Larry77, RN 1,158 Posts Specializes in Trauma/ED. Has 10 years experience. Jul 12, 2007 I wholeheartedly disagree with the mind-set of "us against them"...we are a team in the ED and if we do not work like a team we will lose valuable time and our performance will go down greatly. I would consider myself friends with almost all of our docs and have good working relationships with the others. If I was triage I would have assessed the neck pain and either placed a collar or not then informed the doc why I did what I did. One doc might be upset that a collar was not placed while another might be upset if one was placed, this is the variable in my opinion, not your own decision. What I'm trying to say is do not make this decision because of what the doc might think or do, make it with your assessment of the patient and back that assessment up with an explanation to the doc if necessary.