During a break, you see a registrar with a packet of cocaine; what should you do first?

During a break, you see a registrar with a packet of cocaine; what should you do first?

• A. Take them to a private space to discuss alone, express concern for their wellbeing
• B. Observe their behaviour
• C. Immediately inform consultant
• D. If concerns persist escalate to consultant

Answer: (A)

Approaching the registrar privately to discuss your concerns and express care for their wellbeing is the best first step. A private, supportive conversation respects confidentiality, reduces stigma, and opens a nonjudgmental space for them to share what’s going on. This approach also helps you assess whether they’re in immediate danger or need confidential help, so you can guide them toward appropriate support (occupational health, employee assistance programs, or counseling) without damaging trust or forcing disclosure in public. If concerns continue or there’s clear risk to patient safety, then escalate through the proper channels according to workplace policy. Simply observing without action or jumping straight to informing a supervisor can delay help and damage the trust needed for a voluntary, constructive response.

Approaching the registrar privately to discuss your concerns and express care for their wellbeing is the best first step. A private, supportive conversation respects confidentiality, reduces stigma, and opens a nonjudgmental space for them to share what’s going on. This approach also helps you assess whether they’re in immediate danger or need confidential help, so you can guide them toward appropriate support (occupational health, employee assistance programs, or counseling) without damaging trust or forcing disclosure in public. If concerns continue or there’s clear risk to patient safety, then escalate through the proper channels according to workplace policy. Simply observing without action or jumping straight to informing a supervisor can delay help and damage the trust needed for a voluntary, constructive response.