MARF5002A
Provide medical first aid on board a vessel

This unit involves the skills and knowledge required to provide immediate first aid in the event of accident or illness on board a vessel.

Application

This unit applies to maritime workers working in the maritime industry as a Watchkeeper Deck; as a Master, Chief Mate or Watchkeeper Deck on ships of less than 500 gross tonnage (GT) in any operating area; or as Master or Chief Mate of vessels less than 3000 GT operating in near coastal waters; or as Marine Engineer Class 2 on commercial vessels greater than 3000 kW; or as a Marine Engineer Class 1 on commercial vessels of unlimited propulsion power.


Prerequisites

Not applicable.


Elements and Performance Criteria

1

Prepare to respond to emergency on board

1.1

Casualty condition is assessed and appropriate response is determined in order to minimise hazards and determine the need for emergency medical assistance

1.2

Options for transporting casualty or waiting for medical assistance are evaluated in relation to environmental issues, transport availability and casualty condition

1.3

Casualty is sheltered from elements according to environmental conditions, if required

2

Provide first aid on board

2.1

Nature of casualty injury/condition and relevant first aid procedures are determined and explained to the casualty

2.2

Consent is sought from the casualty prior to applying first aid

2.3

First aid is provided to address casualty condition and according to effective first aid principles

2.4

Casualty condition is monitored and ongoing first aid is provided as required

2.5

Casualty is calmly reassured according to effective first aid principles

2.6

Condition of casualty is documented over time to assist in providing ongoing first aid

3

Work in conjunction with medical and emergency services support

3.1

Communication links are established with medical services using relevant communication equipment to ensure prompt control action is taken

3.2

Appropriate medical assistance is sought according to the circumstances

3.3

Medication is administered under direction from an authorised health worker as required

3.4

Directions given by emergency services are followed to assist in the evacuation of the casualty, if required

4

Participate in debriefings

4.1

Information is provided on the incident and the first aid assistance provided

4.2

Clarifications are provided, where required

4.3

Suggestions are provided to improve future operations

Required Skills

Required Skills:

Accurately listen to, clarify and apply medical instructions

Administer medication under direct instruction from an authorised health worker

Conduct an initial casualty assessment

Demonstrate adequate infection control procedures

Evaluate available options for transporting or maintaining condition of casualty

Examine casualty or patient

Identify and prepare an area for safe evacuation

Improvise treatment and associated resources

Plan an appropriate first aid response in line with established first aid principles, policies and procedures

Prepare incident reports

Use available communication methods and equipment to access medical assistance

Required Knowledge:

Body structure and function

Burns, scalds and the effects of heat and cold

Cardiac arrest, drowning and asphyxia

First aid kit

Fractures, dislocations and muscular injuries

Medical care of rescued persons

Pharmacology

Radio medical advice

Sterilisation

Toxicological hazards on board including use of the Medical First Aid Guide for Use in Accidents Involving Dangerous Goods (MFAG) or its national equivalent

Work health and safety (WHS)/occupational health and safety (OHS) requirements and work practices

Evidence Required

The evidence guide provides advice on assessment and must be read in conjunction with the performance criteria, the required skills and knowledge, the range statement and the Assessment Guidelines for the Training Package.

Critical aspects for assessment and evidence required to demonstrate competency in this unit

The evidence required to demonstrate competence in this unit must be relevant to and satisfy all of the requirements of the Elements, Performance Criteria, Required Skills, Required Knowledge and include:

minimising the risk of harm to self and others at all times

promptly completing identification of probable cause, nature and extent of injuries according to current first aid practice.

Context of and specific resources for assessment

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

Resources for assessment include access to:

industry-approved marine operations site where providing medical first aid on board a vessel can be conducted

tools, equipment and personal protective equipment currently used in industry

relevant regulatory and equipment documentation that impacts on work activities

range of relevant exercises, case studies and/or other simulated practical and knowledge assessments

appropriate range of relevant operational situations in the workplace.

In both real and simulated environments, access is required to:

relevant and appropriate materials and equipment

applicable documentation including workplace procedures, regulations, codes of practice and operation manuals.

Method of assessment

Practical assessment must occur in an:

appropriately simulated workplace environment and/or

appropriate range of situations in the workplace.

A range of assessment methods should be used to assess practical skills and knowledge. The following examples are appropriate to this unit:

direct observation of the candidate providing medical first aid on board a vessel

direct observation of the candidate applying relevant WHS/OHS requirements and work practices.

Guidance information for assessment

Holistic assessment with other units relevant to the industry sector, workplace and job role is recommended.

In all cases where practical assessment is used it should be combined with targeted questioning to assess Required Knowledge.

Assessment processes and techniques must be appropriate to the language and literacy requirements of the work being performed and the capacity of the candidate.


Range Statement

The range statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance. Bold italicised wording, if used in the performance criteria, is detailed below.

Emergency may include:

Asphyxia

Burns and scalds and the effects of heat and cold

Cardiac arrest

Drowning

Fractures, dislocations and muscular injuries

Medical care of rescued persons

Options for transporting casualty or waiting for medical assistance may include:

Advice given by authorised health worker

Severity of injury

Time required for medical assistance to arrive

Whether movement might cause a deterioration in casualty condition

Whether contact with medical and/or emergency services has been achieved

Documented may include:

Administration of medications including time, date, dose, person administering

Description of injury

First aid management

Fluid/oral intake/output including fluid loss via blood, vomit, faeces, urine

Location

Time

Vital signs

Communication equipment may include:

GMDSS equipment

VHF radio

Authorised health worker may include:

General practitioner

Nurse practitioner

Paramedic/ambulance officer


Sectors

Not applicable.


Employability Skills

This unit contains employability skills.


Licensing Information

Not applicable.