title: Workplace substance abuse impairment: the occupational health care provider's role.
abstract: Substance abuse continues to impact the workplace. Impaired employees impact the safety of themselves, fellow employees, the public, and the physical plant. Occupational and environmental health care providers must be familiar with the seven psychoactive drug categories. In addition, they must consider other causes for behavior, such as medical, psychological, toxicological, or strictly performance issues. A standardized process should be developed and used when providing work fitness impairment evaluations.
authors.affiliation: Section of Occupational Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
authors.forename: K G
authors.initials: KG
authors.lastname: McAndrew
authors.forename: S J
authors.initials: SJ
authors.lastname: McAndrew
mesh_terms: D006801:Humans; D024802:Nurse's Role; D009730:Nursing Assessment; D009785:Occupational Health Nursing / Q000458:organization & administration*; D009786:Occupational Health Services / Q000458:organization & administration; D016134:Organizational Policy; D010347:Patient Care Planning; D010808:Physical Examination; D010809:Physical Fitness; D017410:Practice Guidelines as Topic; D017751:Safety Management / Q000458:organization & administration; D015813:Substance Abuse Detection; D019966:Substance-Related Disorders / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D017132:Workplace / Q000458:organization & administration