This nursing reflection details a student's experience in a surgical ward, specifically concerning the care of a patient post-knee replacement surgery. The student reflects on an instance where a pain assessment using a pain rating scale was overlooked, leading to feelings of anxiety and shame. The reflection analyzes the incident, acknowledging the failure to adhere to nursing protocols and standards, particularly regarding pain management. The author references relevant nursing competency standards and emphasizes the importance of systematic assessment and safe practice. The student outlines an action plan that includes evidence-based research on pain management, maintaining resilience, and adhering to nursing guidelines to improve the standard of care provided. References from AHPRA and other sources are included to support the reflection.