1. Explain if Tom has breached duty of care and worked outside his scope of practice in this instance. (word limit 20-50) Nurses' primary responsibility is to provide safe and competent nursing care. Any circumstance that may compromise professional standards, or any observation of questionable, unethical or unlawful practice. should be made known to an appropriate person or authority. If the concern is not resolved and continues to compromise safe and competent care, nurses must intervene to safeguard the individual and. after exhausting internal processes, may notify an appropriate authority external to their employer organisation. Tom may have breached his duty of care by attempting to assist the patient without being adequately trained or experienced in caring for such patients. He might have worked outside his scope of practice to gain the knowledge and skills to handle the patient's condition properly