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How do I fill this out?

To fill out this document, review the impairment signs and symptoms listed in the policy. Provide any relevant information regarding observed impairment in yourself or a peer. Ensure that you follow the outlined procedures for reporting and addressing these issues.

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How to fill out the Johns Hopkins Medicine Impairment Policy Guidelines?

  1. 1

    Review the signs and symptoms of impairment.

  2. 2

    Document your observations clearly.

  3. 3

    Follow the reporting procedures.

  4. 4

    Submit the document to the designated authority.

  5. 5

    Await further instructions based on the report.

Who needs the Johns Hopkins Medicine Impairment Policy Guidelines?

  1. 1

    Allied health learners need this file to understand the impairment policy and procedures.

  2. 2

    Program directors require this document to ensure compliance with institutional guidelines.

  3. 3

    Faculty members use this policy to identify and manage impairment among learners.

  4. 4

    Counseling staff need this document to provide appropriate resources and support.

  5. 5

    Administrators rely on this policy to maintain a safe and effective training environment.

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What are the instructions for submitting this form?

To submit this form, please email a scanned copy to your program director at programdirector@jhmi.edu. Alternatively, you can fax the completed form to 410-555-0199. For further assistance, visit the student affairs office located at 55 N. Wolfe St., Baltimore, MD 21205.

What are the important dates for this form in 2024 and 2025?

Currently, there are no specific important dates outlined for the Impairment Policy. However, regular training and updates are implemented annually to ensure compliance. Always check for any announcements related to policy reviews or training sessions.

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What is the purpose of this form?

The purpose of this form is to provide a clear framework for identifying and managing impairment among allied health learners. This ensures the safety of patients while offering support to learners who may be struggling with personal challenges. By establishing guidelines and resources, the institution aims to foster a supportive learning environment.

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Tell me about this form and its components and fields line-by-line.

The form contains key fields related to impairment identification and reporting.
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  • 1. Learner Name: Input the name of the learner suspected of impairment.
  • 2. Signs Observed: Detail the specific signs of impairment observed.
  • 3. Reporting Individual: Provide the name of the individual making the report.
  • 4. Date of Observation: Enter the date when the signs were first observed.
  • 5. Additional Notes: Include any additional comments or details relevant to the situation.

What happens if I fail to submit this form?

Failing to submit this form can lead to unaddressed impairment issues, which may jeopardize patient safety. It is crucial to report concerns timely to allow for appropriate intervention. Not submitting can also delay support for the affected learner.

  • Patient Safety Risk: Unaddressed impairment poses direct risks to patient care and safety.
  • Lack of Support: Failure to report may prevent learners from receiving necessary assistance.
  • Institutional Accountability: Delayed reporting can affect institutional compliance with health care regulations.

How do I know when to use this form?

This form should be used when there are observations or concerns regarding a learner's potential impairment. It is crucial for faculty and peers to respond promptly to maintain the integrity of the training program. Be proactive in ensuring safety and support for all learners involved.
fields
  • 1. Identify Impairment: Use this form to report signs of learner impairment to the appropriate authorities.
  • 2. Provide Support: Facilitate the necessary support mechanisms for learners facing challenges.
  • 3. Ensure Compliance: Maintain program integrity by complying with the outlined policies.

Frequently Asked Question

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You can edit this PDF by opening it in PrintFriendly and clicking on the 'Edit' button.

Is there a way to share the PDF?

Yes, you can share the PDF by clicking the 'Share' button to generate a shareable link.

What is the purpose of this document?

This document outlines the impairment policy and procedures for allied health learners.

How do I know if I need to use this file?

Use this file to understand and report impairment issues among learners.

Can I sign the PDF within PrintFriendly?

Absolutely! You can sign the PDF directly on PrintFriendly using the 'Sign' feature.

What happens if I suspect someone is impaired?

You should report your concerns to the appropriate supervisor as outlined in the policy.

What resources are available for support?

Resources include the Faculty and Staff Assistance Program and professional counseling services.

Is training provided on impairment issues?

Yes, training on impairment and substance abuse is part of the program orientation.

What are the signs of impairment?

Signs include changes in behavior, professional performance issues, and physical health problems.

How does the self-reporting process work?

Learners are encouraged to self-report impairment issues without fear of punishment.

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Johns Hopkins Medicine Impairment Policy Guidelines

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