Like hella mentioned above, speed is very important. If you do anything, make sure to stay caught up. That is probably the best information I could provide. I can attest that if a tech, nurse, medic, provider (doc, NP, PA) is behind, everyone feels it. But, yes anticipation of orders is important. We do the same as far as obtaining urine, labs, EKG, etc., and it can really get you behind if you do not fulfill this. Believe me, triage nurses expect the nurses in the "back" to be anticipating orders and completing them before the provider gets to them. If you don't act on these "pre-filled" orders, you will have more and more patients sent to you while you attempt to get caught back up. Also, once you start in the ED, try to do most of the work yourself and only delegate what you don't have time for. Everyone will love you for it, including your other nursing staff who are trying to pick up slack left from your care. Sorry for this being a little rant in itself, but have had some challenges lately with my department staff. Each department/facility is different, however.