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OSHA Medical Treatment Guide

This document defines medical treatment and first aid for OSHA recording purposes. Medical treatment includes the management and care of patients using prescription medications, wound closing devices, immobilization devices, and oxygen administration. First aid, which is excluded from medical treatment, involves minor treatments like using non-prescription medications, bandages, hot/cold therapy, temporary immobilization devices, and removing foreign materials. Certain activities like observation, diagnostic tests, and immunizations are also excluded from the definition of medical treatment.

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447 views2 pages

OSHA Medical Treatment Guide

This document defines medical treatment and first aid for OSHA recording purposes. Medical treatment includes the management and care of patients using prescription medications, wound closing devices, immobilization devices, and oxygen administration. First aid, which is excluded from medical treatment, involves minor treatments like using non-prescription medications, bandages, hot/cold therapy, temporary immobilization devices, and removing foreign materials. Certain activities like observation, diagnostic tests, and immunizations are also excluded from the definition of medical treatment.

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Definition of medical treatment

Medical treatment means the management and care of a patient to combat disease or disorder.
Medical treatment includes:

 All treatment not otherwise excluded (below).


 Using prescription medications, or use of a non-prescription drug at prescription strength.
 Using wound closing devices such as surgical glue, sutures, and staples.
 Using any devices with rigid stays or other systems designed to immobilize parts of the body.
 Administration of oxygen to treat injury or illness.

Exclusions from definition of medical treatment


For OSHA recording purposes, medical treatment excludes the following items:

1. Observation or counseling. Visits to a physician or other licensed health care professional


solely for observation or counseling;
2. Diagnostic procedures. The conduct of diagnostic procedures, such as x-rays and blood
tests, including the administration of prescription medications used solely for diagnostic
purposes (e.g., eye drops to dilate pupils); or
3. First aid. First aid as defined below.

Definition of first aid — excluded from medical


treatment
For OSHA recording purposes, “first aid” includes the following items. This is a complete list of all
treatments considered to be first aid by OSHA.

1. Using a non-prescription medication at nonprescription strength (NOTE: for medications


available in both prescription and non-prescription form, a recommendation by a physician or other licensed
health care professional to use a non-prescription medication at prescription strength is considered medical
treatment for recordkeeping purposes);

2. Administering tetanus immunizations (NOTE: other immunizations, such as Hepatitis B vaccine or


rabies vaccine, are considered medical treatment);

3. Cleaning, flushing or soaking wounds on the surface of the skin;


4. Using wound coverings such as bandages, Band-Aids™, gauze pads, etc.; or using
butterfly bandages or Steri-Strips™ (NOTE: other wound closing devices such as sutures, staples,
etc., are considered medical treatment);

5. Using hot or cold therapy;


6. Using any non-rigid means of support, such as elastic bandages, wraps, non-rigid back
belts, etc. (NOTE: devices with rigid stays or other systems designed to immobilize parts of the body are
considered medical treatment for recordkeeping purposes);

7. Using temporary immobilization devices while transporting an accident victim (e.g.,


splints, slings, neck collars, back boards, etc.).
8. Drilling of a fingernail or toenail to relieve pressure, or draining fluid from a blister;
9. Using eye patches;
10. Removing foreign bodies from the eye using only irrigation or a cotton swab;
11. Removing splinters or foreign material from areas other than the eye by irrigation,
tweezers, cotton swabs or other simple means;
12. Using finger guards;
13. Using massages (NOTE: physical therapy or chiropractic treatment are considered medical treatment
for recordkeeping purposes); or

14. Drinking fluids for relief of heat stress.

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