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Practice Injury / Incident Reporting

Time sensitive - paperwork to be completed within 3 days of incident

 

Students that are actively enrolled and participating in clinical practice are eligible for Workplace Safety and Insurance Board (WSIB) coverage in the event of an injury/incident while attending a coordinated school experience. 

In the event of an injury/incident while attending practice placement students must:

  1. follow placement agency/facility protocol in seeking personal medical attention and reporting,
  2. notify practice instructor/faculty advisor on the same day as the injury/incident (your practice instructor/faculty advisor will help you complete the forms), and
  3. submit the required reporting documentation within 3 days of the incident.

WSIB reporting is required if the injury/incident may result or has resulted in any or all of the following:

  • Health care by a medical practitioner for which there is a fee for service (i.e. physician, chiropractor, dentist, hospital and/or health facility(ies)
  • Loss of time from work, placement and/or university beyond the date of the incident
  • Exposure to and/or contraction of a communicable disease (i.e. TB exposure, needlestick)
  • For incidents or injuries sustained in a car, please click here for more information: http://www.wsib.on.ca/WSIBPortal/faces/WSIBManualPage?cGUID=15-03-05&fGUID=835502100635000498 
 
 
 

If WSIB reporting is required:

If the practice incident is an accident or injury that necessitates WSIB reporting, please follow placement agency/facility protocol for reporting and obtaining personal medical attention. (If additional medical attention is desired, students are encouraged to seek attention from their family practitioners or the Ryerson University, Health Centre, KHW-181.)

Notify the practice instructor or faculty advisor as soon as possible on the day of the incident.

Obtain, complete and submit the following WSIB documentation(completed by student):

 

Tips on completing Form 7

  • The e-Form 7 is not an option for submission. Student and contact person (instructor/faculty advisor) signatures are required on page 3 -- students must use hard copies
  • Worker Information (Section A): Job Title –  use "Nursing Student"
  • Employer Information (Section B) -- use the following information to complete Employer Information section:
  • Trade & Legal Name: use "Ministry of Training, Colleges & Universities"
    Firm # - "825010"
    Mailing Address: "900 Bay St., 8th Floor, Mowat Block, Toronto, ON M7A 1L2"
    Description of Business Activity: "Nursing Student – Placement"
  • Official Title (Section J): use "Nursing Student"
  • Co-signature required by the contact person (instructor/faculty advisor) at the bottom of page 3.
  • Other documentation may be requested in addition to the above noted forms by WSIB (i.e. medication prescription, physician notes, ER report, occupational health report). It is advisable to keep copies of any documentation pertaining to the incident.
  • More detailed information may be obtained on the WSIB website:www.wsib.on.ca

 

To Submit Forms to WSIB

Fax all completed forms to both the WSIB and the MTCU:

  • WSIB
    • fax: 416.344.4684 or 1.888.313.7373, Attn: Central Processing Unit (for WSIB fax guidelines click here)
  • The Ministry of Training, Colleges and Universities (MTCU)
    • fax: 416.325.1959 Attn: Wendy Parsan

Photocopy all completed forms and retain original forms for personal records.

Submit photocopied documents to the appropriate contact for your program in a sealed envelope with the following information:

Collaborative Program students:

    Attn: Daphne Cockwell School of Nursing, Student Affairs Office, POD 474C
    RE: Practice Injury/Incident Reporting Forms - WSIB
    Student: (print first and last name)
    Ryerson Student #:
    Confidential – For Student’s File

Post Diploma Degree Program students:

    Attn: Daphne Cockwell School of Nursing, Post Diploma Program Advisor, POD 476A
    RE: Practice Injury/Incident Reporting Forms - WSIB
    Student: (print first and last name)
    Ryerson Student #:
    Confidential – For Student’s File

Masters Program students:

    Attn: Daphne Cockwell School of Nursing, Graduate Program Administrator, POD 448
    RE: Practice Injury/Incident Reporting Forms - WSIB
    Student: (print first and last name)
    Ryerson Student #:
    Confidential – For Student’s File

Forms may be submitted to the appropriate contact for your program directly during office hours or, after hours, in the POD 481 (Nursing General Office) drop-slot.

Submission of documents to WSIB, Ministry of Training, Colleges and Universities, and Student Affairs must be done within three (3) days of the incident

 

 

 

When WSIB reporting is not required:

In the event of a practice injury/incident requiring first aid treatment only, you do not need to make a WSIB claim.  Please follow placement agency/facility protocol for reporting and obtaining personal medical attention. WSIB reporting is not required.  Please note: if additional medical attention is desired, students are encouraged to seek attention from their family practitioners or the Ryerson University, Health Centre, KHW-181. However, if additional medical attention occurs or you are uncertain about the potential severity of the incident, please obtain, complete and submit the WSIB documentation, as instructed above.

First aid is defined by the WSIB as a “one-time treatment or care and any follow-up visit(s) for observation purposes only. First aid includes, but is not limited to: cleaning minor cuts, scrapes, or scratches treating a minor burn applying bandages and/or dressings applying a cold compress, cold pack, or ice bag applying a splint changing a bandage or a dressing after a follow-up observation visit”.

 

To Submit First-Aid Paperwork

  • Photocopy any documentation reflective of the first aid incident (i.e. occupational health department report) and retain original copy for personal records.
  • Submit photocopied documents to the appropriate contact for your program in a sealed envelope with the following marking information:

Collaborative Program students:

    Attn: Daphne Cockwell School of Nursing, Student Affairs Office, POD 474C
    RE: Practice Injury/Incident Reporting Forms
    Student: (print first and last name)
    Ryerson Student #:
    Confidential – For Student’s File

Post Diploma Degree Program students:

    Attn: Daphne Cockwell School of Nursing, Post Diploma Program Advisor, POD 476A
    RE: Practice Injury/Incident Reporting Forms
    Student: (print first and last name)
    Ryerson Student #:
    Confidential – For Student’s File

Masters Program students:

    Attn: Daphne Cockwell School of Nursing, Graduate Program Administrator, POD 448
    RE: Practice Injury/Incident Reporting Forms
    Student: (print first and last name)
    Ryerson Student #:
    Confidential – For Student’s File

Forms may be submitted to the appropriate contact for your program directly during office hours or in the after hours POD 481 (Nursing General Office) drop-slot.

Submission of documents to Student Affairs must be done within three (3) days of the incident

 

Lead Faculty Contact Information

Collaborative Nursing Degree Program (Lead Faculty/Coordinators):

  Ryerson George Brown Centennial
Year 1  Daria Romaniuk Sandy Wiesenthal Michelle Connell
Year 2 Kileen Tucker Scott Connie Barbour Kathryn Ellis
Year 3 Corinne Hart Susan Ord-Lawson Janet Montague
Year 4 Sharon Paton Frances Ross Laura Nicholson


Post-diploma – Sherry Espin 416 979-5000 ext. 7993 and Don Rose ext. 6324 
Master of Nursing – Karen Spalding ext. 6307

 


For further information, see : http://www.tcu.gov.on.ca/pepg/publications/placement.html 

Last updated: October 1, 2014