Transcript D_and_A
Alcohol & drugs Supervisor (drugs) Warning signs of substance abuse Excessive absences/tardiness Frequent requests for time off Numerous accidents 1a Warning signs of substance abuse Pattern of accidents Noticeable increase in medical insurance claims 1b Warning signs of substance abuse Unsatisfactory performance work Lack of concentration/ decreased productivity after lunch/breaks Long lunch hours 1c Warning signs of substance abuse Non-work-related visits from other employees/strangers Frequent trips to restroom/water fountain 1d Warning signs of substance abuse Frequent visits to vehicle/parking lot Drowsiness, slurred speech, lack of coordination, inability to concentrate, nausea 1e Warning signs of substance abuse Agitation, rapid or slurred speech, dizziness, dilated pupils Bloodshot eyes, runny nose Drastic weight changes 1f Warning signs of substance abuse Marked change in mood, attitude, and behavior Deterioration in personal grooming/hygiene 1g Warning signs of substance abuse Wearing sunglasses and longsleeved shirts at inappropriate times Frequent need to borrow money Avoidance of supervisors 1h Regulatory requirements Section 382.307 Section 382.603 2a Regulatory requirements Suspicion must be based on specific, contemporaneous, articulable observations concerning appearance, behavior, speech, or body odors 2b Regulatory requirements May include the chronic and withdrawal effects of controlled substances Only one supervisor or company official is required to make the observations 2c Regulatory requirements May require a driver to submit to a drug test at any time reasonable suspicion exists while the driver is on duty 2d Regulatory requirements A written and signed record of observations must be completed within 24 hours of the observed behavior or before the results are released, whichever is first 2e Symptoms of drug use Eyes/facial expression Speech Body movements/coordination Behavior Other 3 Approaching a driver Explain your concern Require the driver to go for both alcohol and drug testing 4a Approaching a driver Explain that based on regulations and observations that the driver must be evaluated Explain that a short health assessment will be done 4b Approaching a driver Do not allow the driver to drive Driver should be accompanied by company official 4c Additional approaches/ difficult situations Becomes defensive/denies your comments Talks non-stop Cries 5a Additional approaches/ difficult situations Remains silent Aggressive/belligerent Uncooperative 5b Marijuana Alters the brain’s interpretation of incoming messages 6a Marijuana Leaves Seeds Hashish Smells like a combination of sweet alfalfa and incense 6b Signs and symptoms of marijuana use Reddened Slowed eyes speech Distinctive clothing odor on Lackadaisical attitude 7a Signs and symptoms of marijuana use Chronic fatigue/lack of motivation Irritating Chronic cough sore throat 7b Health effects of marijuana use Irritates lungs One joint = ½ to 1 pack of cigarettes Causes the heart to race 8a Health effects of marijuana use Respiratory and sinus infections Lowers body’s immune system Changes waves brain cells and brain 8b Effects of marijuana on pregnancy Stillborn Early births termination of pregnancy Higher infant mortality rate Underweight newborn babies 9 Effects of marijuana on mental function Delayed decision making Diminished coordination Impaired short-term memory Impaired signal detection 10a Effects of marijuana on mental function Impaired Erratic tracking cognitive function Distortion “Acute in time estimation brain syndrome” 10b Effects of acute use or overdose of marijuana Aggressive urges Anxiety Confusion 11a Effects of acute use or overdose of marijuana Fearfulness Hallucinations Heavy sedation 11b Effects of acute use or overdose of marijuana Immobility Mental dependency Panic 11c Effects of acute use or overdose of marijuana Paranoid reaction Unpleasant image distortions in body 11d Marijuana’s impact on the workplace Long-term effect on performance 12 Cocaine Used medically as an anesthetic Energizes the entire central nervous system 13a Cocaine Fine powder Small crystalline rock (“rock, crack, free base”) 13b Signs and symptoms of cocaine use Financial problems Frequent/extended absences Increased physical activity and fatigue 14a Signs and symptoms of cocaine use Isolation and withdrawal Secretive behaviors 14b Signs and symptoms of cocaine use Frequent non-business visitors, delivered packages, phone calls Unusual defensiveness, anxiety, agitation 14c Signs and symptoms of cocaine use Wide mood swings Runny or irritated nose Difficulty concentrating 14d Signs and symptoms of cocaine use Dilated pupils and visual impairment Restlessness Sensation of bugs crawling on skin 14e Signs and symptoms of cocaine use High blood pressure, heart palpitations, irregular rhythm Hallucinations 14f Signs and symptoms of cocaine use Hyperexcitability and overreaction to stimulus Insomnia Paranoia 14g Signs and symptoms of cocaine use Profuse Dry sweating mouth Talkativeness 14h Health effects of cocaine use Regular use may upset the brain’s chemical balance 15a Health effects of cocaine use Causes the heart to beat faster Strong psychological dependency 15b Cocaine’s impact on the workplace Instability Lapses in attention Theft/dealing 16a Cocaine’s impact on the workplace Violent behavior Forgetfulness, tardiness, missed assignments absenteeism, 16b Opiates Alleviate pain Depress body functions and reactions Strong feeling euphoric 17a Opiates Opium Morphine Codeine Heroin 17b Signs and symptoms of opiate use Mood changes Impaired mental functioning Constricted pupils Depression apathy and 18a Signs and symptoms of opiate use Impaired Physical coordination fatigue/drowsiness Nausea, vomiting, constipation 18b Health effects of opiate use Hepatitis AIDS Can increase pain tolerance 19 The social issues of opiate use Over U.S. 500,000 heroin addicts in Even greater number obtain narcotics through prescriptions Tolerance and dependency cause an increasing financial burden 20 The effect of opiates on the workplace Impairment of physical and mental function 21 Amphetamines Central nervous system stimulants Speed up the mind and body 22a Amphetamines Legal use limited to a narrow range of medical conditions Capsules Usually mouth taken by 22b Amphetamines Methamphetamine Powder Taken orally, injected, or snorted 22c Signs and symptoms of amphetamine use Hyperexcitability/restlessness Dilated pupils Increased heart rate and blood pressure 23a Signs and symptoms of amphetamine use Heart beats palpitations/irregular Profuse Rapid sweating respiration 23b Signs and symptoms of amphetamine use Confusion Panic Talkativeness Inability to concentrate 23c Health effects of amphetamine use Strong psychological dependence Psychosis Heart attack/stroke Heart and brain damage 24a Health effects of amphetamine use Impulsive Bizarre risk-taking behavior and violent acts Withdrawal from drug may cause severe physical and mental depression 24b The effect of amphetamine use on the workplace Physical fatigue and depression makes the operation of equipment or vehicles dangerous 25 Phencyclidine (PCP) Acts as a depressant and hallucinogen Sometimes a stimulant acts as 26a Phencyclidine (PCP) Powder May be mixed with marijuana or tobacco and smoked 26b Signs and symptoms of PCP use Impaired Severe confusion and agitation Extreme Muscle coordination mood shift rigidity 27a Signs and symptoms of PCP use Jerky eye movements Dilated pupils Profuse sweating Rapid heartbeat Dizziness 27b Health effects of PCP use Potential for accidents and overdose emergencies high Can cause irreversible memory loss, personality changes, and thought disorders 28 The effect of PCP on the workplace Acute toxicity Toxic psychosis Drug PCP induced schizophrenia induced depression 29