While working on the unit, you are the charge nurse covering…

While working on the unit, you are the charge nurse covering another nurse’s patients while the nurse goes on their lunch break. One of the covered patients is second day postoperative and the patient states they are in severe pain. You note that 45 minutes earlier, the nurse charted providing the narcotic analgesic. Previously the narcotic analgesic had worked and the patient experienced no breakthrough pain. The patient’s assessment is unremarkable. The break should have been over, and you know the nurse likes to eat alone in the nurse’s lounge. As you go to the nurse’s lounge to ask the nurse on break a question, the nurse exits the bathroom and you notice in the trashcan there are two used narcotic analgesic syringes in there. The nurse has slurred speech and pinpoint pupils. You have known the nurse since high school and have been best friends. What next steps should you take as a charge nurse and the rationale for the steps?

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