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What 2 items should not be in a first aid kit?

"First aid kits may not contain prescription or over-the-counter medications such as aspirin, Ibuprofen, decongestants, sinus relief, etc. These are not first aid items.

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First Aid Kits: the Good, the Bad, and the Downright Ugly

All kinds of kits are available. What is required, what works--and are the two compatible?

PERHAPS before discussing first aid kits, we should consider the question, "What is first aid?" Does it refer to treatment delivered prior to more definitive medical care available at a clinic or hospital? Is it simply the placing an adhesive bandage over a small cut? Is it an aspirin taken from the cabinet for the treatment of a headache? Does it involve splinting an ulnar fracture? Because the way you define first aid also defines your concept of a first aid kit and the training needed to use the kit's contents. OSHA's standard on first aid is brief. The standard mandates "the ready availability of medical personnel for advice and consultation on matters of plant health," people who are adequately trained to render first aid "in the absence of an infirmary, clinic, or hospital in near proximity" to the workplace, readily available first aid kits, and suitable facilities "for quick drenching or flushing of the eyes and body" in work areas where a risk exists. In interpretive documents, OSHA defines "near proximity" of medical assistance as three to five minutes. As for the first aid kits, OSHA recommends looking to the American National Standards Institute (ANSI), medical professionals, hospital emergency departments, and fire/rescue departments for guidance on first aid kits. However, OSHA also recognizes that companies may have specific hazards requiring correlating medical supplies.

When it comes right down to it, there are "official" first aid kits, compliance first aid kits, kits to hang on the wall, kits to put on a shelf, unitized kits, kits to carry, and kits containing everything but the kitchen sink. What is required, what works--and are the two compatible?

ANSI's current minimum requirements for first aid kit contents include:

Gauze pads (at least 4 x 4 inches)

Two large gauze pads (at least 8 x 10 inches)

Box adhesive bandages (band-aids)

One package gauze roller bandage at least 2 inches wide

Two triangular bandages

Wound-cleaning agent such as sealed moistened towelettes

Scissors

At least one blanket

Tweezers

Latex gloves

Resuscitation equipment such as resuscitation bag, airway, or pocket mask

Two elastic wraps

Splint

Directions for requesting emergency assistance

This article originally appeared in the April 2003 issue of Occupational Health & Safety.

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