Volume 4 Unit 1 Part 2

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29 Questions

What are some conditions that require a reliability assessment?

Hypnosis, and medical conditions detrimental to reliable performance of duties to include individuals affected by personal trauma (including family illness/death, violent crimes, sexual assault or accidental injury) who are seeking medical care.

What should happen if two CMAs disagree, or there is doubt concerning PDI?

The commander should have sufficient information to make the final PRP determination.

What are some common places that reviewers miss PDI?

Deployment related documentation, PHAs, and AF Web-based Health Assessment, Mental Health records, and documentation from civilian providers.

When reviewing records, there should not be a gap of how long without any medical entries?

2 years

What information should be printed prior to, and included in the record review?

(1) AHLTA notes,(2) PIMR deployment documents (e.g., DD 2795, DD 2796, DD 2900),(3) PEPP, and(4) AIMWTS documents not already filed in the physical outpatient medical record.

What do you look for on radiology reports?

Clues to head injuries and altercations (e.g., boxer’s fractures)

What are some items listed on optometry notes that patients are often asked which could constitute PDI?

Frequent or recurrent headaches

As a rule, what should you always identify to the CMA as PDI?

Drugs, alcohol, or mental health or behavioral issues regardless of whether or not it was previously adjudicated

(1) Member must hold a US citizenship, (2) Have a high degree of maturity, discretion, and trustworthiness, (3) Have a unquestionable loyalty to the United States, and (4) Satisfactory, past and present, duty performance.

These are the minimum requirements for nomination to PSP

Why should immediate family members who are citizens of another country be identified for appropriate evaluation?

It must be determined that family members are not subject to physical, mental, or other forms of duress by a foreign power and who do not advocate or practice acts of force or violence to prevent others from exercising their rights under the constitution or laws of the US or any state or subdivision thereof.

What is the purpose of the PDI letter?

To serve as a tool for the MTF to communicate PDI to the commander in a timely and effective manner so that he or she can make a sound judgment on an individual’s reliability and/or ability to perform sensitive duties.

Since medical information is being sent, what should be included on all correspondence?

Privacy Act statement

What should you avoid when drafting the PDI letter?

Medical terminology or acronyms

When should old PDI be included in a new PDI letter?

If the “new” and “old” PDI when pieced together start to take the shape of a larger puzzle and form a clearer “picture” of what’s behind the “blind spot” than the “new” PDI alone, then it needs to be re- addressed.

What are some things to look for when double-checking a PDI letter?

Date, unit, patient, patient identification, correct PDI, send the letter and remove stickies from the record.

______________ is referred to as a “formal certification?”

___________ certification is used when it becomes necessary for the CO to consider an individual for a PRP position and the required security investigation has not been completed.

How is the certification process different between initial and interim certification?

From a MTF perspective, the certification process for both controlled and critical position certifications are identical.

Who initiates the AF Form 286?

The unit PRP monitor

What is the first step the MTF takes when they receive the AF Form 286 and AF standardized PRP questionnaire?

‘Flag’ the record as PRP

Before starting to review the record, what should you first review?

Section I of the PRP questionnaire

What type of drugs require a PDI notification for permanent decertification?

Drugs that could cause flashbacks (hallucinogens such as LSD, mescaline, etc.).

Who signs the AF Form 286?

If the CMA confirms that no PDI exists, the reviewer can complete and sign Section III of the PRP Questionnaire, and the medically qualifying CMA’s name will be entered on the AF Form 286 with the date of the CMA review. If the CMA decides that PDI exists, the CMA must annotate their findings and sign Section III of the PRP Questionnaire and AF Form 286.

What are the three recommendations the CMA annotates on the AF Form 286?

(1) PDI not found, recommend for PRP. (2) PDI found, recommend for PRP. (3) PDI found, not recommended for PRP.

How is a person selected to work closely to the president?

They must be nominated to a position

What does the phrase YANKEE WHITE identify?

That the member will be working closely to the president or vice-president.

What is an erroneous certification?

It is when a patient PCA’d with a new CO and RO, but the gaining unit did not process the proper certification procedures with a new AF Form 286.

A new AF Form 286 rescreen is required if the transfer does not involve a change in the reviewing official.

False

What is used when the individual’s reliability is not in question, and when the problem is expected to be of short duration?

Suspension from PRP duties

Test your knowledge on medical record review assessments by answering questions about reliability assessments, disagreement between CMAs, missing PDI in reviews, time gaps without medical entries, necessary information prior to record review, and key elements to look for in radiology reports.

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