ORDER BOOK Article 11 p1-11 - Sheet1 Flashcards
From the Order Book:
In carrying out the requirements of Employee Maintenance, the Department will abide by all _______ regulations.
HIPPA/PHI
From the Order Book:
What are the services that the Police & Fire clinic provide for Uniformed Operational All-Hazards Personnel?
POD reviews, treatment and referrals, physicals, and sick call
From the Order Book:
What are the services that the Police & Fire clinic provide for Uniformed Operational EMTs and Paramedics?
Disability compensation reviews, treatment and referrals, physicals
From the Order Book:
What are the services that the Police & Fire clinic provide for Civilivan Non-Response Personnel?
Disability compensation reviews, treatment and referrals
From the Order Book:
Where is the Police & Fire clinic located?
On the grounds of Providence Hospital at 920 Varnum St, NE Wash., DC 20017
From the Order Book:
What are the hours of operation for the Police & Fire clinic?
open daily (except Saturdays, Sundays and Holidays) from 0700 to 2300 hours
From the Order Book:
What is the telephone number of the Police & Fire clinic?
(202) 269-7400
From the Order Book:
Why would the PFC be open outside of normal hours of operation?
special event or some other specific need of the Department
From the Order Book:
When should employees report for Sick Call?
between 0700 to 0830 hours Monday through Friday
From the Order Book:
What happens to employees that report late for scheduled appointments?
Employees will not be seen and will be cited appropriately
From the Order Book:
When can members report for afternoon Sick Call?
1300 to 1430 hours only with approval of the Medical Services Officer or the clinic liaison in his absence
From the Order Book:
What side of the building can employees park?
East side of the building
From the Order Book:
Where should employees report before leaving the clininic?
PFC Receptionist at the check-out desk
From the Order Book:
Why should employees report to the PFC Receptionist desk prior to leaving the clinic?
to sign out, schedule any appointments and report any change in Duty Status
From the Order Book:
When should employees notify their on-duty Company Officer or immediate Supervisor of their current Duty Status?
before leaving the PFC
From the Order Book:
When employees do not return directly to their current assignment, they shall notify their _________ or _________ prior to leaving the PFC.
on-duty Company Officer; immediate Supervisor
From the Order Book:
True or False? Can members use audio or visual devices at the PFC for their personal records?
False; The use of electronic audio, video, or image recording devices is strictly prohibited within the clinic
From the Order Book:
Who must be contacted to reschedule appointments at the PFC?
Clinic Liaison at the Medical Services Office (202) 269-7509
From the Order Book:
What are the (2) reasons that an appointment may be rescheduled for?
emergencies; unforeseen situations
From the Order Book:
What is required of the employee who request rescheduling of an appointment?
documentation supporting the request
From the Order Book:
Who approves rescheduling of appointments?
Medical Services Officer
From the Order Book:
What occurs when any Department personnel who is being carried on Administrative Leave-Sick (POD) fails to report for a scheduled appointment?
will be carried on his/her own Sick Leave
From the Order Book:
How long will personnel carried on POD be on their own Sick Leave if they missed a scheduled appointment?
beginning at the time of the missed appointment and continuing until they report as properly rescheduled and/or properly follow the instructions of the PFC
From the Order Book:
Whenever an emplooyee receives medical treatment from a source other than a PFC physician without such treatment first being authorized by the Medical Services Officer, the cost shall ____________.
not be chargeable to the agency
From the Order Book:
Who gets the medical bill for unscheduled visits or treatment?
employee receiving treatmnet
From the Order Book:
True or False? Members can engage in outside employment while on Sick Leave, Administrative Leave-Sick (POD).
False; All employees are prohibited from outside employment
From the Order Book:
How often will members be administered a complete physical examination?
every year
From the Order Book:
What are the (3) things the physical examination consists of?
Laboratory tests; drug tests; physical examination and personal interview with a PFC medical provider
From the Order Book:
Members who require a physical examination and have had an examination within 6 months of the second examination should schedule a “______”.
Physical Update
From the Order Book:
When preparing for the Physical; members should not take nothing by mouth at least ___ to __ hours prior to the physical.
6; 8
From the Order Book:
If a members urinalysis is deemed insufficient for quality or quantity by the lab technician; what is required of the employee?
produce a second sample prior to leaving the PFC using PFC urinalysis protocols
From the Order Book:
What occurs when an employee fails to produce a second sample?
deemed “Refusal to Test” and shall be considered grounds for disciplinary actions up to and including termination
From the Order Book:
Who reports Diluted Samples?
testing laboratory
From the Order Book:
When should members schedule their annual physical examination?
within two (2) months prior to the month in which the examination is to occur
From the Order Book:
Who should be notified when members schedule their physical examinations?
Company Officer or Supervisor
From the Order Book:
Company Officers and/or Immediate Supervisors will track the appointments made by the members of their Company/Unit and report same to their ______.
Battalion Chief
From the Order Book:
Who does the MSO forward a quarterly list to of all personnel who failed to complete their physical?
appropriate Assistant Chiefs
From the Order Book:
Should members schedule their physical examinations on-duty or off-duty?
off- duty
From the Order Book:
How will members be reimbursed for partaking in thier physical examinations?
hour for hour, in compensatory time
From the Order Book:
In no case shall the rescheduled appointments occur later than ____ from the original appointment date.
30 days
From the Order Book:
Are members on Sick Leave/Limited Duty required to take an Annual Physical?
Yes
From the Order Book:
Why would a member be sent a letter from the PFC after their physical?
relaying any problems found
From the Order Book:
If a member fails to receive a letter from the PFC; what doe that mean?
no problems were found
From the Order Book:
In order to maintain the confidentiality of an employee’s personal Medical records, all Medical Bills, forms and Special Reports pertaining to illness/injury, shall be placed in a sealed envelope and addressed to the MSO and marked as “______”.
Protected Information
From the Order Book:
All personnel shall ensure that no _________ is entered into Company Journals, included in Special Reports, Departments forms, or electronic communications.
protected health information (PHI)
From the Order Book:
What Form should PHI be submitted on?
Form 44
From the Order Book:
Who can submit PHI on the Form 44?
employee or by the Company Officer/Immediate Supervisor if the employee is incapacitated
From the Order Book:
Does the Form 44 need to be certified or noted by the chain of command?
No
From the Order Book:
What is the Form 44.4 Safety used for?
Injury Reporting
From the Order Book:
True or False? The Form 44 Medical will be retained at the Company?
False; it is the responsibility of the member to retain a personal copy
From the Order Book:
What form must be signed to pick up records when notified that they are ready?
“Authorization to Release Medical Information”
From the Order Book:
When an employee becomes ill or injured while on duty and needs to be transported to the hospital; what is the first thing you do?
Person requesting an EMS unit shall limit their transmission to requesting the EMS unit for the ill/injured member
From the Order Book:
What information should the ACIC of the EMS unit transporting the employee give to the FLO/ELO via the telephone?
Name of injured; unit; extent of illness/injury
From the Order Book:
Who does the FLO notify when a member is ill/injured?
DFC-Operations
From the Order Book:
Who does the on-duty Company Officer notify when an on duty employee is injured in or out of quarters?
Safety Officer
From the Order Book:
What does the Safety Officer do if the injury is significant, involves the use of equipment, PPE or stems from violation of department policy?
report to the scene and conduct an interview with any injured member(s) and any witnesses
From the Order Book:
What occurs when circumstances involving injuries such as burns, laceration and trauma while wearing PPE?
on duty SAFO will investigate and take possession of the PPE worn by the injured member(s)
From the Order Book:
What happens if it is impractical to interview a hospitalized member?
follow up investigation shall be conducted by the SAFO assigned to the platoon group of the injured member(s)
From the Order Book:
The Company Officer shall investigate the injury or illness and complete the ______.
Form 44.4: Safety
From the Order Book:
When should the Form 44.4: Safety be completed and forwarded?
within 24 hours from the date of occurrence or notification
From the Order Book:
How should the Form 44.4: Safety be distributed?
Original to the SAFO and a copy to the MSO
From the Order Book:
What FEMS Form should be submitted whenever a Uniformed Operational All-Hazards employee request an absence due to injury or illness be covered by Administrative Leave: Sick (POD)?
employee or ompany Officer shall prepare a Form 44 Medical: “Report of Illness of Injury to Uniorm Member”.
From the Order Book:
What FEMS Formis the BFC/Immediate Supervisor responsible to prepare when a Uniformed Operational EMTor Paramedic is transported to the hospital?
District of Columbia Disability Compensation Program (DCDCP) Forms 1, 2, and 3
From the Order Book:
How do you calculate Sick Leave for partial tours of duty?
in accordance with the hourly equivalents in the Time & Attendance Book
From the Order Book:
How do you calculate Sick Leave for personnel ordered on Sick Leave while on duty?
calculated from the time the employee is relieved from duty or leaves quarters
From the Order Book:
How do you calculate Sick Leave for personnel ordered on Sick Leave while off duty?
calculated from the time the employeeis next scheduled to assume duty
From the Order Book:
How is Sick Leave reported?
in hourly equivalents
From the Order Book:
If the period of Sick Leave is 30 minutes or more; how much Sick Leave should be charged?
one (1) hour or equivalent
From the Order Book:
Sick Leave for Uniformed All-Hazards employees of the Operations Division will be earned at the rate of ___
4.5 hours per pay period
From the Order Book:
Sick Leave for other members will be earned at the rate of _____
4 hours per pay period
From the Order Book:
Requests for Sick Leave for dental or optical appointments must be submitted in advance on the _____
SF-71
From the Order Book:
What should be indicatedunder “Remarks” on the SF-71?
“Dental Examination” or ‘Optical Examination”
From the Order Book:
Can a member be granted Sick Leave for a FAMILY MEMBER?
YES; immediate family that has a contagious disease and requires care of the employee
From the Order Book:
Sick Leave can only be charged to an ______ and cannot be _______.
accrued balance; advanced without approval
From the Order Book:
What must be submitted for consideration of Advanced Sick Leave?
DC Standard Form 1199; FEMS Form 11.4; Special Report
From the Order Book:
How many hours of advanced Sick Leave may be advanced to a Uniformed Operational All-Hazards members of Operations and Special Operations Divisions?
no to exceed 228 hours
From the Order Book:
A member of any other Division may be advanced Sick Leave in amounts not to exceed ___
240 hours
From the Order Book:
Can a employee request Sick Leave be charged as Annual Leave?
YES; by submission of a Form 11.5
From the Order Book:
Retroactive request for advanced Sick Leave submitted at or near the end of the year will be honored. True or False?
False; will not be honored
From the Order Book:
Denial of request for advanced Sick Leave shall be prepared in what manner?
typed with a complete explanation of the denial
From the Order Book:
The Form 11.5 shall only be used for the ______ concerned.
current pay period
From the Order Book:
What are the (4) reasons members should have a Fitness for Duty Physical?
- Prior to appointment 2. periodic basis 3. question about employees continued capacity 4. not in a full duty status for 30 days or more
From the Order Book:
A comprehensive report shall be forwarded to the ____ through the approiate _________ requesting a Fitness for Duty Physical
MSO; Division Head
From the Order Book:
What can a supervisor request from the PFC physician?
consultation
From the Order Book:
How will the supervisor notify the MSO?
telephone, to apprise of the employee’s impending visit to the PFC?
From the Order Book:
Where should members forward their bills for transport?
Medical Services Officer
From the Order Book:
What Form should be submitted when a member is exposed to a communicable disease?
Form 44.1 in duplicate
From the Order Book:
What other Forms should be submmitted in addition to a Form 44.1?
Form IC-1, shall be submitted on-line to the Infection Control Office
From the Order Book:
Where and how should the on-duty Company Officer/Immediate Supervisor submit the Form IC-1 and a copy of the patient care report?
sealed envelope and deliver them to the Battalion commander/EMS Supervisor
From the Order Book:
Where does the Battalion commander send the send envelope with the Form IC-1 and PCR?
deliver them to the Infection Control Office by the end of their shift
From the Order Book:
Where should members respond to when they are victims of bites of any kind?
PFC during operating hours or to Providence Hospital after hours regarless of last name
From the Order Book:
How soon should employees me tested for bites of any kind?
within one hour of exposure
From the Order Book:
What is the phone number of the Infection Control Officer?
(202) 673-3257
From the Order Book:
If the Infection Control Officer is not available, what is your next course of action?
leave a voice mail message and or page the ICO at (202) 302-5334
From the Order Book:
How soon should employees make notification to the ICO?
within 24 hours
From the Order Book:
When a employee has been admitted to or released from the hospital, who should be notified?
employee notifies OUC, MSO, and head of said employee’s division through the chain of command
From the Order Book:
When an on-duty employee is transported to a hospital for treatment or examination, a ________ shall contact the treating physician at the hospital
PFC Case Manager
From the Order Book:
What must all employees be able to perform to be certified for Full Duty status?
prolonged walking; bending; standing; climbing; riding in vejicles; and exposure to severe weather
From the Order Book:
What is required of employees that have been on extended Sick Leave/Limited duty for over one (1) year?
ordered to the Training Academy for refresher training after returning to a Full Duty status
