510 EM 385-1-1 Chapters 1-8

Chapter 3: Medical and First Aid

This chapter emphasizes the importance of medical and first aid preparedness in the workplace, detailing requirements for first aid kits, personnel qualifications, and the establishment of first aid stations and health clinics.

Two workers providing first aid to person laying on stretcher

This chapter focuses on the critical aspects of Medical and First Aid

It underscores the necessity for current certifications in first aid and CPR for first aid attendants, along with specific training for handling bloodborne pathogens and the proper use of Automated External Defibrillators (AEDs).

The chapter also outlines the rigorous inspection and maintenance protocols for first aid supplies and equipment, advocating for a proactive approach to workplace safety. This includes the creation of site-specific Exposure Control Plans to effectively manage potential exposures to blood or other infectious materials, ensuring a well-prepared response to medical emergencies and the overall health protection of employees.

3-1. References.

EM 385-1-1 Paragraph 3-1.

3-1. References.

a.  ANSI/International Safety Equipment Association (ISEA) Z308.1, Minimum Requirements for Workplace First Aid Kits and Supplies (https://webstore.ansi.org/) (3-1.a)
b.  Centers for Disease Control and Prevention (CDC), Travelers Health (https://wwwnc.cdc.gov/travel)  (3-1.b)

c.  Defense Centers for Public Health – Aberdeen  (https://phc.amedd.army.mil/Pages/default.aspx)  (3-1.c)

d.  Department of Health and Human Services, General Services Administration, “Guidelines for Public Access Defibrillation Programs in Federal Facilities,” Federal Register (FR), Volume 74, Number 156, p.4113-41139 (August 14, 2009) (https://foh.psc.gov/services/aed/fmr_bulletin_09-b2- guidelines_public_access_defib_in_federal_facilities.pdf#:~:text=SUMMARY%3A%20O n%20May%2023%2C%202001%2C%20the%20Department%20of,sponsoring%20the
%20program%20and%20not%20GSA%20or%20HHS)  (3-1.d)

e.  OSHA 3317-06N 2006, OSHA Best Practices Guide, Fundamentals of a Workplace First Aid Program (https://www.osha.gov/sites/default/files/publications/OSHA3317first-aid.pdf) (3-1.e)

f.  29 CFR 825.125, Definition of Health Care Provider (https://www.govinfo.gov/content/pkg/CFR-2022-title29-vol3/pdf/CFR-2022-title29-vol3- sec825-125.pdf)  (3-1.f)

g.  29 CFR 1910.151, Medical Services and First Aid (https://www.govinfo.gov/content/pkg/CFR-2019-title29-vol5/pdf/CFR-2019-title29-vol5- sec1910-151.pdf)  (3-1.g)

h.  29 CFR 1910.1030, Bloodborne Pathogens (https://www.govinfo.gov/content/pkg/CFR-2019-title29-vol6/pdf/CFR-2019-title29-vol6- sec1910-1030.pdf)  (3-1.h)

i.  29 CFR 1926.50, Medical Services and First Aid (https://www.govinfo.gov/content/pkg/CFR-2019-title29-vol8/pdf/CFR-2019-title29-vol8- sec1926-50.pdf)  (3-1.i)

3-2. Definitions.

EM 385-1-1 Paragraph 3-2.

3-2. Definitions

a.  First Aid Attendant.  First Aid Attendants provide first aid and medical attention that is usually administered immediately after the injury occurs and at the location where it occurred. It often consists of a one-time, short-term treatment and requires little technology or training to administer.  First aid can include cleaning minor cuts, scrapes, or scratches; treating a minor burn; applying bandages and dressings; the use of non- prescription medicine; draining blisters; removing debris from the eyes; massage; and drinking fluids to relieve heat stress.  First Aid attendants will use the OSHA Best Practices Guide, Fundamentals of a Workplace First Aid Program OSHA 3317-06N 2006.  (3-2.a)

b.  Health Care Provider.  A Health Care Provider is:  (3-2.b)

(1)  A doctor of medicine or osteopathy who is authorized to practice medicine or surgery (as appropriate) by the state in which the doctor practices; or

Note. State means any state of the United States or the District of Columbia or any Territory or possession of the United States.

Note.  The phrase authorized to practice in the state as used means that the provider must be authorized to diagnose and treat physical or mental health conditions.

(2)  Any other person determined by the Secretary of Labor or authorized representative to be capable of providing health care services.  Including but not limited to (See 29 CFR 825.125 for other health care services providers):

(a)  Podiatrists, dentists, clinical psychologists, optometrists, and chiropractors (limited to treatment consisting of manual manipulation of the spine to correct a subluxation as demonstrated by X-ray to exist) authorized to practice in the state and performing within the scope of their practice as defined under state law.

(b)  Nurse practitioners, nurse-midwives, clinical social workers, and physician assistants who are authorized to practice under state law and who are performing within the scope of their practice as defined under state law.

Note. A health care provider listed above who practices in a country other than the United States, who is authorized to practice according to the law of that country, and who is performing within the scope of his or her practice as defined under such law is capable of providing health care services.

c.  First Aid Station.  The place at an event where people can go for medical treatment if they become ill or are injured.  (3-2.c)

d.  Other Potentially Infectious Materials.  Human body fluids (that is, semen, vaginal secretions, cerebrospinal fluid, synovial fluid, pleural fluid, pericardial fluid, peritoneal fluid, amniotic fluid), any body fluid that is visibly contaminated with blood, and all body fluids where it is difficult or impossible to differentiate or identify; unfixed human tissues or organs; and human immunodeficiency virus (HIV)-containing cell or tissue cultures, organ cultures, and HIV- or hepatitis B virus (HBV)-containing culture medium or other solutions, or blood, organs, or other tissues infected with HIV or HBV. (3-2.d)

e.  Near Proximity.  Emergency care must be available within no more than 3-4 minutes from the workplace.  (3-2.e)

510 EM 385-1-1 Chapters 1 - 8

Chapter 3: Medical and First Aid

3-1. References.

3-1. References.

3-2. Definitions.

3-2. Definitions