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Eds exam 2018 > HPM 10.7 Injury and Illness Case Management > Flashcards

HPM 10.7 Injury and Illness Case Management Flashcards

1
Q

What are the Departments program objective(s) under the Injury and illness program?
(B-R-C-R2W)

A

a. Benefits - to provide appropriate Workers’ compensation benefits to employees.
b. Reporting- To effectively report injuries and illnesses within designated time frames.
c. Communication- To maintain ongoing communication with employees who are off duty as a result of an occupational injury or illness.
d. Return to Work (R2W)- To return employees to work as soon as medically appropriate.

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2
Q

The CHP 121D shall be completed on the __ of each ___.

A

10th, month

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3
Q

Commanders SHALL provide notification via Comm-Net message of any employee who is off duty as a result of an occupational injury/illness for 30 calendar days or more. This information is to be reported on the day following the first 30 CALENDAR days of absence. The notification shall be made to:

A

Divison Commander, appropriate Assistant Commisssioner, Disability and Retirement Unit (DRU), Human Resources Section (Transactions Unit)

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4
Q

An injury or illness claim where there exists substantial evidence to question whether the injury or illness is employment related is considered a _________.

A

Questionable illness or injury

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5
Q

Upon notification of an injury, illness, or hazardous exposure, the supervisor shall:

A

Conduct a comprehensive review of the facts surrounding the incident.

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6
Q

Injury or illnesses to job applicants shall be included in the departmental occupational safety statistics.
True/False

A

False

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7
Q

If a death or serious injury or illness occurs, the commander or designee shall ensure required telephonic notifications are made to the following persons in the order listed until one is contacted:
(clue: 4)

A
  1. Appropriate Assistant Commissioner
  2. Executive Assistant to Appropriate Assistant Commissioner
  3. Deputy commissioner
  4. Commissioner
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8
Q

Occupational Safety and Health Act 300 log forms require that injuries and illnesses shall be recorded on the log within ______following knowledge of an injury or illness. The log shall be updated when a status change of an injury or illness occurs.

A

Six (6) days

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9
Q

The annual Fitness Challenge involves ____ physical tasks that are designed to accomplish increased physical fitness. All uniformed employees _______participate in the annual fitness challenge, regardless of rank or assignment.

A

five (5) / are encouraged

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10
Q

Commanders SHALL revoke a uniformed employee’s peace officer powers and secure all state - issued firearms whenever the uniformed employee is on limited duty as a result of psychological reason, to include stress.
True/ False

A

True

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11
Q

_______ shall determine preventability of injuries, illnesses and hazardous exposures and shall implement appropriate corrective measures.

a. Area occupational safety representative
b. Division Occupational Safety representative
c. Sergeant
d. Commander

A

d. Commander

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12
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
b. 48
c. 36
d. 72

A

a. 24

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13
Q

The CHP 121 shall be typed.

True / False

A

True

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14
Q

The Commander or designee shall review and sign the CHP121 within _____ days of notification of an injury or illness.

A

Three days

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15
Q

The Commander or designee shall ensure the CHP 121 (unless record only or First aid w/o medical expenses incurred) is filed with the appropriate SCIF office within ___ days of notification of an injury or illness.

A

Five Days

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16
Q

If an injury or illness occurs while an employee is temporarily assigned to and/or under the direct control and supervision of an entity OTHER than Department, the ________ shall be responsible for the completion and filing of the CHP 121.

A

Appropriate Assistant Commissioner

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17
Q

Upon request an employee Shall/ Should be provided with a copy of the CHP121, CHP121A, CHP121B, and CHP121C.
True/ False

A

True

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18
Q

________ Shall prepare a memorandum advising employees of authorized medical care providers and/ or facilities.

A

Commanders

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19
Q

How many pre designated physicians can an employee have on file (CHP242)?

A

one

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20
Q

Commanders shall obtain authorization from the ______________ prior to initiating a Department-ordered Fitness-For -Duty examination.

A

Appropriate Assistant Commisssioner

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21
Q

The employee has the right to deny the request to sign the CHP121C or identify previous treating medical care providers.
True/False

A

True

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22
Q

While on limited duty employees may _____.

a. wear a uniform
b. display a badge
c. operate and enforcement vehicle
d. travel in an enforcement vehicle

A

d. travel in an enforcement vehicle

23
Q

The duration of the limited duty assignment shall be directed by the nature of the injury or illness and the needs of the Department on a case-by-case basis not to exceed ____ years.

A

two (2)

24
Q

Commanders may authorize Limited Duty assignments of less than _____ year.

A

one (1)

25
Q

Who is responsible for conducting a COMPREHENSIVE REVIEW of facts surrounding a injury/ illness/exposure and documenting it?

a. Supervisor
b. Lieutenant
c. Captain
d. Division Commander

A

a. Supervisor

26
Q

A final decision to accept or deny a claim is made by

a. State Compensation Insurance Fund (SCIF)
b. Workers Appeal Board
c. Employees Rehabilitation Board
d. None of the Above

A

a. SCIF

27
Q

In the event of a Hazardous Exposure Claim, does the supervisor fill out and complete both the CHP121 and CHP121A?

a. Yes both forms are required
b. No, only the 121 within 24 hours
c. No, only 121A within 24 hours
d. None of the above

A

c. No, only 121A within 24 hours

28
Q

In the event of an injury illness, exposure claim, the supervisor must give the employee forms 600/601. When must these forms be given to the employee?

a. within 12 hours
b. within 24 hours
c. within 36 hours
d. within 48 hours

A

b. within 24 hours

29
Q

An employee is traveling to or from the academy and becomes ill or injured. Who is responsible for completing the 121?

a. Permanent Command
b. Temporary Command
c. Division
d. All are correct

A

a. Permanent Command

30
Q

An employee is participating in a civil disturbance out of area and becomes injured or Ill. Who is responsible for completing the CHP121?

a. Permanent Command
b. Division in which it occurred
c. Civil disturbance Commander
d. None of the above

A

a. Permanent Command

31
Q

When must the SCIF3301 be initiated and provided to the employee?

a. Within 24 hours
b. Within 48 hours
c. Within 72 hours
d. At the first follow up appointment with a CHP443

A

a. Within 24 hours

32
Q

An employee is temporarily assigned to another command and becomes ill or injured. Who is responsible for completing the CHP121?

a. The temporary Command
b. The permanent Command
c. Both are correct
d. None are correct

A

b. The temporary Command

33
Q

Occupational INJURY:
Any injury, such as a c______, f_______, s________, a______, etc, which results from an occupational incident or exposure involving a SINGLE causative event in the work environment. Conditions resulting from bites, such as insect or snake bites, or from one time exposure to chemicals are to be considered injuries.

A

cut,
fracture,
sprain
amputation

34
Q

Occupational ILLNESS:
Any abnormal condition or disorder, other than one resulting from an occupational injury, CAUSED by EXPOSURE to the ENVIRONEMENTAL factors associated with employment. This includes acute and chronic illnesses or diseases which may be caused by I_______, A________, I________, CT______ , S_____, OR DIRECT CONTACT.

A 
INHALATION, 
ABSORPTION, 
INGESTION, 
CUMULATIVE TRAUMA, 
STRESS, OR 
DIRECT CONTACT.
35
Q

RECURRANCE of Injury or Illness:

A recurrence of an injury or illness does not have a new, clearly defined incident to cause injury or illness. it is a spontaneous reappearance of a prior condition.
T/F

A

A recurrence of an injury or illness does not have a new, clearly defined incident to cause injury or illness. it is a spontaneous reappearance of a prior condition.

36
Q

AGGRAVATION of Injury or Illness:

An aggravation of an injury or illness has an identifieable NEW incident of injury or illness and SHALL be processed as a NEW injury or illness.

A

An aggravation of an injury or illness has an identifieable NEW incident of injury or illness and SHALL be processed as a NEW injury or illness.

37
Q

QUESTIONABLE INJURY OR ILLNESS:

An injury or illness claim for which there is reason to question whether the injury or illness is work related,

A

An injury or illness claim for which there is reason to question whether the injury or illness is work related,

38
Q 
WHAT TYPE OF INJURY IS THIS:
Employee reported he/she experienced lower back pain when exiting the patrol car during his/her work shift.  The employee had not been involved in any work related physical exertion, bending, or other identifiable work related causative event.  However, when attempting to identify a causative event, the employee stated he/she had recently been actively landscaping the front yard of his/her residence. 
A. Recurrence
b. Aggravation
c. Questionable
A

c. Questionable

39
Q 
WHAT TYPE OF INJURY IS THIS:
Employee reported he/she is experiencing headaches, anxiety, loss of appetite, and sleeplessness due to work related stress.  The employee never had previously expressed feeling of work related stress.  however, it is known the employee is in the process of a divorce related child custody and property dispute that is admittedly causing him/her emotional stress. 
A. Recurrence
b. Aggravation
c. Questionable
A

c. Questionable

40
Q 
WHAT TYPE OF INJURY IS THIS:
Employee reported he/she sustained Carpal Tunnel Syndrome as a result of work related data entry.  The employee intermittently performs data entry duties totaling approximately 2 hours per work shift.  However, the employee stated he/she uses a personal computer keyboard and mouse approximately three hours per day at home.
A. Recurrence
b. Aggravation
c. Questionable
A

c. Questionable

41
Q

Commanders (SHALL/SHOULD) notify Division if it appears an employee is not making a good faith effort toward prescribed medical rehabilitation.

A

SHALL

42
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

monthly

43
Q

MEDICAL APPOINTMENTS:
Supervisors, if practicable, SHALL accompany employees to their ______ medical appointments and discuss work capability with the employee’s medical care providers. In NO event shall the supervisors attempt to be present when employees are being examined by medical care providers.

A

initial

44
Q

If a death or serious injury , or illness occurs, the commander SHALL ensure required notifications are made via telephone notification.

A
  1. Division Commander,
  2. Appropriate Assistant Commissioner
  3. Executive assistant to the Appropriate Assistant
    Commissioner
  4. Deputy Commisssioner
  5. Commissioner
45
Q

If a death or serious injury , or illness occurs, the commander SHALL ensure required notifications are made via telephone notification.
1. Division Commander,
2. Appropriate Assistant Commissioner
3. Executive assistant to the Appropriate Assistant
Commissioner
4. Deputy Commisssioner
5. Commissioner
IN THE EVENT CONTACT CANNTO BE MADE WITH THE APPROPRIATE AC OR DESGNEE contact should be made with:

A

ENTAC

Emergency Notification and Tactical Alert Center

46
Q

A CHP121 SHALL be completed by the employee’s supervisor within ____ hours of notification of an alleged occupational inury/illness .

A

24

47
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

48
Q

Filing of a CHP 121 with SCIF SHALL NOT be dealyed for any reason.
T/F

A

True

49
Q

TRAINING OR OTHER SITES:
If an injury or illness occurs while the employee is training at other sites, the command where the employee is __________ assigned SHALL be responsible for the completion and filing of the CHP121 and subsequent case management.

A

PERMANENTLY

50
Q

A CHP121A SHALL be completed by the employees supervisor within ____ of notification of an alleged occupational injury/illness, or hazardous exposure.

A

24 hours

51
Q

STATUS CHANGE COMM NET MESSAGE:
A Comm-Net SHALL be transmitted to ____ within 24 hours of either of the following occurrences:
1. Status change to Nondisabling or disabling
2. Status change of Nondisabling or Disabling

A

DRU

52
Q

RETRAINING REQUIREMENTS FOR UNIFORMED EMPLOYEES:
The following procedures SHALL be followed for uniformed employees returning to full duty after an extended injury or illness:

  1. Extended absence or returning from limited duty of LESS than one year shall be retrained and recertified at ___________.
  2. Employees absent or returning from limited duty of
    more than 12 months to 2 years are required to ______.
  3. Employees absent or returning from limited duty of more than two (2) years are required to ________.
A
  1. their currently assigned commands
  2. complete REFRESHER training at the Academy prior to field related duties at their assigned command.
  3. complete REINSTATEMENT training at the academy prior to resuming field duties at their assigned command.
53
Q

OPTIONS LETTER:
The commander SHALL ensure that the employee is provided a reasonable amount of time to review and respond to the Options Letter. It is recommended that this review period not exceed________ calendar days.

A

14

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