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학습 자료 둘러보기 →When a nurse discovers a colleague diverting controlled substances, the primary obligation is to protect patients from harm. This overrides any sense of loyalty to the colleague. The first and only correct action is to report immediately to the nursing supervisor and risk management per facility policy.
Drug diversion creates an immediate risk of patient harm, including undertreated pain, exposure to an impaired provider, and potential infectious disease transmission. Waiting for a colleague to self-report allows this danger to continue, making the observing nurse legally and ethically complicit.
A nurse who fails to report known diversion can face disciplinary action by the state board of nursing for enabling unsafe practice. This is a non-delegable duty; you cannot transfer the responsibility to the impaired colleague by asking them to self-report.
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