Teammate Handbook Cover

INTERDEPARTMENT DELIVERY OCCUPATIONAL INJURY/WORKERS’ COMPENSATION COMMUNICATIONS ONLY URGENT – PLEASE EXPEDITE CONFIDENTIAL Date Deliver To Dept Sent By Dept

WHAT TO DO WHEN AN EMPLOYEE IS INJURED:

STEP 1. TAKE CARE OF THE EMPLOYEE’S NEEDS FIRST– • Administer First Aid as needed.

STEP 2. IF THE EMPLOYEE REQUIRES EMERGENCY TREATMENT- •

Call 911 if the injury is serious, the employee is incapacitated, or the employee requires EMERGENCY treatment. • If the employee has a serious injury or is hospitalized, please notify the HR office immediately for instructions on reporting requirements. ▪ Michael Horta, Human Resources Director – Direct: 408-310-4455; Cell: 408-825-3081 ▪ Elysa Olivares, Human Resources Analyst – Direct: 408-310-4679; Cell: 831-332-9256 ▪ Patricia Pretell, Human Resources Technician – Direct: 408-310-4682 • P ROCEED TO STEP 5.

STEP 3. IF NON-EMERGENCY MEDICAL TREATMENT IS NEEDED OR DESIRED– •

If the employee’s injury requires medical attention or you wish to have the employee’s injury checked by a physician, refer the injured employee to either of two Occupational Medical Health Clinics:

▪ Concentra, 190 Leavesley Rd., Ste. 102, Gilroy, CA 95020 , ( 408) 848-0444 ▪ Concentra, 1901 Monterey Rd, San Jose, CA 95112, (408) 477-8080

Or to his or her personal physician if they have a Pre-Designation of Personal Physician* form on file

• Call Concentra - Gilroy (408) 848-0444 or Concentra – San Jose (408) 477-8080. Let the receptionist know that you are calling from the City of Morgan Hill and that you are sending your injured employee for treatment. Let the receptionist know how to contact you if needed. • Contact Human Resources after initial contact with clinic so Human Resources can authorize the visit. Please contact Michael Horta or Elysa Olivares for after hour authorization. • For critical care and/or after business hours send the employee to St. Louise Regional Hospital Emergency Room, 9400 No Name Uno, Gilroy, CA 95020, (408) 848-2000.

WHAT TO DO AFTER THE EMPLOYEE HAS BEEN CARED FOR:

STEP 4. IF THE EMPLOYEE REQUIRES ONLY FIRST AID FROM AN EMPLOYEE OR A PHYSICIAN - • First Aid is defined by the type of treatment rendered, not who renders it. Employees can render First Aid at work or a physician can render First Aid when an employee is seen at his/her office. If First Aid is the only treatment rendered and a physician clears an employee for full duty, Supervisors should complete the City of Morgan Hill Incident Report and return it with the entire packet to Human Resources as soon a possible. • If an employee is seen by a physician, follow-up with Concentra and tell them that you would like a work status report upon completion of the employee’s treatment. Request that the office call you as soon as possible with the employee’s work status, and that the clinic/doctor should provide the employee with a specific and clearly written work status/restrictions/instructions report. (PLEASE DO NOT DISTRIBUTE OR COMPLETE THE DWC 1 FORM FOR FIRST-AID ONLY INCIDENTS IF MEDICAL CARE WAS NOT PROVIDED BY A PHYSICIAN.) S KIP S TEP 5. ( OVER)