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Staff Reasonable Accommodation Process - Duke Regional Hospital

Americans with Disabilities Act - Title I


For: Employees at Duke Regional Hospital


The Reasonable Accommodation Process (RAP) is a consistent procedure to explore possible workplace accommodations for Duke Regional Hospital (DRH)staff members.


Disability: Under the ADA and ADA Amendments Act of 2008, a person is considered to have a disability if (1) he or she has a physical or mental impairment that substantially limits one or more major life activities; (2) has a record of having such an impairment; or (3) is regarded as having such an impairment.

Major life activities include, but are not limited to, caring for oneself, performing manual tasks, seeing, hearing, eating, sleeping, walking, standing, lifting, bending, speaking, breathing, learning, reading, concentrating, thinking, communicating, and working. A major life activity also includes the operation of a major bodily function, including but not limited to, functions of the immune system, normal cell growth, digestive, bowel, bladder, neurological, brain, respiratory, circulatory, endocrine, and reproductive functions.

Reasonable Accommodations: A reasonable accommodation is any change or adjustment to a job or work environment that permits a qualified person with a disability to participate in the job application process, to perform the essential functions of a job, or to enjoy benefits and privileges of employment equal to those enjoyed by staff without disabilities. For example, a reasonable accommodation may include:

  • acquiring or modifying equipment or devices,
  • job restructuring,
  • modified work schedules,
  • reassignment to a vacant position,
  • adjusting or modifying examinations, training materials, or policies,
  • providing readers and interpreters, and making the workplace readily accessible to and usable by people with disabilities.

Qualified Person with a Disability: A person who, with or without reasonable accommodations, is able to perform the essential functions of the position.

Scope of the Process

Following the guidelines established by Title I of the ADA  and ADA Amendments Act of 2008, it is not necessary to provide an accommodation if doing so would cause an undue hardship; e.g., unduly costly, extensive, substantial, disruptive, or would fundamentally alter the nature or operation of the department or unit. Some temporary jobs become available on short notice and last only a brief period of time, during which certain tasks must be completed. In such cases, undue hardship may apply since the work assignment has to be filled on short notice and the accommodation cannot be provided quickly enough to enable a temporary employee to begin or complete the temporary work assignment in a timely manner. (EEOC Enforcement Guidance: Application of the ADA to Contingent Workers Placed by Temporary Agencies and Other Staffing Firms.)

Title I also permits the University to require that an individual not pose a direct threat to the health or safety of the individual or others in the workplace. A “direct threat” means a significant risk of substantial harm. Determination that a staff member who has initiated the Reasonable Accommodation Process poses a direct threat is made through Employee Occupational Health and Wellness (EOHW) or other qualified personnel.

Additionally, temporary, non-chronic impairments of short duration, with little or no long term of permanent impact, are usually not disabilities. Such impairments may include, but are not limited to, broken limbs, sprained joints, concussions, appendicitis, and influenza. 

The Process - Duke Regional Hospital

The Reasonable Accommodation Process (RAP), following the guidelines established by Title I of the ADA and ADA Amendments Act of 2008, is a collaborative and interactive process between the staff member, the manager/supervisor/department head, DRH Human Resources, in collaboration with the Program Director, Employment/Public Reasonable Accommodations, Employee/Occupational Health and Wellness and other appropriate personnel.

When the staff member with an impairment requests an accommodation to assist in the performance of a job, the manager/supervisor/department head should provide the staff member with a copy of the Reasonable Accommodations Request Form.

The staff member is then responsible for the following:

  1. Forwarding the completed Reasonable Accommodation Request Form to DRH Human Resources and
  2. Forwarding the Healthcare Provider Medical Information Request Form and all pertinent medical and/or psychological documentation regarding his/her impairment to DRH Employee Health.

Employee Occupational Health and Wellness (EOHW) may need to contact appropriate healthcare providers to determine if the staff member meets the definitional requirements of a disability under ADA and, if so, to identify any functional limitations related to the job.

The DRH Human Resources explores possible accommodations with appropriate resources which may include, but not be limited to, the Job Accommodation Network.

DRH Human Resources reviews possible accommodations with the manager/supervisor/department head before a final offer of reasonable accommodations is made to the staff member.

If the staff member is dissatisfied with the reasonable accommodations offered, he/she may contact the Office for Institutional Equity at (919) 684-8222.

Whom to Contact

Questions/comments related to the Reasonable Accommodation Process should be referred to Duke Regional Hospital- DRH Human Resources at (919) 470-7271 or to the Director, Disability Management System at (919) 668-6213.

General questions, comments, concerns related to University access or compliance should be referred to the Director, Disability Management System at (919)668-6213.

    The University shall offer equal opportunity to its employees and applicants for employment without regard to race, color, religion, national origin, disability or veteran status, sexual orientation or preference, sex or age.

This information is available in alternative format upon request. Please call 919-684-8247.