in the next year. **Key phrase.. simple commands and questions. Get an interpretor for consent or indepth assessments.