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
Communicable Diseases:
In accordance with the State of Florida General Records Schedule GS1-SL for State and Local Government Agencies, training records shall be kept for ___ fiscal years after separation or termination of employment. Training records shall include: a. Dates of training. b. Contents or summary of course. c. Names and job titles of the employees receiving the training. d. Names and qualifications of the instructors.
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Communicable Diseases:
The Miami-Dade HRD, ISD, maintains records pertaining to employee vaccinations. The MDPD DSO shall ensure the maintenance of records pertaining to exposure incidents, post-exposure incident evaluations, and other documents as required by the Federal Occupational Safety and Health Act, Occupational Exposure to Bloodborne Pathogens Regulation, and the needs of the Miami-Dade County Risk Management Division. Records shall be maintained for at least the duration of employment plus ___ years.
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SUBSTANCE ABUSE: INFO:
Employees are cautioned against using, taking, or ingesting cannabidiol (CBD) products as they could potentially contain high concentrations of THC as well as other harmful additives. Employees are cautioned against using, taking, or ingesting hemp products as they could potentially contain THC. Employees who test positive for THC will be subject to discipline. The use of a CBD or hemp product, or the possession of a medical marijuana prescription will not be an acceptable defense.
INFO
SUBSTANCE ABUSE:
All employees are responsible for ensuring that any herbal teas, herbal medicines, or any other non-prescription or over-the-counter special remedies do not contain any controlled or illegal substances or traces of the same. Since there may be herbal teas, e.g., mate de coca, and herbal medications that contain controlled substances that are not listed on their labels, all employees are prohibited from using the substances listed in this paragraph within a minimum of ___ hours from the date and time of an employee’s County physical.
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SUBSTANCE ABUSE:
Employees shall avoid any intoxicants for a minimum of __ hours before the date and time of an employee’s County physical to avoid any positive test results.
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SUBSTANCE ABUSE:
No employee shall be on or off duty while under the influence of narcotics. This restriction shall not apply to the off duty use of lawfully prescribed medications (excluding ________).
marijuana
*Before reporting for duty, an employee shall advise his/her supervisor of any controlled or
prescribed drugs being used that may affect his/her normal faculties.
SUBSTANCE ABUSE:
Substance abuse shall not be condoned. In order to provide for the protection of the Department and
the well-being of the employee, the Department shall have the right and authority to require employees to submit to substance analysis. The circumstances must be documented and indicate ____ to believe that the employee is under the influence of a substance (legal or illegal, controlled or noncontrolled, narcotic, drug, or alcohol), is suffering from substance abuse; or is in violation of Miami-Dade County or departmental directives, rules, or regulations regarding the use of any such substances.
reasonable suspicion
*Positive results of analysis or a refusal to submit to analysis may result in disciplinary action up to, and
including, dismissal; in accordance with Miami-Dade County and MDPD directives, rules, and regulations.
SUBSTANCE ABUSE:
____ is Defined as those specific, objective facts and rational inferences that one is entitled to draw therefrom, in light of his/her experience, which would lead a reasonable person to believe that the activity in question had occurred or was occurring.
Reasonable Suspicion
SUBSTANCE ABUSE:
_____ Include, but are not limited to, the ability to see, hear, walk, talk, judge distances, drive an automobile, make judgments, act in emergencies, and in general, normally perform the many mental and physical acts of daily life.
Normal faculties:
SUBSTANCE ABUSE:
Police majors/bureau commanders, element supervisors, or individuals in a higher level of authority, are authorized to initiate a request for substance analysis; however, coordination will be effected with the ____ Bureau prior to submission.
Police Legal Bureau
SUBSTANCE ABUSE:
The Substance Abuse Analysis Request will be prepared as an action memorandum and will be hand-carried to the concerned ___ (or equivalent commander or supervisor) for approval by the appropriate assistant director. Offices reporting to the Director will submit their request to the Director.
division chief
SUBSTANCE ABUSE:
When The Substance Abuse Analysis Request is approved, one copy will be provided to the Director’s office; the original (with all duplicate copies) will be sent to the___ Major. Duplicate copies will not be retained in the unit of assignment or in the chain-of-command. If the appropriate assistant director or the Director is not immediately available, the Staff Duty Officer may approve the request.
Professional Compliance Bureau
SUBSTANCE ABUSE:
True or False?
If the need for analysis is the result of an investigation originated by PCB, timeliness may preclude the ability to receive advance written approval for analysis. In this event, approval may be obtained verbally with written documentation to be submitted immediately thereafter
True
SUBSTANCE ABUSE/ Collection Procedure:
Upon approval of the analysis request, the following procedures will be followed: 1. The concerned police major/bureau commander or element supervisor will contact the ___ Major or his/her designee in order to have a substance abuse analysis scheduled the same day of the request, or as soon as possible. Upon receiving an appointment for the analysis, the concerned police major/bureau commander or element supervisor will prepare a Substance Abuse Analysis Notification memorandum and order the employee, in writing, to report as scheduled to the designated collection site. Preparation of the notification memorandum will be coordinated with PLB as needed prior to delivery to the employee. 3. A supervisor in the employee’s chain-of-command, in coordination with a PCB investigator, shall provide for transportation, accompany the employee, and ensure that the employee properly completes the specimen collection.
Personnel Management Bureau (PMB)
*The employee will remain under the direct physical observation of the PCB investigator until the specimen is collected. The person designated by PCB to verify that the employee properly completes the specimen collection shall be of the same gender as the subject
employee
SUBSTANCE ABUSE: Specimen Collection: True or False?
Regarding specimen collection, An observer of the same gender designated by PCB shall be present for direct observation to ensure the specimen is from the subject employee, that it was actually passed at the time noted on the record, and that it has not been adulterated or diluted. Specimen collection will occur in a private setting, and the procedure should not demean, embarrass, or cause physical discomfort to the employee.
True
SUBSTANCE ABUSE: Specimen Collection:
Should the employee request to have a representative or attorney present during the specimen collection procedure, the individual will be allowed up to ___ hours to make arrangements from the time the Substance Abuse Analysis Notification memorandum is presented to the employee.
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SUBSTANCE ABUSE: Specimen Collection:
Employees who fail to provide a specimen within a period of ___ hours from the time the Substance Abuse Analysis Notification memorandum is presented to the employee will be considered to have refused.
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SUBSTANCE ABUSE: Specimen Collection- Analysis Results:
Positive results: If a PCB investigation is not already being conducted, one will be initiated. Established disciplinary procedures will be followed; however, a second definitive and confirmatory analysis of the initial sample must be administered in a timely manner to verify the initial positive screening results before administrative action is taken. The second analysis must always be a different, technologically-sound, confirmatory process
Information
*Result verification: The employee has the option of obtaining an independent second opinion
* PER CBA-Employee will be notified within 72 hours of any POSITIVE results.
*Negative results: Unless additional circumstances create a reasonable suspicion that substance abuse
is again suspected, additional analysis will not automatically be initiated or approved