How To Report Work-Related Injuries - Procedure 2.1100

Purpose:

Procedure:

1. General
   
   
   1. ALL WORK-RELATED INJURIES SHALL BE REPORTED ON THE COLLEGE ACCIDENT/INCIDENT REPORT WHETHER THE INJURY REQUIRES MEDICAL ATTENTION OR NOT!
      
      
   2. It is the responsibility of the injured employee to immediately complete an Accident/Incident report, sign the report (FCC/RMC Form F-277) as "claimant" (Section 8) and deliver it to the appropriate supervisor for review and approval. (Note: If the injury is of an emergency nature, requiring immediate medical treatment - it is the responsibility of the supervisor or designee to report the injury.)
      
      
   3. The completed Accident/Incident report shall then be immediately forwarded to the Risk Management Coordinator's office (Director of Business Services).
      
      
   4. Any injured college employee is required to obtain college authorization from the Risk Management Coordinator, or his designee, prior to medical treatment. Medical treatment can only be provided by the college's designated medical services provider - except in the case where immediate emergency medical treatment is required.
      
      
   5. Failure to report a work-related injury in a timely manner could result in the injured employee being denied workers' compensation eligibility and may require disciplinary action.
      
      
2. "Band-Aid" injuries (requiring no outside medical attention and no lost time from work).
   
   
   1. Complete sections 1, 2, 3, 6, 7 and 8 of the Accident/Incident report.
      
      
      Be certain to complete all blocks in section 3, most importantly, section 3A.
      
      
   2. Process the Accident/Incident report as indicated in the procedure "How to Report Work-Related Injuries".
      
      
3. Medical Only (requiring medical attention by a provider outside the college but no lost time from work other than the visit to the medical provider).
   
   
   1. Complete sections 1, 2, 3, 6, 7 and 8 of the Accident/Incident report.
      
      
      Block 3A of section 3 should be marked "yes".
      
      
   2. Process the Accident/Incident report as indicated in the procedure "How to Report Work-Related Injuries".
      
      
   3. The injured employee must obtain authorization to see a college designated medical provider via A Referral for Medical Services form issued by the Risk Management Coordinator or a designee. Department heads, supervisors, etc., shall not make medical referrals.
      
      
      In the case of an emergency requiring immediate medical attention, the Risk Management Coordinator, or a designee, must be immediately notified either by a witness to the injury or the supervisor of the injured employee. Only the Accident/Incident report must be submitted to the Risk Management Coordinator immediately after the emergency.
      
      
   4. The employee must also have a Notice of Injury completed by the Risk Management Coordinator and sign the Notice of Injury within three (3) working days after requesting medical attention.
      
      
4. Lost Time (requiring the employee to be absent from work for more than one (1) week).
   
   
   1. Follow procedure B (Medical Only).
      
      
5. Medical Emergency (injury requiring immediate transfer to a medical facility).
   
   
   1. Call 9 - 9-1-1 immediately or have college telephone operators do so.
      
      
      No authorization is needed from the Risk Management Coordinator's office under these circumstances.
      
      
   2. Notify the Security office immediately (ext. 2178).
      
      
   3. Someone should stay with injured person until assistance arrives.
      
      
   4. Notify supervisor of injured employee, supervisor in turn, is responsible for notifying the Risk Management Coordinator.
      
      
6. If you are unable to return to work immediately due to a work related injury:
   
   
   1. Unless you have been given a doctor's excuse for a specific time period and provided your supervisor with a copy, you must call your supervisor every day.
      
      
   2. You must have prior authorization from the college's Risk Management Coordinator for recurring medical attention or other opinions unless the doctor specifically schedules you for a follow-up visit.
      
      
   3. Keep all medical appointments with the College authorized physician, until a release is received by the physician.
      
      
   4. Failure to report to duty on the first day after being released could result in the absence not being paid and you may be subject to disciplinary action, unless some other form of leave is approved prior to the absence.
      
      
   5. If you are to return to work with limitations, you must obtain written directions from the doctor specifying those limitations and the estimated length of time involved. This documentation should be provided on the Referral for Medical Services form originally supplied to the physician upon you initial visit or on the physicians own form. The Risk Management Office will work with your supervisor in delegating the type of work you are limited to. If appropriate light duty in your department cannot be assigned, you will be assigned light duty responsibilities in another departmental area - at the discretion of the College.

Authorized Medical Facilities

Alafaya Woods Family Medical Center
110 Alafaya Woods Blvd., Oviedo,FL
407-366-3577

Altamonte Springs Centra Care
440 W. State Road 436 Altamonte Springs, FL
Phone: 407-788-2000

Kissimmee Centra Care
7848 W. Hwy 192 Kissimmee, FL
Phone: 407-397-7032

Lee Road Centra Care
2540 Lee Road Winter Park, FL
Phone: 407-629-9281

Longwood Centra Care
855 S. Highway 17-92 Longwood, FL
Phone: 407-699-8400

Oakridge Road Centra Care
1462 W. Oak Ridge Road Orlando, FL
Phone: 407-851-6478

Orlando Centra Care
601 Rollins Street, Orlando, FL
Phone: 407-896-6611

Oviedo Centra Care
1410 W. Broadway Street Oviedo, FL
Phone: 407-359-5098

Quick Care Medical Treatment
650 W. Plymouth Avenue, Deland, FL
Phone: 386-736-6070

Pine Hills Centra Care
4801 Silver Star Road Orlando, FL
Phone: 407-291-2400

Sanford Centra Care
308 N. Entrance Rd., Sanford, FL
Phone: 407-330-3412

Vineland Centra Care
6001 Vineland Road Orlando, FL
Phone: 407-351-6682

The following medical facilities are to be used only when referred by Centra Care.

Orlando Orthopedic Center
Lawrence S. Halperin, MD
515 W. St. Rd. 434 Ste. 310 Longwood, FL 32752
Phone: 904-834-1556

Jewett Orthopedic Clinic, P.A.
515 W. Hwy. 434 Ste. 210 Longwood, FL 32750
Phone: 407-767-9610

The following medical facilities are to be used only for emergencies or if the College is closed and Security Staff is not on duty to assist.

Central Florida Regional Hospital
1401 W. Seminole Boulevard Sanford, FL 32773
Phone: 407-321-4500

Orlando Regional Healthcare Systems
1414 S. Kuhl Avenue, Orlando, FL
Phone: 407-841-5111

South Seminole Community Hospital
555 W. State Rd. 434 Longwood, FL 32750
Phone: 407-767-1200

Winter Park Memorial Hospital
200 N. Lakemont Avenue, Winter Park, FL 32792
Phone: 407-646-7000

Did you know?

Seminole Junior College was founded on July 1, 1965. The name was changed to Seminole Community College on July 1, 1975.