Record Keeping

Question 1

reasons for record keeping

Answer 1

required by law/regulations
only evidence of an effective HCP
critical for comparison
create medical/legal paper trail

Question 2

characteristics of good records

Answer 2

consistent with OSHA/DoD/AF policies
accurate, thorough, organized, legible, attainable

Question 3

created to protect health information

Answer 3

HIPPA

Question 4

created by BE
lists hazards/controls

Answer 4

OEHED

Question 5

where are OEHEDs filed

Answer 5

shop’s case file
member’s medical records

Question 6

how long must noise exposure data be maintained

Answer 6

40 years

Question 7

prepared by PH
list exposure levels + required medical exams

Answer 7

COHER

Question 8

where are COHERs filed

Answer 8

member’s medical record

Question 9

completed during initial reference audiogram and in event of PTS

Answer 9

AF Form 1753

Question 10

cannot perform job
requested by provider

Answer 10

AF Form 1754 (fitness+risk)

Question 11

used as comparison for future hearing tests

Answer 11

DD Form 2215

Question 12

requirements for DD Form 2215 (reference audiogram)

Answer 12

14 hr noise free
no ENT problems
within 30 days of starting duty

Question 13

used to document annual/periodic, termination, close scrutiny, pre/post deployment audiograms

Answer 13

DD Form 2216 (periodic audiogram)

Question 14

requirements for DD Form 2216

Answer 14

NO noise free requirements
ENT problems are OK

Question 15

same requirement for reference audiogram
designed to identify changes from baseline

Answer 15

follow-up tests

Question 16

documented on DD Form 2217

Answer 16

daily biological calibration check

Question 17

notify when a referral is required

Answer 17

DOEHRS-HC software

Question 18

documents referrals

Answer 18

AF Form 1672

Question 19

preferred form for documenting patient contact

Answer 19

SF 600 Overprint

Question 20

notice sent to member/supervisor using

Answer 20

Memo for Record (MFR)

Question 21

when should members be notified

Answer 21

within 21 days of confirmation of PTS

Question 22

when should supervisors be notified

Answer 22

10 days after member is notified

Question 23

all AD members separating or retiring from the AF will require a

Answer 23

Separation History and Physical Exam (SHPE)

Question 24

percent of workers identified as noise exposed who were actually tested

Answer 24

compliance reports

Question 25

available through DR

Answer 25

STS rate reports

Question 26

high incidence of improved hearing on annual tests can indicate poor quality of reference audiograms

Answer 26

negative STS

Question 27

more PTS than TTS indicated

Answer 27

follow-up tests are not being done

Question 28

DOHERS offers you a wide array of reports that can be queried

Answer 28

completion reports