ࡱ> Y ebjbjWW M==ra5]$P4,<Fbbb)))$z)@)))Q bbQ Q Q )vbb$)Q Q I NbhsB0GRAMBLING STATE UNIVERSITY GRAMBLING, LA 71245 TRANSITIONAL DUTY PROGRAM SEPTEMBER 2001 GRAMBLING STATE UNIVERSITY SUBJECT EFFECTIVE DATE TRANSITIONAL DUTY PROGRAM SEPTEMBER 2001  PURPOSE To comply with R. S. 39:1547, which requires creation of a return to work program with the goal of safely and expediently returning 91㽶Ƶ employees with job related injuries and illnesses to transitional or regular employment. STATEMENT OF POLICY 91㽶Ƶ is committed to providing for the earliest possible safe return to work of employees with occupational related injuries or illnesses. The transitional duty program has been established to ensure that the university makes a concerted effort to return employees to productive and meaningful assignments. This program allows an employee to be assigned to light/restricted duty for a temporary period (one year or until the employee reaches MAXIMUM MEDICAL IMPROVEMENT, whichever is less). The employee is responsible for reporting job related illnesses and/or injuries to the unit supervisors, who is responsible for insuring all accident forms are completed. This program is not intended to interfere with the procedure applicable to employees who are other wise eligible for reasonable accommodation under the Americans with Disabilities Act (ADA). In a case where an employee refuses an accommodation or reassignment to duties, which are within his/her restrictions and ability to perform, the university is not obligated to provide further alternatives. If all efforts fail to return the employee to work it may be necessary to terminate the individual using the applicable Civil Service Rules. Training on the GSU Transitional Duty Program is required for all supervisors of classified personnel upon employment and every three (3) years afterwards.  Approved____________________________ ____________ Neari F. Warner, President Date I. PURPOSE 91㽶Ƶ is committed to reducing lost workdays due to on the job injuries. In order to do this the university has established a return to work program for employees who are injured on the job or have a job relate illness. The goal of the universitys program is to safely and expediently return employees to transitional or regular duties as soon as medically possible. II. PROCEDURES 91㽶Ƶs transitional duty return to work program takes into consideration the following documents regarding its policy for employees on workers compensation returning to work. Senate concurrent Resolution Number 50(6/97) Civil Service General Circular Number 001290 (7/97) ACT 916 Regular Session, 1999 ACT 11 First Extraordinary Session, 1998 91㽶Ƶ will make every effort possible to return to work employees who have job related injuries or illnesses and are temporarily unable to return to their normal jobs. The University will concert effort to place the returning employee to a productive and meaningful assignment while he or she is on a light/restricted duty for a temporary period. 91㽶Ƶ offers no guarantee of placement and is not obligated to offer, create, or encumber any specific position for the sole purpose of offering placement. All decisions regarding placement shall be made by the University president based on the recommendation of the Transitional Case Management Team. The Transitional Return to Work Policy is not intended to interfere with the procedure applicable to employees who are otherwise eligible for reasonable accommodation under the Americans with Disabilities Act. If an employee is eligible under the ADA, the supervisor or unit head should contact Human Resources for guidance. When an employee returns the first priority for placement is within the employees unit or department. If this is not possible the second priority is for placement in the same division (vice president). Next, the employee will be placed in another division in the University. This policy applies to all employees of the University. GOALS OF TRANSITIONAL WORK PROGRAM To provide the earliest possible safe return to work site for employees who have sustained job-related injuries or illnesses. To give employees more options in returning to work than only being able to return with a full duty release. To retain qualified tenured employees within state government, there by utilizing their expertise training and seniority. To facilitate a safer working environment by taking more responsibility for injured workers. To reduce medical cost of workers compensation claims due to extended work absences. To reduce indemnity payments of workers compensation claims when employees could be performing transitional services for the citizens of Louisiana. RETURN TO WORK PROCEDURE The initial consideration for returning to work will be made by the employees unit. When the employees unit cannot find a suitable job or cannot return the employee to productive work, a transitional return to work team will assist in placing the employee while he or she is recovering. An employee, who is injured on the job, should report his or her injury immediately to the supervisor. All accident reporting forms should be completed as soon as possible. The injured employee is expected to maintain contact with his supervisor or department while he is out. The employee also must provide a doctors certification to his supervisor on a monthly basis. The employee will be allowed to return to a transitional duty, when the performance of that duty is within the doctors recommended restrictions. TRANSITIONAL CASE MANAGEMENT TEAM (TCMT) The Transitional Case Management Team (TCMT) will do the following: Review the doctors certification to determine whether it indicates any restrictions. Assess how such restrictions (if any) are likely to impact the employees ability to perform his/her duties. If a question exists as to the employees abilities, the employees department with the assistance from the Human Resources Department will communicate with the employees physician. The communication to the doctor will include: A letter requesting the medical facts to support the doctors certification of the employees restrictions and a medical prognosis as the length of time such restrictions will apply. A copy of the employees position description A statement indicating the extent of physical and/or emotional demands normally encountered by the employee, such as bending, lifting, pushing, pulling climbing stairs, handling heavy items, deadline demands, high-volume public contact, etc. The University reserves the right to obtain a second medical opinion on the employees condition at its expense (91㽶Ƶ). Upon receipt of any additional information regarding the restrictions from the employees physician the TCMT will determine whether the employee can do one of the following: Return to a full work load and schedule without modification of duties; Return to a full work load and schedule with temporary (six month or less) or permanent modification of duties; Return to work at less than full schedule temporarily, but without modification of duties; Return to work at a less than full schedule temporarily, with temporary (six months or less); Return to work in a different position for a limited time not to exceed six months If the TCMT determines that a change in duties is necessary, a decision will be made whether the employees job can be modified or whether a temporary reassignment can be made to return the employee to work. The TCMT will take the following items into consideration: The severity of the employees condition and the extent to which his or her ability to work is impaired; Whether the employees condition is temporary or permanent, and if temporary, for what duration it is expected to continue; The extent to which regular job duties or hours may be temporarily or permanently altered to permit the employee to return; The impact of any alternate duties on the productivity, workload, or work environment of other workers; The availability of transitional works assignments. If the TCMT determines an assignment can be made, it will notify the President of the pending assignment. The TCMT will ensure that the following is communicated in finding or developing temporary duties: Focus on positive approach. Explain to the employee the benefits of modified duty, including little or no loss of income, continued earnings of vacation, sick leave, and retirement. Emphasize that employee may be able to do the regular job with only some tasks removed because of medical restrictions. Allow that employee to do tasks that have been put off because the unit has not gotten round to-it (no one has time). Ensure that all employees and their co-workers fully understand that this is temporary work, and the injured employee will be expected to return to full job responsibility as they are medically released. Explain that overtime for individuals working under this program must be pre-approved. Review the assignment at least every 30 days and contact the treating physician, if necessary. F. In the event the department cannot find a position for the employee, it must notify TCMT and submit written reasons for the determination. A review of the determination and of potential temporary assignments, both within and outside the division will be made by TCMT. If an employee cannot return to his or her former employing department, the TCMT will work with the employee in an attempt to place the employee in another position with the University that is commensurate with the employees restrictions and job skills. The employees department will be responsible for the wage and benefit costs during the period of time the employee is placed temporarily outside the division. H. In the event an employee refuses an accommodation or reassignment to duties which are within the employees restrictions and ability to perform, the University is not obligated to provide alternatives. LIST OF ESSENTIAL DUTIES EMPLOYEE NAME: _______________________________DEPARTMENT:____________________________________ DATE: ________________SUPERVISOR: __________________________________PHONE #:___________________ ESSENTIAL DUTIES OF JOB TITLE: _________________________________________________________________ IS EMPLOYEE ABLE TO PERFORM THIS DUTY: YES NO 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. __________________________________________________________ _____________________ SIGNATURE OF PHYSICIAN Date __________________________________________________________ PRINT NAME/PHONE NUMBER OF PHYSICIAN LIST OF ESSENTIAL DUTIES (Transitional Tasks) EMPLOYEE NAME: _________________________ DEPARTMENT: ____________________________________ DATE: __________________ SUPERVISOR: __________________________________________________ PHONE NUMBER: __________________________ ESSENTIAL DUTIES OF JOB TITLE: Bus Driver IS EMPLOYEE ABLE TO PERFORM THIS DUTY: YES NO 1. Maintains vehicle maintenance and service records 2. Answers telephone and take message 3. Receives incoming stock and supplies 4. Cleans and services vehicles and equipment 5. Assists with the inventory 6. Operates sedans and pickup trucks 7. Checks for safety and maintenance of a wide variety of hand held equipment 8. Waters plants and perform other related duties  9. Performs many tasks in the upkeep of building and grounds 10. Maintains cost records on automotive equipment __________________________________________________________ _____________________________________ SIGNATURE OF PHYSICIAN DATE __________________________________________________________ PRINT NAME/PHONE NUMBER OF PHYSICIAN LIST OF ESSENTIAL DUTIES (Transitional Tasks) EMPLOYEE NAME: _________________________ DEPARTMENT: ____________________________________ DATE: __________________ SUPERVISOR: __________________________________________________ PHONE NUMBER: __________________________ ESSENTIAL DUTIES OF JOB TITLE: Telephone Operator IS EMPLOYEE ABLE TO PERFORM THIS DUTY: YES NO 1. Answers and routes incoming call, takes messages 2. Locates numbers and provides information to callers 3. Places long-distance and conference calls, keep records of calls 4. Maintains files, process mail or perform other clerical duties incidental to switch board operation 5. compiles reports, information materials and directory updates 6. Handles emergency calls 7. Orders supplies 8.  9.  10. __________________________________________________________ _____________________________________ SIGNATURE OF PHYSICIAN DATE __________________________________________________________ PRINT NAME/PHONE NUMBER OF PHYSICIAN LIST OF ESSENTIAL DUTIES (Transitional Tasks) EMPLOYEE NAME: _________________________ DEPARTMENT: ____________________________________ DATE: __________________ SUPERVISOR: __________________________________________________ PHONE NUMBER: __________________________ ESSENTIAL DUTIES OF JOB TITLE: Chief Clerk IS EMPLOYEE ABLE TO PERFORM THIS DUTY: YES NO 1. Keeps leave records 2. Maintains personnel records 3. Orders supplies and monitors supplies and equipment stock 4. Sorts and distributes letters and parcels 5. Uses various office equipment 6. Organizes and maintains various clerical files and records and compiles reports  7. Uses computer terminal to enter or retrieve information 8. Keeps records of items purchased or transferred between units  9. Performs many varied custodial tasks in the upkeep of building and grounds 10. __________________________________________________________ _____________________________________ SIGNATURE OF PHYSICIAN DATE __________________________________________________________ PRINT NAME/PHONE NUMBER OF PHYSICIAN LIST OF ESSENTIAL DUTIES (Transitional Tasks) EMPLOYEE NAME: _________________________ DEPARTMENT: ____________________________________ DATE: __________________ SUPERVISOR: __________________________________________________ PHONE NUMBER: __________________________ ESSENTIAL DUTIES OF JOB TITLE: Residence Hall Parent IS EMPLOYEE ABLE TO PERFORM THIS DUTY: YES NO 1. Works with students in productive use of leisure time 2. Answers telephone calls, routs messages  3. Serves as liaison between the dormitory and parents, and dormitory staff 4. Monitors living areas to maintain control and to prevent trespassing 5. Reports to higher authority any accidents/incidents and suspected cases of abuse, vandalism, etc 6. Reports emergencies 7. Checks for safety and maintenance of building 8.  9.  10. __________________________________________________________ _____________________________________ SIGNATURE OF PHYSICIAN DATE __________________________________________________________ PRINT NAME/PHONE NUMBER OF PHYSICIAN LIST OF ESSENTIAL DUTIES (Transitional Tasks) EMPLOYEE NAME: _________________________ DEPARTMENT: ____________________________________ DATE: __________________ SUPERVISOR: __________________________________________________ PHONE NUMBER: __________________________ ESSENTIAL DUTIES OF JOB TITLE: Library Staff IS EMPLOYEE ABLE TO PERFORM THIS DUTY: YES NO 1. Uses computer terminals involved in library operations 2. Assist in the development of special research or management projects 3. Catalogs monographs and serials for which no standard source record exist 4. Performs basic reference work using standard reference and bibliographicPerforms advanced bibliographic verification  6. Performs related work as required by circumstances or as directed 7.  8.  9.  __________________________________________________________ _____________________________________ SIGNATURE OF PHYSICIAN DATE __________________________________________________________ PRINT NAME/PHONE NUMBER OF PHYSICIAN LIST OF ESSENTIAL DUTIES (Transitional Tasks) EMPLOYEE NAME: _________________________ DEPARTMENT: ____________________________________ DATE: __________________ SUPERVISOR: __________________________________________________ PHONE NUMBER: __________________________ ESSENTIAL DUTIES OF JOB TITLE: Horticulturist IS EMPLOYEE ABLE TO PERFORM THIS DUTY: YES NO 1. Empties trash containers 2. Disposes of infectious waste when assigned 3. Changes or wash HVAC filter 4. Performs minor maintenance on equipment 5. Sweeps sidewalks, porches and tiled surfaces 6. Picks up paper on university grounds 7. Checks for safety and maintenance of a wide variety of hand held equipment 8. Waters plants and perform other related duties  9. Performs many varied custodial tasks in the upkeep of building and grounds 10. Maintains inventory of supplies and tools __________________________________________________________ _____________________________________ SIGNATURE OF PHYSICIAN DATE PRINT NAME/PHONE NUMBER OF PHYSICIAN LIST OF ESSENTIAL DUTIES (Transitional Tasks) EMPLOYEE NAME: _________________________ DEPARTMENT: ____________________________________ DATE: __________________ SUPERVISOR: __________________________________________________ PHONE NUMBER: __________________________ ESSENTIAL DUTIES OF JOB TITLE: Recreational Staff IS EMPLOYEE ABLE TO PERFORM THIS DUTY: YES NO 1. Checks and maintains equipment and recreational vehicles for needed repairs and safety and report to supervisor 2. Ensures that work area is cleaned and maintained 3. Monitors use of and maintain recreation equipment  4. Develops and follow the university calendar of activities 5. Monitor behavior and conduct of students and guest to facility or activity 6. Completes cash reports as required 7. Supervises and directs student workers Supervises or monitor control counter including equipment check out and collection of fees __________________________________________________________ _____________________________________ SIGNATURE OF PHYSICIAN DATE __________________________________________________________ PRINT NAME/PHONE NUMBER OF PHYSICIAN LIST OF ESSENTIAL DUTIES (Transitional Tasks) EMPLOYEE NAME: _________________________ DEPARTMENT: ____________________________________ DATE: __________________ SUPERVISOR: __________________________________________________ PHONE NUMBER: __________________________ ESSENTIAL DUTIES OF JOB TITLE: Printer IS EMPLOYEE ABLE TO PERFORM THIS DUTY: YES NO 1. Performs cleaning and minor maintenance of equipment  2. Performs finishing operations, such as operation folders, paper cutters, binding systems 3. Operates and makes ready of printing presses 4. Feeds various binding equipment 5. Operates high speed digital printers and scanner 6. Receives work requests 7. Answers telephone and takes messages 8. Orders supplies and equipment  9.  10. __________________________________________________________ _____________________________________ SIGNATURE OF PHYSICIAN DATE __________________________________________________________ PRINT NAME/PHONE NUMBER OF PHYSICIAN LIST OF ESSENTIAL DUTIES (Transitional Tasks) EMPLOYEE NAME: _________________________ DEPARTMENT: ____________________________________ DATE: __________________ SUPERVISOR: __________________________________________________ PHONE NUMBER: __________________________ ESSENTIAL DUTIES OF JOB TITLE: Computer Operator (Information System Equipment Operation) IS EMPLOYEE ABLE TO PERFORM THIS DUTY: YES NO 1. Operates, adjusts and maintains peripheral information systems equipment and auxiliary equipment, monitor and responds to console messages 2. Prepares equipment and data for processing operations according to job set-up statement; follows production schedule; keeps logs of work run;  3. Troubleshoots problems at various levels 4. Controls network activity by initialing the network activating lines, control units and terminals and providing physical and logical connection to the application programs 5. Maintains complete and accurate documentation __________________________________________________________ _____________________________________ SIGNATURE OF PHYSICIAN DATE __________________________________________________________ PRINT NAME/PHONE NUMBER OF PHYSICIAN LIST OF ESSENTIAL DUTIES (Transitional Tasks) EMPLOYEE NAME: _________________________ DEPARTMENT: ____________________________________ DATE: __________________ SUPERVISOR: __________________________________________________ PHONE NUMBER: __________________________ ESSENTIAL DUTIES OF JOB TITLE: Nurse IS EMPLOYEE ABLE TO PERFORM THIS DUTY: YES NO 1. Interviews patents to obtain health histories; current conditions and needs for treatment 2. Takes and records vital signs 3. Assists in emergency code situations 4. Explains treatment and procedures to patients and instructs patients in health and hygiene maintenance and self administration of medication 5. Answers telephone and takes messages 6. Uses computer equipment as needed to maintain reports 7.  8.  __________________________________________________________ _____________________________________ SIGNATURE OF PHYSICIAN DATE __________________________________________________________ PRINT NAME/PHONE NUMBER OF PHYSICIAN LIST OF ESSENTIAL DUTIES (Transitional Tasks) EMPLOYEE NAME: _________________________ DEPARTMENT: ____________________________________ DATE: __________________ SUPERVISOR: __________________________________________________ PHONE NUMBER: __________________________ ESSENTIAL DUTIES OF JOB TITLE: Trades (Repairman, Electrician, Plumber, Carpenter, HVAC, Welder, and Painter) IS EMPLOYEE ABLE TO PERFORM THIS DUTY: YES NO 1. Requisitions supplies and equipment 2. Maintains check on materials requirements and sees to it that supplies are available 3. Makes repairs to the interior/exterior of building and facilities and maintain furniture and equipment 4. Cleans and replaces filters on HVAC units 5. Starts , operates and checks for safety and maintenance of a wide variety of small engines, mowers, hand tools, pumps, chainsaws, pick up trucks and small tractor  6. Reads and interprets and works from drawings and plans 7. Maintains electrical motors and emergency generators 8. 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