The ethical dilemma is here where to go to the higher management of the hospital to let them know about the wrongdoings of Derek, who is a newly hired employee or not. Derek conducts a procedure, which is completely out of the assigned scope of practice on a patient. Therefore, Meredith is in an ethical dilemma because if she goes to the higher management then it will lead to a serious problem for Derek and if she not goes then it will affect the guidelines of