Navigation (Health) Regulations (Amendment) (Cth)

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Statutory Rules

1974 No. 215

REGULATIONS UNDER THE NAVIGATION ACT 1912-1973*

I, THE GOVERNOR-GENERAL of Australia, acting with the advice of the Executive Council, hereby make the following Regulations under the Navigation Act 1912-1973.

Dated this twelfth day of November, 1974.

JOHN R. KERR

Governor-General.

By His Excellency’s Command

C. K. JONES

Minister of State for Transport.

Amendments of the Navigation (Health) Regulations 

Commencement.

1. These Regulations shall come into operation on 1 April 1975.

2. Regulation 3 of the Navigation (Health) Regulations is repealed and the following regulation substituted:—

Interpretation.

“ 3. In these Regulations a reference to the Ship Captain’s Medical Guide shall be read as a reference to the latest edition for the time being of the book of that name published by Her Majesty’s Stationery Office, London, or, if that edition has been added to or amended, that edition as affected by the additions or amendments,”.

Medicines, &c., to be carried on ships.

3. Regulation 7 of the Navigation (Health.) Regulations is amended—

(a) by omitting from sub-regulation (1) the words “ The medicines ” (first occurring) and substituting the words “ Subject to sub-regulations (3d) and (3b), the medicines ”;

(b) by omitting paragraphs (a) to (e) (inclusive) of sub-regulation (1) and substituting the following paragraphs:—

“ (a)in the case of a ship on an international voyage, being a ship carrying or certified to carry, as a full complement of passengers and crew, 100 or more persons—in Schedule 2;

(b) in the case of a ship—

(i) on an international voyage, being a ship carrying or certified to carry, as a full complement of passengers and crew, more than. 50 but less than 100 persons; or

* Notified in the Australian Government Gazette on 19 November 1974.

  Statutory Rules 1962, No. 72 as amended by Statutory Rates 1965, No. 106; and 1967, No. 63.

(ii) on a voyage other than an international voyage, being a ship carrying or certified to carry, as a full complement of passengers and crew, 100 or more persons—

in Schedule 3;

(c) in the case of a ship—

(i) on an international voyage, being a ship carrying or certified to carry, as a full complement of passengers and crew, not more than 50 persons; or

(ii) On a voyage other than an international voyage, being a ship carrying or certified to carry, as a full complement of passengers and crew, more than 25 but less than 100 persons—

in Schedule 4; and

(d) in the case of a ship on a voyage other than an international voyage, being a ship carrying or certified to carry, as a full complement of passengers and crew, not more than 25 persons—in Schedule 5.”; and

(c) by omitting sub-regulations (2) and (3) and substituting the following sub-regulations:—

“ (2) Where a ship is required in pursuance of a Schedule to be provided with a medicine—

(a) the medicine is to be in a pack containing the medicine in the number of articles or other quantity specified in respect of the medicine in the second column of Part I of Schedule 2, Part I of Schedule 3, Part I of Schedule 4 or Part II or III of Schedule 5, as the case may be;

(b) the ship is to be provided with the medicine in the number of packs or other quantity specified in respect of the medicine in the third column of Part I of Schedule 2, Part I of Schedule 3, Part I of Schedule 4 or Part II or III of Schedule 5, as the case may be;

(c) each pack of the medicine is to have written on it or on a label attached to it the instructions (if any) specified in respect of the medicine in the fourth column of Part I of Schedule 2;

(d) if the reference to the medicine in the first column of Part I of Schedule 2 is marked *—the medicine is not to a medicine the date appearing on the label on which in accordance with paragraph (f) of sub-clause (3) of clause 2 of Schedule 6 will occur on a voyage; and

(e) the medicine is to comply with the requirements specified in Schedule 6.

“ (3) Where a ship is required in pursuance of Schedule 2, 4 or 5 to be provided with a store or appliance, being a store or appliance referred to in the first column of Division 1 of Part II of Schedule 2, Part II of Schedule 4 or Part II or III of Schedule 5, as the case may be, the ship is to be provided with the store or appliance in the quantity specified in respect of the store or appliance in whichever of the columns in Division 1 of Part II of Schedule 2, Part II of Schedule 4 or Part II or III of Schedule 5, as the case may be, has the heading ‘ Quantity ’.

“(3a) Where a ship is required in pursuance of Schedule 2 or 3 to be provided with a store or appliance referred to in Division 2 or Division 3 of Part II of Schedule 2 or Part II or III of Schedule 3, as the case may be, the ship is to be provided with the store or appliance in the quantity specified in respect of the store or appliance in the second column of Division 2 or Division 3 of Part II of Schedule 2 or Part II or III of Schedule 3, as the case may be.

“ (3b) Where a ship is required in pursuance of Schedule 2 or Schedule 3 to be provided with a disinfectant, the disinfectant shall comply with the requirements specified in Schedules 6 and 7.

“ (3c) Where the reference to a medicine in a Schedule is followed by the words ‘ (malarious areas only) ’ a ship is only required to be provided with that medicine in waters between latitude 20° North and latitude 20° South.

“ (3d) A midwifery instrument is not required to be provided on a ship on which there are no women.

“ (3e) Where a ship is required in pursuance of a Schedule to be provided with goods that are goods for therapeutic use within the meaning of the Therapeutic Goods Act 1966-1973, the goods shall—

(a) conform to the specific standards, within the meaning of that Act, applicable to the goods; and

(b) conform to the general standards, within the meaning of that Act, applicable to the goods.

“ (3f) Where, by virtue of sub-regulation (1), a ship is required to be provided with a provision, being a medicine, store or appliance, the Minister may allow any other provision to be provided on the ship as compliance with the requirement if he is satisfied that the other provision so allowed is at least as effective as the provision required by the sub-regulation for the purposes for which the provision is required to be provided.”.

4. After regulation 7aa of the Navigation (Health) Regulations the following regulations are inserted:—

Items to be carried in medical cabinet.

“ 7ab. Subject to regulation 7ac, the medicines, medical and surgical stores and appliances and anti-scorbutics and instructions specified in Schedules 2, 3 and 4 and Part III of Schedule 5 with which, a ship is to be provided under regulation 7 shall, as far as space allows, be kept in the medical cabinet referred to in regulation 7a.

Items to be carried in inner cupboard of medical cabinet.

“ 7ac. The medicines, medical and surgical stores and appliances and antiscorbutics specified in Schedules 2, 3 and 4 and Part III of Schedule 5 which are marked with the symbol + shall be stored in the locked inner cupboard of the medical cabinet referred to la paragraph 7a (2) (b).”

Medical cabinets.

5. Regulation 7a of the Navigation (Health) Regulations is amended—

(a) by omitting from paragraph (b) of sub-regulation (2) the words “ poisonous drugs exclusively ” and substituting the words “ the medicines, medical and surgical stores and appliances and antiscorbutics referred to in regulation 7ac ”;

(b) by inserting after that sub-regulation the following sub-regulation:—

“ (2a) Each key carried by a ship capable of unlocking the cupboard provided on the ship in compliance with paragraph (b) of sub-regulation (2) shall be kept in the custody of the master or an officer.”; and

(c) by adding at the end thereof the following sub-regulation:—

“ (6) The medical cabinet and its contents shall be inspected annually by a Medical Inspector of Seamen.”.

6.Regulation 11 of the Navigation (Health) Regulations is repealed and the following regulation substituted:—

Authorities authorized to issue certificates to first aid attendants.

“ 11. Each of the authorities specified in Schedule 8 is a prescribed authority for the purposes of sub-section (2) of section 133 of the Navigation Act 1912-1973.”.

7. After regulation 11 of the Navigation (Health) Regulations the following regulations are inserted:—

Power of exemption.

“ 12. (1) Subject to sub-regulation (2), where the Minister is satisfied that there is no danger to a person or that there are exceptional circumstances, the Minister may, by writing under his hand, exempt a ship from the requirements of regulation 7 subject to such conditions or restrictions as may be specified in the exemption.

“ (2) No ship shall be permitted to carry less than the quantity of medicines, medical and surgical stores and appliances specified in Parts I and II of Schedule 5.

Record of use, loss or theft of certain drugs, &c.

“ 13. (1) The master of a ship to which these Regulations apply shall enter, or cause to be entered, in the official log book of the ship, a record of the use on board the ship of Morphine Sulphate Injections, Pentazocine Injections and Omnopon Tubunic.

“ (2) The record of use referred to in sub-regulation (1) shall contain the following particulars:—

(a) the full name and address of the person to whom a drug referred to in that sub-regulation is administered;

(b) the reason for administering the drug;

(c) the date on which the drug was administered;

(d) the quantity of the drug administered; and

(e) the name and rank of the person who administered the drug.

“ (3) The master of a ship to which these Regulations apply shall—

(a) enter, or cause to be entered, in the official log book of the ship, a record of any loss or theft of Morphine Sulphate Injections, Pentazocine Injections or Omnopon Tubunic; and

(b) notify the proper authority—

(i) where the loss or theft is discovered at sea—at the next port of call; or

(ii) where the loss or theft is discovered in port—at that port,

as soon as practicable after the discovery having regard to the means of communication available to him.”.

First Schedule.

8. The First Schedule to the Navigation (Health) Regulations is amended by omitting from Forms 1, 2 and 3 the words “ COMMONWEALTH OF ”.

Schedules 2, 3, 4, 5 and 6.

9.The Navigation (Health) Regulations are amended by omitting the Second, Third, Fourth, Fifth and Sixth Schedules and substituting the Schedules in Schedule 1.

Additional amendments.

10. The Navigation (Health) Regulations are amended as set out in Schedule 2.

SCHEDULE 1 Regulation 9

Schedules to the Navigation (Health) Regulations

SCHEDULE 2 Regulation 7

Medicines and medical and surgical stores and appliances to be carried on a ship on an international voyage, being a ship carrying or certified to carry, as a full complement of passengers and crew, 100 or more persons.

Part I—Medicines

First column

Second column

Third column

Fourth column

Medicines to be carried

Quantity in pack

Quantity

Instructions to appear on packs

* Adrenaline Injection 1/1000 1ml ampoules +..........................................

5

1

To be used only on medical advice except in case of anaphylactic shock due to penicillin injection

* Adrenaline Tartrate Solution 1/1000 sterile +

10ml

1

Use only on medical advice

Aluminium Hydroxide Gel with Light Kaolin mixture 137mg-1g per 5ml (diarrhoea mixture)...............................................................................

200ml

10

* Amethocaine (Tetracaine) 0.5% Eye Drops in vials holding one application (anaesthetic eye drops), sterile +............................................................

20

1

One or two drops into the eye. Immediately discard open unit

* Amethocaine (Tetracaine) 0.5% Eye Drops (anaesthetic eye drops), sterile +..........................................................................................................

10ml

5

One or two drops into the eye. Discard when patient’s treatment is complete

* Aminophylline Tablets 100mg +............................................................

100

1

Use only on medical advice

* Ammonia, Aromatic Spirits (Sal Volatile)..............................................

25ml

2

Ammoniated Mercury Ointment 2.5%......................................................

100g

2

* Amyl Nitrite Vitrellae 0.3ml..................................................................

6

1

Anaesthetic Ether +.................................................................................

600ml (approximately)

2

For use only by Medical Officer

Arachis Oil..............................................................................................

200ml

2

* Ascorbic Acid Tablets 25mg.................................................................

100

2

* Aspirin Tablets 300mg in foil................................................................

100

2

* Atropine Sulphate 1 % Eye Drops in vials holding one application, sterile +

20

1

One or two drops into the eye. Immediately discard open unit. Use only on medical advice

Or

Schedule 1—continued

Schedule 2—continued

Part I—Medicines—continued

First column

Second column

Third column

Fourth column

Medicines to be carried

Quantity in pack

Quantity

Instructions to appear on packs

* Atropine Sulphate 1 % Eye Drops, sterile +............................................

10ml

2

One or two drops into the eye. Use only on medical advice. Discard when patient’s treatment is complete

* Atropine Sulphate Injection 600 micrograms in 1 ml +............................

5

1

For use only by Medical Officer

Benzocaine Ointment Compound (haemorrhoid ointment) in tube..............

50g

2

Benzoic Acid Ointment Compound in tubs (Whitfield’s)...........................

50g

6

Benzoin, Compound Tincture of (inhalation mixture)................................

50ml

2

* Benzylpenicillin 600mg vial (for injection)............................................

1

5

Use only on medical advice

* Butobarbitone Tablets 100mg (sedative tablets) +...................................

25

2

Calamine Lotion......................................................................................

400ml

3

Castor Oil................................................................................................

100ml

3

Cetrimide Cream 0.5% in tube.................................................................

50g

4

General antiseptic cream and burn cream

* Chloramphenicol Capsules 250mg +......................................................

100

1

Use only on medical advice

* Chloroform in amber coloured ampoules +.............................................

50ml (approximately)

4

For use only by Medical Officer

* Chloroquine Tablets (sulphate or phosphate equivalent to 150mg base) (malarious areas only)........................................................................

100

3

* Chlorothiazide Tablets 500mg +............................................................

25

1

Use only on medical advice

* Chlorpromazine Tablets 50mg (tranquillizer tablets) +............................

25

1

Use only on medical advice

Clove Oil................................................................................................

10ml

2

* Codeine Phosphate Tablets 55mg +.......................................................

100

2

Dose: two tablets three times a day. Use only on medical advice

* Codeine Phosphate with Aspirin and Paracetamol Tablets 8mg-250mg-250mg in foil....................................................................................

100

2

These replace compound codeine tablets

* Colchicine Tablets 500 micrograms +....................................................

100

1

Use only on medical advice

* Anhydrous Dextrose 4% and Sodium Chloride 0.18% in water for injections with intravenous administration set and instructions............................

1 litre

6

Use only on medical advice

Schedule 1—continued

Schedule 2—continued

Part I—Medicines—continued

First column

Second column

Third column

Fourth column

Medicines to be carried

Quantity in pack

Quantity

Instructions to appear or packs

Dextrose (medicinal glucose)...................................................................

400g

1

* Diazepam Tablets 2mg +.......................................................................

50

2

Use only on medical advice

Dicophane Dusting Powder (insecticide powder) in shaker.........................

50g

6

* Dicyclomine Tablets 10mg +.................................................................

100

2

Antispasmodic—for stomach pains associated with diarrhoea. Two tablets three times a day

* Digoxin Tablets 250 micrograms +........................................................

100

1

Use only on medical advice

Dihydrocodeine Tartrate Linctus 0.19% (cough linctus).............................

100ml

20

Dimethyl Phthalate (malarious areas only)................................................

50ml

Number of crew members

Dioctyl Sodium Sulphosuccinate with Danthron Tablets, 50mg-50mg (laxative tablets).................................................................................................

100

1

Disinfectants and antiseptics as follows:—................................................

(a) General Purpose Disinfectant Deodorant.......................................

18 litres

(b) Antiseptic Solution—Cetrimide 3 % with Chlorhexidine Gluconate 0.3%

250ml

10

Use according to manufacturer’s directions

(c) Crude stabilized Chloride of Lime.................................................

10 lb

3

or

Stabilized Sodium Hypochlorite Solution

27 litres

(d) Stabilized Chloride of Lime for sterilization of drinking water, is sealed tins

4 oz

2

Ephedrine Hydrochloride Tablets 30mg....................................................

100

1

Ephedrine Nasal Drops 0.5%....................................................................

25ml

4

* Ergometrine Maleate Tablets 500 micrograms +.....................................

25

1

Use only on medical advice

Ethyl Chloride spray pack +.....................................................................

100ml

1

For use only by Medical Officer

* Fluorescein Sodium Eye Drops 2% in vials holding one application, sterile +.....................................................................................................

20

1

One or two drops into the eye. Immediately discard open unit. For use only by Medical Officer

or

* Fluorescein Sodium 1mg, sterile paper strips +.......................................

2 x 15

1

For use only by Medical Officer

Schedule 1—continued

Schedule 2—continued

Part I—Medicines—continued

First column

Second column

Third column

Fourth column

Medicines to be carried

Quantity is pack

Quantity

Instructions to appear on packs

Gamma Benzene Hexachloride Cream 1 % (anti-scabies cream).................

100g

3

Glycerol..................................................................................................

100ml

2

Glycerol for ear drops, dropper bottle.......................................................

25 ml

1

* Glyceryl Trinitrate 600 micrograms (stabilized) (heart tablets).................

100

1

* Heparin Injection 25,000 units in 5ml....................................................

5

2

For use only by Medical Officer

* Hydrocortisone Sodium Succinate 100mg with 2ml solvent (for injection) +

1

5

Use only on medical advice

Hydrogen Peroxide Solution 20 vol..........................................................

100ml

2

Hyoscine Tablets 300 micrograms (seasickness tablets).............................

10

10

* Insulin Injection 40 units per 1ml...........................................................

10ml

2

Use only on medical advice

* Insulin, Protamine Zinc Injection 40 units per 1 ml.................................

10ml

2

Use only on medical advice

Iodine, Weak Solution 2.5%.....................................................................

25ml

4

Iodine Paint Compound (Mandi’s paint)....................................................

25ml

2

Kaolin Poultice.......................................................................................

400g (approxi-mately)

1

* Lignocaine Injection 1 % 2ml +.............................................................

10

1

Use only on medical advice

Lignocaine Ointment 5% (local anaesthetic ointment) in tube.....................

10g

2

Magenta Paint.........................................................................................

15ml

4

Magnesium Hydroxide Mixture (liquid laxative).......................................

200ml

3

Magnesium Sulphate in packets................................................................

25ml

100

Magnesium Trisilicate with magnesium hydroxide and aluminium hydroxide dried gel (in proportions 120mg-120mg-250mg) tablets, in foil (stomach tablets).

100

3

Magnesium Trisilicate Powder Compound (stomach powder)....................

400g

1

* Mersalyl Injection 2ml +.......................................................................

5

1

Use only on medical advice

* Methohexitone Sodium 500mg (for Injection) +......................................

1

2

For use only by Medical Officer

Methyl Salicylate Liniment......................................................................

100ml

3

Schedule 1—continued

Schedule 2—continued

Part I—Medicines—continued

First column

Second column

Third column

Fourth column

Medicines to be carried

Quantity in pack

Quantity

Instructions to appear on packs

Methylated Spirits...................................................................................

200ml

4

* Morphine Sulphate Injection 15mg in 1ml disposable syringe, pack+......

5

2

or

* Morphine Sulphate Injection 15mg in 1ml ampoule with one suitable sterile disposable syringe complete with needle per ampoule+..........................

or

* Pentazocine Injection 30mg in 1ml ampoule with one suitable sterile disposable syringe complete with needle per ampoule +........................

or

* Omnopon Tubunic 30mg (equivalent to Anhydrous Morphine 15 mg)+...

6

2

* Neomycin and Hydrocortisone Cream (in proportions 0.5%-l %) in tube+

25g

4

Use only on medical advice

* Sodium Chloride Injection 0.9% with intravenous administration set and instructions.......................................................................................

1 litre

6

Use only on medical advice

* Oxytetracycline Injection 100mg intra muscular+...................................

5

2

Use only on medical advice

* Oxytocin Injection 10 units in 1ml ampoule...........................................

5

1

Use only on medical advice

* Paraldehyde Injection 10ml ampoules+..................................................

5

1

Use only on medical advice

* Pethidine Injection 100mg in 2ml+........................................................

5

1

Use only on medical advice

Phenobarbitone Tablets 30mg+................................................................

100

1

* Phenoxymethylpenicillin Tablets 250mg (penicillin V tablets) in foil

25

20

* Phenylephrine Hydrochloride 0.12% Eye Drops, sterile (decongestant eye drops)...............................................................................................

10ml

5

Use as directed. Discard when patient’s treatment is complete

* Physostigmine Salicylate 0.5 % Eye Drops, sterile+................................

10ml

2

Use only on medical advice. Discard when patient’s treatment is complete

* Phytomenadione Injection 10mg in 1ml+...............................................

5

1

Use only on medical advice

* Pilocarpine Nitrate Eye Drops 1 % in vials holding one application, sterile+

20

1

One or two drops into the eye. Immediately discard open unit. Use only on medical advice

or

* Pilocarpine Nitrate Eye Drops 1 %, sterile+............................................

10 ml

2

One or two drops into the eye. Use only on medical advice. Discard when patient’s treatment is complete.

Schedule 1—continued

Schedule 2—continued

Part I—Medicines—continued

First column

Second column

Third column

Fourth column

Medicines to be carried

Quantity in pack

Quantity

Instructions to appear on packs

* Polymyxin B. Sulphate with Bacitracin Zinc (or Bacitracin) and Neomycin Sulphate (in proportions 5,000 units-400 units-5mg per g) 4g tube (antibiotic eye ointment)............................................................................................................

1

5

* Procaine Penicillin Injection 1g (in disposable syringe)...........................

5

5

* Proguanil Tablets 100mg (malarious areas only).....................................

100

3

Promethazine Hydrochloride Tablets 10mg...............................................

50

2

* Reserpine Tablets 250 micrograms +......................................................

100

1

Sodium Acid Citrate Mixture 5.5g in 20ml (kidney and bladder mixture)....

500ml

12

Sodium Bicarbonate................................................................................

400g

2

Sodium Chloride with Dextrose Tablets (in proportions 500mg-200mg).....

100

10

Soft Paraffin, Yellow...............................................................................

400g

2

* Streptomycin Sulphate Injection equivalent 1g base................................

5

2

Use only on medical advice

* Sulphacetamide Eye Drops 10% (antiseptic eye drops), sterile.................

10ml

5

Two or three drops into affected eye three times a day. Discard when patient’s treatment is complete

* Sulphadimidine Tablets 500mg..............................................................

100

5

* Sulphamethoxypyridazine Tablets 500mg..............................................

12

5

Surgical Spirit No. 1................................................................................

200ml

1

Tetracycline Capsules 250mg...................................................................

25

8

Thymol Glycerin Compound (mouth wash)...............................................

50ml

10

5ml with 15ml of water to rinse mouth and then spit out

Water for Injections 2ml..........................................................................

5

2

Water for Injections 50ml........................................................................

1

2

Zinc Cream.............................................................................................

50g

5

Zinc Ointment.........................................................................................

50g

5

Zinc, Starch and Talc Dusting Powder shaker pack....................................

100g

5

Zinc Undecenoate Dusting Powder shaker pack.........................................

100g

2

Schedule 1—continued

Schedule 2—continued

Part II—Medical and Surgical Stores and Appliances

Division 1—Instruments

First column

Second column

Instruments

Quantity

Sterilizer (large enough to contain midwifery forceps)........................................................

1

In metal case or washable canvas roll—

* Spencer Wells or Morrant Baker artery forceps.............................................................

2

* Dissecting forceps.......................................................................................................

1

* Scalpel.......................................................................................................................

1

Probe with eye............................................................................................................

1

* Probe-pointed director.................................................................................................

1

* Blunt-pointed scissors.................................................................................................

1 pair

* Scissors (one blade sharp-pointed and the other blunt-pointed).......................................

1 pair

* Eye spud (with covered point).....................................................................................

1

* Sinus forceps..............................................................................................................

1

Emergency needle and ligature in sealed sterilized glass tube........................................

1

In metal-lined case with trays or a white enamelled glass shelved instrument case—

Ferguson’s small saw..................................................................................................

1

Amputating saw..........................................................................................................

1

* 150 mm approximately amputating knife......................................................................

1

* Curved blunt-pointed bistoury.....................................................................................

1

* Hernia knife...............................................................................................................

1

* Hernia director............................................................................................................

1

* Dissecting forceps.......................................................................................................

2

Knife handles Bard Parker or similar type to take No. 23 blades.....................................

2

Blades No. 23 (Bard Parker type).................................................................................

24

* Bone forceps (bent).....................................................................................................

1

* Spencer Wells pressure forceps....................................................................................

12

* Large Spencer Wells or Morrant Baker pressure forceps (200 mm approximately)..........

2

* Tongue forceps...........................................................................................................

1

* Oesophageal forceps...................................................................................................

1

* Scissors 150 mm approximately blunt-pointed..............................................................

1 pair

* Scissors 150 mm approximately sharp-pointed..............................................................

1 pair

* Needle holder.............................................................................................................

1

Wound retractors—doable-ended.................................................................................

2

Solid metal trephine (20 mm approximately).................................................................

1

Trephine elevator........................................................................................................

1

Nasal speculum...........................................................................................................

1

* Trocars and cannulas...................................................................................................

2

Aneurism needle............................................................................................................

1

* Gag with handles........................................................................................................

1

Silver plated catheters (Nos. 4, 8 and 12; with prostatic curve)

3

Case containing 3 tracheotomy double tubes, assorted (including child’s size), 1 tracheal dilator and 1 sharp hook.......................................................................................................

1

Metal hypodermic cases, each with one syringe, all glass or metal and glass (the barrel and plunger in separate compartments), each graduated 1 ml and with 2 stainless needles....

2

* Ear syringes, metal or rubber 50ml..................................................................................

1

Serum syringe 10 millilitre Record type with two needles in metal case...............................

1

Aspirator complete with 2 trocars and cannulas, in case......................................................

1

Soft rubber catheters with solid ends (4, 6, 8, 10 and 12 English gauge) or, alternatively,......

1

Full set of flexible olivary-headed catheters with solid ends................................................

1

Drainage tubing (rubber), 300 mm approximately lengths of Nos. 5, 10 and 20 gauge...........

1

Esmarch’s or other approved tourniquet.............................................................................

1

Oesophageal probang with bristles.....................................................................................

1

* 1 set midwifery instruments in canvas roll, namely—

Forceps, obstetric (axis traction).................................................................................

1

Craniotomy forceps...................................................................................................

1

Blunt curette..............................................................................................................

1

Curette (flushing).......................................................................................................

1

Volsellum.................................................................................................................

1

Speculum double duck-bill.........................................................................................

1

Perforator, and...........................................................................................................

1

Blunt hook and crochet..............................................................................................

1

* Needles, assorted sizes (straight, half-curved and curved).................................................

3 dozen

Clinical thermometers, self-registering...............................................................................

3

Schedule 1—continued

Schedule 2—continued

Part II—Medical and Surgical Stores and Appliances—continued

Division 1—Instruments—continued

First column

Second column

Instruments

Quantity

Binaural stethoscope complete..........................................................................................

1

Forehead reflector............................................................................................................

1

Throat mirrors assorted sizes.............................................................................................

3

Schimmelbusch or other similar type of mask.....................................................................

1

Anaesthetic drop bottle—50ml graduated...........................................................................

1

Splints, namely—

Thomas, (1 each small, medium, large).........................................................................

3

Assorted sizes thigh, leg and arm sizes.........................................................................

1 set

Gooch splinting (900 mm approximately wide).............................................................

1 m

Resuscitator—Oxygen resuscitation apparatus by which oxygen can be administered under pressure, having oxygen cylinder of 400 l capacity, flow meter and face mask but without a soda lime absorbing system.........................................................................................

1

Trays, instrument, of enamelled iron or other suitable material, 250 mm x 180 mm approximately and 300 mm x 230 mm approximately..........................................................................

2

Trays, enamelled, dressing, kidney-shaped (250 mm approximately)...................................

3

Catgut that is in accordance with the current regulations of the Therapeutic Substances Act of the United Kingdom, as follows:—

Straight intestinal needles, sizes 4 and 8, threaded with 00 catgut (700 mm approximately) in sealed glass tube.............................................................................................

2 of each

3 reels each 3 m long, in antiseptic spirit, in screw top bottle sizes 0, 1 and 3...............

1 of each

Silkworm or synthetic suture material.......................................................................

1 box of 50

Horsehair sterilized in box........................................................................................

280 strands

Electric diagnostic set (Auriscope and Laryngoscope)................................................

1

Sphygmomanometer, portable, unspillable mercury type............................................

1

1 set of dental forceps in canvas roll, namely—

* Upper incisor—Figure 2 or similar pattern..................................................................

1

* Lower incisor—Figure 74 or similar patters................................................................

1

* Upper molar (right)—Figure 17 or similar pattern.......................................................

1

* Upper molar (left)—Figure 18 or similar pattern..........................................................

1

* Lower molar—Figure 73 or similar pattern.................................................................

1

* Upper root—Figure 76N or similar pattern..................................................................

1

* Lower root—Figure 74N or similar pattern.................................................................

1

* Elevators Coleman-type Figures 20, 21, 22 or similar pattern.......................................

1 of each

Dental syringe (all metal) with 6 needles............................................................................

1

Needles, lumbar puncture with stiletto...............................................................................

2

All instruments marked “ * ” must be rustless and stainless metal throughout, except that where specially desired by the Ship’s Surgeon knives made of steel that is not rustless may be carried.

Division 2—Additional Stores and Appliances

First column

Second column

Articles

Quantity

Applicators, wooden.........................................................................................................

100

Basins, anodized aluminium, stainless steel or plastic (200 mm x 50 mm minimum).............

2

Bed pans, stainless steel....................................................................................................

3

Books—

(a) The Ship Captain’s Medical Guide...........................................................................

1

(b) The Navigation (Health) Regulations........................................................................

1

Extra Pharmacopoeia, Mertindale, 26th edition published in 1972 by the Pharmaceutical Press, 17 Bloomsbury Square, London.....................................................................................

1

Bottles, medicine, 50ml complete with plastic screw caps and wads....................................

12

Bottles, medicine, 100ml complete with plastic screw caps and wads...................................

12

Bottles, fluted poison, 50ml complete with plastic screw caps and wads...............................

12

Bottles, fluted poison, 100ml complete with plastic screw caps and wads.............................

12

Tablet, bottles complete with screw caps 25’s....................................................................

24

Tablet bottles complete with screw caps 50’s.....................................................................

24

Schedule 1—continued

Schedule 2—continued

Part II—Medical and Surgical Stores and Appliances—continued

Division 2—Additional Stores and Appliances—continued

First column

Second column

Articles

Quantity

Cups, spitting, stainless steel.............................................................................................

3

Cups, invalid feeding........................................................................................................

3

Duodenal tube, Ryle’s......................................................................................................

1

Eye droppers....................................................................................................................

3

Eye shades.......................................................................................................................

6

Funnels, stainless steel, glass or plastic..............................................................................

2

Gloves, rubber surgical.....................................................................................................

2 pairs

Hot water bottles, rubber, approximately 300 mm x 200 mm with loose cover......................

2

Ice bag.............................................................................................................................

1

Jars, ointment, complete with screw caps and wads 25g......................................................

12

Jars, ointment, complete with screw caps and wads 50g......................................................

12

Jars, ointment, complete with screw caps and wads 100g....................................................

12

Labels, blank (packets of 100)...........................................................................................

1

Labels, poison (packets of 50)...........................................................................................

1

Measures—

Measure graduated conical glass 10ml.........................................................................

2

Measure graduated conical glass 20ml.........................................................................

1

Measure graduated stainless steel 1 litre.......................................................................

1

Mortar and pestle (No. 2 size)...........................................................................................

1

Palette knives (100 mm and 230 mm approximately) (The blade to be of steel)....................

2

Paper, filter in sizes to fit funnels.......................................................................................

50

Scale, standard pillar dispensing and weights—metric........................................................

1

Stomach tube, 750 mm approximately (18 gauge) with glass or attached rubber funnel.........

1

Stretcher: an efficient carrying stretcher of the Neil-Robertson type.....................................

1

Syringe, Higginson’s enema..............................................................................................

1

Syringe, glycerin enema, glass 20ml..................................................................................

1

Urinals, males’, stainless steel...........................................................................................

1

Clinitest set......................................................................................................................

1

Preparation for testing albumen in urine (bottle of 60).........................................................

1

Preparation for analysis of body fluids (bottle of 100).........................................................

1

Tongue depressors, wooden..............................................................................................

100

or, alternatively, metal..................................................................................................

1

Douche can, 1 litre, of metal of approved pattern or of glass in metal frame, with 2 m of best India-rubber tubing and pinchcock.........................................................................................

1

Suspensory bandages with under strap...............................................................................

3

Cloth, India-rubber, 1 m wide. To be best quality rubbered on both sides.............................

4 m

Temperature charts, morning and evening and four-hourly, of each.....................................

2 dozen

Schedule 1—continued

Schedule 2—continued

Part II—Medical and Surgical Stores and Appliances—continued

Division 3—Dressings

First column

Second column

Articles

Quantity

Bandages—white open wove—

25 mm x 5 m...............................................................................................................

18

50 mm x 5 m...............................................................................................................

18

75 mm x 5 m...............................................................................................................

12

Conforming stretched gauze 150 mm x 5 m...................................................................

6

Triangular, 1 m sides approximately.............................................................................

4

Lint—plain white.............................................................................................................

1.5 kg

Gauze, plain white—

5 m x 1 m...................................................................................................................

3

Cotton wool, plain, white, interleaved, rolled.....................................................................

2 kg

Cambric, waterproofed, 1 m..............................................................................................

2 m

Cotton gauze tissue tubular gauze (combine roll)................................................................

1 kg

* Dressing for burns—Tulle gras or equivalent...................................................................

1 sq. m

Plaster of Paris bandages (in sealed tins prepared for use) 75 mm x 4.5 m............................

6

Plaster, elastic, adhesive, 50 mm, reels of 4.5 m.................................................................

2

Plaster, self-adhesive—

15 mm width, reels of 4.5 m..........................................................................................

1

25 mm width, reels of 4.5 m..........................................................................................

1

Safety pins (assorted sizes)................................................................................................

5 dozen

 Sterilized dressings for major operation—

1 set

2 rolls white absorbent gauze, each 10 m x 1 m to be folded 23 mm wide before rolling....

1 roll fast edge ribbon gauze, 5 m x 50 mm, 2 absorbent gauze tissue pads, 300 mm x 300 mm approximately and gauze tampons, 75 mm diameter....................................................

3 dozer, gauze pads, 125 mm x 125 mm, 12 layers, sewn.................................................

1 manytail calico bandage.............................................................................................

2 bandages, 125 mm x 5 m, white open wove.................................................................

1 packet safety pins; ½ dozen size 3, ½ dozen size 4.......................................................

Surgical towels, 453 mm x 800 mm, weight not less than 50 g each.....................................

4

Surgeons’ caps and gowns................................................................................................

2

Each bandage and bandage roll to be individually wrapped in printed wrapper with reference as to size.

* Dressings marked “ * ” shall be in pieces approximately 100 mm x 100 mm and shall be packed in as air-tight container labelled “ Dressings for burns ”.

  The whole of the dressings to be wrapped in grease-proof paper, sterilized, and encased in one or two hermetically sealed metal containers, and labelled “ Sterilized dressings for major operation ”.

Division 4—Articles for Invalid Diet

Two kg of infants’ prepared milk food.

One approximately 750 ml bottle of brandy.

Schedule 1—continued

SCHEDULE 3 Regulation 7

Medicines and medical and surgical stores and appliances to be carried on a ship—

(a) on an international voyage, being a ship carrying or certified to carry, as a full complement of passengers and crew, more than 50 but less than 300 persons; or

(b) on a voyage other than an international voyage, being a ship carrying or certified to carry, as a full complement of passengers and crew, 100 or more persons.

Part I—Medicines

First column

Second column

Third column

Medicines to be carried

Quantity in pack

Quantity

Adrenaline Injection 1/1000 1ml ampoules +...........................................

5

1

Aluminium Hydroxide Gel with Light Kaolin mixture 137mg-1g per 5 ml (diarrhoea mixture)............................................................................

200ml

5

Amethocaine (Tetracaine) 0.5% Eye Drops in vials holding one application (anaesthetic eye drops), sterile+..........................................................

20

1

or

Amethocaine (Tetracaine) 0.5% Eye Drops (anaesthetic eye drops), sterile+..........................................................................................................

10ml

3

Aminophylline Tablets 100mg+..............................................................

100

1

Ammonia, Aromatic Spirits....................................................................

25ml

2

Ammoniated Mercury Ointment 2.5%.....................................................

100g

1

Amyl Nitrite Vitrellae 0.3ml...................................................................

6

1

Arachis Oil............................................................................................

200ml

3

Aspirin Tablets 300mg in foil..................................................................

100

4

Benzocaine Ointment Compound in tube.................................................

50g

4

Benzoic Acid Ointment Compound in tube (Whitfield’s)..........................

50g

4

Benzoin, Compound Tincture of.............................................................

50ml

4

Butobarbitone Tablets 100mg+...............................................................

25

2

Calamine Lotion....................................................................................

400ml

2

Castor Oil..............................................................................................

100ml

2

Cetrimide Cream 0.5% in tube................................................................

50g

4

Chloroquine Tablets (sulphate or phosphate equiv. to 150mg base) (malarious areas only).........................................................................................

100

3

Chlorothiazide Tablets 500mg+...............................................................

25

1

Chlorpromazine Tablets 50mg+..............................................................

25

1

Clove Oil...............................................................................................

10ml

3

Codeine Phosphate Tablets 15mg+..........................................................

100

2

Codeine Phosphate with Aspirin and Paracetamol Tablets, 8mg-250mg-250mg in foil.....................................................................................

100

2

Diazepam Tablets 2mg+.........................................................................

50

1

Dicophane Dusting Powder in shaker......................................................

50g

2

Digoxin Tablets 250 micrograms+...........................................................

100

1

Dihydrocodeine Tartrate Linctus 0.19% (cough linctus)............................

100ml

10

Dimethyl Phthalate (malarious areas only)...............................................

50ml

number of crew members

Dioctyl Sodium Sulphosuccinate with Danthron Tablets, 50mg-50mg (laxative tablets)................................................................................

100

1

Disinfectants, as follows:—

(a) General Purpose Disinfectant Deodorant.......................................

4.5 litres

2

(b) Antiseptic Solution—Cetrimide 3% with Chlorhexidine Gluconate 0.3%..........................................................................................

250ml

6

Ephedrine Hydrochloride Tablets 30mg...................................................

100

1

Ephedrine Nasal Drops 0.5%..................................................................

25ml

4

Gamma Benzene Hexachloride Cream 1%...............................................

100g

6

Glycerol for ear drops, dropper bottle......................................................

25ml

1

Glyceryl Trinitrate (stabilised) 600 micrograms Tablets............................

100

1

Hyoscine Tablets 300 micrograms...........................................................

10

10

Iodine, Weak Solution 2.5%...................................................................

25ml

4

Kaolin Poultice......................................................................................

400g (approximately)

3

Schedule 1—continued

Schedule 3—continued

Part I—Medicines—continued

First column

Second column

Third column

Medicines to be carried

Quantity in pack

Quantity

Lignocaine Ointment 5 % in tube.................................................................

10g

2

Magnesium Hydroxide Mixture...................................................................

200ml

2

Magnesium Sulphate in packets...................................................................

25g

100

Magnesium Trisilicate with magnesium hydroxide and aluminium hydroxide dried gel (in proportions 120mg-120mg-250mg) tablets in foil

100

2

Methyl Salicylate Liniment.........................................................................

100ml

2

Morphine Sulphate Injection 15mg in 1ml disposable syringe pack+..............

5

2

or

Morphine Sulphate Injection 15mg in 1ml disposable with one suitable sterile disposable syringe complete with needle per ampoule+

or

Pentazocine Injection 30mg in 1ml ampoule with one suitable sterile disposable syringe complete with needle per ampoule+

or

Omnopon Tubunic 30mg (equivalent to Anhydrous Morphine 15mg)+..........

6

2

Sodium Chloride Injection 0.9% with intravenous administration set and instructions............................................................................................

1 litre

6

Oxytetracycline Injection 100mg intra muscular+.........................................

5

1

Phenobarbitone Tablets 30mg+....................................................................

100

2

Phenoxymethylpenicillin Tablets 250mg in foil............................................

25

12

Procaine Penicillin Injection 1g (in disposable syringe).................................

5

4

Proguanil Tablets 100mg (malarious areas only)...........................................

100

1

Promethazine Hydrochloride Tablets 10mg..................................................

50

1

Sodium Acid Citrate Mixture 5.5g in 20ml (kidney and bladder mixture).......

500ml

5

Sodium Bicarbonate....................................................................................

400g

1

Sodium Chloride with Dextrose Tablets (in proportions 500mg-200 mg)........

100

10

Soft Paraffin, Yellow..................................................................................

400g

1

Streptomycin Sulphate Injection equivalent 1g base......................................

5

1

Sulphacetamide Eye Drops 10% sterile........................................................

10ml

2

Sulphadimidine Tablets 500mg....................................................................

100

4

Sulphamethoxypyridazine Tablets 500mg....................................................

12

3

Surgical Spirit No. 1....................................................................................

200ml

1

Tetracycline Capsules 250mg......................................................................

25

8

Zinc Ointment............................................................................................

50g

4

Zinc, Starch and Talc Dusting Powder shaker pack.......................................

100g

3

Zinc Undecenoate Dusting Powder shaker pack............................................

100g

2

Schedule 1—continued

Schedule 3—continued

Part II—Medical Stores and Appliances

First column

Second column

Articles

Quantity

Bandages—white open wove—

25 mm x 5 m.................................................................................................................

12

75 mm x 5m..................................................................................................................

12

Bandages—

Triangular, 1 m sides approximately...............................................................................

3

Non-adherent dressing pads, Novalind or equivalent—

80 mm x 80 mm............................................................................................................

25

100 mm x 100 mm........................................................................................................

25

Dressing for burns—Tulle gras or equivalent(a)..................................................................

½ square m

Gauze, plain white in packets(b)—

75 mm x 75 mm............................................................................................................

100

1 m x 1 m......................................................................................................................

6

Cotton wool, plain white, interleaved, rolled—50 g.............................................................

16

Adhesive plaster—on reels—

25 mm width, reel of 4.5 m............................................................................................

1 reel

75 mm width, reel of 4.5 m............................................................................................

1 reel

Safety pins (assorted sizes)................................................................................................

1 dozen

Waterproof cambric..........................................................................................................

1 square m

Bottles, medicine, 100ml complete with plastic screw caps and wads...................................

6

Bottles, fluted poison, 50ml complete with plastic screw caps and wads...............................

3

Wood applicators for throat................................................................................................

24

Jars, ointment, 50g complete with screw caps and wads.......................................................

6

Labels, blank (in packets of 100)........................................................................................

1 packet

Labels, poison (in packets of 50)........................................................................................

3 packet

Measure, graduated 50ml conical glass...............................................................................

2

Measure, graduated 10ml conical glass...............................................................................

2

Douche can, 1 litre (c).......................................................................................................

1

Nozzle for douche can—enema, vulcanite..........................................................................

1

Eyeshades (cardboard).......................................................................................................

1

* Basin, stainless steel or plastic, minimum size approximately 200 mm diameter x..............

50 mm depth, lettered “ Medical ”......................................................................................

1

Bed pan, stainless steel (large size).....................................................................................

1

Hot water bottles, rubber, approximately 300 mm x 200 mm with loose cover......................

2

Stomach tube, red rubber with funnel (18-20 gauge)............................................................

1

Metal hypodermic cases each with one syringe all glass or metal and glass (the barrel and plunger in separate compartments) each graduated 1ml and with 2 stainless needles......................

2

Splints (set of common).....................................................................................................

1 set

Stretcher: an efficient carrying stretcher of the Neil-Robertson type......................................

1

* Abscess knife (Paget’s)...................................................................................................

1

* Dressing or dissecting forceps.........................................................................................

1 pair

Resuscitator—Apparatus for resuscitation using atmospheric air, having hand-operated pimp, face mask and valve body with inlet tube allowing oxygen supply tube to be connected...........

1

* Eyespud.........................................................................................................................

1

* Scalpel...........................................................................................................................

1

* Scissors, 130 mm (one blade sharp-pointed and the other blunt-pointed)............................

1 pair

Tourniquet, St John pattern................................................................................................

1

Soft olivary catheters(d)....................................................................................................

4

* Spatula or palette knife...................................................................................................

1

* Splinter forceps..............................................................................................................

1 pair

* Spencer Wells artery forceps...........................................................................................

2 pairs

Sutures and needles(e).......................................................................................................

3

Schedule 1—continued

Schedule 3—continued

Part II—Medical Stores and Appliances—continued

First column

Second column

Articles

Quantity

Clinical thermometers in metals case..................................................................................

2

Canvas roll for instruments................................................................................................

1

Suspensory bandages with understraps...............................................................................

2

Truss, single reversible 890 mm.........................................................................................

1

Truss, single reversible 940 mm.........................................................................................

1

Ship Captain’s Medical Guide............................................................................................

1

Navigation (Health) Regulations........................................................................................

1

* Metal instruments to be of good quality and to be made of rustless and stainless metal.

(a) Dressings to be in pieces, approximately 100 mm x 100 mm, packed in an air-tight container labelled “ Dressings for burns ”.

(b) Each packet to be completely enclosed and the contents sterile.

(c) Of metal of approved pattern with 2 m of best India-rubber tubing and pinchcock. One surface to be flat with loop for hanging.

(d) Sizes 1, 3, 5 and 7 to be supplied ina long box with some French chalk.

(e) The suturesto be of nylon or silk fitted to half curved eyeless needles with a cutting edge and of size 10 or equivalent size. Each needle and suture to be sterile and closed in a sealed glass tube with a fracture scratch.

Container label to give illustrated direction for breaking the tube.

Part III—Medical Comforts

First column

Second column

Articles

Quantity

Arrowroot.........................................................................................................................

1 kg

Condensed milk of approved quality (in 500 g tins).............................................................

1 kg

Corn flour.........................................................................................................................

1 kg

Pearl Barley......................................................................................................................

1 kg

Sago or cerealine...............................................................................................................

1 kg

Soup and Bouilli (in tins)...................................................................................................

1 kg

Brandy.............................................................................................................................

750 ml (approxi

mately)

Schedule 1—continued

SCHEDULE 4 Regulation 7

Medicines and medical and surgical stores and appliances to be carried on a ship—

(a) on an international voyage, being a ship carrying or certified to carry, as a full complement of passengers and crew, not more than 50 persons; or

(b) on a voyage other than an international voyage, being a ship carrying or certified to carry, as a full complement of passengers and crew, more than 25 but less than 100 persons.

Part I—Medicines

First column

Second column

Third column

Articles to be carried

Quantity in pack

Quantity

Adrenaline Injection 1/1000 1ml ampoules +..............................................

5

1

Aluminium Hydroxide Gel with Light Kaolin mixture 137mg—1g per 5ml (diarrhoea mixture)...............................................................................

200ml

3

Amethocaine (Tetracaine) 0.5% Eye Drops in vials holding one application (anaesthetic eye drops), sterile+.............................................................

20

1

Amethocaine (Tetracaine) 0.5% Eye Drops (anaesthetic eye drops), sterile +

10ml

3

Ammonia, Aromatic Spirits.......................................................................

25ml

2

Antiseptic solution—Cetrimide 3 % with Chlorhexidine Gluconate 0.3%.....

250ml

13

Aspirin Tablets 300mg in foil.....................................................................

100

1

Benzocaine Ointment Compound in tube....................................................

50g

1

Benzoin, Compound Tincture of................................................................

50ml

1

Calamine Lotion.......................................................................................

200ml

2

Cetrimide Cream 0.5 % in tube..................................................................

50g

2

Codeine Phosphate Tablets 15mg +............................................................

50

1

Diazepam Tablets 2mg +...........................................................................

50

1

Dihydrocodeine Tartrate Linctus 0.19% (cough linctus)...............................

100ml

5

Dioctyl Sodium Sulphosuccinate with Danthron Tablets, 50mg-50mg (laxative tablets).................................................................................................

100

1

Ephedrine Hydrochloride Tablets 30mg......................................................

20

1

Glycerol for ear drops, dropper bottle.........................................................

15ml

1

Hyoscine Tablets 300 micrograms..............................................................

10

10

Iodine, Weak Solution 2.5%...................................................................... .............................................................................................................

25ml

3

Lignocaine Ointment 5% in tube................................................................

10g

2

Magenta Paint...........................................................................................

25ml

4

Magnesium Hydroxide Mixture.................................................................

200ml

2

Magnesium Sulphate in packets.................................................................

25g

15

Magnesium Trisilicate with magnesium, hydroxide and aluminium hydroxide dried gel (in proportions 120mg-120mg-250mg) tablets in foil.................

100

1

Morphine Sulphate Injection 15mg in 1ml disposable syringe pack+............

5

1

or

Morphine Sulphate Injection 15mg in 1ml ampoule with one suitable sterile disposable syringe complete with needle per ampoule+...........................

or

Pentazocine Injection 30mg in 1ml ampoule with one suitable sterile disposable syringe complete with needle per ampoule+............................................

or

Omnopon Tubunic 30mg (equivalent to Anhydrous Morphine 15mg) +........

6

1

Phenobarbitone Tablets 30mg+..................................................................

20

1

Phenoxymethylpenicillin Tablets 250mg in foil...........................................

25

4

Procaine Penicillin Injection 1g (in disposable syringe)...............................

5

4

Proguanil Tablets 100mg (malarious areas only).........................................

100

1

Promethazine Hydrochloride Tablets 10mg.................................................

50

1

Sodium Chloride with Dextrose Tablets (in proportions 500mg-200mg).......

100

3

Soft Paraffin, Yellow.................................................................................

100g

2

Sulphacetamide Eye Drops 10% sterile.......................................................

10ml

2

Zinc Ointment...........................................................................................

50g

2

Schedule 1—continued

Schedule 4—continued

Part II—Medical Stores and Appliances

First column

Second column

Article

Quantity

Bandages—white open wove—

25 mm x 5 m.................................................................................................................

12

75 mm x 5 m.................................................................................................................

6

Triangular, 1 m sides approximately...................................................................................

3

Non-adhesive dressing pads, Novalind or equivalent—

80 mm x 80 mm............................................................................................................

25

100 mm x 100 mm........................................................................................................

25

Dressing for burns—Tulle gras or equivalent(a)..................................................................

1 square m

Game—plain white in packets(b)—

75 mm x 75 mm............................................................................................................

50

1 m x 1 m......................................................................................................................

2

Cotton wool, plain white, interleaved, rolled—50 g.............................................................

8

Adhesive plaster—on reels—.............................................................................................

25 mm width, reel of 4.5 m............................................................................................

1 reel

75 mm width, reel of 4.5 m............................................................................................

1 reel

Safety pins (assorted sizes)................................................................................................

1 dozen

Banks, medicine, 100ml complete with plastic screw caps and wads.....................................

3

Bottles, fluted poison, 50ml complete with plastic screw caps and wads...............................

2

Jars, ointment, 50g with screw caps and wads.....................................................................

6

Labels, blank (in packets of 50)..........................................................................................

1 packet

Labels, poison (in packets of 25)........................................................................................

1 packet

Measure, graduated conical glass 50ml...............................................................................

1

Measure, graduated conical glass 10ml...............................................................................

1

Resuscitator—Apparatus for resuscitation using atmospheric air, having hand-operated pump, face mask and valve body with inlet tube allowing oxygen supply tube to be connected....

1

Metal hypodermic case with one syringe all glass or metal and glass (the barrel and plunger in separate compartments) graduated 1ml and with 2 stainless needles

1

Eyeshades (cardboard).......................................................................................................

1

Basins, stainless steel or plastic, lettered “ Medical ”, minimum size 200 mm diameter x 50 mm depth............................................................................................................................

1

Enema syringe; (Higginson)...............................................................................................

1

Splints (set of common).....................................................................................................

1

* Scissors, 130 mm (one blade sharp-pointed and the other blunt-pointed)............................

1 pair

Tourniquet (St John pattern)..............................................................................................

1

* Splinter forceps..............................................................................................................

1

* Spencer Wells forceps....................................................................................................

1

* Lancet............................................................................................................................

1

Sutures and needles(c).......................................................................................................

2

Clinical thermometers in metal case...................................................................................

2

Suspensory bandage with understraps.................................................................................

1

Truss, single reversible 900 mm.........................................................................................

1

Ship Captain’s Medical Guide............................................................................................

1

Navigation (Health) Regulations........................................................................................

1

(a) Dressings to be in pieces, approximately 100 mm x 100 mm, packed in an air-tight container labelled “ Dressings for burns ”.

(b) Each packet to be completely enclosed and the contents sterile.

(c) The sutures to be of nylon or silk fitted to half curved eyeless needles with a cutting edge and of size 10 or equivalent size. Each needle and suture to be sterile and closed in a sealed glass tube with a fracture scratch. Container label to give illustrated direction for breaking the tube.

* Instruments to be of good quality and to be made of rustless and stainless metal.

Schedule 1—continued

SCHEDULE 5 Regulation 7

Medicines and medical and surgical stores and appliances to be carried on a ship on a voyage other than an international voyage, being a ship that is carrying or is certified to carry, as a full complement of passengers and crew, not more than 25 persons.

MEDICINES AND MEDICAL STORES

Part I—One Resuscitator

Apparatus for resuscitation using atmospheric air, having hand-operated pump, face mask and valve body with inlet tube allowing oxygen supply tube to be connected.

Part II—Medicines and Medical Stores to be Contained in First AID Case

First column

Second column

Third column

Articles to be carried

Quantity in pack

Quantity

Bandages, open wove 25 mm x 5 m............................................................

1

3

Bandages, open wove 50 mm x 5 m............................................................

1

3

Elastic adhesive dressings assorted sizes—small individually wrapped.........

12

2

Elastic adhesive dressing strip 60 mm x 1 m...............................................

1

1

Crepe bandage 75 mm x 1 m approximately................................................

1

2

Plain lint finger dressing............................................................................

1

6

Absorbent cotton wool 50 g.......................................................................

1

8

Zinc oxide self-adhesive bandage 50 mm x 5 m..........................................

1

2

Zinc oxide elastic self-adhesive bandage 25 mm x 1 m................................

1

3

Iodine, Weak Solution 2.5%......................................................................

25ml

1

Ammonia, Aromatic Spirits.......................................................................

25ml

1

Amethocaine (Tetracaine) 0.5% Eye Drops in vials holding one application, sterile.............................................................................................................

20

1

Safety pins assorted sizes on card...............................................................

12

1

Tourniquet................................................................................................

1

1

Finger stalls—leather—different sizes........................................................

1

2

Items

Scissors....................................................................................................

..

1 pair

Splinter forceps.........................................................................................

..

1 pair

Copy of first aid leaflet of instructions........................................................

..

1

Schedule 1—continued

Schedule 5—continued

Part III—Medicines and Medical Stores to be Contained in the Medicine Chest

First column

Second column

Third column

Articles to be carried

Quantity in pack

Quantity

Adrenaline Injection 1/1000 1ml ampoules+.................................................

5

1

Aluminium Hydroxide Gel with Light Kaolin mixture 137mg—1g per 5ml (diarrhoea mixture).................................................................................

200ml

2

Amethocaine (Tetracaine) 0.5% Eye Drops in vials holding one application (anaesthetic eye drops), sterile+...............................................................

20

1

Amethocaine (Tetracaine) 0.5% Eye Drops (anaesthetic eye drops), sterile+...

10ml

3

Antiseptic Solution—Cetrimide 3% with Chlorhexidine Gluconate 0.3%.......

250ml

1

Aspirin Tablets 300mg in foil......................................................................

100

1

Calamine Lotion.........................................................................................

200ml

2

Cetrimide Cream 0.5% in tube.....................................................................

50g

2

Codeine Phosphate Tablets 15mg+..............................................................

50

1

Diazepam Tablets 2mg+..............................................................................

50

1

Dihydrocodeine Tartrate Linctus 0.19% (cough linctus)................................

100ml

4

Dioctyl Sodium Sulphosuccinate with Danthron Tablets, 50mg—50mg (laxative tablets)...................................................................................................

100

1

Ephedrine Hydrochloride Tablets 30mg.......................................................

20

1

Hyoscine Tablets 300 micrograms...............................................................

10

10

Lignocaine Ointment 5 % in tube.................................................................

10g

2

Magenta Paint.............................................................................................

25ml

2

Magnesium Hydroxide Mixture...................................................................

200ml

2

Magnesium Trisilicate with magnesium hydroxide and aluminium hydroxide dried gel (in proportions 120mg-120mg-250mg) tablets in foil..................

100

1

Morphine Sulphate Injection 15mg in 1ml disposable syringe pack +.............

5

1

or

Morphine Sulphate Injection 15mg in 1ml ampoule with one suitable sterile disposable syringe complete with needle per ampoule +............................

or

Pentazocine Injection 30mg in 1ml ampoule with one suitable sterile disposable syringe complete with needle per ampoule+.............................................

or

Omnopon Tubunic 30mg (equivalent to Anhydrous Morphine 15mg)+..........

6

1

Phenobarbitone Tablets 30mg+....................................................................

20

1

Phenoxymethylpenicillin Tablets 250mg in foil............................................

25

4

Procaine Penicillin Injection 1g (in disposable syringe).................................

5

2

Proguanil Tablets 100mg (malarious areas only)...........................................

100

1

Promethazine Hydrochloride Tablets 10mg..................................................

50

1

Sodium Chloride with Dextrose Tablets (in proportions 500mg-200mg).........

100

3

Soft Paraffin, Yellow..................................................................................

100g

2

Sulphacetamide Eye Drops 10% sterile........................................................

10ml

2

Zinc Ointment............................................................................................

50g

2

Non-adhesive dressing pads, Novalind or equivalent, 80 mm x 80 mm...........

25

1

Sterilized absorbent cotton wool..................................................................

100g

1

..

Items

Triangular bandages....................................................................................

..

2

Long leg splint............................................................................................

..

1

Arm splint..................................................................................................

..

2

Lancet........................................................................................................

..

1

Medicine measures, plastic, metric...............................................................

..

6

Rectal catheter, 75 mm plastic funnel, 1 m rubber tubing to fit funnel and connector to attach tubing to catheter.......................................................

..

1

Metal hypodermic case, with one syringe of glass or glass and metal (the barrel and plunger in separate compartments) graduated 1ml and with 2 stainless needles..................................................................................................

..

1

Clinical thermometers.................................................................................

..

2

Stainless steel basin approximately 200 mm in diameter marked “ Medicine Chest ”...................................................................................................

..

1

Ship Captain’s Medical Guide.......................................................................

..

1

Schedule 1—continued

SCHEDULE 6 Regulation 7

REQUIREMENTS FOR DRUGS, MEDICINAL PREPARATIONS AND DISINFECTANTS TO BE CARRIED ON SHIPS

1. A drug or medicinal preparation is to be obtained from a supplier who, before or at the time the drug or medicinal preparation is ordered, has been given a copy of these Regulations as in force at the time when the drag or medicinal preparation is ordered.

2 Labelling.

(1) A dreg or medicinal preparation stall be plainly labelled in the English language.

(2) The label must be durable and of such nature as to be clearly readable for the normal life of the contents of the container to which such label is attached.

(3) The label shall bear—

(a) the approved name of the drug or medicinal preparation, the strength and the quantify present in the package;

(b) the form of the drug, or medicinal preparation (capsule, tablet, injection, etc) including the synonym (if any) used in the column “ Medicines to be carried ” of Part I of Schedule 2;

(c) the normal adult dose of those for internal use and otherwise adequate directions for use;

(d) the name and address of the supplier;

(e) such other information as is required by the laws of the State or country in which the supply is made;

(f) if the label is on a medicine the reference to which in the first column of Part I of Schedule 2 is marked * —the date, expressed by month and year, after which the preparation should not be used by reason of a possible decrease in its effectiveness or of its decomposition.

3. Containers.

A drug or medicinal preparation shall be packed in such containers as conform to the requirements of the laws of the State or country in which they are supplied, provided that cork closures shall not be used.

4. Storage.

Storage should be in a cool place i.e. below 25° C or 76° F if possible, except that the following shall be stored within the temperature ranges 2° C to 8° C or 36° F to 46° F:

Insulin Heparin Injection

Procaine Penicillin Injection Streptomycin Sulphate Injection

Oxytocin

(Such temperatures are attainable in a domestic type refrigerator—these MUST NOT BE FROZEN).

Schedule 1—continued

SCHEDULE 7 Regulation 7

REQUIREMENTS FOR DISINFECTANTS TO BE CARRIED ON SHIPS

I. General Purpose Disinfectant Deodorant; Sudol (solution of Alkylphenols in a saponaceous solvent).

II. Antiseptic solution containing Cetrimide 3% and Chlorhexidine Gluconate 0.3% in a suitable aqueous vehicles.

III. Stabilized Chloride of Lime (in ¼ pound tins) prepared for sterilizing drinking water.

1. The chloride of lime must contain not less than 24 per centum, and not more than 26 per centum, of available chlorine.

2. It must contain not less than 14 per centum of free quick lime (CaO).

3. The total water existing in all forms consisting largely, if not entirely, of the water in combination in the form of calcium hydroxide must not exceed 7.5 per centum.

4. It shall be of such stability that, after passing four weeks in an oven kept at 140° Fahrenheit (± 2 degrees), the percentage of available chlorine shall not decrease more than 2 per centum.

5. The powder to be put up in ¼ pound tins, the date of issue by the manufacturer to be stamped on the base of each tin.

6. Each tin and contents (except the measure, which may be used again), whether partially used or not, to be renewed within one year following the date stamped on the tin.

7. Each tin to contain a measure, made of a material resistant to chlorine, to contain 60 grains of the powder, when full, that is to say, sufficient to chlorinate approximately 200 gallons of water.

8. Instructions for use are those set out in the Ship Captain’s Medical Guide.

IV. Crude Stabilized Chloride of Lime in 10 pound tins.

If it is so desired, the quantity of general purpose disinfectant deodorant may be reduced by not more than 50 per centum if the amount so reduced is replaced by an equal weight of stabilized chloride of lime (one gallon of general purpose disinfectant deodorant to equal 10 pounds of chloride of lime).

The chloride of lime must be dry and suitably stabilized yielding not less than 30 per centum by weight of available chlorine and must be put up in tins of not more than 10 pounds per tin, the date of issue by the manufacturer being stamped on each tin. Each tin and contents, whether partly used or not, must be renewed within one year of the date stamped on the tin. Full instructions for the use of the powder for cleansing decks, bulkheads, urinals and lavatory basins must be given on a label attached to each tin. Samples for test shall be taken from time to time. This material shall not be used for the sterilization of drinking water, or for the sterilization of dejects, soiled utensils or apparel of persons suffering frost a contagious or infectious disease.

V. Stabilized Sodium Hypochlorite solution.

If a stabilized solution of hypochlorite of soda is preferred to chloride of lime, this preparation may be carried in place of the chloride of lime if the total quantity of available chlorine is the same. If it is so desired, the amount of general purpose disinfectant deodorant carried may then be reduced by not more than 60 per centum if the quantity so omitted is replaced by three times its weight of stabilized hypochlorite solution. The conditions and restrictions as to its purpose and use are the same as for chloride of lime. The hypochlorite solution must yield at least 10 per centum of available chlorine. If at any time the solution decreases in strength so that the available chlorine falls to less than 8per centum, it shall be replaced as soon as possible. The liquid is to be stored in stoneware jars or other containers, of not less than two gallons or more than ten gallons capacity, not liable to cause a diminution of the strength of the solution. The jars shall be sealed either with stoneware stoppers or with stoppers which have no appreciable action in diminishing the strength of the solution. Unless it can be shown that the strength of the solution is unaltered, the disinfectant shall be renewed at least once a year. The date of sealing the containers and directions for use must be stated on a label adhering firmly to the jar. In a ship in which a sea-water electrolizer is installed, being an electrolizer that is capable of giving an unlimited quantity of sodium hypochlorite solution containing not less than 0.1 per centum of available chlorine, the quantity of general purpose disinfectant deodorant carried may be reduced by act more than 50 per centum. The type of electrolizer must be subject to inspection from time to time by a Medical Inspector of Seamen. A sample of electrolite will occasionally be taken for testing the chlorine content. The conditions and restrictions as to its purpose and use are the same as those for chloride of lime specified in clause IV. or hypochlorite solution.

Schedule 1—continued

SCHEDULE 8 Regulation 11

AUTHORITIES AUTHORIZED TO ISSUE CERTIFICATES TO FIRST AID ATTENDANTS

Sydney Technical College

Royal Melbourne Institute of Technology

Newcastle Technical College

St John Ambulance Association

St Andrew’s Ambulance Association

Australian Red Cross Society

New Zealand Red Cross Society

Singapore Red Cross Society

British Red Cross Society

Robert Gordon’s Institute of Technology

City of Belfast College of Technology

Bristol Technical College

Llandaff Technical College

University of Wales Institute of Science and Technology

Fleetwood Nautical College

Glamorgan County Council

Glasgow College of Nautical Studies

Grimsby College of Technology

Kingston upon Hull Education Authority

Kingston upon Hall Nautical College

Leith Nautical College

Liverpool Polytechnic

College of Further Education, Lowestoft

London County Council

City of London Polytechnic

Plymouth College of Further Education

Plymouth Polytechnic

University at Southampton

Maritime and Technical College, Durham

SCHEDULE 2 Regulation 10

Additional Amendments

Provisions amended

Amendments

Regulation 5 (b)..............

Omit “ the First Schedule to these Regulations ”, substitute “ Schedule 1 ”.

Regulation 6...................

Omit “ the First Schedule to these Regulations ” (wherever occurring), substitute “ Schedule 1 ”.

Regulation 8...................

Omit “ the First Schedule to these Regulations ”, substitute “ Schedule 1 ”.

Regulation 9...................

Omit “ nautical miles ”, substitute “ international nautical miles ”.

Regulation 10.................

Omit “ nautical miles ”, substitute “ international nautical miles ”.

Schedules.......................

(a) Omit “ THE SCHEDULES ”;

(b) Omit “ FIRST SCHEDULE ”, substitute “ SCHEDULE 1 ”.

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