Police Medical Services Overview

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Questions and Answers

What is the primary responsibility of a Clinic Case Manager?

Conducting police investigations

Coordinating case management activities for members (correct)

Providing direct medical treatment to members

Managing the financial aspects of health care

Which of the following incidents qualifies as a Critical Incident?

A member witnesses a crime without taking action

A member is seriously wounded during an authorized police action (correct)

A member receives verbal threats while performing duties

A member suffers a minor injury while on duty

What does Disability Compensation Pay refer to?

A bonus for excellent performance on the job

A retirement fund contribution

Regular salary paid to a member after a job-related injury determination (correct)

A one-time payment for medical expenses

Who is the Director, Medical Services Section?

The program manager for the Medical Services Section Signup and view all the answers

What encompasses the Full Range of Police Duties?

Essential functions as determined by police department policies Signup and view all the answers

Which professionals are included as Health Care Providers in the police and fire network?

Medical staff within their scope, including a variety of specialists Signup and view all the answers

What action must occur for the Department to continue Disability Compensation Pay beyond 30 days?

A Non-Performance of Duty determination Signup and view all the answers

In what scenario would a member's action lead to the fatal wounding of another individual classified as a Critical Incident?

Initiating direct, authorized police action resulting in death Signup and view all the answers

What should members do within one hour of exposure to a known HIV carrier?

Respond to the Clinic to begin blood-borne pathogen antibiotic treatment. Signup and view all the answers

What action is required if the Clinic is closed after exposure to HIV?

Go to the Washington Hospital Center or Providence Hospital Urgent Care Facility. Signup and view all the answers

What should a member do after learning of exposure to hazardous materials?

Complete a PD Form 318 and contact the Clinic. Signup and view all the answers

What is the first step a member experiencing a critical incident should take?

Request a Clinic appointment the next business day for a debriefing. Signup and view all the answers

Who must be notified when a member needs immediate counseling after a critical incident?

The Director, Medical Services Section. Signup and view all the answers

What should Supervisory Officials complete when a member is injured or there is a fatality due to a vehicle accident?

PD Form 839 (Supervisor's Report of Accident). Signup and view all the answers

What is required after a critical incident if immediate counseling is warranted?

The services of an on-call Clinic psychiatrist. Signup and view all the answers

By what time should Commanding Officials notify the Director of Medical Services Section about members involved in incidents?

Before 0900 hours the next business day. Signup and view all the answers

What action is taken if a member's pregnancy status jeopardizes themselves or others?

They can be ordered to a 'Fitness for Duty' examination. Signup and view all the answers

What occurs when the Chief Physician believes an employee cannot perform full police duties while pregnant?

The employee is placed on limited duty status. Signup and view all the answers

Under what condition can a member's police powers be revoked?

When a physician determines a medical condition prevents carrying a service weapon. Signup and view all the answers

What form is completed when a member's police powers are revoked due to medical reasons?

PD Form 77. Signup and view all the answers

What is required for a member to return to full duty after a pregnancy-related limitation?

A certification from the member's private medical physician. Signup and view all the answers

What should happen when a member's police powers are revoked?

The member's possession of their service weapon must be safeguarded. Signup and view all the answers

Who has the authority to order a member to a 'Fitness for Duty' examination?

The Commanding Official. Signup and view all the answers

What happens to the member's pay during the period they are placed on sick leave due to medical reasons?

The member continues to receive full pay. Signup and view all the answers

What must a member do if they experience an injury that is not a medical emergency while on duty?

Complete and sign the PD Form 42 and report to the Clinic. Signup and view all the answers

Which of the following is NOT a duty of the certifying official upon receiving the PD Form 42?

Make a diagnosis for the injury. Signup and view all the answers

What is required before conducting a visual observation of an injury?

The member must agree to the observation. Signup and view all the answers

When documenting the conditions of the scene of an injury, which factor should be considered?

The weather at the time of the injury. Signup and view all the answers

What should be documented regarding any equipment involved in the injury?

Damage or defects that may have contributed to the injury. Signup and view all the answers

Which statement regarding the documentation of the incident is correct?

Witness statements must be documented if available. Signup and view all the answers

In the incident report process, what is the primary purpose of documenting a member's conduct at the time of the injury?

To assess potential contributions to the injury. Signup and view all the answers

What is the first step a member must take if they are unable to get prompt medical attention?

Document the incident in a written memorandum. Signup and view all the answers

What is the consequence if a member fills a prescription from an unauthorized physician?

The member will assume financial responsibility for the prescription. Signup and view all the answers

Under what condition can a member be referred for mandatory disability retirement?

If they spend 172 cumulative workdays in a less than full duty status in 24 months. Signup and view all the answers

What must occur despite the medical prognosis for a member after reaching maximum medical improvement?

The member may still be referred to the retirement board. Signup and view all the answers

What is required for a recommendation for additional POD sick leave for a member?

The prognosis must indicate eventual return to full duty. Signup and view all the answers

How many months of medical treatment must a member expect for a serious POD injury to qualify for POD sick leave extension?

24 months Signup and view all the answers

What must members do if they are delayed on official police business when reporting to the Clinic?

They must report to the Clinic as soon as possible. Signup and view all the answers

Who ultimately notifies the Chief of Police about the recommendation for extension of POD sick leave?

The Director of the Medical Services Section. Signup and view all the answers

Which of the following is NOT mentioned as part of the protocol when a member reports to the Clinic?

Members should leave if they feel unwell. Signup and view all the answers

Study Notes

Clinic Case Manager

Responsible for coordinating case management activities for members.
Ensures member compliance with all medical directives.
Facilitates the member's return to full-duty status as soon as possible.

Critical Incident

Member suffers a behavioral health injury or illness in a situation involving:
- Direct, authorized police action resulting in serious wounding
- Being a crime victim that could have resulted in serious wounding or death, related to their duties
- Direct, authorized police action causing fatal wounding of another individual.

Disability Compensation Pay

Biweekly salary paid to sworn members following a Performance of Duty determination.
Payment continues until a Non-Performance of Duty determination is made, or within 30 days of the Performance of Duty determination.

Director, Medical Services Section

Program manager for the Medical Services Section of the Metropolitan Police Department.

Full Range of Police Duties

Essential functions of police work determined by established policies and procedures of the Metropolitan Police Department.

Health Care Provider

Medical staff assigned to or part of the network of providers hired by the Police and Fire Clinic.
Includes surgeons, podiatrists, dentists, clinical psychologists, optometrists, chiropractors, osteopathic practitioners, nurses, physician assistants, physical therapists, laboratory technicians, X-ray technicians, and social workers within the scope of their practice.

Exposure to HIV Virus

Members exposed to individuals carrying the HIV virus and exchanging bodily fluids must respond to the Clinic within one hour for blood-borne pathogen antibiotic treatment.
If the Clinic is closed, members must report to the Washington Hospital Center or Providence Hospital Urgent Care Facility.

Exposure to Chemical or Biological Agents

Following exposure to chemical and/or biological agents, or hazardous materials, members must complete a PD Form 318 and contact the Clinic for instructions.
The Clinic shall notify the Center for Disease Control as per existing medical protocol.

Critical Incident Procedures

Members experiencing a critical incident must:
- Request a Clinic appointment the next business day for a post-incident debriefing with a Clinic psychiatrist or psychologist.
- Commanding Officials must notify the Director, Medical Services Section, and request the services of a Clinic psychiatrist for immediate counseling and/or hospitalization if necessary.
- Commanding Officials must notify the Director, Medical Services Section, prior to 0900 hours the next business day and provide names of members involved in the incident.

Supervisor's Report of Accident

Supervisory Officials must complete a PD Form 839 (Supervisor's Report of Accident) when a member sustains an injury/illness or fatality due to a vehicle accident.
A copy of the form must be sent to the Director, Medical Services Section, and to the Institute of Police Science.

Obtaining Medical Attention

Members unable to secure prompt medical attention from a Clinic physician must document the incident and submit it through the chain of command to the Director, Medical Services Section.

Injury or Illness Report

A PD Form 42 (Injury or Illness Report) must be completed for each injury/illness.
If the injury/illness is not a medical emergency, the member must immediately complete and sign the PD Form 42, make a copy, and submit the original to the Watch Commander.
The member must report to the Clinic with a copy of the PD Form 42.

PD Form 42 Certification

The certifying official must:
- Interview the member, police, and civilian witnesses and document information relevant to the claim of injury/illness.
- Visually observe and document any reported injuries only if appropriate and with the member's consent.
- Examine the scene where the injury occurred and document contributing factors.
- Document any statements made by the injured member at the time of the incident.
- Inspect any equipment and/or vehicle(s) involved in the incident and document damage or defects that may have contributed to the injury.
- Document any evidence that suggests the member's conduct may have contributed to the injury.

Pregnancy and Fitness for Duty

If the Clinic determines a member's pregnancy status is placing herself, colleagues, and/or the public in jeopardy, her Commanding Official can order a "Fitness for Duty" examination including a "Functional Capacity" examination.
If the Chief Physician determines an employee cannot perform the full range of police duties while pregnant, the employee will be placed on limited duty status.
Limited duty status continues until the member's private medical physician completes a certification form provided by the Clinic indicating the member is able to meet all the functions outlined in the form.

Revocation of Police Powers

When a Clinic physician determines a member's medical or behavioral health condition prevents them from carrying their service weapon, their police powers shall be revoked.
An official from the Medical Services Division must complete a PD Form 77 (Revocation/Restoration of Police Powers and Notice of Duty and Pay Status).
Form 77 must be forwarded to the member's element, including an official from the element.
The official from the member's element must respond to the Clinic and possess and safeguard any equipment that must be surrendered, including the member's service weapon.

Prescription Responsibility

The Department will not assume responsibility for the cost of prescriptions written by a physician not authorized by the Clinic to fill a prescription.
Failure to comply with this rule will result in the member having to assume financial responsibility for filling their prescriptions.

Mandatory Disability Retirement

Members spending 172 cumulative workdays in less than full duty status over any 24-month period due to a POD or non-POD injury/illness must be referred to the Police and Firefighters Retirement Relief Board for disability retirement.
This applies even if the medical prognosis is that the member will be able to perform in a full duty status after reaching maximum medical improvement.
The Director, Medical Services Section, in consultation with Clinic physicians, may recommend to the Chief of Police that the member receives additional POD sick leave until reaching maximum medical improvement in cases where:
- The member has sustained a serious or life-threatening POD injury/illness requiring more than 24 months of treatment.
- The prognosis is that the member will eventually be able to perform in a full duty status.

Clinic Procedures

Members must report to the Clinic at their scheduled appointment time, unless they are delayed on official police business.
Members delayed on official police business must notify the Clinic as soon as possible.

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Description

This quiz covers the roles and responsibilities of case managers, the implications of critical incidents on health, and the guidelines for disability compensation pay for police personnel. It provides an overview of the Medical Services Section's functions within the Metropolitan Police Department.