The opinion
TENNESSEE BUREAU OF WORKERS’ COMPENSATION
IN THE COURT OF WORKERS’ COMPENSATION CLAIMS
AT CHATTANOOGA
Talisha Bloodsaw, ) Docket No. 2019-01-0653
Employee, )
V. )
Alexian Brothers Community )
Services d/b/a Alexian Brothers ) State File No. 5799-2019
PACE, )
Employer, )
And )
Ascension Health, ) Judge Audrey A. Headrick
Self-Insured Parent Co. )
EXPEDITED HEARING ORDER
Talisha Bloodsaw allegedly injured her chest wall while assisting a patient. She
then sought emergent care for her injuries, which Alexian Brothers refused to pay.
Following an Expedited Hearing, the Court holds she is not entitled to the requested
benefit.
History of Claim
Ms. Bloodsaw, a PACE driver, allegedly injured her chest wall on July 18, 2019,
when she prevented a patient from falling and assisted him into a seated walker with the
help of the patient’s daughter, Debra Wooten.!
The parties’ testimony differs regarding the alleged incident. Ms. Bloodsaw said
she injured herself during the incident; however, Ms. Wooten testified by affidavit that Ms.
Bloodsaw refused to assist her and did not touch her father.
' As a PACE driver, Ms. Bloodsaw’s job duties required her to pick up patients and transport them to a
geriatric daycare.
Likewise, the testimony differs regarding the events that occurred after Ms.
Bloodsaw left the patient’s house and returned with a wheelchair. Terry Black, her
supervisor, testified that he accompanied her to the patient’s house, where they found him
on the floor. Ms. Bloodsaw stated she lifted the patient using his pants and gait belt to
guide him into the wheelchair. Conversely, Mr. Black and Ms. Wooten testified that Ms.
Bloodsaw did not touch the patient or assist them in any way when they lifted and placed
him into the wheelchair.
The next day, Ms. Bloodsaw became ill after eating breakfast out with her co-
workers. Upon arriving at PACE, Mr. Black took Ms. Bloodsaw to the onsite clinic, where
she refused testing. Mr. Black told her to go to the hospital if her condition worsened.
Ms. Bloodsaw immediately left work and sought emergency treatment later that day.
The emergency room record, which she disputed, noted that she reported her symptoms
started at 10:00 a.m. “while on [a] bus.” The provider diagnosed nonspecific chest pain.
Ms. Bloodsaw testified that she told the discharge person that she injured herself while
lifting a patient, but the records do not document that conversation.
The testimony also differed about when Ms. Bloodsaw reported the alleged work
injury and emergency treatment to Mr. Black. Ms. Bloodsaw testified she left voice
messages on Mr. Black’s work and cell phones over the weekend to tell him that she went
to the hospital. She also stated she reported her injury to Mr. Black on July 22, but her
affidavit says she provided notice on July 23. Mr. Black stated that Ms. Bloodsaw reported
a work injury on July 22.
After Ms. Bloodsaw reported the injury, PACE provided a panel of physicians. Ms.
Bloodsaw told the authorized physician she was “lifting a patient on 7/18/19 at about 10:00
a.m. and... the patient fell and took [her] down.”
After investigating, PACE denied Ms. Bloodsaw’s claim asserting that the alleged
incident on July 18 did not occur.
Findings of Fact and Conclusions of Law
Standard Applied
Ms. Bloodsaw must present sufficient evidence demonstrating she is likely to
prevail at a hearing on the merits. See Tenn. Code Ann. § 50-6-239(d)(1) (2019). The
Court holds she did not satisfy this burden.
Analysis
To prove a compensable injury, Ms. Bloodsaw must show that her alleged injury
arose primarily out of and in the course and scope of her employment. To do so, she must
show that the injury was caused by a specific work-related incident, or set of incidents,
identifiable by time and place of occurrence. Tenn. Code Ann. § 50-6-102(14)(A).
The preliminary question the Court must address is whether Ms. Bloodsaw
presented sufficient evidence to establish the occurrence of a specific incident on July 18,
2019. See Burleson v. Germantown Partners Supercuts, 2017 TN Wrk. Comp. App. Bd.
LEXIS 49, at *9-10 (Aug. 15, 2017). The Court holds she did not.
The conflicting testimony from Ms. Bloodsaw, Mr. Black, and Ms. Wooten suggests
that a work-related incident did not occur on July 18. Ms. Bloodsaw testified that she
prevented a patient from falling and assisted him onto a seated walker with the assistance
of Ms. Wooten. She also testified she later lifted the patient into a wheelchair by grabbing
his pants and gait belt. Conversely, Mr. Black and Ms. Wooten testified that Ms. Bloodsaw
did not touch the patient or assist them in any way on July 18. Likewise, the July 19
emergency records immediately following the alleged incident do not mention a work
injury. Instead, the records reflect a diagnosis of non-specific chest pain. The records from
the authorized physician provide a differing history regarding a patient who fell and “took
[Ms. Bloodsaw] down.” Given the conflicting testimony and evidence, the Court finds no
corroboration of Ms. Bloodsaw’s testimony concerning the alleged work-related incident.
Accordingly, the Court holds Ms. Bloodsaw failed to demonstrate that she is likely
to prevail at a hearing on the merits that she is entitled to payment for her emergent care.
IT IS, THEREFORE, ORDERED as follows:
1. The Court denies Ms. Bloodsaw’s requested relief.
2. This case is set for a Status Hearing on Friday, August 14, 2020, at 2:00 p.m.
Eastern Time. The parties must call (423) 634-0164 or toll-free at (855) 383-0001
to participate. Failure to call might result in a determination of the issues without
the party’s participation.
ENTERED June 16, 2020.
JUDGE’AUDREY A. HEADRICK
Court of Workers’ Compensation Claims
APPENDIX
Exhibits:
PINNAME WN
Affidavit of Talisha Bloodsaw
Affidavit of Terry Black
Affidavit of Debra Wooten
Memorial Hospital records
Workforce Corporation Health records
Affidavit of Stephanie Parker
Workforce Corporate Health August 27, 2019 record
Memorial Hospital bill (Identification Only)
Technical record:
CHNAKRWN
Petition for Benefit Determination
Notice of Appearance
Dispute Certification Notice
Request for Expedited Hearing
Notice of No Objection
Order Setting Claim for Expedited Hearing
Notice of Efforts to Schedule Expedited Hearing
Motion to Reconsider
Amended Order Setting Claim for Expedited Hearing
10. Notice of Expedited Hearing
11.Employer’s Statement
12.Employer’s and Insurance Carrier’s Witness and Exhibit List
13. Notice
CERTIFICATE OF SERVICE
I certify that a copy of this Order was sent as indicated on June 16, 2020.
Name Certified | Email | Service sent to:
Talisha Bloodsaw, xX xX 4108 Gayle Drive
Employee Chattanooga, TN 37411
talishabloodsaw @ gmail.com
Lee Anne Murray, 4 leeamurray @ feeneymurray.com
Employer’s Attorney
Jo Ua
PENNY SHRUM, COURT CLERK
wc.courtclerk @ tn.gov
Expedited Hearing Order Right to Appeal:
If you disagree with this Expedited Hearing Order, you may appeal to the Workers’
Compensation Appeals Board. To appeal an expedited hearing order, you must:
1. Complete the enclosed form entitled: “Notice of Appeal,” and file the form with the
Clerk of the Court of Workers’ Compensation Claims within seven business days of the
date the expedited hearing order was filed. When filing the Notice of Appeal, you must
serve a copy upon all parties.
2. You must pay, via check, money order, or credit card, a $75.00 filing fee within ten
calendar days after filing of the Notice of Appeal. Payments can be made in-person at
any Bureau office or by U.S. mail, hand-delivery, or other delivery service. In the
alternative, you may file an Affidavit of Indigency (form available on the Bureau’s
website or any Bureau office) seeking a waiver of the fee. You must file the fully-
completed Affidavit of Indigency within ten calendar days of filing the Notice of
Appeal. Failure to timely pay the filing fee or file the Affidavit of Indigency will
result in dismissal of the appeal.
3. You bear the responsibility of ensuring a complete record on appeal. You may request
from the court clerk the audio recording of the hearing for a $25.00 fee. If a transcript of
the proceedings is to be filed, a licensed court reporter must prepare the transcript and file
it with the court clerk within ten business days of the filing the Notice of
Appeal. Alternatively, you may file a statement of the evidence prepared jointly by both
parties within ten business days of the filing of the Notice of Appeal. The statement of
the evidence must convey a complete and accurate account of the hearing. The Workers’
Compensation Judge must approve the statement before the record is submitted to the
Appeals Board. If the Appeals Board is called upon to review testimony or other proof
conceming factual matters, the absence of a transcript or statement of the evidence can be
a significant obstacle to meaningful appellate review.
4. If you wish to file a position statement, you must file it with the court clerk within ten
business days after the deadline to file a transcript or statement of the evidence. The
party opposing the appeal may file a response with the court clerk within ten business
days after you file your position statement. All position statements should include: (1) a
statement summarizing the facts of the case from the evidence admitted during the
expedited hearing; (2) a statement summarizing the disposition of the case as a result of
the expedited hearing; (3) a statement of the issue(s) presented for review; and (4) an
argument, citing appropriate statutes, case law, or other authority.
For self-represented litigants: Help from an Ombudsman is available at 800-332-2667.
NOTICE OF APPEAL
Tennessee Bureau of Workers’ Compensation
www.tn.gov/workforce/injuries-at-work/
wce.courtclerk@tn.gov | 1-800-332-2667
Docket No.:
State File No.:
Date of injury:
Employee
Employer
Notice is given that
[List name(s) of all appealing party(ies). Use separate sheet if necessary.]
appeals the following order(s) of the Tennessee Court of Workers’ Compensation Claims to the
Workers’ Compensation Appeals Board (check one or more applicable boxes and include the date file-
stamped on the first page of the order(s) being appealed):
0 Expedited Hearing Order filed on O Motion Order filed on
0 Compensation Order filed on C1 Other Order filed on
issued by Judge
Statement of the Issues on Appeal
Provide a short and plain statement of the issues on appeal or basis for relief on appeal:
Parties
Appellant(s) (Requesting Party): fo Employer] ‘Employee
Address: Phone:
Email:
Attorney’s Name: BPR#:
Attorney's Email: Phone:
Attorney's Address:
* Attach an additional sheet for each additional Appellant *
LB-1099 rev. 01/20 Page lof 2 RDA 11082
Employee Name: Docket No.: Date of Inj.:
Appellee(s) (Opposing Party): [| Employer [- ‘Employee
Appellee’s Address: Phone:
Email:
Attorney’s Name: BPR#:
Attorney’s Email: Phone:
Attorney’s Address:
* Attach an additional sheet for each additional Appellee *
CERTIFICATE OF SERVICE
I, , certify that | have forwarded a
true and exact copy of this Notice of Appeal by First Class mail, postage prepaid, or in any manner as described
in Tennessee Compilation Rules & Regulations, Chapter 0800-02-21, to all parties and/or their attorneys in this
case on this the day of , 20
[Signature of appellant or attorney for appellant]
LB-1099 rev. 01/20 Page 2 of 2 RDA 11082