Educational and supervisory decision aid

Ibogaine Fitness to Assume Responsibility Now

Complete the general Fitness to Facilitate Now assessment first. Modification or handoff must occur before responsibility continues when a concern compromises safe performance.

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I am assigned monitoring responsibilities

Record context

Name or local identifier

Date

Setting and assigned role

Role Clarity

What is my assigned role for this participant?

What responsibilities do I hold?

What responsibilities are explicitly outside my role?

Who holds medical responsibility?

Who is responsible for cardiac monitoring?

Who is responsible for medication decisions?

Who can authorize emergency intervention?

Who assumes my responsibilities if I need relief?

Fatigue and Vigilance

How long is my expected period of responsibility?

How much sleep have I obtained during the relevant period?

Is my alertness adequate for sustained observation?

When is my planned relief?

Who is providing relief?

Am I already carrying fatigue from another participant or shift?

Has the program scheduled overlapping responsibilities that could interfere with monitoring?

Participant Specific Awareness

Have I received the information necessary for my role regarding this participant’s current condition?

Do I know the participant’s relevant medical and medication concerns to the extent required by my role?

Do I know the current safety plan?

Do I know what changes require immediate escalation?

Do I know the participant’s mobility status?

Do I know what assistance is required for movement?

Do I know whether vomiting or aspiration risk requires specific precautions within the established protocol?

Emergency Readiness

Are required emergency resources present and functioning according to protocol?

Does each person know their emergency role?

Is the route for higher level care established?

Is communication equipment functional?

Can emergency services be activated immediately when required?

Is there enough staff to manage the participant while another person obtains additional help?

Mobility and Physical Support

Is adequate staff support available for participant movement?

Does the assigned person understand the participant’s current fall risk?

Is the environment arranged to reduce avoidable mobility hazards?

Is assistance available for toileting or other necessary movement?

Handoff

Participant condition

Current monitoring status

Recent changes

Symptoms

Mobility status

Vomiting or hydration concerns relevant to assigned role

Outstanding medical concerns

Outstanding psychological concerns

Medications or interventions already provided by authorized personnel

Pending reassessment

Current safety concerns

Receiving practitioner confirmation

Time responsibility accepted

Ibogaine Fitness Decision

Select the current decision

Fit for assigned ibogaine responsibility

Fit with modification

Not fit for assigned ibogaine responsibility

○ Fit for assigned ibogaine responsibility ○ Fit with modification ○ Not fit for assigned ibogaine responsibility

Modification or handoff required

Person accepting responsibility

Time of reassessment

All fitness instruments

By Mark Nicolas · Content updated September 23, 2026