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- Remember that the impaired nurse is compromising client care
- Be sure that the problem exists and can be proven
- Communicate specific concerns to appropriate persons such nurse manager or risk manager
- Document incidents in terms of behaviors, specific times, dates - be objective
- File a report according to the policies and procedures of the institution
II. Boundary Violations
- Definition - actions that overstep established interpersonal boundaries to meet the needs of the nurse
- Guiding principles in determining professional boundaries
- Nurse is responsible for setting and keeping boundaries
- Nurse must avoid simultaneous professional and personal relationship with a client
- Nurse must avoid flirtation
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