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Confidential Substance Abuse Chemical Dependence Mental Health Workplace Issues |
6. refuse lunch relief or breaks 7. frequently relieve others 8. volunteer for extra cases (especially cardiac, where narcotics are being used in large quantities) 9. volunteer for extra call, come in early and leave late 10. at the hospital when off duty to stay near supply 11. frequent bathroom breaks 12. difficult to find between cases, often napping after using or unexplained absences 13. desire to administer narcotics personally in postanesthesia care unit 14. patients’ pain out of proportion to narcotic record 15. wear long-sleeved gowns to hide needle marks and stay warm 16. pinpoint pupils 17. signs and symptoms of withdrawal, especially diaphoresis, tremors, mydriasis, rhinorrhea, myalgias, nausea and vomiting 18. weight loss and pale skin 19. undetected addicts found comatose 20. untreated addicts are found dead 21. quality of care issues -- malpractice, behind on charts |