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How to fill out the How To Pass An Unsupervised Time Assessment online
Filling out the How To Pass An Unsupervised Time Assessment form is an important step in determining an individual’s ability to safely navigate unsupervised time. This guide provides step-by-step instructions to help users complete the form accurately and efficiently.
Follow the steps to successfully complete the assessment form.
- Click the ‘Get Form’ button to access the form and open it in the online editor.
- Begin by entering the individual's name in the designated space at the top of the form.
- Answer section A regarding the individual's desire for unsupervised time. Choose 'Yes' or 'No'. If ‘Yes’ is selected, proceed with the assessment.
- In section B, indicate if there are barriers to the individual having unsupervised time by selecting 'Yes' or 'No'. If 'Yes,' list the barriers in the comments section provided.
- Complete the HOME section by responding to questions 1 to 13, which assess the individual's knowledge of emergency procedures, ability to communicate, and self-sufficiency. For each question, select a rating from 1 to 5, where 1 indicates minimal capability and 5 indicates full capability.
- Proceed to the COMMUNITY section and answer questions 14 to 23, evaluating community awareness, safety procedures, and ability to follow directions. Again, rate each question on a scale from 1 to 5.
- In the VAN section, assess the individual's capacity to remain in a designated area without supervision. Review questions 20 to 23 and rate accordingly.
- Provide additional information regarding any physical, behavioral, medical, or social issues in the designated areas, assessing how these may affect unsupervised time.
- Document who completed the form and the date by filling in the appropriate fields.
- Lastly, enter the recommendations for the amount of time agreed upon for unsupervised situations in the provided section.
- Review all responses for accuracy, and ensure that the scores calculated for home, community, and van are clearly represented.
- Once completed, save changes, download, print, or share the form as needed.
Complete your assessment documents online to ensure readiness for unsupervised situations.
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You, not the employee, must first pour at least 30 mL of urine from the collection container into one specimen bottle, to be used for the primary specimen. You, not the employee, must then pour at least 15 mL of urine from the collection container into the second specimen bottle to be used for the split specimen.
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