COMDTINST 12792.3
MAR 31 1993
3. (cont'd) A limited health care program shall provide health education, counseling, and the
following services when the capabilities exist and within the following constraints:
a. Treatment for minor illnesses (e.g., colds, sore throats, etc.) to enable the employee to
complete the current work shift before consulting a personal physician.
b. Treatment of injuries incurred on the job. Initial evaluation for on-the-job injuries will be
made by health services personnel. With the exception of emergency first aid and/or
lifesaving measures, the extent of care provided will depend on the severity of the injury
and the capabilities of the health care facility. In the case of injuries not involving
emergency first aid or lifesaving measures, the patient shall be provided treatment and/or be
referred to the civilian or other Federal source of health care as designated by the patient.
Such referrals to other sources of health care constitute a disengagement by the Coast Guard
regarding the medical management of the patient's episode of care. Billing the Coast Guard
for care received from a nonfederal provider after release or referral by the Coast Guard is
not authorized unless explicitly pre-authorized by the appropriate Commander (k),
Maintenance and Logistics Command. In all cases the patient's supervisor shall be made
aware of the situation, so that the proper reports can be initiated.
c. A routine immunization program, on a patient-consent basis, shall be offered for the
following situations:
(1) occupational hazards;
(2) employment-related immunizations, e.g., inter- national travel in conjunction with
official business;
(3) prevention of diseases or possible epidemics among the employee population (e.g.,
influenza); and
(4) prophylactic protection against diseases due to minor or major injury (e.g., tetanus).
d. Occupational Medical Monitoring Program (OMMP) physical examinations are offered only
to identified "at risk" civilian personnel and shall be performed in accordance with Chapter
12, COMDTINST M6000.1 (series), Medical Manual. A list of identified "at risk" civilian
personnel, maintained by Commandant (G-KSE), is routinely forwarded to Commander (k),
Maintenance and Logistics Commands to serve as a guide for payment for these
examinations.
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