If a nurse manager suspects a colleague is under the influence of a substance, what should the manager do first?

When a nurse manager suspects a colleague is under the influence of a substance, the first priority should be the safety of the individual and their ability to perform their duties effectively. Arranging transportation for the nurse to go home ensures that they are not put in a position where they could cause harm to themselves or others if they remain at work. This action demonstrates concern for the welfare of the colleague and addresses the immediate risk of impaired performance in a clinical setting.

Taking immediate action to provide a safe means for the nurse to leave the workplace helps to minimize potential hazards that could arise from their impaired state. It is critical to ensure that colleagues who may be under the influence are not put in a position where they could endanger patient safety or their own well-being. Once the nurse is safely away from the workplace, further steps, such as a more formal assessment of the situation or notifying appropriate authorities, can be considered.