02 ERRV Crew Advanced Medical Aid

OPITO APPROVED STANDARD

ERRV Crew Advanced Medical Aid

OPITO Approved Standard ERRV Crew Advanced Medical Aid © OPITO

REV. 1 01Jul 2001 AMEND. 6 08June 2010

© OPITO Page 2 of 36

This Standard was developed by an Industry Work Group coordinated by

OPITO. The following organisations were represented on the Work

Group:

The Emergency Response and Rescue Vessel Association Ltd (ERRVA)

Health and Safety Executive (HSE)

Training Providers

Workplace Practitioners

Guidance was also given by the Inter Union Offshore Oil Committee

(IUOOC) and Oil & Gas UK.

_____________________________

Guidance and advice on this Standard is available by contacting;

OPITO Minerva House Bruntland Road Portlethen Aberdeen AB12 4QL

Tel: 01224 787800 Fax: 01224 787830 Email: [email protected]

© OPITO

All rights reserved. No part of this publication may be reproduced, stored in a retrieval or information storage system, or transmitted, in any form or by any means, mechanical, photocopying, recording or otherwise, without the prior permission in writing of the publishers.

mailto:[email protected]




AMENDMENTS

AMENDMENT & DATE PAGES CHANGES MADE BY

CHECKED BY APPROVED BY

1 02/06 – Change Cogent to OPITO and SBV to ERRV

Various I. Emslie G. Clark I. Emslie

2 271207 – Changed to new OPITO logo; updated header, title page & numbering scheme

All T. Wilson P. Crowther P. Crowther

3 Simplified assessor qualifications 171108

14, 26 T. Wilson J. Cameron J. Cameron

4 Added revision bar to header 11Dec 2008

All except title page

T. Wilson J. Cameron M. Duncan

5 Changed header to reflect amendment numbering scheme 11Dec 2008

All except title page

T. Wilson J. Cameron M. Duncan

6 Replaced UKOOA with Oil & Gas UK and removed reference to Cogent 08June 2010

2 L. Geddes M. Carr J. Cameron

Any amendments made to this standard by OPITO will be recorded above.




CONTENTS PAGE

SECTION A

INTRODUCTION Development of Standard 5 Performance Assessment 6 Certification & Recording 6

SECTION B

FUNCTIONAL MAP 7

COMPETENCE STATEMENTS Overview 8 The Statements 9 13

GUIDANCE FOR ASSESSORS Assessing Candidates 14 16 Checklists 17 20

SECTION C

TRAINING PROGRAMME Initial Training 21 25

SECTION D

RESOURCES Staff 26 27 Facilities 28 Equipment 29 35

SECTION E

GENERAL REQUIREMENTS 36




A Introduction

This document introduces and describes the competence statements and safety training for ERRV Crew Advanced Medical Aid. It explains how competence shall be assessed and certificated.

The industry recognises that a major objective is to prevent incidents occurring and if they do to control and minimise their effect.

The purpose of this document is to set out the nature, objectives and the framework for the emergency response training and assessment requirements for ERRV Crew Advanced Medical Aiders which will be conducted at an onshore training establishment. Training Establishments should recognise that this is only part of a broader training programme which includes ongoing onboard training and assessment.

All personnel undertaking this training will have completed a ERRV Crew Initial Shipboard Operations Training Programme.

A.1 Development of Standard

The Standard has been developed using a national competence model. This involved the analysis of functions required to handle an emergency offshore from which Statements of Competence were developed. These Statements specify what personnel are required to do in an emergency.

A Functional Map and the Competence Statements are part of this document (Section B).

Using this competence based process, the following were identified and developed:

• What AMAs are expected to do.

• The knowledge and skills they would require to enable them to do what was expected of them

• How they could demonstrate what was expected of them.

• How their performance would be assessed.

Using the identified knowledge and skills, the content of the training programme was developed. This competence approach has ensured the content is relevant with the benefits being focused and effective training.

OPITO, as custodian has a responsibility to industry to maintain, develop and update these standards.




A.2 Performance Assessment

Delegates attending this training and assessment programme (referred to as candidates during assessment) will be given a series of explanations and demonstrations which will identify what they are expected to know and do. This will be followed by practical exercises which will allow delegates to demonstrate their skills, knowledge and understanding of their emergency response role. Assessment of the delegates' performance will be against the stated training outcomes.

A specimen Assessor's Checklist with guidance is provided (Section B). Assessors should use this, or other suitable document, to record the candidate's performance.

If required, further time and opportunity for coaching will be given to delegates to enable them to reach the standard leading to the award of a certificate. However, the time available for this during a programme is limited and it should be recognised there may be occasions where other arrangements need to be made.

A.3 Certification & Recording

Following satisfactory completion of the total training programme, which may include for some individuals additional coaching, the training provider will register the candidate with the OPITO Central Register.

On receipt of the registration, OPITO will issue the individual a Personal Record

A.4 Advanced Medical Aid Training

Onshore ERRV Crew Advanced Medical Aid training comprises two programmes,

a) Advanced Medical Aid Programme b) Advanced Medical Aid Further Programme

as described in section C.




FUNCTIONAL MAP




Key Role: Respond to Casualties on Location

Unit 1: Care for casualties on location

Element 1.1: Maintain state of readiness

Element 1.2: Prepare to receive casualties

Element 1.3: Receive and treat casualties




Unit 1: Care for casualties on location

Element 1.1 Maintain state of readiness

This element is about contributing to drills and exercises and maintaining a state of readiness.

Standards of Performance

In achieving this element you will have:

1.1.1 Clarified to all crew members their roles and responsibilities within the procedures for company training.

1.1.2 Contributed to drills and exercises in accordance with the requirements of the vessel operator, duty holder and industry.

1.1.3 Checked the equipment, medical & non medical – including Triage and recording documentation, decontamination showers, survivor accommodation facilities, in accordance with procedures and industry guidelines.

1.1.4 Recorded serviceability of equipment and confirmed the status to the master of the vessel in accordance with procedures.

1.1.5 Established effective working relationships and structure with all crew members and external sources of medical assistance.

Underpinning Knowledge and Understanding

Within the limits of your responsibility you must be able to demonstrate that you know:

• Watch and Station Bill and Emergency Procedures

• Company and industry training requirements

• Medical and nonmedical equipment inspection, serviceability, recording of checks

• Leadership, teamworking, coaching and appraisal techniques

• Industry Guidelines (Survey & Management of Operations)




Element 1.2: Prepare to receive casualties

This element is about responding to alarms and preparing to receive casualties



1.2.1 Responded to alarm bells, klaxons, whistles, siren, vocals in accordance with emergency procedures, standing orders and the watch and station bill.

1.2.2 Donned your PPE in accordance with emergency procedures.

1.2.3 Directed the relevant crew members to undertake tasks in accordance with priorities and emergency procedures, standing orders and the watch and station bill.

1.2.4 Established and maintained effective communication with the master, mate, FRC Coxswain installation/rig medic and the ship to shore medical radio link in accordance with emergency procedures, standing orders and the watch and station bill.

1.2.5 Made preparations to receive casualties in accordance with emergency procedures, standing orders and the watch and station bill (preparations to include management of team and the provision of equipment).

1.2.6 Confirmed the readiness of facilities and equipment to the bridge, in accordance with emergency procedures, standing orders and the watch and station bill.

1.2.7 Responded to communications from the master, mate and external medical advisors in accordance with emergency procedures, standing orders and the watch and station bill.



• Team management techniques • Alarm response routines • Watch and Station Bill, equipment preparation, care (preparation, reception,

assessment, triage, treatment), transfer (onboard and from vessel) • Use of PPE • Preparation of medical and non medical equipment • Medical communications by radio • Use of internal communications equipment




Element 1.3 Receive and treat casualties

This element is about receiving casualties onboard the vessel, assessing their condition and delivering medical treatment.



1.3.1 Received casualties onboard and assessed their condition in accordance with primary and secondary survey techniques. Provided advice on out onboard transfers in accordance with procedures for casualty handling for walking and stretcher casualties.

1.3.2 Recorded by triage cards, the details of casualties identification, nature of injuries, treatment continued monitoring and triage category.

1.3.3 Delivered medical treatment to the casualties including resuscitation, cold and immersion injuries, unconsciousness, blood loss, burns/scalds, fractures/dislocation, pain, eye injuries, contamination, sea sickness in accordance with priorities.

1.3.4 Manage the medical care team.

1.3.5 Observed and recorded the condition of casualties with the use of observation charts and modified the treatment as required.

1.3.6 Prepared casualties for transfer from ERRV in accordance with procedures for casualty handling for walking and stretcher casualties.

1.3.7 Medically supervised the casualties during transfer from ERRV to the point of transfer handover by helicopter, FRC/other craft, transfer basket or port of call.

1.3.8 Communicated followup information to the receiving medical unit, including updated monitoring, triage and treatment information.






• Watch and Station Bill, equipment preparation, care (preparation, reception, assessment, triage, treatment), transfer (onboard and from vessel)

• Relevant methods of communication intercom, telephone, hand held VHF, treatment room radio link, written/documentary, face to face

• Casualty handling methods

• Preparation and use of medical and non medical equipment

• IMDG code (medical first aid guide)

• Preparations of casualties for transfer

• The principle of supervision and management of human and medical resources

∙ Theoretical Knowledge

Principles and Priorities of First Aid (Primary and secondary survey techniques)

Anatomy and Physiology

∙ Applied Medical Knowledge

primary and secondary survey techniques cold and immersion injuries (drowning, near drowning, secondary drowning,

hypothermia, frostbite, contamination) resuscitation (EAR, CPR, recovery position, airway protection, oxygen

administration, choking) unconsciousness (causes, levels) shock (blood loss) burns and scalds fractures, dislocations and soft tissue injuries chest/abdominal injury blast injury control of pain eye injuries spinal injuries sea sickness casualty recording procedures head injuries crush injuries




∙ Specialist Procedures

IV infusions, cannulations (preparation, administration and monitoring) administration of injections use of suction hygienic wound dressing basic nursing care administration of eye drops establishing and monitor vital signs defibrillation




GUIDANCE TO THE ASSESSOR

The Industry competence standard for ERRV Advanced Medical Aid describes competent performance and lays down the criteria by which competence should be demonstrated.

It is essential that you read and understand this Section "Guidance to the Assessor" before you use this checklist.

• What is in this document?

This assessor's checklist describes the evidence which an assessor should seek in order to make a judgement on each candidate's competence and also includes a Candidate Record.

• Where and how will candidates be assessed?

Candidates will normally be assessed during simulated exercises which will be conducted at a suitable location. The assessment will take the form of observation of the tasks being performed supported where necessary by oral and/or written questions.

• Who can be an Assessor?

Assessors must be:

• Discipline experts trained and qualified in assessment techniques.

Assessors may be assisted by other assessors and competent instructors when gathering evidence on individual performance




• How does an Assessor use this Checklist and Candidate Record?

(a) Check candidate's name and enter the candidate's name and company on the checklist and candidate record.

(b) Prior to the assessment taking place you (the assessor) must:

• make the candidate(s) aware that they are to be assessed. • ensure that the candidate(s) understands the standard which

they will be assessed against. • ensure that the assessment site and conditions for

assessment are suitable.

(c) Having ensured (a) and (b) you (the assessor) should clearly detail to the candidate(s) the task(s) to be performed indicating also how you intend to gather evidence (e.g. observation of simulated exercises, oral or written questions, witness statements).

(d) Allow an opportunity for feedback from the candidate prior to the assessment.

(e) Start the assessment, allow the candidates to continue with the tasks unless there is a breach of safety at which point the assessment should be stopped. The exercise may continue when safety has been restored in order to identify any future training or development needs. Candidates should not be guided or prompted during the assessment, however it may be necessary by using an appropriate questioning technique to ensure the candidates have the necessary underpinning knowledge and understanding to perform the tasks effectively and safely.

(f) In order to keep your own record when you are satisfied that the Candidates have demonstrated competence in each task place a (ü) in the appropriate 'onshore' box on the checklist and indicate the source of evidence by entering the code O, S, Q or W alongside the (ü). The codes are shown at the bottom of each page of the checklist.




(g) Boxes which are shaded do not require to be assessed and therefore do not require any mark.

(h) Tasks where a candidate cannot yet demonstrate competence should be identified in the 'Remarks' space by the appropriate task reference number. These reference numbers relate directly to the ERRV Advanced Medical Aid Competence Standard.

(i) The 'Remark' may later be superseded by a 'now competent' statement if, following further coaching and/or practice, the candidate is able to demonstrate competence. However, there may be instances where a candidate does not demonstrate competence during the period of this programme.

(j) In such cases the details of any training and development needs which have been identified should be entered in the appropriate place on the Candidate Record.

(k) In making a judgement it may be necessary for you (the assessor) to consult with other assessors who may also have witnessed the candidate's performance.

The Assessor's Checklist is an aid to the assessor in making this judgement.

(l) When candidates have been assessed for competence as Advanced Medical Aider(s) the result of the assessment of each candidate must then be transferred to the Candidate Record either in the 'Competent' column as (3) or as NYC (Not yet Competent). An NYC result requires training/development needs to be identified in the appropriate space.

(m) On completion of the programme you should signoff the Candidate Record.

(n) Following the assessment, you (the assessor) should comment to the Candidate on the positive aspects of the candidates performance and identify if appropriate the area where competence has not been demonstrated and further training and development is required.

These training/development requirements should also be communicated to the candidates employer.




SPECIMEN CHECKLIST

RESPOND TO CASUALTIES ON LOCATION

Ref: Task Onshore Onboard Source of Evidence

1 Care for casualties on location

1.1 Maintain state of readiness

1.1.1 Clarify roles and responsibilities

1.1.2 Contribute to drills and exercises

1.1.3 Check equipment

1.1.4 Record and confirm serviceability of equipment

1.1.5 Establish and maintain working relationships

Procedures: Company training and equipment checks and serviceability. Appropriate persons (working relationships): All crew members, external sources of medical assistance. Requirements: Vessel operator, duty holder, industry Equipment: Medical & non medical equipment in accordance with Industry Guidelines, Triage and recording documentation, decontamination showers, survivor accommodation facilities.

Remarks:

Source of Evidence O Observation S Simulation Q Questioning W Witness






1.2 Prepare to receive casualties

1.2.1 Respond to alarms

1.2.2 Don PPE

1.2.3 Direct crew

1.2.4 Establish and maintain communication

1.2.5 Prepare to receive casualties

1.2.6 Confirm readiness of facilities and equipment

1.2.7 Respond to instructions

Alarms: Bells, klaxons, whistles, siren, vocal. Procedures: Watch and Station Bill, Emergency Procedures, Standing Orders. Appropriate Persons: (Facilities) Master, OOW Appropriate Persons (Communications): Master Mate, ship to shore medical radio link, installation/rig medic. Appropriate Persons (Instructions): Master, Mate, external medical advisors.

Remarks:







1.3 Receive and treat casualties

1.3.1 Receive and assess casualties and make onboard transfers of casualties

1.3.2 Record details of casualties

1.3.3 Treat casualties

1.3.4 Observe casualties and record observations. Modify treatment

1.3.5 Prepare casualties for transfer from ERRV

1.3.6 Medically supervise casualty during transfer from ERRV to point of handover

1.3.7 Communicate followup information

Procedures: Triage, casualty handling. Recording: Triage cards, observation charts Onboard transfer: Walking casualty, stretcher casualty Details of Casualty: Identification, nature of injuries, treatment, triage category. Methods of transfer: By helicopter, FRC/other craft, basket, port call. Medical Treatment: Resuscitation, Management of: cold and immersion injuries, unconsciousness, blood loss, burns/scalds, fractures/dislocation, pain, eye injuries, contamination, sea sickness Followup Information: Updated monitoring, triage and treatment information.

Remarks:





CANDIDATE RECORD


Candidate Name:

Company

Training and Development Needs:

Declaration: The person named was assessed by me against the criteria and range indicated and in accordance with the assessment guidance.

I consider the above person *has/*has not achieved a level of competence to enable him/her to join an Offshore ERRV as an Advanced Medical Aider for further vessel specific training and development.

*I consider the above person requires further training and development as identified above.

Assessor's Name Signature Date

* delete whichever does not apply




C TRAINING PROGRAMME

The information in this section is for trainers. Firstly, it provides the requirements for initial and further training which includes programmes to enable candidates to acquire the necessary knowledge and skills which underpin the tasks to be performed.

C.1 Advanced Medical Aid Programme

C.1.1 Target Group

This programme is designed to meet the emergency response training and assessment requirements for a ERRV's Advanced Medical Aider.

C.1.2 Delegate Prior Achievement

Attendance on this training course is only open to delegates whose Personal Record shows attendance at an Initial Shipboard Operations Training Programme.

C.1.3 Training Outcomes

Delegates following a series of explanations, demonstrations and opportunities to practise, will as candidates be assessed against the standards relating to the following training outcomes:

C.1.3.1 Maintaining a state of readiness

C.1.3.2 Preparing to receive casualties

C.1.3.3 Receiving and treating casualties




C.1.4 Training Programme

In order to make efficient use of the time and ensure effective learning there should, whenever practicable, be an integration of the three phases of explanation, demonstration and practice. During the training and assessment programme delegates must be guided in and practise facilitating, appraisal, leadership and team working techniques which will be required of them during the ongoing onboard training and development programme and when responding to an emergency. The training programme outlined below will assist delegates to meet the stated outcomes.

C.1.5 Give an overview of ERRV Medical Aid Operations including

a) the role and function of the ERRV Advanced Medical Aider b) the interaction of onboard and external sources of medical aid.

C.1.6 Give an explanation of:

a) Principles and priorities of first aid b) Anatomy and physiology

C.1.7 Give an explanation and demonstration of:

a) The preparation and use of medical equipment including inspection and serviceability

b) Donning PPE c) The use of communications equipment d) Receiving casualties e) Examining casualties f) Applying triage g) Preparing for onboard transfer h) Initiating documentation i) Treating casualties (applied medical knowledge, specialist procedures* expected

of AMA) j) Observing and recording condition of casualties k) Preparing and transferring casualties from the ERRV l) Leadership and teamworking, facilitating and appraisal techniques expected of

an Advanced Medical Aider.

*Note: It is expected that the AMA will be able to use the equipment provided for IV infusions and cannulation. The decision on when this equipment is to be used by the AMA will be made by a Medical Practitioner or similarly medically qualified person. The Medical Practitioner will provide instruction and supervision of the AMA either directly or via radio.




C.1.8 Delegates to practise C.1.7 a) to l) inclusive

C.1.9 Assessment

C.1.9.1 Assessment of delegates will be a summation of the following components:

a) Initial assessment b) Continuous assessment c) Final assessment by an external assessor.

C.1.9.2 The purpose of the initial assessment is to establish the retention of knowledge and understanding in relation to previous ERRV medical aid training. This will be achieved by an oral and or written questionnaire at course commencement.

The purpose of the continuous assessment is to ensure delegates are acquiring the necessary skills, knowledge and understanding of the medical and care aspects being covered. This will be achieved by direct observation of practical work and by oral/written questioning.

The final assessment, will be conducted by an external assessor assisted by course instructional staff. It will take the form of direct observation of scenario based exercises supplemented by oral questioning.

Documentary evidence of the initial and continuous assessment will be provided for the external assessor's consideration.

C.1.10 Duration of Training and Assessment

The optimum 'contact time' for the training and assessment is 38 hours. Contact time does not include course administration, lunch and refreshment breaks.

Theoretical and practical components should be given equal emphasis.

The total contact time per day shall not exceed 8 hours. The total training day shall not exceed 10 hours (the total training day includes contact time, coffee and meal breaks and travel between training sites where applicable).

C.1.11 Course Handouts to Delegates

Delegates should be issued with course notes for Advanced Medical Aid Training when the course commences. These notes should be suitable for use as a reference manual during and following the course. The manual should be current and supported with supplementary information covering the following topics:

Leadership Teamwork Facilitating Appraisal techniques




C.2 Advanced Medical Aid Further Programme

This programme is designed to meet the updating, further practice and assessment requirements for an Advanced Medical Aider. It should be undertaken within 2 years of qualification as an Advanced Medical Aider and at periods not exceeding 2 years thereafter.

C.2.1 Delegate Prior Achievement

Attendance on this programme is open to delegates who are in possession of a valid ERRV Crew Advanced Medical Aid certificate or are able to produce evidence of achieving the outcomes in C.1.3 of this document.

C.2.2 Training Outcomes

Delegates will have previously demonstrated their knowledge and skills and will have been assessed as competent Advanced Medical Aiders. During this programme they will be given the opportunity to demonstrate, as detailed below, the knowledge and the actions they are required to take as an Advanced Medical Aider.

C.2.2.1 Maintaining a state of readiness.

C.2.2.2 Preparing to receive casualties.

C.2.2.3 Receiving and treating casualties.

C.2.3 Training Programme

The training provider in meeting the outcomes C.2.2.1 to C.2.2.3 will offer the delegate the maximum opportunity to consolidate previous skills, knowledge and understanding. Relevant recent medical advances will be included. During the training and assessment programme delegates must be given the opportunity to be guided in and practise facilitating, appraisal, leadership and teamworking techniques which will be required of them during the ongoing onboard training and development programme and when responding to an emergency. Where necessary delegates should receive further training or coaching.




C.2.4 Assessment

C.2.4.1 Assessment of delegates will be a summation of the following components:

a) Initial assessment b) Continuous assessment c) Final assessment by an external assessor.

C.2.4.2 The purpose of the initial assessment is to establish the retention of knowledge and understanding in relation to previous ERRV medical aid training. This will be achieved by an oral and or written questionnaire at course commencement.

The purpose of the continuous assessment is to ensure delegates are acquiring the necessary skills, knowledge and understanding of the subject matter being covered. This will be achieved by direct observation of practical work and by oral/written questioning.

The final assessment, will be conducted by an external assessor assisted by course instructional staff. It will take the form of direct observation of scenario based exercises supplemented by oral questioning.

Documentary evidence of the initial and continuous assessment will be provided for the external assessor’s consideration.

C.2.5 Duration of Training and Assessment

The optimum 'contact time' for the training and assessment is seen as 15 hours. Contact time does not include course administration, lunch and refreshment breaks.

Theoretical and practical components should be given equal emphasis.

The total contact time per day shall not exceed 8 hours. The total training day shall not exceed 10 hours (the total training day includes contact time, coffee and meal breaks and travel between training sites where applicable).




D RESOURCES

In order that a competence programme may be delivered successfully it is essential that the right people are there to support the programme and that the appropriate facilities and equipment are in place.

D.1 Staff

D.1.1 Qualifications & Experience

D1.1.1 Instructional Staff

All instructional staff must be,

(a) Either a Medical Practitioner or Registered General Nurse or services equivalent with a knowledge and experience of offshore ERRV crew working conditions and also have a knowledge and understanding of pre hospital care.

(b) Trained in instructional/lecture techniques and/or have proven instructing/teaching experience.

(c) Included in an ongoing staff training programme, which includes visits to operational ERRVs, to enable them to maintain and update skills and knowledge.

D.1.1.2 Assessors

All Assessors must be:

(a) Discipline experts trained and qualified in assessment techniques.

D.1.1.3 All Staff

(a) All staff must have the appropriate competencies to conduct/assist the element of training being conducted.




D.1.2 Instructor and Assessor/Delegate Ratio

(a) It is recommended that the maximum number of delegates attending this programme is 12.

(b) The following ratios indicate the maximum number of delegates to be supervised by one Instructor at any one time during each activity.

Theory 12

Demonstration 12

Practical 6

Assessor/Delegate 1




D.2 Facilities

Different facilities may be required and it is important to make sure that these are available.

Administration arrangements to support delegates from booking through registration and assessment to certification.

Theory training area(s) so designed to enable each delegate to participate fully in the subject matter being taught.

Demonstration and Practical training areas so designed to enable each delegate to participate fully in the activities identified in the training programme.

Assessment areas suitable for any individual assessment of candidates required.

All facilities must be maintained, and where appropriate, inspected and tested in accordance with current standards/legislation.




D.3 Equipment

The following equipment, which must be of a type currently prescribed for offshore ERRVs, must be available for use and maintained to ensure effective operation/use during training sessions

Medical Equipment for Training and Demonstration Purposes

T = Delegate to use D = Delegate to show (1) = Number required

T D ( )

Buprenorphine 3 0.2mg tablets injection 0.3mg (as hydrochloride) per ml, 1ml ampoule

Hyoscine Hydrobromide 3 0.3mg tablets injection 0.6mg in 1ml Liquid Paraffin Eyedrops 3 5ml dropper bottle or sterile plastic sachets.

(Caster Oil single dose sachets with dropper acceptable in lieu) Modified Gelatine Infusion Solution 3 500ml container for plasma substitution Paracetamol Tablets 3 Sterile Eye Irrigation Fluid 3 500ml Airways 3 Laerdal Pocket Mask, Model 82 00 11 Laryngeal Mask Airway, Size 4 Airway Trainer (1) Guedal airway Backboard 3 Ferno KED or equivalent




T D ( )

Defibrillator 3 automated external defibrillator approved by the supplier for use by personnel with minimum CPR and basic resuscitation skills in a ERRV at sea.

Fluid Giving Sets 3 intravenous entry set for fluids Oxygen/Nitrous Oxide Set 3 O2/N2O Analgesic apparatus consisting of regulator, long hose, demand valve, standard size face mask and fully charged cylinder with key plus spare fully charged cylinder

OxygenGiving Equipment 3 oxygen cylinders size F pressure regulators for oxygen cylinders with adjustable flowmeter

2m lengths oxygen tubing cylinder keys oxygen disposable face masks

35% 50% 100%

Manual Resuscitator 3 hand operated manual adult bag resuscitator (bag to be of silicone rubber) complete with oxygen reservoir of 2600ml capacity and face mask Size 5

Scissors/Shears 3 stainless steel scissors BS 3646 toughcut shears for cutting clothing Sphygmomanometer 3 fully automatic, battery operated type operating on oscillometric principle with automatic inflation and deflation providing digital readout. Complete with spare set of batteries.

Splints 3 Listons thigh splint, 140cm inflatable, set of 4 comprising halfleg, fullleg, halfarm and fullarm.

set of common splints (fracstraps acceptable in lieu)

Skeleton (slides and OHP acceptable) 3 Stethoscope 3




T D ( )

Suction Pumps 3 electric suction pump complete with Yankauer suction catheters and flexible catheters size FG14

manual suction pump Surgical Collars 3 Stifneck pattern or equivalent

short regular tall noneck or adjustable equivalent

NB. Adjustable collars able to achieve all three sizes will be accepted in lieu but the total of 15 must still be met. Syringes 3 disposable syringe and needle in sterile sealed pack to BS 5081. Capacity 2ml with 21g, 4cm needle.

Thermometers 3 normal range (35° 42°C.) digital, battery operated, 3 digit display. Complete with spare battery and plastic sleeve with pocket clip.

subnormal range, low body temperature, BS691 in durable case marked with contents

Stretchers 3 basket type with patient straps and webbing lifting strops.

Dummies (6) Surgical Gloves 3 latex, disposable

medium size large size

Survivor Packs 3 plastic carrier bag containing blanket (single size), disposable boiler suit, woollen socks and bath towel.

Swabs 3 medical spirit type packed in foil sachets. Transfer Bags 3 insulated, for personnel transfer to helicopter or ship

Triage Priority Cards 3




T D ( ) Cruciform, International Standard, triage card in waterproof plastic bag

Urine Bottles 3 disposable Vomit Bags 3 Waste Disposal Bags 3 for the disposal of clinical waste, self sealing, S.A.F.A. or equivalent, size Large

Wound Cleansing Fluid 3 sterile solution of Cetrimide 0.15% and Chlorhexidine Gluconate 0.015% in 25ml sachets.

Wristbands 3 durable plastic survivor identification Bandages 3 elastic, adhesive, 7.5cm x 4m triangular calico, BP, with sides approx. 90cm and 127 cm

tubular gauze bandage, finger dressing, 20m with applicator

conforming, BP, individual wrapped 5cm x 3m 7.5 cm x 3m

Cotton Wool 3 hospital quality, 500gm packs Dressings 3 clingfilm, rolls, approx. 30cm x 5m porous paper type adhesive tape, rolls 2.5cm x 5m

elastic adhesive medicated dressings, mixed sizes

wound dressings, standard BPC. medium plain, 14 BPC large plain, 15 BPC extra large, 28cm x 17cm

Gauze Swabs 3 gauze cotton, absorbent, BP, type 13. 8ply, 7.5cm x 7.5cm, sterile packets of 100

Zinc Oxide Tape 3 2.5cm x 5m spools Apron 3 plastic, disposable BedPan 3 disposable type




T D ( ) shelves for above Blankets 3 wool, single size Body Bags 3 7ft, opaque, plastic with zip closure Instrument Trolley 3 Lubricating Jelly 3 for endotracheal intubation, 42g tubes Pens 3 fine point with waterresistant ink for survivor record.

Pillows 3 with plastic covers Resuscitation Manikin 3 (2) suitable for cardiopulmonary resuscitation and peripheral IV access practice. Complete with two sets each of replacement pads for hand and arm IV access practice.

Anatomical Torso Safety pins 3 5cm, rustless Sharps Disposal Box 3 BS7320, capacity 5 litre Sleeping Bags 3 acrylic filled, washable, zip closure

RESUSCITATION/IV PACK 3 (1) Bandages elastic, adhesive, 7.5cm x 4m conforming, BP, individually wrapped, 7.5cm x 3m

Fluid giving sets intravenous entry set for fluids Guedal Airway, BS292

size 3 size 4

Intravenous infusion canula with Luerlok injection port in sterile pack (Venflon)

size 14g size 16g size 18g

Pens fine point with water resistant ink for survivor record




T D ( ) Plain Blood Tube size 10ml Scissors/Shears stainless steel scissors, BS 3646 toughcut shears for cutting clothing Sodium Chloride for intravenous infusion, 0.9% in 500ml container

Tourniquets Velcro, for setting up intravenous drips Triage Priority Cards Cruciform, International Standard, triage card in waterproof plastic bag

Wound Cleansing Fluid sterile solution of Cetrimide 0.15% and Chlorhexidine 0.015% in 25ml sachets

Zinc oxide tape 1.25 cm x 5m

AIRWAY MANAGEMENT PACK 3 (1) Bandage gauze ribbon, BP, 2.5cm x 10m Catheter Mount size 3.5in Endotracheal Flexible Introducer Endotracheal Tube cuffed, disposable size 7 “ “ size 8 “ “ size 9 Gauze Swabs gauze cotton, absorbent BP, type 13, 8 ply, 7.5cm, sterile packets of 100

Guedal Airway size 3 size 4

Laryngoscope Macintosh type with adult blade, 4 sets longlife batteries and spare bulb

Lubricating Jelly for endotracheal intubation, 42g tubes Magill’s Forceps Pens fine point with water resistant ink for survivor record

Syringe disposable, 10ml




T D ( )

Triage Priority Cards Cruciform, International Standard, triage card in waterproof plastic bag

Zinc Oxide Tape 1.25cm x 5m spool 2.5cm x 5m spool The wrapping or container for each pack is to be transparent and resealable such that the contents may be either verified without removal or renewed. Each pack is to be clearly labelled with its purpose and contents.

FRC MEDICAL EQUIPMENT 3 (1) Airway 3 complete with flexible junction between casualty’s mouth and person providing resuscitation, e.g. Canada Mask and Tube

First Aid Box as per “M” Notice 1607 Hypothermia Blankets lightweight foil pattern Surgical Collar 3 stifneck pattern or equivalent in short, regular and tall sizes

NB. Adjustable types able to achieve all three sizes will be accepted but the total of three must still be met.

The FRC Medical equipment noted is to be kept in watertight containers and placed in each FRC before launching.




E. GENERAL REQUIREMENTS

Training Establishments are responsible for the following;

(a) Each individual attending any OPITO accredited course completing a Central Register (CR) registration form. This form must be returned by the training establishment to the OPITO on a weekly basis.

(b) All Joining Instructions contain information which indicate certain aspects of the course are of a physical nature. Also the responsibility for the individual completing the course without any adverse effects to their present state of health lies with the individual and/or company sponsoring the delegate. Where doubt exists regarding the medical fitness of any delegate the establishment should seek the advice of a medical officer.

(c) Prior to each course commencing delegates sign a declaration indicating they have read and understood a written statement regarding the physical nature of the training and the need for persons to be in good health. Instructional staff should also read out the above statement at this time.

(d) Appropriate medical facilities.

(e) For all lessons, written statements of Organisation which clearly define responsibilities and relationships for all staff either directly or indirectly involved.

(f) Ensuring all training and supporting activities are carried out in accordance with current legislation.

Documents

02 ERRV Crew Advanced Medical Aid