Regulated Australian Vessels

AMSA Medical Carriage Requirements 2016

Under maritime regulations, marine vessels must carry certain quantities of scheduled medicines to ensure that medical treatment is available should unexpected medical problems or emergencies occur.

The Navigation Act 2012 (Cwlth) and Maritime Safety (Domestic Commercial Vessel) National Law Act (National Law) specify the minimum requirements including the type and quantity of medicines a vessel must carry based on the vessel’s class and scale.

The Maritime Labour Convention (MLC), 2006 outlines standards for the medical care of seafarers whilst employed or engaged on a vessel. Implementation of these standards on Regulated Australian vessels occurs under the Navigation Act 2012 (Commonwealth) Chapter 2 (Division 3) and Marine Order 11 (Living and working conditions on vessels) 2015.

Regulated Australian vessels must be equipped with a medicine chest that contains medicines and medical supplies that would allow an appropriately trained person to treat injuries and illnesses on board the vessel until a patient can be transferred to receive care from a medical practitioner.

Regulated Australian vessel’s must carry the scale of medicines and medical equipment appropriate to the vessel’s usual voyage category described below:

Category A	Vessel on unlimited voyages where medical supplies can be restocked if necessary.
Category B	Vessel on short voyages not extending more than 150 nautical miles from the nearest port with emergency medical facilities. This may be extended to 200 nautical miles if the vessel is continuously within range of helicopter rescue services.
Category C	Vessel operating in smooth or partially smooth waters within short range of emergency medical facilities.

Scales Applicable to Vessel Class and Operational Area

Vessels are required to carry the medical equipment and supplies specified as applicable to the vessel, dependant on its class and operating area. The table below identifies the scales applicable to vessel class and operational area.

Vessel Use and Operational Area	Class and Scale for Passenger Vessels	Class and Scale for Non-Passenger Vessels	Class and Scale for Fishing Vessels
Unlimited Domestic Operations (greater than 200nm)	Class 1A Marine Order 11 (Living and working conditions on vessels) 2013	Class 2A Marine Order 11 (Living and working conditions on vessels) 2013	Class 3A Marine Order 11 (Living and working conditions on vessels) 2013
Offshore Operations (up to 200nm)	Class 1B - Scale D	Class 2B - Scale E	Class 3B - Scale E
Restricted Offshore Operations (up to 30nm)	Class 1C Berthed Passengers - Scale E Unberthed Passengers - Scale F	Class 2C - Scale F	Class 3C - Scale F
Partially Smooth Water Operations (areas defined by jurisdictions)	Class 1D Berthed Passengers - Scale F Unberthed Passengers - Scale G	Class 2D - Scale G	Class 3D - Scale G
Smooth Water Operations (areas defined by jurisdictions)	Class 1E Berthed Passengers - Scale F Unberthed Passengers - Scale G	Class 2E - Scale G	Class 3E - Scale G

AMSA Medical Carriage Requirements 2016

Annex A - List of medicines

Name	Form	Strength
Name	Form	Strength
Acetylsalicylic acid	Tab	300mg
Aciclovir tab	Tab	400mg
Adrenaline	Amp	1mg/mL
Amoxicillin/ clavulanic acid	Tab	875mg/ 125mg
Artemether + lumefantrine	Tab	20mg/120mg
Atropine	Amp	1.2mg/mL
Azithromycin	Tab	500mg
Ceftriaxone	Amp	1g
Cetirizine	Tab	10mg
Charcoal, activated	Powder
Ciprofloxacin	Tab	250mg
Cloves, oil of	Liq
Dexamethasone	Amp	4mg/mL
Diazepam	Tab	5mg
Docusate with senna	Tab	50mg/8mg
Doxycycline	Tab	100mg
Ethanol, hand cleanser	Gel	70%
Ethanol	Liq	70%
Fluorescein	Eye strips	1%
Frusemide	Amp	40mg/4mL
Glucagon	Amp	1mg
Haloperidol	Amp	5mg/mL
Hydrocortisone	Crm	1%
Ibuprofen	Tab	400mg
Isosorbide dinitrate	Tab	5mg
Lignocaine	Amp	1%, 5mL
Loperamide	Tab	2mg
Mebendazole	Tab	100mg
Metoprolol	Tab	100mg
Metronidazole	Tab	500mg
Miconazole	Crm	2%
Midazolam	Amp	5mg/mL
Misoprostol	Tab	200ug
Morphine	Amp	10mg/mL
Morphine	Liq	1mg/mL
Naloxone	Amp	0.4mg/mL
Omeprazole	Tab	20mg
Ondanestron	Tab	4mg
Oral Rehydration Solution	Powder	Sachet
Paracetamol	Tab	500mg
Paracetamol / Codeine	Tab	500mg/15mg
Permethrin	Lot	1%
Permethrin	Lot	5%
Povidone iodine	Oint	10%
Povidone iodine	Liq	10%
Prednisone	Tab	25mg
Salbutamol	Inh	100ug/dose
Sodium chloride	Liq	0.9%, 1 litre
Tetracaine [amethocaine]	Eye drop	0.5%
Tetracycline	Eye oint	1%
Vitamin K	Amp	10mg/mL
Water for injection	Amp	5mL
Zidovudine + lamivudine	Tab	300mg/ 150mg
Zinc oxide	Paste/oint	20%

Annex B - List of Medical Equipment

1) Resuscitation Equipment

Defibrillator

Valve and bag type

Mechanical aspirator

Disposable mouth to mouth plastic shield

Guedel Airway sizes 1, 3 and 4

- 1 portable oxygen giving set with at least 1 x two litre 200 bar cylinder ready for use, with a spare two litre 200 bar cylinder, and

- 1x flow meter unit giving a minimum setting of 4 litres per minute

- 1x pressure regulating unit

- 1x set of tubing

- 5 x 24% oxygen disposable face masks

- 5 x 35% oxygen disposable face masks.

2) Dressing and Suturing Equipment

Cotton wool balls sterile 5s

Crepe bandage - 7.5cm x 1.5m

Elastic adhesive bandage - 7.5cm x 4m

Conforming gauze bandage - 5cm x 5m

Tubular gauze bandage for finger dressings with applicator

Suspensory bandage - Large

Triangular bandage - Calico

Zinc oxide tape - 7.5cm x 5m

Zinc oxide tape - 2.5cm x 5m

Cotton tips, sterile, 2s

Elastic adhesive dressing strip - 6cm x 1m

Adhesive plastic dressing - 19mm x 72mm, pack of 100, sterile

Hydroactive dressing - 10x10cm

Non-adherent dressing - 10cm x 10cm

Wound dressing - Small, BPC 13

Wound dressing - Medium, BPC 14

Wound dressing - Large, BPC 15

Absorbent gauze - 1m x 90cm

Gauze compress 5s - 7.5cm x 7.5cm

Gauze ribbon - 2.5cm x 2.5m

Polyethylene or latex gloves - large or extra large

Skin adhesive (2-octyl cyanoacrylate liquid) 0.5mL

suture, non-absorbable, 26mm half circle needle

suture, non-absorbable, 40mm half circle needle

suture, absorbable, catgut, 40mm half circle needle

Suture strips adhesive - 75mm

Alcohol swabs - 100

Talc

Burn Towel Kit

Burn Towel Arm dressing size [10x20cm - non-adherent]

Burn Towel Body dressing size [220x75cm - non-adherent]

Burn Towel Face mask dressing [40x30cm - Impregnated gel dressing]

Burn Towel Hand dressing size [10x10cm - non-adherent]

Burn Towel Kit 500mL bottles/sachets normal saline irrigation

Burn Towel Kit Adhesive Tape

Burn Towel Kit Crepe bandages, light 10cm width

Burn Towel Leg dressing size [75x75cm - non-adherent]

3 Instruments

Eye wash bottle

Instrument box – Stainless steel

Dissecting forces - 12.5cm

Tweezers slanted

Needle holder

Packing forceps

Sinus forceps - 12.5cm

Spencer wells (haemostatic clam) forceps - 12.5cm

Razors

Scalpel - size 23

Surgical scissors – 18cm, sharp/round

Surgical scissors – 12.5cm, sharp/sharp

Trauma scissors

Eye spud

Splinter probe (sterile)

4) Examination and Monitoring

Pulse oximeter

Temperature charts

Specimen container 50ml

Sputum cup

Specimen jar 50ml

Plain labels, self-adhesive

Medical evaluation reports

Blood pressure set

Stethoscope

Urine analysis strips

Thermometer

Tongue depressors

Penlight torch

5) Equipment for Injection and Catheterization

Foley type catheter, 16 gauge, with 5mL balloon

Nelaton or Jacques type catheter, 16 gauge (with no balloon)

IV Cannula - size 1.2mm

IV administration set, with disposable infuser filters.

2.5mL syringe

0.8mm (21 gauge) 4cm needle

5mL syringe

0.8mm (21 gauge) 4cm needle

10mL syringe

0.8mm (21 gauge) 4cm needle

Hypodermic subcutaneous needle, Luer connection, 16 x 0.5mm, sterile, disposable