Abstract
Objective: To understand the nursing practices in front of the psychiatric patient attended in the emergency room of an emergency room in the city of Porto Velho-RO. METHODS: This is a qualitative descriptive research. The sample consisted of 16 nurses and nursing technicians working in the clinical emergency. Results: The results showed that the professionals present weaknesses, not only in understanding, but also in dealing with psychiatric emergencies. They refer to the presence of fear, vulnerability and insecurity in front of the psychiatric patient. Fragility in the qualification of professionals, in the face of psychiatric crises, can be a propelling element for violent and non-therapeutic actions, which makes it difficult to bond with the patient and assistance to be provided. Conclusion: It is necessary that the conditions in the work environment favor the quality of the service provided, together with qualifications, through permanent education, favoring quality in the care of patients in crises.