Actions of a nurse when pricking a finger with a used needle. Algorithm of actions of medical staff in emergency situations. Personal protective equipment for medical workers

Ethyl alcohol solution 70% - 50.0

Alcohol solution of iodine 5% - 10.0

Sterile cotton balls in sealed packaging

Actions of a medical worker in an emergency.

Each medical and preventive institution must develop an Algorithm for the action of medical personnel in an emergency and based on:

Sanitary and epidemiological rules SP 3.1.5. 2826-10 “Prevention of HIV infection”

Information letter dated November 1, 2010. “The procedure for post-exposure prophylaxis of HIV infection in medical treatment - preventive institutions Udmurt Republic".

Preventive measures in case of contact of infectious biological liquids infected with HIV with the skin and mucous membranes, as well as with injections and cuts:

In accordance with clause 8.3.3.1. SP 3.1.5. 2826-10:

In case of cuts or punctures, immediately:

Take off your gloves

Wash your hands with soap and water running water,

Clean your hands with 70% alcohol,

Lubricate the wound with a 5% alcohol solution of iodine;

If blood or other biological fluids come into contact with the skin:

This place is treated with 70% alcohol,

Wash with soap and water and re-treat with 70% alcohol;

If blood or other biological fluids of the patient come into contact with the mucous membranes of the eyes, nose and mouth:

Rinse the oral cavity with plenty of water

Rinse with 70% ethyl alcohol solution,

The mucous membrane of the nose and eyes is washed generously with water (do not rub);

If blood or other biological fluids of the patient get on the gown or clothing:

Remove work clothes and immerse in a disinfectant solution or in a bix (tank) for autoclaving;

Note:

Start taking antiretroviral drugs as soon as possible for post-exposure prophylaxis of HIV infection.

Examination of an injured health worker after an emergency.

In accordance with clause 8.3.3.2. SP 3.1.5. 2826-10 it is necessary, as soon as possible after contact, to examine for HIV and viral hepatitis B and C a person who may be a potential source of infection and the person in contact with him. HIV testing of a potential source of HIV infection and a contact person is carried out using rapid testing for HIV antibodies after an emergency with the obligatory sending of a sample from the same portion of blood for standard HIV testing in an ELISA. Samples of plasma (or serum) from the blood of a person who is a potential source of infection and a contact person are transferred for storage for 12 months to the BUI UR "URC AIDS and IZ".

The victim and the person who may be a potential source of infection must be interviewed about the carriage of viral hepatitis, STIs, inflammatory diseases of the genitourinary tract, and other diseases, and counseled regarding less risky behavior. If the source is infected with HIV, determine whether he or she has received antiretroviral therapy. If the victim is a woman, a pregnancy test should be performed to determine if she is breastfeeding. In the absence of clarifying data, post-exposure prophylaxis begins immediately; if additional information becomes available, the regimen is adjusted.

Carrying out post-exposure prophylaxis of HIV infection with antiretroviral drugs, in accordance with SP 3.1.5. 2826-10:

Clause 8.3.3.3: The decision to carry out post-exposure prophylaxis for HIV infection is made by the doctor responsible for the management of patients with HIV infection in the health care facility where the emergency occurred. On the weekend, holidays and on the night shift, the doctor on duty of the department where the emergency occurred, with the subsequent referral of the injured employee for a consultation at the BUI UR "URC AIDS and Illness" to an infectious disease doctor for correction of ART.

Clause 8.3.3.3.1: Antiretroviral medications should be started within the first two hours after the accident, but no later than 72 hours.

In each health care facility, a specialist responsible for storing ARVs must be determined by order of the chief physician; the storage location for ARVs must be determined, ensuring their availability around the clock, including at night and on weekends.

Clause 8.3.3.3.2: The standard regimen for post-exposure prophylaxis of HIV infection is lopinavir/ritonavir + zidovudine/lamivudine. In the absence of these drugs, any other antiretroviral drugs can be used to initiate chemoprophylaxis; If it is not possible to immediately prescribe a full-fledged HAART regimen, one or two available drugs are started. The use of nevirapine and abacavir is possible only in the absence of other drugs. If the only available drug is nevirapine, only one dose of the drug should be prescribed - 0.2 g (repeated administration is unacceptable), then when other drugs are received, full-fledged chemoprophylaxis is prescribed. If chemoprophylaxis is started using abacavir, testing for hypersensitivity reactions to it should be carried out as soon as possible or abacavir should be replaced with another NRTI.

Registration of an emergency situation is carried out in accordance with established requirements in accordance with SP 3.1.5. 2826-10:

Clause 8.3.3.3.3:

1. Health care facility employees must immediately report each emergency to the head of the unit, his deputy or a senior manager;

2. injuries received by health workers and resulting in at least 1 day of incapacity for work or transfer to another job must be taken into account in each health care facility and registered as an industrial accident with the drawing up of an Industrial Accident Report (in 3 copies), on based on the resolution of the Ministry of Labor of the Russian Federation dated October 24, 2002 No. 73 "On approval of the forms of documents necessary for the investigation and recording of industrial accidents, and provisions on the specifics of the investigation of industrial accidents in certain industries and organizations"

3. you should fill out the Occupational Accident Register;

4. it is necessary to conduct an epidemiological investigation of the cause of the injury and establish a connection between the cause of the injury and the performance of official duties by the health worker;

5. all other emergency situations are recorded in the “Registration Log” emergency situations Health care facility" with the execution of an Emergency Report in 2 copies.

Clause 8.3.3.3.4:

All health care facilities should be provided with, or have access to, rapid HIV tests and antiretroviral drugs when necessary. A stock of antiretroviral drugs should be stored in any health care facility in such a way that examination and treatment can be organized within 2 hours after an emergency. The health care facility must identify a specialist responsible for the storage of antiretroviral drugs, a storage location with access, including at night and on weekends.

Clause 5.6:

Examination of an injured healthcare worker for HIV infection is carried out with mandatory pre- and post-test counseling on the prevention of HIV infection.

Clause 5.7:

Counseling should be conducted by a trained specialist (preferably an infectious disease specialist, epidemiologist or psychologist) and include basic provisions regarding HIV testing, possible consequences testing, determining the presence or absence of individual risk factors, assessing the examinee’s awareness of HIV prevention issues, providing information on routes of HIV transmission and methods of protection against HIV infection, types of assistance available for those infected with HIV.

Clause 5.8:

When conducting pre-test counseling, it is necessary to fill out an informed consent form for testing for HIV infection in two copies, one form is given to the person being examined, the other is kept in the health care facility.

Monitoring contacts receiving chemoprophylaxis for HIV infection.

A medical worker or a person injured in an emergency after an episode of emergency contact with a source of infection must be observed for 12 months by an infectious disease doctor at the BHU UR "URC AIDS and Illness" or an infectious disease doctor at the place of work (place of medical care) with control dates repeat testing for HIV, HCV, HBV at 3, 6 and 12 months after exposure.

To identify adverse events associated with taking medications, a laboratory examination is carried out: a general blood test, a biochemical blood test (o. bilirubin, ALT, AST, amylase/lipase). Recommended frequency of examination: after 2 weeks, then after 4 weeks from the start of chemoprophylaxis.

It is necessary to provide psychological support and, if necessary, refer the person contacted for consultation to a psychologist/psychotherapist, an infectious disease specialist at the BUZ UR "URC AIDS and IZ" upon his request.

Precautionary measures.

1. All manipulations during which hands may become contaminated with blood, serum or other biological fluids should be carried out with rubber gloves.
2. When performing manipulations, a medical worker must be dressed in a gown, a cap, and removable shoes, which are prohibited from entering outside the manipulation rooms.
3. Medical workers who have wounds on their hands, exudative skin lesions or weeping dermatitis are removed from caring for patients and contact with care items for the duration of their illness. If work needs to be done, all damage must be covered with finger caps and adhesive tape.
4. If there is a risk of splashing blood or serum, eye and face protection, a protective mask, goggles, and protective shields should be used.
5. Disassembly, washing, rinsing of medical instruments, pipettes, laboratory glassware, instruments or apparatus that have come into contact with blood or serum should be carried out after preliminary disinfection (disinfection) and only with rubber gloves.
6. All manipulations with an HIV-infected patient must be performed in the presence of a second specialist, who in the event of an emergency can provide assistance to the victim and also continue performing the manipulation.
7. Health care workers should treat blood and other body fluids as potentially contaminated material.

Ministry of Health of the Russian Federation

State budgetary educational institution of higher professional education

"Saratov State medical University

named after V.I. Razumovsky" Ministry of Health

Russian Federation

(Saratov State Medical University of the Ministry of Health of Russia)

Department propaedeutics of internal diseases

(name of the department)

ALGORITHM

Manipulations “TREATMENT OF THE SKIN AND MUCOUS MICROSOFT WHEN THEY ARE IN CONTACT WITH BLOOD OR ANY BIOLOGICAL FLUID”

FOR STUDENTS IN THE DISCIPLINE "FUNDAMENTALS OF NURSING", IN THE SPECIALTY "NURSING", QUALIFICATION "BACHELOR"

Target: prevention of infection with HIV, hepatitis B virus.

Indications: contact of biological fluid with the skin and mucous membranes.

Contraindications: No.

Equipment: first aid kit in case of accidents: 33% solution of sodium sulfacyl (albucid), 70% ethyl alcohol, 50 mg portions of Potassium permanganate - 5 pieces, 500 ml graduated container with sterile water for diluting potassium permanganate, glass rod, 5% alcohol solution of iodine, rubber finger pads 1-2 pcs per employee of the security office, sterile pipettes - 2 pcs, sterile gauze wipes 1 pack; sterile gauze balls, sterile bandage - 2 pcs, bactericidal patch 1 pc, containers with disinfectant.

Sequencing:

I. If biological fluid (blood) comes into contact with unprotected skin of the hands

1. Immediately clean your hands with a swab moistened with 70% ethyl alcohol.

2. Immerse the tampon in a container with a disinfectant.

3. Wash your hands twice with warm running water and soap.

4. Re-treat your hands with 70% ethyl alcohol.

II. If biological fluid (blood) gets into your eyes

1. Rinse eyes with plenty of running water.

2. Take a 0.05% solution of potassium permanganate into a sterile pipette, drop it into your eyes and rinse them, making blinking movements with your eyelids.

3. Dry your eyes with a sterile cloth, from the outer corner of the eye to the nose.

4. Add 1-2 drops of 33% sodium sulfacyl solution (albucid).

5. Place used care items in a container with disinfectant.

III. If biological fluid (blood) gets into the nose

1. Rinse the nasal passages with plenty of running water.

2. Rinse with 0.05% potassium permanganate solution.

3. Blot your nose with a sterile gauze pad.

4. Drop 3-4 drops into both nasal passages of a 33% solution of sodium sulfacyl (albucid).

5. Immerse the pipette in a container with a disinfectant.

IV. If biological fluid (blood) gets into the oral cavity

1. Rinse your mouth with plenty of running water.

2. Rinse your mouth with 70% ethyl alcohol or 0.05% potassium permanganate solution.

Note: The head of the institution and the chairman of the commission on nosocomial infections are immediately informed about the accident and the measures taken in connection with it.

Literature

1.National standard of the Russian Federation.

“Technologies for performing simple medical services. Manipulations of nursing care". /The standard was developed by the Russian Nurses Association. Approved and put into effect by the Order of the Federal Agency for Technical Regulation and Metrology. Date of introduction 2009-01-01.

2. V.N. Oslopov, O.V. Epiphany. General care for patients in a therapeutic clinic. Third edition, corrected and expanded. Textbook for Universities. /Moscow. "GEOTAR-Media". 2007. 400 p.

3. Fundamentals of nursing: textbook. for students avg. prof. textbook Establishments.

/AND. X. Abbyasov, S. I. Dvoinikov, JI.A. Karaseva and others] ; edited by S.I. Dvoinikov. - M.: Publishing center "Academy", 2007. - 336 p.

4. Obukhovets T.P., Chernova O.V. Fundamentals of Nursing. Editor: Kabarukhin B.V. Publisher: Phoenix, 2013.-768 p.

5. Ostrovskaya I.V. Fundamentals of Nursing. Textbook Grif Ministry of Defense of the Russian Federation.

Publisher: GEOTAR-Media, 2013.-320 p.

6. Kuleshova L.I. , Pustovetova E.V. Fundamentals of Nursing. Lecture course on nursing technologies. Editor: Morozov V.V. Publisher: Phoenix, 2012.-733 p.

7. Ostrovskaya I.V. Fundamentals of Nursing. Manipulation algorithms. Textbook Grif Ministry of Defense of the Russian Federation. Publisher: GEOTAR-Media, 2013.-160 p.

8. Mukhina S.A. A practical guide to the subject of Fundamentals of Nursing. Textbook Grif Ministry of Defense of the Russian Federation. Publisher: GEOTAR-Media, 2013.-512 p.

Developers:

assistant A.A. Ilyin

assistant L.S. Sulkowska

(position held) (signature) (initials, surname)

clinical resident M.S. Sinkeev

(position held) (signature) (initials, surname)

The algorithm was discussed and approved at the educational and methodological conference of the Department of Propaedeutics of Internal Diseases.

Head of the department

propaedeutics of internal diseases

Doctor of Medical Sciences Professor Yu.I. Skvortsov

The algorithm was discussed and approved by the Methodological Council for the specialty of Nursing on March 27, 2012. Protocol No. 7.

Chairman of the Methodological Council for

Specialties Nursing

Doctor of Medical Sciences Professor O.Yu. Aleshkina

1. When preparing for manipulations with patients, make sure

integrity of the emergency first aid kit (f.50).

2. Perform manipulations in the presence of a second healthcare worker, who will be able to continue performing them in the event of a glove rupture or cut.

3. Treat the skin of the nail phalanges with iodine before putting on gloves.

4. For a cut or puncture tool in contact with

biological fluids, skin of hands or hands wearing gloves, you must:

Remove gloves and place in a container for disinfection;

Wash your hands with antiseptic soap and lather twice under running water,

Treat the wound with a sterile gauze pad moistened with 70% ethyl alcohol or another alcohol-based antiseptic (at least 30 seconds);

Treat the wound with a sterile gauze cloth moistened with a 5% alcohol solution of iodine,

Cover with bactericidal adhesive tape.

5. If biological fluids come into contact with unprotected skin:

Treat the skin with a sterile gauze pad moistened with 70% ethyl alcohol;

Wash your skin under running water, lathering twice with antiseptic soap;

6. For massive skin contamination blood and other

biological fluids:

Rinse biological fluid from the skin under running water;

Treat with a sterile gauze pad moistened with 70% ethyl alcohol;

Wash the contaminated area of skin with running water and

twice soaping with antiseptic soap;

Dry with a disposable towel or napkin;

Re-treat with a sterile gauze pad moistened with 70% ethyl alcohol.

7. In case of contact with biological fluids into the nose:

in the eyes:

Rinse with plenty of water, you can use a disposable syringe,

Dry your eyes with a sterile gauze pad.

8. In case of contact with biological fluids in the mouth:

Rinse with plenty of water;

Rinse your mouth with 70% ethyl alcohol.

– in case of cuts and injections, immediately remove gloves, wash your hands with soap and running water, treat your hands with 70% alcohol, lubricate the wound with a 5% alcohol solution of iodine;

– if blood or other biological fluids come into contact with the skin, the area is treated with 70% alcohol, washed with soap and water and re-treated with 70% alcohol;

– if the patient’s blood and other biological fluids come into contact with the mucous membranes of the eyes, nose and mouth: rinse the oral cavity with plenty of water and rinse with a 70% solution of ethyl alcohol,nasal mucosa and eyes are washed generously with water (do not rub);

– if the patient's blood or other biological fluids get on the gown or clothing: remove the work clothes and immerse them in a disinfectant solution or in a tank for autoclaving;

– Start taking antiretroviral drugs as soon as possible for post-exposure prophylaxis of HIV infection.

8.3.3.2.

If the source is infected with HIV, determine whether he or she has received antiretroviral therapy.

If the victim is a woman, a pregnancy test should be performed to determine if she is breastfeeding. In the absence of clarifying data, post-exposure prophylaxis begins immediately; if additional information becomes available, the regimen is adjusted.

8.3.3.3.

Carrying out post-exposure prophylaxis of HIV infection with antiretroviral drugs:

8.3.3.3.1. Antiretroviral medications should be started within the first two hours after the accident, but no later than 72 hours. 8.3.3.3.2. the virus is relatively unstable. In blood on objects in a native state, it retains its infectious ability for 14 days, in dried substrates - up to 7 days.

According to 23 studies presented by WHO, in which 6135 emergency situations involving an injection with an HIV-infected needle were analyzed, HIV infection was documented in 20 cases, which amounted to 0.33%. At the same time, when infected biomaterial came into contact with mucous membranes (1143 cases), the risk of HIV infection was 0.09%. No infection was observed when HIV-contaminated material came into contact with intact skin (2712 cases).

Effective prevention of HIV infection of patients and workers is possible and should be carried out with strict adherence to.

IN medical organizations All patients should be considered as potentially infected with HIV, therefore, when providing medical care You must comply with all workplace safety rules and requirements. When performing manipulations, as well as when working with biological fluids, personnel must use personal protective equipment - medical gowns/suits, medical caps, medical gloves, masks, goggles, and, if necessary, protective screens, oilcloth aprons.

Preventive measures in case of contamination of the employee’s skin and mucous membranes with blood or other biological fluids, as well as in case of injections and cuts

When the skin of your hands is contaminated with secretions, blood, etc.:

You must wash your hands with soap and water;
Dry your hands thoroughly with a disposable towel;
treat twice with an antiseptic.

Hands in gloves:

treat with a cloth moistened with a disinfectant;
then wash with running water;
remove gloves;
wash your hands;
treat hands with skin antiseptic.

In case of contact with a patient's biological fluid on the mucous membranes of the oropharynx Immediately rinse your mouth and throat with 70% alcohol or 0.05% potassium permanganate solution.

If biological fluids get into your eyes, rinse them with a solution of potassium permanganate in water in a ratio of 1:10,000.

If biological material gets on your shoes, wipe them twice with a swab soaked in a disinfectant solution.

In case of contact with biological material on the surface of walls, floors, equipment Wipe them twice, with an interval of 15 minutes, with a 6% solution of hydrogen peroxide or a 3% solution of chloramine or another disinfectant solution in a concentration according to methodological recommendations to the disinfectant.

In the event of an emergency while the centrifuge is operating, opening the centrifuge lid and carrying out disinfection measures can begin no earlier than 40 minutes after the rotor stops, that is, after the aerosol has settled. After opening the centrifuge lid, the centrifuge beakers and broken glass place in a disinfectant solution, treat the outer and inner surfaces of the centrifuge twice with a rag soaked in a disinfectant solution.

For injections and cuts:

wash your hands, without removing gloves, with running water and soap;
remove the gloves with the working surface facing inward and throw them into the disinfectant solution;
if blood comes from the wound, do not stop it for 1-2 minutes, otherwise squeeze the blood out of the wound (do not suck it out with your mouth);
wash your hands with soap;
treat the wound with 5% alcohol tincture of iodine;
if there are microtraumas, scratches, or abrasions on the hands, cover the damaged areas with adhesive tape and, if necessary, put on a finger guard;
do not use adhesive antiseptics (BF-6 and others), which interfere with wound drainage.

According to indications, emergency prevention of hepatitis B and HIV infection is carried out.

Emergency prevention of parenteral viral hepatitis and HIV infection

To avoid infection with parenteral viral hepatitis and HIV infection, you should follow the rules for working with piercing and cutting instruments.

In case of cuts and punctures:

immediately process and remove gloves;
squeeze blood out of the wound;
treat your hands with 70% alcohol, lubricate the wound with a 5% iodine solution.

wash with soap and water;

If blood gets on the mucous membranes of the eyes:

eyes are immediately washed with water or 1% boric acid solution.

If blood gets on the nasal mucosa:

treated with 1% protargol solution.

If blood gets into the oral mucosa:

rinse your mouth with a 70% alcohol solution;
or 0.05% solution of potassium permanganate;
or 1% boric acid solution.

The mucous membranes of the nose, lips, and conjunctiva are also treated with a solution of potassium permanganate at a dilution of 1:10,000 (the solution is prepared ex tempore(as needed)).

For the purpose of emergency prevention of HIV infection, Azidotimidine is prescribed for 1 month. The combination of Azidotimidine (Retrovir) and Lamivudine (Epivir) enhances antiretroviral activity and overcomes the formation of resistant strains.

If there is a high risk of contracting HIV infection (deep cut, contact of visible blood on damaged skin and mucous membranes from patients infected with HIV), you should contact the territorial AIDS Control and Prevention Centers to prescribe chemoprophylaxis. Persons exposed to the threat of HIV infection are under the supervision of an infectious disease specialist for 1 year with mandatory examination for the presence of a marker of HIV infection.

Personnel who have had contact with material infected with the hepatitis B virus are simultaneously administered specific immunoglobulin (no later than 48 hours) and a vaccine against hepatitis B in different parts of the body according to the 0-1-2-6 month scheme, followed by monitoring for hepatitis markers ( not earlier than 3-4 months after the administration of immunoglobulin).

If exposure occurred in a previously vaccinated healthcare worker, it is advisable to determine the level of anti-HBs in the blood serum. If there is an antibody concentration in the titer of 10 IU/l or higher, vaccine prophylaxis is not carried out; in the absence of antibodies, it is advisable to simultaneously administer 1 dose of immunoglobulin and a booster dose of the vaccine.

Actions of a medical worker in an emergency

Emergency situations include:

rupture of medical gloves when working with biological material;
punctures, cuts with piercing and cutting instruments;
contact of blood and other biological fluids with the mucous membrane and skin;
splashing of blood and other body fluids.

In case of cuts and punctures:

remove gloves immediately;
wash your hands with soap and running water;
clean your hands with 70% alcohol;
lubricate the wound with a 5% alcohol solution of iodine.

If blood or other body fluids come into contact with the skin:

this place is treated with 70% alcohol;
wash with soap and water;
re-treated with 70% alcohol.

If blood or other biological fluids of the patient come into contact with the mucous membranes of the eyes, nose and mouth:

rinse the oral cavity with plenty of water and rinse with a 70% solution of ethyl alcohol;
The mucous membrane of the nose and eyes is washed generously with water (do not rub).

If the patient's blood or other biological fluids come into contact with a gown or clothing:

remove work clothes and immerse in a disinfectant solution or in a bix (tank) for autoclaving;
If the skin of the hands and other parts of the body becomes contaminated through clothing after removing it, treat it with a 70% solution of ethyl alcohol;
wash the surface with soap and water and re-treat with a 70% ethyl alcohol solution;
start taking antiretroviral drugs as soon as possible for post-exposure prophylaxis of HIV infection.

It is necessary, as soon as possible after contact, to test for HIV and viral hepatitis B and C the person who may be a potential source of infection, and the person in contact with him. HIV testing of a potential source of HIV infection and a contact person is carried out using rapid testing for HIV antibodies after an emergency with the obligatory sending of a sample from the same portion of blood for standard HIV testing using the ELISA method (enzyme-linked immunosorbent assay). Samples of plasma (or serum) from the blood of a person who is a potential source of infection and a contact person are transferred to the AIDS center for storage for 12 months.

The victim and the person who may be a potential source of infection must be asked about the carriage of viral hepatitis, STIs (sexually transmitted infections), inflammatory diseases of the genitourinary tract, and other diseases, and counseled regarding less risky behavior. If the source is infected with HIV, it is determined whether he has received antiretroviral therapy. If the victim is a woman, a pregnancy test should be performed to determine if she is breastfeeding. In the absence of clarifying data, post-exposure prophylaxis begins immediately; if additional information becomes available, the regimen is adjusted.

Carrying out post-exposure prophylaxis of HIV infection with antiretroviral drugs

Antiretroviral medications should be started within the first 2 hours after the accident, but no later than 72 hours.

The standard regimen for post-exposure prophylaxis of HIV infection is Lopinavir/Ritonavir+Zidovudine/Lamivudine.

In the absence of these drugs, any other antiretroviral drugs can be used to initiate chemoprophylaxis. If it is not possible to immediately prescribe a full-fledged HAART (highly active antiretroviral therapy) regimen, one or two available drugs are started.

The use of Nevirapine and Abacavir is possible only in the absence of other drugs. If the only available drug is Nevirapine, only one dose of the drug should be prescribed - 0.2 g (repeated administration is unacceptable), then when other drugs are received, full-fledged chemoprophylaxis is prescribed. If chemoprophylaxis is started using Abacavir, a study for hypersensitivity reactions to it should be carried out as soon as possible or Abacavir should be replaced with another NRTI (nucleoside reverse transcriptase inhibitors).

Health care facilities, clinics and beauty salons should be provided with, or have access to, rapid HIV tests and antiretroviral drugs when necessary. The stock of antiretroviral drugs should be stored in such a way that examination and treatment can be organized within 2 hours after an emergency.

Composition of a first aid kit for emergency prevention of parenteral viral hepatitis and HIV infection (Anti-AIDS First Aid Kit)

Ethyl alcohol 70%, 100 ml.
Iodine solution 5%, 1 bottle.
Boric acid solution 1%.
Protargol solution 1%.
Potassium permanganate solution 0.05% (50 mg weighed portions of dry potassium permanganate).
Distilled water in 100 ml containers.
Glass pipettes – 5 pcs.
Cotton and gauze swabs – 5 pcs.
Antiseptic adhesive plaster – 1 pack.
Metal scissors.
Finger pads – 5 pcs.
Toilet soap.
Chloramine B solution 3% or any other disinfectant solution.
Labeled metal box.

Antiretroviral drugs:

Azidotimidine (Retrovir, Zidovudine);
Lamivudine (Epivir);
Lopinavir/Ritonavir (Kaletra);
Lamivudine + Zidovudine (Combivir).

The stock of antiretroviral drugs should be stored so that they can be started within the first 2 hours after the accident, but no later than 72 hours.

The Anti-AIDS first aid kit must be available:

large organizations with a large staff of employees;
to a medical professional (dental office, ambulance, etc.);
every motorist;
hairdresser;
tattoo and piercing salon;
cosmetology salon;
educational institutions (schools, technical schools, institutes, etc.);
every organization that provides household services to the population.