- Laws of Fiji

9.0 Medical Cabinet

9-0

9.1 All ships covered by Scales D and E shall be provided with a medical cabinet of suitable size, design and construction for storing medical supplies.

9.2 The medical cabinet shall be located either—

(a)in a separate compartment adjacent to the hospital accommodation;
(b)where hospital accommodation is not provided, adjacent to the vessel officers’ accommodation; or
(c)in a dry and cool space accessible to the master and a designated ship officer.

9.3 The medical cabinet shall be provided with—

(a)an outer door, fitted with an efficient lock;
(b)an inner cupboard, independently locked, for storing special drugs (noted in Scales by the symbols “*” or “#”);
(c)a dispensing counter or table, with an impervious surface, which may be a shelf in the medical cabinet;
(d)suitable storage space for medicines and measuring devices, which facilitate identification of various items; and
(e)illumination by electric light from inside or immediately outside the cabinet.

9.4 The medical cabinet shall be clearly identified on the outer door with an appropriate sign or sticker.

9.5 The contents of the medical cabinet shall be listed with a brief instruction for use for each item listed, along with expiry dates and the last check date. The list shall be stowed within or adjacent to the medical cabinet.

9.6 Each inner cupboard key carried on board must be kept in the custody of the master or the designated ship officer.

9.7 Medical cabinets shall be cleaned and checked every 3 months and shall be checked by surveyors during the semi-annual surveys.

9.8 Persons administering first aid must possess as a minimum, a current first aid qualification.

9.9 Persons administering first aid using Scale D and E must have the competency of an Advanced First Aid Certificate including, First Aid Oxygen therapy, Asthma management, splinting with vacuum and air splints, and manual resuscitation.

9.10 Persons administering the supplies in Scale E First Aid Kits and medical supplies must possess a current First Aid At Sea Certificate or, more preferably the Occupational level of First Aid Certificate, First Aid Oxygen therapy, Asthma management and the use of Air Splints.

9.11 Where a Defibrillator unit is carried, SAE Defibrillation training must be undertaken.

Table 2 — Scales applicable to type of ship (ships use) and operational area

Ships Use	Operational Area	Extra Specification	Scale and Table
1. Passenger Ships
	Near Coastal	Berthed passengers	Scale D – Table H.4 and Table H.5
		Unberthed	Scale D – Table H.4 and Table H.5
	Territorial Seas and Archipelagic waters	Berthed passengers	Scale E – Table H.4 and Table H.5
		Unberthed	Scale F – Table H.3
	Inshore waters	Berthed passengers	Scale F – Table H.3
		Unberthed	Scale G – Table H.3
	Sheltered waters	Berthed passengers	Scale F – Table H.3
		Unberthed	Scale G – Table H.3
2. Non Passenger
	Near Coastal	Nil	Scale E – Table H.4 and Table H.5
	Territorial Seas and Archipelagic waters	Nil	Scale F – Table H.3
	Inshore waters	Nil	Scale G – Table H.3
	Sheltered waters	Nil	Scale G – Table H.3
3. Fishing Ships
	Near Coastal	Nil	Scale E – Table H.4 and Table H.5
	Territorial Seas and Archipelagic waters	Nil	Scale F – Table H.3
	Inshore waters	Nil	Scale G – Table H.3
	Sheltered waters	Nil	Scale G – Table H.3

Table 3 — Scale G and F First Aid Kits

Description	Quantity		Notes	Comments
Description	Scale G	Scale F	Notes	Comments
Bandage, conforming 5 cm	1	2		secure dressing and support injured parts
Bandage, conforming 10 cm	1	2		secure dressing and support injured parts
Bandage, heavy crepe 7.5 cm	2	2		support bandage
Bandage, heavy crepe 10 cm	—	1		support bandage, wide
Bandage, triangular	4	4		sling
Dressing, combine 10 × 10 cm, sterile	3	3	†	bleeding control
Dressing, combine 10 × 20 cm, sterile	2	5	†	bleeding control, large
Dressing, non-adherent (10 × 10 cm or similar)	5	10	†	wound cover
Dressing, hydroactive (10 × 10 cm or similar)	1	2	†	blisters, burns and minor exudate wounds
Wound dressing, combination, large	2	3		major wounds
Wound dressing, combination, small	2	2		major wounds
Adhesive roll non-woven fabric 5 cm × 10 m	1	1		securing dressings
Dressings, elastic fabric strips	50	50		minor wound cover
Gauze swabs, sterile (single use pkt of 3)	3	9	†	cleansing/dressing wound
Eye pad, sterile	2	4	†	eye cover
Wound closure strips, wide, 6 mm × 38 mm	1	3	†	securing wound sides
Tape surgical waterproof 2.5 cm × 5 m	1	1		secure dressing
Tape surgical waterproof 5 cm × 5 m	1	1		secure dressing
Towels, disposable, pkt of 2	2	3
Plastic bag set (3 asst L, M and S)	1	2		amputated parts
Plastic bag	2	2		disposal of soiled dressings
Gloves, disposable, large	10	10
Safety pins, stainless, assorted pkt of 12	1	1
Blanket, emergency thermal	1	1		Hypothermia and shock
Ice pack, instant	1	1
Resuscitation mask, disposable	1	1
Resuscitation mask, pocket	—	1
Splinter probes, sterile, disposable	5	10
Splinter forceps, 12.5 cm	1	1
Shears, stainless, 19 cm minimum	1	1
Scalpel, disposable	0	2
Splint malleable, universal	1	2
Normal saline, sterile 30 ml polyamp	6	10	†	eye irrigation/wound cleaning
Povidone iodine swabs (single use)	10	20	†	antiseptic
Anaesthetic + antiseptic cream 30 g	1	1	†
Hydrocortisone 1% cream 30 g	—	1	†	rashes and bites
Paracetamol 500 mg tabs or caps	24	2 × 24	†	mild pain relief
Paracetamol 500 mg/Codeine 8 mg	—	24	†	moderate pain relief
Ibuprofen 200 mg tablet	—	24	†	anti-inflammatory
Hyoscine hydrobromide 0.3 mg tablets	10	10	†	seasickness
Loperimide 2 mg tablets	16	16	†	diarrhoea
Loratadine HCl 10 mg or Fexofenadine HCl 120 mg tablets	—	10	†	antihistamine (non-sedating)
Antacid tablets	12	50	†
CPR instruction chart or card	1	1
Australian First Aid Book	1	1
SAE Defibrillator (Laerdal First Aid unit or similar)	—	optional		Recommended for Class 1 ships
Stretcher for helicopter evacuation/ship board use	—	optional		Recommended for Class 1 ships
First Aid Oxygen Unit (Oxyport or equal)	—	optional		Recommended for Class 1 ships
Legend † = Expiry dated

Table 4 — Scale E and D Medication

Description	Quantity		Notes	Comments
Description	Scale E	Scale D	Notes	Comments
Adrenaline 1-1000 1 ml ampoules	—	5	†	sudden allergic reaction
Antibiotic ointment 15 g or 20 g	1	1	*†	infected wound
Amoxycillin 500 mg caps	—	20	*†	oral antibiotic
Doxycycline 100 mg caps or tabs	—	21	*†	oral antibiotic
Benzyl penicillin 600 mg with WFI 2 ml	—	5	*†	antibiotic injection
Chloramphenicol Eye Ointment 4 g	1	1	*†	eye antibiotic
Glyceryl trinitrate 400 mcg spray	1	1	†	angina/heart pain
Morphine 10 mg/ml ampoules	—	5	*† #	severe pain only with medical advice
Naloxone 0.4 mg/ml minijet	—	5	*†	morphine antagonist
Paracetamol 500 mg/Codeine 30 mg tabs	20	20	*†	moderate–severe pain also cough suppression
Prochlorperazine 5 mg tablet	25	25	*†	nausea, giddiness
Prochlorperazine 25 mg suppositories	5	5	*†	vomiting, giddiness
Prochlorperazine 25 mg suppositories	—	10	*†	severe seasickness
Prednisolone 5 mg tablet	—	20	*†	only with medical advice
Salbutamol inhaler	1	1	†	asthma attack
Sodium chloride and glucose or dextrose compound, powder sachets, 4.9 g approx.	10	20	†	rehydration
Legend † = Expiry dated * = Requires prescription # = Requires separate locked storage and recording in Controlled Drug Register

Table 5 — Scale E and D Medical Equipment

Description	Quantity		Notes	Comments
Description	Scale E	Scale D	Notes	Comments
Scalpel, sterile, disposable	3	5
Scissors, stainless, blunt/sharp 12.5 cm	—	1
Splint set, vacuum or air inflation	1	1
Neck collar, multi-size, rigid, fully adjustable	1	2
Syringe with needle, sterile disposable 1 ml	—	5
Syringe with needle, sterile, disposable 2 ml or 3 ml, 23 G or 25 G	—	5
Isopropyl alcohol swabs	—	10
BVM air resuscitator	1	1
SAE Defibrillator (Laerdal First Aid unit or similar)	Optional	1
Stretcher for helicopter evacuation / ship board use	Optional	1
First Aid Oxygen Unit (Oxyport or equal)	Optional	1
Ship Captain’s Medical Guide, current edition	—	1
Controlled Drug Register	—	1