Serious injury: how many days does it last and how is sick leave paid for fractures of a rib, arm and leg?

Grounds for issuing a bulletin in case of injury

Any sprain, dislocation, bruise, or fracture can occur both during work and under circumstances completely unrelated to the performance of work. In both cases, an employee who is injured and seeks medical care at a licensed medical institution has the right to receive a certificate of incapacity for work.

Attention! The basis for issuing sick leave is the fact that the employee is insured in the compulsory medical insurance system, as well as the occurrence of an insured event in the form of injury, which must be confirmed by examination at a medical institution.

Most injuries are related in one way or another to limited mobility, so when an injury occurs, sick leave is usually opened without problems. Exceptions may include minor, non-incapacitating sprains that would not issue a citation, although in such cases the person is unlikely to seek medical attention.

What is considered a domestic injury and what is considered an industrial injury?

The legislation divides injuries into domestic and industrial. Industrial injury according to Art. 3 of the Federal Law of July 24, 1998 No. 125-FZ “On compulsory social insurance against accidents at work and occupational diseases” is that which is received when an employee performs duties under an employment contract on the territory of the employer and beyond, while traveling from work or back on the policyholder's transport.

The consequence of an industrial injury is always a forced transfer to another job, temporary or permanent disability, or death.

All other cases of injury are domestic injuries. When registering sick leave due to an injury, a two-digit code is entered in the appropriate cell containing the cause of disability:

• «02"if it is a domestic injury;
• «04"if there is a work-related injury.

Do they give sick leave for an injury?

Looking at the appearance, is there any swelling and bruising, are there any restrictions, what kind of professional activity and then the surgeon decides, but a lot depends on the profession.

When combined, damage occurs to organs of several body systems.

It’s like in class your left hand is in a cast, but you can write with your right hand, and so is the case with a bruise: In life, including at work, anything can happen. No one is insured against troubles such as injuries - sometimes minor, and when they even end up in the hospital. What types of domestic injuries are there and how are they paid? This question arises for both victims and employers. This article will discuss payment for domestic injuries and how sick leave is paid for an injury. What is an injury?

This definition means damage to the integrity of the body as a result of an incident.

Domestic trauma occurs outside of work, industrial trauma occurs at work. These include thermal, radiation, mental, mechanical, physical and biological.

How many days does a certificate of incapacity for work last for fractures of a rib, nose, arm, leg, tailbone?

A fracture is a violation of the integrity of a bone. Any traumatic fracture is accompanied by a negative impact on the surrounding soft tissues, which causes swelling, hematoma, and impaired motor and support functions (if it is a fracture of a limb).

Fractures are treated depending on their complexity both in a hospital and on an outpatient basis (for example, by applying a plaster cast), but in any case, with such a serious injury, the patient’s ability to work is significantly impaired and the doctor, at the same time as prescribing treatment, opens a sick leave.

Important! The approximate periods of temporary disability for various fractures are established in the Recommendations of the Ministry of Health of Russia No. 2510/9362-34 dated August 20, 2000 (hereinafter referred to as the Recommendations).

Below is a table with the most common fractures and approximate periods of disability.

The specific terms of the sick leave for a fracture are established by the doctor, based on the severity and characteristics of the fracture, but he can issue it individually only for a period of no more than 15 calendar days. Further extension of the certificate is possible only by decision of the medical commission of the medical institution in which the patient is being treated (clause 11 of the Rules for issuing certificates of incapacity for work, approved by Order of the Ministry of Health and Social Development of Russia dated June 29, 2011 No. 624n).

Attention! With most fractures, there is almost always a need to extend sick leave for a period longer than 15 days, and with such serious injuries there are no problems with the conclusion of a medical commission.

Fractures often require surgical intervention, which also affects the duration of sick leave.

How many days the disability lasts in each specific case depends on the type of surgical intervention: for example, with a displaced ankle fracture, there is a need for surgery using a titanium plate, with which it is possible to connect the bone fragments.

The plate may remain in the patient's leg for several weeks or even months until the bones have completely fused, after which it is removed and a period of rehabilitation begins. The patient's disability in this case can last up to 4 months.

With a closed fracture with displacement

If the fracture was complicated by displacement of bone fragments, then this directly affects the increase in the healing time. The collarbone is often affected by this phenomenon. In this case, the doctor selects the appropriate type of treatment. This can be an outpatient option, in which the surgeon manually restores the correct position of the bone and secures it with a plaster cast. The patient, although he may be at home, must visit the hospital for dressing changes.

The second option is to perform an operation. During it, the surgeon connects the fragments in the correct position. This method is becoming increasingly preferred as it shows good results. Despite the fact that the operation is not considered complex and lasts only a few minutes, the patient will need to remain under observation in the hospital for some time.

How long does it last for dislocations and sprains?

Do they give a bulletin for sprains such as ankles and sprains? A dislocation and sprain, of course, are not such a severe injury as a fracture, but when they occur, it is quite difficult to move, and motor activity is reduced. To restore the functions of ligaments and joints, along with conservative treatment, long-term rest and home regimen are required.

The issuance of sick leave and duration is entirely within the competence of the attending physician. Let's look at how many days a ballot is issued in these cases:

• from 60 to 90 days for a dislocated ankle joint (depending on the presence of complications of the dislocation);
• 20-35 days for patellar dislocation;
• 10-25 days for sprains and strains of the ankle ligaments.

What is the maximum period of sick leave in 2021?

What is sick leave? This is an A4 form with water stamps and special markings. Here it is indicated:

1. date of patient's visit;
2. FULL NAME. and who made the diagnosis and issued the sheet;
3. date of issue of the sheet.
4. FULL NAME. the patient and his medical card number;
5. name of the organization to which the form is provided;
6. name of the medical institution that issued the document;

The sick leave certificate does not provide an accurate diagnosis.

The reason for the disability is indicated in code form, namely: 01 For those unable to work due to illness 02 In case of injury 03 When in quarantine Accordingly, the length of stay on sick leave will entirely depend on the basis of the disability. However, for each case there is a time maximum that must be paid by the employer.

To obtain a sick leave certificate, you must contact a licensed medical organization.

How long do you have to stay on sick leave for a concussion?

A concussion is a mild form of closed head injury and has 3 degrees of severity (mild, moderate and severe). With a mild degree, you can even do without medication, and sometimes without sick leave, but with a severe or moderate injury, in most cases, hospital treatment is necessary. In these cases, the patient is given complete rest and bed rest. Any actions that excite the psyche are excluded. Therefore, sick leave is necessary.

Reference. If you were treated in a hospital, then often after discharge from the hospital the certificate of incapacity for work is extended at the clinic.

The estimated duration of disability for a concussion is:

• up to 28 days for mild severity;
• 1-2 months for moderate severity;
• 2-4 months in the most severe cases.

What affects the duration?

Factors influencing the duration of sick leave for various injuries are:

1. severity of injury;
2. the need for surgical intervention;
3. duration of the rehabilitation period after surgery;
4. the body's response to treatment;
5. clinical and occupational prognosis.

According to the Federal Law “On the Fundamentals of Protecting the Health of Citizens in the Russian Federation” dated November 21, 2011 No. 323-FZ, if the prognosis is obviously unfavorable, the patient is sent to undergo an examination and receive disability, which will allow him to take sick leave for longer periods.

If a person refuses to undergo an examination, the certificate of incapacity for work is closed. If the work and clinical prognosis is favorable, no later than 10 months after the injury, the patient must be discharged to work or referred to medical examination (Part 4 of Article 59 of the Law).

Reference. The basis for extending sick leave is the need for a long rehabilitation period, which requires rest, as well as insufficient progress as a result of treatment or its absence.

Maximum duration of sick leave in various situations

The document on forced suspension of work is issued on an official form approved by the Ministry of Health and certified by the seal of the medical institution (Orders and). Only staff specialists in licensed medical institutions (public and private) are authorized to issue sick leave. Neither emergency doctors, nor blood transfusion stations, nor hospital reception workers have the right to issue a document indicating a citizen’s incapacity. To issue a sick leave certificate, it is enough to present a passport. An insurance policy is not required.

Sick leave cannot be issued retroactively. Opening a sick leave “tomorrow” is possible if you sought medical help in the evening (at the end of the working day). The sick leave is submitted to the accounting department of the enterprise within 6 months after its closure (Federal Law No. 255-FZ 2006/29/12, edition 2016/ 09/03, Art.

12).

Federal

The procedure for drawing up a document in the event of an insured event at home

The essence of the actions of a working person when receiving an injury at home is similar to the actions when a disease occurs: it is necessary to record the occurrence of an insured event in a timely manner in order to receive temporary disability benefits. To do this, you need to contact a medical institution and issue a sick leave certificate, the issuance of which is regulated by Order of the Ministry of Health and Social Development of Russia dated June 29, 2011 No. 624n.

Where and who draws up the document?

If you receive a domestic injury, in order to receive sick leave, you need to go to the emergency room yourself or call an ambulance, which will take you to the emergency room or hospital. Sick leave opens on the day of contacting a medical institution that has a license to carry out medical activities.

After contacting the emergency room, the doctor on duty issues a certificate of such treatment and refers the patient either to a hospital for treatment, where he is issued a certificate of incapacity for work based on information from the emergency room, or for outpatient treatment to a traumatologist (surgeon), who also, based on information from the emergency room, opens sick leave.

Can they give a ballot right away at the emergency room? A certificate of incapacity for work can also be issued directly at the emergency room if it is part of a medical institution that has the appropriate license.

Where and who closes?

The sick leave certificate is closed either at the place of its opening, or in the clinic at the place of attachment (if it was opened in a hospital or in a medical institution at the place of injury).

Is it necessary to write an explanatory note?

The procedure for assigning temporary disability benefits is regulated by Federal Law No. 255-FZ of December 29, 2006, according to which, in order to receive payments for an insured event, an employee must submit a properly completed certificate of incapacity for work to the personnel department at the place of work.

The law does not require the provision of an explanatory note in the event of a domestic injury , since cases of injury not related to the work process are not grounds for an investigation by the employer. An explanatory note may be required only in cases where there are special notes on the sick leave, for example, about violation of the regime.

How do I pay for my newsletter?

How to properly pay for sick leave for injuries? The payment procedure does not differ from the payment procedure for illnesses: the first three days are paid by the employer, the rest - by the Social Insurance Fund. Within 10 calendar days from the date of receipt of sick leave, the employer calculates its part of the payment and transfers it to the Social Insurance Fund. Payment for the ballot is made on the next payday after the amount is calculated.

The amount of payments depends on the insurance period. The smallest amount will be received by an employee with a total insurance experience of less than 1 year (30% of the average salary), the largest - with a total insurance experience of 8 years (100% of the average salary).

Conditions and grounds for reducing payment

In Art. 8 of Federal Law No. 255-FZ of December 29, 2006 contains a closed list of grounds for reducing the amount of benefits. These include:

1. violation of the regime established by the doctor;
2. failure to appear at the doctor’s examination on the prescribed date without a valid reason;
3. injury due to the effects of alcohol or narcotic or toxic substances.

As you can see, the reduction in payment in all cases is a consequence of the negative or antisocial behavior of the insured person , who, through his actions, himself provoked injury or interferes with recovery. If grounds for a reduction in pay are established, the employee is paid an amount not exceeding 1 minimum wage per month of incapacity for work.

Getting injured is unpleasant for both the employee and the employer. The health and future ability to work of a person depend on the quality and timeliness of treatment, therefore the legislator guarantees significant periods for treatment and rehabilitation in order to maximize the restoration of the victim’s health and ability to work.