What is the nurse's legal obligation if a coworker is suspected of being impaired on the job?

When a nurse suspects that a coworker may be impaired while on the job, there is a legal and ethical obligation to report the concern immediately to a supervisor. This duty is grounded in the commitment to patient safety and the integrity of the healthcare profession. The rationale behind this obligation is rooted in the understanding that an impaired employee may pose a significant risk to patient care and safety, potentially affecting the well-being of patients, coworkers, and the healthcare environment as a whole.

Reporting to a supervisor ensures that the issue is addressed appropriately by someone in a position of authority who can investigate the situation further and take necessary actions. This step also protects the nurse who notices the impairment from potential liability and ensures compliance with institutional policies and professional standards of conduct.

In contrast, discussing concerns directly with the coworker may not be advisable, as it could escalate the situation or hinder prompt intervention. Documenting observations may be useful, but timely reporting is the priority when patient safety is at stake. Ignoring the suspicion altogether is not an option, as it can lead to serious consequences for patients and the workplace. Thus, the immediate reporting to a supervisor is the most responsible and legally sound course of action.