What is the most important action for a nurse who suspects that a colleague is impaired due to alcohol?

When a nurse suspects that a colleague is impaired due to alcohol, the most important action is to document the incident according to facility policy. This step is crucial for several reasons.

First, documentation creates an official record of the observed behaviors or incidents that raised concern about the colleague's impairment. This record is important not just for addressing the immediate situation, but also for ensuring that appropriate measures can be taken later, in line with the facility's policies and procedures.

Second, adhering to facility policy ensures that the nursing professional follows established protocols for dealing with potential impairment. These protocols are likely in place to protect both the integrity of the healthcare team and the safety of patients. Accurate documentation allows for a clear chain of evidence that can be referenced if the situation escalates or requires further intervention.

Third, relying solely on discussion with the colleague or encouraging self-reporting may not yield the necessary action needed to address the safety implications of impairment. In contrast, proper documentation can lead to timely intervention by supervisors or facility leadership, which is essential in maintaining a safe healthcare environment.

In summary, documenting the incident according to facility policy serves as a protective measure for both the patient and the nurse, and ensures that the situation is handled appropriately and professionally.