Mich. Admin. Code 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-aidsT, gauze pads, or the like; or using
butterfly bandages or Steri-stripsT. 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.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.