• It is nurses' responsibility to ensure that women experiencing miscarriage are given privacy and treated with dignity while undergoing emergency care.  
• It is also the nurses' responsibility to ensure that both physical and psychological needs of the patient and her family are met. 
• Nurses must be prepared for grief and loss to be manifested in various ways, and should be able to answer questions and provide information through discussion and leaflets while allocating enough time to do so without appearing rushed
• Nurses are expected to ensure that patients' cultural and religious needs are considered.
• It is important for the nurse to avoid overlooking the needs of the partner of the patient who miscarried as too often, the loss and grief suffered by fathers or partners at such times go unrecognized (Bryant, 2008). Therefore, a family centered approach should be applied when appropriate. 

• Too often, the delivery of nursing care for pregnancy loss in the ER focuses on the physical aspect, neglecting the emotional needs (Bryant, 2008). 
• Nurses often lack the situational communication skills that patients need and may as a result say nothing at all, this can be just as harmful as saying the wrong thing. Further it may appear to the women that the staff is trivializing the situation (Bryant, 2008). 
•  Research suggests that nurses in the ER often view a miscarriage as low priority and nonemergent leading them to dismiss the "emotional emergency" that frequently accompanies a miscarriage (Merrigan, 2018).

"Nurses in the ED often view a miscarriage as low priority and nonemergent and may dismiss the "emotional emergency" that frequently accompanies a miscarriage" (Caitlin, 2018).

• Women report feeling that healthcare practitioners often downplay the perceived importance of the mothers loss and may judge their response to correlate with the gestational age at the time of the loss  (Krosch & Shakespeare-Finch, 2017).
• ER nurses may prioritize miscarriage as having little significance in relation to the types of patients who have higher levels of acuity (Merrigan, 2018).
• The focus on the physical nature of a pregnancy loss is a common theme and is believed to be possibly due to the intention of avoiding communicating about the woman's feelings towards the loss due to the lack of expertise in perinatal bereavement (Merrigan, 2018).
•  L&D units across the country have incorporated evidence-based practice standards, educated the bedside nurses, and rewritten policy and procedures to incorporate the concepts of perinatal bereavement care into their delivery of care for pregnancy loss after 20 weeks of gestation (Merrigan, 2016). That specialized training, knowledge, and experience are lacking in the ED.

"The depth of this pain does not correlate with the duration of the pregnancy. It cannot be assumed that because it was an eight-week pregnancy, the woman will not mourn the loss. This stated we cannot conclude that all women who miscarry will cry or require perinatal bereavement support. However, nurses must explore the personal meaning of the pregnancy loss being mindful of offering choices and accommodating individual requests.

"Compassionate care can't be legislated"