Mary decided to call the doctor against that advice of the supervisor, She knew that her code of ethics required responsible competent practice based on informed judgment and that is first accountable to her patient for the provision of safe care. She placed the call, described the patient's condition and her concerns, and requested a consultation order. After some encouragement, the doctor agreed. She called a pulmonary doctor, who arrived on the unit one half hour later. The doctor quickly diagnosed the patient and immediately treatment for legionnaire's disease