How should a PMU team handle suspected substance use disorder among a colleague?

• A. Publicly accuse the colleague of misconduct
• B. Follow organizational policies, protect patient safety, refer for evaluation/treatment, and document concerns
• C. Ignore concerns to avoid conflict
• D. Immediately terminate the colleague

Answer: (B)

Handling suspected impairment in a colleague centers on patient safety, professional responsibility, and following the proper process. The best approach is to use the organization’s policies to guide action: observe and record objective concerns, escalate through the appropriate channels (supervisor or impairment program), and arrange for evaluation or treatment as needed. While ensuring patient care remains safe, adjust duties or supervision to limit risk until the colleague is evaluated. Encourage access to help and support, recognizing that substance use disorder is treatable, and maintain confidentiality throughout. Document all observations and actions to create a clear record for accountability and future decisions. This approach preserves patient safety, follows due process, and provides a constructive path toward recovery, unlike public accusations, inaction, or premature termination.