Q65 - Dislocated Finger

Question:  An employee dislocates a finger while working on the job. The onsite nurse puts the finger back in place and accompanies the employee to the occupational health clinic for x-rays. The x-ray reveals there is no fracture in the bone. The doctor prescribes over-the-counter ibuprofen and has the nurse tape the finger for the employee. Is it recordable?

Answer: NO. Dislocation of a finger is not in the general recording criteria. The x-ray revealed no bone fracture, the meds prescribed were over-the-counter strength, and using tape is considered a non-rigid means of support. The employee was returned to full duty. 1904.7(b)(7) What is a "significant" diagnosed injury or illness that is recordable under the general criteria even if it does not result in death, days away from work, restricted work or job transfer, medical treatment beyond first aid, or loss of consciousness? Work-related cases involving cancer, chronic irreversible disease, a fractured or cracked bone, or a punctured eardrum must always be recorded under the general criteria at the time of diagnosis by a physician or other licensed health care professional. 1904.7(b)(5)(ii)(A) Using a non-prescription 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); 1904.7(b)(5)(ii)(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)

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