602-Health / 748
H
ea
l
th
BOS-PRD-0304.900001
Version 04. Original date: 25/05/2012. Version date: 31/12/2014. Valid version only on QMS site.Uncontrolled document when printed.
Procedure prepared by: BOS QHSE Coordinator. Approved by: BOS QHSES Manager. Validated by: BOS Quality Representative
7 / 15
Immediate reporting of all injuries and illnesses to the
M
aster
;
Daily condition reports to the
M
aster
on any person being treated; this reporting to be at shorter
intervals, as appropriate, in serious cases;
Requesting through the
M
aster
, medical advice or assistance either through Radio Medical
Centers, coastal radio stations or from ships in the vicinity.
4
.
5
.
2
M
e
d
ica
l
recor
d
s
The
M
e
d
ica
l O
fficer
shall
be responsible for recording in the
Medical Logbook
:
x
All medical treatment, no matter how trivial, when medicines are dispensed;
x
All medical treatment, when no medicines are dispensed but assistance is given;
x
First aid assistance mentioning who administered it.
Entries
shall
include the date, patient's name and rank, condition of the patient, indicating symptoms and any
physical or mental abnormalities noted, full details of any treatment given and any other relevant details.
When no medicine has been administered this is also to be noted in the medical log, for example good
advice given.
4
.
5
.
3
M
aintenance of hos
p
ita
l
,
m
e
d
ica
l l
oc
k
er
an
d
F
irst Ai
d
e
q
u
i
pm
ent
The
M
e
d
ica
l O
fficer
shall
be responsible for checking:
x
The vessels hospital, when fitted, is kept clean and ready for use. The hospital is not intended to be
used as an ordinary cabin
.
x
The medical locker contains all the items prescribed in the
International Medical Guide for Ships
together with any additional items required by Flag State Regulations and/or Company Organisation
rules;
x
The condition and contents of first aid kits, including those required by SOLAS (Chapter III:
Lifesaving Appliances), and replenishing as necessary;
x
The first aid kits are, as a minimum, available at the Bridge, Engine Control Room, Galley and in the
Rescue boat. These First Aid kits
shall
be inspected on regular basis to confirm their condition and
contents.
x
The oxygen resuscitator and appendages;
x
Automated External Defibrilator is mandatory onboard all vessels (ref.
BOS-INS-0701.1406 –
Defibrillator
).
x
Expiry date of all medical drugs onboard and ordering replenishments in good time prior to expiry.
This, however,
shall
not apply to the checking and replacement of controlled drugs which are in the
direct care of the
M
aster
.
Disposal of expired medicine onboard:
Medical drugs: they s
hould
be destroyed in incinerator. If no incinerator available onboard, drugs to be
disposed as per Garbage Management Plan depending on the package type.
For all narcotics (e.g. Morphine / Tramadol): Request Guidance to
L
o
g
istic
M
ana
g
er
.
4
.
5
.
4
Use of
C
ontro
ll
e
d
Dr
u
g
s
In the event that the use of a controlled drug is necessary, this
shall
only be done in the presence of both the
M
aster
and the
M
e
d
ica
l O
fficer
and a careful record of the date, time and amount of the drug used
shall
be
kept and signed by both the
M
aster
and the
M
e
d
ica
l O
fficer
.
602