If a colleague has a substance abuse issue and no patient is at risk, what should you do first?

Reaching out to the AANA Peer Assistance Helpline is the most appropriate first step when dealing with a colleague who has a substance abuse issue, especially when no patients are at immediate risk. This helpline is designed specifically to assist healthcare professionals who may be struggling with addiction or substance abuse. They can provide confidential support and resources, helping the individual to address their issue in a safe and supportive environment.

The helpline is an important resource because it helps ensure that the colleague receives the guidance they need to seek treatment without endangering their career or compromising the safety of patients. It is also a way to uphold professional integrity within the healthcare setting by addressing the issue while respecting the colleague's privacy.

Additionally, while other actions may be necessary later, such as notifying relevant authorities or performing an intervention, initiating contact with the helpline can often lead to a more effective resolution and support system for the individual involved.