Impaired performance 

Scenario: Dana is one of the nurses working with you in the same ward. She comes to work under the influence of alcohol compromising patient safety.

  • Recognises that their colleague’s social behaviour has created the potential for patient harm, as Dana is not able to practise safely and effectively. 
  • Acknowledges the requirement to uphold the reputation of the profession and display behaviours that promote public trust. 
  • Recognises the professional duty to report any concerns that may result in the care of patients being compromised, and that the failure to report concerns may bring their own fitness to practise into question and place their own registration at risk, reflecting the duty of candour. 
  • Raises the concern with a manager at the earliest opportunity, verbally and in writing. Recognises the need to be clear, honest and objective about the reasons for concern. 
  • Considers that their manager may ask them to record an incident report/witness statement, documenting what they have seen and which steps were taken to deal with the matter, including to whom the incident was reported. The witness statement must be signed and dated. 
  • Takes into consideration their responsibility for the safety of their colleague, considering the effects of alcohol on their ability to work and drive home. 
  • Considers that their colleague may need further support in dealing with an alcohol misuse problem. 
  • Acknowledges the need to keep to and uphold the standards and values set out in ‘The Code’: prioritise people, practise effectively, preserve safety and promote professionalism and trust.