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Crofton OB > Articles 10-11 > Flashcards

Articles 10-11 Flashcards

1
Q

what forms must be completed to request leave without pay?

A

dc form 1199, special report addressed to the FC

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2
Q

upon appoval of leave without pay what must an applicant do?

A

submit to a physical at the PFC

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3
Q

what physicals are required for uniform operation all hazard personnel?

A

annual, promotional, return to duty, fitness for duty

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4
Q

who gives approval for afternoon sick call (1300-1430)?

A

MSO or clinic liason in absence of MSO

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5
Q

who gives permission to reschedule PFC appointments?

A

MSO

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6
Q

if a member being carried on POD fails to report for a scheduled appointment at the PFC, what happens?

A

they will be carried on sick leave until they report for the new appointment

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7
Q

all employees are ______ from outside employment while on sick leave

A

prohibited

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8
Q

how many hours prior to a physical must you fast?

A

6-8 hours

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9
Q

how many days from the original appointment may you schedule a makeup?

A

30 days max

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10
Q

who must be contacted to reschedule a clinic appointment?

A

MSO

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11
Q

how is department mail marked that contains health information?

A

protected information

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12
Q

how long after injury or illness does a company officer have to complete a 44.4 safety?

A

24 hrs

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13
Q

where is the form 44.4 safety distributed?

A

original to safety office, copy to MSO

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14
Q

what forms must be completed when a unifom operational EMT is transported to the hospital?

A

DCDCP forms 1,2,3

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15
Q

when a uniformed operational all hazards employee is requesting POD, what forms must be completed?

A

form 44 medical, form 44.4 safety

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16
Q

sick leave shall be reported in _____ equivalents.

A

hourly

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17
Q

how many hours of sick leave are earned per pay period for uniformed all hazards employees? other members?

A

4.5hrs, 4 hrs

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18
Q

what forms need to be completed for an advance in sick leave?

A

dc form 1199, form 11.4, special report

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19
Q

what form number is to used to request annual leave in lieu of sick leave?

A

form 11.5

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20
Q

where are bills for transport forwarded?

A

MSO

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21
Q

what forms are filled out when a member is exposed to a communicable disease?

A

form 44.1 in duplicate, form 1c-1

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22
Q

when a member reports for medical care at the PFC due to exposure what forms are completed?

A

form 44, form 44.4 safety within 24hrs

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23
Q

if you are a victim of exposure where do you go and how quick?

A

within 1 hour to PFC or Providence if after hours

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24
Q

uniformed operational employees complete what form for an exposure?

A

dcdcp form 1

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25
Q

who do you notify when admitted to the hospital?

A

communications, MSO, head of employees division through COC

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26
Q

before returning to full duty after 1 yr on LD what must happen?

A

TA for refresher training

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27
Q

who approves LD assignments?

A

AFC-S

28
Q

how many days can you stay on LD for a non POD injury?

A

30 calendar days

29
Q

who sends an email to MSO containing the names of personnel who called in sick for each tour of duty?

A

each BFC

30
Q

how long prior to the tour of duty are you allowed to go sick?

A

not less than 1 hr

31
Q

who is exluded from the minor illness program?

A

probationary members

32
Q

how many hours prior to your tour of duty may you MIP?

A

no more than 12 hrs , no less than 1 hour

33
Q

what form is completed to MIP?

A

44.6 MIP

34
Q

how long does MIP restriction last?

A

2 full designated periods

35
Q

where are entries made when you lose your ability to MIP?

A

company journal, battalion journal, back of 33.1

36
Q

when a change of duty status is made at the PFC who do you notify?

A

on duty company commander, if not available

1)on duty BFC 2)any on duty BFC 3)division commander

37
Q

on form 44 if employee is incapacitated how is form signed?

A

company officer shall note “incapacitated” in signature block

38
Q

who do you present clinic data record form to when returning to full duty?

A

on duty platoon commander

39
Q

where are the copies of form 44 medical sent?

A

original to MSO , copy retained by employee

40
Q

if requesting POD, how long does a CO have to submit a 44.4 safety?

A

10 days

41
Q

if you do not report to the PFC or urgent care facility after an injury or illness will you recieve POD?

A

no

42
Q

where are line of duty burn injuries transported?

A

medstar

43
Q

what is the “best” reporting time on weekends to an urgent care facility?

A

0730

44
Q

when notifying the on duty company officer of being placed on sick leave what must you tell them?

A

where they can be reached on sick leave, record in journal

45
Q

how long does the MSO have to make a POD ruling?

A

no more than 30 days

46
Q

how long do you have to appeal a POD ruling? and who do you appeal to?

A

30 days, AFC-s

47
Q

when appealing a POD decision what must you include with special report?

A

original 44.4 safety

48
Q

if on sick leave during POD appeals process what leave will you be placed on?

A

administrative leave

49
Q

how many days after the AFC-s recieves a POD appeal will a decision be made?

A

max of 60 days from reciept of appeal

50
Q

what is a form 158? when is it completed?

A

on or before 15 Jan. report of administrative leave. shows member ruled POD for preceding year

51
Q

what form is completed to leave metropolitian area while on sick leave?

A

form 34

52
Q

if a ruling is not made within 30 days what happens?

A

presumed POD

53
Q

when will a member of operations/ administrative be processed for retirement?

A

64/192 cumulative workdays in less than full duty status for over 24 months. does not apply to pregnant females

54
Q

at 32/96 cumulative workdays in less than full duty status who notifys employee?

A

MSO

55
Q

_____ days before the employee is scheduled for referal to retirement board MSO shall notify the FC with recommended extention of POD.

A

60

56
Q

if injured in performance of duty requiering critical care in the ICU, how long till you are processed for retirement?

A

170 cummulative work days in less than full duty over 2 years

57
Q

where will members on POD will have prescriptions filled

A

CVS, Providence pharmacy

58
Q

where are uniformed EMT or paramedics transported?

A

PFC or nearest apprioprate medical facility. try to use Providence or WHC

59
Q

Who does the BFC or ems supervisor call when an EMT is hur ton the job?

A

DC disability compensation hotline, obtain the claim number. foward to office of complaince with in 24 hrs

60
Q

what form must be filled out a pfc by uniformed EMT?

A

dcdcp form 1

61
Q

when a EMT is returning for duty what must employee bring to duty station?

A

clinic data record, SF 71

62
Q

to continue on continuation of pay status what must be submitted to the office of compliance every 30 days?

A

treating physicians diagnosis and prognosis

63
Q

if hired after jan 1 1980 how many days does an EMT get for continuation of pay?

A

21 calendar days, before 45 days

64
Q

for an EMT to get more than 21 days of continuation of pay, who approves?

A

compliance officer

65
Q

what form is completed to extend past 21 days on COP?

A

form CA-7

66
Q

where do uniformed EMTs report to, to go on LD?

A

office of compliance by 0815

67
Q

if a uniformed EMT is sick for more than ___ days a DR’s note is requiered

A

3

Crofton OB (26 decks)

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