When a nurse suspects a colleague is impaired, what is the most appropriate first action?

When a nurse suspects that a colleague is impaired, the most appropriate first action is to report the observations to a supervisor. This is crucial because supervisors are typically trained to handle such sensitive situations and can take the appropriate steps to investigate the matter further. Addressing potential impairment directly with the colleague can lead to various complications, such as confrontation, emotional distress, or further impairment, and may put patients at risk.

Monitoring behavior or documenting observations, while important, should typically precede or accompany reporting to a supervisor, rather than serve as the initial action. The primary focus should always be patient safety and ensuring that the appropriate channels are utilized to address the concern professionally and effectively. In many healthcare settings, there are established protocols for handling suspected impairment, and involving a supervisor ensures that these protocols are followed properly, protecting both the colleague involved and the patients in their care.