Despite the great desire to always keep everything under control, life often makes its own adjustments. A commonplace example is the occurrence of a sudden malaise, which ends with an increase in temperature and absenteeism. In such cases, you need to go to the doctor and make a sick leave. However, doctors take 15 days to recover, but sometimes it is not possible to improve health during this period. Then you have to consult a doctor again to extend the sick leave.
Reasons for extension
So, let's find out how long the sick leave is extended. Depending on how difficult the situation is, the decision to extend the validity period of the temporary disability sheet is made by the doctor, board or board of doctors. To understand the procedure for extending sick leave, it is necessary to consider the most typical situations:
- The sick leave action ended, but the person did not fully recover.
- Extension of the sick leave for pregnancy and childbirth is possible if there are complications of an unforeseen nature.
The first case is also divided into several situations. First of all, this is an outpatient treatment, when the patient calls the doctor to his home or visits the medical institution on his own. In this case, the doctor does not have the right to extend the sick leave for a long period (up to 1 month). To extend it, it is necessary to obtain the decision of a special commission having the right to extend the treatment period up to 10 months.
Extension of the sick leave in the hospital, provided the patient is in the clinic, is not difficult: the attending physician decides whether to discharge the patient or continue the procedure. Extension of the open sick leave after discharge from the hospital occurs for 10 days. Temporary disability may also occur when visiting a dentist. The doctor can open a sick leave for 10 days, and if necessary, the commission can extend it to 1 year.
Extension of the sick leave after childbirth, which has passed with complications, should be considered separately. The average sick leave is 70 weeks before childbirth and about the same after them.
It is worth noting that the primary extension of the sick leave can be carried out by the attending specialist. Then this can only be done by a commission, which is created by order of the head of the medical institution. The grounds for extending sick leave are regulated by law - the first part of the 59th article of the Federal Law on Health Protection.
Renewal Procedures
First of all, some common misconceptions should be refuted. If the question arises of how to extend sick leave after recovery, the answer will be simple: no way. The exception in this case is the only one: to extend the certificate of incapacity for work is possible only in the case of caring for a sick child who has not reached the minor. In this case, the law is completely on the side of the parents (or guardians).
It is allowed to appeal to non-core doctors regarding the extension of the sick leave. The physician may extend the certificate of incapacity for work issued by the surgeon, since he has the exclusive right in this situation.
Fake sheets
It is worth noting that some unlawful patients and doctors go on forgery and issue fake temporary disability sheets. Their data medical institutions are blacklisted. Such a measure is forced, but quite justified.Similar measures are applied to simulators - the administration at the first opportunity that has arisen can dismiss them without giving any explanation.
Opening sick leave in any locality
Often, people who are geographically outside the coverage area of their medical institution or attending physician are forced to apply for medical care due to a sharp deterioration in their health. The law for such situations provides for the possibility of opening a sick leave in any locality, that is, not at the place of residence. As soon as the patient returns home, he should contact his doctor as soon as possible and open a new disability sheet. It is also not forbidden to extend the sick leave, opened earlier in another clinic. Of course, if the patient is not able to visit his.
Duration of sick leave renewal
In accordance with the established rules, the fact of the disease is documented immediately. Therefore, you do not need to think long about what to tell your doctor to extend the document - you just need to make an appointment and make an appointment with him. A sick leave is opened from the day the doctor visits. Special clarifications are required only in two cases:
- The patient called a doctor to the house.
- Due to employment throughout the day, the patient was able to visit the doctor only at the end of the day.
In the first situation, the doctor will draw up the documentation the next day, but he will take into account the day of the patient’s visit, that is, the hospital will open retroactively, a day earlier. In the second situation, most likely, the sick-list will be open from the next day.
Maximum term
How many days the sick leave is extended depends on the specific situation. The duration of the minimum period of temporary incapacity for work is regulated by the norms approved by the Ministry of Health, it can be changed periodically. The law also defines the boundary duration of being on sick leave for a year. If it is exceeded, the employer has every reason to insist on the dismissal of his employee due to his health condition or his transfer to a position with other working conditions.
It is worth noting the following: it is easiest for the therapist to extend the term of the sick leave, opened earlier, therefore, in the event of an emergency, you can contact him, and not a specialist. The doctor will be able to extend the document in this case for a maximum of 3 days.
Differentiated approach
Determining the timing of treatment in a hospital is much more difficult. Due to differences in diseases and individual characteristics of patients, a differentiated approach is required. In particular, if we are talking about a postponed surgical intervention or a long period of rehabilitation. In this case, any situation is tied to the variety of prescribed therapy, the complexity of the intervention, and the specialization of the medical institution. Federal law establishes that the countdown of hospital stay, affecting the payment of temporary disability, should begin immediately after the patient arrives. The document ends after the patient has completely recovered and received an opinion from the attending physician. Extension of the sick leave in the clinic after the hospital is not possible, but you should consult a specialist to open a new sick leave.
In non-standard, special cases, the decision to discharge a patient (to assign him a disability due to the impossibility of complete rehabilitation) should be made by a medical board or a permanent commission.
An additional recovery period, which is associated with spa treatment, stay in a dispensary, and a sanatorium, belongs to the same category. Documents are drawn up in the same manner as in standard situations, but the total period of disability cannot be more than 24 days.If there is good reason, a commission of sanatorium personnel can extend the period of rehabilitation.
Since any corrections and blots in the drawn up temporary disability sheet are excluded, the patient, before extending the sick-list or issuing a new document, should clarify all the information about the place of employment. This even relates to such seemingly trifles as the form of ownership of the organization: joint venture, state of emergency, closed joint stock company, and PAO. The same applies to the exact name of the profession and position. Errors in the document can lead to the fact that accounting at the place of employment rejects the payment of sick leave.
Procedure for payment of extended sick leave certificate
It is worth noting several features:
- First of all, the payment of extended sick leave depends on the accountant, his workload. As a rule, if the documentation is delivered on time, then it is automatically sent for payment.
- It is recommended to independently regulate the process of prolongation and registration of sick leave in case of prolonged cure, prolonged illness, complex rehabilitation after surgery. It should be noted that according to the dates of breaks in the sick list should not be.
In order to guarantee compensation for an involuntary absence at the place of work due to temporary incapacity for work, it is necessary, first of all, to submit to the accounting office of the employer the correctly executed documents, in which there are all signatures and seals. This can be done in accordance with federal law within six months.
Childcare
Sick pay, which are issued in connection with the care of sick children, is also subject to payment. The term for payment of compensation, as a rule, is tied to standard periods of payment (main part, advance payment).
Legislation protecting the rights of patients related to their health provides for all possible situations associated with the supervision of sick relatives, pregnancy, childbirth, and diseases. All that is required is to know the rules of the law and use them correctly.