MECA 2B

MECA / Form 2B / Page 1 of 9

ACCRE NO.: 04o-00 Initial Issue Date: 07-03-2012

Revision Date: 00

FORM 2B : INVENTORY OF TRAINING EQUIPMENT

Course: MEDICAL CARE (IMO MODEL COURSE 1.15)

Name of Training Center: _____________________________________________________

Self- assessment

Pre inspection evaluation Inspection

To be accomplished

by TC

To be accomplished by STCW Evaluator

To be accomplished by STCW Inspector

Items Quantity Required

Number At Hand

Complied Not

Complied Complied

Not Complied

Classroom of 42 square meters for a maximum intake of 24 students. No side shall be less than 5 meters.

1

Set of audio visual equipment suitable for the teaching aids to be used

1

Organized ships medicine chest/cabinet with contents properly labeled as per list. (see attached list)

1

Medical instrument to check vital signs such as:

1. Sphygmomanometer 2. Clinical thermometer 3. Weighing Scale 4. Stethoscope

1 1 1 1

Kit for treatment of eye irrigation/wash

1

Various splints, braces, etc As stated

Dressings, bandages As Stated

Life-size dummy for practical training in resuscitation

1

Portable resuscitator kit 1

Standard Stretcher 1

Evaluators Comments: ______________________________ Evaluators Name & Signature Date of Evaluation __________________

REPUBLIC OF THE PHILIPPINES DEPARTMENT OF TRANSPORTATION AND COMMUNICATIONS

MARITIME INDUSTRY AUTHORITY

STCW ADMINISTRATION OFFICE


Note: Minimum quantity required for medicines:

Capsules / Tablets 5 pcs

Vial / Ampule 1 pc

Solution 20 ml

Cream / Ointment 3.5 grams

ACCRE NO.: 04o-05 Initial Issue Date: 06-25-1998

Revision Date: July 3, 2012

FORM 2B : LIST OF MEDICINES FOR SHIPS MEDICINE CHEST/CABINET

Course: MEDICAL CARE (IMO MODEL COURSE 1.15)

Name of Training Center: _____________________________________________________

Self- assessment


To be accomplished

by TC

To be accomplished by

STCW Evaluator


Description

Form Substitute Complied Not Complied

Complied Not

Complied

1 Acetylsalicylic Acid, 300mg tablets Tablets Aspirin

2 Alcohol, rubbing (70% ethyl alcohol), 500 ml

Liquid

3 Aluminum acetate, ear drops, 13% solution in 20-ml bottle with dropper

Otic Drops Garamycin

4 Aluminum acetate powder, 2-g packets, for making equivalent aluminum acetate solution (Burrows), 12s (Not available in the local drug store)

Solution Small

canister with proper

labeling

5 Aluminum hydroxide gel, with magnesium hydroxide or magnesium trisilicate, oral suspension, 360 ml

Suspension Maalox

suspension

6 Aluminum hydroxide gel, with magnesium hydroxide or magnesium trisilicate, oral suspension, 1-g tablets

Tablets Maalox plus

tablets

REPUBLIC OF THE PHILIPPINES DEPARTMENT OF TRANSPORTATION AND COMMUNICATIONS

MARITIME INDUSTRY AUTHORITY

STCW Administration Office


Self- assessment


To be accomplished

by TC


STCW Evaluator


Description


Complied Not

Complied

7 Aminophylline suppository, rectal, 500 mg, (Not available in the local drug store)

Suppositories Small container

with proper labeling

8 Amitriptyline tablets, 25 mg Tablets Thorazine

9 Ampicillin capsules, 250 mg Tablets Ampicin 250mg

10 Antihaemorrhoidal suppositories Suppositories FACTU Suppository

11 Ascorbic Acid tablets (vitamin C), 50 mg, Tablets

12 Atropine sulfate injection, 0.5 mg/ml, 1-ml ampoules

Ampoules

13 Benzathine benzylpenicillin, injection, 2.4 million units per 5-ml vial

Vial

14 Benzoic and salicylic acid ointment, 30-g tube per 5-ml vial

Ointment Whitefields

15 Calamine lotion, plain, 120 ml Lotion Caladryl

16 Calcium gluconate, effervescent tablets, 1 g

Tablets Calcium D Redoxon

17 Cetrimide 40% solution, 500 ml (disinfectant)

Cream Drapolene Cream

18 Charcoal, activated, powder, 120g Powder

19 Chloroquine phosphate tablets, 250 mg Tablets Aralen


Self- assessment


To be accomplished

by TC


STCW Evaluator


Description


Complied Not

Complied

20 Chlorphenamine maleate tablets, 4 mg, Tablets

21 Chlorphenamine maleate injection, 10mg, 1-ml ampoules

Ampoules

22 Chlorpromazine hydrochloride tablets, 25 mg (Controlled Drugs)

Tablets Empty bottle with proper

labeling

23 Chlorpromazine hydrochloride injection, 25 mg in 1-ml ampoules (Controlled Drugs)

Ampoules Empty ampoule with

proper labeling

24 Clove oil, 20ml Toothache Drops

25 Codeine sulfate tablets, 30 mg (Controlled Drugs)


labeling

26 Cyclizine sulfate tablets, 30 mg Tablets Nodiz

27 Dextran injection, 6% and sodium chloride, 0.9%, 500ml, with administration set

Liquid

28 Diazepam injection, 5 mg/ml, 2-ml ampoule

Ampoule Valium

29 Diazepam tablets, 5 mg Tablets Valium

30 Dimercaprol injection, 100 mg in 2-ml ampoules (Not available in the local drug store)

Box Empty ampoule with

proper labeling


Self- assessment


To be accomplished

by TC


STCW Evaluator


Description


Complied Not

Complied

31 Doxycycline hydrochloride tablets, 100 mg

Capsule Doxycycline Hyelate Cap

32 Ephedrine sulfate tablets, 25 mg (Controlled Drugs)


labeling

33 Epinephrine hydrochloride injection, 1:1000,1-ml ampoules

Ampoules

34 Ergometrine maleate injection, 0.2 mg in 1-ml ampoules (Controlled Drugs)

Ampoules Methergin

35 Erthromycin (stearate or ethylsuccinate) tablets, 250 mg

Tablets Erythrocin

36 Eye anaesthetic drops, 0.5% solution of tetracaine hydrochloride, in dropper bottles, 10ml

Solution Alcaine

37 Eye antiinfective drops, 1% solution of chloramphenicol in dropper bottles, 10ml

Chloramphenicol

38 Eye ointment, 1% tetramycline hydrochloride, 4-g Tube

Ointment Terramycin

39 Eyewash or eye-irritating solution, isotonic, sterile, in plastic squeeze bottle, 120ml

Optic Drops Eye Mo

40 Fluorescein sodium ophthalmic strip, sterile (1%, on paper applicators)

Strip


Self- assessment


To be accomplished

by TC


STCW Evaluator


Description


Complied Not

Complied

41 Furosemide tablets, 40mg Tablets Lasix 42 Glyceryl trinitrate tablets, 0.5 mg Tablets Nitrostat 43 Hydrocortisone sodium succinate, 100-

mg vial, for injection, intravenous, or intramascular

Vial

44 Hydrocortisone ointment 1%, 30-g tube with rectal tip

Ointment Trimycin

45 Ichthynol and glycerine ointment (ichthammol 10%, glycerin, soft paraffin, wool fat 90%), in 100-g container

Ointment Bactroban

46 Insect repellant (diethyltoluamide solution), 50ml

Solution Off Lotion

47 Iodine, 2.5% solution, in 100ml bottles with glass stoppers

Solution Iodine 2%

48 Lidocaine hydrochloride injection 1%, 2-ml ampoule

Ampoule Xyclocaine

49 Lindane cream, 1% 60-g tube Lotion Kwell Lotion

50 Magnesium hydroxide suspension, 550 mg/10ml, 500 ml

Tablets Simeco

51 Metronidazole tablets, 200mg Tablets

52 Miconazole nitrate, 2% vaginal cream, with applicator, in 80-g container

Cream Daktarin

53 Miconazole nitrate, 100-mg, pessary and inserter

Suppository


Self- assessment


To be accomplished

by TC


STCW Evaluator


Description


Complied Not

Complied

54 Mineral oil (liquid petrolatum), 500 ml Oil 55 Morphine sulfate injection, 10mg/ml, 1-ml

ampoules (Controlled Drugs)

Ampoule Empty ampoule with

proper labeling

56 Naloxone hydrochloride injection, 0.4 mg/ml, 1-ml ampoule

Ampoule

57 Neomycin + bacitracin ointment (5mg neomycin + 500 IU bacitracin zinc per g)_, 30-g tube

Ointment

58 Oral rehydration salts (sodium chloride 3.5 g, sodium bicarbonate 2.5 g (or trisodium citrate 2.9 g), potassium chlorade 1.5 g, glucose 2. g) in water-proof bags/sachets

Granules

Oresol Hydrite

59 Oxygen, size E tank

60 Paracetamol, 500 mg tablet Tablets Biogesic

61 Petrolatum, white, 60-g tube Cream Petroleum Jelly

62 Phenobarbital tablets, 30 mg Tablets

63 Phenoxymethyl penicillin potassium tablets 250 mg

Tablets

64 Pilocarpine hydrochloride eye-drops, 2%, 15-ml dropper bottle

Ophthalmic Solution


Self- assessment


To be accomplished

by TC


STCW Evaluator


Description


Complied Not

Complied

65 Potassium permanganate, 100 g Powder 66 Probenecid tablets, 500 mg Tablets 67 Procaine benzylpenicillin, sterile

suspension, injection, 600 000 units/ml, 1-ml vials

Vial Benzyl

Penicillin

68 Proguanil tablets, 100 mg Tablets Fancidar

69 Pyrantel tablets, 250 mg Tablets Combantrin

70 Quinine sulfate tablets, 300 mg Tablets

71 Quinine dihydrochloride, injection, 300 mg/ml, 2-ml ampoule

Ampoules

72 Salbutamol aerosol inhaler unit Nebulizer Pulmocare

73 Sodium chloride injection, 0.9 1000 ml Vial

74 Sodium chloride tablets, 1 g Tablets

75 Spectinomycin hydrochloride, injection, 2 g per 5-ml vial

Vial Forgram

76 Sulfamethoxazole + trimethoprim (400 mg + 80 mg) tablets

Tablets Bactrim

77 Talc (talcum powder), 120 g Powder

78 Tetanus immune human globulin, 250 units, vial or ampoule

Vial

79 Tetanus toxoid adsorbed, single dose, ampoule

Ampoule

80 Tetracycline ear-drops, 1% tetracycline solution in dropper bottle, 10 ml

Solution


Self- assessment


To be accomplished

by TC


STCW Evaluator


Description


Complied Not

Complied

81 Tetracycline hydrochloride capsules, 250 mg

Capsules

82 Water, sterile, 5-ml ampoules Ampoules / Bottle

83 Zinc oxide paste, 30-g tube

Evaluators Comments:

______________________________ Evaluators Name & Signature

Date of Evaluation _______________

Documents

MECA 2B