Regulation Medical Equipment on Board Seagoing Vessels
Article 1
1. The medical equipment, as referred to in Article 93,
first paragraph, and Article 130h of the Ships Decree 1965, depends on the
category of ships, the duration and destination of the voyage and the
characteristics of the cargo carried, as well as the type of activities to be
performed during the voyage and the number of crew members and other employees
on board in accordance with the list of drugs, nursery articles and antidota
included in Annex I to this Regulation.
2. The medical
equipment of a medicine chest as referred to in Article 38, item 5.1.8, Article
41, item 8.20, and Article 47, item 2.2.9, of Annex XIA to the Ships Decree
1965, corresponds with the drugs and nursery articles in column R of Annex 1 to
this Regulation.
Article 2
1. Every year, prior to a survey as referred to in
Article 8, third paragraph, items a up to d, of the Ships Decree 1965, the
master inspects the medical equipment as referred to in Article 1, except for
the medicine chest on board of liferafts.
2. During the
inspection the master draws up a checklist including the names and codes of all
drugs, nursery articles and antidota which are required on board of his ship
pursuant to Annex I to this Regulation, while stating the amounts as prescribed
pursuant to Annex I as well as the amounts actually available on board. Besides,
the checklist mentions the name, the flag and the port of registry of the ship.
3. If the inspection shows that the medical
equipment of the ship is in accordance with Annex I to this Regulation, the
master signs the checklist and offers it for initialing to the classification
society which performs the survey as referred to in the first paragraph.
4. If the survey as referred to in the first paragraph
is not performed by a classification society, the initialing as referred to in
the third paragraph takes place by an official of the Shipping Inspectorate.
Article 3
The drugs on which a maturity date has been stated, are
replaced before that date.
Article 4
The Medical Manual for Shipping, latest edition, is appointed
as a medical manual as referred to in Article 6 of Annex XVI to the Ships Decree
1965, unless another medical manual is indicated in Annex 1 to this Regulation.
Article 5
The Notice to Shipping no. 298/1992 (Gov.Gaz. 150) is
withdrawn for the Netherlands and Aruba.
Article 6
This Regulation enters into force in the Netherlands and in
Aruba as of 1 December 1995.
Article
7
This Regulation is quoted as:
Regulation Medical Equipment on Board Seagoing Vessels.
This Regulation, together with its
Explanatory Notes, will be published in the Government Gazette, in the Official
Gazette of the Netherlands Antilles and in the Country Gazette of Aruba, with
the exception of Annex II to this Regulation, which is open for public
inspection in the Netherlands with the Directorate-General Shipping and Maritime
Affairs, Bordewijkstraat 4 in Rijswijk.
When Annex II is laid
open for public inspection in the Netherlands Antilles and Aruba, this will be
reported in the Official Gazette of the Netherlands Antilles and in the Country
Gazette of Aruba.
The Hague, 21 November
1995.
The Minister of Transport, Public Works and Water
Management,
A. Jorritsma-Lebbink.
Annex I as referred to in Article 1, first paragraph Medical equipment (limitative list)
The meaning of the columns
Column A: Is applicable to seagoing vessels as well as to
fishing vessels for which a ship safety certificate has been issued for an
unlimited sailing area.
Column A-Z: Is applicable to sailing
ships for which a ship safety certificate has been issued for the unlimited
sailing area IV.
Column A-G: Is applicable to seagoing vessels
carrying hazardous goods and for which a ship safety certificate has been issued
for an unlimited sailing area.
Column B: Is applicable to
seagoing vessels for which a ship safety certificate has been issued for a
sailing are extending not beyond GMDSS sea area A2, as well as for fishing
vessels with a sailing area extending not beyond sailing area II.
Column B-Z: Is applicable to sailing ships for which a ship
safety certificate has been issued for a sailing area extending not beyond
sailing area III.
Column B-G: Is applicable to seagoing
vessels carrying hazardous goods and for which a ship safety certificate has
been issued for a sailing area extending not beyond sailing area A2.
Column C: Is applicable to seagoing vessels for which a ship
safety certificate has been issued for a sailing area extending not beyond sea
area 30, if the service port mentioned on the certificate is in an European
country, as well as for fishing vessels with a sailing area extending not beyond
sailing area Ia and for fishing vessels with a sailing area I within the GMDSS
sea area A1.
Column C-Z: Is applicable to sailing ships for
which a ship safety certificate has been issued for a sailing area extending not
beyond sailing area I, II and IIIA.
Column D: Is applicable to
passenger ships which undertake voyages which are longer than 48 hours.
Column D-G: Is applicable to passenger ships carrying
hazardous goods and which undertake voyages which are longer than 48 hours.
Column E: Is applicable to passenger ships which undertake
voyages which are shorter than 48 hours.
Column E-G: Is
applicable to passenger ships carrying hazardous goods and which undertake
voyages which are shorter than 48 hours.
Column R: Is
applicable to lifeboats, liferafts and rescueboats.
The amounts in the columns
The amounts in
the columns are applicable to the number of mustered crew members up to 15
persons.
With a crew number of 16 up to 23 persons the amounts
are increased by 50%, except for those items for which only 1 specimen has been
prescribed.
With a crew number of 24 up to 30 persons the
amounts are doubled.
With a crew number of 31 up to 45 persons
the amounts are tripled.
With a crew number of 46 up to 60
persons the amounts are quadrupled.
Etcetera.
The maximum amounts mentioned in the columns need not be exceeded.
To the columns A, A-Z, B, B-Z, C, C-Z and E applies that the
maximum amount of Column D need not be exceeded in any case.
To the columns A-G, B-G and E-G applies that the maximum amount of Column D-G
need not be exceeded in any case.
When the amounts are
mentioned between () for certain items, it concerns items which have been
recommended, but not required.
Additional
code
If the code number is added with an "H"
this means that the item is also listed on the international list of drugs,
mentioned in the Medical First Aid Guide for Accidents with Hazardous Goods
(MFAG).
Dependent on the nature of the hazardous goods to be
carried, a selection of the antidota with code numbers 10.1.01 up to 10.2.10 is
available on board. If the nature of the hazardous goods to be carried will not
always be known beforehand, all antidota have to be on board.
If the code number is added with a "t" this means that the item is only
prescribed when sailing in tropical waters. If the code "RMA" is mentioned for a
drug, this means that it in principle may only be supplied or applied on the
advice of a doctor, in general from the Radio Medical Service for Shipping.
Storage
If it is stated that an item has to be stored in a "safe" this means that the
item is covered by the most stringent provisions of the Opium act.
If it is indicated that the item has to be stored "cool" this
means that the quality and the effectiveness of the item deteriorate when it is
not stored in a refrigerator.
Note
[1]
7.4.03 Metronidazol supp or ovule 500 mg
The
production and delivery of Metronidazol suppositories can meet with practical
problems.
According to information of the manufacturer it is
possible to use vaginal ovules also rectally.
Ovules (Flagyl)
are therefore an equivalent alternative.
Note [2]
7.7.02 Proguanil tabl 100 mg
7.7.03
Chloroquinesulfate tabl 100 mg
To be used for the profylaxe of
malaria.
For more detailed information, see the Medical Manual
for Shipping.
Besides, the most actual information on
resistance areas has to be provided for.
Note [3]
8.1.02 NaCl 0,9% perfusion solution
In case
of the handling of chemicals in the eye it is advised to wash with NaCl
perfusion solution.
See Medical First Aid Guide for Accidents
with Hazardous Goods: table 7.
Note
[4]
8.3.01 Polygeline (Haemacel) perfusion solution
II.5.03 Blood transfusion system with filter
II.5.09 Withdrawal sachets containing citrate
Parts of the
AIDS prevention set.
Note [5]
II.1.02.a Portable inhalation apparatus complete
The portable inhalation apparatus of an approved type contains
at least:
¿. 1 bottle with a volume of at least 2 litres,
filled with medicinal oxygen under a pressure of 200 bar, with a threaded collar
G 5/8" (in conformity with NEN 3268)
¿. 1 reducing valve with
capacity gauge and pressure gauge
¿. 1 distribution block with
external oxygen inlet
¿. 1 Ambu bag with demand valve and
respiration mask
¿. If more Ambu bags have been prescribed
(11.1.01), these should be stored in the inhalation apparatus
¿. 2 inhalation masks with corresponding flexible connection hoses
¿. 1 exhausting device operating independently from the above
equipment
¿. 1 general instructions in the Dutch language as
well as in the English language
¿. 1 detailed instructions of
the Ambu bag and the exhausting device
¿. 1 maintenance set
Note [6]
Oxygen supply on board of ships carrying hazardous goods
1. On board of ships carrying hazardous goods the
medical equipment is added with the following volume of oxygen:
a. 1 bottle with a content of at least 2 litres, filled with medicinal oxygen
under a pressure of 200 bar as backup for the portable apparatus.
b. 1 bottle with a content of at least 40 litres, filled with
medicinal oxygen under a pressure of 200 bar, positioned near the hospital or
room in which the sick berth is, and connected such that the breathing apparatus
pod can get oxygen from the bottle in the hospital (or in the accommodation as
referred to).
2. In connection with the fire risk
provided by oxygen under pressure, the storage of the backup oxygen takes place
in a suitable manner, preferably in open air or in an enclosed space.
3. The arrangement as much as possible accords with the
guidelines in BadS 35/1965 (Acetylene welding and cutting installations).
4. The key of the seal of the 40 litre bottle is stored
with the bottle, provided that this key is fitted on the seal during usage.
5. When put into operation, completely clean and
oil-free lines are provided for.
6. The bottle and the
line system should be fitted, tested and checked by a qualified person. In this
case a qualified person is someone who:
- has all necessary
qualities to install lines and equipment on board of ships;
-
has special knowledge of the problems and safety requirements for installing,
checking and usage of these installations;
- places the
installation according to the relating descriptions and drawings.
7. The person who has placed the installation, gives a
statement that the installation has been placed, tested and checked as much as
possible according to BadS 35/1965 or equivalent requirements.
Note [7]
II.7.07 Stretcher of an approved type, see Annex 2.
Note [8]
II.7.07 Stretcher on board of sailing ships with passengers
A stretcher has to be available on ships with a LOAD LINE
of more than 24 metres.
Note [9]
II.7.07 Stretcher on board of seagoing vessels in sailing area
30
A stretcher has to be available as soon as the prescribed
crew consists of more than 3 persons.
Note [10]
II.9.13
A watertight medicine chest capable
of being closed well (and still watertight) for liferafts, lifeboats and
rescueboats, intended for all items from the Column "R". The medicine chest has
to be provided with an index and therapy requirement in the Dutch language,
printed on waterproof material.
Medical equipment on board of
seagoing vessels: drugs
Explanatory Notes
On 31 March 1992, the Council of the European Communities
has laid down Directive no. 92/29/EEC, concerning the minimum requirements as
regards safety and health for the promotion of a better medical assistance on
board of ships (PbEC 1992, L 113), hereinafter to be called the Directive. The
Directive contains in the corresponding Annex II a non-limited list of drugs,
nursery articles and antidota, which among other things should be present on
board of seagoing vessels, where the nature and the extent of these medical
supplies is left up to various criteria, such as the category of ships and the
duration and the destination of the voyage. The present Ministerial Statute
Regulation aims at implementation of the Directive and replaces the Notice to
Shipping no. 298/1992 (Gov.Gaz. 150), in which the Directive had already been
implemented considerably. The Regulation is among others based on the Articles
93 and 130h of the Ships Decree 1965 which empower the Minister of Transport,
Public Works and Water Management to give the present requirements concerning
the necessary medical equipment on board of seagoing vessels.
While laying down the requirements, the consensus
achieved by nautical-medical experts in the pre-draft phase of the Directive has
been taken into account as regards the determination of the required minimum
amounts in the medical equipment of the various categories of ships. It is
considered to be necessary to draw up additional requirements concerning the
medical equipment on board, especially in view of the carriage of injured and
sick persons on board, as well as within the scope of aids prevention and the
malaria profylaxe.
The subdivision of
seagoing vessels in columns used in the Regulation corresponds with the
subdivision in categories as mentioned in Annex I to the Directive, provided
that the columns A, A-G, D and D-G relate to seagoing vessels of category A of
Annex I to the Directive, the columns B, B-G, E and E-G relate to seagoing
vessels of category B of Annex I to the Directive and the columns C and C-G
relate to seagoing vessels of category C of Annex I to the Directive.
For reasons of enlargement of the
accessibility and maintainability of the Regulation, at the subdivision of
seagoing vessels in columns, sailing areas already described in the rules have
been followed. Where category A of the Directive applies to seagoing vessels
with an unlimited sailing area, the columns A and A-G in the Regulation are
applicable to seagoing vessels in this sailing area. Where category B of the
Directive relates to an area within 150 miles from a port with adequate medical
supplies, the columns B and B-G in the Regulation are applicable to seagoing
vessels provided with a ship safety certificate extending not beyond sea area A2
pursuant to the Global Maritime Distress and Safety System (GMDSS); this area is
within 150 miles from radio coast stations provided with digital medium wave
radio telephone apparatus. A similar infrastructure is realised in countries
with a higher developmental level, where also the medical supplies can be
considered to be adequate.
Finally, in the
Regulation category C, which according to the Directive applies to seagoing
vessels which remain under the coast, is applied to seagoing vessels which are
not allowed to sail beyond 15 miles from the coast.
The Regulation prescribes that the inspection of the medical
equipment is done by the master, except for the medicine chest on board of
liferafts. This exception originates from the fact that Article19, item 8.1, of
Annex XIA to the Ships Decree 1965 already provides for an annual testing of the
liferafts by recognized testing stations. From the viewpoint of efficiency it is
desirable that the annual inspection of the medicine chest is also performed by
these testing stations.
Since the Regulation
also aims at implementation of EC rules in statute rules, this Regulation has
been laid down in accordance with the Minister of Transport, Public Works and
Water Management of the Netherlands Antilles and the Minister of Transport and
Communication of Aruba, provided that, noting the circumstance that the
Netherlands Antilles need more time for the implementation of the Regulation,
the Regulation will enter into force in the Netherlands Antilles on a time to be
determined later by Ministerial Decree. Until that time the Notice to Shipping
no. 298/1992 (Gov.Gaz. 150) remains in force in the Netherlands Antilles.
Noting the large extent and the mainly
administrative contents of the checklists, it has been decided to publish Annex
II to the Regulation by laying it open to public inspection. In the Netherlands
this Annex is open for public inspection with the Directorate-General Shipping
and Maritime Affairs in Rijswijk. The way in which this Annex is laid open for
public inspection in the Netherlands Antilles and in Aruba, will be determined
by the authorities of these countries.
The
Minister of Transport, Public Works and Water management,
A.
Jorritsma-Lebbink.