This report delves into the ethical implications within the healthcare sector, specifically focusing on a case study involving a nurse, Savannah, who reported to work under the influence of alcohol. It examines the ethical violations committed by Savannah, referencing the American Nurses Association (ANA) code of ethics and ethical theories such as Utilitarianism and Intuitionism. The report suggests alternative actions Savannah could have taken, such as applying for a leave or shifting job responsibilities, and analyzes the potential positives and negatives of each. It includes a personal reflection on how the situation would be handled differently, emphasizing accountability, responsibility, and respect for the nursing profession. Furthermore, it suggests actions the management could take against Savannah, including reporting her to the state board of nursing, and provides a detailed account of why such a report is necessary to maintain ethical standards and patient safety. The report concludes by underscoring the importance of adhering to professional ethics and the potential consequences of failing to do so, with citations from relevant academic sources.