Nurse Janina observes a dazed and apparently confused co-worker taking two diazepam tablets by mouth, as the co-worker is about to pour medications. What should Nurse Janina do?
  1. Call the nurse supervisor immediately before the co-worker pours and administers the medications
  2. Pour the medications for the co-worker while she goes for a cup of coffee
  3. Report the co-worker to hospital security because she may be addicted to drugs
  4. Watch the co-worker closely and report the incident to the nurse supervisor at the end of the day
Explanation
Answer - A - Nurse Janina should call the nurse supervisor immediately before the co-worker pours and administers the medications. The patient’s safety is the major concern in this situation. According to the International Council of Nurses’ Code for Nurses: “The nurse [should] take appropriate action to safeguard the individual when his or her care is endangered by a co-worker or any other person.” In this case, talking with the head nurse immediately would be the best way to safeguard the patient’s safety. The nurse isn’t necessarily an addict; she may be abusing a prescription medication.
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