DILEMMAS AND ETHICS2Moral Dilemmas and Ethical DecisionsDecision making in healthcare requires the consideration of ethical implications. From the beginning of nursing school, the principles that provide a foundation for ethical decision-making are stressed as a way to uphold the values of the nursing profession. There may be instances where we face a moral dilemma in treating patients, but a firm understanding of the ethical principles as well as policies and laws that govern patient care will help with working through some of those dilemmas. Personal bias has no room in medicine and promoting human rights requires that treatment decisions are made for the good of the patient. Health Care PolicyIn the emergency room, health care workers use triage systems to help determine the severity of illness or injury and the urgency of treatment. One of these tools, the Emergency Severity Index (ESI) is a five-stage scale algorithm that outlines priority of treatment and anticipated resources that we were required to treat the patient (Vigil et al, 2015). While the use of algorhithms can help to ensure appropriate care is delivered at the right time, it does not necessarily help with ethical decisions. In addition to triage tools, the application of the four basic principles of bioethics, autonomy, justice, beneficence and non-maleficence, can help to promote quality care for all people seeking care in this facility (Aacharya, Gastmans, & Denier, 2011).