Blythe Seymour, RN, is working in a group practice dermatology clinic. The workload has increased, and the physicians have decided to hire another RN. When Kate, the new RN, begins her orientation, Blythe tells her she will have to learn how to use the laser machine to remove tattoos. Kate hesitates and explains that she had thought that her responsibilities included assisting the dermatologists in the tattoo removal procedure, not doing it y herself. Blythe says, "This is why we hired you. I am sure that it's ok: the doc showed me how and I can show you." Blythe and Kate continue the orientation. When Kate goes home, she sends an email to the BON and asks if this falls within the RN scope of practice.

• What are the values, virtues, or obligations at stake int his case?
• How would you assess this situation morally?
• What are the clinical and medical dimensions of this situation?
• What are the patient's needs or desires?
• What relationships are being affected?
• What institutional factors are being affected?
• What elements of the Code pertain?
• If you were the nurse how would you reason, ethically, about this?
• What arguments would you make for this position (evidence-based, scholarly)