What should a nurse do if they suspect a colleague has consumed alcohol before their shift?

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When a nurse suspects a colleague has consumed alcohol before their shift, notifying the nursing manager is the most appropriate action. This step is crucial because it ensures that the situation is handled according to hospital policy and protects both patient safety and the colleague’s well-being. The nursing manager is typically trained to assess such situations and can take the necessary steps to investigate the claim further.

Addressing issues of potential substance abuse is sensitive and requires a structured response to maintain a safe work environment. By notifying the nursing manager, the nurse is following the proper chain of command, allowing for an evaluation of the situation with appropriate resolution measures.

While it may seem significant to address the issue privately with the colleague, this approach could lead to complications, especially if the substance use is confirmed. It places an individual in a position where they might confront a situation that calls for professional intervention. Similarly, ignoring the smell or directly reporting to the police may not align with the professional and legal standards expected in a healthcare setting. Each facility typically has specific protocols in place for addressing drug or alcohol use, reinforcing the necessity of informing the nursing manager first.

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