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Elements and Performance Criteria

1. Manage vessel medical care
   • Availability of adequate resources is monitored and maintained to support medical responses
2. Regular inspections of stock and equipment are conducted to ensure currency and operational readiness according to organisational requirements
3. Equipment and resources are stored and maintained according to regulatory requirements and manufacturer/supplier instructions
4. Risks on the vessel are reviewed and organisational policies and procedures related to the provision of medical care are validated
5. Planning is conducted for responses to major incidents onboard the vessel
6. Take charge of a casualty onboard vessel
   • Safety of injured or ill person, bystanders and self in an accident situation is assessed according to first aid procedures
7. Safety requirements associated with providing medical care and vessel environmental requirements are adhered to
8. Condition of injured or ill person is assessed according to first aid procedures
9. Position of injured or ill person is adjusted to optimise personal comfort for the medical condition or injury
10. Injured or ill person is reassured and supported during the wait for medical assistance
11. Nature of the illness/injury is explained to injured or ill person
12. Significance of changes in person’s condition is promptly recognised and appropriate action is taken if there are signs of deterioration in injured or ill person
13. Calm, confident and reassuring personal attitude is conveyed
    • Medical emergencies and injuries are identified and assessed correctly, and appropriate action is taken to prevent further injury
14. Symptoms and appropriate treatment are identified based on the concepts of clinical examination and medical history
15. Medical emergencies and injuries are diagnosed and managed according to accepted medical practice, and relevant national and international guides
16. Manufacturer recommendations and accepted medical practice with regard to dosage and application of drugs and medication are complied with
17. Complete and effective methods to protect against infection and spread of diseases are used
18. Resuscitation techniques are performed following safety procedures, if required
19. Appropriate techniques for moving injured or ill person are used
20. Resources and equipment are recovered and reprocessed, and waste is disposed of safely
21. Seek external assistance
    • Condition of injured or ill person is documented over time to assist with ongoing management
22. Communication links are established with external medical services to ensure prompt control action is taken
23. Clinical examination procedures are completed and instructions received are complied with
24. Assessment of person’s condition is relayed to external medical advisors
25. Medical procedures are carried out under medical instruction using relevant communication equipment and instructions received are complied with
26. Condition of injured or ill person is evaluated to determine transport requirements for additional medical care
27. Preparation for the evacuation of injured or ill person by emergency services is provided, if required, according to organisational procedures and welfare of person is maximised
28. Manage first aid records
    • Documentation is completed in accordance with regulatory and organisational requirements and records maintained
29. Relevant documents are sent to appropriate bodies in accordance with regulatory and organisational requirements
30. Confidentiality of records and information is maintained in accordance with privacy principles and regulatory and organisational requirements

Range Statement

Range is restricted to essential operating conditions and any other variables essential to the work environment.

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Performance Evidence

Evidence required to demonstrate competence in this unit must be relevant to and satisfy all of the requirements of the elements and performance criteria on at least one occasion and include: caring of casualty involving: burns, scalds and frostbite external and internal bleeding fractures, dislocations and muscular injuries head and spinal injuries injuries of ear, nose, throat and eyes wounds, wound healing and infection completing documents, including: casualty history forms first aid risk assessment incident/injury reports infection control records management records medical histories medication registers dealing with a death at sea dressing and bandaging giving vaccinations or other injections managing acute abdominal conditions preparing for evacuation, including: communicating with helicopter, vessel or ambulance conducting the evacuation relevant medical and first aid supplies and resources selecting relevant communication equipment providing: dental care gynaecological, pregnancy and childbirth support medical care of rescued persons minor surgical treatment pain relief treating: alcohol and drug abuse sexually transmitted diseases tropical and infectious diseases using disease prevention techniques, including disinfection, de-infestation and de-ratting using suturing and clamping techniques using company policies.

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Knowledge Evidence

Evidence required to demonstrate competence in this unit must be relevant to and satisfy all of the requirements of the elements and performance criteria and include knowledge of: alcohol and drug abuse care of: burns, scalds and frostbite external and internal bleeding fractures, dislocations and muscular injuries head and spinal injuries injuries of ear, nose, throat and eyes wounds, wound healing and infection death at sea dental care disease prevention, including disinfection, de-infestation and de-ratting dressing and bandaging general principles of nursing gynaecology, pregnancy and childbirth hygiene international and national maritime medical regulations and publications, including: International Medical Guide for Ships International Code of Signals Medical First Aid Guide (IMFAG) management of acute abdominal conditions medical care of rescued persons medical care of sick seafarers involving cooperation with port health authorities or out-patient wards in port medical conditions and emergencies minor surgical treatment nursing care pain relief quarantine regulations and required advices such as pratique, notification of disease on board radio medical advice sexually transmitted diseases techniques of suturing and clamping transportation of injured or ill persons including helicopter evacuation tropical and infectious diseases vaccinations work health and safety (WHS)/occupational health and safety (OHS) requirements and work practices.

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