CHAPTER 14- EXPOSURES/INJURIES/PSYCH SERVICES Flashcards
EXPOSURES:
U.S. Department of Labor, Occupational Safety and Health Administration (OSHA) regulations require that when a product contains toxic substances and an employee is exposed to those substances, the employee is to be informed of its hazards and related safety precautions. Additionally, a record system must be
maintained to document the list of toxic substances encountered throughout the career of departmental employees. The ___, from the Miami-Dade Public Safety Training Institute & Research Center (MDPSTIRC), will ensure departmental compliance with federal, state, and municipal safety standards
Departmental Safety Officer (DSO)
Immediate supervisors will obtain the necessary information for employee instruction regarding the hazards, safe handling practices, and emergency procedures from the MDPSTIRC’s DSO, and instruct employees, and document as follows:
1. Within __-days of hire or transfer of an employee into their unit.
2. Whenever a new product/chemical is introduced.
3. The immediate supervisor documents each training session on the Chemical/Toxic Substances
Training form, which is distributed as follows:
a. Original to Risk Management.
b. One copy to the Miami-Dade County Human Resources Department.
c. One copy to the employee’s file, which is maintained at his/her unit of assignment
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Exposure/ Safety Data Sheet File:
1. The MDPSTIRC’s DSO maintains the Department’s SDS file.
2. Each SDS is kept on file for ___ years. 3. Employees may request a SDS by forwarding a memorandum to the DSO.4. Every element will maintain a list of chemicals stored at their facility and will have on file a SDS for each of those chemicals readily accessible to all employees.
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Any employee denied Earned Leave Pool benefits may appeal, within __ days of denial, by writing a memorandum to the Centralized Services Division Chief, via the chain-of-command
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In the event of an exposure that does not require professional medical treatment or result in lost time from work, the __ Report and the First Aid and Minor Injury Log shall be completed by the immediate supervisor.
Minor Injury
Upon exposure, the following precautionary steps, at a minimum, shall be taken:
a. Document the exposure on the original Offense Incident Report, if applicable.
b. The affected employee shall notify the immediate supervisor of the exposure.
c. The employee’s supervisor shall immediately contact the DSO via the CB Shift Commander, who in turn will notify the County approved medical provider. The approved medical (University of Miami, Occupational Health Clinic).
(1) The DSO will evaluate the risk of the exposure and advise the supervisor of the current protocol for initial medical evaluation, follow-up testing, and medical treatment.
(2) The County approved medical provider, the emergency room physician, or the Occupational Health Clinic medical practitioner will be able to evaluate the employee’s risk of exposure and start treatment, if warranted. (3) The supervisor will complete a Miami-Dade Police Department (MDPD) ___ Form. If it is determined that the employee has met criteria for medical treatment, the supervisor will contact ____,
Exposure & TeleClaim
*If an employee has met criteria for medical consultation or treatment but refuses to respond to the County approved medical provider, University of Miami, Occupational Health Clinic, the supervisor will document the refusal on the MDPD Chemical/Toxic Substance Exposure For Section D, and obtain the employee’s signature, with a supervisor as a witness.
Special Leave Donation:
The PMB shall be notified, via memorandum, when an employee has experienced a serious illness or injury where it is expected that the employee will be absent from work for at least __ pay periods and is ineligible for Earned Leave Pool benefits; or when an immediate family member of the employee has experienced a serious illness or injury and it is expected that the employee will be absent from work for at least __ pay periods.
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*Benefits may be awarded for a time period of 90 calendar days within a 12-month period.
Exposures:
____is Part of OSHA’s Hazard Communication Standard (HCS), provides health and safety information about products or chemicals that are classified as hazardous substances or dangerous goods.
Safety Data Sheet (SDS)
Communicable Diseases:
Statutory Requirements- Infectious Diseases Notification:
It shall be the duty of the licensed facility receiving the patient to notify the emergency medical technician, paramedic, or his or her emergency medical transportation service employer, or other person of the individual’s exposure to the patient within __ hours, or sooner, of confirmation of the patient’s diagnosis and to advise him or her of the appropriate treatment, if any. Notification made pursuant to this section shall be done in a manner which will protect the confidentiality of such patient information and shall not include any patient’s name.
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Communicable Diseases:
____ DEFINES- Pathogenic microorganisms that are present in human blood and can cause disease in humans. These pathogens include, but are not limited to, Hepatitis B Virus (HBV), Hepatitis C Virus (HCV), and Human Immunodeficiency Virus (HIV).
Bloodborne Pathogens
Family & Medical Leave:
Upon the birth or placement of a child, the employee is responsible for submitting the appropriate forms to the PMB to add the child to the employee’s insurance within __ days of the birth or adoption.
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Communicable Diseases:
______ DEFINES: A document, written by each employer having an employee(s) with occupational exposure, designed to eliminate or minimize employee exposure. This part serves as the Departmental exposure control plan.
Exposure Control Plan
Communicable Diseases:
______ DEFINES: A specific eye, mouth, mucous membrane, or non-intact skin contact with blood or other potentially infectious materials, or the piercing of the skin barrier through such events as needle sticks, human bites, cuts, and abrasions where contact is made with blood or other potentially infectious materials, or prolonged exposure to blood or other potentially infectious materials on a large area of intact skin, that results from the performance of an employee’s duties
Exposure Incident
Communicable Diseases:
_____ DEFINES: An approach to bloodborne pathogen infection control. According to the concept of universal precautions, all human blood and certain human body fluids are treated as if known to be infectious for HIV, HBV, HCV, and other bloodborne pathogens. Inform other employees whenever a subject has body fluids present on his or her person or if the subject has stated that he or she has AIDS or any other contagious disease.
Universal Precautions:
Communicable Diseases:
___ should always be worn when in contact with any subject, prisoner, or person with exposed blood or other body fluids. Gloves contaminated with body fluids shall be placed in a biohazard bag or appropriate biohazard disposal receptacle at a district station or fire rescue vehicle. If not contaminated, they may be thrown away in a regular trash can.
Disposable gloves
Communicable Diseases:
Officers should keep an extra change of work clothing available at all times in the event their uniform becomes contaminated. All contaminated uniforms will be taken to the ___ Section for disposal. Contaminated clothing other than uniforms should be handled as instructed by applicable subordinate directives or should be cleaned using universal precautions and not be mixed with other laundry at the employee’s residence.
Property and Evidence
Communicable Diseases:
True or False?
Supervisors shall ensure that an adequate supply of all personal protective equipment is readily accessible to all concerned personnel at the work site, and that equipment expiration dates are checked. Biohazardous waste will be taken to the PES and deposited in a biohazard receptacle.
FALSE- closest district station
Communicable Diseases:
Equipment (e.g., flashlight, handcuffs, baton) which may become contaminated with blood or other potentially infectious materials shall be decontaminated with ___ parts water to __ part bleach solution. Protective gloves will be used during all phases of decontamination. If splashing is anticipated, protective eyewear should be worn along with a protective gown. Upon completion, all items used in the decontamination process will be placed in a designated biohazard bag/receptacle.
FIVE & ONE
Family & Medical Leave: Failure to Return to Work: Employees unable to return to work on the scheduled date shall notify their immediate supervisor and the PMB, no later than __ days in advance of expiration of their leave. If the employee wishes to extend leave, a Miami-Dade Police Department Leave of Absence Application Form shall be submitted.
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Communicable Diseases:
If the possibly infected individual is being transported to a medical facility by Fire Rescue personnel or an ambulance service, the concerned officer will ensure that his own name, badge number, and contact information is added to the Fire Department’s Florida EMS Report or the ambulance run report. A copy of this document will remain at the receiving hospital,where it will be used by the hospital to contact all persons, including the officer, who had immediate contact with the patient if he is diagnosed as having AIDS, HIV, HBV, HVC, TB, or any other infectious disease. In accordance with FSS 395.1025, this notification must be made within ___ hours after diagnosis of the disease.
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Communicable Diseases:
If an employee is injured to the extent that emergency treatment from the closest medical facility is required, the employee’s supervisor must contact the DSO via the CB Shift Commander as soon as possible and notify them of the exposure. Follow-up post-exposure treatment, if required, will be conducted at a county approved medical facility/provider for exposures. The supervisor shall ensure that a copy of the MDPD Exposure Form is forwarded or hand-delivered in a sealed and secured envelope marked ___ to the DSO, MDPSTIRC, as soon as possible. A copy of the form will also be provided to the employee.
CONFIDENTIAL
Communicable Diseases: EXPOSURE- CONSENT
INFO:
When an officer is injured by another person or exposure occurs in a manner conducive to the spread of hepatitis, HIV, or other sexually transmissible disease, the officer shall request that the subject be screened for sexually transmissible diseases. For this screening process to occur, the affected officer’s supervisor must, immediately after the suspected exposure, accomplish the following:
1.Contact the DSO via the CB Shift Commander.
2.Ensure that the officer seek medical attention for the injury and provide the attending physician with a copy of the Physician’s Statement for completion, as appropriate.
3. Document the possible exposure on the original Offense-Incident Report.
The officer’s supervisor, after consultation with the DSO, shall immediately attempt to obtain the subject’s consent to voluntarily undergo a blood test to determine if the person has a sexually transmissible disease.
-Consent, if granted by the subject, shall be documented by completion of a Miami-Dade Police
Department Consent and Authorization to Release Information form (Annex G).
b. An Offense-Incident Report with a new case number shall be written documenting the officer’s
actions and the subject’s consent. However, the test result is not to be documented in this report
or any other report. As both the identity of the person who is the source of the exposure or
injury and the identity of the exposed or injured officer are confidential, the report is exempt
from public records provisions. The report shall be marked CONFIDENTIAL at the top and
bottom of all pages.
Communicable Diseases: EXPOSURES- NO CONSENT:
INFO:
The affected district’s on-call General Investigations detective, shall complete an Affidavit in Support of Screening for Sexually Transmissible Disease, Pursuant to FSS 384.28), attach the completed Physician’s Statement and a copy of the Offense-Incident Report to the Affidavit, and present these documents to a county or circuit judge for issue of a Order for Screening for Sexually Transmissible Disease, Pursuant to FSS 384.287(2).
When an officer secures a court order, an Offense-Incident Report with a new case number shall
be written documenting the officer’s actions. However, the test result is not to be documented in this report or any other report. As both the identity of the person who is the source of the injury and the identity of the exposed or injured officer are confidential, the report is exempt from public records provisions.
Communicable Diseases:
Infectious disease training will be provided to employees listed in Employee Exposure Determination when initially hired and ___ thereafter. Police officer recruits and public service aides will be given infectious disease training while at the academy.
annually