Final answer:
The first action for a nurse who observes a colleague with difficulty focusing and appearing drowsy is to directly ask the nurse if they are okay. If concerns persist after this initial step, the next action is to report to the nurse manager. Accusations or formal reports should only be made with evidence and through proper administrative channels.
Step-by-step explanation:
If you are a nurse working in a busy med-surg unit and have noticed another nurse is having difficulty focusing and appears drowsy, the first action you should take is to ask the nurse if she is okay or if she needs any assistance. In the context of patient safety and professional responsibility, it is important to address potential issues directly with the individual concerned before escalating the situation. This approach allows for the possibility that the nurse may be experiencing fatigue, health issues, or personal problems unrelated to professional misconduct. It also allows you to provide immediate support if necessary. If after speaking with the nurse, there are still concerns about their ability to perform their duties safely, the next step would be to report the observations to the nurse manager on the unit. This is in line with most hospital policies for addressing concerns about staff performance and ensures that the situation is managed appropriately.
The other options, such as alerting the American Nurse Association or filling out an incident report, are not immediate first steps and may not be appropriate depending on the circumstances at hand. Furthermore, accusing the nurse of stealing medications without any evidence is unprofessional and could unfairly harm their reputation or lead to a confrontational situation. The hospital administration and nurse management should handle investigations into potential drug diversion or theft.
Always remember that creating a culture of safety and support includes ensuring that all staff have access to help if needed, and that concerns about their performance are handled with discretion and care. This process often begins with direct communication and a supportive approach before any formal reporting is made.