don’t serve visibly intoxicated persons
TRANSCRIPT
DON’T SERVE
Visibly Intoxicated Persons
Serving a VIP can result in:
A stiff fine for you and your establishment
Your license or service permit suspended
Repeated violations lead to the
cancellation of your license or service
permit
You could be held liable if the VIP injures
another person or damages property
BE ALERT
Look at the customer
Talk to the customer: asking questions and
conversing will help you determine if the
customer is impaired
Don’t stack drinks
When cutting someone off be calm and
consistent, make excuses if that makes it
easier (the OLCC is here)
IF YOU ARE UNSURE, DON’T SERVE
It isn’t worth the risk
DON’T SERVE
Visibly Intoxicated Persons
Serving a VIP can result in:
A stiff fine for you and your establishment
Your license or service permit suspended
Repeated violations lead to the
cancellation of your license or service
permit
You could be held liable if the VIP injures
another person or damages property
BE ALERT
Look at the customer
Talk to the customer: asking questions and
conversing will help you determine if the
customer is impaired
Don’t stack drinks
When cutting someone off be calm and
consistent, make excuses if that makes it
easier (the OLCC is here)
IF YOU ARE UNSURE, DON’T SERVE
It isn’t worth the risk
COMMON SIGNS OF INTOXICATION These are not all of the signs…
If you are not sure, don’t serve Facial Signs:
Bloodshot, glassy, or watery eyes
Flushed face
Droopy eyelids
Blank stare or dazed look
Lack of focus or eye contact Verbal Signs:
Thick, slurred speech
Loud, noisy
Rambling train of thought
Slow response to questions
Repetitive statements
Physical Signs:
Swaying, staggering or stumbling
Leaning on other people or the bar
Clumsy/spilling drinks
Can’t stand up or walk right
Fumbling with wallet, keys, phone
Difficulty lighting cigarettes /Lighting more than one cigarette
Excessive perspiration Behavioral Signs:
Bravado, boasting
Aggressive or belligerent
Crude or inappropriate sexual advances
Overly friendly to other guests or employees
Difficulty making change
Overly animated or entertaining
DON’T SERVE
Visibly Intoxicated Persons
Serving to a VIP can result in:
A stiff fine for you and your establishment
Your license or service permit suspended
Repeated violations lead to the
cancellation of your license or service
permit
You could be held liable if the VIP injures
another person or damages property
BE ALERT
Look at the customer
Talk to the customer: asking questions
and conversing will help you determine if
the customer is impaired
Don’t stack drinks
When cutting someone off be calm and
consistent, make excuses if that makes it
easier (the OLCC is here)
IF YOU ARE UNSURE, DON’T SERVE
It isn’t worth the risk
COMMON SIGNS OF INTOXICATION These are not all of the signs…
If you are not sure, don’t serve Facial Signs:
Bloodshot, glassy, or watery eyes
Flushed face
Droopy eyelids
Blank stare or dazed look
Lack of focus or eye contact Verbal Signs:
Thick, slurred speech
Loud, noisy
Rambling train of thought
Slow response to questions
Repetitive statements
Physical Signs:
Swaying, staggering or stumbling
Leaning on other people or the bar
Clumsy/spilling drinks
Can’t stand up or walk right
Fumbling with wallet, keys, phone
Difficulty lighting cigarettes /Lighting more than one cigarette
Excessive perspiration Behavioral Signs:
Bravado, boasting
Aggressive or belligerent
Crude or inappropriate sexual advances
Overly friendly to other guests or employees
Difficulty making change
Overly animated or entertaining
Preventing Over-Service
Save Money
Reduce Problems
Save Lives
Certified OLCC Provider
ACTION SERVER EDUCATION
Agenda:
•Recognizing VIPs
•Other drugs you may encounter
•Consequences of serving
•Prevent over-service, while
keeping customers happy
•Cutting the customer off
Size up each Customer
Each person’s potential for intoxication is based
upon their physical characteristics. Alcohol affects
everyone similarly, but the speed at which it does is
influenced by:
•Size
•Sex
•Rate of consumption
•Strength of each drink
•Amount of food consumed
•Use of additional drugs
Signs of Impairment with BAC
• 0.05 BAC: Loss of emotional restraint, vivaciousness, feeling of warmth, flushing of skin, mild impairment of judgment
• 0.1 BAC: Slight slurring of speech, loss of control of fine motor movements (such as writing), confusion when faced with tasks requiring thinking, emotionally unstable, inappropriate laughter
• 0.2 BAC: Very slurred speech, staggering gait, double vision, lethargic but able to be aroused by voice, difficulty sitting upright in a chair, memory loss
Signs of Impairment with BAC
• 0.3 BAC : Stuporous, only aroused briefly by strong physical stimulus (such as a face slap)
• 0.4 BAC : Comatose, not able to be aroused, incontinent (wets self), low blood pressure, irregular breathing
• 0.5 BAC : Death possible, either from cessation of breathing, low blood pressure, or vomit entering the lungs without the presence of reflex to cough it out
Signs and Symptoms of
Intoxication • Slurred Speech
• Watery eyes
• Bloodshot eyes
• Blank/dazed stare
• Can’t focus, looking past you
• Unstable: hanging on to other
people
• Leaning on the bar
• Staggering, swaying, stumbling
• Speaking Loudly, then quietly
• Slow to respond
• Picking fights
• Aggressive or belligerent
• Falling off of their chair
• Bumping into things
• Spilling drinks
• Unable to light a cigarette
• Cannot keep track of money
• Fumbling with wallet or money
“Tricks of the Trade”
for VIP Detection
Be aware of your customers
• Look at your customers when you interact
with them
• Ask more than one question at a time
• Try to up-sell them
• If you are unsure, start a dialogue with
them, how they respond to you will tell you
a lot
Phases of Intoxication “Drunk Face”
-Glassy Eyes
- Drooping Facial Muscles
Phases of Intoxication “Drunk Face”
-Drooping Eyelids -Glassy eyes
Phases of Intoxication “Drunk Face”
-Glassy Eyes
-Drooping Eyelids -Drooping Facial Muscles
-Bloodshot Eyes
-Flushed
-Blank Stare
9/18/12
Phases of Intoxication “Drunk Face”
- Glassy Eyes
- Drooping Facial Muscles
- Bloodshot Eyes
-Drooping Eyelids
-Flushed
-Blank Stare
9/18/12
Phases of Intoxication
“Drunk Face”
- Glassy Eyes
- Drooping Facial Muscles
- Bloodshot Eyes
-Drooping Eyelids
-Flushed
-Blank Stare
9/18/12
Phases of Intoxication
- Glassy Eyes
- Drooping Facial Muscles
- Bloodshot Eyes
-Drooping Eyelids
-Flushed
-Blank Stare
9/18/12
Phases of Intoxication
- Glassy Eyes
- Drooping Facial Muscles
- Bloodshot Eyes
-Drooping Eyelids
-Flushed
-Blank Stare
9/18/12
Phases of Intoxication
- Glassy Eyes
- Drooping Facial Muscles
- Bloodshot Eyes
-Drooping Eyelids
-Flushed
-Blank Stare
9/18/12
Phases of Intoxication
- Glassy Eyes
- Drooping Facial Muscles
- Bloodshot Eyes
-Drooping Eyelids
-Flushed
-Blank Stare
• The liver can metabolize only a certain amount of alcohol per hour, regardless of the amount that has been consumed.
• The rate of alcohol metabolism depends, in part, on the amount of metabolizing enzymes in the liver, which varies among individuals.
• In general, after the consumption of one standard drink, the amount of alcohol in the drinker's blood peaks within 30 to 45 minutes.
• Benet, L.Z.; Kroetz, D.L.; & Sheiner, L.B. Pharmacokinetics: The dynamics of drug absorption, distribution, and elimination.
In: Molinoff, P.B., & Ruddon, R.W., eds. Goodman and Gillman's The Pharmacological Basis of Therapeutics. 9th ed. New York: McGraw-Hill, 1996. pp. 3-27.
Metabolizing Alcohol
• Women absorb and metabolize alcohol differently from men.
• They have higher BAC's after consuming the same amount of alcohol as men and are more susceptible to alcoholic liver disease, heart muscle damage, and brain damage.
• Women have less body water (imagine dropping the same amount of alcohol into a smaller pail of water).
• Women have lower activity of the alcohol metabolizing enzyme ADH in the stomach, causing a larger proportion of the ingested alcohol to reach the blood.
Women and Alcohol
Frezza, M.; Di Padova, C.; Pozzato, G.; Terpin, M.; Baroana, E.; & Lieber, C.S. High blood alcohol levels in women: The role of
decreased gastric alcohol dehydrogenase activity and first-pass metabolism. The New England Journal of Medicine 322(2):95-99,
1990.
160 pound man
120 pound woman
Both have 5 drinks over 3 hours….
What are there BACs?
So….What’s the Difference?
120 pound woman BAC is .140%
160 pound man
BAC is .069%
Short Term Affects on the Brain
• Bad decision making
• Difficulty with complex tasks
• Poor coordination/motor-skills
• Blackouts: Short term memory is not
encoded into the brain’s long term memory
resulting in memory loss
• Slowing down of body systems
Long Term Affects……
• Synthetic drug MDMA.
• Combines the “speed” of amphetamines with hallucinogenic properties.
• Generally taken in colorful pill form
• Popular with younger crowds
• Takes effect 30-60 minutes after ingestion. Effects last 3-4 hours.
• Use of the term molly generally implies a powdered form which may be more pure.
Effects:
• Euphoria
• Lowered anxiety
• Self-confidence
• Heightened mood
• Apprehension-
anxiety
• Extroversion
• Dazed state
• Emotional excitation
• Elevated Heart Rate
• Jaw clenching
• Grinding of the teeth
• Lack of appetite
• Dry mouth/thirst
• Hyperthermia
• Becoming more popular to fill capsules with powder form. Capsules can then be opened and put in drinks. Be aware that people may not be aware they have been given MDMA.
• Stimulant part of drug gives user energy. Euphoric effects may cause user to be oblivious to thirst/exhaustion. Dehydration and exertion can cause hyperthermia leading to seizures and death.
• Anyone thought to be have adverse effects to this drug should be evaluated by medical personnel.
• Often make odd facial expressions and body movements. However, they are less jerky than what you’ll see with cocaine or meth.
• Often cant stop moving their mouth or jaw. You will see their chin moving.
• Tactile senses heightened. May try to touch,
lick, or kiss people or inanimate objects.
• Generally smoked but can be ingested
• Herbal mixture sprayed with
psychotropic drugs • Can cause hallucinations
similar to PCP • Can be 4-100x stronger than
THC • “hijacks” the part of the brain
that controls major functions: temperature, hunger, perception, memory
Effects:
• Hallucination
• Seizures
• Coma
• Vomiting
• Numbness/tingling
• Dangerously
increased
respiration
• Elevated blood
pressure
• Increased Heart
Rate
• Anxiety/Panic
Attacks
• Suicide
• Plant based
stimulant.
• Snorted, Injected, or
Smoked
• Physical signs can
be similar to
Methamphetamine
use, but is
somewhat less
jerky.
Effects:
• Euphoric “rush”
• Increased alertness
• Restlessness
• Irritability
• Anxiety
• Increased Blood
Pressure
• Increased Heart
Rate
• Dilated Pupils
• Loss of appetite
• Increased
Bravado/Aggression
Overdose:
• Cardiac Arrest
• Stroke
• Death
• Prescription opiates (Oxy,
Vicodin) slow breathing and
heart rate
• They can be taken orally or
crushed and snorted
• Dangerous when mixed with
alcohol
• Prescription stimulants
(Adderal) increase heart rate,
blood pressure and
temperature
• Increased irritability and
aggression
Opiates: •Drowsiness
•Constricted
Pupils
•Slowed
Breathing
•Nausea
Stimulants:
• Distorted
thinking, or
paranoia
• Increased
heart
rate/blood
pressure
• High body
Temperature
• Seizures
• Stimulant made in labs.
• Swallowed, Snorted,
Injected, or Smoked
• Long term users will develop
sores on face/body and have
severe dental problems.
• May exhibit jerky or repetitive
movements of mouth or body
Effects:
• Hyperactivity
• Decreased
Appetite
• Rapid Breathing
• Rapid Heart rate
• Irregular Heart
Beat
• Elevated Blood
Pressure
• Hyperthermia
• Violent/suicidal
Behavior
• Anxiety
• Insomnia
• Paranoia
• Hallucinations
• Delusions
• Mood
Disturbances
High Doses can
cause stroke, heart
attack, or deadly
hyperthermia
• Synthetic product that contains hallucinogenic chemicals
• Designed to mimic the effects of cocaine/crack or ecstasy
• Most often snorted, sometimes smoked or injected.
• http://www.youtube.com/watch?v=BKPygvCbqsc
• Sold mostly online or tobacco shops
• Florida Incident….
Effects:
• Hallucinations
• Vasoconstriction
• Hyperthermia
• Elevated Blood Pressure
• Elevated Heart Rate
• Prolonged Agitation (may require restraint)
• Acute Paranoid Psychosis
• Kidney Failure
• Loss of Bowels Control
• Suppressed Appetite
• Suicidal Thoughts
• Paranoia
• Violent Behavior
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• 1 in 3 deaths from crashes involve impaired drivers
• If all 17 million people who admitted to driving drunk had their own state, it would be the fifth largest in the U.S.
• Impaired driving is most common among 21-24 year olds. Among Impaired drivers in fatal DUI crashes 34% were 21-24; 75% were under 34.
• Most common time for DUIs is late night/early mornings Fridays and Saturdays
• Survey of nightlife patrons in Portland found that 68% planned to drive or ride with a friend, only 14% indicated they were using a designated driver, 32% were taking a cab, walking or transport.
• Alcohol-related crashes in the United States cost the public an estimated $132 billion every year
• Drunk driving costs each adult in this country almost $500 per year.
• The estimated cost per injured survivor of an alcohol-related crash averages $99,000
• For a misdemeanor DUII in OR, the maximum penalty is one year in jail, five years on probation, and a $6,250.00 fine
* National Highway and Traffic Safety Administration
Accidental injuries are the leading cause of death for young adults, including: drowning, falling, poisoning and car crashes.
What percentage of these accidental deaths involve alcohol?
40%
On average there are more than 1.2 million ER Visits and 2.7 million physician visits each year due to alcohol related injuries in the U.S.
* Center for Disease Control
• Alcohol use is
associated with 2 out of
3 incidents of intimate
partner violence
• Alcohol is a leading
factor in child
maltreatment and
neglect cases
• 80% of sexual assaults
involve alcohol
Violence
* Center for Disease Control
• Victim chokes on his or her own vomit.
• Breathing and heart beat slow, become irregular, or stop
• Hypothermia
• Hypoglycemia leads to seizures
• Severe dehydration from vomiting can cause seizures,
permanent brain damage, or death
• Even if the victim lives, an alcohol overdose can lead to
irreversible brain damage
• Rapid binge drinking (which often happens on a bet or a
dare) is especially dangerous because the victim can
ingest a fatal dose before becoming unconscious.
ORS 417.412 Allowing Visibly Intoxicated
Person to Consume Alcohol
• A licensee or permittee may not allow a person to consume or to continue to consume alcoholic beverages on the licensed premises after observing that the person is visibly intoxicated
• 417.412 is an unclassified Misdemeanor Crime • A licensee or permittee is not in violation if the
licensee or permittee makes a good faith effort to remove any unconsumed alcoholic beverages from the persons possession when the licensee or permittee observes that the person is visibly intoxicated
• FIRST: Do not sell alcohol or serve a alcohol
to a visibly intoxicated person
• SECONDLY: if a customer is in the middle of
a drink and begins to show signs of visible
intoxication, you must remove the drink or at
least make a good effort to remove it.
• You could be fined and your license or service
permit suspended.
• Your licensee can be fined and penalized.
• Repeated violations could lead to the cancellation of
your license or service permit.
• You could be held liable if the VIP injures another
person or damages property.
• More ice in the drink
• Pour alcohol over straw
• Do not stack drinks
• Look at the customer
when they order and
engage with them
• Offer coffee, soda, or
water
• Divided attention Tasks
• Let manager, other servers, security know that you are cutting the customer off
• You may be able to do it without the customer knowing by discretely taking their drink or bringing water or soda
• Be non-confrontational, non-judgmental and avoid embarrassing the person
• Express concern for the customer’s well being, express empathy and maintain eye contact.
• Be calm and repeat yourself
Be Creative…..
It’s ok to LIE! “I can’t serve you…liquor control
is doing patrols tonight…”
What has been the most
challenging situation you have
faced with VIPs? How did you
handle it?
What is the most valuable thing
you have learned in your job
about safety?
What do you think would help
make detecting VIPs and not
over-serving easier?
Certified OLCC Provider
ACTION SERVER EDUCATION
PPB Entertainment Detail Trauma Nurses Talk Tough
Shelley Campbell
Officer Ariana Ridgely [email protected]
Action Server Education
Officer Jay Gahan Hobie Pearson
[email protected] [email protected]
Sgt Erik Strohmeyer Multnomah County (Safe Nightlife)
[email protected] Sondra Storm