City Employee Injuries
From Standard Operating Guidelines
Section 1 - ADMINISTRATIVE
110.06 City Employee Injuries
PURPOSE:
- To establish a procedure for the treatment of injured City Employees by Fire Department personnel.
PROCEDURE:
Refer to the City of Maitland Incident Report Forms for Workers’ Compensation binder located in the Lieutenant’s office at each station.
- Have employee sign in on the incident report log
- Evaluate employee’s injury:
- First aid by Fire Department Personnel
- Employee to be referred to – Review Treatment Matrix
- Give employee the proper Authorization form – Medero or Centra Care
- Employee sent to Hospital Emergency Department
- Complete the Employee Medical Evaluation form on the MaitraNet.
- Only employees involved in moving accidents (vehicles) and those that receive treatment beyond the level of FD are routinely required to submit to a urine drug screen.
- Evaluating Fire Department Personnel must sign the incident report form printed from the MaitraNet.
- Notify the on-duty Battalion Chief through the on-duty OIC.
- Notify City Personnel Department – If after normal business hours, email Theresa Walker with the employee’s name and where they were referred. If the injury is deemed significant or the employee is transported to the hospital via Rescue, contact Theresa Walker personally by phone with the provided contact information in the binder.
- Contact appropriate workers compensation vendor.
- Make a copy of the report for the binder and send the original in an envelope to the Personnel Department.
- Complete an EMS report and NIFRS report – If a Fire Department member, complete a casualty report in the NIFRS program.