Application
This unit involves the skills and knowledge required to provide medical care to people who are sick and/or injured while they remain on board a vessel.
This unit applies to maritime workers working in the maritime industry as a Master Unlimited or a Marine Engineer Class 3 Near Coastal.
This unit has links to legislative and certification requirements.
Elements and Performance Criteria
Elements describe the essential outcomes. | Performance criteria describe the performance needed to demonstrate achievement of the element. | ||
1 | Manage vessel medical care | 1.1 | Availability of adequate resources is monitored and maintained to support medical responses |
1.2 | Regular inspections of stock and equipment are conducted to ensure currency and operational readiness, according to organisational requirements | ||
1.3 | Equipment and resources are stored and maintained according to regulatory requirements and manufacturer/supplier instructions | ||
1.4 | Risks on the vessel are reviewed and organisational policies and procedures related to the provision of medical care are validated | ||
1.5 | Planning is conducted for responses to major incidents on board the vessel | ||
2 | Take charge of a casualty on board | 2.1 | Safety of injured or ill person, bystanders and self in an accident situation is assessed according to first aid procedures |
2.2 | Safety requirements associated with providing medical care and vessel environmental requirements are adhered to | ||
2.3 | Condition of injured or ill person is assessed according to first aid procedures | ||
2.4 | Position of injured or ill person is adjusted to optimise personal comfort for the medical condition or injury | ||
2.5 | Injured or ill person is reassured and supported during the wait for medical assistance | ||
2.6 | Nature of the illness/injury is explained to injured or ill person | ||
2.7 | Significance of changes in person’s condition is promptly recognised and appropriate action is taken if there are signs of deterioration in injured or ill person | ||
2.8 | Calm, confident and reassuring personal attitude is conveyed | ||
3 | Provide medical care | 3.1 | Medical emergencies and injuries are identified and assessed correctly, and appropriate action is taken to prevent further injury |
3.2 | Symptoms and appropriate treatment are identified based on the concepts of clinical examination and medical history | ||
3.3 | Medical emergencies and injuries are diagnosed and managed according to accepted medical practice, and relevant national and international guides | ||
3.4 | Manufacturer recommendations and accepted medical practice with regard to dosage and application of drugs and medication are complied with | ||
3.5 | Complete and effective methods to protect against infection and spread of diseases are used | ||
3.6 | Resuscitation techniques are performed following safety procedures, if required | ||
3.7 | Appropriate techniques for moving injured or ill person are used | ||
3.8 | Resources and equipment are recovered and reprocessed, and waste is disposed of safely | ||
4 | Seek external assistance | 4.1 | Condition of injured or ill person is documented over time to assist with ongoing management |
4.2 | Communication links are established with external medical services to ensure prompt control action is taken | ||
4.3 | Clinical examination procedures are completed and instructions received are complied with | ||
4.4 | Assessments of person’s condition are relayed to external medical advisors | ||
4.5 | Medical procedures are carried out under medical instruction using relevant communication equipment and instructions received are complied with | ||
4.6 | Condition of injured or ill person is evaluated to determine transport requirements for additional medical care | ||
4.7 | Preparation for the evacuation of injured or ill person by emergency services is provided, if required, according to organisational procedures and welfare of person is maximised | ||
4.8 | Resources and equipment are recovered and reprocessed, and waste is disposed of safely | ||
5 | Manage first aid records | 5.1 | Documentation is completed in accordance with regulatory and organisational requirements |
5.2 | First aid records are maintained in accordance with regulatory and organisational requirements | ||
5.3 | Relevant documents are sent to appropriate bodies in accordance with regulatory and organisational requirements | ||
5.4 | Confidentiality of records and information is maintained in accordance with privacy principles and regulatory and organisational requirements |
Evidence of Performance
Evidence required to demonstrate competence in this unit must be relevant to and satisfy all of the requirements of the elements and performance criteria on at least one occasion and include:
caring of casualty involving:
head and spinal injuries
injuries of ear, nose, throat and eyes
external and internal bleeding
burns, scalds and frostbite
fractures, dislocations and muscular injuries
wounds, wound healing and infection
dealing with a death at sea
dressing and bandaging
giving vaccinations
managing acute abdominal conditions
providing:
dental care
gynaecological, pregnancy and childbirth support
medical care of rescued persons
minor surgical treatment
pain relief
treating:
alcohol and drug abuse
sexually transmitted diseases
tropical and infectious diseases
using disease prevention techniques including disinfection, de-infestation, de-ratting
using sewing and clamping techniques.
Evidence of Knowledge
Evidence required to demonstrate competence in this unit must be relevant to and satisfy all of the requirements of the elements and performance criteria and include knowledge of:
alcohol and drug abuse
care of:
head and spinal injuries
injuries of ear, nose, throat and eyes
external and internal bleeding
burns, scalds and frostbite
fractures, dislocations and muscular injuries
wounds, wound healing and infection
death at sea
dental care
disease prevention including disinfection, de-infestation, de-ratting
dressing and bandaging
general principles of nursing
gynaecology, pregnancy and childbirth
hygiene
international and national maritime medical regulations
management of acute abdominal conditions
medical care of rescued persons
medical care of sick seafarers involving co-operation with port health authorities or out-patient wards in port
medical conditions and emergencies
minor surgical treatment
nursing care
pain relief
radio medical advice
quarantine regulations and required advices such as pratique, notification of disease on board
sexually transmitted diseases
techniques of sewing and clamping
transportation of injured or ill persons including helicopter evacuation
tropical and infectious diseases
vaccinations
work health and safety (WHS)/occupational health and safety (OHS) requirements and work practices.
Assessment Conditions
Assessors must satisfy National Vocational Education and Training Regulator (NVR)/Australian Quality Training Framework (AQTF) assessor requirements.
Assessment must occur in workplace operational situations where it is appropriate to do so; where this is not appropriate, assessment must occur in simulated workplace operational situations that reflect workplace conditions.
Assessment processes and techniques must be appropriate to the language, literacy and numeracy requirements of the work being performed and the needs of the candidate.
Resources for assessment must include access to:
tools, equipment, machinery, materials and personal protective equipment currently used in industry
applicable documentation such as legislation, regulations, codes of practice, workplace procedures and operational manuals
range of relevant exercises, case studies and/or simulations.
Foundation Skills
This section describes those language, literacy, numeracy and employment skills that are essential to performance. |
Foundation skills essential to performance are explicit in the performance criteria of this unit of competency. |
Range Statement
Specifies different work environments and conditions that may affect performance. Essential operating conditions that may be present (depending on the work situation, needs of the candidate, accessibility of the item, and local industry and regional contexts) are included. Range is restricted to essential operating conditions and any other variables essential to the work environment. | |
Resources include one or more of the following: | backboards blood pressure cuff cervical collars defibrillation units dressings eyewash first aid kits injections oxygen resuscitation cylinders pocket face masks pressure bandages rubber gloves soft bag resuscitator spacer device stretchers thermometers thermal blankets |
Safety of injured or ill person includes one or more of the following: | bodily fluids environmental risks equipment, machinery and substances first aid equipment risk of further injury risks associated with the proximity of crew or passengers |
Medical emergencies and injuries include one or more of then following: | care of casualty involving: head and spinal injuries injuries of ear, nose, throat and eyes external and internal bleeding burns, scalds and frostbite fractures, dislocations and muscular injuries wounds, wound healing and infection dealing with a death at sea dressing and bandaging giving vaccinations managing acute abdominal conditions providing: dental care gynaecological, pregnancy and childbirth support medical care of rescued persons minor surgical treatment pain relief treating: sexually transmitted diseases tropical and infectious diseases alcohol and drug abuse using disease prevention techniques including disinfection, de-infestation, de-ratting using techniques of sewing and clamping |
Medication includes one or more of the following: | adrenaline analgesics aspirin bronchodilators oxygen pain relief/paracetamol |
Communication links include one or more of the following: | electronic equipment flags HF/VHF radio satellite phones two-way radio use of medical codes |
Preparation for the evacuation includes one or more of the following | communicating with helicopter, vessel or ambulance conducting the evacuation relevant first aid supplies and resources selecting relevant communication equipment |
Documentation includes one or more of the following: | casualty history forms day book disease notification to quarantine officials D-Rat Certificate first aid risk assessment incident/injury reports infection control records management records medical histories medication registers stock records workcover forms workers’ compensation |
Sectors
Not applicable.
Competency Field
F – Operational Quality and Safety