How to Handle a Coworker or Employee Under the Influence of Cannabis in the Workplace
With cannabis becoming more widely accepted and legalized in various states, workplaces—particularly dental offices and other medical settings—are increasingly facing new challenges. One of those challenges is how to handle situations where an employee or coworker appears to be under the influence of cannabis at work.
Recognizing the Signs
You walk into the office first thing in the morning and notice a distinct smell. One of your colleagues, whether an assistant, doctor, or another staff member, seems to be under the influence. But cannabis use is more complex than just recognizing the scent. Many individuals use edibles, sublingual mints, patches, or even suppositories, which do not emit the typical smell associated with smoking or vaping.
More than just scent, behavior plays a crucial role in identifying impairment. If a colleague appears unusually slow, unfocused, or incapable of performing their duties safely, it may be cause for concern. However, before making any accusations, it’s important to tread carefully.
Understanding Why Some Professionals Use Cannabis
The stresses of the dental and medical fields are undeniable. Some professionals turn to cannabis not just recreationally, but as a coping mechanism to handle long hours, anxiety, or chronic pain. What was once considered a recreational drug is now being used by some as a way to function through the day. However, using cannabis during work hours—especially in a setting where patient safety is paramount—can create serious risks.
Taking the Right Steps
If you suspect a coworker is under the influence:
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Observe and Document: Before jumping to conclusions, take note of behavioral changes or performance issues. Avoid making accusations based solely on scent.
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Follow Office Protocol: Most dental and medical offices have policies regarding substance use. If your office does not, it’s essential to establish one with legal guidance.
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Report Through the Proper Channels: Rather than confronting a colleague directly, report your concerns to the appropriate authority—whether that’s the office manager, HR representative, or lead dentist.
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Remain Anonymous If Necessary: To avoid workplace conflict, you can request to remain anonymous when raising concerns.
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Be Prepared for Repercussions: Workplace gossip spreads quickly, and reporting a colleague can lead to workplace tensions. However, patient and workplace safety should always take precedence.
The Legal Considerations
State laws regarding cannabis use vary significantly. Some states protect an employee’s right to use medical cannabis, while others prohibit inquiries about off-duty use. Additionally, some states consider CBD and cannabis interchangeable, making policies even more complex. Before taking action, make sure your office’s policies align with local and state regulations.
For employers, having a clearly outlined employee handbook that includes policies on cannabis use is crucial. Consulting an attorney to ensure these policies are legally sound will help avoid potential lawsuits or HR conflicts.
Providing Support Instead of Punishment
While recreational cannabis use in the workplace is a serious concern, it’s also important to recognize that some professionals struggle with substance abuse. Many states offer support programs for medical professionals dealing with addiction. For example, Massachusetts has enacted the Dental Diversion Bill, which helps protect dental professionals seeking treatment for substance use disorders.
If you suspect a colleague is struggling with substance abuse rather than occasional use, approaching the situation with empathy and directing them to available resources can make a significant difference in their life and career.
Final Thoughts
Addressing cannabis use in the workplace isn’t about punishing employees—it’s about ensuring a safe and professional environment for both coworkers and patients. Having clear, legally sound policies in place, understanding the nuances of cannabis use, and approaching the situation with professionalism and care will help dental and medical offices navigate this increasingly relevant issue.
By staying informed and following the proper procedures, you can ensure that your workplace remains a safe, supportive, and legally compliant environment for everyone involved.
