531 Communicable Disease Prevention and Protection (V7)

Question 1

B. General Prevention and Protection Procedures [CFA 29.02, FCAC 8.01]
(4) Wash hands with soap and water for at least ____________. If soap and water are not readily available, use a hand sanitizer that contains at least ____% alcohol. Avoid touching your eyes, nose, and mouth with unwashed hands.
A. Time Frame
B. Number

Answer 1

B. General Prevention and Protection Procedures [CFA 29.02, FCAC 8.01]
(4) Wash hands with soap and water for at least 20 seconds. If soap and water are not readily available, use a hand sanitizer that contains at least 60% alcohol. Avoid touching your eyes, nose, and mouth with unwashed hands.

Question 2

5. Hepatitis B Vaccinations. [FCAC 8.02]
   b. The vaccine will be offered within _____________ of an employee’s initial assignment as a first aid responder (police, corrections, or other “at risk positions”) unless the employee has previously had the vaccine or who wishes to submit to antibody testing which shows the employee to have sufficient immunity.

Answer 2

5. Hepatitis B Vaccinations. [FCAC 8.02]
   b. The vaccine will be offered within 10 working days of an employee’s initial assignment as a first aid responder (police, corrections, or other “at risk positions”) unless the employee has previously had the vaccine or who wishes to submit to antibody testing which shows the employee to have sufficient immunity.

Question 3

Hep B Vaccination
c. The vaccine will be offered as soon as possible, but in no event later than _____ hours, to all
unvaccinated employees who have rendered assistance in a first aid incident involving
the presence of blood or other potentially infectious material regardless of whether the
employee has incurred an exposure incident.
A. Time Frame

Answer 3

c. The vaccine will be offered as soon as possible, but in no event later than 24 hours, to all
unvaccinated employees who have rendered assistance in a first aid incident involving
the presence of blood or other potentially infectious material regardless of whether the
employee has incurred an exposure incident.

Question 4

If the person refuses the consent, the tests may proceed once a court order is obtained.
Under the authority of F.S.S. chapter 384, the necessary probable cause needed to obtain
the court order is a statement from a _____________________________ stating that the nature of the injury is such as to result in the transmission of a sexually transmissible disease, including AIDS. This statement can be obtained from where and on what form?

Additionally, a Form P-0846e (Request for Screening for Sexually Transmissible Disease) must be completed by the employee’s ___________________.
A. Rank
B. Rank

Answer 4

I. Suspect Blood Test
3. If the person refuses the consent, the tests may proceed once a court order is obtained.
Under the authority of F.S.S. chapter 384, the necessary probable cause needed to obtain
the court order is a statement from a licensed physician stating that the nature of the injury
is such as to result in the transmission of a sexually transmissible disease, including AIDS.
This statement can be obtained from the treating physician at the emergency room or other treatment center and must be documented on a Form P-0845e (Sworn Physician Statement
Form). Additionally, a Form P-0846e (Request for Screening for Sexually Transmissible Disease) must be completed by the employee’s acting supervisor.

Question 5

Blood Testing - Possible Contaimination - Refusal to Consent
a. If the suspect is in custody, contact the on-duty PDF _______________ to coordinate testing the suspect with the CHSP. Testing will normally be conducted between 0800-1700 hours the ______________.
A. Rank/Position
B. Time Frame

Answer 5

Blood Testing - Possible Contaimination - Refusal to Consent
a. If the suspect is in custody, contact the on-duty PDF watch lieutenant to coordinate testing the suspect with the CHSP. Testing will normally be conducted between 0800-1700 hours the next business day.

Question 6

In the event of a death investigation where an employee(s) was possibly exposed to a communicable disease by blood or bodily fluid, the following procedures shall be followed:
a. The responding Homicide detective shall notify the Medical Examiner’s Office of the possible exposure and request the appropriate blood sample be taken for testing at the __________________________________; The Medical Examiner’s Office will obtain the sample and notify the __________________ for the transport and the testing of the sample;
A./B. Department

Answer 6

4. In the event of a death investigation where an employee(s) was possibly exposed to a communicable disease by blood or bodily fluid, the following procedures shall be followed:
   a. The responding Homicide detective shall notify the Medical Examiner’s Office of the possible exposure and request the appropriate blood sample be taken for testing at the Duval County Health Department (DCHD); The Medical Examiner’s Office will obtain the sample and notify the DCHD for the transport and the testing of the sample;

Question 7

Who is responsible for completing the Exposure Incident Report Form and the Notice of Injury Report (if applicable) to the Homicide Unit to provide to the Medical Examiners Office?

Additionally, who will provide the employee’s treating physician with the results of the blood test?

Answer 7

4. In the event of a death investigation where an employee(s) was possibly exposed to a communicable disease by blood or bodily fluid, the following procedures shall be followed:
   d. The Homicide detective at the incident scene shall give a copy of the Notice of Injury Report and Exposure Incident Report Form to the Medical Examiner’s Office when the blood sample is requested. The DCHD will notify the exposed employee(s) treating physician of the results of the test. The treating physician will discuss the need for follow-up testing or treatment.

Question 8

Who reviews the exposure control plan annually and provides the documentation to the Accreditation Unit?
A. Position

Answer 8

4. JSO will at least annually review the exposure control plan with consideration for updating
   procedures designed to eliminate or minimize occupational exposure. The JSO Safety Officer
   will document the review and send the documentation to the Accreditation Unit. [CFA
   29.01, NCCHC J-B-02]

Question 9

Who is responsible for the continuous implementation, application, and evaluation of the respiratory protection program as well as maintaining all masks and ensure they are working properly?

Answer 9

K. Respiratory Protection Program
1. Policy
a. The policy of JSO is to ensure all employees wear respiratory protection devices (e.g., gas masks, air packs, etc.) for jobs or tasks, which require protection against respirable toxic contaminates. Since failure to comply with these guidelines may result in death, serious injury, and/or health problems, strict enforcement by supervisors must be followed.
d. All supervisors shall be responsible for the continuous implementation, application, and
evaluation of this program.
e. Supervisors shall maintain their area’s emergency respiratory protective devices and
ensure issued devices are in proper working order through regular inspection.

Question 10

When a supervisor checks the respiratory protection equipment, what are they looking for and how often is it inspected?
1.
2.

Answer 10

K. Respiratory Protection Program
b. Supervisory personnel shall:
(5) Ensure individually assigned respiratory protection devices are:
(a) Stored in the issued case, cleaned, and maintained in good operating condition
in accordance with training; and
(b) Inspected at least quarterly.

Question 11

If an employee is either temporarily or permanently unable to wear a respiratory protective device due to medical reasons, who should notify who?

Answer 11

K. Respiratory Protection Program
b. Supervisory personnel shall:
(7) Inform the JSO Safety Officer of all employees who are either temporarily or permanently unable to wear respiratory protective equipment due to medical reasons.

Question 12

e. The __________________________________ shall coordinate with the Safety Officer before
purchasing respiratory testing devices, respiratory protective devices, filtration elements, or their replacements.
A. Rank/Position

Answer 12

e. The Commanding Officer of Supply Unit shall coordinate with the Safety Officer before
purchasing respiratory testing devices, respiratory protective devices, filtration
elements, or their replacements.

Question 13

If facial hair interferes with the sealing of the face piece for the respiratory, what should happen?

Answer 13

3. Respiratory Fitting and Test for Seal
   a. A respirator equipped with a face piece shall not be worn if facial hair interferes with the sealing periphery of the face piece or if facial hair interferes with valve function. If facial hair does interfere with the fit, the facial hair shall be removed.

Question 14

When an officer cannot receive a proper fit that prevents the officer from wearing a respirator, the officer shall notify his ____________________.
A. Rank

Answer 14

3. Respiratory Fitting and Test for Seal
   d. When an officer cannot receive a proper fit that prevents the officer from wearing a respirator, the officer shall notify his watch commander.

Question 15

How often should self-contained breathing apparatus be inspected?

Answer 15

4. Maintenance and Care
   b. Self-contained breathing apparatus shall be fully charged according to the manufacturer’s instructions. Monthly inspections must be made to ensure regulator and warning devices function properly.

Question 16

a. Employees who test positive for COVID-19:
(1) Stay home for __________________. The first of the ___________________ includes the first day symptoms appeared;
A./B. Time Frame

Answer 16

M. COVID-19
4. Return to Work Criteria
a. Employees who test positive for COVID-19:
(1) Stay home for five days. The first of the five days includes the first day symptoms
appeared;
(2) If you have no symptoms or your symptoms are improving, return to work five days from the first day symptoms appeared as long as (3) below is met;
(3) If you have a fever, continue to stay home until the fever resolves. At least 24-hours must pass without the use of fever-reducing medications; and
(4) Continue to wear a mask around others for five additional days upon returning to
work.

Question 17

a. Employees who test positive for COVID-19:
2) If you have no symptoms or your symptoms are improving, return to work _______________ from the first day symptoms appeared as long as (3) below is met;
(3) If you have a fever, continue to stay home until the fever resolves. At least ______________ must pass without the use of fever-reducing medications;
A. Time Frame
B. Time Frame

Answer 17

M. COVID-19
4. Return to Work Criteria
a. Employees who test positive for COVID-19:
(1) Stay home for five days. The first of the five days includes the first day symptoms
appeared;
(2) If you have no symptoms or your symptoms are improving, return to work five days from the first day symptoms appeared as long as (3) below is met;
(3) If you have a fever, continue to stay home until the fever resolves. At least 24-hours must pass without the use of fever-reducing medications; and
(4) Continue to wear a mask around others for five additional days upon returning to
work.

Question 18

M. COVID-19
4. Return to Work Criteria
b. After ___________, if the employee does not meet the return to work criteria listed in (2) and (3) above, the employee must provide medical documentation to the _____________________ to substantiate the additional time out of work.
A. Time Frame
B. Position

Answer 18

M. COVID-19
4. Return to Work Criteria
b. After five days, if the employee does not meet the return to work criteria listed in (2) and (3) above, the employee must provide medical documentation to the Occupational Health Manager to substantiate the additional time out of work.

Question 19

M. COVID-19
4. Return to Work Criteria
c. Employees with severe to critical illness or who are severely immunocompromised can
return to work when:
(1) At least ____________________ have passed since symptoms first appeared;
(2) At least _________________ have passed since last fever without the use of fever-reducing
medications; and
(3) Symptoms (e.g., cough, shortness of breath) have improved.

Answer 19

M. COVID-19
4. Return to Work Criteria
c. Employees with severe to critical illness or who are severely immunocompromised can
return to work when:
(1) At least 20 days have passed since symptoms first appeared;
(2) At least 24 hours have passed since last fever without the use of fever-reducing
medications; and
(3) Symptoms (e.g., cough, shortness of breath) have improved.

Question 20

b. Moderate illness – Individuals who have evidence of lower respiratory disease by clinical
assessment or imaging and a saturation of oxygen (SpO2) ≥____% on room air at sea level.
A. Percentage

Answer 20

b. Moderate illness – Individuals who have evidence of lower respiratory disease by clinical
assessment or imaging and a saturation of oxygen (SpO2) ≥94% on room air at sea level.

Question 21

c. Severe illness – Individuals who have respiratory frequency >___ breaths per minute, SpO2 <____% on room air at sea level (or, for patients with chronic hypoxemia, a decrease from baseline of >____%), and a ratio of arterial partial pressure of oxygen to fraction of inspired oxygen (PaO2/FiO2) <300 mmHg, or lung infiltrates >___%.

Answer 21

c. Severe illness – Individuals who have respiratory frequency >30 breaths per minute, SpO2 <94% on room air at sea level (or, for patients with chronic hypoxemia, a decrease from baseline of >3%), and a ratio of arterial partial pressure of oxygen to fraction of inspired oxygen (PaO2/FiO2) <300 mmHg, or lung infiltrates >50%.