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Flightmed archive for January-2003



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Re: Coworkers and drugs



I thought Jeff you were out of Atlanta.   Why sign this Augusta?   

>>> michael@seaox.com 12/24/02 08:50PM >>>
Jeff,

Your are truly on the horns of a dilemma; if you turn him in he can lose his job, if you don't he can hurt someone.  It is not your fault.  Your co-worker put you in a position requiring your action when he admitted his illicit substance usage.

My view is, if you want to use drugs in private, do it but you shouldn't be flying - ever.

A suggestion that you turn him in might be based on the assumption that he is addicted.  He may not be addicted, he may merely be using the substances recreationally, either way he is a threat in the air-medical environment.

I am not a big proponent on turning people in, at least initially.  Before you turn him in I would suggest you approach him and try to convenience him to, in essence, turn himself in.   If you do not have a mental health background this can be a very tricky proposition.  One option is to make an appointment at your Employee Assistance Program for YOURSELF.  Describe the situation and your fears.  This is what they are paid to do.  The advantage is you have a greater degree of confidentially with EAP and they can help formulate an intervention for your co-worker.  Remember, however, once you go to EAP the cat is out of the bag.

There is NO good solution to this situation.  Ultimately you must put the safety of yourself, your pilot and the patient above the needs of the individual co-worker.  When you try to decide how to handle the situation, remember, no matter how bad you feel doing what must be done imagine how bad you would feel knowing someone else was hurt because you chose not to intervene.

Michael Cox, EMT-P, RN, CCRN
National Certified Counselor



At 06:55 AM 12/24/2002 -0500, you wrote:
Need some serious guidance, folks...

I find out that a colleague of mine is taking illegal substances (Extascy and non-prescribed Xanax.)  This is not speculation... I have seen this in person.  When I confronted him, he admits it ("Yep... Ex is harmless, and Xanax helps me sleep.")

For whatever it is worth, he's a Flight Nurse/Medic, full time.

Now my problem:

Turn him in to someone?  If yes, who?  Law Enforcement?  The program manager?  Medical Director?

If so, how?  Anonymous tip?  Private conversation?  Formal written report?

What if there is an Employee Assistance program in place?  Should I call them, and ask them to intervene?  What if there is no such program in place?

If I DON'T turn him in, why not?  And what then do I do?

I've really got no earthly idea what to do here.  If y'all got ideas, I'm listening...

Thanks again...

------------
JRB

Jeff Brosius,
Flight Medic, etc.
Augusta, GA
www.prehospital-perspective.com
brosius@prehospital-perspective.com
"It is difficult to live in the present,
ridiculous to live in the future, and
impossible to live in the past.  Nothing
is as far away as one minute ago."
-- Jim Bishop


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