MARF6002A
Manage provision of medical care on board a vessel

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.

Application

This unit applies to maritime workers working in the maritime industry as a Master Unlimited.


Prerequisites

Not applicable.


Elements and Performance Criteria

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 the 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 the injured or ill person

2.7

Significance of changes in the person’s condition is promptly recognised and appropriate action is taken if there are signs of deterioration in the 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 and ill persons 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 the 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 the 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 complied with

4.6

Condition of the injured or ill person is evaluated to determine transport requirements for additional medical care

4.7

Preparation for the evacuation of the injured or ill person by emergency services is provided, if required, according to organisational procedures and welfare of the 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

Required Skills

Required Skills:

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

Deal with a death at sea

Dress and bandage

Give vaccinations

Manage acute abdominal conditions

Provide:

dental care

gynaecological, pregnancy and childbirth support

medical care of rescued persons

minor surgical treatment

pain relief

Treat:

alcohol and drug abuse

sexually transmitted diseases

tropical and infectious diseases

Use disease prevention techniques including disinfection, de-infestation, de-ratting

Use sewing and clamping techniques

Required Knowledge:

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

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:

seeking radio medical advice according to established practice and recommendations

being aware of own skills, knowledge and limits.

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 managing the provision of medical care 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 managing the provision of medical care 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.

Resources may include:

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 may include:

Bodily fluids

Environmental risks

Equipment, machinery and substances

First aid equipment

Risk of further injury to the casualty

Risks associated with the proximity of crew or passengers

Medical emergencies and injuries may include:

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 may include:

Adrenaline

Analgesics

Aspirin

Bronchodilators

Oxygen

Pain relief/paracetamol

Communication links may include:

Electronic equipment

Email

Flags

HF/VHF radio

Satellite phones

Two-way radio

Use of medical codes

Preparation for the evacuation may include:

Communicating with helicopter, vessel or ambulance conducting the evacuation

Relevant first aid supplies and resources

Selecting relevant communication equipment

Documentation may include:

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.


Employability Skills

This unit contains employability skills.


Licensing Information

Not applicable.