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Required Skills

REQUIRED KNOWLEDGE

This describes the knowledge required for this unit

Relevant maritime regulations related to medical care on board a vessel

Emergencies injuries and medical problems that may occur on board a vessel and appropriate action treatments and solutions

Relevant OHampS and health legislation and policies

Shipboard procedures for

a

conducting an initial patient assessment

b

managing injuries

c

managing medical emergencies

d

carrying out resuscitation techniques

e

treating infectious diseases

f

treating of commonly encountered industrial related medical conditions

g

caring for eyes ear nose rehydration and urinary retention

h

managing surgical emergencies

i

managing drug and alcohol abuse

j

treating disorders of the central nervous system and cardiovascular diseases

k

caring for dying or dead persons

l

managing sexually transmitted diseases

m

shipboard hygiene and health education

n

implementing quarantine regulations

o

administering drugs and subcutaneous and intramuscular injections within legal and practical guidelines

Suturing techniques as per the Ship Captains Medical Guide

Techniques for care of wounds

Quarantine procedures when entering a port from overseas

Potential dangers associated with contaminated ballast water

Precautions for the prevention of disease in seafarers

Ways in which disease can spread on board a vessel and ways of preventing the spread

Principles of shipboard hygiene including adequate ventilation healthy lifestyle disinfection of potable water food hygiene and disposal of liquid and solid waste from a vessel

Legal issues surrounding drug administration on board a vessel

Body structures and functions relevant to possible injury and disease that may be encountered on board a vessel

Maritime communication techniques related to health care and receiving radio medical advice from shorebased advisers

Duties and responsibilities of the designated medical officer on board a vessel

Marine publications containing information on first aid and medical treatment on board a vessel

REQUIRED SKILLS

This describes the basic skills required for this unit

Communicate effectively with others on matters related to the organisation and management of the provision of medical care on board a vessel

Read and interpret instructions procedures and information relevant to the organisation and management of the provision of medical care on board a vessel

Work as a team with others on matters relevant to the organisation and management of the provision of medical care on board a vessel

Select and use appropriate communications equipment

Take appropriate initiatives related to the organisation and management of the provision of medical care on board a vessel

Interpret and apply applicable medical care practices and regulations

Modify activities dependent on differing contingencies risk situations and environments

Identify and solve problems associated with the organisation and management of the provision of medical care on board a vessel and take appropriate action based on available information

Adapt to differences in vessels medical and other equipment and related standard operating procedures

Select and use appropriate equipment required for the organisation and management of the provision of medical care on board a vessel

Evidence Required

TDMMFB ORGANISE AND MANAGE THE PROVISION OF MEDICAL CARE ON BOARD A VESSEL

TDMMF607B ORGANISE AND MANAGE THE PROVISION OF MEDICAL CARE ON BOARD A VESSEL

The Evidence Guide provides advice on assessment and must be read in conjunction with the Performance Criteria the Range Statement and the Assessment Guidelines for this Training Package

The Evidence Guide provides advice on assessment and must be read in conjunction with the Performance Criteria, , the Range Statement and the Assessment Guidelines for this Training Package.

Critical aspects of evidence required to demonstrate competency in this unit

Assessment must confirm appropriate knowledge and skills to

a

Take charge of typical medical emergencies on board a vessel

b

Carry out routine medical procedures on board a vessel

c

Carry out medical procedures as directed by shorebased medical advisers

d

Identify typical medical problems and emergencies and take appropriate action

e

Educate passengers and crew on shipboard health and hygiene

f

Complete quarantine requirements when entering a port from overseas

g

Communicate effectively with others during medical emergencies and health care

h

Maintain medical records in accordance with company and regulatory requirements

Evidence required for demonstration of consistent performance

a

Performance is demonstrated consistently over a period of time and in a suitable range of contexts

b

Consistently applies underpinning knowledge and skills when

providing medical care on board a vessel

identifying and evaluating medical problems and emergencies and taking appropriate courses of action

identifying and implementing improvements to medical care on board a vessel

applying aseptic and other precautionary techniques when carrying out medical procedures on board a vessel

c

Shows evidence of application of relevant workplace procedures including

relevant sections of IMO STCW Convention and Code and AMSA Marine Orders

ISM Code and associated vessels safety management system and procedures

OHampS regulations and medical care policies and procedures

issue resolution procedures

relevant medical and first aid instructions

continued

TDMMFB ORGANISE AND MANAGE THE PROVISION OF MEDICAL CARE ON BOARD A VESSEL

TDMMF607B ORGANISE AND MANAGE THE PROVISION OF MEDICAL CARE ON BOARD A VESSEL

Evidence required for demonstration of consistent performance

continued

shipboard safety procedures

d

Action is taken promptly to report andor rectify injuries and medical incidents in accordance with established procedures

e

Work is completed systematically with required attention to detail

f

Recognises and adapts appropriately to cultural differences in the workplace including modes of behaviour and interactions between crew and others

Context of assessment

a

Assessment of competency must comply with the assessment requirements of the relevant maritime regulations

b

Assessment of this unit must be undertaken within relevant marine authority approved and audited arrangements by a registered training organisation

As a minimum assessment of knowledge must be conducted through appropriate writtenoral examinations and

Appropriate practical assessment must occur

i

at the registered training organisation andor

ii

on an appropriate working or training vessel

Specificresourcesrequired for assessment

Access is required to opportunities to

a

participate in a range of role plays case studies and other simulated practical and knowledge assessments that demonstrate the skills and knowledge to manage and coordinate the medical care of crew and passengers on board vessels of gross tonnage or more andor

participate in a range of role plays, case studies and other simulated practical and knowledge assessments that demonstrate the skills and knowledge to manage and coordinate the medical care of crew and passengers on board vessels of 500gross tonnage or more; and/or

b

assist in the coordination of medical care procedures on board an operational vessel


Range Statement

TDMMF607B ORGANISE AND MANAGE THE PROVISION OF MEDICAL CARE ON BOARD A VESSEL

The Range Statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance.

VARIABLE

SCOPE

1. GENERAL CONTEXT

a.

Work must be carried out:

1

in compliance with relevant maritime regulations and rules dealing with medical care on board a vessel

b.

Work is performed:

1

relatively independently under broad operational requirements, with accountability and responsibility for self and others in achieving the prescribed outcomes

c.

Work involves:

1

the application of a knowledge of first aid and medical techniques required to provide medical care for crew and/or passengers on board a vessel. Contribution to the planning and organisation of medical care on board a vessel is required

d.

Work requires:

1

significant judgement in planning and leadership functions related to the provision of medical care for crew and/or passengers on board vessels of 500gross tonnage or more

2. WORKSITE ENVIRONMENT

a

Vessel may include:

1

any commercial Australian or international vessel of 500gross tonnage or more

b

Medical care and procedures may be carried out:

1

by day or night in both normal and emergency situations

2

under any possible conditions of weather and loading

3

while underway or at anchor

4

during quarantine procedures when entering port

c

Medical emergencies may include:

1

acute chest pain

2

acute respiratory conditions

(continued)

TDMMF607B ORGANISE AND MANAGE THE PROVISION OF MEDICAL CARE ON BOARD A VESSEL

VARIABLE

SCOPE

c

Medical emergencies may include:

(continued)

3

acute abdominal pain

4

diabetes

5

seizures

d

Management of injuries on board vessel may include:

1

head injuries

2

chest injuries

3

haemorrhage

4

shock

5

spinal injuries

6

fractures and dislocations

7

cold injury and hypothermia

8

inhalation, ingestion and skin or eye contact with industrial chemicals

e

Diagnosis and management of infectious diseases may include:

1

typhoid

2

cholera

3

dysentery

4

malaria

5

heat exhaustion

6

influenza

7

pneumonia

8

tonsillitis

9

meningitis

10

inguinal hernia

f

Diagnosis and management of cardiovascular and central nervous system disorders may include:

1

angina pectoris

2

coronary occlusion

3

paroxysmal tachycardia

4

facial palsy

5

cerebral haemorrhage

6

cerebral thrombosis

(continued)

TDMMF607B ORGANISE AND MANAGE THE PROVISION OF MEDICAL CARE ON BOARD A VESSEL

VARIABLE

SCOPE

g

Diagnosis and management of sexually transmitted diseases may include:

1

urethral and urine smear tests

2

basic medical treatment for various sexually transmitted diseases

3

counselling

h

Measures for the prevention of disease in seafarers may include:

1

immunisation and vaccination

2

methods for the prevention of malaria

3

precautions to be taken when in endemic zones for malaria and yellow fever

4

precautions and methods for the prevention of disease spread on board a vessel

i

Documentation and recordsmay include:

1

ISM Code safety management system plans, procedures, checklists and instructions

2

IMO STCW Convention and Code dealing with medical care on board a vessel

3

AMSA Marine Orders dealing with medical care on board a vessel

4

The Ship Captain's Medical Guide

5

International Medical Guide for Ships

6

Medical Section of the International Code of Signals

7

Medical First Aid Guide for Use in Accidents involving Dangerous Goods

8

Marine Drug Guide

9

vessel's log

10

vessel medical records

11

shipboard patients' health records

12

drug register

13

quarantine records and documentation

14

company procedures concerning medical care on board a vessel

15

instructions of relevant maritime, health and quarantine authorities related to the medical care of crew and passengers on board a vessel

16

relevant Australian and international standards

(continued)

TDMMF607B ORGANISE AND MANAGE THE PROVISION OF MEDICAL CARE ON BOARD A VESSEL

VARIABLE

SCOPE

j

Applicable legislation, regulations and codes may include:

1

IMO STCW 95 Convention and Code related to vessels of 500gross tonnage or more

2

relevant sections of AMSA Marine Orders

3

ISM Code safety management system

4

relevant international, Commonwealth, State and Territory health and quarantine regulations

5

relevant international, Commonwealth, State and Territory OH&S legislation