Council Directive 92/29/EEC of 31 March 1992 on the minimum safety and health requirements for improved medical treatment on board vessels

ANNEX II

MEDICAL SUPPLIES (NON-EXHAUSTIVE LIST) (*) (Article 1(d)) (*) In light of Article 2(1)(a) Member States may, under exceptional circumstances, consider the use of alternative medicines or medical equipment for objectively justified reasons. I. MEDICINES Categories of vessels A B C 1. Cardiovascular (a) Cardio-circulatory sympathomimetics x x (b) Anti-angina preparations x x x (c) Diuretics x x (d) Anti-haemorrhagics including uterotonics if there are women on board x x (e) Anti-hypertensive x x 2. Gastro-intestinal system (a) Medicines for gastric and duodenal disorders — Medicine for treatment of stomach ulcer and gastritis x x — Anti-acid mucous dressings x x (b) Anti-emetics x x (c) Laxatives x (d) Anti-diarrhoeals x x x (e) Haemorrhoid preparations x x 3. Analgesics and anti-spasmodics (a) Analgesics, anti-pyretics and anti-inflammatory preparations x x x (b) Powerful analgesics x x (c) Spasmolytics x x 4. Nervous system (a) Anxiolytics x x (b) Neuroleptics x x (c) Seasickness remedies x x x (d) Anti-epileptics x x 5. Anti-allergics and anti-anaphylactics (a) Anti-histaminics x x (b) Glucocorticoids x x 6. Respiratory system (a) Bronchiospasm preparations x x (b) Anti-tussives x x (c) Medicines used for colds and sinusitis x x 7. Anti-infection (a) Antibiotics (at least two classes) x x (b) Anti-parasitics x x (c) Anti-tetanus vaccines and immunoglobulins x x (d) Anti-malaria medicines, carriage shall be dependent upon operational area x x 8. Compounds promoting rehydration, caloric intake and plasma expansion x x 9. Medicines for external use (a) Skin medicines — Antiseptic solutions x x x — Antibiotic ointments x x — Anti-inflammatory and analgesic ointments x x — Anti-mycotic skin creams x — Burn preparations x x x (b) Eye medicines — Antibiotic and anti-inflammatory x x — Anaesthetic drops x x — Saline solution for eyewash x x x — Hypotonic myotic drops x x (c) Ear medicines — Anaesthetic and anti-inflammatory solutions x x (d) Medicines for oral and throat infections — Antiseptic mouthwashes x x (e) Local anaesthetics — Local anaesthetics using freezing x — Local anaesthetics given by subcutaneous injection x x II. MEDICAL EQUIPMENT Categories of vessels A B C 1. Resuscitation equipment — Ambu bag (or equivalent); supplied with large, medium and small masks x x — Appliance for the administration of oxygen with pressure-reducing valve such that ship’s industrial oxygen can be used, or oxygen container (1) x x — Mechanical aspirator to clear upper respiratory passages x x 2. Dressing and suturing equipment — Tourniquets x x x — Disposable suture stapler or suture kit with needles x x — Adhesive elastic bandage x x x — Gauze strips x x — Tubular gauze for finger bandages x — Sterile gauze compresses x x x — Sterile sheet for burns victims x x — Triangular sling x x — Disposable gloves x x x — Adhesive dressings x x x — Sterile compression bandages x x x — Adhesive sutures or zinc oxide bandages x x x — Non-absorbable sutures with needles x — Vaseline gauze x x 3. Instruments — Disposable scalpels x — Instrument box made of suitable material x x — Scissors x x — Dissecting forceps x x — Haemostatic clamps x x — Needle forceps x — Disposable razors x 4. Examination and monitoring equipment — Disposable tongue depressors x x — Reactive strips for urine analysis x — Temperature charts x — Medical evacuation sheets x x — Stethoscope x x — Sphygmomanometer x x — Medical thermometer x x — Hypothermic thermometer x x — Quick malaria test, carriage shall be dependent upon operational area x x 5. Equipment for injection, perfusion, puncture and catheterisation — Bladder drainage equipment (suitable for men and women) x — Intravenous infusion set x x — Disposable syringes and needles x x 6. General medical equipment — Personal protective medical and nursing equipment x x — Bedpan x — Hot-water bottle x — Urine bottle x — Ice bag x 7. Immobilisation and setting equipment — Set of splints of different sizes for the extremities x x — Collar for neck immobilisation x x 8. Disinfection, disinsectisation and prophylaxis — Water-disinfection compound x — Liquid insecticide x — Powder insecticide x (1) Under the conditions of use prescribed by national laws and/or practices III. ANTIDOTES 1. Medicines — General — Cardio-vascular — Gastro-intestinal system — Nervous system — Respiratory system — Anti-infective — For external use 2. Medical equipment — Necessary for the administration of oxygen (including maintenance requisites) Note: For the detailed implementation of Section III, Member States may refer to the IMO Medical First Aid Guide for use in accidents involving dangerous goods (MFAG) contained in the 1990 consolidated edition of the IMO International Maritime Dangerous Goods Code, as amended. Any adaptation of Section III in implementation of Article 8 may take account, inter alia, of any updating of the MFAG. ANNEX III DANGEROUS SUBSTANCES (Article 1 (e) and Article 3 (1)) The substances listed in this Annex are to be taken into account in whatever form they are carried on board, including the form of waste or cargo residues. — Explosive substances and objects, — Gases: compressed, liquified or dissolved under pressure, — Inflammable liquids, — Inflammable solids, — Substances liable to spontaneous combustion, — Substances which, on contact with water, give off inflammable gases, — Combustible substances, — Organic peroxides, — Toxic substances, — Infectious substances, — Radioactive substances, — Corrosive substances, — Various dangerous substances, i.e. any other substances which experience has shown, or may show, to be dangerous, so that the provisions of Article 3 need to be applied. Note For the detailed implementation of this Annex, Member States may refer to the 1990 consolidated edition of the IMO International Maritime Dangerous Goods Code. Any adaptation of this Annex in implementation of Article 8 may take account, inter alia, of any updating of the IMO International Maritime Dangerous Goods Code. ANNEX IV General Framework for the Inspection of Vessels’ Medical Supplies (Article 2(1)(c), Article 3(3)) SECTION A CATEGORY A VESSELS I. Details of the vessel Name: … Flag: … Home port: … II. Medical supplies Quantities required Quantities actually carried on board Remarks (in particular, any expiry date) 1. MEDICINE 1.1. Cardiovascular (a) Cardio-circulatory sympathomimetics 0 0 0 (b) Anti-angina preparations 0 0 0 (c) Diuretics 0 0 0 (d) Anti-haemorrhagics including uterotonics if there are women on board 0 0 0 (e) Anti-hypertensive 0 0 0 1.2. Gastro-intestinal system (a) Medicines for gastric and duodenal disorders 0 0 0 — Medicine for treatment of stomach ulcer and gastritis 0 0 0 — Anti-acid mucous dressings 0 0 0 (b) Anti-emetics 0 0 0 (c) Laxatives 0 0 0 (d) Anti-diarrhoeals 0 0 0 (e) Haemorrhoid preparations 0 0 0 1.3. Analgesics and anti-spasmodics (a) Analgesics, anti-pyretics and anti-inflammatory preparations 0 0 0 (b) Powerful analgesics 0 0 0 (c) Spasmolytics 0 0 0 1.4. Nervous system (a) Anxiolytics 0 0 0 (b) Neuroleptics 0 0 0 (c) Seasickness remedies 0 0 0 (d) Anti-epileptics 0 0 0 1.5. Anti-allergics and anti-anaphylactics (a) Anti-histaminics 0 0 0 (b) Glucocorticoids 0 0 0 1.6. Respiratory system (a) Bronchiospasm preparations 0 0 0 (b) Anti-tussives 0 0 0 (c) Medicines used for colds and sinusitis 0 0 0 1.7. Anti-infection (a) Antibiotics (at least two classes) 0 0 0 (b) Anti-parasitics 0 0 0 (c) Anti-tetanus vaccines and immunoglobulins 0 0 0 (d) Anti-malaria medicines, carriage shall be dependent upon operational area 0 0 0 1.8. Compounds promoting rehydration, caloric intake and plasma expansion 0 0 0 1.9. Medicines for external use (a) Skin medicines 0 0 0 — Antiseptic solutions 0 0 0 — Antibiotic ointments 0 0 0 — Anti-inflammatory and analgesic ointments 0 0 0 — Anti-mycotic skin creams 0 0 0 — Burn preparations 0 0 0 (b) Eye medicines 0 0 0 — Antibiotic and anti-inflammatory 0 0 0 — Anaesthetic drops 0 0 0 — Saline solution for eyewash 0 0 0 — Hypotonic myotic drops 0 0 0 (c) Ear medicines 0 0 0 — Anaesthetic and anti-inflammatory solutions 0 0 0 (d) Medicines for oral and throat infections 0 0 0 — Antiseptic mouthwashes 0 0 0 (e) Local anaesthetics 0 0 0 — Local anaesthetics using freezing 0 0 0 — Local anaesthetics given by subcutaneous injection 0 0 0 2. MEDICAL EQUIPMENT 2.1. Resuscitation equipment — Ambu bag (or equivalent); supplied with large, medium and small masks 0 0 0 — Appliance for the administration of oxygen with pressure-reducing valve such that ship’s industrial oxygen can be used, or oxygen container (1) 0 0 0 — Mechanical aspirator to clear upper respiratory passages 0 0 0 2.2. Dressing and suturing equipment — Tourniquets 0 0 0 — Disposable suture stapler or suture kit with needles 0 0 0 — Adhesive elastic bandage 0 0 0 — Gauze strips 0 0 0 — Tubular gauze for finger bandages 0 0 0 — Sterile gauze compresses 0 0 0 — Sterile sheet for burns victims 0 0 0 — Triangular sling 0 0 0 — Disposable gloves 0 0 0 — Adhesive dressings 0 0 0 — Sterile compression bandages 0 0 0 — Adhesive sutures or zinc oxide bandages 0 0 0 — Non-absorbable sutures with needles 0 0 0 — Vaseline gauze 0 0 0 2.3. Instruments — Disposable scalpels 0 0 0 — Instrument box made of suitable material 0 0 0 — Scissors 0 0 0 — Dissecting forceps 0 0 0 — Haemostatic clamps 0 0 0 — Needle forceps 0 0 0 — Disposable razors 0 0 0 2.4. Examination and monitoring equipment 0 0 0 — Disposable tongue depressors 0 0 0 — Reactive strips for urine analysis 0 0 0 — Temperature charts 0 0 0 — Medical evacuation sheets 0 0 0 — Stethoscope 0 0 0 — Sphygmomanometer 0 0 0 — Medical thermometer 0 0 0 — Hypothermic thermometer 0 0 0 — Quick malaria test, carriage shall be dependent upon operational area 0 0 0 2.5. Equipment for injection, perfusion, puncture and catheterisation 0 0 0 — Bladder drainage equipment (suitable for men and women) 0 0 0 — Intravenous infusion set 0 0 0 — Disposable syringes and needles 0 0 0 2.6. General medical equipment 0 0 0 — Personal protective medical and nursing equipment 0 0 0 — Bedpan 0 0 0 — Hot-water bottle 0 0 0 — Urine bottle 0 0 0 — Ice bag 0 0 0 2.7. Immobilisation and setting equipment 0 0 0 — Set of splints of different sizes for the extremities 0 0 0 — Collar for neck immobilisation 0 0 0 2.8. Disinfection, disinsectisation and prophylaxis 0 0 0 — Water-disinfection compound 0 0 0 — Liquid insecticide 0 0 0 — Powder insecticide 0 0 0 3. ANTIDOTES 3.1. General 0 0 0 3.2. Cardio-vascular 0 0 0 3.3. Gastro-intestinal system 0 0 0 3.4. Nervous system 0 0 0 3.5. Respiratory system 0 0 0 3.6. Anti-infective 0 0 0 3.7. For external use 0 0 0 3.8. Other 0 0 0 3.9. Necessary for the administration of oxygen (including maintenance requisites) 0 0 0 (1) Under the conditions of use prescribed by national laws and/or practices. Venue and date: … Captain’s signature: … Authorisation by competent person or authority: … SECTION B CATEGORY B VESSELS I. Details of the vessel Name: … Flag: … Home port: … II. Medical supplies Quantities required Quantities actually carried on board Remarks (in particular, any expiry date) 1. MEDICINE 1.1. Cardiovascular (a) Cardio-circulatory sympathomimetics 0 0 0 (b) Anti-angina preparations 0 0 0 (c) Diuretics 0 0 0 (d) Anti-haemorrhagics including uterotonics if there are women on board 0 0 0 (e) Anti-hypertensive 0 0 0 1.2. Gastro-intestinal system (a) Medicines for gastric and duodenal disorders 0 0 0 — Medicine for treatment of stomach ulcer and gastritis 0 0 0 — Anti-acid mucous dressings 0 0 0 (b) Anti-emetics 0 0 0 (c) Anti-diarrhoeals 0 0 0 (d) Haemorrhoid preparations 0 0 0 1.3. Analgesics and anti-spasmodics (a) Analgesics, anti-pyretics and anti-inflammatory preparations 0 0 0 (b) Powerful analgesics 0 0 0 (c) Spasmolytics 0 0 0 1.4. Nervous system (a) Anxiolytics 0 0 0 (b) Neuroleptics 0 0 0 (c) Seasickness remedies 0 0 0 (d) Anti-epileptics 0 0 0 1.5. Anti-allergics and anti-anaphylactics (a) Anti-histaminics 0 0 0 (b) Glucocorticoids 0 0 0 1.6. Respiratory system (a) Bronchiospasm preparations 0 0 0 (b) Anti-tussives 0 0 0 (c) Medicines used for colds and sinusitis 0 0 0 1.7. Anti-infection (a) Antibiotics (at least two classes) 0 0 0 (b) Anti-parasitics 0 0 0 (c) Anti-tetanus vaccines and immunoglobulins 0 0 0 (d) Anti-malaria medicines, carriage shall be dependent upon operational area 0 0 0 1.8. Compounds promoting rehydration, caloric intake and plasma expansion 0 0 0 1.9. Medicines for external use (a) Skin medicines 0 0 0 — Antiseptic solutions 0 0 0 — Antibiotic ointments 0 0 0 — Anti-inflammatory and analgesic ointments 0 0 0 — Burn preparations 0 0 0 (b) Eye medicines 0 0 0 — Antibiotic and anti-inflammatory 0 0 0 — Anaesthetic drops 0 0 0 — Saline solution for eyewash 0 0 0 — Hypotonic myotic drops 0 0 0 (c) Ear medicines 0 0 0 — Anaesthetic and anti-inflammatory solutions 0 0 0 (d) Medicines for oral and throat infections 0 0 0 — Antiseptic mouthwashes 0 0 0 (e) Local anaesthetics 0 0 0 — Local anaesthetics given by subcutaneous injection 0 0 0 2. MEDICAL EQUIPMENT 2.1 Resuscitation equipment — Ambu bag (or equivalent); supplied with large, medium and small masks 0 0 0 — Appliance for the administration of oxygen with pressure-reducing valve such that ship’s industrial oxygen can be used, or oxygen container (1) 0 0 0 — Mechanical aspirator to clear upper respiratory passages 0 0 0 2.2. Dressing and suturing equipment — Tourniquets 0 0 0 — Disposable suture stapler or suture kit with needles 0 0 0 — Adhesive elastic bandage 0 0 0 — Gauze strips 0 0 0 — Sterile gauze compresses 0 0 0 — Sterile sheet for burns victims 0 0 0 — Triangular sling 0 0 0 — Disposable gloves 0 0 0 — Adhesive dressings 0 0 0 — Sterile compression bandages 0 0 0 — Adhesive sutures or zinc oxide bandages 0 0 0 — Vaseline gauze 0 0 0 2.3. Instruments — Instrument box made of suitable material 0 0 0 — Scissors 0 0 0 — Dissecting forceps 0 0 0 — Haemostatic clamps 0 0 0 2.4. Examination and monitoring equipment 0 0 0 — Disposable tongue depressors 0 0 0 — Medical evacuation sheets 0 0 0 — Stethoscope 0 0 0 — Sphygmomanometer 0 0 0 — Medical thermometer 0 0 0 — Hypothermic thermometer 0 0 0 — Quick malaria test, carriage shall be dependent upon operational area 0 0 0 2.5. Equipment for injection, perfusion, puncture and catheterisation Equipment for injection, perfusion, puncture and catheterisation 0 0 0 — Intravenous infusion set 0 0 0 — Disposable syringes and needles 0 0 0 2.6. General medical equipment General medical equipment 0 0 0 — Personal protective medical and nursing equipment 0 0 0 2.7. Immobilisation and setting equipment Immobilisation and setting equipment 0 0 0 — Set of splints of different sizes for the extremities 0 0 0 — Collar for neck immobilisation 0 0 0 3. ANTIDOTES 3.1. General 0 0 0 3.2. Cardio-vascular 0 0 0 3.3. Gastro-intestinal system 0 0 0 3.4. Nervous system 0 0 0 3.5. Respiratory system 0 0 0 3.6. Anti-infective 0 0 0 3.7. For external use 0 0 0 3.8. Other 0 0 0 3.9. Necessary for the administration of oxygen (including maintenance requisites) 0 0 0 (1) Under the conditions of use prescribed by national laws and/or practices. Venue and date: … Captain’s signature: … Authorisation by competent person or authority: … SECTION C CATEGORY C VESSELS I. Details of the vessel Name: … Flag: … Home port: … II. Medical supplies Quantities required Quantities actually carried on board Remarks (in particular, any expiry date) 1. MEDICINE 1.1. Cardiovascular (a) Anti-angina preparations 0 0 0 1.2. Gastro-intestinal system (a) Anti-diarrhoeals 0 0 0 1.3. Analgesics and anti-spasmodics (a) Analgesics, anti-pyretics and anti-inflammatory preparations 0 0 0 1.4. Nervous system (c) Seasickness remedies 0 0 0 1.5. Medicines for external use (a) Skin medicines 0 0 0 — Antiseptic solutions 0 0 0 — Burn preparations 0 0 0 (b) Eye medicines 0 0 0 — Saline solution for eyewash 0 0 0 2. MEDICAL EQUIPMENT 2.1. Dressing and suturing equipment — Tourniquets 0 0 0 — Adhesive elastic bandage 0 0 0 — Sterile gauze compresses 0 0 0 — Disposable gloves 0 0 0 — Adhesive dressings 0 0 0 — Sterile compression bandages 0 0 0 — Adhesive sutures or zinc oxide bandages 0 0 0 3. ANTIDOTES 3.1. General 0 0 0 3.2. Cardio-vascular 0 0 0 3.3. Gastro-intestinal system 0 0 0 3.4. Nervous system 0 0 0 3.5. Respiratory system 0 0 0 3.6. Anti-infective 0 0 0 3.7. For external use 0 0 0 3.8. Other 0 0 0 3.9. Necessary for the administration of oxygen (including maintenance requisites) 0 0 0 Venue and date: … Captain’s signature: … Authorisation by competent person or authority: … ANNEX V MEDICAL TRAINING OF THE CAPTAIN AND DESIGNATED WORKERS (Article 5 (3)) I. 1. Basic understanding of physiology, symptomatology and therapeutics. 2. Elements of preventive medicine, notably individual and collective hygiene, and elements of possible prophylactic measures. 3. Ability to perform basic types of treatment and supervise emergency disembarkation at sea. Person responsible for treatment aboard category A vessels should if possible receive their practical training in hospitals. 4. Detailed knowledge of how to use the various remote medical consultation facilities. II. This training should take account of the programmes of instruction detailed in relevant recent international documents. ( 1 ) OJ L 123, 12.5.2016, p. 1. ( 2 ) Category B shall be extended to sea-going or sea-fishing vessels which make trips of less than 175 nautical miles from the nearest port with adequate medical equipment and which remain continuously within range of helicopter rescue services. To this end, each Member State shall forward up-to-date information on the areas in which routine helicopter rescue services are provided, and the circumstances in which they operate: (a) to the other Member States and the Commission; and (b) to the captains of vessels flying its flag or registered under its plenary jurisdiction who are, or are likely to be, concerned by application of the first subparagraph of this footnote; the information shall be forwarded in the most appropriate way, for example through radio-consultation centres, rescue coordination centres or coastal radio stations. //</s