What should a nurse do if a coworker refuses to sign for narcotic waste they did not witness?

Reporting the coworker to a supervisor is the appropriate action in this situation because it addresses the serious nature of narcotic waste management. Ensuring the proper disposal and record-keeping of narcotics is critical for maintaining safety and accountability in clinical settings. The refusal to sign off on narcotic waste indicates a lack of adherence to established protocols, which could lead to potential abuse, mismanagement, or legal complications.

By reporting to a supervisor, the nurse not only promotes compliance with safety regulations but also protects the integrity of the medication management system. Supervisors can then investigate the situation further and implement corrective measures to ensure that proper procedures are followed in the future. This approach upholds the ethical standards of nursing practice and safeguards patient care while also handling the coworker's non-compliance appropriately.