NP Primary Care Vs. Acute Care Setting

MR.Smith, a primary care Nurse practitioner had been practicing in Urology outpatient clininc in Bronx VA medical Center for about 3 years. Due to recent pandemic, urology clinic was closed. High acuity of patients and reduced staffing was reported in the ED Room. Mr. Smith was reassigned to the ED.

Question;

What would change for Mr. Smith as a primary Care practitioner, moving from an outpatient primary clinical setting to an acute care setting?