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SFS 2018-19 > 10.7, Injury/Illness Management > Flashcards

10.7, Injury/Illness Management Flashcards

1
Q

The injury and illness case management program has been developed to reduce the _____ and ______ impacts occupational injuries have on employees and the Department.

A

Human and fiscal

HPM 10.7, Chapter 1

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2
Q

What does SCIF stand for?

A

State Compensation Insurance Fund

HPM 10.7, Chapter 1

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3
Q

What are the four program objectives of injury and illness case management?

A

1) Benefits
2) Reporting
3) Communication
4) Return to work

(HPM 10.7, Chapter 1)

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4
Q

___________ is defined as active and effective participation from start to finish of an occupational injury or illness.

A

Case management

HPM 10.7, Chapter 1

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5
Q

A cut, fracture, sprain, and insect/snake bite are examples of a/an _________.

A

Occupational injury

HPM 10.7, Chapter 1

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6
Q

A non-disabling injury or illness which does not require first aid or medical treatment is known as a/an ______________.

A

Record-only injury or illness

HPM 10.7, Chapter 1

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7
Q

A minor injury requiring one-time medical treatment is known as a/an _______________.

A

First-aid injury or illness

HPM 10.7, Chapter 1

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8
Q

What are the three main types of non-disabling injury/illness?

A

1) Employee sustains injury during work hours and completes shift
2) Employee sustains injury during work hours and is unable to complete the shift, but returns for next scheduled shift
3) Employee sustains injury during non-work hours but returns for next scheduled shift

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9
Q

An injury/illness resulting in an employee being unable to return to work following the date of the injury or illness is known as a ______________.

A

Disabling injury or illness.

HPM 10.7, Chapter 1

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10
Q

A disabling injury or illness which requires overnight hospital care other than for observation, a lengthy disability status, or disability retirement is known as a/an________________.

A

Serious injury or illness

HPM 10.7, Chapter 1

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11
Q

Exposure to any chemical, biological, or physical agent which does not result in injury or illness is known as a/an ____________.

A

Hazardous exposure

HPM 10.7, Chapter 1

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12
Q

What are the four classifications of injury or illness?

A

1) Record only
2) First aid
3) Non-disabling
4) Disabling

(HPM 10.7, Chapter 1)

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13
Q

True or False: aggravation of an injury or illness involves an identifiable new incident and shall be processed as a new injury or illness.

A

True

HPM 10.7, Chapter 1

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14
Q

True or False: recurrence of an injury or illness involves an identifiable new incident and shall be processed as a new injury or illness.

A

False

HPM 10.7, Chapter 1

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15
Q

True or False: an injury should be deemed questionable whenever it is not witnessed or is the result of cumulative trauma.

A

False

HPM 10.7, Chapter 1

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16
Q

True or False: reasons for questioning whether an injury was work related shall be documented on the employee’s CHP 121.

A

True

HPM 10.7, Chapter 1

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17
Q

Contact dermatitis, eczeme, or rash caused by primary irritants and sensitizers or poisonous plants, oil, acne, chrome ulcers, chemical burns, or inflammations are examples of _____________.

A

Occupational skin diseases or disorders

HPM 10.7, Chapter 1

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18
Q

Noise-induced hearing loss, tenosynovitis heart attack, and hemorrhoids are examples of conditions associated with ___________.

A

Cumulative trauma

HPM 10.7, Chapter 1

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19
Q

Heatstroke, sunstroke, heat exhaustion, and other effects of environmental heat; freezing, frostbite, and radiation are examples of __________.

A

Physical agent (other than toxic materials)

HPM 10.7, Chapter 1

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20
Q

What are the four notices that are required to be posted in a conspicuous place by employers?

A

1) Std. 621, Notice to State Employees
2) Safety and Health Protection on the Job
3) Cal-OSHA S-11, Access to Medical and Exposure Records
4) OSHA No. 200, Log and Summary of Occupational Injuries and Illnesses

(HPM 10.7, Chapter 1)

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21
Q

The purpose of a __________ is to provide a readily accessible means of identifying employees and providing status updates for officers assigned to limited duty or off-duty de to occupational injury or illness.

A

CHP 121D, Injury/Illness Status Report

HPM 10.7, Chapter 2

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22
Q

True or False: the CHP 121D, Injury/Illness Status Report may be posted for general viewing.

A

False

HPM 10.7, Chapter 2

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23
Q

The CHP 121D, Injury /Illness Status Report shall contain information on employees who are assigned to limited duty or are off duty for ______ or more as a result an occupational injury or illness.

A

30 calendar days

HPM 10.7, Chapter 2

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24
Q

May a supervisor be present when an employee is being examined by a medical care provider for an on-site injury or illness?

A

No

HPM 10.7, Chapter 2

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25
Q

Supervisors shall notify ________ if it appears an employee is not making a good faith effort toward prescribed medical rehabilitation.

A

The commander

HPM 10.7, Chapter 2

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26
Q

If practical, supervisors __________ (should/shall) accompany employees to their initial medical appointments to discuss work capability and restrictions with the medical care provider.

A

Shall

HPM 10.7, Chapter 2

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27
Q

May a uniformed employee have his or her peace officer powers restricted while off duty as a result of industrial or non-industrial illness or injury?

A

Yes

HPM 10.7, Chapter 2

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28
Q

In the event of an on-duty death, if notification cannot be made to the appropriate Assistant Commissioner or on-call designee, who shall be notified?

A

Emergency Notification and Tactical Alert Center (ENTAC)

HPM 10.7, Chapter 3

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29
Q

In the event of an on-duty death, a MIS-WEB message shall be transmitted to the appropriate Assistant Commissioner and Disability and Retirement Unit (DRU) within _________ hours.

A

24 hours

HPM 10.7, Chapter 3

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30
Q

In the event of an on-duty death, the Division of Occupational Safety and Health (DOSH) shall be notified via telephone within ________ hours.

A

8 hours

HPM 10.7, Chapter 3

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31
Q

True or False: injuries and illnesses sustained by job applicants shall be included in departmental occupational safety statistics.

A

False (they shall not)

HPM 10.7, Chapter 3

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32
Q

Within _______ hours of a recurrence of an occupational injury or illness, the employee shall report the recurrence on a CHP 51, Memorandum.

A

24 hours

HPM 10.7, Chapter 3

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33
Q

Are volunteers entitled to departmental Workers’ Compensation benefits if injured?

A

No (they are not considered employees)

HPM 10.7, Chapter 3

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34
Q

True or False: reporting and routing procedures for injury, illness, and hazardous exposure documentation vary based on the severity of the claim.

A

True

HPM 10.7, Chapter 3

35
Q

What governmental entity requires employers to compile a log of specific occupational injuries and illnesses?

A

The California Occupational Safety and Health Act (Cal/OSHA)

HPM 10.7, Chapter 4

36
Q

Injuries and illnesses shall be recorded on the Cal/OSHA Log within _____ days following knowledge of an occupational injury or illness.

A

Six working days

HPM 10.7, Chapter 4

37
Q

What injuries and illnesses shall be recorded on the Cal/OSHA Log?

A

1) All occupational illnesses
2) All occupational deaths
3) All occupational injuries other than record only or first-aid without medical expenses

(HPM 10.7, Chapter 4)

38
Q

True or False: any portion of a work day lost due to occupational injury or illness shall be counted as a full day on the Cal/OSHA Log.

A

True

HPM 10.7, Chapter 4

39
Q

Injuries or illnesses occurring while an employee is on temporary assignment shall be recorded on the Cal/OSHA Log of the command of temporary assignment unless the assignment is for ______________.

A

Control of civil disturbance

HPM 10.7, Chapter 4

40
Q

Injuries or illnesses occurring while an employee is traveling to or from a temporary assignment shall be recorded on the CalOSHA Log of _______________.

A

The command where the employee is permanently assigned at the time of the injury or illness.

(HPM 10.7, Chapter 4)

41
Q

If the status of an injury or illness changes within _____ years of the original occurrence, the CalOSHA Log on which the injury or illness is recorded must be updated.

A

Five years

HPM 10.7, Chapter 4

42
Q

What form shall be maintained in the command’s OSHA 300 Log file for each injury or illness recorded on the log.

A

CHP 121, Employer’s Report of Occupational Injury or Illness.

(HPM 10.7, Chapter 4)

43
Q

A CHP 121, Employer’s Report of Occupational Injury or Illness shall be completed by the employee’s supervisor within ______ hours of the notification of the alleged occupational injury or illness.

A

24 hours

HPM 10.7, Chapter 5

44
Q

The affected employee shall review and sign the field injury file copy of the CHP 121 within ______ hours of reporting the injury or illness.

A

24 hours

HPM 10.7, Chapter 5

45
Q

What shall a supervisor do if an employee is incapable of signing the CHP 121 within 24 hours of reporting an injury or illness?

A

Document the reason for the employee’s inability to sign, then have the employee sign as soon as possible.

(HPM 10.7, Chapter 5)

46
Q

If an employee refuses to sign a CHP 121, the supervisor shall write ___________ in the signature block and document the refusal in the comments section.

A

“Refused to Sign”

HPM 10.7, Chapter 5

47
Q

The commander (or designee) shall sign the CHP 121 within _____ days.

A

3 days

HPM 10.7, Chapter 5

48
Q

The commander (or designee) shall ensure the CHP 121 is filed with SCIF within _____ days of notification of an injury or illness.

A

5 days

HPM 10.7, Chapter 5

49
Q

The CHP 121A, Supervisory Review of Occupational Injury, Illness, or Exposure shall be completed by the employee’s supervisor within ______ hours of notification of an alleged occupational injury, illness, or hazardous exposure.

A

24 hours

HPM 10.7, Chapter 5

50
Q

The affected employee shall review and sign the field injury file copy of the CHP 121A within ______ hours of reporting the injury or illness.

A

24 hours

HPM 10.7, Chapter 5

51
Q

The affected employee shall review and sign the field injury file copy of the CHP 121C, Medical Information Release Authorization within ______ hours of reporting the injury or illness.

A

24 hours

HPM 10.7, Chapter 5

52
Q

The CHP 121B, Employee Report of Injury shall be completed and signed by the employee within ______ hours of reporting an injury or illness.

A

24 hours

HPM 10.7, Chapter 5

53
Q

Within _____ days of initial notification of, or any status changes to, an employee injury, illness, or hazardous exposure, the supervisor shall record or update the incident on the CHP 442, Individual Accident, Injury and Safety Recognition Record.

A

3 days

HPM 10.7, Chapter 5

54
Q

As soon as possible after notification that a uniformed employee sustained an injury or illness requiring medical treatment beyond first aid, the supervisor shall provide the medical care provider with a ________ form to assist in determining if the employee may perform full or limited duty.

A

CHP 225, California Highway Patrol Officer Task Statements

HPM 10.7, Chapter 5

55
Q

What three forms must be provided to the employee within 24 hours of notification of an occupational injury or illness?

A

1) CHP 600 Right to Privacy
2) CHP 601 Coping With Your Injury
3) SCIF 3301, Employee’s Claim for Worker’s Compensation Benefits (except for “record only” or “first-aid” injuries)

(HPM 10.7, Chapter 5)

56
Q

The _______________ lists authorized medical care providers and/or facilities serving the command’s geographical location.

A

Medical Physician Network (MPN)

HPM 10.7, Chapter 6

57
Q

What form must an employee complete in order to pre-designate a treating physician for an industrial injury?

A

CHP 242, Employee Predesignation of Treating Physician

HPM 10.7, Chapter 6

58
Q

True or False: an employee may complete a CHP 242 to designate a primary treating physician after an industrial injury has occurred.

A

False

HPM 10.7, Chapter 6

59
Q

True or False: when pre-designating a primary treating physician, an employee may select a doctor who has not previously provided medical treatment to the employee.

A

False (the doctor must have previously provided treatment to the employee)

(HPM 10.7, Chapter 6)

60
Q

In emergency situations, it is critical to obtain medical care at the __________ facility.

A

Closest

HPM 10.7, Chapter 6

61
Q

Departmental policy directs that an employee shall be ______ and ________ capable of performing the essential duties of the employment classification.

A

Physically and psychologically

HPM 10.7, Chapter 7

62
Q

What two examinations may be used to determine extent of physical or psychological impairment?

A

1) Fitness for Duty
2) State Fund-Initiated Medical Exam

(HPM 10.7, Chapter 7)

63
Q

True or False: a State Fund-Initiated Medical Examination is the equivalent of a Department-ordered Fitness-for-Duty Examination.

A

True

HPM 10.7, Chapter 7

64
Q

The ________ shall notify the commander if he/she becomes aware that an employee is suffering from any condition that might limit his or her physical or psychological ability to perform the essential duties of the employment classification.

A

Supervisor

HPM 10.7, Chapter 7

65
Q

True or False: while on limited duty, employees shall not wear a uniform, display a badge, or operate an enforcement vehicle.

A

True

HPM 10.7, Chapter 8

66
Q

Supervisors ___________ (should/shall) notify the commander if it appears an employee is not making a good-faith effort toward prescribed medical rehabilitation.

A

Shall

HPM 10.7, Chapter 8

67
Q

Supervisors ___________ (should/shall) notify the commander of any significant status change of an employee’s injury or illness.

A

Shall

HPM 10.7, Chapter 8

68
Q

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

A

Two

HPM 10.7, Chapter 8

69
Q

True of False: employees under the minimum age for service retirement, have depleted available leave credits, and are awaiting a disability retirement decision may be assigned limited duty to prevent financial hardship.

A

True

HPM 10.7, Chapter 8

70
Q

True of False: employees who have attained the minimum age for service retirement, have depleted available leave credits, and are awaiting a disability retirement decision may be assigned limited duty to prevent financial hardship.

A

False

HPM 10.7, Chapter 8

71
Q

Employees absent or returning from limited duty of ________ shall be retrained and recertified at their currently assigned commands.

A

Less than one year

HPM 10.7, Chapter 8

72
Q

Employees absent or returning from limited duty of ________ are required to complete refresher training at the Academy prior to resuming field-related duties at their assigned command.

A

More than 12 continuous months to two years

HPM 10.7, Chapter 8

73
Q

Employees absent or returning from limited duty of __________ are required to complete reinstatement training at the Academy prior to resuming field duties at their assigned command.

A

More than two years

HPM 10.7, Chapter 8

74
Q

Who is responsible for overseeing the coordination of departmental resources for the management of employees with medical limitations in the attempt to return the employees to employment with the Department?

A

Return-to-Work Coordinator

HPM 10.7, Chapter 9

75
Q

Who is responsible for coordinating both mandatory and permissive reinstatement requests for uniformed members and reviews reinstatement requests for specific non-uniformed personnel?

A

Uniformed Reinstatement Coordinator

HPM 10.7, Chapter 9

76
Q

All permissive reinstatement requests must be made within ______ years of the date of separation from the Department and may be approved or denied at the discretion of the Commissioner.

A

Three years

HPM 10.7, Chapter 9

77
Q

A permissive reinstatement request is made when an individual wishes to return to the Department after a ______________ .

A

Voluntary resignation

HPM 10.7, Chapter 9

78
Q

__________ reinstatement requests are made directly to CalPers by individuals who wish to return to the Department from an industrial disability retirement.

A

Mandatory

HPM 10.7, Chapter 9

79
Q

Commanders, supervisors, and employees should notify _________, ____________, and _________ of any concerns with medical providers and their level of service.

A

1) State Fund
2) Division
3) Disability and Retirement Unit

(HPM 10.7, Chapter 10)

80
Q

Are employees attending their own Workers Compensation Appeals Board hearing or trial (or those attending on behalf of the claimant employee) eligible for the use of state time?

A

No

HPM 10.7, Chapter 11

81
Q

Is state transportation (or reimbursement for travel expense) authorized for use by an employee who is attending a Workers Compensation Appeals Board hearing or trial as a representative?

A

Yes

HPM 10.7, Chapter 11

82
Q

Can documents submitted to the Workers Compensation Appeals Board become public records?

A

Yes

HPM 10.7, Chapter 11

83
Q

The ___________ shall be used in all situations in which employees are determined to be permanently precluded from performing their regular duties.

A

Options Letter

HPM 10.7, Chapter 14

SFS 2018-19 (54 decks)

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