The following scenario will best reflect my practice and use of informatics. The scenario is not representative of a particular patient but is a combination of daily events in my position so that no patient rights are violated. I am three hours into my shift as the assistant nurse manager (charge nurse) of a busy emergency department (ED) with my responsibilities in the department being to manage the flow of a shift that will see roughly 100 new patients during the 12 hours but also oversee the care of the 5-20 long term patient who are listed as observation or inpatient holds. We can expand to 60 beds with the use of hall beds. I have a bank of monitors to my left which display the EKG and vital signs of over 48 patients.