- Missing days from work or unexplained disappearances during shift
- Unexplained disappearances on the job, can't be found when needed
- Job shrinkage, doing the minimum work necessary for the job
- Elaborate, implausible excuses for behavior
- Mood swings from isolation to angry outbursts,
- Altered concentration, decrease in problem solving abilities
- Consistently volunteering to be the medication nurse
- Increase in patient complaints of unrelieved pain
- Patient charting reflects excessive use of PRN pain medication
compared to shifts when other nurses are assigned to the same patient
- Marked nervousness on the job
- Pattern of absences that center around scheduled days
off
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