By

In a field where care starts with the caregiver, Individual Providers (IP) are often hesitant to take time off due to illness or report injuries. But Dawn Scott, an IP for 15 years, wants people to know that there’s a better way.

“I used to think that we just have to do whatever we have to do to care for the consumer,” Scott says. “But I’ve learned that it’s also easy to get worn down. If we don’t set boundaries and take care of ourselves, the consequences can be as bad for us as they can be for the consumer.”

One day while stretching a sheet across a bed, a spinal disc slipped in her back. “I asked a doctor if it was something that was work-related, and she said no.”

But thanks in part to classes Scott took through the Advanced Home Care Aide Apprenticeship Program, she later learned the truth. “I now know that it should’ve been reported as a work-related injury. I could’ve filed an L&I claim, but I didn’t know any better.”

At SEIU 775’s 2015 convention, Health Benefits Trust staff Leslie Phillips and Allison Hansell held a “Stay Safe Workshop” with caregivers. Workers were encouraged to think of caregiving injuries as “on-the-job” injuries, even if they happen at home with a family consumer.

“Some people won’t report injuries because they think they may lose their job somehow,” Scott says, echoing one of the most frequent responses given by those who attended the workshop. “Or they’ll think maybe it was their fault somehow. And sometimes even admitting that we’re hurt is the hardest part.”

Scott never wants Home Care Aides to be in a situation where they wish they could hit the rewind button. “If I have anything that I suspect may be addressed, I do it,” Scott says.

Other Home Care Aides are hesitant to report injuries because they don’t want to let their consumers down. But Scott has actually found a way to have self-care be a positive part of her relationship with her consumers.

“I’m very open. I’ll tell a consumer ‘OK, we have to do this a certain way so that I don’t injure myself.’ Or I let it be known that I’ll have to find a safer or easier way to do something,” she says. “If it helps the caregiver, a lot of consumers will understand that it’s good for them, too.”

An avid Harley-Davidson rider, Scott understands that there is strength in numbers. “New caregivers should get a mentor, a caregiver who has been in the field a little longer than you.”

She also strongly recommends the apprenticeship program, which she says helped her look at home care work as a “profession with rules of conduct and protections, like health insurance, that we should take advantage of,” Scott says. “It also introduced me to forms of equipment for transporting and handling consumers like Hoyer Lifts and Lazy Susans that can reduce the risk of injury.”

Scott wants her fellow Home Care Aides to report injuries when they happen and to practice preventive care. “A lot of damage can be done to our bodies over the course of time,” she says.

But more than anything, Scott wants other caregivers to know they should not feel afraid to be vulnerable – or to admit that they already are. “Certain repetitive tasks can be really hard on your body,” Scott says.

“So much of the time we think we’re strong and that we just have to muscle through it. But often times that isn’t good for us, and it isn’t always good for the consumer, either.”

Steps to Reporting Your Injury

When you are injured at your Consumer’s home or your own home as a family caregiver, report your injury to Washington State Department of Labor & Industries (L&I).

If your claim is accepted, you will receive worker’s compensation to pay for medical care directly. If you are unable to work following your injury, you may be eligible for a portion of your lost wages.

Learn more and file your claim at the LNI website»

STEP 1: Injured at Work 

  •  Get first aid. Many falls, cuts, and sprains can become serious injuries if they aren’t treated right away.
  • If you are injured at work, go to your doctor, nearest Urgent Care center or, for severe injuries, the Emergency Room. Let them know you were injured on the job and they will assist you in filing the worker’s compensation claim.

  • Let your employer know right away about your injury.

For IPs: Ask your doctor for the “Report of Injury or Occupational Disease” form. List your employer as:

HCQA Negotiated Contract
601 Union St., Suite 3500, Seattle, WA 98101.

STEP 2: File a Claim

You can file an accident report for your injury at your doctor’s office, over the phone to the L&I office at 1-877-561-FILE (business hours only), or online at www.LNI.WA.gov.

Remember to:

  • Complete all required paperwork and keep copies of everything for your records.
  • Read all paperwork carefully and respond promptly.
  • Put your claim number on your paperwork and have it ready when you call L&I and your employer.

For IPs: A company called Sedwick CMS will manage your claim. Contact them toll free at 1-866-897-0386.

STEP 3A: Approved Claim

L&I will approve your claim if your doctor certifies that you were injured at a specific time and place at work, or if you have a disease or disorder caused by your work. Benefits cover medical bills. They also may include wage replacement, return-to-work help, and disability for the severely injured.

STEP 3B: Rejected Claim

Claims can be rejected if the doctor cannot certify your medical condition is related to something specific that happened at work or an occupational disease.

You and/or your doctor have the right to protest any decision made about your claim online at www.lni.wa.gov. Appeals can be made directly to the Board of Industrial Insurance Appeals.

STEP 4: Get Back to Work 

Some injured workers miss days of work while they recover. However, many can return to work gradually, while still receiving medical benefits. Returning to work as quickly as possible is a team effort between you, your doctor, and your employer. Stay in touch with them. L&I will provide assistance when you need it.

STEP 5: Close Claim

Claims are closed when:

  • Your doctor certifies that further treatment won’t improve your condition.
  • L&I has no new information showing you need further assistance.
  • Your treatment was successful! (In these cases, L&I accepts and closes your claim at the same time in a “Notice of Decision.”)

HBT Members: Your insurance coverage through the Health Benefits Trust will NOT be affected by reporting your injury to L&I. You can continue to use your current benefits while collecting additional benefits from L&I.

Translated steps to reporting your injury:

mm
About the Author

Shaun Scott is a Seattle-based writer and historian whose reflections on race, cinema, and American spectacle have appeared in The Monarch Review and New Worker Magazine. He's a featured contributor to City Arts Magazine, where he writes the thread "Faded Signs," a semi-weekly column about cultural life in late capitalism. Look for his forthcoming book "Millennials and the Moments that Made Us: A Cultural History of the US from 1984-present" in autumn in 2016.

 

Leave a Reply