A nurse manager observes improper disposal of a narcotic syringe. What should the manager do first?

In this situation, the most appropriate first step is to collect information about the staff nurse's performance. Gathering accurate information allows the nurse manager to assess the situation comprehensively, ensuring that any action taken is based on facts rather than assumptions. This process can involve reviewing documentation related to the incident, such as medication administration records, and understanding the context in which the improper disposal occurred.

By collecting information first, the manager is better positioned to identify whether this was an isolated incident or part of a larger performance issue. This informed approach helps in fostering an understanding and collaborative environment rather than jumping to conclusions or disciplinary actions without full context, which can lead to further issues down the line.

Ultimately, taking the time to gather relevant information ensures that the response is fair and justifiable, supporting the overall goal of maintaining safety and accountability within the healthcare environment.