Decision #16/08 - Type: Workers Compensation

Preamble

The worker, a general duty nurse, injured her back at work. As a result of medical restrictions arising from the injury, the worker was not able to return to her pre-injury position. She was provided with vocational rehabilitation assistance and deemed capable of earning $842.17 per week. This appeal deals with whether it was appropriate for the WCB to deem the worker capable of earning $842.17 effective March 25, 2007. A hearing was held on December 13, 2007 at the request of a worker advisor, acting on the worker’s behalf.

Issue

Whether or not a deemed post accident earning capacity of $842.17 per week should have been implemented effective March 25, 2007.

Decision

That a deemed post accident earning capacity of $842.17 per week should have been implemented effective March 25, 2007.

Decision: Unanimous

Background

In early August 2004, the worker suffered an injury to her back region during the course of her employment as a registered nurse. The worker’s claim for compensation was accepted by the Workers Compensation Board (WCB) based on the diagnosis of a disc herniation/nerve root irritation and benefits and services were paid accordingly. In August 2006, it was confirmed by the WCB that the worker had permanent restrictions related to her back condition and that her employer was unable to accommodate her with a position that respected her compensable restrictions. As a result, the case was referred to the WCB’s vocational rehabilitation branch to assist the worker with finding suitable employment.

Based on the worker’s transferable skills and education, it was determined by the WCB that the worker was capable of returning to the nursing field but not to active duty nursing as the physical demands were outside of her restrictions. A WCB vocational rehabilitation consultant (VRC) then developed an Individualized Written Rehabilitation Plan (IWRP) for the worker based on National Occupational Classification (NOC) 3152, Nurse in non-traditional nursing positions. The IWRP commenced on January 1, 2007 and was to end on March 24, 2007. The plan component consisted of resume update, job search and interview prep class and 12 weeks of job search assistance. At the completion of the IWRP, it was anticipated that the worker would be capable of earning $842.17 per week.

Subsequent file records show that the worker did not secure employment at the completion of her IWRP. In a memo to file dated March 9, 2007, an Employment Specialist (ES) commented that the worker participated in her job search by applying for work identified within her NOC area but appeared to be selective in what she applied for. He said the worker based her opinion of a job on perceptions of its physical demands rather than investigating the specifics of a position. In his opinion, the length of the job search was sufficient to locate employment opportunities and an extension was not required. He said the worker was employable in NOC 3152 and that her pending interview experience with an employer supported this.

On March 22, 2007, the worker was informed by her WCB case manager that effective March 25, 2007, her benefits were being reduced based on an earning capacity of $843.17. On April 3, 2007, the worker appealed the decision to Review Office. She stated that she was unable to find employment in NOC 3152 because of her limited education and her two years of work experience. The worker noted that she required painkillers to function well enough to perform activities of daily living.

On May 10, 2007, Review Office confirmed that the worker’s deemed post accident earning capacity of $842.17 per week should have been implemented effective March 25, 2007. Review Office stated there was no evidence to show that the worker lacked the necessary education and experience to obtain employment in NOC 3152. It noted that the worker had a Bachelor of Nursing degree and that the Specific Vocational Preparation noted in NOC 3152 stated a combination of education and training of “over two years and up to and including four years”. It stated the worker met this requirement through the combination of her education and work experience prior to the compensable injury.

Review Office further indicated there were no grounds to reinstate full wage loss benefits or rule that the post accident earning capacity should not have become effective March 25, 2007. Review Office noted that the worker actively participated in searching for employment during the job search period and she gave no indication that she was unable to work in NOC 3152 due to her injury during this time. In addition, the medical information did not indicate the worker was disabled.

On September 5, 2007, the case was again considered by Review Office based on appeal submissions from both a worker advisor and the employer’s advocate. Review Office ultimately maintained its position that the deemed post accident earning capacity of $842.17 per week should have been implemented on March 25, 2007 as it felt that the worker had the skill set to obtain employment in non-traditional nursing positions. On September 17, 2007, the worker advisor appealed Review Office’s decision to the Appeal Commission and an oral hearing was arranged.

Reasons

Applicable Legislation and Policy

The Appeal Commission is bound by The Workers Compensation Act (the Act) and the policies of the WCB’s Board of Directors. Subsection 4(2) of the Act provides that where a worker is injured in a workplace accident, wage loss benefits are payable for the loss of earning capacity that results from the injury. Subsection 39(2) of the Act provides that the WCB will pay benefits until such a time as the worker’s loss of earning capacity ends.

The WCB Board of Directors made Policy 44.80.30.20 which deals with when the earnings a worker is deemed capable of, but not actually earning will be included in the loss of earning capacity calculation. It also deals with how the deemed earning capacity will be determined. This policy was applied in the worker’s case.

Worker’s Position

The worker was represented by a worker advisor who made a presentation on behalf of the worker. The worker answered questions posed by her representative and the panel.

The worker’s representative reviewed the employer’s attempts to accommodate the worker. She noted that the worker was placed in several positions for varying periods of time but none resulted in full time employment. The worker advised that other positions were identified, however she was not placed in these positions because she did not meet the minimum qualifications for the positions.

The representative noted that as the accommodation process did not result in employment, the worker’s file was transferred to the WCB’s vocational rehabilitation program. Non-traditional nursing was identified as an appropriate occupational goal and vocational rehabilitation services were provided.

With respect to finding employment in the non-traditional nursing field, the worker indicated that she applied for 100 to 150 positions and received only six interviews. In answer to a question she stated that she met all qualifications for only two of the positions that she was interviewed for. She advised that she was not successful in finding a position in this field.

The worker’s representative stated that the worker, who had less than two years nursing experience and lacked specialized training, did not meet the minimum qualifications for this field. She referred to Policy 44.80.30.20 and stated that the WCB failed to adequately explore the requirements for employment in the non-traditional nursing field in the context of the worker’s specific experience and qualifications.

The worker’s representative indicated that it was inappropriate to deem the worker because she does not have the qualifications to work in the field that has been identified. She stated there is a requirement to ensure that a worker is competitively able to apply for jobs and have an equal chance compared to other people applying for the same positions. She argued that implementation of the deemed earning capacity should have been delayed until the worker had the opportunity to develop qualifications through further vocational rehabilitation activities.

The worker’s representative advised that the worker is currently working in an accommodated position. The worker expressed concern about the position as it requires working with patients who may need to be physically restrained. It was noted that the worker’s physician has said that she cannot physically restrain patients. The worker confirmed that to date she has not restrained any patients. She also acknowledged that she has been able to do the job but has missed three days of work. The worker indicated that she does not feel safe in this position and continues to look for other positions. It was noted that the position is only a .8 eight position. The worker advised that she has not taken any extra shifts to bring her up to full time.

The worker’s representative advised that the worker is seeking further vocational rehabilitation assistance to enable the worker to compete for jobs within the deemed occupation. In response to questions about the type of vocational rehabilitation services that would assist her, the worker identified further training in several areas, including a course in occupational health and a masters degree. She also noted that job shadowing would help her acquire experience.

Employer’s Position

The employer was represented by an advocate and its disability management consultant.

The employer’s representative submitted that the decision to deem the worker capable of earning the deemed rate was appropriate as it was based on her restrictions, transferable skills, education, labour market, and was in keeping with WCB policy. She noted that a comprehensive labour market survey was done by the WCB that confirmed the worker could compete for a position in this field and submitted that the worker does have the prerequisites required to obtain a non-traditional nursing position.

In answer to a question, the employer’s disability management consultant confirmed that the employer identified the worker’s current position and arranged for the worker to be accommodated in the position. She also confirmed that the accommodated position includes a restriction on the worker restraining patients.

Analysis

The issue before the panel was whether a deemed earning capacity of $842.17 per week should have been implemented effective March 25, 2007. The panel notes that the appeal is concerned with the effective date of the deemed earnings. The appeal does not address the selection of non-traditional nursing as the appropriate employment goal nor the calculation of the deemed earnings.

For the appeal to be successful the panel must find that it was not appropriate to implement the deemed earning capacity as of the stated date. The panel was not able to make this finding.

The focus of the worker’s submission was that she did not have the necessary experience and education to obtain employment in the non-traditional nursing field. The worker’s representative noted that the worker had less than two years nursing experience and lacked specialized training in the areas of non-traditional nursing. She stated that it is an inappropriate deem because the worker doesn’t have the qualifications to work in the occupational field under which she has been deemed. The worker provided information regarding her efforts to and inability to find employment in the non-traditional nursing field.

The panel notes that the worker is a registered nurse with a Bachelor of Nursing degree and has experience in various areas of nursing including vascular, respiratory, oncology and geriatrics. Since her injury she has gained experience working on a medical research project and in occupational medicine. She is currently working in the mental health field.

The panel has considered all the evidence including the evidence provided by the worker at the hearing and the arguments submitted by the parties and concludes, on a balance of probabilities, that the deemed earning capacity of $842.17 per week was properly implemented effective March 25, 2007. The panel has considered the type of positions included in the non-traditional nursing field. The panel finds that the worker does have the necessary experience and qualifications to obtain employment in a non-traditional nursing position.

The panel finds that Policy 44.80.30.20 has been properly applied and specifically finds that the worker is capable of competitively obtaining and keeping employment in the noted occupation and that a sufficient labour market exists in the noted occupation.

The worker’s appeal is denied.

Panel Members

A. Scramstad, Presiding Officer
A. Finkel, Commissioner
M. Day, Commissioner

Recording Secretary, B. Kosc

A. Scramstad - Presiding Officer

Signed at Winnipeg this 29th day of January, 2008

Back