Work Comp Basics
What is the first step when a nurse suspects a work-related injury?
Report the incident to the supervisor and document the injury.
What is the most common injury in rear-end collisions?
Whiplash.
What does “ROM” stand for?
Range of Motion.
What should always be included in a SOAP note?
Subjective, Objective, Assessment, and Plan.
What’s the nurse’s role in coordinating care for injured workers?
Ensure timely referrals, monitor progress, and communicate with stakeholders.
What form must be completed for initial injury documentation?
First Report of Injury (FROI).
What document must be obtained before treating auto liability patients?
Letter of Protection (LOP) or insurance claim information.
What is the medical term for bruising?
Ecchymosis.
Why is objective language important in charting?
It ensures clarity, reduces bias, and supports legal defensibility.
How can a nurse help prevent delayed recovery?
Identify psychosocial barriers, promote early intervention, and educate the patient.
What does MMI stand for in work comp cases?
Maximum Medical Improvement.
What is the role of MedPay in auto claims?
Covers medical expenses regardless of fault.
What does “spondylosis” refer to?
Degenerative changes in the spine.
What’s a red flag in documentation for legal review?
Inconsistencies, vague language, or missing time stamps.
What’s the importance of return-to-work planning?
Supports recovery, reduces disability duration, and improves outcomes.
What is the role of a nurse case manager in work comp?
Coordinate care, facilitate communication, and support return-to-work planning.
What’s the difference between bodily injury and personal injury protection?
Bodily injury covers others injured by the driver; PIP covers the driver and passengers.
What is the difference between a strain and a sprain?
Strain affects muscles/tendons; sprain affects ligaments.
What does “late entry” mean and how should it be documented?
An addition made after the original note; must be clearly labeled with date/time of entry.
What’s a functional capacity evaluation?
An assessment of a patient’s physical abilities related to job tasks.
What’s the difference between temporary total and permanent partial disability?
Temporary total means the worker cannot work at all for a period; permanent partial means lasting impairment but the worker can still perform some duties.
What is subrogation and why does it matter?
It’s when an insurer seeks reimbursement from the at-fault party’s insurer; it affects claim resolution and provider payments.
What does “radiculopathy” mean?
Nerve pain caused by compression or irritation of spinal nerve roots.
What’s the risk of using copy-paste in EMRs?
Can lead to errors, outdated info, and legal liability.
How do you handle conflicting provider recommendations?
Facilitate case review, seek consensus, and advocate for evidence-based care.