Signs and Behaviors
Associated with Chemical Dependency
Evidence of alcohol or drug use, odor of alcohol on breath,
heavy perfume or mouthwash, wearing long sleeves
Consistently signs out more narcotics than peers
Makes preoperative rounds or visits at unusual hours
Comes to work during scheduled time off and loiters around
departmental drug supply
Chooses inappropriate type or amount of drug
Increasing mood swings with frequent, unexplained anger, overreacts
to criticism
Isolates and withdraws from peers
Gradual decline in work performance, job shrinkage
Increasing or unexplained tardiness or absenteeism
Frequent illness or physical complaints
Dishonesty, often over trivial or unimportant matters
Increasing difficulty with peers, supervisors, and authority
Frequent home crises-family illness and situational problems
Elaborate excuses
Inappropriate choice and dose of drugs
Tremors, "Monday morning shakes"
Loss of time on duty-increased breaks, missing from post
Confusion, lack of concentration, distant
Spasmodic work pattern
Proximity to source on and off duty
Brent H. Ledford CRNA, CDC
Chair 01-02
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