First aid 是如何定义 的?
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First aid 是如何定义的?
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- 1楼辽宁省大连市 联通访客
- 2012-04-15 12:35
可以参考‘OSHA Recordkeeping Handbook’,里面有非常详细的定义,在Section 1904.7(b)(5)(i)。
完整的handbook可以在这里查看:http://www.osha.gov/recordkeeping/handbook/index.html#1904.5_1
下面是摘录的关于FA的定义:(有很多争议或者模糊的case,handbook里面都有详细解释和Q&A的)
The final rule, at Section 1904.7(b)(5)(i), defines medical treatment as the management and
care of a patient for the purpose of combating disease or disorder. For the purposes of Part
1904, medical treatment does not include:
(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 (e.g., eye drops
to dilate pupils); or
(C) "First aid" as defined in paragraph (b)(5)(ii) of this section.
The final rule, at paragraph (b)(5)(ii), defines first aid as follows:
(A) Using a nonprescription medication at nonprescription strength (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).
(B) Administering tetanus immunizations (other immunizations, such as hepatitis B vaccine or rabies vaccine, are
considered medical treatment).
(C) Cleaning, flushing or soaking wounds on the surface of the skin;
(D) Using wound coverings, such as bandages, Band-Aids®, gauze pads, etc.; or using butterfly bandages or Steri-Strips®
(other wound closing devices, such as sutures, staples, etc. are considered medical treatment);
(E) Using hot or cold therapy;
(F) Using any non-rigid means of support, such as elastic bandages, wraps, non-rigid back belts, etc. (devices with rigid
stays or other systems designed to immobilize parts of the body are considered medical treatment for recordkeeping
purposes);
(G) Using temporary immobilization devices while transporting an accident victim (e.g., splints, slings, neck collars, back
boards, etc.)
(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 are considered medical treatment for recordkeeping
purposes);
(N) Drinking fluids for relief of heat stress.
This list of first aid treatments is comprehensive, i.e., any treatment not included on this list is not considered first
aid for OSHA recordkeeping purposes. OSHA considers the listed treatments to be first aid regardless of the
professional qualifications of the person providing the treatment; even when these treatments are provided by a physician,
nurse, or other health care professional, they are considered first aid for recordkeeping purposes...
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FIRST AID VS. MEDICAL TREATMENT |
CATEGORY |
FIRST AID |
MEDICAL TREATMENT |
Medication |
Over-the-counter |
Prescription medication
Nonprescription medication at prescription dosage
|
Immunizations |
Tetanus
Hepatitis (preventive)
|
Hepatitis (in response to an exposure incident)
Rabies (to treat a specific injury)
|
Cleaning or soaking wounds on the surface of the skin |
Always first aid even if multiple applications |
Not applicable |
Wound coverings |
Band-Aids
Steri-Strips
Butterfly adhesives
|
Sutures
Staples
Glues and tapes for closure of the would
|
Hot or cold therapy |
Always first aid even if administered by medical personnel |
Not applicable |
Supports |
Wraps
Wristlets
Elastic bandages
Non-rigid supports
|
Casts
Splints
Orthopedic devices for immobilization
|
Immobilization devices |
During initial transport:
Backboard
Neck collar
Air splint
|
Rigid back belts-
The use of cast splints or orthopedic devices (generally with stays or non binding support) designed to immobilize a body part to permit it to rest and recover is medical treatment since they are typically prescribed by a PLHCP and are for long term use for serious injuries or illnesses.
Splints and other devices after initial transport
|
Drilling a finger or toe nail or lancing a blister |
Always first aid |
Not applicable |
Eye patches |
Always first aid |
Not applicable |
Removal of foreign bodies from the eye |
Irrigation
Cotton swab
|
Embedded or adhered objects which require more complicated procedures |
Removal of foreign bodies (other than the eye) |
Irrigation
Tweezers
Cotton swabs
Other simple means
|
Complicated procedures
Excision of tissue
|
Finger guards |
Always first aid |
Not applicable |
Massages |
Always first aid |
Physical therapy
Chiropractic manipulation
|
Drinking fluids for heat stress relief |
Always first aid |
Intravenous injections
Diagnosis of heat syncope (fainting)
|
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任何需要一次性治疗的职业伤害或疾病。也包括以观察为目的的进一步检查。
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