Фрагмент документа "КОНВЕНЦИЯ 2006 ГОДА О ТРУДЕ В МОРСКОМ СУДОХОДСТВЕ".
Guideline B4.1
Medical care on board ship and ashore
Guideline B4.1.1 - Provision of medical care
1. When determining the level of medical training to be provided
on board ships that are not required to carry a medical doctor, the
competent authority should require that:
(a) ships which ordinarily are capable of reaching qualified
medical care and medical facilities within eight hours should have at
least one designated seafarer with the approved medical first-aid
training required by STCW which will enable such persons to take
immediate, effective action in case of accidents or illnesses likely
to occur on board a ship and to make use of medical advice by radio or
satellite communication; and
(b) all other ships should have at least one designated seafarer
with approved training in medical care required by STCW, including
practical training and training in life-saving techniques such as
intravenous therapy, which will enable the persons concerned to
participate effectively in coordinated schemes for medical assistance
to ships at sea, and to provide the sick or injured with a
satisfactory standard of medical care during the period they are
likely to remain on board.
2. The training referred to in paragraph 1 of this Guideline
should be based on the contents of the most recent editions of the
International Medical Guide for Ships, the Medical First Aid Guide for
Use in Accidents Involving Dangerous Goods, the Document for Guidance
- An International Maritime Training Guide, and the medical section of
the International Code of Signals as well as similar national guides.
3. Persons referred to in paragraph 1 of this Guideline and such
other seafarers as may be required by the competent authority should
undergo, at approximately five-year intervals, refresher courses to
enable them to maintain and increase their knowledge and skills and to
keep up-to-date with new developments.
4. The medicine chest and its contents, as well as the medical
equipment and medical guide carried on board, should be properly
maintained and inspected at regular intervals, not exceeding 12
months, by responsible persons designated by the competent authority,
who should ensure that the labelling, expiry dates and conditions of
storage of all medicines and directions for their use are checked and
all equipment functioning as required. In adopting or reviewing the
ship`s medical guide used nationally, and in determining the contents
of the medicine chest and medical equipment, the competent authority
should take into account international recommendations in this field,
including the latest edition of the International Medical Guide for
Ships, and other guides mentioned in paragraph 2 of this Guideline.
5. Where a cargo which is classified dangerous has not been
included in the most recent edition of the Medical First Aid Guide for
Use in Accidents Involving Dangerous Goods, the necessary information
on the nature of the substances, the risks involved, the necessary
personal protective devices, the relevant medical procedures and
specific antidotes should be made available to the seafarers. Such
specific antidotes and personal protective devices should be on board
whenever dangerous goods are carried. This information should be
integrated with the ship`s policies and programmes on occupational
safety and health described in Regulation 4.3 and related Code
provisions.
6. All ships should carry a complete and up-to-date list of radio
stations through which medical advice can be obtained; and, if
equipped with a system of satellite communication, carry an up-to-date
and complete list of coast earth stations through which medical advice
can be obtained. Seafarers with responsibility for medical care or
medical first aid on board should be instructed in the use of the
ship`s medical guide and the medical section of the most recent
edition of the International Code of Signals so as to enable them to
understand the type of information needed by the advising doctor as
well as the advice received.
Guideline B4.1.2 - Medical report form
1. The standard medical report form for seafarers required under
Part A of this Code should be designed to facilitate the exchange of
medical and related information concerning individual seafarers
between ship and shore in cases of illness or injury.
Guideline B4.1.3 - Medical care ashore
1. Shore-based medical facilities for treating seafarers should
be adequate for the purposes. The doctors, dentists and other medical
personnel should be properly qualified.
2. Measures should be taken to ensure that seafarers have access
when in port to:
(a) outpatient treatment for sickness and injury;
(b) hospitalization when necessary; and
(c) facilities for dental treatment, especially in cases of
emergency.
3. Suitable measures should be taken to facilitate the treatment
of seafarers suffering from disease. In particular, seafarers should
be promptly admitted to clinics and hospitals ashore, without
difficulty and irrespective of nationality or religious belief, and,
whenever possible, arrangements should be made to ensure, when
necessary, continuation of treatment to supplement the medical
facilities available to them.
Guideline B4.1.4 - Medical assistance to other ships and
international cooperation
1. Each Member should give due consideration to participating in
international cooperation in the area of assistance, programmes and
research in health protection and medical care. Such cooperation might
cover:
(a) developing and coordinating search and rescue efforts and
arranging prompt medical help and evacuation at sea for the seriously
ill or injured on board a ship through such means as periodic ship
position reporting systems, rescue coordination centres and emergency
helicopter services, in conformity with the International Convention
on Maritime Search and Rescue, 1979, as amended, and the International
Aeronautical and Maritime Search and Rescue (IAMSAR) Manual;
(b) making optimum use of all ships carrying a doctor and
stationing ships at sea which can provide hospital and rescue
facilities;
(c) compiling and maintaining an international list of doctors
and medical care facilities available worldwide to provide emergency
medical care to seafarers;
(d) landing seafarers ashore for emergency treatment;
(e) repatriating seafarers hospitalized abroad as soon as
practicable, in accordance with the medical advice of the doctors
responsible for the case, which takes into account the seafarer`s
wishes and needs;
(f) arranging personal assistance for seafarers during
repatriation, in accordance with the medical advice of the doctors
responsible for the case, which takes into account the seafarer`s
wishes and needs;
(g) endeavouring to set up health centres for seafarers to:
(i) conduct research on the health status, medical treatment and
preventive health care of seafarers; and
(ii) train medical and health service staff in maritime medicine;
(h) collecting and evaluating statistics concerning occupational
accidents, diseases and fatalities of seafarers and integrating and
harmonizing the statistics with any existing national system of
statistics on occupational accidents and diseases covering other
categories of workers;
(i) organizing international exchanges of technical information,
training material and personnel, as well as international training
courses, seminars and working groups;
(j) providing all seafarers with special curative and preventive
health and medical services in port, or making available to them
general health, medical and rehabilitation services; and
(k) arranging for the repatriation of the bodies or ashes of
deceased seafarers, in accordance with the wishes of the next of kin
and as soon as practicable.
2. International cooperation in the field of health protection
and medical care for seafarers should be based on bilateral or
multilateral agreements or consultations among Members.
Guideline B4.1.5 - Dependants of seafarers
1. Each Member should adopt measures to secure proper and
sufficient medical care for the dependants of seafarers domiciled in
its territory pending the development of a medical care service which
would include within its scope workers generally and their dependants
where such services do not exist and should inform the International
Labour Office concerning the measures taken for this purpose.
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Фрагмент документа "КОНВЕНЦИЯ 2006 ГОДА О ТРУДЕ В МОРСКОМ СУДОХОДСТВЕ".