New Health Service regulations CAPR 160-1 (3 June 2013)

[RNOfficer]

http://www.capmembers.com/media/cms/R160_001_AA05CF4BF3FC5.pdf

[Eclipse]

No significant changes. Makes the current state more clear.

[lordmonar]

Did you see the line about providing First Aid Training?

[Eclipse]

Yes.  Removes the ambiguity on the issue.

This also makes it clear that any medical care provided in excess of First Aid means you are not acting as an agent of CAP.
I would say that 1-6a also pretty much kiboshes triage and other medical corps that we see at encampments and similar
activities.

[lordmonar]

Yep.....they just left out the definition of "first aid" 

[Eclipse]

Yep.....they just left out the definition of "first aid" 

Which will cause plenty of arguments as we bounce-back CPR/AED cards, which now seem to be fairly ubiquitous in schools these days.

[sarmed1]

Interestingly I found this earlier while looking for a definition:
First aid is governed by federal and state laws, which vary by jurisdiction. The following is a list from OSHA that identifies those injuries that may be considered first aid for OSHA purposes:

"OSHA 1904.7 (b)(5)(ii):

(A) Using a non-prescription medication at non-prescription 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 record keeping 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 would 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 record keeping 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 record keeping purposes);

(N) Drinking fluids for relief of heat stress.

mk

[Eclipse]

3 pages on the duties and training for HSOs, including verbiage on First Aid, etc., and 10 on medical information, cadets meds, and forms.

[Eclipse]

Interestingly I found this earlier while looking for a definition:
First aid is governed by federal and state laws, which vary by jurisdiction. The following is a list from OSHA that identifies those injuries that may be considered first aid for OSHA purposes:

"OSHA 1904.7 (b)(5)(ii):

(A) Using a non-prescription medication at non-prescription 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 record keeping 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 would 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 record keeping 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 record keeping purposes);

(N) Drinking fluids for relief of heat stress.

mk

So now the question is, will they update 60-3 to remove the definition of "First Aid", or leave it and again have two regs that, while not
directly conflicting, will have multiple documents purporting to be authoritative for the same things.

One more time where something simple is left to interpretation and "discussions".

Why not just mandate First Aid for all members as part of GES and call it a day?

[sarmed1]

........ would say that 1-6a also pretty much kiboshes triage and other medical corps that we see at encampments and similar
activities.

I disagree; I think only limits what they can do; ie the medical care provided is limited to the areas defined by the regulation (ie the undefined area of "first aid").  Like section 1-7- General Duties of Health Services Personnel.  5-4 seems to be specifically geared toward encampments and similar activities

Interestingly it seems1 -6 actually contradicts itself in that it limits any "CAP member .....or in any other role that would permit the administration and dispensing of drugs under various federal and state laws and regulations"... but 4-5b says "Non-prescription medications may be given to minor cadets as needed and according to package directions by CAP senior members, if permission has been given in writing by the cadet's parent or guardian."  I feel fairly certain that federal and state laws define and regulate non-prescription medications.

mk

[Eclipse]

Sorry, I meant 1-6b.

"b. Medical care within CAP is limited to emergency first aid and may be provided only
by members with appropriate training and experience. Such care shall continue only until
professional medical care can be obtained."

Was this ever put out for comment?

Frankly, if you connect all the dots, there are several places that contradict, or leave things more ambiguous then necessary.

As always, the average member, using average common sense will have no issue, but those aren't the members who cause the
"issues".

[sarmed1]

Even more ambiguity; professional medical care.... could be somewhat subjective.

I doubt this ever came out for comment;  there is no way it would have not been noticed by someone on this board an posted for all to view.

mk

[Eclipse]

I agree, leaving this open to "why does this have to be so hard?"  One thing I really hate is spending a lot of time
on a document or presentation and then having people find nit-picky errors, but what I hate even more is when those errors
are brought up >after< publication.  I'd much rather they be found in a draft vs. a final.  Now if these things weren't still being
treated like stone tablets, and could just be corrected or amended on the fly, there's be less to whine about.

With regards to the definition of "First Aid", 60-3 is pretty specific - it should meet OSHA's standards for occupational FA, even to the
point of referencing a specific document as the standard.

So 60-3 + 160-1, in this regard, doesn't leave much room.  There's only going to be so many programs that meet that criteria.