It is hard to believe another year has gone by. This issue's legal briefs column is chock full of information about new cases, interesting studies, and other important information to keep you up to date. Our continuing education unit feature in this issue looks at the Patient Self Determination Act. Our National Council of State Boards of Nursing column discusses the important topic of medication administration assistants. The Conversations in Ethics column in this issue tackles the thorny issue of whether to report a fellow nurse for drug use. As always, we welcome your comments and feedback.