It is not our place to judge what others want or do not want. It is our place to encourage communication between patient, family and physicians....... and, YES, this can be the most difficult thing we have to do..... We, as nurses, do not have the legal authority to administer ice chips without a physician's order. Yes, there are times when providing comfort to the end is the appropriate thing to do... but to speed it along....... to make the decision/do the deed to bring the end about... it is not our's to do. I believe that there are times when the ultimate in comfort is called for.... and I pray that the physician provides the orders because the patient and/or family have requested the greatest comfort measures possible. To know that a handful of nurses have gone beyond the scope... they give us a bad name, leave a bad taste in one's mouth, even jeapordize our opportunities for change and growth at a time when this profession needs growth and change to attract more members. The compact between states, fingerprinting, even FBI checks should all help to bring about some degree of security and certainty for those who wish to make change. I must confess, tho, that I hope all this need for increased security in all that we do and are does not take over our lives until we no longer have the freedom to decide for ourselves what we want to do and what is the right thing to do.