Emergency bag composition. First aid kit medical universal

How to equip an enterprise with first aid kits to provide first aid to workers

The employer is obliged to provide sanitary, household and treatment-and-prophylactic services for employees, including creating sanitary posts with first aid kits for first aid (Article 223 of the Labor Code of the Russian Federation).

From January 1, 2012, first-aid kits must comply with the requirements approved. by order of the Ministry of Health and Social Development of Russia dated 05.03.2011 No. 169n(hereinafter - Order No. 169n).

Who is in charge of the first aid kit

The organization must appoint an employee who will purchase, store the first aid kit and be responsible for its contents. For this, the head of the organization must issue an appropriate order. Such functions can be assigned to an employee of an organization who has been trained in providing first aid to victims at work, and no special training is required.

As examples of the appointment of workers responsible for the first-aid kit, extracts from industry regulations can be cited:

The employee responsible for the first-aid kit timely replenishes its contents (as it is used or expires). To do this, keep a register of the use of products. medical purpose when providing first aid ( Annex 1) and draw up applications for the purchase of medical devices ( Appendix 2). The frequency of checks of the first aid kit for completeness is not clearly defined by legislation. This issue can be resolved locally normative act, for example, in the order on ensuring the complete set of first aid kits for providing first aid to workers ( Appendix 3).

What should be in the first aid kit

The complete set of medical first aid kits for providing first aid to workers is determined by Order No. 169n. This should include:

medical products for temporarily stopping external bleeding and dressing wounds (for example, hemostatic tourniquet, bandages, adhesive plasters);

device for cardiopulmonary resuscitation;

other medical products (isothermal blanket, medical gloves, etc.);

Where to store the first aid kit

The employer is obliged to create sanitary posts with first aid kits for first aid (Article 223 of the Labor Code of the Russian Federation). Posts are positioned in such a way that workers, if necessary, can quickly access them.

On the walls and doors of the premises where the first-aid kits are located, it is necessary to place the sign of the first-aid kit - a white cross on a green background (Table I2 GOST R 12.4.026-2001).

The placement of first aid kits should be indicated on the evacuation plan.

How many first aid kits should be in the organization

The number of first-aid kits and their completeness are established by the head of the organization together with health worker and (or) an occupational safety specialist.

There is no uniform requirement for the number of first-aid kits in enterprises - each employer must have at least one first-aid kit. Refer to industry regulations for accurate information.

Should there be medicines in the medicine cabinet?

It is prohibited to include drugs in a first aid kit. For this violation of the law, the employer may incur administrative responsibility (Article 5.27 of the Code of Administrative Offenses of the Russian Federation).

Medicines can be used only if the company obtains a license to carry out medical activities.

First aid should be provided by a person who has medical education... If an incident occurs at work, you need to urgently call specialists and provide the victim with peace. It is unacceptable to dispense medications - the drug may cause an unpredictable allergic reaction.

What are the penalties for not having a first aid kit

Administrative liability is provided for the lack of a first aid kit. It comes in accordance with Part 1 of Art. 5.27 of the Administrative Code of the Russian Federation and provides for the imposition of the following fines:

for officials - from 1 thousand to 5 thousand rubles;

on persons carrying out entrepreneurial activity without forming a legal entity - from 1 thousand to 5 thousand rubles;

on the legal entities- from 30 thousand to 50 thousand rubles.

How to dispose of first aid kits

The composition of first aid kits does not include medicines (Order No. 169n), therefore, there are no special requirements for their disposal. Therefore, the entire contents of the first aid kit can be disposed of as solid household waste ( the federal law dated 24.06.1998 No. 89-FZ"On production and consumption waste").

Annex 1

Appendix 2

Appendix 3

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Each organization must have a first-aid kit for workers by order of 169n. Its composition cannot differ from the approved one. So what should be in such a first-aid kit and what are the requirements of the Ministry of Health for its placement and use? Answers in the article.

According to the norms in each organization or at individual entrepreneur where people work, it is imperative that sanitary and household medical support workers. In addition to equipped places for eating and hygiene, rooms or areas for the provision of medical care should be equipped in accordance with these requirements. At each such post, there must be medical kits by order of 169n of the Ministry of Health and Social Development of the Russian Federation. This document defines the equipment and the amount of funds that should be at hand in case of unforeseen situations.

Equipment for dressings and medicines

First-aid kit, industrial software, the composition of which is developed taking into account the features labor activity citizens, should be equipped with means for temporarily stopping bleeding and dressing wounds, as well as products for cardiopulmonary resuscitation. A complete list of medical devices that must be completed with each first-aid kit is given in the appendix to the specified order. It is comprehensive. This means that the employer does not have the right to replace the products and drugs provided by him at his own discretion. In addition, everything should be in a complete set, a decrease in the amount of necessary funds is not allowed, but their increase is not prohibited. Especially if the employer proceeds from the specific needs of its employees and the characteristics of the types of activity.

At least one first-aid kit is provided for one organization or individual entrepreneur, however, if the state is large and there are many distant premises, there should be several of them.

So, in the selection of medicines the main role plays order 169n. According to his version, the complete set of first aid kits should look like this:

Obviously, the table contains not just the names of items and medicines, but also the GOST regulating their quality. It is imperative to pay attention to this when completing. A tool that does not comply with GOST can be regarded by inspectors as having been arbitrarily replaced. In addition, it is impossible to deviate from the established sizes of dressings, pins and gloves. The last two items of the table - a pen and a notebook - are not items for first aid, but their presence is mandatory, and the inspectors will have logical questions if these two items are not in the first aid kit.

Where should the first aid kit be kept and who is responsible for it?

Usually, the person responsible for providing employees with the items necessary for labor protection is the head of the organization. Therefore, first of all, he is personally responsible for how the order of the Ministry of Health 169n is observed: the list of the first-aid kit according to SanPIN, its availability and other related issues. It is advisable to issue an order for the company on the assembly of the first-aid kit and the appointment of a responsible person, as well as on the determination of the place for its storage.

Of course, ideally, if the company has a health worker, it is best to entrust him with the acquisition of all necessary drugs, control over their completeness and checking the expiration dates (by the way, after their expiration, all drugs must be changed to new ones). But if there is no such specialist, then this function can be taken over by an occupational safety engineer with first aid skills, or any other employee. Labor legislation and general regulatory legal acts do not provide for a list of such workers, but in industry regulatory legal acts it can be found that this role can be assumed by:

• the head of the organization himself;
• heads of departments;
• heads of departments or sections.

About this, in particular, in question in paragraph 2.6.1 of the Sanitary Rules for the Organization of Freight Transportation by Rail, approved by the Chief San. doctor 24.03.2000.

As for the storage location of the first aid kit, it must be kept in an easily accessible place. Therefore, the office of the responsible person will be an unfortunate choice, because in his absence, access to medicines will be limited. Therefore, you need to choose a room that is not locked with a key during working hours.

Responsibility for the lack of a first aid kit

Responsibility for the fact that the company does not have a first-aid kit for workers is provided for by order 169n. This article provides for administrative punishment for violation of legislation in the field of ensuring the sanitary and epidemiological well-being of the population. Therefore, if a company has violated the current sanitary rules and hygienic standards, an administrative fine in the amount of 10,000 to 20,000 rubles may be imposed on it, or its activities may be suspended for up to 90 days. Entrepreneurs can be fined from 500 to 1000 rubles or also banned from working for up to 90 days. Officials will pay a fine of up to 1,000 rubles.

Download the standard composition of the General purpose universal first aid kit for first aid with a brief description

A universal general-purpose medical kit can be used as soon as necessary to provide first aid (relevant for 2016 and 2017):

• at enterprises
• in the office
• at home
• on trips
• in educational institutions
• in social services, etc.

The base of a general-purpose medical universal first aid kit can be expanded to fit your needs.
Before moving on to the composition of a standard universal first-aid kit, consider the main situations for providing the first first aid.

1. Cut, wound. Treatment with an antiseptic (, brilliant green), the application of an adhesive plaster is required. If the wound is large, it is necessary to apply a bandage from a bandage (if necessary, also a tourniquet). With severe pain and fever, take an anti-inflammatory drug. If infection is suspected, antibiotic therapy should be initiated. In the future, apply a wound-healing ointment or Pantestin.
2. Fractures, injuries, bruises. The patient should be immobilized until an ambulance arrives. Give pain reliever. Apply ice. To reduce swelling and the appearance of a hematoma (bruise), apply heparin ointment at the site of the injury.
3. Headache. Suffice it to take an analgesic. With high blood pressure - antispasmodic.
4. Burn. Depending on the degree of damage, first aid should be provided for burns. Necessary funds: Panthenol, Levomekol ointment.
5. Pain in the region of the heart. If you suspect an attack of angina pectoris, you need to take Nitroglycerin. Before the arrival of the ambulance, take Validol, Corvalol.
6. Poisoning, indigestion, vomiting. The reception of a sorbent is shown (), Regidron - to restore the water-electrolyte balance + if there is a suspicion of infectious poisoning,. With greasy diarrhea (diarrhea) - or.
7. Stomach cramps. Reception is shown or.
8. Stressful situations... Tablets with Valerian extract, Corvalol or.
9. Increased body temperature, colds. Paracetamol, complex teas for colds:, Teraflu.
10. Allergic reaction. In case of a strong allergic reaction (extensive edema, shortness of breath, loss of consciousness) - take measures as in anaphylactic shock. You must have epinephrine, Dexamethasone (or hydrocortisone) in ampoules, Suprastin.

The final composition of a standard universal general purpose first aid kit.

* the minimum number of bandages in the first aid kit- 2 pcs.

Download this table for printing

According to the laws, the first-aid kit must contain dressings, a tourniquet to stop bleeding, plasters, pins, a device for artificial respiration, etc. Everything medical supplies first-aid kits are divided into four groups - for stopping bleeding and dressing wounds, for cardiopulmonary resuscitation, as well as medical products and other medical supplies. But there are no medicines in the first-aid kit, since only a doctor can prescribe drugs, and the contents of the first-aid kit will help with bruises, cuts, burns and other accidents. There are clear requirements for the kitting of a first-aid kit, determined by the Ministry of Health.

The employer is responsible for the availability of a first-aid kit at the enterprise. For her absence, an administrative penalty may follow. Officials can be fined from one to five thousand rubles, and legal ones from 30 to 50 thousand, and the activities of an enterprise can be suspended for up to 90 days. If the employer violates the law again, then his activities may be suspended for a period of one to three years.

font-family: Calibri; color: black "> The first aid kit should contain the following Medical devices and Medicines for first aid:

Calibri; color: black "> 1. Medical products for temporary arrest of external bleeding and wound dressing:

Hemostatic tourniquet - 1 pc .;

Hemostatic bandage, 6 cm x 10 cm No. 5 - 1 pack;

Non-sterile medical gauze bandage (5 mx 5 cm) - 1 pc .;

Non-sterile medical gauze bandage (5 mx 10 cm) - 1 pc .;

Non-sterile medical gauze bandage (7 mx 14 cm) - 1 pc .;

Sterile medical gauze bandage (5 mx 7 cm) - 1 pc .;

Medical sterile gauze bandage (5 mx 10 cm) - 2 pcs.;

Medical sterile gauze bandage (7 mx 14 cm) - 2 pcs.;

Medical individual sterile dressing bag with a sealed sheath - 1 pc .;

Sterile medical gauze napkins (at least 16 x 14 cm N 10) - 1 pack;

Antimicrobial napkins with sticky edges, 10 cm x 14 cm No. 5 - 1 pack;

Non-sterile cotton wool, 50 g

Bactericidal adhesive plaster (at least 4 cm x 10 cm) - 2 pcs.;

Bactericidal adhesive plaster (not less than 1.9 cm x 7.2 cm) - 10 pcs.;

Rolled adhesive plaster (at least 1 cm x 250 cm) - 1 piece;

font-family: Calibri; color: black "> 2. Mouth-device-mouth artificial respiration device.

font-family: Calibri; color: black "> 3. Hypothermic cooling package.

font-family: Calibri; color: black "> 4. Medicines:

Nonwoven wipes with ammonia solution;

Validol, tab. no less than No. 6;

Analgin, tab. No. 10;

Burn remedy;

Yoda alcohol solution 5%, 10 ml;

Corvalol, 15 ml;

Nitroglycerin, capsules No. 20;

Napkin with propolis and furagin, 6 cm x 10 cm No. 5;

Sodium sulfacil solution 20%, 5 ml;

Activated carbon, tab. No. 10.

5. Medical devices:

Scissors for cutting dressings according to Lister - 1 pc .;

Antiseptic wipes made of paper textile-like material, sterile alcohol (not less than 12.5 x 11.0 cm) - 5 pcs .;

Medical non-sterile examination gloves (size not less than M) - 2 pairs;

Medical non-sterile three-layer mask made of non-woven material with elastic bands or with ties - 2 pcs.;

Medical thermometer;

A glass for taking medicine.

6. Other funds:

Steel safety pins with a spiral (not less than 38 mm) - 3 pcs .;

Tear-off notebook for notes (format not less than A7) - 1 pc .;

font-family: Calibri; color: black "> The medical devices included in the first aid kit for first aid to workers cannot be replaced. After the expiration date of the medical devices included in the first aid kit, or if they are used, the first aid kit must be refilled ...

There are boxes, bags or cosmetic bags with medicines and medical supplies in every home. A first aid kit is an indispensable set. You can be absolutely healthy, but one day you will have a wild headache or a cold, for example. At this moment, you will not want to run to the pharmacy for medicines for sure. In this case, a rescue kit will come to the rescue, in which, just in case, a variety of medicines should be stored.

What should be included in a first aid kit?

Of course, you will not be able to protect yourself from all injuries and illnesses in the world. But based on many years of medical experience and the characteristics of your own body, you can easily make a list of the most necessary drugs and materials.

So, it is very desirable that a universal first aid kit contains the following means:

1. The most common problem of our time is headaches. They arise due to overvoltage, fatigue, magnetic storms and a host of other factors. Sometimes it is impossible to tolerate them, so the anesthetic in the arsenal will not be superfluous. This could be:

• Aspirin;
• Analgin;
• Citramon;
• Has;
• Solpadein.

If you are familiar with migraines, you should definitely put some kind of antispasmodic, like Spazmalgon or Spazmalgon, in the first-aid kit.

2. The indispensable components of the "saving suitcase" are brilliant green and iodine. Hydrogen peroxide is a great addition to this list. Even if you do not have children, and you yourself are distinguished by accuracy, it will not hurt to have these medicines - no one is immune from accidental injuries. With such a set, you will quickly and effectively treat any wound, protecting yourself from infection.

3. The standard equipment of a first aid kit certainly includes antihistamines:

• Suprastin;
• Lorano;
• Diazolin and others.

4. Another component is a tourniquet or a medical rubber tube, the length of which must be at least one hundred centimeters.

5. Be sure to have sorbents and medicines for the gastrointestinal tract in any first-aid kit:

• Activated carbon;
• White coal;
• Almogel;
• Atoxil;
• Duphalac;
• Polysorb.

They will help with poisoning, save from diarrhea.

6. Ammonia will quickly bring you to your senses when you faint.

7. Even if you do not suffer from cardiovascular diseases, it will not hurt to put valerian tincture in the first aid kit for first aid. This remedy is used for tachycardia. It also helps to cope with nervous excitement. Those who are familiar with angina attacks should definitely have Nitroglycerin with them.

8. Antipyretics, like Paracetamol, quickly relieve fever and improve well-being. A thermometer will help control the patient's condition.

9. Most universal kits contain Ichthyol or Vaseline.

10. In addition to medicines, first aid kits include dressing materials:

• bandages;
• sterile gauze wipes;
• alcohol wipes;
• cotton wool;
• patch;
• latex gloves;
• tweezers.

All drugs in the kit should be one or two packs.

Light, moisture and high temperatures have a negative effect on medicines. That is why it is advisable to store all medicines in a tightly closed box or bag that does not transmit light.

The expiration date of any ointments and tablets is indicated on the packaging - make sure that there are no expired drugs in the first-aid kit.

Ointments, creams and other greasy-based products should be stored when low temperatures- preferably in the refrigerator. If they develop a fetid odor, the medication should be disposed of immediately.