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Making the Transition to Workers’ Comp Case Management
by Pamela Royall, MN, RN and Debra Anscombe Wood, BS, RN and Cheryl Gulasa, RN, CPUR, CCM and Jill Hancock, RN, BSN, CCM
CE340-60 | 1.00 contact hrs

Please review the required clinical vignette below and answer the quiz questions.
You must answer all questions correctly to proceed. If you answer a question incorrectly, we will provide a clue to the correct answer.

Once you successfully completed the short test associated with the clinical vignette, proceed to the multiple-choice exam.
To earn contact hours, you must achieve a score of 75% on your exam. You may retake the test as many times as necessary to pass the test.

Carl Smith and Doug Allen worked for a landscaping company. Carl worked as an assistant to Doug, clearing brush that Doug cut down. At one recent job, Doug sustained a severe injury to his leg from a saw. Carl went to Doug’s aid, receiving some abrasions to his hands. The workers’ compensation insurance company requested the nurse case manager to contact both workers and obtain an initial assessment.

Carl was treated and released after cleansing and dressing of his superficial hand wounds. Doug required admission and surgery for wound exploration, irrigation, debridement, and wound closure. He will be nonweight-bearing until his follow-up appointment with the surgeon.

The case manager reported back to the carrier with preliminary information. Carl was able to return to work in a modified capacity the day after injury. Doug is expected to remain out of work for four to six weeks.

1 ) The case manager’s three-point contact would consist of the:

2 ) Why is Doug most likely to require field case management services?

3 ) Based on the above information, who would qualify for indemnity payment and who determines that?

4 ) Using clinical knowledge you obtained during the initial assessment, which worker would you expect to reach maximum medical improvement? Who determines medical end?