Having experience of the situation provides in-depth knowledge to identify different roles. The charge nurse with a BSN degree made a better decision than the ADN nurse. An elderly patient admitted for pneumonia who received intravenous fluids continuously, during the night shift. He began to wheeze and become increasingly short of breath. Respiratory therapy has been requested to provide breathing treatment so that the patient can feel better; however, it was of no help. Although the ADN nurse was reviewing the patient's H&P and medical history to gather data to analyze the problem and call the doctor; however, it has not been able to focus on improved interventions and outcomes. Meanwhile, the lead nurse provided better intervention to make the patient more comfortable, such as keeping the head elevated, closely monitoring the I and O, assessing every two hours, and monitoring the patient more closely , then the doctor was informed and addressed the problems such as fluid overload of the patient. The BSN nurse made a better decision than the ADN nurse because it may be due to working in the nursing field for so many years; however, he had advanced and in-depth knowledge to provide healthy and safe care to patients. In fact, nurses who have earned a BSN degree on the job have stronger leadership and critical thinking skills than associates