1. CONFIRM SCENE SAFETY: Verify the machine or hazard source is fully powered down and the immediate area is safe to enter before approaching the patient. Don vinyl gloves before any patient contact to protect against bloodborne pathogen exposure.

2. ASSESS THE INJURY: Visually inspect the wound to determine bleeding severity and check for embedded foreign objects. Identify whether the injury falls within the scope of cabinet-level first aid or requires immediate EMS activation.

3. INITIATE HEMORRHAGE CONTROL: Place sterile 3"x3" gauze pads directly onto the wound and instruct the patient to apply firm, continuous direct pressure. If the gauze saturates, do not remove it; layer an ABD combine pad on top and maintain pressure.

4. CLEAN THE WOUND PERIMETER: Once bleeding is controlled, clean the skin surrounding the wound using antiseptic wipes or povidone-iodine wipes, wiping outward away from the injury site. Do not use alcohol wipes inside open wounds.

5. APPLY ANTIBIOTIC OINTMENT AND PRIMARY DRESSING: Apply a thin layer of triple antibiotic ointment to a fresh sterile gauze pad and place it directly over the cleaned wound. For burns, use the 4"x4" sterile water-gel burn dressing in place of standard gauze.

6. SECURE THE DRESSING: Wrap the dressing with 2" gauze roller, applying firm but non-restrictive tension. Secure the gauze end with adhesive tri-cut tape.

7. VERIFY DISTAL CIRCULATION: Check the patient's fingers beyond the dressing for sensation, warmth, and normal color. If any of these are absent, loosen the dressing immediately and reassess.

8. MANAGE SPRAINS AND SOFT TISSUE INJURIES: For suspected sprains, apply self-adherent wrap for compression. Activate an instant ice pack by striking or squeezing it, then wrap it in a cloth or triangular bandage before placing it against the skin to prevent frostbite.

9. FLUSH EYE INJURIES: For eye contamination, direct the sterile saline stream from the inner corner of the eye to the outer corner. Do not touch the bottle tip to the eye and do not attempt to remove any impaled object. Use eye pads from the small bottle kit for post-flush coverage.

10. ADMINISTER OTC MEDICATIONS WITH CAUTION: Aspirin may be offered only to conscious adults experiencing minor pain who have no known allergy to aspirin or NSAIDs, no history of bleeding disorders, and no current blood-thinning medication use. Do not administer to patients under 18 or to any unconscious individual.

11. EXECUTE PATIENT DISPOSITION: Advise the patient to seek professional medical evaluation for any wound that may require sutures, or for any injury beyond the scope of basic first aid. Dispose of all contaminated materials in a designated biohazard receptacle and wash hands thoroughly after glove removal.

12. LOG AND RESTOCK: Notify the safety manager of the incident, document all supplies used, and initiate a restock request. During the next monthly inspection, compare cabinet contents against the internal refill schematic and replace any used, expired, or compromised items before returning the cabinet to service.

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