Reflection matters in clinical practice; we are always looking for success and this can be achieved by learning every day of our lives through the experiences we encounter. In this way, we can reconsider and rethink our previous knowledge and add new learning to our knowledge base in order to inform our practice. Learning new skills does not stop at qualification; it should become second nature to thoughtful professionals as they pursue professional development throughout their careers (Jasper, 2006). In line with current legislation on the protection and respect of individuals' rights to anonymity (Polit and Beck 2007), and for confidentiality (Munhall 2007), all possible identifiable characteristics of the client have either been altered or omitted entirely when the potential for client identification was considered possible or probable. The incident I am about to describe occurred when I worked at a regional hospital where we treat a large number of cases each year, with varying specialties. The incident involves ventilator-associated pneumonia and the use of CASS. John Baptiste Molière said: “It is not only what we do, but also what we do not do, for which we are responsible. (Von Wartburg, 1991). able to justify something that was done and take responsibility for any mistakes made. Professional nurses are accountable in many areas, including to the public, client, profession, employer, and self (Hood, 2013, p. 307). is aware that they have the right to receive the best possible care from professionals in the medical field (Hood, 2013, p. 307). Nurses must be competent in their abilities to provide effective and safe care to their pa...... middle of article ......Clin Infectious Disease August 1, 2010; 51 Suppl 1: S59-66. doi:10.1086/653051. Cawley M. (2007) Mechanical ventilation: a tutorial for pharmacists, February 27, 2007. (2):250-66.http://www.ncbi.nlm.nih.gov/pubmed/17253915Hood, L. (2013) Leddy & Pepper's Conceptual Foundations of Professional Nursing. Lippincott Williams & Wilkins 2013Von Wartburg, Walter. (1991) How to lead with genius: wisdom for the common sense manager. Jasper, M. (2006) Professional Development, Reflection and Decision Making (Vital Notes for Nurses), Wiley-Blackwell; 1 edition November 15, 2006 Munhall, P. (2007) Nursing research: a qualitative perspective. 4th ed. Jones and Bartlett Publishers. Sudbury. p523.Polit, D., Beck, C. (2007) Nursing research: Generating and evaluating evidence for nursing practice. 8th ed. Lippincott Williams and Wilkins. Philadelphia. p180.