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Initial EAP Supervisor Training: Alcohol and Drug Testing Program. Presented by the MCPS Employee Assistance Program 240-314-1040. November 2010. Please turn off your cell phones. If you need to take a call, please do it outside of this room. Thanks!. Outcomes.

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Initial eap supervisor training alcohol and drug testing program

Initial EAP Supervisor Training: Alcohol and Drug Testing Program

Presented by the

MCPS Employee Assistance Program

240-314-1040

November 2010


Please turn off your cell phones. If you need to take a call, please do it outside of this room. Thanks!


Outcomes
Outcomes call, please do it outside of this room. Thanks!

  • Increase familiarity with alcohol and drug testing regulations

  • Become knowledgeable about the affects of alcohol and drugs

  • Know what steps to take when suspicious that an employee might be under the influence


Employee assistance program
Employee Assistance Program call, please do it outside of this room. Thanks!

  • Assessment, short-term counseling

    and referral

  • Problem types

  • Cost

  • Eligibility

  • Referrals

  • Confidentiality

  • Other services: crisis response,

    workshops, access point to mediation


Scope of the problem
Scope of the Problem call, please do it outside of this room. Thanks!

  • There are more deaths and disabilities each year in the U.S. from substance abuse than from any other cause.

  • About 18 million Americans have alcohol problems; about 5 to 6 million Americans have drug problems.

  • More than half of all adults have a family history of alcoholism or problem drinking.

    (National Council on Alcoholism and Drug Dependence)


Consequences
Consequences call, please do it outside of this room. Thanks!

  • 1/4 of all emergency room admissions, 1/3 of all suicides, and more than 1/2 of all homicides and incidents of domestic violence are alcohol-related.

  • Heavy drinking contributes to illness in each of the top three causes of death; heart disease, cancer, and stroke.

  • Almost 1/2 of all traffic fatalities are alcohol related.

    (National Council on Alcoholism and Drug Dependence)


The cost
The Cost call, please do it outside of this room. Thanks!

  • Alcohol and drug abuse costs the American economy an estimated $276 billion per year in lost productivity, health care expenditures, crime, motor vehicle crashes, and other conditions.

  • Untreated addiction is more expensive than heart disease, diabetes, and cancer combined.

  • Every American adult pays nearly $1,000 per year for the damages of addiction.

    (National Council on Alcoholism and Drug Dependence)


Substance abusing employees
Substance Abusing Employees call, please do it outside of this room. Thanks!

  • 3x more likely to be fired

  • 2x as likely to resign

  • 3.5x more accidents

  • 3x more often absent

  • 5x more likely to file workers compensation claims

    (Department of Labor, 1999)


Alcohol and drug testing regulations
Alcohol and Drug Testing Regulations call, please do it outside of this room. Thanks!


Performance of safety sensitive functions is prohibited

Within four hours after using alcohol call, please do it outside of this room. Thanks!

While having a breath alcohol concentration of .02 or greater

If in possession of alcohol

If using alcohol

If a driver has used or tested positive

for drugs

Performance of Safety Sensitive Functions is Prohibited:


Post accident testing
Post Accident Testing call, please do it outside of this room. Thanks!

  • Personal injury requiring immediate medical attention away from the scene to any occupants of the vehicle, another vehicle or pedestrian

  • Disabling damage to the commercial vehicle or another vehicle (requiring the vehicle to be towed)


Drug and alcohol and the testing rules

Drug and Alcohol and the call, please do it outside of this room. Thanks!Testing Rules

Handbook for Supervisors


Alcohol and drug education
Alcohol and Drug Education call, please do it outside of this room. Thanks!


Alcohol education

Alcohol Education call, please do it outside of this room. Thanks!


Effects of alcohol on driving
Effects of Alcohol on Driving call, please do it outside of this room. Thanks!


Approximate bac in grams
Approximate BAC (in grams) call, please do it outside of this room. Thanks!

Body Weight

Number of drinks

120 180 220

1

3

5

10

12

.03.02.02

.09 .06 .05

.16 .11 .09

.31 .21 .17

.40+ .29 .24


BAC and Impairment call, please do it outside of this room. Thanks!

Source: National Highway Traffic Safety Administration (NHTSA)


Factors influencing rate at which bac rises
Factors influencing rate at which BAC rises call, please do it outside of this room. Thanks!

  • Weight

  • Gender

  • Food

  • Mixer

  • Strength of drink

  • Temperature of drink


Sobering up
Sobering Up call, please do it outside of this room. Thanks!

  • Coffee

  • Cold shower

  • Drinking water

  • Time


Vision
Vision call, please do it outside of this room. Thanks!

  • Reduced rapid eye movement

  • Longer to adjust to bright/dim

  • Blurred/double vision

  • Vision impaired = distorted perception

  • Poor peripheral vision


Attention
Attention call, please do it outside of this room. Thanks!

  • Speedometer

  • Gauges

  • Lights and warning signals

  • Road conditions

  • Traffic

  • Signals and signs

  • People and animals


Attention call, please do it outside of this room. Thanks!

  • Stare instead of scan

  • No headlights

  • Overshoot stop sign


Processing
Processing call, please do it outside of this room. Thanks!

Vision Awareness

Judgement


Risk taking
Risk Taking call, please do it outside of this room. Thanks!

Inhibitions = Showoff / Aggressive


Reaction time slower
Reaction Time Slower call, please do it outside of this room. Thanks!

  • Braking time

  • Thinking/reflexes

  • Steering

  • Accelerator to brake

    (BAC .10 = 11% slower)

  • Brake, signal, shift gears, steer

    (BAC .05 = 41% slower)


Questions

Questions? call, please do it outside of this room. Thanks!


Drug education

Drug Education call, please do it outside of this room. Thanks!


Drug presentations
Drug Presentations call, please do it outside of this room. Thanks!

  • Prepare a presentation for the class describing the drug assigned to your group. You can:

    • Make a poster

    • Do a skit

    • Write and present rap/poem/song

    • Perform a puppet show

    • Feel free to be creative


Marijuana
Marijuana call, please do it outside of this room. Thanks!

  • Immediate Effects: Reddened eyes; increased heart rate; dry mouth and throat; increased appetite

  • Chronic and Long Term Effects:Impaired short-term memory; altered sense of time; slow reaction time; reduced ability to concentrate; impaired motor skills

  • Effects on Driving:Impaired reaction time; impaired short-term memory; reduced concentration; distorted time and distance sense; lengthened glare recovery and depth perception


Cocaine
Cocaine call, please do it outside of this room. Thanks!

  • Immediate Effects:Euphoria,dilated pupils; increase in blood pressure, heart rate, respiration rate and body temperature

  • Chronic and Long Term Effects:Irritability, anxiety and depression; seizure and heart attack; loss of appetite and sleeplessness; hallucinations of touch, sight, taste and/or smell

  • Effects on Driving:Lapses in attention and concentration; aggressive behavior; impaired motor coordination; false sense of alertness and security


Amphetamines
Amphetamines call, please do it outside of this room. Thanks!

  • Immediate Effects: Increased heart rate, blood pressure and respiration; dilated pupils; dry mouth

  • Chronic and Long Term Effects:Sweating, headache, blurred vision and dizziness; decreased appetite; sleeplessness and anxiety; depression; psychosis (hallucinations, delusions, or paranoia)

  • Effects on Driving:Overestimation of performance abilities; more accident prone; anxiety; irritability and overreaction; auditory and visual hallucinations


Ecstasy
Ecstasy call, please do it outside of this room. Thanks!

  • Immediate Effects: Increased energy; talkativeness; alertness/paranoia; euphoria; physical rushes; loss of appetite; jitteriness

  • Chronic and Long Term Effects: Depression; sleep problems; severe anxiety; long term paranoia; psychosis; muscle tension; chills and nausea; blurred vision; brain damage

  • Effects on Driving: Severely effects accuracy, judgement, perception and the ability to concentrate; increases confidence and risk taking; produced unofficially, so impact of adulterants is unpredictable


Opiates
Opiates call, please do it outside of this room. Thanks!

  • Immediate Effects: Relaxation and sleepiness; reduction of pain; pinpoint pupils; cold, moist and bluish skin

  • Chronic and Long Term Effects:Restlessness, nausea and vomiting; user may go “on the nod”, going back and forth from feeling alert to drowsy; addiction even with occasional use; infections from unsterile solutions; illness such as hepatitis, AIDS and tetanus from using needles

  • Effects on Driving:Euphoric high followed by stuperous inactivity; difficulty focusing; visual distortion; loss of consciousness.


PCP call, please do it outside of this room. Thanks!

  • Immediate Effects: Effects are erratic and unpredictable; increased heart rate and BP; flushing, sweating, dizziness and numbness; violent or bizarre behavior

  • Chronic and Long Term Effects: Stimulation of body functions - can also act as a depressant, pain killer, anesthetic or hallucinogen; change in user’s perception of own body and other forms; changes in speech, muscle coordination and vision; “spacing out’ of time

  • Effects on Driving:A sense of invulnerability and power; aggressive behavior; visual distortion; impaired coordination and dulled senses


Positive tests 1 10 10 11 3 10
Positive Tests call, please do it outside of this room. Thanks!(1/10/10 – 11/3/10)

  • Pre-employment 1 (cocaine)

  • Reasonable Suspicion 0

    (2 conducted)

  • Random 4

    (3 THC, 1 refusal)

  • Post accident 0

    (34 conducted)

  • Return to Work 0

    (3 conducted)


Reasonable suspicion testing
Reasonable Suspicion call, please do it outside of this room. Thanks!Testing


Role of the supervisor
Role of the Supervisor call, please do it outside of this room. Thanks!

  • Ensure the safety of the driver, the students, and the public

  • Use best skills and judgment

  • Determine if there is reasonable suspicion to test


Confidentiality
Confidentiality call, please do it outside of this room. Thanks!

  • Subpart P - Confidentiality

  • § 40.321   What is the general confidentiality rule for drug and alcohol test information?

  • .…, you are prohibited from releasing individual test results to third parties without the employee's specific written consent

  • (a) A “third party” is any person to whom other parts of this regulation do not authorize or require the transmission of information in the course of the drug or alcohol testing process.


Recent cases
Recent Cases call, please do it outside of this room. Thanks!

September 2009:

  • Illinois school bus driver arrested for Driving Under the Influence of Drugs after endangering a bus full of seventh graders by driving recklessly. Also charged with 41 counts of child endangerment.

    October 2009:

  • California school bus driver arrested for Driving Under the Influence of Alcohol and child endangerment. Bus hit by a pick up truck after bus driver made a U-turn with 31 children on bus.


Reasonable suspicion video

REASONABLE SUSPICION VIDEO call, please do it outside of this room. Thanks!


Reasonable suspicion guidelines
Reasonable Suspicion Guidelines call, please do it outside of this room. Thanks!

  • Ongoing observation/supervision of your drivers

  • Compare observations with handbook (p.7)

  • Get second supervisor to confirm

  • Meet in private

  • Arrange to send for testing

  • Document your observations - use correct forms

  • Questions? Call Miles Alban (HR) or EAP


Reasonable suspicion case scenarios
Reasonable Suspicion Case Scenarios call, please do it outside of this room. Thanks!


Frequently asked questions
Frequently Asked Questions call, please do it outside of this room. Thanks!

  • Do you test a driver when a child is injured on the bus and the injury is not the result of an accident?

  • How do we select drivers for random testing?

  • Why do we test some people for alcohol only and others for drugs and alcohol?

  • Who is responsible for taking the employee for reasonable suspicion testing?


Frequently asked questions1
Frequently Asked Questions call, please do it outside of this room. Thanks!

  • Why don’t we test bus attendants?

  • If I have a concern about a driver’s potential drug or alcohol use, can I add him/her to my random testing list?

  • What happens if an employee can’t supply any or a sufficient amount of urine?


Thanks for coming! call, please do it outside of this room. Thanks!For more information about the EAP, contact us at 240-314-1040or visit our website atwww.montgomeryschoolsmd.org/departments/eap


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