1. The roles of the nurses in the Emergency Department: The nurses receive brief report from the paramedics and sign the report. Because the patients normally have multiple signs and symptoms, the ER nurses need to perform a focused assessment and head to toe assessment. They find out the causes of the chief complains and conduct several tests. The nurses ask pertinent questions in regard to additional signs and symptoms. In trauma, they perform immediate treatment and to prevent respiratory distress by following ABC’s rule. Since emergency rooms in the hospitals provide rapid care to the patients, the triage nurse is to select the patient who develops sudden and serious symptoms of disease. The triage nurses are a very valuable team member because they take patient’s vital signs and reasons for visiting the ER. Then they evaluate the patients to determine the urgency of their needs. 2. The critical thinking necessary to work in Emergency Department nursing: Emergency Department nursing is different from other kinds of nursing. It requires specific skills to assess the immediate needs of the unstable patients. Reevaluating and prioritizing care of the critical phase of illnesses or injuries are necessary to work in Emergency Department. Since the diagnosis and the cause of the diseases are not yet known, the ER nurse need excellent nursing practices to advocate for patient safety.

3. Types of patients in ER: Some patients that I cared for lost their consciousness and were transported by the ambulance or by their own means. Some of them had chest pain and anxiety. Others had seizure and nausea. The triage nurse assessed them and sorted them based on the prioritization. After they were assessed, the patients were passed through another area of the department based on their clinical needs. 4. Three specific patients: