Chart, chart,and chart some more! You can never chart too much or too often on ER patients. It will help save your butt down the line when the unexpected happens or a lawsuit pops up in the future. I teach new RNs to chart on every patient at least hourly and much more frequently on the critical patients. Also, visit your patients frequently. It's sometimes hard to do so but it makes for a much better patient attitude if they know you remember they are there.