The work of registered nurses is becoming increasingly complex. Every day, nurses must make many decisions regarding patient needs, prioritizing patient treatments, delegating tasks, reporting results and changes in condition, and more. Most of these decisions directly or indirectly influence the treatment outcome of patients. For us, as novice nurses, it is very important to understand the decision-making process, the variables that influence it and the steps it involves "in order to develop our own decision-making style" and succeed as nurses in the future (B .Kunkel, 2014). The New Jersey Board of Nursing offers a seven-step decision-making model that "was designed to help nurses use the information they have to resolve scope of practice issues." Any nurse who has a question about nursing practice “can refer to this model and follow each step to make their decision.” ("Decision-Making Model Algorithm", 1999)Decision making in nursing practice begins at the start of a nurse's day. The nurse must prioritize which patient to access first and which patient to administer medications to first, especially in light of upcoming surgeries and procedures. The nurse should also consider the patient's current blood and other test results to decide whether it may be necessary to contact the health care provider and report any abnormalities. Since the nurse is the person who accompanies the patient the most during their stay in the hospital, she is the one who knows the patient and his condition best. Therefore, even a subtle change she notices in her patient's condition during assessment can lead to a change in treatment that, in some cases, could save that patient's life or greatly contribute to improvement. positive of the paper..... .gorithm", 1999) This example clearly shows that an apparently minor decision on the part of a nurse can, in the long term, have harmful consequences and expose the patient to a risk of infection and other complications. As nurses, we will witness good and bad decisions. The Nursing Council and our nursing education have provided us with the tools to help us make informed professional decisions. In the decision-making model, it details step by step how we can make such decisions for the benefit of patient improvement. It is up to us to follow these steps and contribute to the well-being of patients. http://www.njconsumeraffairs.gov/nursing/algo1.htm