First-aid instructions using a first-aid kit

Employer / organization​

Number Order number​, approval date Order date Approved by: Head’s position​ __________ / Head’s full name​ / Site: Department / site​, Site address​

These instructions apply from Effective date within the First-Aid Procedure approved by Order of the Ministry of Health of the Russian Federation (Минздрав России) dated 03.05.2024 No. 220n (220н). They are used together with training and practical skills exercises. First-aid kit locations and unobstructed access: First-aid kit locations and access arrangements​. Emergency calls: 112 or 103. State the incident location, what happened, the number and condition of casualties, and access routes; follow the dispatcher’s instructions. Internal contacts, meeting the ambulance team and ensuring access: Internal contacts and ambulance reception​. Do not endanger yourself or others. First aid may be provided if the casualty or their legal representative has not expressed refusal before it begins.

• Assess the situation and eliminate threats if it is safe to do so. Use protective gloves and the necessary protective equipment; assess the number of casualties and state that you are ready to help. If there are several casualties, take the severity of their conditions into account, giving priority to children.
• Perform an initial examination to identify ongoing external bleeding. Apply direct pressure to the wound; if this is impossible, dangerous or ineffective, use a pressure dressing and/or tourniquet as taught in training. Apply the tourniquet according to the rules learned and the device instructions; record the time of application.
• Check consciousness. If the casualty is unconscious, open the airway and assess breathing by listening, looking and feeling.
• If there are no signs of life, ask bystanders to call an ambulance and begin the cardiopulmonary resuscitation learned in training on a firm, flat surface. For rescue breaths, use the appropriate protective device from the first-aid kit according to its instructions.
• If the casualty is unconscious but breathing, maintain an open airway: use the recovery position or, if this is impossible because of injury or other reasons, the airway-maintenance method learned in training. Call an ambulance if one has not already been called.
• If the casualty is conscious, question them and perform a detailed examination to identify injuries and other life-threatening conditions. Provide assistance appropriate to the injury and the skills learned: dressings, cooling, thermal insulation, immobilization and other measures provided for by the Procedure. Do not perform unfamiliar procedures.
• During a seizure, prevent additional injury to the head and do not restrain convulsive movements; after the seizure, monitor breathing and maintain an open airway.
• Assistance with taking medicines previously prescribed to the casualty by their treating doctor is permitted. Do not prescribe medicines yourself.
• Position the casualty appropriately for their condition, monitor consciousness, breathing and bleeding, and support them until handover to the ambulance team. Tell medical personnel the circumstances, observations and actions taken.

Use items for their intended purpose and in accordance with the manufacturer’s instructions: gloves and masks for protection; a mouth-to-device-to-mouth resuscitation device for rescue breaths; bandages, gauze pads and adhesive dressings for dressings and securing materials; a tourniquet to stop bleeding in the prescribed cases; scissors to cut materials; an emergency blanket for thermal insulation as instructed; a notepad and writing tool to record times and actions. Do not use items that have expired, lost sterility or become contaminated with blood or other bodily fluids; do not reuse contaminated items. After use, notify the person responsible, Person responsible for first-aid kits: full name, position and contact​, and arrange safe disposal of used items and replenishment: Procedure for disposal of used items and replenishment​.

Attach current training algorithms for the identified hazards and instructions for the items used: Attached training algorithms and device instructions​. Procedures for poisoning, injuries and other specific conditions must be performed only according to the algorithms learned, taking account of contraindications and the dispatcher’s instructions. Acknowledgment of these instructions: Acknowledgment: full name, position, actual date, signature​.

Contents list under Order of the Ministry of Health of the Russian Federation dated 24.05.2024 No. 262n (262н). Minimum sizes and quantities are given; select specific medical devices from the permitted nomenclature types in the order and verify their registration.

First-aid kits manufactured or assembled before 01.09.2024 may be used until the medical devices expire, but no later than 01.09.2027. Application of this transitional rule must be supported by the assembly date and an expiry check; it does not permit use of expired items.