Registration of the procedure for extending a certificate of incapacity for work

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Everyone experiences health problems to one degree or another. Workaholics and young people prefer to have pain on their feet, but the more experienced and sensible a person is, the more careful he treats himself. The presence of certain grounds allows you to increase the period of absence due to illness. In particular, it is possible to extend sick leave after hospitalization, as well as for outpatient recovery. If everything is done correctly and in accordance with the law, the organization will pay for the submitted document.

In what cases and for how long is a certificate of incapacity for work issued?

Before sending a patient on sick leave, doctors are guided by the provisions of the Federal Law of November 21, 2011 No. 323-FZ “On the fundamentals of protecting the health of citizens in the Russian Federation

"
In particular, clauses 1 and 2 of Art.
59 of this normative act lists cases when it is necessary to issue a certificate of incapacity for work, and indicates the maximum time limit. So, sick leave opens in the following cases:

• the presence of diseases, injuries, poisonings and other conditions associated with temporary disability;
• after-care in sanatorium-resort organizations;
• the need to care for a sick family member or due to quarantine;
• for the duration of prosthetics in stationary conditions;
• in connection with pregnancy and childbirth, as well as when adopting a child.

Depending on qualification

medical worker, a certificate of incapacity for work is issued:

1. By a dentist or paramedic alone for a period of no more than 10 days.
2. A therapist and other specialized specialists for a period not exceeding 15 days inclusive.

The duration of the period for which a patient can be granted sick leave is determined either by the specifics of the patient’s disease, or by another reason causing his disability. You can learn more about this from the text of the Order of the Ministry of Health of the Russian Federation dated June 29, 2011 No. 624n “On approval of the Procedure for issuing certificates of incapacity for work

».

Many uncured patients go to an appointment with the thought of what to tell the doctor in order to extend sick leave? In essence, test results and symptoms will speak for them. The attending doctor does not take into account complaints about poor health and weakness without confirming these facts with compelling arguments in the form of external manifestations and laboratory tests. Therefore, complaints based on words alone cannot contribute to either the opening or extension of a certificate of incapacity for work.

Rules for obtaining sick leave for ARVI and periods of temporary disability

In the modern world, the likelihood of contracting a viral disease is very high. A particularly common disease is called ARVI.

Many people do not attach importance to it, but it is important to begin treatment after the first symptoms appear so that complications do not develop.

This article explains why you need to see a doctor and how to get sick leave for ARVI.

A sick leave certificate is a document issued by the attending physician. It indicates a violation of the health of a person who is temporarily unable to perform his duties at the workplace. According to the law, missed days upon presentation of the sheet are paid depending on the employee’s length of service.

If the employer decides not to pay for the period specified in the document, then a complaint can be filed against him in court. A certificate of incapacity for work is issued at the clinic to which the person is assigned. When making an appointment, you must have your compulsory medical insurance policy with you.

Period for extending sick leave after hospitalization in a clinic

Order of the Ministry of Health of the Russian Federation No. 624n

, which was mentioned above, specifies cases of extension of the period of temporary disability. After all, it is obvious that 10-15 days for the complete rehabilitation of the patient’s body after a difficult operation or difficult childbirth is clearly not enough.

To avoid any problems when filling out the form, it would be a good idea for patients to know how to extend their sick leave after surgery.

.
In this situation, all issues are resolved with the attending physician - the doctor in such cases personally determines the patient’s physical condition and can independently increase the period
of incapacity for work without convening a commission (in this case, weekends and holidays are also included in this period). His competence extends to the following situations:

1. The patient must attend additional treatment procedures
   at the clinic (an additional 15 days may be prescribed).
2. Inpatient treatment
   in the hospital was not enough (plus 10 days to the due date).
3. If the sick leave was issued by a paramedic or dentist, then in case of complications
   can add another 10 days for rehabilitation.

In private medical institutions, doctors are authorized, just like their “state” colleagues, to increase the period of incapacity for work by an additional 15 days.

Extension of a certificate of incapacity for work for a period of more than 1 month is carried out by a medical commission

.
In this case, the patient must agree to undergo a specialized examination
, which will prove the need for a longer period for satisfactory recovery of the body.

Maximum term

sick leave after a decision to extend it by the commission is 10 months. Doctors make this decision in the following cases:

• carrying out major surgery;
• experienced a heart attack or stroke;
• the presence of complex fractures.

There is also an exceptional period

disability of 1 year. Such long-term sick leave is allowed for patients:

• those suffering from an open form of tuberculosis;
• having illnesses associated with oncology;
• those experiencing severe physical trauma or complications after difficult operations.

Against the backdrop of such serious problems, many are worried about something else - whether they will extend their sick leave if the runny nose continues. In this case, the attending doctor will increase the period independently without the involvement of a commission. However, you should not count on a long renewal of the ballot. In such cases, no one gives more than 1-2 weeks for recovery.

Renewal procedure

As already mentioned, the LVN opens from the day of the first visit to the clinic. After this, the data is entered into a computer database. The doctor fills out all the data and, according to the patient, enters his personal information, including the name of the employer’s organization. It is necessary to indicate the official name, as well as the legal form of the enterprise. If an error is made in the data, the organization may refuse to pay for the slip, and the procedure for replacing sick leave is not provided for by law. Therefore, before going to the hospital, you should clarify the details of the place of work.

Of course, you can try to come to an agreement with the medical staff, but this will again require convening a commission, and not every institution will make concessions.

Upon opening, the BC is transferred to the patient, but in practice, in order to save it, doctors keep the document until the end of the period of incapacity. The paper must be neat, not wrinkled, and clean. If the requirements are not met, the company will not allocate funds under such a document.

Drugs are issued through a special window in a medical institution.
To receive a certificate, the patient must present an identification document, after which the employee verifies all the data. After verification, the patient must sign to confirm receipt of the form. We recommend you study! Follow the link:

The procedure for paying sick leave according to the law

After this, the patient with the form goes to see a doctor, who makes a decision about extending or ending treatment. If a decision is made to continue medical observation, the next appointment date must be no later than three days later. The total duration of treatment, which the doctor alone has the right to prescribe, is 15 days. All further extension days are provided based on the conclusion of the expert commission.

After asking the treating specialist the question of prolonging the BL, which the doctor can extend independently, the following actions occur:

1. The doctor orders additional tests to identify potential problems.
2. The specialist writes a statement to the chief physician asking him to increase the duration of the document and convene a group to consider a specific case.
3. The chief physician convenes an expert commission on temporary disability to identify the circumstances for prolonging the form.
4. Experts consider a particular case by studying the medical documentation of the patient. The citizen is not present.
5. A protocol is drawn up, which sets out the final position of the doctors.

Before discussions are held, each committee member examines the patient and takes notes on observations of the subject's health status. After the commission approves the application, the certificate of incapacity for work is extended for the period specified in the protocol.

Features of registration of a certificate of incapacity for labor for women in labor

In Art. 255 Labor Code of the Russian Federation

(hereinafter referred to as the Labor Code of the Russian Federation) states that:

Women, upon their application and on the basis of a certificate of incapacity for work issued in accordance with the established procedure, are granted maternity leave of 70 (in the case of multiple pregnancies - 84) calendar days before childbirth and 70 (in the case of complicated childbirth - 86, for the birth of two or more children - 110) calendar days after childbirth.

However, in Order of the Ministry of Health of the Russian Federation No. 624n

There are cases when the hospital period may become longer. Such cases include:

1. Childbirth performed by cesarean section, or the presence of complications during the birth of the child.
2. If the ultrasound did not show the expectant mother the presence of a multiple pregnancy, and this circumstance became clear only during childbirth.
3. Childbirth that began earlier than expected (before the 30th week), the birth of a stillborn child.
4. If a woman has diseases of the cardiovascular system or other chronic illnesses.
5. If in vitro fertilization was performed.

Calculation of the extension of sick leave after complicated childbirth or other cases is made by an obstetrician-gynecologist

. In all situations, a woman giving birth has the right to an additional 16 days of maternity leave. If a woman gives birth to triplets or more, the doctor may extend the period of incapacity for another 40 days.

Complaints

In order to simulate a cold, it is necessary to place the main emphasis on complaints and subjective sensations, since an experienced doctor will objectively easily see the absence of pathology of the mucous membranes. The beginning of the presentation of complaints should begin with a connection with hypothermia that occurred the day before or 5-6 hours before arriving at the clinic. Options for starting a complaint description:

• “I got my feet wet yesterday”;
• “It took a long time to get home from work, I was freezing at the bus stop”;
• “frozen at work”;
• “yesterday I went to the pool and froze on the way home.”

It is advisable to mention in passing that half of the students are absent from work or in a study group due to illness. During the period of deterioration of the epidemiological situation regarding ARVI, this information should give more interest to the doctor and cause concern.

ARVI is transmitted by airborne droplets from an infected patient. The presence of such a patient at a workplace or educational institution can be dangerous for others. The doctor’s task is to prevent the spread of infection. Consequently, even without seeing any objective changes, the doctor can play it safe.

It is impossible to verify the truth of complaints of malaise, weakness, headache, and lack of appetite. In this case, everything is in the acting talent of the pretender. Of course, patients who are unwell or weak cannot come to an appointment with a smile and headphones in their ears. The facial expression should also show poor health and concern. For greater reliability, as the founder of the theater school Stanislavsky K.S. taught, you need to remember what it felt like during a real cold. State these same complaints and reflect them in your appearance.

If the illness occurred while on vacation

Sometimes a much-desired vacation can be ruined by a sudden deterioration in health. Trips to medical institutions do not add any color to your vacation, and citizens who are little familiar with the law assume that these days cannot be returned. A reliable and proven way to extend sick leave during vacation

, there is - this is knowledge of the laws.
Art.
124 of the Labor Code of the Russian Federation states that:

Annual paid leave must be extended or transferred to another period determined by the employer taking into account the wishes of the employee, in the event of temporary disability of the employee.

Methods for prolongation without the presence of disease

If an employee wants to stay home and not go perform job functions, he can use several methods:

• swap with a work partner (if it is shift work) and work his hours in the future;
• take time off at your own expense.

If you don’t want to work off or lose your daily earnings, then you’ll have to apply for a BL. To do this, you don’t need to be really sick, you need to awaken the actor within you. This document is a strict reporting form, and it is not so easy to obtain it without reason.

When people need to solve their problems and use working time to do this, they will need advice on how to extend sick leave if you are not sick. The patient should not invent symptoms that are easy to check, such as a sore throat or cough. The doctor will examine the patient and immediately reveal the deception.

However, such a factor as body temperature can be invented. It is unlikely that the doctor will recheck the temperature in the office, and even if so, you can always refer to the use of antipyretics. A citizen may say that he is bothered by a fever in the morning or evening. It is not worth mentioning large numbers, since at a temperature above 38 C, additional tests and examinations may be prescribed. With this simple method you can find a few more days to answer your questions.

How to extend sick leave if you are not sick

Some would dream of not going to work longer, resting at the expense of their organization or the state. However, the attitude of doctors towards such scoundrels has never been favorable. Each issued certificate of incapacity for work is registered

, and unscrupulous patients may be added to the “
ignore list
”. Therefore, it will become more difficult for deceivers to get medical help in the future.

There is no way to extend sick leave if you have recovered while complying with Russian laws. However, a healthy person can apply for a certificate of temporary incapacity for work if supervision of a sick person

family member (in particular, a minor child). The period will vary depending on the age of the sick children:

• For disabled children, the parent or guardian has the right not to go to work until the child has fully recovered;
• sick children over 7 years of age but under 15 can “exempt” their legal guardians or parents from work for a maximum of 2 weeks;
• 3 days is the period of sick leave if family members over 15 years of age need care (in exceptional cases, the commission may release an able-bodied citizen from work for a week so that he can look after his loved ones).

Many illnesses are cured when the mark on the thermometer does not rise above 36.6, and patients worry about how long they can extend sick leave without a fever

?
Some patients mistakenly believe that if they do not have a fever, they will be considered healthy. This is not so - the doctor takes into account the general condition
of the patient who contacts him, and according to a single rule, he can increase the period of temporary disability to 15 days.

How to fake a cold

For an experienced doctor to believe that a fake patient has ARVI, you need to work hard and study all the possible ways to “catch a cold.” After all, experts have long since ate the dog on such simulations.

Fever

The most convincing symptom of ARVI is fever. There are many ways to make the thermometer rise above 37C. The simplest method is to mechanically warm up the thermometer - lower it into hot water, apply it to a battery or a burning lamp, rub the thermometer firmly and quickly on a cloth or between your palms.

However, in this way amateurs can “raise” their temperature to 41C and even higher. This, of course, will give away the deception. In addition, doctors usually offer to measure body temperature in their presence. For a thermometer to show 37C° or higher in the presence of a specialist, you can rub your armpits with mustard powder, salt or garlic a few minutes before measuring. Such manipulations must be carried out with caution, as they can cause burns and skin irritation.

A couple of drops of iodine on a piece of sugar will help to dramatically raise the temperature. If you eat such a “dish”, it will actually raise your body temperature to 38 C for about 2-3 hours. But this method can be very harmful to the functioning of the thyroid gland, so it is better not to use it at all or very rarely.

Even schoolchildren know that lead from a simple pencil, when ingested, can slightly raise the temperature. To do this, you need to break a pencil, take out the lead, chop it and eat it with water. But most modern pencils contain synthetic materials, so they can cause poisoning rather than harmlessly raise your temperature.

Runny nose and watery eyes

It is easiest for allergy sufferers to cause a runny nose. It is enough just to interact with the allergen, and the symptoms of a typical cold will appear on your face. You can cut an “evil” onion, this will make snot and tears flow like a river.

Sick leave in another city

Sometimes it happens that a person gets sick while traveling to other localities or during a business trip. When contacting a medical institution not at the place of residence, the patient may encounter some difficulties in obtaining a certificate of incapacity for work ( lack of a card

patient at the local clinic complicates the doctor's job).

However, in other cities it is possible to issue a certificate of incapacity for work. However, is it possible to extend sick leave in another city if it was opened at the clinic at the place of registration of the citizen? There are no legislative obstacles to such a procedure, but doctors may have fair questions for a patient who seems to be sick, does not go to work, but for some reason travels around the country.

How to fake a cold without even the doctor noticing

Nobody likes to get sick, and everyone knows that health is not something to joke about. But sometimes emergency situations arise when it wouldn’t hurt to “get sick.” It happens that you urgently need to get time off from work or miss a class at the university because of urgent and important matters. It also happens that a sick leave is needed to simply rest and relax at home, surrounded by caring loved ones.

One way or another, in order to officially get a short “vacation” you will need to go to the doctors at the clinic or call your local therapist at home and demonstrate to them a bunch of plausible symptoms of some disease. The easiest way is to fake a cold.

Unextended sick leave: consequences at work

At school or in universities, non-system truants are generally treated with loyalty, and the absence of a pupil or student from classes not confirmed by a doctor’s certificate can entail, at most, only a reprimand with the need to make up the hours missed without a good reason. It’s another matter when a person works under an employment contract. What happens if you don’t extend your sick leave

?

You can calm down: in practice, an employee who neglects his duties to visit a doctor is deprived of only part of the benefit

due to violation of the regimen prescribed by the doctor.
The benefit on the day of missing a visit to a medical institution and after it will be calculated according to the minimum wage, and not based on the employee’s salary. Doctors usually extend the certificate of incapacity for work retroactively
.

However, there are exceptions

, and this must be remembered.
No one will renew a ballot if they suspect that an absolutely healthy person is deliberately shirking work. Therefore, in order to avoid various disputes with the doctor and the accounting department of the company in which the patient works, it is recommended not to violate the deadlines for visiting
the doctor.

There is a category of patients who are late to see the doctor and who are concerned about whether their sick leave can be extended by 1 day. They don’t have to worry about this - there is such a possibility. Medical staff for good reasons

can meet halfway. At the same time, there is no need to pester doctors too intrusively so that they put an extra day on the sick leave list due to the negligent behavior of the patient who missed an appointment.

Simulating a cold at the doctor

A cold is characterized by a complex of the following symptoms:

• malaise;
• weakness;
• chills;
• increase in body temperature to subfebrile levels;
• headache;
• runny nose;
• sore throat;
• dry cough.

The content of the article

When examining a patient, the doctor may pay attention to the pallor of the skin or a somewhat swollen and hyperemic face, wetness of the palms and skin, and the presence of nasal discharge. When examining the throat, hyperemia of the pharynx is noted; there may be enlarged, swollen and hyperemic tonsils. In some cases they are covered with plaque.

In acute bronchitis, moist rales are heard. Tracheitis and pharyngitis also occur with severe cough.

However, upon auscultation, the picture remains unchanged, which creates a wider field of activity for malingerers.

Extension for outpatient treatment

Most often we are in outpatient treatment, that is, we are treated at home. Usually the sheet is drawn up at the first visit to the doctor at the clinic. In this case, the sheet indicates the date of opening of the sick leave and the expected date of its closure. After which treatment is prescribed. Within the period indicated on the sheet, the patient must appear for examination by a doctor, after which a decision will be made whether to close the sheet or extend it. In the second case, the bottom line contains the date from which the sheet is extended and the date of the patient’s next visit, after which the sheet can be closed.

To extend sick leave, it is enough to have a low temperature or residual symptoms of the disease. For example, a cough or runny nose.

If you have almost recovered, you have no obvious symptoms of the disease, but you are still afraid that you have not yet fully recovered, you can “cheat” by saying that in the evening or in the morning you had a temperature of up to 38. In this regard, you may extend the sheet. But if you specify a higher temperature, you will have to undergo a series of tests.

In some cases, the sheet may be issued a little later if you called a doctor to your home, but the sick leave opens upon your first visit to the doctor. That is, the start date on the sick leave sheet indicates the day when you called the doctor at home, and he insisted on the need for outpatient treatment. Extension of the sheet in this case is similar to the extension of the sheet opened when you first visit the doctor.