The purpose of this manuscript is to examine impaired nurses' practice, to identify causes, signs, and symptoms of problems, and to identify interventions for chemically dependent nurses employed in long-term care. The long-term care nurse manager has a moral, ethical, and legal responsibility to assist the chemically dependent nurse and to protect the resident and the facility. Education of nurse managers is essential to provide for intervention and treatment for the chemically dependent nurse. Assisting the nurse to accept treatment and return to practice benefits the individuals, the facility, and the profession. This manuscript describes step-by-step interventions for identification, treatment, and return to work for chemically dependent nurses.