Substance Abuse Policy II-41 - The MetroHealth System

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Substance Abuse Policy: II-41 (4) a) Walking (e.g. stumbling, staggering, falling, swaying, unsteady, holding on, pace (faster or slower than normal) b) Standing (e.g. swaying, rigid, unable to stand, feet wide apart, staggering, sagging at knees) c) Balance (e.g. falling, swaying, staggering, sagging knees) d) Inappropriate behavior (e.g. wearing sunglasses indoors, excessive time in lavatory without explanation, employee in unusual and inappropriate areas such as storage room, closet, etc.) e) Speech (e.g. shouting, silent, whispering, slow, rambling, repetitive, rapid, mute, slurred, slobbering, confused, incoherent) f) Demeanor (e.g. sleepy, crying, agitated, silent, talkative, excited, sarcastic, fighting) g) Actions (e.g. resisting communications, fighting, disoriented, threatening, drowsy, profanity, hyperactive, hostile, pacing, erratic) h) Eyes (e.g. bloodshot, pinpoint pupils, watery, dilated, wandering, glassy, droopy, closed) i) Face (e.g. flushed, pale, sweaty) j) Appearance (e.g. unruly, messy, dirty) k) Breath (e.g. alcoholic odor, faint alcoholic odor, other odors associated with use of drugs/alcohol) l) Movements (e.g. fumbling, jerky, slow, nervous, hyperactive) m) Awareness (e.g. confused, bewildered, sleepy) n) Attendance (e.g. pattern of unexplained absence, absences clustered around weekends or holidays, absences clustered around paydays, instances of AWOL) o) Tardiness (e.g. pattern of tardiness after holidays, weekends or paydays) p) Deterioration of work performance (e.g. pattern of unexplained work errors, inability to meet reasonable deadlines, other unexplained changes in quality of work) q) Unexplained work-related accident or injury
Substance Abuse Policy: II-41 (5) r) The use of a drug of abuse while on duty either on or off the premises s) Suspicion of theft/or diversion of drugs. 3. Testing Procedure (see attachments A-F): A supervisor who has a reasonable suspicion that an employee has a detectable level of a drug of abuse in their system while on duty or while on the premises or a reasonable suspicion that an employee has alcohol on their breath while on duty shall take the following action: a) Confirm the observed suspicious behavior with another witness (preferably a management witness). b) Interview the employee in private to determine if there is a reasonable (non drug-related) explanation for the behavior. Bargaining unit employees must have union representation present at this time. Union representation will be present at all stages of the For Cause process. The interview should be conducted in an investigatory, rather than an accusatory, manner. A second management witness must be present during the interview and should document it. c) Between 8:00 a.m. and 5:00 p.m. the Manager of Employee/Labor Relations will inform the employee of the Hospital's drug testing policy, and the employee will be asked to submit to a drug test. The employee will be asked to sign the Employee Drug Test Consent Form (see attachment A) at this time. If the employee refuses to sign the consent form or refuses to submit to a drug test, the employee will be informed that such refusal will be considered as insubordination and will result in disciplinary action, up to and including termination. If the employee still refuses, he/she is to be sent home on administrative leave without pay until a determination is made regarding the level of discipline the employee should receive in collaboration with the Labor Relations section of Human Resources. Otherwise, the Manager of Employee/Labor Relations will contact the Employee Health Clinic to arrange for a drug test. The employee will be escorted to the Employee Health Clinic to submit urine and blood samples for analysis. d) Before any test is administered, an employee must present a signed Employee Drug Test Consent Form (attachment A) to the test administrator. A copy of the signed Employee Drug Test Consent Form will be provided to the union representative.
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Substance Abuse Policy II-41 - The MetroHealth System

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