“I feel like it is an assembly line” This is what several of my coworkers have said about the changes going on in our ACC4 area.  Some background for those that have trouble keeping up on all the changes in our department: ACC4 is the direct descendant of the old NE area started about five years ago. Its original concept was to take our fast track and staff it with a nurse, an APN, and the physician in triage.  It was intended for low acuity (ESI Level 4,5), ambulatory patients to be seen by the physician up front in triage and have orders placed. The care would be completed by the team in the back.  Its home for many years was the old blood bank donation area with curtains, lounge type chairs,…