This document presents a case study analysis of a nursing care plan for a patient, Mr. McFarlane, focusing on the role of an Enrolled Nurse (EN). The assignment addresses a scenario where the EN responds to a critical situation, detailing nursing actions and rationales for decisions, considering the patient's vital signs (RR: 9, SpO2: 74%, BP: 100/60, HR: 45, Temp: 38.7, BGL 1.9 mmol/L, GCS 12), and medical history. The response includes discussions on patient positioning, referral protocols, and safety precautions. The document further explores updating the patient's plan of care, outlining new nursing diagnoses, interventions, multidisciplinary team involvement, and expected outcomes, aligning with the EN's scope of practice. Nursing documentation, including vital signs, potential diagnoses, safety concerns, and interventions, is also provided. The assignment concludes with a reflection on the NMBA Enrolled Nurse standards for practice, analyzing indicators related to accountability, information interpretation, and collaboration within the healthcare team.