CHAPTER VI
STANDARDS REGARDING SPECIAL TRAINING REQUIREMENTS FOR PERSONNEL ON CERTAIN TYPES OF SHIPS

General Introduction & Resolution
PART A: TOC | Intro | Ch 1 | Ch 2 | Ch 3 | Ch 4 | Ch 5 | Ch 6 | Ch 7 | Ch 8
PART B: TOC | Intro | Ch 1 | Ch 2 | Ch 3 | Ch 4 | Ch 5 | Ch 6 | Ch 7 | Ch 8

Section A-VI/1    (back to top)

Mandatory minimum requirements for familiarization and basic safety training and instruction for all seafarers

Familiarization training

1 Before being assigned to shipboard duties, all persons employed or engaged on a seagoing ship other than passengers, shall receive approved familiarization training in personal survival techniques or receive sufficient information and instruction, taking account of the guidance given in part B, to be able to:

.1 communicate with other persons on board on elementary safety matters and understand safety information symbols, signs and alarm signals;

.2 know what to do if:

.2.1 a person falls overboard,

.2.2 fire or smoke is detected, or

.2.3 the fire or abandon ship alarm is sounded;

.3 identify muster and embarkation stations and emergency escape routes;

.4 locate and don life-jackets;

.5 raise the alarm and have basic knowledge of the use of portable fire extinguishers;

.6 take immediate action upon encountering an accident or other medical emergency before seeking further medical assistance on board; and

.7 close and open the fire weathertight and watertight doors fitted in the particular ship other than those for hull openings.

Basic training

2 Seafarers employed or engaged in any capacity on board ship on the business of that ship as part of the ship's complement with designated safety or pollution prevention duties in the operation of the ship shall, before being assigned to any shipboard duties:

.1 receive appropriate approved basic training or instruction in:

.1.1 personal survival techniques as set out in table A-VI/1-1,

.1.2 fire prevention and fire-fighting as set out in table A-VI/1-2,

.1.3 elementary first-aid as set out in table A-VI/1-3, and

.1.4 personal safety and social responsibilities as set out in table A-VI/1-4.

.2 be required to provide evidence of having achieved the required standard of competence to undertake the tasks, duties and responsibilities listed in column 1 of tables A-VI/1-1, A-VI/1-2, A-VI/1-3 and A-VI/1-4 within the previous five years through:

.2.1 demonstration of competence, in accordance with the methods and the criteria for evaluating competence tabulated in columns 3 and 4 of those tables; and

.2.2 examination or continuous assessment as part of an approved training programme in the subjects listed in column 2 of those tables.

3 The Administration may, in respect of ships other than passenger ships of more than 500 gross tonnage engaged on international voyages and tankers, if it considers that a ship's size and the length or character of its voyage are such as to render the application of the full requirements of this section unreasonable or impracticable, exempt to that extent the seafarers on such a ship or class of ships from some of the requirements, bearing in mind the safety of people on board, the ship and property and the protection of the marine environment.

Table A-VI/1-1
Specification of minimum standard of competence in personal survival techniques
COMPETENCE KNOWLEDGE, UNDERSTANDING AND PROFICIENCY METHODS FOR DEMONSTRATING COMPETENCE CRITERIA FOR EVALUATING COMPETENCE
Survive at sea in the event of ship abandonment Types of emergency situations which may occur, such as collision, fire, foundering

Types of life-saving appliances normally carried on ships

Equipment in survival craft

Location of personal life-saving appliances

Principles concerning survival including:

.1 value of training and drills

.2 personal protective clothing and equipment

.3 need to be ready for any emergency

.4 actions to be taken when called to survival craft stations

.5 actions to be taken when required to abandon ship

.6 actions to be taken when in the water

.7 actions to be taken when aboard a survival craft

.8 main dangers to survivors

Assessment of evidence obtained from approved instruction or during attendance at an approved course or approved in-service experience and examination, including practical demonstration of competence to:

.1 don a life-jacket

.2 don and use an immersion suit

.3 safely jump from a height into the water

.4 right an inverted liferaft while wearing a life-jacket

.5 swim while wearing a life-jacket

.6 keep afloat without a life-jacket

.7 board a survival craft from ship and water while wearing a life-jacket

Action taken on identifying muster signals is appropriate to the indicated emergency and complies with established procedures

The timing and sequence of individual actions are appropriate to the prevailing circumstance and conditions and minimize potential dangers and threats to survival

Method of boarding survival craft is appropriate and avoids dangers to other survivors

Initial actions after leaving the ship and procedures and actions in water minimize threats to survival

Survive at sea in the event of ship abandonment (continued)   .8 take initial actions on boarding survival craft to enhance chance of survival

.9 stream a drogue or sea anchor

.10 operate survival craft equipment

.11 operate location devices, including radio equipment

 
Table A-VI/1-2
Specification of minimum standard of competence in fire prevention and fire-fighting
COMPETENCE KNOWLEDGE, UNDERSTANDING AND PROFICIENCY METHODS FOR DEMONSTRATING COMPETENCE CRITERIA FOR EVALUATING COMPETENCE
Minimize the risk of fire and maintain a state of readiness to respond to emergency situations involving fire Shipboard fire-fighting organization

Location of fire-fighting appliances and emergency escape routes

The elements of fire and explosion (the fire triangle)

Types and sources of ignition

Flammable materials, fire hazards and spread of fire

The need for constant vigilance

Actions to be taken on board ship

Fire and smoke detection and automatic alarm systems

Classification of fire and applicable extinguishing agents

Assessment of evidence obtained from approved instruction or attendance at an approved course Initial actions on becoming aware of an emergency conform with accepted practices and procedures

Action taken on identifying muster signals is appropriate to the indicated emergency and complies with established procedures

COMPETENCE KNOWLEDGE, UNDERSTANDING AND PROFICIENCY METHODS FOR DEMONSTRATING COMPETENCE CRITERIA FOR EVALUATING COMPETENCE
Fight and extinguish fires Fire-fighting equipment and its location on-board

Instruction in:

.1 fixed installations

.2 firefighter's outfits

.3 personal equipment

.4 fire-fighting appliances and equipment

.5 fire-fighting methods

.6 fire-fighting agents

.7 fire-fighting procedures

.8 use of breathing apparatus for fighting fires and effecting rescues

Assessment of evidence obtained from approved instruction or during attendance at an approved course including practical demonstration in spaces which provide truly realistic training conditions (e.g. simulated shipboard conditions) and, whenever possible and practical, in darkness, of the ability to:

.1 use various types of portable fire extinguishers

.2 use self-contained breathing apparatus

.3 extinguish smaller fires, e.g. electrical fires, oil fires, propane fires

.4 extinguish extensive fires with water using jet and spray nozzles

.5 extinguish fires with foam, powder or any other suitable chemical agent

.6 enter and pass through with lifeline but without breathing apparatus a compartment into which high expansion foam has been injected

Clothing and equipment are appropriate to the nature of the fire-fighting operations

The timing and sequence of individual actions are appropriate to the prevailing circumstances and conditions

Extinguishment of fire is achieved using appropriate procedures, techniques and fire-fighting agents

Breathing apparatus procedures and techniques comply with accepted practices and procedures

Fight and extinguish fires (continued)
.7 fight fire in smoke-filled enclosed spaces wearing self-contained breathing apparatus

.8 extinguish fire with water fog, or any other suitable fire-fighting agent in an accommodation room or simulated engine-room with fire and heavy smoke

.9 extinguish oil fire with fog applicator and spray nozzles, dry chemical powder or foam applicators

.10 effect a rescue in a smoke-filled space wearing breathing apparatus


Table A-VI/1-3
Specification of minimum standard of competence in elementary first aid
COMPETENCE KNOWLEDGE, UNDERSTANDING AND PROFICIENCY METHODS FOR DEMONSTRATING COMPETENCE CRITERIA FOR EVALUATING COMPETENCE
Take immediate action upon encountering an accident or other medical emergency Assessment of needs of casualties and threats to own safety

Appreciation of body structure and functions

Understanding of immediate measures to be taken in cases of emergency, including the ability to:

.1 position casualty

.2 apply resuscitation techniques

.3 control bleeding

.4 apply appropriate measures of basic shock management

.5 apply appropriate measures in event of burns and scalds, including accidents caused by electric current

.6 rescue and transport a casualty

.7 improvise bandages and use materials in emergency kit

Assessment of evidence obtained from approved instruction or during attendance at an approved course The manner and timing of raising the alarm is appropriate to the circumstances of the accident or medical emergency

The identification of probable cause, nature and extent of injuries is prompt and complete and the priority and sequence of actions is proportional to any potential threat to life

Risk of further harm to self and casualty is minimized at all times

Table A-VI/1-4
Specification of minimum standard of competence in personal safety and social responsibilities
COMPETENCE KNOWLEDGE, UNDERSTANDING AND PROFICIENCY METHODS FOR DEMONSTRATING COMPETENCE CRITERIA FOR EVALUATING COMPETENCE
Comply with emergency procedures Types of emergency which may occur, such as collision, fire, foundering

Knowledge of shipboard contingency plans for response to emergencies

Emergency signals and specific duties allocated to crew members in the muster list; muster stations; correct use of personal safety equipment

Action to take on discovering potential emergency, including fire, collision, foundering and ingress of water into the ship

Action to take on hearing emergency alarm signals

Value of training and drills

Knowledge of escape routes and internal communication and alarm systems

Assessment of evidence obtained from approved instruction or during attendance at an approved course Initial action on becoming aware of an emergency conforms to established emergency response procedures

Information given on raising alarm is prompt, accurate, complete and clear

Take precautions to prevent pollution of the marine environment Effects of operational or accidental pollution of the marine environment

Basic environmental protection procedures

Assessment of evidence obtained from approved instruction or during attendance at an approved course Organizational procedures designed to safeguard the marine environment are observed at all times
COMPETENCE KNOWLEDGE, UNDERSTANDING AND PROFICIENCY METHODS FOR DEMONSTRATING COMPETENCE CRITERIA FOR EVALUATING COMPETENCE
Observe safe working practices Importance of adhering to safe working practices at all times

Safety and protective devices available to protect against potential hazards aboard ship

Precautions to be taken prior to entering enclosed spaces

Familiarization with international measures concerning accident prevention and occupational health*

Assessment of evidence obtained from approved instruction or during attendance at an approved course Safe working practices are observed and appropriate safety and protective equipment is correctly used at all times
Understand orders and be understood in relation to shipboard duties Ability to understand orders and to communicate with others in relation to shipboard duties Assessment of evidence obtained from approved instruction or during attendance at an approved course Communications are clear and effective at all times
Contribute to effective human relationships on board ship Importance of maintaining good human and working relationships aboard ship

Social responsibilities; employment conditions; individual rights and obligations; dangers of drug and alcohol abuse

Assessment of evidence obtained from approved instruction or during attendance at an approved course Expected standards of work and behaviour are observed at all times

Section A-VI/2    (back to top>

Mandatory minimum requirements for the issue of certificates of proficiency in survival craft, rescue boats and fast rescue boats

Proficiency in survival craft and rescue boats other than fast rescue boats

Standard of Competence

1 Every candidate for a certificate of proficiency in survival craft and rescue boats other than fast rescue boats shall be required to demonstrate competence to undertake the tasks, duties and responsibilities listed in column 1 of table A-VI/2-1.

2 The level of knowledge of the subjects listed in column 2 of table A-VI/2-1 shall be sufficient to enable the candidate to launch and take charge of a survival craft or rescue boat in emergency situations*.

3 Training and experience to achieve the necessary level of theoretical knowledge, understanding and proficiency shall take account of the guidance given in part B of this Code.

4 Every candidate for certification shall be required to provide evidence of having achieved the required standard of competence within the previous five years through:

.1 demonstration of competence to undertake the tasks, duties and responsibilities listed in column 1 of table A-VI/2-1, in accordance with the methods for demonstrating competence and the criteria for evaluating competence tabulated in columns 3 and 4 of that table; and

.2 examination or continuous assessment as part of an approved training programme covering the material set out in column 2 of table A-VI/2-1.

Proficiency in fast rescue boats

Standard of competence

5 Every candidate for a certificate of proficiency in fast rescue boats shall be required to demonstrate competence to undertake the tasks, duties and responsibilities listed in column 1 of table A-VI/2-2.

6 The level of knowledge of the subjects listed in column 2 of table A-VI/2-2 shall be sufficient to enable the candidate to launch and take charge of a fast rescue boat in emergency situations.

7 Training and experience to achieve the necessary level of theoretical knowledge, understanding and proficiency shall take account of the guidance given in part B of this Code.

8 Every candidate for certification shall be required to provide evidence of having achieved the required standard of competence within the previous five years through:

.1 demonstration of competence to undertake the tasks, duties and responsibilities listed in column 1 of table A-VI/2-2, in accordance with the methods for demonstrating competence and the criteria for evaluating competence tabulated in columns 3 and 4 of that table; and

.2 examination or continuous assessment as part of an approved training programme covering the material set out in column 2 of table A-VI/2-2.

Table A-VI/2-1
Specification of the minimum standard of competence in survival craft and rescue boats other than fast rescue boats
COMPETENCE KNOWLEDGE, UNDERSTANDING AND PROFICIENCY METHODS FOR DEMONSTRATING COMPETENCE CRITERIA FOR EVALUATING COMPETENCE
Take charge of a survival craft or rescue boat during and after launch Construction and outfit of survival craft and rescue boats and individual items of their equipment

Particular characteristics and facilities of survival craft and rescue boats

Various types of device used for launching survival craft and rescue boats

Methods of launching survival craft into a rough sea

Methods of recovering survival craft

Action to be taken after leaving the ship

Methods of launching and recovering rescue boats in a rough sea

Assessment of evidence obtained from practical demonstration of ability to:

.1 right an inverted liferaft while wearing a life-jacket

.2 interpret the markings on survival craft as to the number of persons they are intended to carry

.3 give correct commands for launching and boarding survival craft, clearing the ship and handling and disembarking persons from survival craft

.4 prepare and safely launch survival craft and clear the ship's side quickly

.5 safely recover survival craft and rescue boats

Using: inflatable liferaft and open or enclosed lifeboat with inboard engine

Preparation, boarding and launching of survival craft are within equipment limitations and enable survival craft to clear the ship safely

Initial actions on leaving the ship minimize threat to survival

Recovery of survival craft and rescue boats is within equipment limitations

Operate a survival craft engine Methods of starting and operating a survival craft engine and its accessories together with the use of the fire extinguisher provided Assessment of evidence obtained from practical demonstration of ability to start and operate an inboard engine fitted in an open or enclosed lifeboat Propulsion is available and maintained as required for manoeuvring
COMPETENCE KNOWLEDGE, UNDERSTANDING AND PROFICIENCY METHODS FOR DEMONSTRATING COMPETENCE CRITERIA FOR EVALUATING COMPETENCE
Manage survivors and survival craft after abandoning ship Handling survival craft in rough weather

Use of painter, sea anchor and all other equipment

Apportionment of food and water in survival craft

Action taken to maximize detectability and location of survival craft

Method of helicopter rescue

Effects of hypothermia and its prevention; use of protective covers and garments including immersion suits and thermal protective aids

Use of rescue boats and motor lifeboats for marshalling liferafts and rescue of survivors and persons in the sea

Beaching survival craft

Assessment of evidence obtained from practical demonstration of ability to:

.1 row and steer a boat and steer by compass

.2 use individual items of equipment of survival craft

.3 rig devices to aid location

Survival management is appropriate to prevailing circumstances and conditions
Use locating devices, including communication and signalling apparatus and pyrotechnics Radio life-saving appliances carried in survival craft, including satellite EPIRBs and SARTs

Pyrotechnic distress signals

Assessment of evidence obtained from practical demonstration of ability to:

.1 use portable radio equipment for survival craft

.2 use signalling equipment, including pyrotechnics

Use and choice of communication and signalling apparatus is appropriate to prevailing circumstances and conditions
COMPETENCE KNOWLEDGE, UNDERSTANDING AND PROFICIENCY METHODS FOR DEMONSTRATING COMPETENCE CRITERIA FOR EVALUATING COMPETENCE
Apply first aid to survivors Use of the first aid kit and resuscitation techniques

Management of injured persons, including control of bleeding and shock

Assessment of evidence obtained from practical demonstration of ability to deal with injured persons both during and after abandonment using first aid kit and resuscitation techniques Identification of the probable cause, nature and extent of injuries or condition is prompt and accurate

Priority and sequence of treatment minimizes any threat to life

Table A-VI/2-2
Specification of the minimum standard of competence in fast rescue boats
COMPETENCE KNOWLEDGE, UNDERSTANDING AND PROFICIENCY METHODS FOR DEMONSTRATING COMPETENCE CRITERIA FOR EVALUATING COMPETENCE
Take charge of a fast rescue boat during and after launch Construction and outfit of fast rescue boats and individual items of their equipment

Particular characteristics and facilities of fast rescue boats

Safety precautions during launch and recovery of a fast rescue boat

Procedures for righting a capsized fast rescue boat

How to handle a fast rescue boat in prevailing and adverse weather and sea conditions

Navigational and safety equipment available in a fast rescue boat

Search patterns and environmental factors affecting their execution

Assessment of the readiness of fast rescue boats and related equipment for immediate use

Assessment of evidence obtained from practical demonstration of ability to:

.1 control safe launching and recovery of a fast rescue boat

.2 right a capsized fast rescue boat

.3 handle a fast rescue boat in prevailing weather and sea conditions

.4 swim in special equipment

.5 use communication and signalling equipment between the fast rescue boat and a helicopter and a ship

.6 use the emergency equipment carried

Preparation, boarding, launching and operation of fast rescue boats is within equipment limitations

Knowledge of the maintenance, emergency repairs, normal inflation and deflation of buoyancy compartments of inflated fast rescue boats .7 recover a casualty from the water and transfer a casualty to a rescue helicopter or to a ship or to a place of safety

.8 carry out search patterns taking account of environmental factors


Operate a fast rescue boat engine Methods of starting and operating a fast rescue boat engine and its accessories Assessment of evidence obtained from practical demonstration of ability to start and operate a fast rescue boat engine Engine is started and operated as required for manoeuvring

Section A-VI/3    (back to top)

Mandatory minimum training in advanced fire-fighting

Standard of competence

1 Seafarers designated to control fire-fighting operations shall have successfully completed advanced training in techniques for fighting fire, with particular emphasis on organization, tactics and command, and shall be required to demonstrate competence to undertake the tasks, duties and responsibilities listed in column 1 of table A-VI/3.

2 The level of knowledge and understanding of the subjects listed in column 2 of table A-VI/3 shall be sufficient for the effective control of fire-fighting operations on board ship.*

3 Training and experience to achieve the necessary level of theoretical knowledge, understanding and proficiency shall take account of the guidance given in part B of this Code.

4 Every candidate for certification shall be required to provide evidence of having achieved the required standard of competence within the previous five years, in accordance with the methods for demonstrating competence and the criteria for evaluating competence tabulated in columns 3 and 4 of table A-VI/3.

Table A-VI/3
Specification of minimum standard of competence in advanced fire-fighting
COMPETENCE KNOWLEDGE, UNDERSTANDING AND PROFICIENCY METHODS FOR DEMONSTRATING COMPETENCE CRITERIA FOR EVALUATING COMPETENCE
Control fire-fighting operations aboard ships Fire-fighting procedures at sea and in port with particular emphasis on organization, tactics and command

Use of water for fire-extinguishing, the effect on ship stability, precautions and corrective procedures

Communication and co-ordination during fire-fighting operations

Ventilation control, including smoke extractor

Control of fuel and electrical systems

Fire-fighting process hazards (dry distillation, chemical reactions, boiler uptake fires, etc.)

Fire-fighting involving dangerous goods

Fire precautions and hazards associated with the storage and handling of materials (paints, etc.)

Management and control of injured persons

Procedures for co-ordination with shore-based fire fighters

Practical exercises and instruction conducted under approved and truly realistic training conditions (e.g.: simulated shipboard conditions) and, whenever possible and practicable, in darkness Actions taken to control fires are based on a full and accurate assessment of the incident using all available sources of information

The order of priority, timing and sequence of actions are appropriate to the overall requirements of the incident and to minimize damage and potential damage to the ship, injuries to personnel and impairment of the operational effectiveness of the ship

Transmission of information is prompt, accurate, complete and clear

Personal safety during fire control activities is safeguarded at all times

COMPETENCE KNOWLEDGE, UNDERSTANDING AND PROFICIENCY METHODS FOR DEMONSTRATING COMPETENCE CRITERIA FOR EVALUATING COMPETENCE
Organize and train fire parties Preparation of contingency plans

Composition and allocation of personnel to fire parties

Strategies and tactics for control of fires in various parts of the ship

Practical exercises and instruction conduct under approved and truly realistic training conditions, e.g. simulated shipboard conditions Composition and organization of fire control parties ensure the prompt and effective implementation of emergency plans and procedures
Inspect and service fire detection and extinguishing systems and equipment Fire detection systems; fixed fire-extinguishing systems; portable and mobile fire-extinguishing equipment including appliances, pumps and rescue, salvage, life support, personal protective and communication equipment

Requirements for statutory and classification surveys

Practical exercises using approved equipment and systems in a realistic training environment Operational effectiveness of all fire detection and extinguishing systems and equipment is maintained at all times in accordance with performance specifications and legislative requirements
Investigate and compile reports on incidents involving fire Assessment of cause of incidents involving fire Practical exercises in a realistic training environment Causes of fire are identified and the effectiveness of counter measures are evaluated

Section A-VI/4    (back to top)

Mandatory minimum requirements related to medical first aid and medical care

Standard of competence for seafarers designated to provide medical first aid on board ship

1 Every seafarer who is designated to provide medical first aid on board ship shall be required to demonstrate the competence to undertake the tasks, duties and responsibilities listed in column 1 of table A-VI/4-1.

2 The level of knowledge of the subjects listed in column 2 of table A-VI/4-1 shall be sufficient to enable the designated seafarer to take immediate effective action in the case of accidents or illness likely to occur on board ship.*

3 Every candidate for certification under the provisions of regulation VI/4, paragraph 1 shall be required to provide evidence that the required standard of competence has been achieved in accordance with the methods for demonstrating competence and the criteria for evaluating competence tabulated in columns 3 and 4 of table A-VI/4-1.

Standard of competence for seafarers designated to take charge of medical care on board ship

4 Every seafarer who is designated to take charge of medical care on board ship shall be required to demonstrate the competence to undertake the tasks, duties and responsibilities listed in column 1 of table A-VI/4-2.

5 The level of knowledge of the subjects listed in column 2 of table A-VI/4-2 shall be sufficient to enable the designated seafarer to take immediate effective action in the case of accidents or illness likely to occur on board ship.**

6 Every candidate for certification under the provisions of regulation VI/4, paragraph 2 shall be required to provide evidence that the required standard of competence has been achieved in accordance with the methods for demonstrating competence and the criteria for evaluating competence tabulated in columns 3 and 4 of table A-VI/4-2.

Table A-VI/4-1
Specification of minimum standard of proficiency in medical first aid
COMPETENCE KNOWLEDGE, UNDERSTANDING AND PROFICIENCY METHODS FOR DEMONSTRATING COMPETENCE CRITERIA FOR EVALUATING COMPETENCE
Apply immediate first aid in the event of accident or illness on board First aid kit

Body structure and function

Toxicological hazards on board, including use of the Medical First Aid Guide for Use in Accidents Involving Dangerous Goods (MFAG) or its national equivalent

Examination of casualty or patient

Spinal injuries

Burns, scalds and effects of cold fractures, dislocations and muscular injuries

Medical care of rescued persons

Radio-medical advice

Pharmacology

Sterilisation

Cardiac arrest, drowning and asphyxia

Assessment of evidence obtained from practical instruction The identification of probable cause, nature and extent of injuries is prompt, complete and conforms to current first aid practice

Risk of harm to self and others is minimized at all times

Treatment of injuries and the patients condition is appropriate, conforms to recognized first aid practice and international guidelines

Table A-VI/4-2
Specification of minimum standard of proficiency for persons in charge of medical care on board ship
COMPETENCE KNOWLEDGE, UNDERSTANDING AND PROFICIENCY METHODS FOR DEMONSTRATING COMPETENCE CRITERIA FOR EVALUATING COMPETENCE
Provide medical care to the sick and injured while they remain on board Care of casualty involving:

.1 head and spinal injuries

.2 injuries of ear, nose, throat and eyes

.3 external and internal bleeding

.4 burns, scalds and frostbite

.5 fractures, dislocations and muscular injuries

.6 wounds, wound healing and infection

.7 pain relief

.8 techniques of sewing and clamping

.9 management of acute abdominal conditions

.10 minor surgical treatment

.11 dressing and bandaging

Aspects of nursing:

.1 general principles

.2 nursing care

Assessment of evidence obtained from practical instruction and demonstration

Where practicable, approved practical experience at a hospital or similar establishment

Identification of symptoms is based on the concepts of clinical examination and medical history

Protection against infection and spread of diseases is complete and effective

Personal attitude is calm, confident and reassuring

Treatment of injury or condition is appropriate and conforms to accepted medical practice and relevant national and international medical guides

The dosage and application of drugs and medication complies with manufacturers' recommendations and accepted medical practice

The significance of changes in patients' condition is promptly recognized

Provide medical care to the sick and injured while they remain on board (continued) Diseases, including:

.1 medical conditions and emergencies

.2 sexually transmitted diseases

.3 tropical and infectious diseases

Alcohol and drug abuse

Dental care

Gynaecology, pregnancy and childbirth

Medical care of rescued persons

Death at sea

Hygiene

Disease prevention including:

.1 disinfection, disinfestation, de-ratting

.2 vaccinations

Keeping records and copies of applicable regulations:

.1 keeping medical records

.2 international and national maritime medical regulations



COMPETENCE KNOWLEDGE, UNDERSTANDING AND PROFICIENCY KNOWLEDGE, UNDERSTANDING AND PROFICIENCY CRITERIA FOR EVALUATING COMPETENCE
Participate in co-ordinated schemes for medical assistance to ships External assistance, including:

.1 radio-medical advice

.2 transportation of the ill and injured, including helicopter evacuation

.3 medical care of sick seafarers involving co-operation with port health authorities or outpatient wards in port


Clinical examination procedures are complete and comply with instructions received

The method and preparation for evacuation is in accordance with recognized procedures and is designed to maximize the welfare of the patient

Procedures for seeking radio-medical advice conform to established practice and recommendations

(back to top)