What action should the charge nurse take if a practical nurse mentions taking a sleeping pill and appears slow to respond?

The most appropriate action for the charge nurse to take when a practical nurse (PN) mentions taking a sleeping pill and seems slow to respond is to send the PN to the employee health center for a urine drug screen. This action is essential for several reasons.

First, patient safety is the highest priority in healthcare settings. If a nurse is potentially impaired due to medication or substances, their ability to provide safe and effective care can be compromised. Conducting a urine drug screen can confirm whether the PN is under the influence of a substance that could affect their performance.

Second, it is essential to address any concerns regarding staff competency and safety swiftly and effectively. Sending the PN for a drug screen allows for a straightforward assessment of their current condition, without making assumptions about their abilities or intentions. It ensures that the situation is managed in a systematic way that upholds the standards of patient care and safety.

Taking immediate action to verify the practical nurse's condition demonstrates accountability and a commitment to maintaining a safe healthcare environment. This response is appropriate because it prioritizes the welfare of both the nurse and patients rather than delaying action or making less effective adjustments to the PN’s responsibilities.

Other options, such as privately discussing the issue or assigning the PN to less critical tasks,