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Alabama Nurse, Dec 2003-Feb 2004
3.6 Addressing impaired practice
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- ANA Code of Ethics for Nurses with Interpretive Statements
- Code of Ethics for Nurses with Interpretive Statements
- Code of ethics for nurses with interpretive statements
- Code of Ethics for Nurses with Interpretive Statements
- Code of Ethics for Nurses with Interpretive Statements
Nurses must be vigilant to protect the patient, the public, and the profession from potential harm when a colleague's practice, in any setting, appeal's to be impaired. The nurse extends compassion and caring to colleagues who are in recovery from illness or when illness interferes with job performance. In a situation where a nurses suspects another's practice may be impaired, the nurse's duty is to take action designed both to protect patients and to assure that the impaired individual receives assistance in regaining optimal function. Such action should usually begin with consulting supervisory personnel and may also include confronting the individual in a supportive manner and with the assistance of others or helping the individual to access appropriate resources. Nurses are encouraged to follow guidelines outlined by the profession and policies of the employing organization to assist colleagues whose job performance may be adversely affected by mental or physical illness or by personal circumstances. Nurses in all roles should advocate for colleagues whose job performance may be impaired to ensure that they receive appropriate assistance, treatment and access to fair institutional and legal processes. This includes supporting the return to practice of the individual who has sought assistance and is ready to resume professional duties.
If impaired practice poses a threat or danger to self or others, regardless of whether the individual has sought help, the nurse must take action to report the individual to persons authorized to address the problem. Nurses who advocate for others whose job performance creates a risk for harm should be protected from negative consequences. Advocacy may be a difficult process and the nurse is advised to follow workplace policies. If workplace policies do not exist or are inappropriate- that is, they deny the nurse in question access to due legal process or demand resignation - the reporting nurse may obtain guidance from the professional association, state peer assistance programs, employee assistance program or a similar resource.
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