10.7 Injury And illness Case Management Flashcards

1
Q

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

A

30

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2
Q

In no event should/shall supervisors attempt to be present when employees are being examined by medical care providers.

A

Shall

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3
Q

Discussions between supervisors and medical care providers should/shall be briefly documented in the comments section of the CHP 121.

A

Shall

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4
Q

Discussions between supervisors and medical care providers should/shall be briefly documented in the comments section of the CHP 121.

A

Shall

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5
Q

Employees shall ensure submission of their completed and signed STD. 634s to their commands in accordance with policy and in no case later than the ___working day following the end of each pay period.

A

First

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6
Q

Commanders or their designees shall contact SCIF at least ____to review the status of those cases in which employees have been placed off duty

A

30

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7
Q

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

A

Shall

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8
Q

Commanders shall/should revoke a uniformed member’s peace officer powers and secure all state-issued firearms whenever the uniformed employee is off duty as a result of a psychological reason, to include stress.

A

Shall

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9
Q

Commanders shall/should revoke a uniformed member’s peace officer powers and secure all state-issued firearms whenever the uniformed employee is off duty as a result of a psychological reason, to include stress.

A

Shall

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10
Q

Commanders shall/should prepare personalized memorandums which clearly express their desire to assist employees with their injury or illness case.

A

Shall

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11
Q

Documentation relevant to an employee’s injury, illness, or hazardous exposure is ____.

A

Confidential

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12
Q

a death or serious injury or illness occurs A Comm-Net Message shall be transmitted to the appropriate Assistant Commissioner and DRU within____hours of occurrence.

A

Eight

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13
Q

Reporting to Department of Industrial Relations, Division of Occupational
Safety and Health (DOSH). DOSH shall be notified by telephone within _____hours.

A

8

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14
Q

Injuries and illnesses sustained by job applicants should/shall not be included in departmental occupational safety statistics.

A

Shall

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15
Q

Volunteers are/are not entitled to departmental workers’ compensation benefits.

A

Are Not

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16
Q

Within _____ hours of reporting a recurrence of an injury or illness, the employee shall prepare a memorandum detailing the circumstances surrounding the recurrence and a description of the injury or illness.

A

24 hrs

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17
Q

If the employee is incapable of preparing the memorandum within _____ hours of reporting the recurrence, he/she shall prepare the memorandum as soon as possible.

A

24 hrs

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18
Q

If an applicant reports he/she sustained an injury or illness during the application process, occupational injury and illness reporting and routing procedures shall be initiated by the supervisor managing the application process. CHP 121 documentation shall indicate the salary as “____” and the occupation as “_____.”

A

None , Job Applicant

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19
Q

Occupational Safety and Health Act 300 Log - Injuries and illnesses shall be recorded on the Log within _____ workdays following knowledge of an injury or illness. The Log shall be updated when a status change of an injury or illness occurs.

A

Six

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20
Q

All questionable injuries (unless record only or first aid) and illnesses shall/should be entered on the Occupational Safety and Health Act 300 Log and lined out if subsequently denied by the State Compensation Insurance Fund (SCIF).

A

Shall

21
Q

Injuries and illnesses which occur to employees on temporary assignment shall be recorded on the Occupational Safety and Health Act 300 Log of the command of temporary assignment unless the assignment is for_____.

A

Civil Disturbance

22
Q

Injuries and illnesses occurring during civil disturbance assignments shall be recorded on the Log of the command where the employee is _____assigned at the time of the injury or illness.

A

Permanently

23
Q

Injuries and illnesses occurring while an employee is traveling to or from a temporary assignment shall be recorded on the Log of the command where the employee is ____assigned at the time of the injury or illness.

A

Permanently

24
Q

Injuries or illnesses occurring while an employee is temporarily assigned to and/or under the direct control and supervision of an entity other than the Department shall be recorded on the Log of the command where the employee is _____ assigned at the time of the injury or illness

A

Permanently

25
Q

Injuries or illnesses occurring while an employee is temporarily assigned to and/or under the direct control and supervision of an entity other than the Department shall be recorded on the Log of the command where the employee is _____ assigned at the time of the injury or illness

A

Permanently

26
Q

A Cal-OSHA number shall be assigned to every injury and illness which is recorded on the Log, excluding _____injuries and illnesses until accepted by SCIF.

A

Questionable

27
Q

If the status of an injury or illness changes within _____ years of the original occurrence, the Log on which the injury or illness is recorded must be updated. If the employee is assigned to a different command at the time the status change occurs, the different command shall transmit a Comm-Net message to the command where the injury or illness is record

A

Five

28
Q

CHP 121 shall be completed by the employee’s supervisor within _____ hours of notification of an alleged occupational injury or illness.

A

24 hrs

29
Q

The employee shall review and sign the field injury file copy of the CHP 121 within _____ hours of reporting an injury or illness.

A

24

30
Q

If the employee refuses to sign the field injury file copy of the CHP 121, the supervisor shall type or print “refused to sign” in the employee’s signature block and document the refusal in the _____section.

A

Comments

31
Q

The commander or designee shall review and sign the CHP 121 within _____days of notification of an injury or illness

A

3 days

32
Q

Pursuant to California Labor Code, Section 3760, and the State Administrative Manual, Section 2581.4, the commander or designee shall ensure the CHP 121 (unless record only or first aid without medical expenses incurred) is filed with the appropriate SCIF office within _____ days of notification of an injury or illness

A

5

33
Q

If an injury or illness occurs while an employee is temporarily assigned to another command for reasons other than civil disturbance, the command where the employee is temporarily assigned should/shall be responsible for the completion and filing of the CHP 121 (copy forwarded to the command of permanent assignment). The command where the employee is permanentlyassigned shall be responsible for subsequent case management.

A

Shall

34
Q

If an injury or illness occurs while an employee is temporarily assigned to another command due to civil disturbance, the command where the employee is permanently assigned should/shall be responsible for the completion and filing of the CHP 121 and subsequent case management.

A

Shall

35
Q

If an injury or illness occurs while an employee is traveling to or from a temporary assignment, the command where the employee is _____ assigned shall be responsible for the completion and filing of the CHP 121 and subsequent case management.

A

Permanently

36
Q

If an injury or illness occurs while an employee is assigned to the Academy as a cadet, the _____ shall be responsible for injury and illness reporting and routing procedures.

A

Academy

37
Q

CHP 121A shall be reviewed and signed by the commander or designee within _____ days of notification of an injury, illness, or hazardous exposure.

A

3

38
Q

Commanders shall maintain a _____ for employees who are off duty or assigned to limited duty as a result of an occupational injury or illness.

A

121D

39
Q

CHP 121D shall/should not be posted for general viewing.

A

Shall not

40
Q

Within _____ days of initial notification of, or any status change of, an employee injury, illness, or hazardous exposure, the supervisor shall record or update the incident on the employee’s CHP 442.

A

3

41
Q

Within _____ hours of notification of an injury or illness, the supervisor shall provide the employee with a copy of CHP 600.

A

24

42
Q

Within _____ hours of notification of an injury or illness, the supervisor shall provide the employee with a copy of CHP 601.

A

24 hrs

43
Q

Completed SCIF 3301s shall be forwarded to SCIF within _____ days of command receipt of the forms.

A

5 days

44
Q

The commander or designee shall review the commander’s memorandum and attachment with the employee within _____ hours of notification of an injury or illness other than record only or first aid.

A

24

45
Q

The employee’s signature acknowledging the content of the attachment is not mandatory. In those cases where a signature is lacking, the commander or designee shall document the date and time the attachment was reviewed with the employee and the _____ for the absence of a signature.

A

Reason

46
Q

A Comm-Net Message shall be transmitted to Disability and Retirement Unit (DRU) within _____ hours of notification of a nondisabling (other than record only or first aid) or disabling occupational injury or illness.

A

24 hrs

47
Q

A Comm-Net Message shall be transmitted to DRU within _____ hours of either of the following occurrences:

a. Status Change to Nondisabling or Disabling. A record-only or first-aid injury or illness or hazardous exposure status changes to nondisabling or disabling.

b. Status Change of Nondisabling or Disabling. The status of a nondisabling
(other than record only or first aid) or disabling injury or illness changes.

Commanders shall prepare a memorandum advising employees of
authorized medical care providers and/or facilities.

A

24 hrs

48
Q

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

A

10th