10.7 Flashcards

1
Q

What are the Program Objectives of case management?

A

Benefits. Reporting. Communication. Return to Work. (HPM 10.7, 1-3, 3abcd)

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2
Q

Who is responsible for conducting a comprehensive review of the facts surrounding an injury/illness/exposure and documenting it?

A

The Supervisor (HPM 10.7, 2-8, 2c)

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3
Q

What is the significant difference between a disabling and a non-disabling injury or illness?

A

If the employee is unable to return to work on the next scheduled work shift. (HPM 10.7, 1-4, fg)

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4
Q

What is the significant difference between a “recurrence of injury” and an “aggravation of injury?”

A

A recurrence does not have a new clearly defined incident and an aggravation does. An aggravation shall be processed as a new injury or illness. (HPM 10.7, 1-3, kl)

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5
Q

When a “questionable” injury or illness is claimed, where shall the reasons for questioning the claim be documented?

A

The reason for questioning the claim shall be documented on the CHP 121. (HPM 10.7, 1-3, m)

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6
Q

Which agency is described as a semi-judicial organization empowered to issue binding decisions relevant to occupational injury and illness claims?

A

The Workers’ Compensation Appeals Board (WCAB) (HPM 10.7, 1-7, 4z)

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7
Q

Should a supervisor accompany the employee to a medical appointment?

A

If practical, the supervisor shall accompany the employee to discuss work capabilities with the health care provider. The discussion should be documented briefly on the CHP 121. (HPM 10-7, 2-6, 2e)

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8
Q

Shall the Supervisor be present when an employee is being examined by the medical care provider?

A

Under no circumstances shall supervisors be present when employees are being examined by medical care providers. (HPM 10-7, 2-6, 2e)

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9
Q

What aspects of injury and illness case management shall the commander be personally and actively involved?

A

All aspects of injury and illness case management. (HPM 10.7, 2-1, 1a)

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10
Q

Are employees responsible for reporting status changes when an injury or illness changes from that of the first reported designation?

A

Yes, Employees shall immediately notify their supervisors of status changes of their injuries, illnesses, or hazardous exposures. (HPM 10.7, 2-5, 2b, and 3-1, 1)

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11
Q

Supervisors shall determine preventability of injuries, illnesses, and hazardous exposure. True/False?

A

False, the commander shall make the determination and take appropriate corrective measures. (HPM 10.7, 2-3, e1)

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12
Q

Who shall personally meet with employees to review the reasons their injuries, illnesses, or hazardous exposures were deemed preventable?

A

Commanders or their designees. (HPM 10.7, 2-1, 1e2)

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13
Q

May an employee appeal a determination of preventability?

A

Yes, it may be appealed to the command’s occupational safety committee. Committee members may not change the determination of preventability; however, they may request commanders to consider various factors when reviewing the incidents. HPM 10.7, (2-3, e3)

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14
Q

If after an appeal, the occupational safety committee disagrees with the determination of preventability, is there any recourse?

A

Yes, further appeal may be made following the complaint procedure as outlined in the employee relations manual. (HPM 10.7, 2-4, e3)

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15
Q

When should employees report illnesses, or hazardous exposures, or recurrences or aggravations of any injury or illness to a supervisor?

A

As soon as possible and prior to seeking medical treatment unless extenuating circumstances exist. (10.7, 2-9, 3b)

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16
Q

An Area supervisor shall prepare a personalized memorandum to employees which clearly expresses their desire to assist the employee with their injury or illness case. True/False?

A

False, Commanders shall prepare such a memorandum. (HPM 10.7, 2-4, h)

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17
Q

Are there any attachments to the personalized memorandum from the Area commander that may be necessary?

A

Yes, Commanders shall prepare attachments to their personalized memorandums, which outline departmental policy regarding occupational injury and illness case management and employee rights and responsibilities (HPM 10.7, 2-4, i)

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18
Q

Is there a need to review the personal memorandum and the attachment with the employee?

A

Yes, The commander or designee shall review both the personalized memorandum and the attachment with the employee. The employee shall be given the original commander’s memorandum and a copy of the attachment. (HPM 10.7, 2-4, j)

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19
Q

__________ shall/should maintain contact with employees who are off duty as a result of occupational injuries or illnesses and ___________ shall/should maintain ongoing communications, as appropriate, with employees’ medical care providers and arrange a return to full duty as soon as medically appropriate?

A

Commanders, (shall), Commanders, (shall). (HPM 10.7, 2-5, m)

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20
Q

Commanders shall notify the ______ __ ________ _______, through the chain of command, if fraud is suspected.

A

Office of Internal Affairs

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21
Q

Commanders will require _______ _____________ from the employee’s medical care providers indicating their secondary employment will not affect their ability to recover in those cases where employees are on sick leave, assigned to limited duty, or placed off duty due to medical conditions.

A

written authorization

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22
Q

Suspension of Secondary-Employment Requests. Commanders may temporarily suspend an employee’s secondary-employment request if the employee’s medical care providers’ written responses indicate the secondary employment may impede the employee’s ability to recover. If the employee’s related injuries or illnesses are deemed occupational, commanders may also contact ___ and _____ ____for input and assistance
in rendering suspension decisions.

A

DRU

State Fund

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23
Q

Commanders should/shall reinstate suspended secondary-employment requests upon receipt of written authorization from an employee’s medical care providers indicating the secondary employment will not impede the employee’s ability to recover.

A

shall

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24
Q

Commanders shall direct uniformed employees who are off duty, as a result of an industrial or nonindustrial injury or illness where a physician has diagnosed that the employee is not capable of performing the 14 critical physical activities, referred as the CHP 225, California Highway Patrol Officer 14 Critical Physical Activities (Annex C), they should/shall avoid engaging in any activity requiring the use of peace officer powers.

A

should

10.7, 2-4, k

25
Q

Commanders shall revoke a uniformed peace officer’s powers and secure all state-issued firearms whenever the uniformed employee is off duty as a result of a psychological reason, to include stress. In those instances where commanders identify extenuating circumstances, the commander may provide justification through channels to the Office of the Commissioner, __________ _ ______.

A

requesting a waiver

10.7, 2-4, l

26
Q

Commanders shall maintain a CHP 121D, Injury/Illness Status Report, of all employees who are assigned limited duty or are off duty as a result of an occupational injury or illness. The purpose of the CHP 121D is to provide a readily accessible means of identifying those employees and providing status updates. The CHP 121D should/shall not be posted for general viewing.

A

shall not

10.7, 2-7, s1

27
Q

Commanders shall submit a monthly CHP 121D to their respective Divisions by the _____ of each month.

A

tenth

10.7, 2-7, s2

28
Q

The report submitted to Division ___ contain information on employees who are assigned to limited duty or are off duty for less than 30 calendar days; however, it _____ contain information on employees who are assigned to limited duty or are off duty for 30 calendar days or more as a result of an occupational injury or illness.

A

may

shall

29
Q

Commanders shall provide duty/disability status, via
___-___, to the appropriate Assistant Commissioner, Division commander, DRU, and Human Resources Section (Transactions Unit) of any employee who is off duty as a result of an occupational injury or illness. This information shall be reported immediately on the first day the command has knowledge of any absence.

A

MIS-Web

30
Q

How often, if at all is the commander or designee required to contact SCIF for an employee that has been placed off duty?

A

At least monthly to review the status of those cases. (HPM 10.7, 2-6, r1)

31
Q

What is the employee’s responsibility when reporting a recurrence of an injury or illness?

A

He shall prepare a CHP 51 within 24 hours detailing the circumstances and a description of the injury or illness. (HPM 10.7, 3-5, 6a)

32
Q

What if the employee is not capable of completing the memo within 24 hours?

A

The employee’s supervisor shall prepare the memo and also include the reason for the employee’s inability to document the incident. (HPM 10.7, 3-5, b)

33
Q

All injury and illnesses are recorded on what form and must be recorded within what time frame?

A

They are reported on an OSHA #300 log form and injuries and illnesses must be recorded within 6 days following knowledge of the injury or illness. (HPM 10.7, 4-2, c)

34
Q

What to Record. The following injuries and illnesses shall be recorded:

A

(1) All occupational illnesses.
(2) All occupational deaths.
(3) All occupational injuries other than record only or first aid without medical expenses.

35
Q

If the status of any injury or illness changes within ____ years of the original occurrence, the log on which the injury or illness is recorded must be updated.

A

5 years.

36
Q

If the injury or illness is denied by SCIF, what happens to the OSHA #300 log entry?

A

The entire entry is lined out, an appropriate notation made on the log and the CHP 121, and retain the CHP 121 in the commands OSHA 300 log file.

37
Q

What shall the supervisor do if the employee cannot sign the CHP 121 within 24 hours or refuses to sign it?

A

If the employee is incapable of signing within 24 hours the supervisor shall document the reasons in the comments section of the 121. The employee will sign as soon as possible. If the employee refuses “refused to sign” shall be placed in the signature box and an explanation in the comments section.

38
Q

The commander or designee shall review and sign the CHP 121 within what time frame?

A

Within three days of notification of an injury or illness.

39
Q

How soon shall the CHP 121 be filed with the SCIF office?

A

Within 5 days of notification (unless record only or first aid without medical expenses).

40
Q

In event of a hazardous exposure claim, does the Supervisor fill out and complete both the CHP 121 and CHP 121A?

A

No. Only the 121A and within 24 hours, 121 completed upon notification of an alleged occupational injury or illness. 121A upon notification of an alleged occupational injury, illness, and hazardous exposure

41
Q

If the Supervisor requires more time to complete an investigation for the CHP 121, how much time is allowed to complete the form before sending it on to SCIF?

A

No additional time. The filing of CHP 121 with SCIF shall not be delayed for any reason. If necessary, the Commander or designee shall submit a partially completed CHP 121 and include a statement that additional information will be forwarded ASAP.

42
Q

What is the form which requires the Supervisor to make a detailed review of the origins and causes of an injury, illness or exposure?

A

CHP 121A, Supervisory Review of Occupational Injury, Illness or Exposure

43
Q

In event of an injury, illness or exposure, what forms must the employee sign?

A

CHP 121 (This form and the 121A shall be initiated by the Supervisors.)
CHP 121A
CHP 121B (This form the employees initiate themselves).
CHP 121C, Medical Information Release Authorization.

44
Q

As soon as possible after notification of an employee’s injury/illness requiring medical treatment beyond first aid, the Supervisor shall provide the medical care provider with a form to assist in determining if the employee may perform full or limited duty. What is that form?

A

CHP 225, CHP Patrol Officer Task Statements.

45
Q

The form which the Supervisor provides the medical care provider after notification of a non-disabling injury or illness which requires assignment of limited duty is which form?

A

CHP 443, Approval of Limited Duty Assignment.

46
Q

When must the Supervisor give the employee who is injured or ill forms CHP 600, Right of Privacy Instructions Relative to Occupational Injuries/Illness and Vehicle Accident Reports, and CHP 601, Coping with Your Injury?

A

Within 24 hours

47
Q

The Supervisor is responsible for initiating a SCIF form and providing the employee this form for all injuries or illness other than Record Only or First Aid. What is this form?

A

SCIF 3301, Employee’s Claim for Workers’ Compensation Benefits (within 24 hours)

48
Q

If an injury/illness occurs to an employee while he/she is temporarily assigned to another command, who will be responsible for filing the CHP 121, Employer’s Report of Occupational Injury or Illness?

A

The temporary command

49
Q

What are the Supervisor’s duties within the 24 hours of an injury or illness to an employee?

A

To provide the employee with a CHP 600 and CHP 601; to complete and have employee sign CHP 121 and CHP 121A; to initiate SCIF 3301 and to provide a copy to the employee; to prepare status change Comm-Net Message.

50
Q

What is necessary to order an employee to a “fitness for duty” exam?

A

Approval must be obtained from the assistant commissioner.

51
Q

If the potential exists that an employee may be impaired in the performance of his/her duties due to a physical or psychological condition, the Department may obtain a medical examination to determine the extent of such impairment. Is a SCIF-ordered medical exam the equivalent of a Department ordered fitness-for-duty exam?

A

Yes

52
Q

What are the restrictions for employees on limited duty?

A

Public contacts shall be restricted to non enforcement or limited enforcement encounters. (Assignment to watch officer, scale facilities, special investigations etc.)

53
Q

Proposed limited duty assignments shall be documented, in detail, on the following:

A

CHP 443, Approval of Limited Duty Assignments

54
Q

Are limited-duty assignments of less than six months approved by the employee’s Supervisor?

A

No. They may be approved by the employee’s Commander.

55
Q

For limited-duty assignments beyond six months, whose approval must be obtained?

A

The appropriate Assistant Commissioner.

56
Q

Employees absent or returning from limited duty of less than one year shall be retrained and recertified at:

A

their currently assigned commands.

57
Q

Employees absent or returning from limited duty of more than __ contiguous months to _ years are required to complete Refresher Training at the Academy prior to resuming field-related duties at their assigned command.

A

12 contiguous months to 2 years

58
Q

Employees absent or returning from limited duty of more than two years are required to complete _____________ ________ at the Academy prior to resuming field duties at their assigned command.

A

Reinstatement Training

59
Q

An employee shall be returned to full duty if CalPERS has denied a request for disability retirement unless the denial is being ________.

A

appealed.