Introduction The paper to follow will briefly discuss the nursing philosophy of a dialysis unit, the aspects of a nursing philosophy, code of ethics based on scenario given and the role function of the nurse. The role function will define the relationship of the nurse within the multidisciplinary team. The Basic Conditions of Employment Act will be discussed to emphasize the relationship between the nurse and her employer .In conclusion the Nursing Act no 33 of 2005 will be discussed and how it regulates nursing practice and address unprofessional behavior in order to protect the public. 1.1 Philosophy of Dialysis Unit Currently and for the last five years I am practicing as a Hemodialysis nurse at King Abdul Aziz Medical City. Hemodialysis nursing is characterized by frequent and intense contact with patients in a complex and intense environment. The unit has great level of stress unlike home training units. 1.2 Aspects of a Nursing Philosophy Based on what aspects a nursing philosophy should highlight and comparing these aspects to the philosophy above clearly shortcomings are identify. Analyzing these aspect and according to Searle, Human and Mogotlane (2009:15-17) and other literature the following aspects came to the surface such as: - Freedom of Choice - Nursing as a caring profession - Nursing as a way of life - The therapeutic use of self - Education and continues development - Freedom of choice The nurse is responsible and accountable with limitations to freedom of verbalization in a certain context. The nurse have freedom to disagree regarding a treatment based on her experience, logical reasoning based on scientific evidence. Freedom to explore new ways to improve quality of care. Freedom also comes with limitations as previously mentioned as it may have an impact on the rights and privileges of others as in the scenario. Patients need care and according to Tronto,J (1993) care has four phases and its and ongoing process. “They are caring about, taking care of care giving and care receiving." Nursing as a Caring Profession The above statement by Tronto (1993) directly link to the fact that nursing is a caring profession. The nurse consist of both scientific and technological knowledge in order to provide a caring service for patients. Care can be seen as a practice. This practice involved both tough and action which are interrelated. Searle et al (2009:15-17) mentioned that the patient becomes more removed from the nurse as science develop. In dialysis nursing this is very clear as once your patient is connected to the dialysis machine the nurse operates the machine for four hours and only half hour of that time will be direct patient contact. Apart from the technical aspect in dialysis there is clinical skills such as cannulation of the fistula. With cannulation comes the caring aspect such as to reassure the patient, gain the patient trust which is based on the philosophy of the unit. Nursing as a Way of Life Nurses remain the most respected resource when it comes to educating patient. Nurses educate and advise even outside of their duty time. Our philosophy as nurses should be to focus on serving the health needs of individuals, families and communities. Focus should always be on prevention, to provide patient care in the most ideal environment possible. Nurses require ongoing professional development and training to keep updated with the latest scientific knowledge. In essence continue education develop competent and expert nurses in their fields of specialization. Competence Competence in caring is a moral notion which includes social, professional and social values. In the scenario providing good care is inadequate due to the lack of resources such as the staff shortage. Inadequacy of resources at the clinic could reflect the nurses are incompetent. The philosophy of the clinic indicates continues edu