R 408.22112d Recording injury or illness that involves medical treatment beyond first-aid.

Rule 1112d. (1) How do I record an injury or illness that involves medical treatment beyond first-aid? If a work-related injury or illness results in medical treatment beyond first-aid, you must record it on the MIOSHA 300 Log. If the injury or illness did not involve death, 1 or more days away from work, 1 or more days of restricted work, or 1 or more days of job transfer, you enter a check mark in the box for cases where the employee received medical treatment but remained at work and was not transferred or restricted. (2) What is the definition of medical treatment? "Medical treatment" means the management and care of a patient to combat disease or disorder. For the purposes of these rules, medical treatment does not include any of the following: (a) Visits to a physician or other licensed health care professional solely for observation or counseling. (b) The conduct of diagnostic procedures, such as X-rays and blood tests, including the administration of prescription medications used solely for diagnostic purposes, such as eye drops to dilate pupils. (c) "First-aid" as defined in subrule (3) of this rule. (3) What is "first-aid"? For the purposes of these rules, "first-aid" means any of the following: (a) Using a nonprescription medication at nonprescription strength. For medications available in both prescription and nonprescription form, a recommendation by a physician or other licensed health care professional to use a nonprescription medication at prescription strength is considered medical treatment for recordkeeping purposes. (b) Administering tetanus immunizations. Administering other immunizations, such as hepatitis B vaccine or rabies vaccine, is considered medical treatment. (c) Cleaning, flushing, or soaking wounds on the surface of the skin. (d) Using wound coverings such as bandages, Band-aidsTM, gauze pads, or the like; or using butterfly bandages or Steri-stripsTM. Using other wound closing devices, such as sutures, staples, or the like, is considered medical treatment. (e) Using hot or cold therapy. (f) Using any nonrigid means of support, such as elastic bandages, wraps, nonrigid back belts, or the like. Using devices that have rigid stays or other systems designed to immobilize parts of the body is considered medical treatment for recordkeeping purposes. (g) Using temporary immobilization devices while transporting an accident victim, such as splints, slings, neck collars, back boards, and the like. (h) Drilling of a fingernail or toenail to relieve pressure, or draining fluid from a blister. (i) Using eye patches. (j) Removing foreign bodies from the eye using only irrigation or a cotton swab. (k) Removing splinters or foreign material from areas other than the eye by irrigation, tweezers, cotton swabs, or other simple means. (l) Using finger guards. (m) Using massages. Physical therapy or chiropractic treatment is considered medical treatment for recordkeeping purposes. (n) Drinking fluids for relief of heat stress. (4) Are any other procedures included in first-aid? No. This is a complete list of all treatments considered first-aid for the purposes of these rules. (5) Does the professional status of the person providing the treatment have any effect on what is considered first-aid or medical treatment? No. MIOSHA considers the treatments listed in subrule (3) of this rule to be first-aid regardless of the professional status of the person providing the treatment. Even when these treatments are provided by a physician or other licensed health care professional, they are considered first-aid. Similarly, MIOSHA considers treatment beyond first-aid to be medical treatment even when it is provided by someone other than a physician or other licensed health care professional (6) What if a physician or other licensed health care professional recommends medical treatment but the employee does not follow the recommendation? If a physician or other licensed health care professional recommends medical treatment, you should encourage the injured or ill employee to follow that recommendation. However, you must record the case even if the injured or ill employee does not follow the physician or other licensed health care professional's recommendation.