We are covering the Topic on Medical Kits and First Aid!

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. To do this, the head of the organization must issue an appropriate order. Such functions can be assigned to an employee of the organization who has been trained in providing first aid to victims at work, and no separate special training is required.

As examples of appointing workers responsible for the first aid kit, we can cite excerpts from industry regulations:

The employee responsible for the first aid kit replenishes its contents in a timely manner (as they are used or expire). To do this, they keep a log of the use of medical products when providing first aid (Appendix 1) and fill out applications for the purchase of medical products (Appendix 2). The frequency of checks of the first aid kit for completeness is not clearly defined by law. This issue can be resolved in a local regulatory act, for example, in an order to ensure the provision of first aid kits for providing first aid to employees (Appendix 3).

Additional equipment for the first aid kit

For a number of areas of activity, auxiliary composition requirements have been approved. They are prescribed in sanitary regulations: SanPiN, SP. They may also be contained in industry documents. For example, an enterprise specializing in working with metal should have validol, analgin, and Zelenin drops in its first aid kit. The corresponding list is contained in Appendix 8 of the joint venture for mechanical shops No. 5160-89 dated December 7, 1989, approved by the Chief Sanitary Doctor.

Printing industries also need to purchase additional funds.

Printing industries also need to purchase additional funds. In particular, the first aid suitcase should contain tires, iodine, baking soda, hydrogen peroxide, and ammonia.

Only those drugs that can be used without a doctor’s prescription are purchased.

Plate shops need neutralizing solutions. They are useful for acid and alkali burns. The person responsible for additional equipment is the head of the workshop or section.

Pulp, paper and wood chemical entities must have in their first aid kit all medications that may be required to provide assistance. The list of additional drugs is approved either by representatives of the medical unit or by the health center. The corresponding rule is given in paragraph 1.333 of the Labor Safety Rules for pulp, paper and wood chemical enterprises dated June 6, 1997.

IMPORTANT! Replenishment should be carried out if there are valid grounds for this. The corresponding decision is fixed in the collective agreement.

What should be in the first aid kit

The complete set of medical 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);
• cardiopulmonary resuscitation device;
• other medical products (isothermal blanket, medical gloves, etc.);
• other means (for example, a fountain pen).

Order on appointing someone responsible for the first aid kit at the enterprise

1 To approve the provision of first aid kits with medical products (hereinafter referred to as Products) for providing first aid to workers (Appendix No. 1) 3 To the heads of workshops, I.I. Sidorov. Petrov I.I. fill out applications for the purchase of Products for the purpose of completing first aid kits in accordance with Appendix No. 1.

Deadline: April 10, 2012 4 Warehouse manager Ivanova I.I. – ensure the purchase of medicines and drugs in accordance with submitted applications and ensure the availability of a reserve quantity of Products in the warehouse for immediate replacement of used medicines and drugs in first aid kits.

Notify the heads of workshops about the receipt of Products at the warehouse. Deadline: April 20, 2012 5 Heads of workshops Sidorov I.I.

Petrov I.I. equip first aid kits with Products in strict accordance with the composition specified in Appendix No. 1. Term – within 1 day from the moment the medicines arrive at the warehouse.

Order on a first aid kit in an organization

In accordance with the requirements of Article 223 of the Labor Code of the Russian Federation and the requirements for equipping first aid kits with medical products for providing first aid to workers, approved by Order of the Ministry of Health and Social Development of the Russian Federation No. 169n dated 03/05/2011 1.

Approve the list of medical products required to be included in the medical kit of AgitProsvet LLC (Appendix 1 to this order). 2.

Appoint the manager of the farm, O.B. Milkin, as the person responsible for purchasing and storing a first aid kit for providing first aid to employees.

First aid kit for providing first aid to employees (order No. 169n) (plastic cabinet)

The first aid kit for medical workers (order No. 169n) is packed in a plastic cabinet. First aid kits comply with the order of the Ministry of Health and Social Development of the Russian Federation

“On approval of requirements for the provision of first aid kits with medical products for providing first aid to employees”

No. 169n dated 03/05/2011. Accepted for equipping departments of organizations, enterprises and institutions from January 1, 2012.

Produced in four versions: in a plastic suitcase, plastic and metal cabinets, and in a bag.

Hi all!

A BONUS to everything will be samples and examples of orders, etc. Providing sanitary, medical and preventive services for workers in accordance with labor protection requirements is the responsibility of the employer.

For these purposes, the employer, in accordance with established standards, equips sanitary premises, premises for eating, premises for providing medical care, rooms for rest during working hours and psychological relief; sanitary posts are being created with first aid kits stocked with a set of medicines and first aid preparations; apparatus (devices) are installed to provide workers in hot shops and areas with carbonated salt water, and more.

First aid kit: worker safety, peace of mind for the employer

The primary responsibility of any employer is to ensure a safe working environment for the employee.

What to do if an emergency situation occurs or, even worse, an accident?

According to dry statistics, most cases of deterioration in the well-being of victims are caused by improper provision of first aid, or failure to provide this assistance at all.

To provide basic first aid before the arrival of doctors, you need a basic set of medical supplies, i.e. first aid kit.

However, here the question arises, what list of medicines should be in a first aid kit, what are the rules for storing first aid kits, how is this process documented and what is the responsibility for the absence of a first aid kit? However, it is worth noting the fact that without the appropriate education (diploma of specialized secondary or higher medical education), a license and a specialist certificate for medical activities, it is strictly prohibited to make any injections, pierce or cut the skin of the victim.

Question from Sergey: Is it necessary to provide departments, production workshops, etc. with first aid kits?

if the company has a stationary medical center? Is it possible for a welder to undergo a medical examination at a hospital clinic?

Answer: The presence of a stationary medical station at an enterprise does not relieve the employer from the need to create sanitary posts with first aid kits.

This is stated in Art. 223

“Sanitary, medical and preventive services for workers”

Labor Code of the Russian Federation: “Providing sanitary, medical and preventive services for workers in accordance with labor protection requirements is the responsibility of the employer.

For these purposes, the employer, in accordance with established standards, equips sanitary premises, premises for eating, premises for providing medical care, rooms for rest during working hours and psychological relief; sanitary posts are being created with first aid kits stocked with a set of medicines and preparations for first aid (emphasis added - editor's note)

Article 223 of the Labor Code of the Russian Federation (hereinafter referred to as the Labor Code of the Russian Federation) provides for the obligation of each employer to provide sanitary, medical and preventive services to employees in accordance with labor protection requirements.

Obviously, a medical first aid kit is absolutely necessary to perform these functions.

On March 5, 2011, the Ministry of Health and Social Development of Russia issued Order No. 169n “On approval of requirements for the provision of first aid kits with medical products for providing first aid to workers,” which comes into force on January 1, 2012.

Order No. 169n answers the main question: what medications must be included in the first aid kit? Thus, it includes: medical devices for temporarily stopping external bleeding and dressing wounds (for example, a hemostatic tourniquet), a device for cardiopulmonary resuscitation, “other products” (in particular, an isothermal rescue blanket), as well as “other means” (for example, a fountain pen).

Bandage instead of validol

Since the beginning of the year, the order of the Ministry of Health and Social Development of Russia “On approval of the requirements for equipping first aid kits with medical products for providing first aid to workers” came into force.

From now on, every enterprise and every office should have a first aid kit with a set of dressings, rubber gloves, a protective medical mask, a tourniquet to stop bleeding, plasters, pins, scissors, a device for artificial respiration, a notepad, a pen and a thermal blanket.

According to labor legislation, the Ministry of Health and Social Development told RBG, the absence of a first aid kit anywhere is punishable by the Code of the Russian Federation on Administrative Offences. Officials may be punished with a fine in the amount of one to five thousand rubles, and legal entities - from thirty to fifty thousand rubles, or with administrative suspension of activities for up to ninety days.

Requirements for equipping first aid kits with medical products to provide first aid to workers under Order No. 169n

In accordance with the requirements of the Labor Code of the Russian Federation, employers are responsible for providing sanitary, household, medical and preventive services to workers, in particular the creation of sanitary posts with first-aid kits.

Moreover, all organizations without exception should have such a first aid kit, regardless of whether their activities are associated with harmful production factors or not.

The contents of this first aid kit will be discussed in our article.

So, the organization of labor protection at enterprises is carried out in accordance with the Labor Code of the Russian Federation (hereinafter referred to as the Labor Code of the Russian Federation), federal laws, as well as other regulatory legal acts.

Source: https://pravo-38.ru/prikaz-o-naznachenii-otvetstvennogo-za-aptechku-pervoj-pomoschi-na-predprijatii-76633/

Where to store the first aid kit

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

On the walls and doors of the rooms where first aid kits are located, you must place a first aid kit sign - 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.

Other types of first aid kits

In addition to the considered first aid kit option for employees of organizations, depending on the purpose, there are:

• automobile;
• household;
• by industry;
• tourist;
• for civil defense and emergency situations.

The composition of the automobile is approved by the administrative document of the Ministry of Health and Medical Industry of the Russian Federation dated August 20, 1996 No. 325. The list is not too extensive. There are no drugs in it. Why? The answer is simple: in an emergency, only a doctor has the right to prescribe medicine, otherwise you can harm your health.

https://www.youtube.com/watch?v=ytaboutru

The list of first aid products is compiled taking into account the specifics of car accidents. Today, a motorist’s kit consists of the following:

• stopping bleeding and for dressing wounds, which includes bandages, tourniquets, napkins, adhesive plaster;
• for cardiopulmonary resuscitation (special device);
• scissors, gloves, instructions.

The products included in the first aid kit have a shelf life of up to 4.5 years. Six months are provided to replace them. The total shelf life does not exceed 5 years.

An important point is that the list of funds is exhaustive and cannot be replaced. At the end of the expiration date or after use, the set must be replenished.

https://www.youtube.com/watch?v=ytcopyrightru

There are a number of requirements for a first aid kit:

• the products contained in it must be periodically checked for expiration dates;
• The storage location should not be located within the reach of children;
• The storage location should not be exposed to moisture or high temperatures.

Tags: first aid kit, appointment, responsible, first, help, enterprise, order

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How many first aid kits should an organization have?

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

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

Accounting and write-off

The composition of the production first aid kit according to Order 169n must include both means for stopping bleeding and products for resuscitation.
The means of assistance named in the document cannot be replaced - this is what Order 169n says; first aid kits can only be supplied with those medications that have been registered in the Russian Federation in the prescribed manner. Medicines have been removed from the package. Only medical supplies remained. For example, to provide first life-saving therapy in the form of cardiac or pulmonary resuscitation, a mouth-to-mouth device or a pocket mask for artificial ventilation must be used.

• tourniquet to stop bleeding;
• bandages of various sizes;
• dressing bags;
• gauze napkins;
• adhesive plaster.

https://www.youtube.com/watch?v=ytpressru

In addition to medicines and aids, you should put in the first aid kit:

• scissors;
• gloves;
• life blanket;
• pins;
• notepad, pen.

There should also be short instructions in pictures with explanations about the first aid algorithm. Explanations must be drawn up according to certain requirements for images, for example, when performing first aid, all actions should be performed with gloves.

The most unusual product is a rescue blanket. It should be placed with the silver side facing the body (for the first rescue from cooling) or the gold side to protect against overheating. Only the victim’s face must be left open.

Include all the products listed in Order 169n in your first aid kit! Replacing them with others is prohibited. All funds must be registered in the Russian Federation and comply with established GOSTs.

The employer is obliged to pay close attention to the established requirements regarding:

• product quality;
• sizes of medical supplies;
• the number of funds established in the document.

At the end of the expiration date of medical supplies or when they are used, the missing funds must be replenished.

The employee who is appointed responsible for the purchase and storage of the first aid kit is obliged to replenish the medical supplies on time (after expiration dates or upon use).

For these purposes, journals are kept:

• recording the use of funds at the time of assistance and requests for their replenishment (Table 1);
• registration and accounting of first aid kits (Table 2).

After the expiration date, the first aid kit is replaced with a new one. Medical supplies subject to write-off are confiscated and destroyed.

The destruction and write-off of first aid kits is carried out by a specially created commission, which includes:

• the employee responsible for storing the first aid kit;
• enterprise health worker (health specialist);
• accounting employee.

The method of destruction is chosen depending on the amount of funds and capabilities of the organization. For example, burning.

The fact of destruction of funds is confirmed by an act. The document is signed by all members of the commission and the head of the enterprise. The report contains information about the date, method and quantity of first aid kits destroyed.

The production first aid kit, according to order 169n of the Ministry of Health and Social Development of Russia dated 03/05/2011, the composition of which is designed taking into account the characteristics of the work activities of citizens, must be equipped with means for temporarily stopping bleeding and dressing wounds, as well as products for performing cardiopulmonary resuscitation.

https://www.youtube.com/watch?v=upload

A complete list of medical products that should be included in each first aid kit is given in the appendix to this 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 must be complete; reducing the amount of necessary funds is not allowed, but increasing them is not prohibited. Especially if the employer takes into account the specific needs of its employees and the characteristics of the activities.

At least one first aid kit is provided for one organization or individual entrepreneur, however, if the staff is large and there are many premises remote from each other, there should be several of them.

We invite you to familiarize yourself with a sample inspection report for a premises after a flood.
Obviously, the table shows not just the names of items and medications, but also GOSTs regulating their quality. You must pay attention to this when completing the configuration. A product that does not comply with GOST may be regarded by inspectors as unauthorizedly replaced. In addition, you cannot deviate from the established sizes of dressings, pins and gloves.

Responsibility for the fact that the enterprise does not have a first aid kit for employees, according to Order 169n, is provided for in Article 6.3 of the Code of Administrative Offenses of the Russian Federation. 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 current sanitary rules and hygiene standards, it may be subject to an administrative fine in the amount of 10,000 to 20,000 rubles, or its activities may be suspended for up to 90 days.

1. Approve the requirements for equipping first aid kits with medical products to provide first aid to workers in accordance with the appendix.

2. This order comes into force on January 1, 2012.

Minister T. Golikova

Registered with the Ministry of Justice of the Russian Federation on April 11, 2011, registration N 20452

Appendix to the order of the Ministry of Health and Social Development of Russia dated March 5, 2011 N 169n

We invite you to familiarize yourself with Certificate of exemption from physical education for students, sample 2020

Should medications be in the first aid kit?

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

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

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

Responsibility for the lack of a first aid kit

Responsibility for the fact that the enterprise does not have a first aid kit for employees, according to Order 169n, is provided for in Article 6.3 of the Code of Administrative Offenses of the Russian Federation. 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 current sanitary rules and hygiene standards, it may be subject to an administrative fine in the amount of 10,000 to 20,000 rubles, or its activities may be suspended for up to 90 days. Entrepreneurs may be fined from 500 to 1,000 rubles or banned from working for up to 90 days. Officials will pay a fine of up to 1,000 rubles.

How to dispose of first aid kits

First aid kits do not contain medications (Order No. 169n), therefore there are no special requirements for their disposal. Consequently, all contents of first aid kits can be disposed of as solid household waste (Federal Law of June 24, 1998 No. 89-FZ “On Production and Consumption Waste”).

Annex 1

Appendix 2

Appendix 3

Medical products for temporarily stopping external bleeding and dressing wounds

Hemostatic tourniquet

The tourniquet included in the first aid kit must meet the requirements of GOST R ISO 10993.1-99 “Medical products. Assessment of the biological effects of medical devices." The purpose of this standard is to predict and study the biological effects of medical devices on the body. However, you need to understand that the tourniquet is not an implant. We understand that the main function of a tourniquet is to ensure reliable bleeding control. For this reason, it must be taken into account that a rubber band that meets the requirements of GOST may turn out to be less functional than the simplest turnstile. The rubber may dry out during storage and simply tear during application. Even a high-quality rubber tourniquet can be very difficult to apply to yourself in a situation where you can only operate with one hand. A rubber band is useless if a child tries to put it down. In addition, it is easier to place the tourniquet on a limb through clothing. So if you are packing a first aid kit not just for show, but to provide first aid, then feel free to replace the tourniquet with a tourniquet or add it to your first aid kit.

Medical gauze bandages

The first aid kit includes 3 non-sterile and 5 pieces of sterile bandages of different sizes. Questions arise: is this a lot or a little, why exactly so many and exactly like that?

The number of bandages required for first aid in the most general form depends on the number of people who may need help. For simplicity, let's assume that it is very easy to make a non-sterile bandage from a sterile bandage. And from a long bandage you can quickly make a short one. Thus, you can give preference to large sterile bandages at the rate of 2 pieces per person. (For severe venous bleeding, one bandage is used to tomponade the wound, and the second for dressing).

Individual medical dressing package (PPI), sterile with a sealed shell

PPI is a very convenient and proven means of stopping bleeding, including in yourself. It consists of a gauze bandage on which two non-woven fabric pads are attached, one movable and one fixed.

It is better to use PPI packaged in a hermetically sealed outer shell made of rubberized fabric. In addition to the main purpose of the bag, this sealed shell can be used to close a wound in case of a penetrating wound to the chest to prevent air from entering.

Sterile medical gauze wipes

The first aid kit should include one package of medical wipes. The size of the napkins prescribed to be kept in the first aid kit is at least 16 x 14 cm. Their purpose is to cover a wound or burn.

Band-Aid

The first aid kit should contain two types of bactericidal adhesive plasters: Large 4 cm x 10 cm (2 pieces) and small 1.9 cm x 7.2 cm (10 pieces). Their purpose is to help with cuts and abrasions.

Due to the fact that this is the most commonly used first aid item, a larger supply of plasters can be made.

And also one roll adhesive plaster, measuring at least 1 cm x 250 cm. It can be used for fixing bandages or compresses, for fixing damaged fingers and joints, for temporarily fastening the edges of a wound, and the like.

How to purchase

The presence of first aid kits in the organization is a requirement of the legislator and the scope of responsibility of labor protection. These factors make it possible for a budget organization to purchase first aid kits using Social Insurance Fund funding. How to do it? Order of the Ministry of Labor of the Russian Federation No. 580n dated December 10, 2012 established the rules for financing measures aimed at preventing injuries and illnesses at work.

According to this document, the policyholder, that is, the organization, can purchase first aid kits at the expense of insurance premiums for insurance against accidents and occupational diseases. You just need to understand that the amount of financing cannot be more than 20% of the amount of contributions paid by the policyholder in the previous calendar year.

This opportunity is formalized by the enterprise on an application basis, that is, the policyholder sends an application to the Social Insurance Fund with attached plans for financial support for measures to prevent injuries and improve working conditions.

The application in paper or electronic form is sent to the Social Insurance Fund no later than 01.08 of the current year.