In 2002 there were an estimated 1.5 million people admitted into casualty emergency units within the Republic of South Africa. Many of these admissions dealt with events that were traumatic for both families and practitioners and these traumatic events have effects on the biological, psychological and social wellbeing of these individuals. Coupled with this is an ever increasing demand for mental health services and a worldwide shortage of qualified individuals to provide these services. Registered nurses in casualty units deal with the majority of these issues and the effect of these traumatic events. The crisis intervention model may provide these registered nurses with the necessary skills to deal with these problems not only for patients but possibly for themselves. Furthermore the biopsychosocial model of health allows these registered nurses to assess the impact of these events on the individuals. Yet, some registered nurses feel that they lack the necessary skills to deal with and assess these problems and intervene in these crisis situations. This study was exploratory descriptive in nature and aimed to examine whether there was a perceived need for registered casualty unit nurses to engage in supplementary counselling skills training. These perceptions were obtained through purposively sampled interviews and analysed qualitatively, using Tesch’s model of content analysis. Findings indicated that the registered nurses do perceive a need for supplementary counselling training, both for use with the patients and for themselves, and are willing to engage in this training although there are problems that inhibit this willingness. Recommendations regarding the implementation of a supplementary counselling skills training course as well as future research in the field were made.