According to the code of ethics for nurses, this moral issue is also in conflict because your obligation is to the patient first. Now you too have your institution's ethical code of conduct that you must abide by. Provision 5. The nurse has the same duties to himself and to others, including the responsibility to maintain integrity and safety, to maintain competence and to continue personal and professional growth (ANA, 2001, p.18 ). In this case the nurse is obliged to make the right moral decision to preserve the patient's integrity and safety