Two nurses report suspected narcotics diversion by the charge nurse. Which action best reflects ethical conduct?

• A. Notify the police immediately
• B. Meet with the charge nurse to discuss the issue but do not divulge the source of the information
• C. File a formal complaint with the state board
• D. Ignore the report because there is no evidence that supports it

Answer: (B)

Addressing suspected narcotics diversion through the proper channels while protecting privacy is the ethical approach. Consulting with the charge nurse in a private, nonconfrontational manner allows you to verify facts, assess patient safety risks, and avoid spreading rumors. Importantly, you keep the reporters’ identities confidential, which encourages reporting without fear of retaliation and preserves trust in the process. If the discussion uncovers concerning facts or patterns, you escalate through the appropriate organizational channels (risk management, administration) and pursue formal action as indicated by policies, which may include further investigation or, if warranted, formal reporting to the state board. Immediate police involvement isn’t the first step, and filing a formal board complaint or ignoring the report bypasses proper internal processes or neglects patient safety.