I work in a Level 1 trauma ER, does anyone else work in an ER that has a team approach? Where there may be 4 nurses to 10 pts, and all the nurses take care of the pts. Even though you may be the primary nurse, other nurses are involved in their care as well. I am new to this type of nursing and haved worked in the ER for 10 years at other places where the nursing care was given by 1 nurse to a group of pts. I did not realize how much this would bother me in a new facility, but it bothers me ALOT! What is the legal ramications to this type of care? Sometimes you may be the primary nurse, and never lay eyes on that pt because someone else may have given the medications, and then later someone else has discharged them. Since it is computer charting, once you sign up for a pt your name will be listed as the primary nurse on that chart. I work in a University Hospital that is very legally conscientious, they review the charts for errors, but continue to allow this type of nursing. What is your opinion about this and has anyone had to deal with this type of nursing?