If an incident involving a worker who booked a shift at your facility results in the immediate or future harm (or risk of harm) to an individual as a result of an event, condition, action or inaction from the worker, please fill out this form to report an incident to Clipboard Health’s Trust and Safety Department.
Examples of an incident:
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Medication theft
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Neglect
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Abuse
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Harassment
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Discrimination
- Incomplete or inaccurate clinical documentation.
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Patient death
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Threats of violence
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Substance use (narcotics)
Note: If a worker's conduct is dissatisfactory but excludes any instances of actual harm or risk of harm to a patient, HCP, HCF staff or other, please reference our Do-Not-Return (DNR) process instead.