During change-of-shift report, the nurse going off duty notes that the nurse coming on has an alcohol smell on the breath and slurred speech. What actions are most important for the nurse to take? Select all that apply.

Question

Quizplus · Accepted Answer

An impaired nurse cannot safely give care regardless of the reason for impairment. If impairment is suspected, the nurse has a duty to take action that will both protect the client and ensure that the impaired individual receives assistance. The charge nurse/nurse supervisor should be notified (so the nurse can be replaced and sent home safely), the incident documented, and the nurse not allowed to give care while impaired (Options A, B, and C). (Option D) The off-going nurse will not stay on the new shift to watch for impairment. The impaired nurse may not behave in an obvious manner while the off-going nurse is watching. Regardless of these factors, the nurse has alcohol on the breath and slurred speech; by definition there is evidence of impairment. (Option E) Confronting the impaired nurse in a hostile manner does nothing to protect the client and offers no support to the nurse. Confrontation may be necessary if the client is in immediate danger (eg, the impaired nurse draws up a medication for administration). The off-going nurse should notify the charge nurse so that facility authorities can collaborate with the governing state board of nursing to carry out appropriate investigation, discipline, and supportive interventions. Most state nurse practice acts allow rehabilitation for a cooperative professional rather than automatic loss of license. Educational objective: A nurse who is impaired by alcohol cannot be given client responsibility. The recognizing nurse should notify the supervisor, document the incident, and not give client responsibility to the impaired nurse.

During Change-Of-Shift Report, the Nurse Going Off Duty Notes That