Colleague's Request

Linda and Beth are both registered nurses on a surgical floor and have worked the same shift for about 4 years. They have become friends in the work place and occasionally socialize outside of work with other coworkers. Both have been recognized for their exceptional skills and teamwork by their co-workers, supervisors, and patients. Lately, Linda has noticed that Beth's charting has been incomplete; she is has been late for her shift and takes frequent bathroom breaks. Beth also has started to volunteer for over time and often offers to help the other nurses by administering their patients' narcotics.

One afternoon, Beth asks Linda if she would cosign the narcotic count with her. Linda discovers that the Demerol 50mg injection count is wrong. Linda thinks that this is the second time the count has been wrong this week while Beth was working. Beth tells Linda to "Just sign it, I’ll figure it out." Linda refuses, concerned for her licence, and now suspecting that Beth is chemically dependent, she is concerned about the health of her colleague.
Beth states, "I just forgot to write one of my patients Demerol injections down. I’ve had so much on my mind lately. You understand, right?"
Linda continues to refuse and tells Beth that she is concerned that she has a drug problem and is going to have to report her suspicions and the situation to the unit supervisor. Beth responds by saying "Don’t you trust me? We’ve worked together for 4 years and I’ve never made a mistake like this. I’m just having so many family problems that my head is not here. Just sign the sheet and it will never happen again, I promise. How could you possibly think that I could be a drug addict? If you report this you’ll ruin my reputation and my life."

Linda is trying to decide what to say and do.


Analysis of this scenario
Original scenario contributed by Karen Avila, Andrea Bucek, Kevin Burns, Dina Dallvechia, Christine Fierro. Spring 1998; edited by Kate Lindemann