Onderwerp: Bezoek-historie

ItoS - Medical Affairs
Geldigheid:03-04-2025 t/m Status: Geldig vandaag

Dit onderwerp bevat de volgende rubrieken.

List of abbreviations

General

The below information and interpretation has been concluded in consultation with and advice from the NSI Medical Advisor Shipping.

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First-aid outfit as part of medicine chests of lifeboats, liferafts and rescue boats

Article 25 of the Netherlands RVZ requires the medical equipment prescribed in Annex 5, together with the associated manuals and checklists to be present on board the ship.

Note that:

  • Article 3 of Annex 5 requires the medicine chests belonging to the equipment of lifeboats, liferafts and rescue boats to contain the requisites prescribed in Column R;

  • Article 6.1 of Annex 5 requires the medical equipment to be inspected annually prior to the investigations to which the ship is subject according to the certificates required for the ship. The inspection does not relate to the medical equipment for liferafts referred to in Article 3 of Annex 5; and

  • According to paragraph 4.1.5.1, paragraph 4.4.8 and paragraph 5.1.2.2 of the LSA Code, the normal equipment of every liferaft, lifeboat and rescue boat to consist of a first-aid outfit in a waterproof case capable of being closed tightly after use. Subsequently, some items of the medicine chests belonging to the equipment of lifeboats, liferafts and rescue boats that are prescribed in column R, form a part of the first-aid outfits of the liferafts, lifeboats and rescue boats.

Since there are many types of first-aid outfits in circulation and the contents of first-aid outfit may differ from each other, it cannot be assumed that the content of a first-aid outfit necessarily contains the requisites prescribed in Column R. This may suggest that all first-aid outfits should undergo inspection, as part of the annual inspection of the medical equipment of the ship, in order to ascertain that the medicine chests, in case a first-aid outfit forms part thereof, belonging to the equipment of lifeboats, liferafts and rescue boats, contain the requisites prescribed in Column R.

In order to ensure watertightness, a liferaft is normally sealed off; therefore any inspection of a first-aid outfit would then require the container of a liferaft to be unsealed and opened.

With regard to Article 6.1 of Annex 5 and paragraph 4.2.6.1 of the LSA Code, the NSI does not require the container of a liferaft to be opened during the annual inspection of the ship's medical equipment in order to ascertain that the medicine chest, in case the first-aid outfit forms part thereof, belonging to the equipment of the liferaft, contains the requisites prescribed in Column R to the RVZ, provided that the first-aid outfit, forming part of the medicine chest of the liferaft:

  1. complies, at least, with the requirements in ISO 18813:2022, paragraph 4.12; and

  2. is inspected at the service intervals of the liferaft.

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Equivalent medicines

Article 25 of the Netherlands RVZ requires the medical equipment prescribed in Annex 5, together with the associated manuals and checklists, to be present on board the ship.

Note that:

  • Article 2 of Annex 5 requires the medicines prescribed in Tables 1 and 2 of Annex 5 to be available on board the ship;

  • Article 5 of Annex 5 requires the medicines and antidotes to be obtained from a pharmacist.

Some medicines prescribed in Tables 1 and 2 of Annex 5 may not always be readily available or may be forbidden in some countries.

With regard to Article 2 and Article 5 of Annex 5, and in case a medicine prescribed in Tables 1 and 2 of Annex 5 is not readily available or is not allowed to be exported to a country, where the medicine is to be supplied to the ship, the NSI allows:

  1. the pharmacist to supply an equivalent medicine (e.g. Ibuprofen instead of Tramadol), provided that the pharmacist:

    1. issues a statement in which it is described which medicine has been replaced by which equivalent medicine due to either non-availability or inability to export the medicine to a country where the medicine is to be supplied to the ship; and

    2. informs NSI thereof by e-mailing a copy of the statement to mas@ilent.nl; and

  2. the equivalent medicine to be available and to be used on board as a substitute until its expiration date. After this, it must be re-evaluated if the medicine which has been replaced by the equivalent medicine, is available again.

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Waiver for additional medical equipment on board Special Purpose Ships and ships carrying Industrial Personnel

With regard to Article 2, sub 2 and 3 of Annex 5, the NSI:

  • does not require special personnel or industrial personnel to be counted for in the total number of mustered crew on board the ship; and

  • does not require additional medical equipment for the number of special personnel or industrial personnel to be available on board,

provided that:

  1. the voyage to be undertaken by the ship does not exceed 12 hours at sea;

  2. the special personnel or industrial personnel carried on board are solely being transported and not being accommodated on board;

  3. the medical equipment available on the ship:

    1. complies with the requirements of column C of Tables 1 and 2 of Annex 5; and

    2. suffices for adequate medical care for all persons on board;

  4. the shipowner:

    1. provides for sufficient occupational health and safety facilities on board the ship; and

    2. ensures that the ship complies with occupational health and safety legislations and has carried out a risk assessment and evaluation.

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