Order on those responsible for first aid kits. What should a first aid kit be like in an organization? Complete set with dressings and medicines

Order on completing first aid kits

1 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 Heads of workshops Sidorov I.I. 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 No. 169n dated approval of requirements for equipping first aid kits with medical products for providing first aid to employees

Composition of a car first aid kit

This is carefully checked at the state technical inspection. Many drivers check the contents of the first aid kit, as well as the presence of all medications and their expiration dates immediately before the technical inspection.

As a rule, after a technical inspection, most people forget about what exactly is in it, especially what this or that medicine can help with.

Sample order for medical kits

As things progressed, I decided to expand as much as possible on the topic of medical kits for providing first aid to employees. In this note, I will answer the questions: is it necessary to create an order appointing a person responsible for the acquisition, storage of medical kits and replenishing them with medications, whether he needs to be trained, and what medications and drugs should be included in the medical kit.

On April 11, 2011, the Order was registered with the Ministry of Justice. From January 1, 2012, according to the approved requirements, these first-aid kits must contain a certain set of medical products and drugs, in particular: a hemostatic tourniquet; medical gauze bandages, sterile and non-sterile; individual sterile medical dressing package with a sealed shell; bactericidal adhesive plaster; a device for artificial respiration “Mouth – Device – Mouth” or a pocket mask for artificial ventilation of the lungs “Mouth – mask”; medical non-sterile gloves, examination; medical mask, non-sterile, 3-layer; isothermal rescue blanket, tear-off notebook for notes; fountain pen, etc.

Sample order for a first aid kit in an organization

To organize work on labor protection and monitor compliance with labor protection legislation, the employer in established by law procedure creates a labor protection service, introduces the position of a labor protection specialist into the staff or assigns the corresponding responsibilities for labor protection to an official authorized by him or attracts a legal entity ( individual entrepreneur), accredited (accredited) to provide services in the field of labor protection, in accordance with the law.

Order of the Ministry of Health and Medical Industry of the Russian Federation dated August 20, 1996

N 862-st. Standards Publishing House, 1999.

*(2) GOST 1172-93 “Medical gauze bandages.

Medical kits. What does a HR manager need to know?

Article 223 of 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. But as soon as it comes to its creation, many questions arise: what medical devices should be in it? Who will monitor their expiration dates and the order of use? Where should I store it? These are not idle questions, especially since on January 1, 2012, Order No. 169n of the Ministry of Health and Social Development of Russia dated March 5, 2011, which approved the requirements for first aid kits for providing first aid to employees, will come into force. You have until the end of the year to prepare to meet the new requirements, and we, for our part, will try to help you with this.

Special units are designed to provide first aid in emergency situations. However, the experience of liquidating the consequences of many catastrophes, natural disasters, and accidents shows that in the first – the most important for saving a person’s life – minutes, the necessary formations are usually not available in the immediate vicinity, or their number is so small that they cannot provide the necessary assistance to everyone in need. In such conditions, the main and often the only chance of saving people’s lives is the first health care carried out in the form of self-help or mutual assistance. To provide it, basic knowledge, necessary practical skills and, most importantly, available tools are required. The latter will be discussed in the article.

m.pro-personal.ru

About medical kits for first aid

MUNICIPAL BUDGETARY PRESCHOOL EDUCATIONAL INSTITUTION KINDERGARTEN OF A COMBINED TYPE No. 25 “BEE” ST. BRYUKHOVETSKY MUNICIPALITY BRYUKHOVETSKY DISTRICT

P R I K A Z

About medical kits for first aid

In accordance with Article 223 of the Labor Code of the Russian Federation dated December 30, 2001 No. 197-FZ, Order of the Ministry of Health and Social Development of the Russian Federation dated March 5, 2011 No. 169n “On approval of requirements for equipping first aid kits with medical products for providing first aid to employees,” as well as for the purpose of organizing the acquisition, storage and control over the use of medical devices by employees ORDER:

  1. Approve the List of medical products for first aid that are required to be included in medical first aid kits (Appendix No. 1).
  2. Appoint Lyubov Mikhailovna Moskalenko, deputy head for administrative and economic affairs, responsible for organizing the acquisition, storage of medical kits and replenishing them with a set of medicines and preparations for first aid.
  3. Determine the storage location of the first aid kit in accordance with the List of storage locations for first aid kits (Appendix No. 2)
  4. Approve the form of the Logbook for registering the use of medical products when providing first aid (Appendix No. 3).
  5. Assign group educators responsible for storing the first aid kit according to the list of storage locations for the first aid kit and for filling out a journal for registering the use of medical products when providing first aid.
  6. Approve the Rules for the use of medical devices when providing first aid near the storage location of the first aid kit (Appendix No. 4)
  7. L.M. Moskalenko, responsible for the acquisition, storage and periodic replenishment of medical kits together with Svetlana Vladimirovna Perevolotskaya, nurse MBUZ CRH (as agreed), provide:
  • conducting an audit of first aid kits on time - at least once a quarter;
  • monitoring the expiration dates of medical products included in the first aid kit and timely replenishment;
  • First aid kits should only be stocked with medical products registered in the prescribed manner on the territory of the Russian Federation.
  1. I reserve control over the execution of this order.

new.pchelka25.ru

Order on medical kits

MINISTRY OF HEALTH OF UKRAINE

On approval of lists of medicines in
medical first aid kits of vehicles

In pursuance of the Order of the Cabinet of Ministers of Ukraine dated 05/07/98 N 291-r, in order to prevent injuries and improve the procedure for providing first medical aid to victims of road accidents, timely provision of self- and mutual assistance to participants in these incidents, I ORDER:

1.1. A list of medicines, medical care for passenger cars with up to 9 passengers and cargo vehicles (car first aid kit-1), which is attached.

1.2. The list of medicines that should be in first aid kits for passenger vehicles with more than 9 passengers (car first aid kit - 2), which is attached,

2. Responsibility for the production of a sufficient number of first aid kits for vehicles should be assigned to Ukrmedsnab (Petrenko M. Ya.).

3. Consider Appendix No. 6 to Order of the USSR Ministry of Defense dated January 4, 1983 No. 3 “On the prevention of road accidents and improving the system of providing medical care to victims of road accidents” as no longer in force on the territory of Ukraine.

4. Entrust control over the execution of the order to Deputy Minister Korotko O.Sh.

A. M. SERDIUK, minister

Scroll
medicines,
which should be the first thing in medical kits
medical care for passenger cars
with up to 9 passengers
and cargo vehicles
(car first aid kit - 1)

1.1. Tourniquet to stop bleeding - 1 unit.

1.2. Sterile bandage 5 mx 10 cm-1 unit.

1.3. Napkins "Koletex" with chlorhexidine 6 cm x 10 cm-2 units.

1.4. “Koletex” hemostatic napkins with furagin 6 cm x 10 cm-2 units.

1.5. Sterile dressing bag - 1 unit.

1.6. Adhesive plaster in a roll 5 cm x 5 m-1 unit.

1.7. Bactericidal patch 2.3 cm x 7.2 cm-4 units.

1.8. Medical dressing scarf 50 cm x 50 cm-1 unit.

2. Antiseptics

2.1. Iodine solution 5% -10 ml-1 fl.

3.1. Butorphanol tartrate 2% -1 ml in a syringe tube - 2 units.

3.2. Nitroglycerin 1% in capsules (0.0005) - 20 caps.

4. Additional funds

4.1. Scissors with blunt ends -1 unit.

4.2. Medical gloves N 8 made of polyethylene - 1 pair

4.3. Film (valve) for artificial ventilation of the lungs - 1 unit.

4.4. Sulfacyl sodium 20% - 1 ml in a syringe tube - 2 units.

4.5. Safety pins - 6 units.

4.6. Portable device for artificial ventilation of lungs -1 unit.

5. Instructions - 1 unit.

6. Case for first aid kit -1 unit.

It is necessary to promptly renew and replace medications after their use or expiration date.

Scroll
medicines,
which should be the first thing in medical kits
medical assistance for passenger vehicles
with more than 9 passengers
(car first aid kit - 2)

1. Means for stopping bleeding, applying bandages for injuries

1.1. Tourniquet to stop bleeding - 3 units.

1.2. Sterile bandage 5 mx 10 cm-6 units.

1.3. Napkins "Koletex" with chlorhexidine 6 cm x 10 cm - 9 units.

1.4. "Koletex" hemostatic napkins with furagin 6 cm x 10 cm - 9 units,

1.5. Sterile dressing bag - 4 units.

1.6. Adhesive plaster in a roll 5 cm x 5 m-3 units.

1.7. Bactericidal patch 2.3 cm x 7.2 cm - 10 units.

1.8. Medical dressing scarf 50 cm x 50 cm-3 units.

1.9. Ribbon for fixing tires - 10 m

2. Antiseptics

2.1. Iodine solution 5% - 10 ml - 2 fl.

3. Painkillers and cardiac medications

3.1. Butorphanol tartrate 2% - 1 ml in a syringe tube - 6 units.

3.2. Nitroglycerin 1% in capsules (0.0005) - 40 caps.

4. Additional funds

4.1. Scissors with blunt ends - 2 units.

4.2. Medical gloves N 8 made of polyethylene - 4 pairs

4.3. Film (valve) for artificial ventilation of the lungs - 4 units.

4.4. Hypothermic portable container package - 4 units.

4.5. Sulfacyl sodium 20% - 1 ml in a syringe tube - 4 units.

4.6. Safety pins -12 units.

4.7. Thermal blanket - 4 units.

4.8. Collars for fixing the cervical spine, set: 4 sizes for adults; 1 child -1 unit.

4.9. Elastic tires SAM SPLINT:

4.9.1. For the upper extremities - 4 units.

4.9.2. For the lower extremities - 6 units.

4.10. Portable device for artificial ventilation of lungs -1 unit.

5. Instructions -1 unit.

6. Case for first aid kit - 1 unit.

It is necessary to promptly renew or replace medications after their use or expiration date.

Head of the Main Directorate of Medical and Preventive Care V. A. PISHIKOV

consultant.parus.ua

What medical products and drugs should be in medical first aid kits at an enterprise and in what quantity?

It is necessary to stock medical first aid kits at the enterprise. What medical products and drugs should they contain and in what quantities? And how to draw up an order for the completion of first aid kits?

Uniform requirements for the configuration of first aid kits in organizations were approved by order of the Ministry of Health and Social Development of Russia dated March 5, 2011 No. 169n. These requirements indicate which medical products, drugs and in what quantity should be included in medical first aid kits in the organization (for more details, see additional materials).

To create a first aid kit at your workplace, issue an order and appoint an employee responsible for the first aid kit (see additional materials for a sample). His responsibilities will include:

Details in the System materials:

1. Answer: How to organize first aid in the workplace

To create a first aid kit at your workplace, issue an order and appoint an employee responsible for the first aid kit. His responsibilities will include:

replacement of drugs with damaged packaging or expired expiration dates;

replenishing the first aid kit with new medications to replace used ones.

Deputy Director of the Department of Education and Human Resources of the Russian Ministry of Health

2. Forms: Order on the organization of sanitary posts with first aid kits

Closed Joint-Stock Company"Alpha"

ORDER No. 68
on the organization of sanitary posts with first aid kits

Moscow 01/10/2012

In connection with the requirements of Article 228 of the Labor Code of the Russian Federation on the organization of first aid
victims and Article 223 of the Labor Code of the Russian Federation on the organization of sanitary posts with
first aid kits

1. Approve the following composition of the first aid kit:

Hemostatic tourniquet
Medical gauze bandage, non-sterile 5 ? 5
Medical gauze bandage, non-sterile 5 ? 10
Medical gauze bandage, non-sterile 7? 14

Sterile gauze bandage 5? 7
Sterile gauze bandage 5? 10
Sterile gauze bandage 7 ? 14
Individual sterile medical dressing bag with a sealed shell
Medical gauze napkins, sterile, at least 16? 14 cm No. 10
Bactericidal adhesive plaster at least 4 cm? 10 cm
Bactericidal adhesive plaster no less than 1.9 cm? 7.2 cm
Rolled adhesive plaster no less than 1 cm? 250 cm
Device for artificial respiration “Mouth-device-mouth” or pocket
mask for artificial lung ventilation “Mouth-mask”
Lister bandage scissors
Antiseptic wipes made of paper textile-like material, sterile
alcohol not less than 12.5? 11.0 cm
Non-sterile medical gloves, examination gloves, size no less than M
Medical mask, non-sterile, 3-layer, made of nonwoven fabric with elastic bands or with
strings
Isothermal rescue blanket no less than 160? 210 cm
Steel safety pins with a spiral of at least 38 mm
Recommendations with pictograms for the use of medical devices
first aid kits for workers
Case or sanitary bag
Tear-off notepad for notes, format no less than A7
Pen

2. Place first aid kits as follows:
– two first aid kits – in building No. 1 at opposite ends of the corridor;
– one first aid kit – in building No. 2;
– one first aid kit – in the 4th warehouse.

3. Labor protection specialist V.P. Motorin:
– organize training of employees in first aid techniques in accordance with the Rules
first aid;
– fill out a register for registering the use of first aid kits twice a day
month and as the medicines are used up and after the expiration date, submit
application to the administrative and economic department.

4. The use of first aid kits should be carried out in accordance with the First Aid Rules
help.

5. Heads of departments should each have a copy of the First Aid Rules.
directly near first aid kits and in occupational safety corners.

6. Clerk E.V. Ivanova to familiarize managers with this order
departments and occupational safety specialist.
I reserve control over the execution of this order.

  • Orders of ministries and departments “On the organization of chemical-toxicological studies for analytical diagnostics of the presence of alcohol, narcotic drugs, psychotropic and other toxic substances in the human body” Order of the Ministry of Health of the Russian Federation dated July 14, 2003 N 308 “On medical examination for […]
  • Confidentiality Statement General Information The main statement describes a unified approach to confidentiality and is the main governing link that is binding on all employees: List of data that constitutes a trade secret. List of confidential data, list of personal data […]
  • Termination, suspension of powers of a justice of the peace and replacement of a temporarily absent justice of the peace Information about changes: Federal Law of November 30, 2004 N 142-FZ, Article 8 is set out in a new wording Article 8. Termination, suspension of powers of a justice of the peace and replacement of a temporarily absent […]
  • Cash payments and supplements to the pension of a labor veteran. Supplement to the pension of labor veterans. Since Soviet times, the title “Veteran of Labor” was awarded to people who showed special zeal in the labor field; they were awarded a medal of the same name. To receive it, the employee had to have an impressive work record [...]
  • The procedure for determining the amount of unemployment benefits Information about changes: Federal Law No. 122-FZ of August 22, 2004 introduced changes to Article 30 of this Law, which come into force on January 1, 2005. The changes do not apply to citizens recognized in the prescribed manner unemployed up to 1 […]
  • Order of Rostrud dated April 10, 2006 N 60 On approval of the List of officials Federal service on labor and employment and its territorial bodies for state supervision and control over compliance with labor legislation and other regulatory legal acts containing standards labor law (state inspections […]
  • Order of the Ministry of Health and Social Development of the Russian Federation dated January 27, 2006 N 45 “On approval of recommended staffing standards for medical and other personnel of drug treatment institutions and drug treatment units within other treatment and preventive institutions” MINISTRY OF HEALTH AND SOCIAL DEVELOPMENT dated January 27, 2006 N […]
  • A loan from a private person against a receipt from a notary on the day of application. Moscow Quick issuance of up to 1 million rubles at a small percentage. There are no commissions or insurance. No certificates, collateral or guarantors will be required. Your relations with banks and microfinance organizations are not interesting to me. I'll solve yours financial problem during the day. Just write to me at [...]

Order
on the appointment of a person responsible for providing first aid and storing a first aid kit

[place of issue of the order]

In order to ensure labor safety in the organization, I order:

1. Assign responsibility for the provision of first aid to [position, full name of the employee].

2. Responsible for providing first aid:

- within [day, month, year] form a first aid kit in accordance with the list, which is an integral part of this order, and the Requirements for equipping first aid kits with medical products for providing first aid to employees, approved by order of the Ministry of Health and social development RF dated March 5, 2011 N 169n;

— monitor the timely replacement of medical drugs with expired or damaged packaging, timely replenishment of the medical kit when using medical drugs;

— ensure, if necessary, calling an ambulance and providing emergency first aid until the ambulance arrives;

— ensure timely and correct maintenance of a first aid log;

— [specify other responsibilities].

3. [Position, full name of the employee] ensure that checks are carried out on the availability and completeness of the first aid kit at intervals of [specify the frequency of checks].

4. The location of the first aid kit is [enter as needed].

5. To the Chief Accountant:

- at the request of the person responsible for providing first aid, allocate funds for the purchase and replenishment of a first aid kit.

6. [Position, full name of the employee] ensure the training of the person responsible for providing first aid.

7. To the head of the HR department:

- familiarize [full name, full name] with this order within [meaning] days against signature.

8. I entrust control over the execution of this order to myself.

Head of the organization [signature, initials, surname]

The following have been familiarized with the order:

[position, signature, initials, surname]

[ day month Year ]

Sample form of an order to appoint a person responsible for providing first aid and storing a first aid kit

Developed by: Garant Company, July 2014

The current version of the document you are interested in is available only in the commercial version of the GARANT system. You can purchase a document for 54 rubles or get full access to the GARANT system free of charge for 3 days.

If you are a user of the Internet version of the GARANT system, you can open this document right now or request by Hotline in system.

What should a first aid kit be like in an organization?

Every organization must have a first aid kit for employees according to Order 169n. Its composition cannot differ from the approved one. So what should be in such a first aid kit and what requirements does the Ministry of Health impose on its placement and use? The answers are in the article.

According to the provisions of Article 223 of the Labor Code of the Russian Federation, in every organization or individual entrepreneur where people work, sanitary, household and medical support for workers must be organized. In addition to equipped places for eating and hygiene, rooms or areas for providing medical care must be equipped in accordance with these requirements. At each such post there must be medical first aid kits according to order 169n of the Ministry of Health and Social Development of the Russian Federation. This document defines the equipment and quantity of funds that should be on hand in case of unforeseen situations.

Complete set with dressings and medicines

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 was developed taking into account the characteristics labor activity citizens must be equipped with means for temporarily stopping bleeding and dressing wounds, as well as products for performing cardiopulmonary resuscitation. A complete list of medical products that should be included in each first aid kit is given in the appendix to the said 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 complete, reducing the number necessary funds is not allowed, but their increase 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.

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

Name of medical products

Regulatory document

Release form (dimensions)

Quantity (pieces, packages)

Medical products for temporarily stopping external bleeding and dressing wounds

Non-sterile medical gauze bandage

Medical gauze bandage sterile

Individual sterile medical dressing bag with a sealed shell

Sterile medical gauze wipes

At least 16 x 14 cm N 10

At least 4 cm x 10 cm

At least 1.9 cm x 7.2 cm

At least 1 cm x 250 cm

Medical products for cardiopulmonary resuscitation

A device for artificial respiration “Mouth - Device - Mouth” or a pocket mask for artificial ventilation of the lungs “Mouth - mask”

Other medical products

Lister bandage scissors

GOST 21239-93 (ISO 7741-86)

Antiseptic wipes made of paper textile-like material, sterile alcohol

GOST R ISO 10993-99

At least 12.5 x 11.0 cm

Medical non-sterile gloves, examination

GOST R 52238-2004

GOST R 52239-2004

Size no less than M

Non-sterile medical mask, 3-layer, made of non-woven material with elastic bands or ties

Isothermal rescue blanket

GOST R ISO 10993-99,

At least 160 x 210 cm

Steel safety pins with spiral

Case or sanitary bag

Tear-off notepad for notes

format no less than A7

Obviously, the table shows not just the names of items and medicines, 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. The last two items of the table - a fountain pen and a notepad - are not items for first aid, but their presence is mandatory, and inspectors will have natural 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?

Typically, the person responsible for providing workers with the items required by labor safety standards 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 first aid kits according to SanPIN, its availability and other related issues. It is advisable to issue an order for the enterprise on the configuration of the first aid kit and the appointment of a responsible person, as well as on determining the location for its storage.

Of course, ideally, if the company has a medical professional on staff, it is best to entrust him with purchasing all the necessary medications, monitoring their completeness and checking expiration dates (by the way, after they expire, all medications must be replaced with new ones). But if there is no such specialist, then this function can be taken on by a labor protection engineer with first aid skills, or any other employee. Labor legislation and general regulatory legal acts do not provide a list of such employees, but in sectoral regulatory legal acts one can find that this role can be taken on by:

  • the head of the organization himself;
  • heads of departments;
  • heads of departments or sections.
  • About this, in particular, we're talking about in paragraph 2.6.1 Sanitary rules by organization freight transport on railway transport, approved by the chief dignity. doctor 03/24/2000.

    As for where to store the first aid kit, it must be stored in an easily accessible place. Therefore, the office of the responsible person will be a bad choice, because in the absence of it, access to medicines will be limited. Therefore, you need to choose a room that is not locked with a key. work time.

    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.

    Sample order for first aid kits at an enterprise

    Why do enterprises need an order for first aid kits? Is it possible to do without a first aid kit or is it mandatory to have one in the organization? What should an order look like: is there a single established form for such a document? What medications should be present in a first aid kit? We tell you the most important things about the order for first aid kits at the enterprise. A sample of this document, prepared by our specialists, will help the HR manager save time on drafting own version order.

    First aid kit - element of medical support

    The current legislation imposes responsibilities on the employer for sanitary, household and medical provision of employees of the enterprise. In particular, posts should be set up to provide first aid to injured workers (Part 1 of Article 223 of the Labor Code of the Russian Federation). These posts must be equipped with first aid kits.

    Among other things, the administration must issue an order on first aid kits at the enterprise (a sample for 2018 is located at the end of this article).

    The procedure for completing first aid kits is contained in the Requirements for completing first aid kits. They were approved by order of the Ministry of Health and Social Development of Russia dated March 5, 2011 No. 169n. This information should also be contained in the order for first aid kits at the enterprise. Labor protection for workers should not become a fiction. After all, people’s lives depend on its provision.

    So, here’s what should be in a first aid kit according to the regulatory order for first aid kits at enterprise No. 169-n:

  • hemostatic tourniquet;
  • medical gauze bandage, non-sterile;
  • sterile medical gauze bandage;
  • bactericidal adhesive plaster;
  • a device for artificial respiration “Mouth – Device – Mouth” or a pocket mask for artificial ventilation of the lungs “Mouth – mask”;
  • scissors for cutting Lister bandages;
  • antiseptic wipes made of paper textile-like material, sterile alcohol;
  • medical non-sterile gloves, examination;
  • 3-layer non-sterile medical mask made of non-woven material with elastic bands or ties;
  • isothermal rescue blanket;
  • steel safety pins with a spiral;
  • tear-off notepad for notes;
  • pen;
  • other.
  • In practice, the director of an organization, at the stage of approving this internal order, may inquire about the correct name of the order for first-aid kits at an enterprise of the Ministry of Health in order to compare the range of medical supplies. Here is the full name of this regulatory document:

    We appoint a person in charge

    Among other things, by virtue of the regulatory order of the Ministry of Health on first-aid kits at an enterprise, the internal order on them must contain information about the employee responsible for the first-aid kit. Who will be responsible for replacing expired medications with fresh ones and replenishing the first aid kit with new medical supplies.

    Please note that, at its own discretion, the organization cannot replace products prescribed by the regulatory list with others. This is a direct requirement current legislation(clause 1 of the Notes to the order of the Ministry of Health and Social Development of Russia dated March 5, 2011 No. 169n).

    Especially for our readers, our specialists have prepared a current sample order for a first aid kit at an enterprise. You can view and download it for free from our website using the direct link here.

    If you find an error, please highlight a piece of text and click Ctrl+Enter.

    blogkadrovika.ru

    First aid kits for providing first aid to employees of the organization: requirements for equipment according to order 169n

    The employer is obliged, in accordance with Article 223 of the Labor Code of the Russian Federation, to provide sanitary, household, medical and preventive services for workers, including creating sanitary posts with first aid kits.

    Despite all precautions, unfortunately, sad situations arise. First medical aid to workers injured at work is one of the main elements of labor protection in any organization. Hazardous industries have their own rules and requirements for sanitary posts and first aid kits.

    First aid kits from January 1, 2012 must comply with the requirements approved by Order of the Ministry of Health and Social Development of Russia dated March 5, 2011 No. 169n “On approval of the requirements for equipping first aid kits with medical products for providing first aid to employees” (hereinafter referred to as Order No. 169n).

    Any organization, regardless of its legal form and areas of activity, must have a first aid kit.

    Who purchases, is responsible for maintaining and storing the first aid kit?

    By order of the organization, it is necessary to appoint an employee who will purchase, store the first aid kit and be responsible for its contents. These functions can be assigned to an employee of the organization who has been trained in providing first aid to victims at work.

    The employee responsible for the first aid kit:

    • prepares applications for the purchase of medical products;
    • promptly replenishes its contents (as used) (note 1-2 to Order No. 169n);
    • keeps a log of the use of medical products (letter of Rostrud “On the creation of sanitary posts with first aid kits in the organization” dated November 7, 2012 No. PG/8351-3-5.)
    • Checking the completeness of the first aid kit is carried out at the first stage of administrative and public control: the head of the department and the occupational safety representative trade union organization(Officer for labor protection of the workforce).

      The issue of frequency of checking the completeness of the first aid kit can be resolved in the local normative act organization, for example, in an order to ensure that first aid kits are supplied to employees or regulations on administrative and public control.

      What should be included in a first aid kit?

      The first aid kit should include:

    • medical products for temporarily stopping external bleeding and dressing wounds (for example, a hemostatic tourniquet, sterile and non-sterile bandages, an individual dressing package with a sealed shell, adhesive plasters);
    • device for cardiopulmonary resuscitation (device for artificial respiration “Mouth-Device-Mouth” or pocket mask for artificial ventilation “Mouth-mask”;
    • other medical products (isothermal blanket, medical gloves, etc.);
    • other means (for example, a tear-off pad, a fountain pen, five antiseptic sterile alcohol wipes).
    • At the same time, the required components of a first aid kit cannot be replaced with other products.

      A thoughtless attitude to any medications is dangerous. The use of any medication can lead to tragedy. For example, nitroglycerin is a powerful drug; the wrong dosage can kill a person. Boric acid, which is found in almost every home medicine cabinet, is a strong poison. Even the use of harmless iodine or brilliant green can cause serious trouble.

      Include medications It is prohibited to include in a first aid kit and the State Inspectorate checks the contents of first aid kits during inspections. 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).


      First aid kit storage space

      The employer in accordance with Labor Code The Russian Federation is obliged to create sanitary posts with first aid kits and indicate them on the evacuation plan. Sanitary posts are located at such a distance that workers can quickly access them if necessary.

      At sanitary posts where first aid kits are stored, it is necessary to place a first aid kit sign - a white cross on a green background (Table I2 GOST R 12.4.026-2001).

      Let us remind you that when the number of employees at an enterprise ranges from 50 to 300 people, it is necessary to have a medical center. If the organization’s payroll number of employees is more than 300 people, paramedic health centers should be provided (clause 5.27 of the Code of Rules SP 44.13330.2011 “SNiP 2.09.04-87. Administrative and domestic buildings”).

      How many first aid kits should an organization have?

      The number of first aid kits in an organization is determined by its head together with medical worker and (or) a labor protection specialist.

      There is no uniform requirement for the number of first aid kits in an organization - every employer must have at least one first aid kit. Exact information on the number of first aid kits for some organizations is given in industry regulations:

    • At each marshalling station workplace(Clause 4.6.4 of the Sanitary Rules for the Organization of Freight Transportation by Rail SP 2.5.1250-03, approved by the Chief State Sanitary Doctor of Russia on March 24, 2003; Sanitary Rules for the Organization of Freight Transportation by Rail SP 2.5.1250-03, approved Resolution of the Chief State Sanitary Doctor of Russia dated April 4, 2003 No. 32)
    • On every bulldozer(Clause 2.5 Standard instructions on labor protection for drivers of electric forklifts, forklifts, bucket loaders and bulldozer drivers, approved by the Ministry of Railways of Russia on May 25, 2002)
    • In every laboratory(Clause 11.1.2 of the Temporary recommendations (rules) on labor protection when working in laboratories (departments, departments) of sanitary and epidemiological institutions of the Ministry of Health of Russia, approved by the chief physician of the Federal Center for State Sanitary and Epidemiological Surveillance of the Ministry of Health of Russia, Deputy Chief State Sanitary Doctor of Russia, Chairman of the Laboratory Council of the State Sanitary and Epidemiological Service Russia April 11, 2002)
    • On racks where tanks are processed, as well as in the operator’s room(Clause 7.5.8 of the Sanitary Rules for the organization of freight transportation by rail SP 2.5.1250-03, approved by the Chief State Sanitary Doctor of Russia on March 24, 2003)
    • In all areas and in domestic premises(Clause 13.5 of the Sanitary and Epidemiological Rules and Standards “Hygienic requirements for enterprises producing building materials and structures. SanPiN 2.2.3.1385-03”, approved by the Chief State Sanitary Doctor of Russia on June 11, 2003)
    • At each site, in workshops, workshops, as well as on the main mining and transport units and in sanitary premises (Clause 563 of the Safety Rules for the development of open-pit coal deposits, approved by Decree of the State Mining and Technical Supervision of Russia dated May 30, 2003 No. 45)
    • In paint shops(Clause 7.12 of the Sanitary Rules for painting work using hand sprayers, approved by the Deputy Minister of Health of the USSR on September 22, 1972 No. 991-72).
    • In every workshop and in every separate production site (Clause 13.1.15 POT RO 14000-005-98 “Regulation. Work with increased danger. Organization of holding”, approved by the Department of Mechanical Engineering Economics of the Russian Ministry of Economy on February 19, 1998)
    • IN vehicles when transporting pesticides(Clause 586 of the Rules on labor protection in logging, woodworking industries and during forestry work, approved by Order of the Ministry of Labor of Russia dated November 2, 2015 No. 835n).

    Responsibility for the lack of a first aid kit

    For the absence of a first aid kit, administrative liability is provided in accordance with Part 1 of Article 5.27 of the Code of the Russian Federation on Administrative Offenses and provides for the imposition of the following fines:

  • for officials - from 1000 to 5000 rubles;
  • on persons carrying out entrepreneurial activity without forming a legal entity - from 1000 to 5000 rubles;
  • on legal entities– from 30,000 to 50,000 rubles.
  • If the information was useful, leave comments and share a link to this article in your in social networks. Thank you!

    olgasofronova.ru

    First aid kit. Street. Flashlight. We are covering the Topic on Medical Kits and First Aid!

    Hi all! As things progressed, I decided to expand as much as possible on the topic of medical kits for providing first aid to employees. In this note, I will answer the questions: is it necessary to create an order appointing a person responsible for the acquisition, storage of medical kits and replenishing them with medications, whether he needs to be trained, and what medications and drugs should be included in the medical kit. In addition, I will conduct a kind of educational program on this topic. A BONUS to everything will be samples and examples of orders, etc.

    In order to expand on the topic of medical first aid kits, you should start with the basics - this Labor Code of the Russian Federation and its 10th section " OCCUPATIONAL SAFETY AND HEALTH«.

    Article 223 of the Labor Code of the Russian Federation - Sanitary, medical and preventive services for workers

    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; are being created sanitary posts 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.

    Transportation to medical organizations or to the place of residence of workers affected by industrial accidents and occupational diseases, as well as for other medical reasons, is carried out using the employer’s vehicles or at his expense.

    Based on Article 223 of the Labor Code of the Russian Federation, there is practically no understanding regarding medical first aid kits. Yes, the employer must organize sanitary posts with first-aid kits, namely, purchase them and stock them with the appropriate medications and drugs. What's next?! Many questions remain: How to properly organize posts with first aid kits? What kind of drugs and preparations should medical kits be equipped with? Who will purchase them, store them, issue them, control them? Who will provide first aid?

    Almost all the answers to these questions are given to us by the Letter of the Federal Service for Labor and Employment dated November 7, 2012 No. PG/8351-3-5 “On consideration of the appeal.”

    The Department of Supervision and Control over Compliance with Labor Legislation of the Federal Service for Labor and Employment, within its competence, has considered an appeal regarding the creation of sanitary posts with first aid kits in the organization and reports the following.

    Number of first aid kits in production May be defined local act employer, taking into account the number of employees and the nature of the work.

    In this regard, the employer issues an order appointing an employee responsible for the acquisition, storage, and use of a first aid kit, approves the contents of the first aid kit (in the event that the composition of the first aid kit for employees according to Order No. 169n does not objectively meet the requirements of the enterprise), designates the storage location of the first aid kit, and adopts the procedure for using and monitoring the contents of the first aid kit. Wherein employer in accordance with Article 212 of the Labor Code Russian Federation is obliged to train the employee appointed responsible for the storage and use of the first aid kit in providing first aid to victims at work. In addition, the organization starts first aid kit log, and also developed and approved instructions for first aid.

    Taking into account the above, we believe that there is no need to introduce an additional position into the organization’s staff on the above issue.

    Deputy Head of the Department for Supervision and Control of Compliance with Labor Legislation - T.M. Zhigastova

    So, the picture of medical kits becomes more or less clear and understandable. At least someone has given some clarification on this issue, but it is worth understanding that this letter is a recommendation, not mandatory requirement, because the letter contains “maybe. » the employer can determine all of the above by local act (order).

    Again there is Art. 223 of the Labor Code of the Russian Federation and the issue of first aid kits in any case must be worked out so that no one has any complaints or problems.

    There is a dubious point in the letter that if the composition of the medical kit according to Order No. 169n does not objectively meet the company’s requirements, then the employer approves its composition. What composition?! What is acceptable to use above 169n?! Unclear.

    If anyone doesn’t know, then due to such misunderstandings, something like the following situation can happen (based on real events):

    One day, the shop manager saw his sick employee and decided to give him cold medicine (such as Theraflu or the like) from the first aid kit, the employee turned out to have a heart disease and he felt ill, resulting in death. In the end, a criminal case was opened against the workshop manager for not having the right to “treat.” In other words, the provision of medical care by a person who does not have the right to it.

    A common situation is when first aid kits are full of various drugs and preparations that go far beyond the list of Order No. 169n. And what’s not there: noshpa, Theraflu, validol, etc. and so on.

    This happens because some individuals, without delving into the issue, want to treat their frequent health problems at the expense of the employer, or simply think that by purchasing such medicines and preparations, they are doing so for the benefit of the entire team. But. they are wrong.

    Another reason is that this whole issue has not been worked out, and therefore remains on its own.

    The recommendations from the letter from the Federal Service for Labor and Employment are quite competent, why not use them?! All that is required is create an order- who, what, where, when, how and organize related events.

    For this we will need the following samples, examples and forms (choose to your taste and color):

    First aid training for victims at work

    In a letter to T.M. Zhigastova explains that the person who was appointed by order as the person responsible for storing and using the first aid kit must be trained. This training is prescribed in Art. 212 of the Labor Code of the Russian Federation and Resolution 1/29 of January 13, 2003, paragraph 2.2.4. It seems that everything is clear, but one BIG BUT follows from this event. How exactly to conduct training in providing first aid to victims? How to properly arrange this training? What should a person have after completing first aid training? What document regulates this? Unfortunately, there are no clear answers.

    So how do you implement first aid training within an organization?

    There are at least two opinions on this matter:

    1. Provide first aid training within the organization.

    2. Conduct such training in a specialized training center.

    How to conduct first aid training within an organization?

    Before moving on to unpack this dark and impenetrable issue, let us turn to Letter No. 14-8/10/2-1759 dated February 29, 2012.

    The Ministry of Health and Social Development of the Russian Federation reports that Article 31 Federal Law dated November 21, 2011 No. 323-FZ “On the fundamentals of protecting the health of citizens in the Russian Federation” established that first aid before medical care is provided to citizens in case of accidents, injuries, poisoning and other conditions and diseases that threaten their life and health, persons obliged to provide first aid in accordance with federal law or with a special rule and who have appropriate training, including employees of the internal affairs bodies of the Russian Federation, employees, military personnel and employees of the State Fire Service, rescuers of emergency rescue units and emergency services.

    Order of the Ministry of Health and Social Development of Russia dated May 17, 2010 No. 353n “On First Aid” (registered with the Ministry of Justice of Russia on July 12, 2010, registration No. 17768)* established a list of measures to provide first aid.

    In this regard, the Intersectoral Instructions for Providing First Aid in Case of Industrial Accidents, developed by the Ministry of Labor and Social Development of the Russian Federation, do not apply.

    When providing first aid, we recommend following the textbook “First Aid Algorithms” and the textbook “First Aid”. In addition, the Ministry is currently developing tutorial"Algorithms for first aid at work."

    In addition, the Ministry is currently developing guidelines according to first aid algorithms in production.

    At the same time, we inform you that the Ministry of Health and Social Development of the Russian Federation is recalling the letter from the Department of Research and Educational medical institutions Ministry of Health of Russia dated June 28, 1999 16-16/68. A.L.SAFONOV

    * - Order of the Ministry of Health and Social Development of Russia dated May 17, 2010 No. 353n “On First Aid” became invalid due to the publication of Order of the Ministry of Health and Social Development of Russia dated May 4, 2012 No. 477n

    One thing that follows from the above letter and order No. 477 is that the person providing first aid must have appropriate training and/or skill.

    How can this person get such training?! Apparently only in specialized training center, where, after completing the training, he will receive the appropriate document and the right to provide first aid to victims, as well as train employees in first aid.

    Because Internal training in first aid is not regulated; it should be carried out, at a minimum, in compliance with GOST 12.0.004-90 “System of occupational safety standards. Organization of occupational safety training. General provisions"(the document has lost force - see information), i.e. create a commission of three persons trained to provide first aid in a specialized training center, conduct (conduct) training according to the recommendations specified in Letter No. 14-8/10/2-1759 dated February 29, 2012 and Order of the Ministry of Health and Social Development of Russia dated May 4, 2012 No. 477, formalize this whole matter with the appropriate protocol from the above GOST. If you also use special simulators (Gosha, Maxim, etc.) during training, then there will be no price for such an event.

    For those who are especially advanced, those who use devices with Android OS (Android), there is an application on Google Play First first aid(author - Ivan Plyusnin)

    This is what I gave, perhaps the most ideal option.

    The less ideal and most common option looks exactly the same, only the commission consists of people who have passed occupational safety training at the training center and having the appropriate certificates. It seems like there is a section on providing first aid to victims in a 40-hour training program on occupational safety for managers and specialists - and that’s enough.

    Is it possible to identify such training with special training and/or first aid skills? I personally think not.

    It all depends on what situation the employer can and is ready to get into.

    There is another interesting point - from the existing legal regulations, there are two opinions about whether the employer is obliged to provide first aid.

    1. First opinion

    The employer is obliged to immediately provide first aid to someone injured in an accident (paragraph 2 of Article 228 of the Labor Code of the Russian Federation - Responsibilities of the employer in the event of an accident):

    In case of accidents specified in Article 227 of this Code, the employer (his representative) is obliged to:
    - immediately organize first aid for the victim and, if necessary, transport him to a medical organization;

    For these purposes, every organization must have a first aid kit (Part 1 of Article 223 of the Labor Code of the Russian Federation), the contents of which are determined by Order of the Ministry of Health and Social Development of Russia dated March 5, 2011 No. 169n.

    If an employee has clearly suffered serious injuries and requires urgent medical intervention (Part 1, Article 35 of Federal Law No. 323-FZ of November 21, 2011), it is recommended to call an ambulance.

    Important! The employer is obliged to transport the victim to the hospital using his own transport or at his own expense (Part 2 of Article 223 of the Labor Code of the Russian Federation).

    TOTAL: the employer is obliged.

    2. Second opinion

    LIST OF CONDITIONS FOR WHICH FIRST AID IS PROVIDED

    In accordance with Part 1 of Article 31 of the Federal Law of November 21, 2011 No. 323-FZ “On the fundamentals of protecting the health of citizens in the Russian Federation” (Collected Legislation of the Russian Federation, 2011, No. 48, Art. 6724) (hereinafter referred to as the Federal Law of November 21, 2011 No. 323-FZ) first aid before the provision of medical care, it is provided to citizens in case of accidents, injuries, poisoning and other conditions and diseases that threaten their life and health, persons obliged to provide first aid in accordance with federal law or with a special rule and who have appropriate training, including employees of the internal affairs bodies of the Russian Federation, employees, military personnel and employees of the State Fire Service, rescuers of emergency rescue units and emergency services. In accordance with Part 4 of Article 31 of the Federal Law of November 21, 2011 No. 323-FZ, vehicle drivers and other persons have the right to provide first aid if they have appropriate training and (or) skills.

    1. Lack of consciousness.

    2. Stopping breathing and blood circulation.

    3. External bleeding.

    4. Foreign bodies of the upper respiratory tract.

    5. Injuries to various areas of the body.

    6. Burns, effects of exposure to high temperatures, thermal radiation.

    7. Frostbite and other effects of exposure to low temperatures.

    TOTAL: the employer is not obliged.

    Considering the strength of the documents, the Labor Code of the Russian Federation has priority here. One way or another, the legislator definitely does not have the truth in this matter.

    What conclusion can be drawn from all of the above?

    1. First aid training It’s possible in any way (except for specialized training at a training center), but if an accident occurs at work, then only a properly trained employee who has the appropriate document has the right to provide first aid to the victim(s). Otherwise, no matter how trained or without the appropriate documents, he may become extreme and fall under an article of the Criminal Code. If an accident occurs at work, in which it would be possible to save the victim’s life, but this does not happen due to the lack of officially and unofficially trained persons, then the employer himself becomes the last resort.

    2. The medical kit must be and must be equipped in accordance with the order of the Ministry of Health and Social Development of Russia dated March 5, 2011 No. 169n. If other medicines and preparations are additionally stored and used in it, this may turn into an unpleasant story for the one who dispensed the wrong pill from this medicine cabinet. Everything else that was set out in the Letter of the Federal Service for Labor and Employment dated November 7, 2012 No. PG/8351-3-5 is advisory in nature.

    3. It's up to you to draw conclusions.

    For what you may need to conduct first aid training within an organization, see the label - first aid (video, etc.)

    And finally, information on definitions for literacy.

    PP (first aid)- anyone who has the appropriate training and/or skills.

    PMP (first aid)- with medical education (At the moment, the term is not used officially, it is considered outdated, although it is often found in the literature.).

    FAP (first aid)- paramedic.

    PVP (first aid)- has the right 03, i.e. ambulance staff.

    PVKvalP (first medical qualified aid)- doctors - specialists of a medical institution.

    Receive announcements of new notes immediately to your E-MAIL

    xn—-8sbbilafpyxcf8a.xn--p1ai

    • Ruling of the Investigative Committee for civil cases of the Supreme Court of the Russian Federation dated February 21, 2017 N 18-КГ16-194 The court overturned the appeal ruling on compensation for damage through subrogation and sent the case to […]
    • Order of the Ministry of Health of the Russian Federation dated March 4, 2014 No. 96 “On approval of the Regulations on the procedure for organizing work on interaction structural divisions Ministries […]
    • Order of the Ministry of Health of the Russian Federation dated November 12, 2012 N 905n “On approval of the Procedure for providing medical care to the population in the field of otorhinolaryngology” Order of the Ministry […]
    • Tax deduction for training Sections: Who can get a 13% refund for training? Tuition tax credits apply General requirements to receive tax deductions. Separately […]
    • Sick leave From July 1, 2011, new sick leave certificates began to be issued throughout Russia. Updated as a form sick leave, as well as the procedure for issuing it. About the form […]
    • Order of the Ministry of Internal Affairs of the Russian Federation dated November 7, 2011 N 1121 “On approval Administrative regulations Ministry of Internal Affairs of the Russian Federation to provide public services upon issuance [...]

    Hi all! As things progressed, I decided to expand as much as possible on the topic of medical kits for providing first aid to employees. In this note, I will answer the questions: is it necessary to create an order appointing a person responsible for the acquisition, storage of medical kits and replenishing them with medications, whether he needs to be trained, and what medications and drugs should be included in the medical kit. In addition, I will conduct a kind of educational program on this topic. A BONUS to everything will be samples and examples of orders, etc.

    In order to expand on the topic of medical first aid kits, you should start with the basics - this is Labor Code of the Russian Federation and its 10th section " OCCUPATIONAL SAFETY AND HEALTH «.

    Article 223 of the Labor Code of the Russian Federation - Sanitary, medical and preventive services for workers

    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; are being created sanitary posts 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.

    Transportation to medical organizations or to the place of residence of employees affected by industrial accidents and occupational diseases, as well as for other medical reasons, is carried out using the employer’s vehicles or at his expense.

    Number of first aid kits in production May be determined by a local act of the employer, taking into account the number of employees and the nature of the work.

    In this regard, the employer issues an order appointing an employee responsible for the acquisition, storage, and use of a first aid kit, approves the contents of the first aid kit (in the event that the composition of the first aid kit for employees according to Order No. 169n does not objectively meet the requirements of the enterprise), designates the storage location of the first aid kit, and adopts the procedure for using and monitoring the contents of the first aid kit. Wherein the employer, in accordance with Article 212 of the Labor Code of the Russian Federation, is obliged to train the employee appointed responsible for the storage and use of the first aid kit in providing first aid to those injured at work. In addition, the organization starts first aid kit log, and also developed and approved instructions for first aid.

    Taking into account the above, we believe that there is no need to introduce an additional position into the organization’s staff on the above issue.

    Deputy Head of the Department for Supervision and Control of Compliance with Labor Legislation - T.M. Zhigastova

    So, the picture of medical kits becomes more or less clear and understandable. At least someone has given some clarification on this issue, but it is worth understanding that this letter is a recommendation and not a mandatory requirement, because the letter contains “maybe..” the employer can determine all of the above by a local act (order).

    Again there is Art. 223 of the Labor Code of the Russian Federation and the issue of first aid kits in any case must be worked out so that no one has any complaints or problems.

    Everything is clear about the composition of medical kits; they must be equipped in accordance with Order No. 169n of March 5, 2011 “On approval of the requirements for equipping first aid kits with medical products to provide first aid to employees”.

    There is a dubious point in the letter that if the composition of the medical kit according to Order No. 169n does not objectively meet the company’s requirements, then the employer approves its composition. What composition?! What is acceptable to use above 169n?! Unclear…

    If anyone doesn’t know, then due to such misunderstandings, something like the following situation can happen (based on real events):

    One day, the shop manager saw his sick employee and decided to give him cold medicine (such as Theraflu or the like) from the first aid kit, the employee turned out to have a heart disease and he felt ill, resulting in death. In the end, a criminal case was opened against the workshop manager for not having the right to “treat.” In other words, the provision of medical care by a person who does not have the right to it.

    A common situation is when first aid kits are full of various drugs and preparations that go far beyond the list of Order No. 169n. And what’s not there: noshpa, Theraflu, validol, etc. and so on.

    This happens because some individuals, without delving into the issue, want to treat their frequent health problems at the expense of the employer, or simply think that by purchasing such medicines and preparations, they are acting for the benefit of the entire team... but... they are mistaken.

    Another reason is that this whole issue has not been worked out, and therefore remains on its own.

    The recommendations from the letter from the Federal Service for Labor and Employment are quite competent, why not use them?! All that is required is create an order- who, what, where, when, how and organize related events.

    For this we will need the following samples, examples and forms (choose to your taste and color):

    One thing that follows from the above letter and order No. 477 is that the person providing first aid must have appropriate training and/or skill.

    How can this person get such training?! Apparently only in a specialized training center, where, after completing the training, he will receive the appropriate document and the right to provide first aid to victims, as well as train employees in first aid.

    Because Internal training in first aid is not regulated; it should be carried out, at a minimum, in compliance with GOST 12.0.004-90 “System of occupational safety standards. Organization of occupational safety training. General provisions" (the document has lost force - see information), i.e. create a commission of three persons trained to provide first aid in a specialized training center, conduct (conduct) training according to the recommendations specified in Letter No. 14-8/10/2-1759 dated February 29, 2012 and Order of the Ministry of Health and Social Development of Russia dated May 4, 2012 No. 477, formalize this whole matter with the appropriate protocol from the above GOST. If you also use special simulators (Gosha, Maxim, etc.) during training, then there will be no price for such an event.

    This is what I gave, perhaps the most ideal option.

    The less ideal and most common option looks exactly the same, only the commission consists of people who have passed occupational safety training at the training center and having the appropriate certificates. It seems like there is a section on providing first aid to victims in a 40-hour training program on occupational safety for managers and specialists - and that’s enough.

    Is it possible to identify such training with special training and/or first aid skills? I personally think not.

    It all depends on what situation the employer can and is ready to get into.

    There is another interesting point - from the existing legal regulations, there are two opinions about whether the employer is obliged to provide first aid.

    1. First opinion

    The employer is obliged to immediately provide first aid to someone injured in an accident (paragraph 2 of Article 228 of the Labor Code of the Russian Federation - Responsibilities of the employer in the event of an accident):

    In case of accidents specified in Article 227 of this Code, the employer (his representative) is obliged to:
    - immediately organize first aid for the victim and, if necessary, transport him to a medical organization;

    For these purposes, every organization must have a first aid kit (Part 1 of Article 223 of the Labor Code of the Russian Federation), the contents of which are determined by Order of the Ministry of Health and Social Development of Russia dated March 5, 2011 No. 169n.

    If an employee has clearly suffered serious injuries and requires urgent medical intervention (Part 1, Article 35 of Federal Law No. 323-FZ of November 21, 2011), it is recommended to call an ambulance.

    Important! The employer is obliged to transport the victim to the hospital using his own transport or at his own expense (Part 2 of Article 223 of the Labor Code of the Russian Federation).

    TOTAL: the employer is obliged.

    LIST OF CONDITIONS FOR WHICH FIRST AID IS PROVIDED<*>

    <*>In accordance with Part 1 of Article 31 of the Federal Law of November 21, 2011 No. 323-FZ “On the fundamentals of protecting the health of citizens in the Russian Federation” (Collected Legislation of the Russian Federation, 2011, No. 48, Art. 6724) (hereinafter referred to as the Federal Law of November 21, 2011 No. 323-FZ) first aid before the provision of medical care, it is provided to citizens in case of accidents, injuries, poisoning and other conditions and diseases that threaten their life and health, persons obliged to provide first aid in accordance with federal law or with a special rule and who have appropriate training, including employees of the internal affairs bodies of the Russian Federation, employees, military personnel and employees of the State Fire Service, rescuers of emergency rescue units and emergency services. In accordance with Part 4 of Article 31 of the Federal Law of November 21, 2011 No. 323-FZ, vehicle drivers and other persons have the right to provide first aid if they have appropriate training and (or) skills.

    1. Lack of consciousness.

    2. Stopping breathing and blood circulation.

    3. External bleeding.

    4. Foreign bodies of the upper respiratory tract.

    5. Injuries to various areas of the body.

    6. Burns, effects of exposure to high temperatures, thermal radiation.

    7. Frostbite and other effects of exposure to low temperatures.

    8. Poisoning.

    TOTAL: the employer is not obliged.

    Considering the strength of the documents, the Labor Code of the Russian Federation has priority here. One way or another, the legislator definitely does not have the truth in this matter.

    What conclusion can be drawn from all of the above?

    1. First aid training It’s possible in any way (except for specialized training at a training center), but if an accident occurs at work, then only a properly trained employee who has the appropriate document has the right to provide first aid to the victim(s). Otherwise, no matter how trained or without the appropriate documents, he may become extreme and fall under an article of the Criminal Code. If an accident occurs at work, in which it would be possible to save the victim’s life, but this does not happen due to the lack of officially and unofficially trained persons, then the employer himself becomes the last resort.

    2. The medical kit must be and must be equipped in accordance with the order of the Ministry of Health and Social Development of Russia dated March 5, 2011 No. 169n. If other medicines and preparations are additionally stored and used in it, this may turn into an unpleasant story for the one who dispensed the wrong pill from this medicine cabinet. Everything else that was set out in the Letter of the Federal Service for Labor and Employment dated November 7, 2012 No. PG/8351-3-5 is advisory in nature.

    3. It's up to you to draw conclusions.

    For what you may need to conduct first aid training within an organization, see the label - (video, etc.)

    And finally, information on definitions for literacy.

    PP (first aid)- anyone who has the appropriate training and/or skills.

    PMP (first aid)- with medical education (At the moment, the term is not used officially, it is considered outdated, although it is often found in the literature.).

    FAP (first aid)- paramedic.

    PVP (first aid)— 03 has the right, i.e. ambulance staff.

    PVKvalP (first medical qualified aid)- doctors - specialists of a medical institution.

    That's all.

    To be continued …

    COMPANY NAME

    ORDER No. _____
    from "____"___________2008 Odessa

    About the person responsible for providing first aid before medical treatment
    assistance in case of accidents
    and first aid kit

    To ensure labor safety at the enterprise, I order:

    1. Appoint ___________________ to be responsible for providing first aid before medical care in case of accidents.
    2. Create a first aid kit. First aid kit contents:
    1. Painkillers, anti-inflammatory drugs and medications for trauma (bruises, fractures, dislocations), wounds:
    1.1. Analgin 0.5 N 10 - 1 pack.
    1.2. Package - portable hypothermic (cooling) container - 1 pc.
    1.3. Sodium sulfacyl solution - 1 fl.
    1.4. Aspirin - 1 pack.
    2. Means for stopping bleeding, treating and dressing wounds:
    2.1. Tourniquet to stop arterial bleeding with adjustable compression (pressure) - 1 pc.
    2.2. Sterile bandage 10 x 5 - 1 pc.
    2.3. Non-sterile bandage 10 x 5 - 1 pc.
    2.4. Non-sterile bandage 5 x 5 - 1 pc.
    2.5. Atraumatic MAG dressing with dioxidine or silver nitrate 8 x 10 for dressing dirty wounds - 1 pc.
    2.6. Bactericidal adhesive plaster 2.5 x 7.0 or 2 x 5 cm - 2 pcs.
    2.7. Sterile wipes for stopping capillary and venous bleeding with furagin 6 x 10 cm, 10 x 18 cm - 3 pcs.
    2.8. Alcohol iodine solution 5% or brilliant green 1% - 1 fl.
    2.9. Elastic tubular medical non-sterile bandage N N 1, 3, 6 - 1 pc.
    2.10. Cotton wool 50 g - 1 pack.
    3. Remedies for heart pain:
    3.1. Nitroglycerin tab. N 40 or caps. N 20 (trinitralong) - 1 pack.
    3.2. Validol tab. or caps. - 1 pack.
    4. Means for cardiopulmonary resuscitation during clinical death:
    4.1. Device for artificial respiration "Mouth - device - mouth" - 1 pc.
    5. Remedies for fainting (collapse):
    5.1. Ammonia solution ( ammonia) -1 fl.
    6. Detoxification agents for food poisoning, etc.:
    6.1. Enterodes - 2 pcs.
    6.2. Activated carbon in table. - 1 pack.
    7. Remedies for stress reactions:
    7.1. Corvalol or valerian tincture - 1 fl.
    8. Scissors - 1 pc.
    9. First aid rules.
    10. Case

    3. The person responsible for providing first aid before medical care in case of accidents should prepare a first aid kit. Take a first aid kit (car) as a basis.
    4. Do not use products with damaged packaging or expired expiration dates.
    5. When using any product, the first aid kit urgently needs to be replenished.
    6. The chief accountant, at the request of the person responsible for providing first aid before medical care, allocates funds for the purchase and replenishment of a first aid kit.
    7. First aid kits must be in a publicly accessible place.
    8. The person in charge (engineer) for occupational safety organizes training for the person responsible for providing first aid before medical care in case of accidents at work.

    The employer is obliged, in accordance with Article 223 of the Labor Code of the Russian Federation, to provide sanitary, household, medical and preventive services for workers, including creating sanitary posts with first aid kits.

    Despite all precautions, unfortunately, sad situations arise. First medical aid to workers injured at work is one of the main elements of labor protection in any organization. Hazardous industries have their own rules and requirements for sanitary posts and first aid kits.

    First aid kits from January 1, 2012 must comply with the requirements approved by Order of the Ministry of Health and Social Development of Russia dated March 5, 2011 No. 169n “On approval of the requirements for equipping first aid kits with medical products for providing first aid to employees” (hereinafter referred to as Order No. 169n).

    Any organization, regardless of its legal form and scope of activity, must have a first aid kit.

    Who purchases, is responsible for maintaining and storing the first aid kit?

    By order of the organization, it is necessary to appoint an employee who will purchase, store the first aid kit and be responsible for its contents. These functions can be assigned to an employee of the organization who has been trained in providing first aid to victims at work.

    The employee responsible for the first aid kit:

    • prepares applications for the purchase of medical products;
    • promptly replenishes its contents (as used) (note 1-2 to Order No. 169n);
    • keeps a log of the use of medical products (letter of Rostrud “On the creation of sanitary posts with first aid kits in the organization” dated November 7, 2012 No. PG/8351-3-5.)

    Checking the completeness of the first aid kit is carried out at the first stage of administrative and public control: the head of the unit and the labor protection representative of the trade union organization (the labor protection representative of the workforce).

    The issue of frequency of checks of the completeness of the first aid kit can be regulated in the local regulatory act of the organization, for example, in an order to ensure the completion of first aid kits for providing first aid to employees or a regulation on administrative and public control.

    What should be included in a first aid kit?

    The first aid kit should include:

    • medical products for temporarily stopping external bleeding and dressing wounds (for example, a hemostatic tourniquet, sterile and non-sterile bandages, an individual dressing package with a sealed shell, adhesive plasters);
    • device for cardiopulmonary resuscitation (device for artificial respiration “Mouth-Device-Mouth” or pocket mask for artificial ventilation “Mouth-mask”;
    • other medical products (isothermal blanket, medical gloves, etc.);
    • other means (for example, a tear-off pad, a fountain pen, five antiseptic sterile alcohol wipes).

    At the same time, the required components of a first aid kit cannot be replaced with other products.

    A thoughtless attitude to any medications is dangerous. The use of any medication can lead to tragedy. For example, nitroglycerin is a powerful drug; the wrong dosage can kill a person. Boric acid, which is found in almost every home medicine cabinet, is a strong poison. Even the use of harmless iodine or brilliant green can cause serious trouble.

    It is prohibited to include medications in a first aid kit, and the State Tax Inspectorate checks the contents of first aid kits during inspections. 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).


    First aid kit storage space

    The employer, in accordance with the Labor Code of the Russian Federation, is obliged to create sanitary posts with first aid kits and indicate them on the evacuation plan. Sanitary posts are located at such a distance that workers can quickly access them if necessary.

    At sanitary posts where first aid kits are stored, it is necessary to place a first aid kit sign - a white cross on a green background (Table I2 GOST R 12.4.026-2001).

    Let us remind you that when the number of employees at an enterprise ranges from 50 to 300 people, it is necessary to have a medical center. If the organization’s payroll number of employees is more than 300 people, paramedic health centers should be provided (clause 5.27 of the Code of Rules SP 44.13330.2011 “SNiP 2.09.04-87. Administrative and domestic buildings”).

    How many first aid kits should an organization have?

    The number of first aid kits in an organization is determined by its head together with a medical worker and (or) an occupational safety specialist.

    There is no uniform requirement for the number of first aid kits in an organization - every employer must have at least one first aid kit. Exact information on the number of first aid kits for some organizations is given in industry regulations:

    • At each marshalling station workplace(Clause 4.6.4 of the Sanitary Rules for the Organization of Freight Transportation by Rail SP 2.5.1250-03, approved by the Chief State Sanitary Doctor of Russia on March 24, 2003; Sanitary Rules for the Organization of Freight Transportation by Rail SP 2.5.1250-03, approved Resolution of the Chief State Sanitary Doctor of Russia dated April 4, 2003 No. 32)
    • On every bulldozer(Clause 2.5 of the Standard Labor Safety Instructions for drivers of electric forklifts, forklifts, bucket loaders and bulldozer operators, approved by the Ministry of Railways of Russia on May 25, 2002)
    • In every laboratory(Clause 11.1.2 of the Temporary recommendations (rules) on labor protection when working in laboratories (departments, departments) of sanitary and epidemiological institutions of the Ministry of Health of Russia, approved by the chief physician of the Federal Center for State Sanitary and Epidemiological Surveillance of the Ministry of Health of Russia, Deputy Chief State Sanitary Doctor of Russia, Chairman of the Laboratory Council of the State Sanitary and Epidemiological Service Russia April 11, 2002)
    • On racks where tanks are processed, as well as in the operator’s room(Clause 7.5.8 of the Sanitary Rules for the organization of freight transportation by rail SP 2.5.1250-03, approved by the Chief State Sanitary Doctor of Russia on March 24, 2003)
    • In all areas and in domestic premises(Clause 13.5 of the Sanitary and Epidemiological Rules and Standards “Hygienic requirements for enterprises producing building materials and structures. SanPiN 2.2.3.1385-03”, approved by the Chief State Sanitary Doctor of Russia on June 11, 2003)
    • At each site, in workshops, workshops, as well as on the main mining and transport units and in sanitary premises (Clause 563 of the Safety Rules for the development of open-pit coal deposits, approved by Decree of the State Mining and Technical Supervision of Russia dated May 30, 2003 No. 45)
    • In paint shops(Clause 7.12 of the Sanitary Rules for painting work using hand sprayers, approved by the Deputy Minister of Health of the USSR on September 22, 1972 No. 991-72).
    • In every workshop and at every separate production site(Clause 13.1.15 POT RO 14000-005-98 “Regulations. Work with increased danger. Organization of implementation”, approved by the Department of Mechanical Engineering Economics of the Ministry of Economy of Russia on February 19, 1998)
    • In vehicles when transporting pesticides(Clause 586 of the Rules on labor protection in logging, woodworking industries and during forestry work, approved by Order of the Ministry of Labor of Russia dated November 2, 2015 No. 835n).

    Responsibility for the lack of a first aid kit

    For the absence of a first aid kit, administrative liability is provided in accordance with Part 1 of Article 5.27 of the Code of the Russian Federation on Administrative Offenses and provides for the imposition of the following fines:

    • for officials - from 1000 to 5000 rubles;
    • for persons carrying out entrepreneurial activities without forming a legal entity - from 1000 to 5000 rubles;
    • for legal entities – from 30,000 to 50,000 rubles.

    If the information was useful, leave comments and share the link to this article on your social networks. Thank you!