The ARA’s mission is to reduce alcohol-related harm through combating the misuse and abuse of alcohol beverages and promoting only their responsible use.
Alcohol facts and tips on responsible serving
Alcohol Facts
Alcohol is the common name for ethanol. It is a substance that depresses the central nervous system and can retard the part of the brain that controls behavior. It is important that people serving alcohol beverages understand how much alcohol they are providing to their customers or friends.
By understanding how much alcohol is contained within each drink provided, it allows you to make judgments about your customers or friends drinking patterns and where that might lead them.
There are different quantities of alcohol in each major type of alcoholic beverage; beer, wine and spirits. A 340ml malt beer (at a typical 5% alcohol by volume) contains 12g of alcohol; a 340ml cider (at a typical 6% alcohol by volume) contains 16g of alcohol: a 25ml tot of brandy, whisky, gin, cane or vodka (at a typical 43% alcohol by volume) contains 11g of alcohol; and a 120ml glass of wine (at a typical 12% alcohol by volume) contains 11g of alcohol (Wolmarans, Langenhoven, Faber 1993).
While what is considered a standard drink differs from country to country, in South Africa it is generally accepted that a drink containing 12g of alcohol would be regarded as standard.
In South Africa all alcohol beverages must state on the label the percentage of alcohol by volume in the container.
Alcohol and the body
Alcohol is primarily absorbed into the bloodstream through the intestines. The bloodstream carries the alcohol to the brain resulting in progressive impairment.
Blood Alcohol Concentration (BAC) is a measure of the amount of alcohol in the bloodstream.
It is measured by the number of grams of alcohol in 100ml of blood. For example, a BAC of .05 means .05 grams of alcohol in every 100ml of blood.
- The legal limit for BAC for fully licensed car drivers is below 0.05 (gram/100ml) or 0.05%
- A BAC in excess of .15% can cause considerable depression of the central nervous system.
- Other drugs capable of depressing the central nervous system will increase the effects of alcohol on the brain.
As BAC increases, it can lead to unconsciousness. In extreme circumstances, it can retard the part of your brain that controls breathing and cause death. Alcohol poisoning is death by asphyxiation. This can occur with a BAC greater than 0.40%.
Factors affecting blood alcohol concentration
There are a number of factors that will impact upon BAC:
- Gender - Female bodies contain a higher fat to water ratio than males. With less water to dilute the alcohol, the BAC will be higher.
- Size - A larger person will have more water in their body to dilute the alcohol than a smaller person and therefore the BAC will be lower.
- Fitness - Muscle processes alcohol whereas fat does not.
- Food - The presence of food in the stomach slows the rate at which alcohol enters the bloodstream after absorption through the stomach and intestines. This generally results in a lower BAC in the short term, however alcohol will eventually be absorbed and will remain in the bloodstream for a longer period.
- Rate of drinking - If liquor is consumed at a rate faster than one standard drink per hour, the BAC will rise as the body can only process one standard drink per hour.
Sobering up
As blood containing alcohol circulates through the liver, alcohol is removed by a process known as oxidation.
- 95% of the alcohol you consume is ultimately removed from the body by the liver.
- 5% is removed through breath, urine and perspiration.
- It takes a healthy liver approximately one hour to process a typical drink.
The following methods DO NOT have any effect in reducing the level of alcohol in a person's body.
- Coffee
- Going to the toilet
- Shower
- Drinking themselves sober
- "the hair of the dog"
- Going for a swim
NONE OF THESE METHODS WORK.
The only way to sober up is to give your body TIME to process the alcohol consumed.
Responsible consumption
The South African Department of Health has published guidelines in terms of what is regards as sensible drinking and these are not more than three standard drinks (340ml beer, single tot of spirits or a glass of wine) per day for men and not more than two standard drinks a day for women.
A broader definition of what can be described as responsible drinking is the enjoyable consumption of alcohol beverages within the limits set by your health, circumstances and your obligations to family, friends and society. Irresponsible drinking on the other hand is drinking beyond those limits and placing yourself and those around you at risk.
What is intoxication?
A person is in a state of intoxication if their speech, balance or co-ordination is noticeably affected and there are reasonable grounds for believing this is the result of the consumption of liquor.
As alcohol accumulates in a person’s bloodstream and in turn flows to the brain, their behaviour is affected.
As the amount of alcohol consumed progressively depresses the central nervous system, the impact will eventually be such as to significantly affect the drinker’s understanding of events and their observable behaviour.
At this point a person is considered to be intoxicated or drunk. If the consumption of alcohol continues, the level of intoxication will eventually reach a point where the drinker lapses into unconsciousness.
Recognizing the signs
People generally progress through a number of stages when continuing to consume alcohol:
A noticeable change in behaviour.
• Becoming loud and boisterous.
• Suddenly using offensive language.
• Slurring or mistakes in speech.
Lack of judgment.
• Being careless with their money.
• Complaining about the strength of a drink.
• Suddenly becoming bad tempered or aggressive.
• Annoying other customers.
Clumsiness.
• Spilling drinks.
• Fumbling with cigarettes.
• Difficulty in picking up change.
• Trouble removing articles from a wallet or purse.
This stage is where people are becoming visibly affected by alcohol and is often viewed as the transition into being intoxicated.
Loss of coordination.
• Swaying and staggering.
• Difficulty in walking straight.
• Bumping into furniture and other patrons.
Decreased alertness/lapsing into unconsciousness.
• Delays in responding to questions.
• Drowsiness.
• Not hearing or understanding what others are saying.
• Asleep in a corner or on the bar.
WARNING: Certain types of disabilities can create the impression that a customer is intoxicated. Dealing with people with disabilities requires care, sensitivity and professionalism. In most cases it is normally a combination of these signs, in conjunction with a person smelling strongly of liquor that would indicate that a person is intoxicated.
Responsible Serving Tips
Drink Spiking
There is increasing concern about the dangers of drink spiking on licensed premises.
Staff can help by:
- Getting any affected person to a safe, quiet place and stay with them.
- Call an ambulance if they become unconscious.
- Ensure that the person who is assisting them home is indeed a friend.
Drink spiking is not necessarily placing illicit drugs into a drink. It may well be ordering drinks for people with extra shots of alcohol. This has direct implications in the responsible serving of alcohol.
Server liability cases
Server liability cases have been relatively common in the USA since the 1840’s. In fourteen (14) American States (including California, New York State and Florida) legal defences have been set down to protect licensees from such an action.
Whilst no such legislation exists in South Africa, the following practices can act as a useful guide to managers of licensed premises.
- Discourage intoxication.
- Promote non-alcoholic beverages and food.
- Promote safe transport alternatives.
- Market responsible serving practices.
- Train staff.
- Maintain adequate staff numbers.
- Written policies and procedures for staff that are enforced.
Tips
Refusing service to customers should be viewed as a last resort. Servers should be thinking about managing their bar from the time a customer enters until the time they leave.
Following are some steps that can help prevent the situation from getting out of control if service has to be refused.
Early Intervention
If the server is alert, they may be able to detect those in the early stages of intoxication and take steps to prevent the situation from worsening.
Such steps include:
- Slowing service.
- Suggesting food or low alcohol alternatives.
- Warning the customer.
Avoid put-downs
Don’t be judgmental:
- Don’t say things like “you’re drunk” or “you’ve had too much”.
- Don’t reprimand the customer.
- Don’t appear to be blaming them.
Ever courteous
Customer service demands that staff respect their customers.
Be polite use “I” statements like:
- I’m sorry, if I serve you another drink I’d be breaking the law.
- I’m sorry, if I serve you another drink I’d lose my job.
- I’m concerned about your safety.
Shift Blame:
- The boss is funny about these things.
- There's been a police crackdown, we could lose our licence.
Ask “what if”:
- What if you have something to eat and we see how you’re going after that?
- What if your first drink’s on me tomorrow?
- What if I call you a cab?
KEEP CALM
- Your tone of voice is very important.
- You need to have a firm voice without sounding aggressive.
- Do not raise your voice.
- Behaviour breeds behaviour.
- You can calm them down if you remain calm yourself.
CLARIFY REFUSAL
- Explain why service is being refused.
- Remember to focus on the behaviour, not the individual.
- Sometimes a customer may think they are being barred from the premises.
- Explain that they are welcome back another time.
ALTERNATIVES
- Offer to call a taxi.
- Suggest customers try low or non-alcoholic drinks.
- A discreet warning that this will be the last drink for a while may allow them to “save face” in front of their friends.
REPORT
- Make sure all staff are aware of what has happened.
- Keep an incident log book near the bar and record the incident.
- If the customer injures themselves or a third party, after leaving the premises, the record of events may be of assistance.
ECHO
- If they are a regular customer, staff can quietly reinforce the message when they return.
- They will usually be in a more receptive state to hear and understand why the action was taken.
- The customer may even thank staff for looking after them.
SOME OTHER GOOD TIPS
- Never touch the customer
- Speak to them away from others as a face saving measure
- Don’t be afraid to involve management
References
Wolmarans P., Langenhoven M., Faber M. 1993 pp. Food facts and figures, Cape Town. Oxford University Press