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Opioid abuse in a colleague (Signs (Major (Track marks, IV eqpt in non…
Opioid abuse in a colleague
Guidelines produced by the Welfare of Anaesthetists Special Interest Group
Signs
Major
Track marks
IV eqpt in non workspace environ
Observing decption
Inconsistent records
Change in attitudes or behaviours
Observing intoxication / bizarre behaviour
Minor
Wearing long sleeve gowns
Sick leave, irregular hours, tardiness
Unexplained absence whilst at work
Often difficult to prove
Management
Patient
Removal of patient from colleagues care
Mandatory reporting (to Aus Health Practitioner Reg Agency) if patient safety compromised
Intox by drugs or alcohol
Sexual misconduct
Placed public at risk because of impairment
Colleague
Investigation (confidential)
Intervention (if sufficient evidence)
Follow up (Retraining, active prevention program)
Well being and suicide risk most important
Professional
Acknowledge staff concerns
Permanent documentation
Legal
Since substance abuse is more an illness than a crime, reports may be inappropriate, and are not mandatory
Return to work
Req assessment by appropriate bodies such as medical board
Req coop of anaes depts in developing a monitoring program