This review is based on my experience with the ER the past few times I've been there, but most specifically when I was there yesterday with my mother-in-law. From admittance to discharge, we were there for just over 12 hours.
The good: The triage and waiting area nurses in the ER were doing absolutely everything they could to make the best out of a bad situation. They were hustling and doing their best to expedite testing and imaging, but there were no rooms opening up (after preliminary testing and imaging was complete, we were left sitting in the hallway for 6 hours while we waited for a room). I was very confused as to why it was taking so long, but after seeing the performance of the nurses in triage, I credited it to the hospital simply being overwhelmed, and, if that had been the end of it, I would not be writing this review.
The bad: At hour 9.5, we finally were brought back to a room. Shortly upon being in the Adult ER department, I realized the cause of the long wait times. There was zero sense of urgency, and I heard more stories about some of the nurses' children than I care to hear about some of my friends' children. The nurses were sitting at their computers and chatting for the majority of the 2.5 hours we were in the room, getting up only to grab snacks, and only some of them seemed to go check on a patient on occasion. We saw the nurse and the doctor in the first 1.5 hours, then waited an hour to be discharged because our nurse disappeared. The nurse reappeared (with snacks) only when another nurse took the wheelchair from our room and asked him to promise to bring it back when he was done. Our assigned nurse stayed at the front desk and chatted with the other nurses. When the other nurse returned, he immediately went to his computer without bringing us a replacement wheelchair. I have never been in an ER where I felt less initiative, effort, and care for patients than this one.
In short, if you need care that could be provided by Patient First or some other urgent care provider, please do that. If you really need an ER, explore other options before you come here.