Lehigh Acres Fire Control and Rescue District First Aid Procedures PDF

Policy Lehigh Acres Fire Control and Rescue District 406 Fire Services Manual First Aid Procedures 406.1 PURPOSE AND SCOPE: The purpose of this policy is to provide a First Aid Procedure for District staff. This employer group safety program has been developed and/or reviewed with input from fir...

Policy Lehigh Acres Fire Control and Rescue District 406 Fire Services Manual First Aid Procedures 406.1 PURPOSE AND SCOPE: The purpose of this policy is to provide a First Aid Procedure for District staff. This employer group safety program has been developed and/or reviewed with input from fire service leaders from around the State and our risk management provider. This policy is intended to serve as the basis for an employer integrated Health and safety management program and supersedes any previous standard operating, procedures, policies that have been in effect at the time of adoption of this policy. 406.2 POLICY: It is the policy of the Lehigh Acres Fire Control and Rescue District that all members should be involved in daily activities that are designed to provide a healthy and safe workplace and reduce or eliminate injuries or illnesses. All members are expected to follow the procedures outlined in the policy, for the safety of themselves, other members, and any visitors. Safety practices specific to incident type or task are addressed in other policies. 406.3 PROCEDURE: (a) An Aladtec Injury Report MUST be completed for all life threatening and nonlife-threatening injuries. The completed form will automatically notify the Human Resources Manager (HRM). (b) If an injury occurs between the hours of 8:00 am and 5:00 pm Sunday through Saturday, notify the Battalion Chief and the HRM. If the employee needs to see a doctor immediately, the Lieutenant must complete the Med Express Employer Authorization Form. The initial treatment, if possible, should occur at Med Express Urgent Care, 1120 Homestead Rd. N. Med Express is open seven days a week from 8:00 am to 8:00 pm. Secondary assessment should be made at Lehigh Regional Hospital ER with the exclusion of the Ryan White Act. Any referrals to specialists or second opinions MUST be pre-authorized except in the case of extreme emergency. During these times, medications MUST be pre-approved by having the pharmacist call 800-237-6617. (c) If an injury occurs after 5:00 pm and before 8:00 am or any time when Med Express is closed and the employee needs to see a doctor, the Lieutenant must notify the Battalion Chief and must complete Authorization Letter for Medical Treatment Form and send employee to Lehigh Regional Hospital ER. The Battalion Chief has the authority to authorize treatment at the ER. During these times, medications must be pre-approved by having the pharmacist call the MATRIX phone number 877-804-4900 and a three-day supply of medication will be dispensed. (d) Failure to obtain medical treatment from the participating provider except in case of emergency or urgently needed care, will jeopardize the employee's ability to receive worker's compensation benefits. Copyright Lexipol, LLC 2023/05/22, All Rights Reserved. Published with permission by Lehigh Acres Fire Control and Rescue District First Aid Procedures - 1 Lehigh Acres Fire Control and Rescue District Fire Services Manual First Aid Procedures REMINDER: All prescriptions MUST be authorized by PGCS or through the Matrix number. PGCS should be called during regular business hours (8am – 5pm) AT 800-237-6617. During nonbusiness hours. Call the Matrix at 877-804-4900 for a three-day supply of medication. FOR LIFE THREATENING OR EMERGENCY INJURIES AFTER HOURS: Take employee to nearest hospital or Emergency Room without delay. The Battalion Chief has authority to authorize treatment. The Lieutenant and Battalion Chief must complete an injury report in Aladtec as soon as possible for reporting purposes and follow-up. For an injury that occurs after-hours resulting in death, the Battalion Chief is to report the incident immediately to the Fire Chief and Human Resources Manager. 406.4 ATTACHMENTS: See attachment: MedExpress Employer Authorization Form - 2021.pdf See attachment: Workers Comp Form Authorization Letter.pdf Copyright Lexipol, LLC 2023/05/22, All Rights Reserved. Published with permission by Lehigh Acres Fire Control and Rescue District First Aid Procedures - 2 Attachment Fire Services Manual MedExpress Employer Authorization Form - 2021.pdf MedExpress Employer Authorization Form - 2021.pdf Copyright Lexipol, LLC 2023/05/22, All Rights Reserved. Published with permission by Lehigh Acres Fire Control and Rescue District MedExpress Employer Authorization Form 2021.pdf - 4 employer authorization form Employee name: DOB: Employee address: Last 4 SS#: City: Employee phone #: State: Scheduled date(s): Zip: Time: Company name: Company address: City: State: Zip: Treatment authorized by: Name and title (please print) Signature: Phone: Employer information DER/Company contact for results and/or physician call: Preferred communication (please check all that apply) Address: phone fax (secure) City: e-mail State: Zip: State: Zip: E-mail: Phone: Ext. Secure fax: Billing address (only if different than above): Address: Phone: City: Ext. Fax: If billing to carrier – Policy #: FL1 0364704 20-22 Effective dates of policy: Company or WC insurance carrier: Claim #: Adjuster name: Adjuster phone: Injury/Accident Date of injury: Injured body part: to mail employer authorization form Please provide the employee with the following services: (Please check all that apply) Drug and/or alcohol testing (Please check type and reason below) PLEASE SELECT EITHER OPTION 1 OR OPTION 2 OPTION 1: Using MedExpress lab and MRO OPTION 2: Using your company paperwork, lab, and MRO Breath Alcohol Test - Please check: DOT or Non-DOT DOT Urine Drug Screen (5-panel) Please check one: FMCSA FAA FRA FTA PHMSA USCG Rapid Urine Drug Screen (Non-DOT) 5-panel 10-panel 5-Panel Standard Urine Drug Screen (Non-DOT) 10-Panel Standard Urine Drug Screen (Non-DOT) Custom Panel #: Hair Drug Screen - Please check: 5-panel or 5-panel w/exp. opiates Blood Alcohol Testing* Oral Fluid Cotinine Test (PA ONLY) Reason for drug/alcohol testing: Pre-Placement Post-Accident Random Return-to-Duty Follow-Up Observed Collection Physical examination: DOT - Please check: New Certification Recertification Follow-Up Pre-Placement Basic (Non-DOT) Respirator Questionnaire Clearance Return-to-Work Evaluation Special company protocol/form: Other: Workers' Compensation OR Reasonable Suspicion Collection Only Urine Drug Screen: DOT Non-DOT Hair Drug Screen: Hair Drug Screen Rapid Urine Drug Screen (Non-DOT): 5-panel 10-panel CCF: On file at center Donor will arrive with PHOTO ID IS REQUIRED! Other services: TB Skin Test/PPD - 1 Step TB Skin Test/PPD - 2 Step Hepatitis A Vaccine Hepatitis B Vaccine Flu Shot EKG Other: Additional services*: Quantitative Resp. Fit Test OSHA Pulmonary Function Test Lift Testing ©2017, Urgent Care MSO, LLC Breath Alcohol Test: DOT Non-DOT Labs: Lead Level Hep B Titer (HepBsAB) MMR Titer CBC Qualitative Resp. Fit Test Spirometry Test Audiogram OSHA Threshold *Please call the the Outcome Assurance team (304-985-6324) to verify availability of test. Attachment Fire Services Manual Workers Comp Form Authorization Letter.pdf Workers Comp Form Authorization Letter.pdf Copyright Lexipol, LLC 2023/05/22, All Rights Reserved. Published with permission by Lehigh Acres Fire Control and Rescue District Workers Comp Form Authorization Letter.pdf -5 Lehigh Acres Fire Control and Rescue District 11 Homestead Road S. Lehigh Acres, Florida 33936 Phone: 239-303-5300 Fax: 239-369-2436 AUTHORIZATION LETTER FOR MEDICAL TREATMENT DATE: ______________ PATIENT’S NAME: Social Security Number: Date of Accident: PATIENT HAS AUTHORIZATION TO SEEK TREATMENT FROM: Name of Medical Care Provider: Address: Name of Employer: LEHIGH ACRES FIRE CONTROL AND RESCUE DISTRICT This authorization is to provide evaluation and the initial medical treatment to the above named employee for a work-related injury in accordance with Section 440.13 of the Florida Workers’ Compensation Act. If the employee needs additional medical treatment or a referral to a specialist and it is not anemergency, please call our worker’s compensation insurance carrier for referral authorization. Please send all claims to: P.G.C.S. Claim Services P.O. Box 614004 Orlando, FL 32861 Phone: 800-237-6617 ext. 4069 Fax: 321-832-1448 PRIOR AUTHORIZATION MUST BE OBTAINED FOR ALL PRESCRIPTIONS:  PRESCRIPTION AUTHORIZATION DURING WORKING HOURS: PGCS Claims Services - 800 237-6617  AFTER HOUR PRESCRIPTION AUTHORIZATION: Matrix - 877-804-4900, a three-day supply of medication will be dispensed