OPITO APPROVED STANDARD - ERRV Crew Advanced Medical Aid OPITO Standard Codes

 
OPITO APPROVED STANDARD

ERRV Crew Advanced Medical Aid

            OPITO Standard Codes

      ERRV Crew Advanced Medical Aid: 6130
   ERRV Further Crew Advanced Medical Aid: 6135
OPITO Approved Standard
ERRV Crew Advanced Medical Aid
© OPITO

REV. 1       01-Jul 2001   AMEND. 7     Jan- 2013

         This Standard was developed by an Industry Work Group co-ordinated
         by OPITO. The following organisations were represented on the Work
         Group:-

         The Emergency Response and Rescue Vessel Association Ltd
         (ERRVA)
         Health and Safety Executive (HSE)
         Training Providers
         Workplace Practitioners

         Guidance was also given by the Inter Union Offshore Oil Committee
         (IUOOC) and Oil & Gas UK.
                            _____________________________

         Guidance and advice on this Standard is available by contacting;

         OPITO
         Minerva House
         Bruntland Road
         Portlethen
         Aberdeen
         AB12 4QL

         Tel: 01224 787800
         Fax: 01224 787830
         E-mail: Standards enquiries

          © OPITO

          All rights reserved. No part of this publication may be reproduced, stored in a
          retrieval or information storage system, or transmitted, in any form or by any means,
          mechanical, photocopying, recording or otherwise, without the prior permission in
          writing of the publishers.

© OPITO                                    Page 2 of 37
OPITO Approved Standard
ERRV Crew Advanced Medical Aid
© OPITO

REV. 1       01-Jul 2001      AMEND. 7        Jan- 2013

AMENDMENTS

AMENDMENT & DATE                              PAGES         CHANGES     CHECKED BY    APPROVED
                                                            MADE BY                   BY
1        02/06 – Change Cogent to             Various       I. Emslie   G. Clark      I. Emslie
         OPITO and SBV to ERRV
2        27-12-07 – Changed to new            All           T. Wilson   P. Crowther   P. Crowther
         OPITO logo; updated header, title
         page & numbering scheme
3        Simplified assessor qualifications   14, 26        T. Wilson   J. Cameron    J. Cameron
         17-11-08
4        Added revision bar to header         All except    T. Wilson   J. Cameron    M. Duncan
         11-Dec 2008                          title page

5        Changed header to reflect            All except    T. Wilson   J. Cameron    M. Duncan
         amendment numbering scheme           title page
         11-Dec 2008
6        Replaced UKOOA with Oil & Gas        2             L. Geddes   M. Carr       J. Cameron
         UK and removed reference to
         Cogent 08-June 2010
7        Added standard codes, OPITO info     Various       M. Carr     OPITO         P. Lammiman
         in Appendix 1 & additional                                     Standards &
         Certification requirement.                                     Development
         10-Jan 2013

          Any amendments made to this standard by OPITO will be recorded above.

© OPITO                                             Page 3 of 37
OPITO Approved Standard
ERRV Crew Advanced Medical Aid
© OPITO

REV. 1      01-Jul 2001   AMEND. 7   Jan- 2013

CONTENTS                                              PAGE

SECTION A

          INTRODUCTION
               Development of Standard                5
               Performance Assessment                 6
               Certification & Recording              6

SECTION B

          FUNCTIONAL MAP                              7

          COMPETENCE STATEMENTS
              Overview                                8
              The Statements                          9 - 13

          GUIDANCE FOR ASSESSORS
               Assessing Candidates                   14 - 16
               Checklists                             17 -20

SECTION C

          TRAINING PROGRAMME
               Initial Training                       21 - 25

SECTION D

          RESOURCES
              Staff                                   26 -27
              Facilities                              28
              Equipment                               29 - 35

SECTION E

          GENERAL REQUIREMENTS                        36

Appendix 1 OPITO Information                          37

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REV. 1        01-Jul 2001   AMEND. 7     Jan- 2013

A         Introduction

          This document introduces and describes the competence statements and safety
          training for ERRV Crew Advanced Medical Aid. It explains how competence shall be
          assessed and certificated.

          The industry recognises that a major objective is to prevent incidents occurring and if
          they do to control and minimise their effect.

          The purpose of this document is to set out the nature, objectives and the framework for
          the emergency response training and assessment requirements for ERRV Crew
          Advanced Medical Aiders which will be conducted at an onshore training
          establishment. Training Establishments should recognise that this is only part of a
          broader training programme which includes ongoing onboard training and assessment.

          All personnel undertaking this training will have completed a ERRV Crew Initial
          Shipboard Operations Training Programme.

A.1       Development of Standard

          The Standard has been developed using a national competence model. This involved
          the analysis of functions required to handle an emergency offshore from which
          Statements of Competence were developed. These Statements specify what
          personnel are required to do in an emergency.

          A Functional Map and the Competence Statements are part of this document
          (Section B).

          Using this competence based process, the following were identified and developed:

          •       What AMAs are expected to do.

          •       The knowledge and skills they would require to enable them to do
                  what was expected of them

          •       How they could demonstrate what was expected of them.

          •       How their performance would be assessed.

          Using the identified knowledge and skills, the content of the training programme was
          developed. This competence approach has ensured the content is relevant with the
          benefits being focused and effective training.

          OPITO, as custodian has a responsibility to industry to maintain, develop and update
          these standards.

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REV. 1         01-Jul 2001   AMEND. 7     Jan- 2013

A.2       Performance Assessment

          Delegates attending this training and assessment programme (referred to as
          candidates during assessment) will be given a series of explanations and
          demonstrations which will identify what they are expected to know and do. This will
          be followed by practical exercises which will allow delegates to demonstrate their
          skills, knowledge and understanding of their emergency response role. Assessment
          of the delegates' performance will be against the stated training outcomes.

          A specimen Assessor's Checklist with guidance is provided (Section B). Assessors
          should use this, or other suitable document, to record the candidate's performance.

          If required, further time and opportunity for coaching will be given to delegates to
          enable them to reach the standard leading to the award of a certificate. However,
          the time available for this during a programme is limited and it should be recognised
          there may be occasions where other arrangements need to be made.

A.3       Certification & Recording

          Following satisfactory completion of the total training programme, which may include
          for some individuals additional coaching, the training provider will register the candidate
          with the OPITO Central Register.

          On receipt of the registration, OPITO will issue the individual a Personal Record.

          Training establishments are responsible for issuing a certificate direct to the delegate
          completing the programme and to the sponsoring company (when required). Each
          certificate must indicate that the delegate has been assessed against, and met the
          required outcomes.
          The certificate must also contain the following:

          a)   Training Establishment name
          b)   Full OPITO course title stating that it is OPITO approved
          c)   OPITO Registration Code
          d)   Delegate's name
          e)   Course dates
          f)   Unique Certificate Number
          g)   Training Establishment Signatory

A.4       Advanced Medical Aid Training

          Onshore ERRV Crew Advanced Medical Aid training comprises two programmes,

          a)       Advanced Medical Aid Programme
          b)       Advanced Medical Aid Further Programme

          as described in section C.

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ERRV Crew Advanced Medical Aid
© OPITO

REV. 1    01-Jul 2001   AMEND. 7   Jan- 2013

                               FUNCTIONAL MAP

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REV. 1    01-Jul 2001   AMEND. 7   Jan- 2013

Key Role:      Respond to Casualties on Location

Unit 1:                    Care for casualties on location

Element 1.1:               Maintain state of readiness

Element 1.2:               Prepare to receive casualties

Element 1.3:               Receive and treat casualties

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REV. 1    01-Jul 2001    AMEND. 7     Jan- 2013

Unit 1:                       Care for casualties on location

Element 1.1                   Maintain state of readiness

This element is about contributing to drills and exercises and maintaining a state of
readiness.

Standards of Performance

In achieving this element you will have:

1.1.1 Clarified to all crew members their roles and responsibilities within the
      procedures for company training.

1.1.2 Contributed to drills and exercises in accordance with the requirements of the
      vessel operator, duty holder and industry.

1.1.3 Checked the equipment, medical & non medical – including Triage and
      recording documentation, decontamination showers, survivor accommodation
      facilities, in accordance with procedures and industry guidelines.

1.1.4 Recorded serviceability of equipment and confirmed the status to the master
      of the vessel in accordance with procedures.

1.1.5 Established effective working relationships and structure with all crew
      members and external sources of medical assistance.

Underpinning Knowledge and Understanding

Within the limits of your responsibility you must be able to demonstrate that you know:
   Watch and Station Bill and Emergency Procedures
   Company and industry training requirements
   Medical and non-medical equipment inspection, serviceability, recording of checks
   Leadership, teamworking, coaching and appraisal techniques
   Industry Guidelines (Survey & Management of Operations)

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REV. 1    01-Jul 2001    AMEND. 7     Jan- 2013

Element 1.2:                  Prepare to receive casualties

This element is about responding to alarms and preparing to receive casualties

Standards of Performance

In achieving this element you will have:

1.2.1 Responded to alarm bells, klaxons, whistles, siren, vocals in accordance with
      emergency procedures, standing orders and the watch and station bill.

1.2.2 Donned your PPE in accordance with emergency procedures.

1.2.3 Directed the relevant crew members to undertake tasks in accordance with
      priorities and emergency procedures, standing orders and the watch and
      station bill.

1.2.4 Established and maintained effective communication with the master, mate,
      FRC Coxswain installation/rig medic and the ship to shore medical radio link
      in accordance with emergency procedures, standing orders and the watch
      and station bill.

1.2.5 Made preparations to receive casualties in accordance with emergency
      procedures, standing orders and the watch and station bill (preparations to
      include management of team and the provision of equipment).

1.2.6 Confirmed the readiness of facilities and equipment to the bridge, in
      accordance with emergency procedures, standing orders and the watch and
      station bill.

1.2.7 Responded to communications from the master, mate and external medical
      advisors in accordance with emergency procedures, standing orders and the
      watch and station bill.

Underpinning Knowledge and Understanding

Within the limits of your responsibility you must be able to demonstrate that you know:

   Team management techniques
   Alarm response routines
   Watch and Station Bill, equipment preparation, care (preparation, reception,
    assessment, triage, treatment), transfer (onboard and from vessel)
   Use of PPE
   Preparation of medical and non medical equipment
   Medical communications by radio
   Use of internal communications equipment

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REV. 1      01-Jul 2001    AMEND. 7    Jan- 2013

Element 1.3                    Receive and treat casualties

This element is about receiving casualties onboard the vessel, assessing their
condition and delivering medical treatment.

Standards of Performance

In achieving this element you will have:

1.3.1 Received casualties onboard and assessed their condition in accordance with
      primary and secondary survey techniques. Provided advice on out onboard
      transfers in accordance with procedures for casualty handling for walking and
      stretcher casualties.

1.3.2 Recorded by triage cards, the details of casualties identification, nature of
      injuries, treatment continued monitoring and triage category.

1.3.3 Delivered medical treatment to the casualties including resuscitation, cold and
      immersion      injuries,  unconsciousness,      blood    loss,   burns/scalds,
      fractures/dislocation, pain, eye injuries, contamination, sea sickness in
      accordance with priorities.

1.3.4     Manage the medical care team.

1.3.5 Observed and recorded the condition of casualties with the use of
      observation charts and modified the treatment as required.

1.3.6 Prepared casualties for transfer from ERRV in accordance with procedures
      for casualty handling for walking and stretcher casualties.

1.3.7 Medically supervised the casualties during transfer from ERRV to the point of
      transfer handover by helicopter, FRC/other craft, transfer basket or port of
      call.

1.3.8     Communicated follow-up information to the receiving medical unit, including
          updated monitoring, triage and treatment information.

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REV. 1        01-Jul 2001    AMEND. 7     Jan- 2013

Underpinning Knowledge and Understanding

Within the limits of your responsibility you must be able to demonstrate that you know:
   Watch and Station Bill, equipment preparation, care (preparation, reception,
    assessment, triage, treatment), transfer (onboard and from vessel)
   Relevant methods of communication - intercom, telephone, hand held VHF, treatment
    room radio link, written/documentary, face to face
   Casualty handling methods
   Preparation and use of medical and non medical equipment
   IMDG code (medical first aid guide)
   Preparations of casualties for transfer
   The principle of supervision and management of human and medical resources

·         Theoretical Knowledge

          -            Principles and Priorities of First Aid (Primary and secondary survey
                       techniques)
          -            Anatomy and Physiology

·         Applied Medical Knowledge

          -            primary and secondary survey techniques
          -            cold and immersion injuries (drowning, near drowning, secondary drowning,
                       hypothermia, frostbite, contamination)
          -            resuscitation (EAR, CPR, recovery position, airway protection, oxygen
                       administration, choking)
          -            unconsciousness (causes, levels)
          -            shock (blood loss)
          -            burns and scalds
          -            fractures, dislocations and soft tissue injuries
          -            chest/abdominal injury
          -            blast injury
          -            control of pain
          -            eye injuries
          -            spinal injuries
          -            sea sickness
          -            casualty recording procedures
          -            head injuries
          -            crush injuries

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REV. 1        01-Jul 2001    AMEND. 7      Jan- 2013

·         Specialist Procedures

          -            IV infusions, cannulations (preparation, administration and monitoring)
          -            administration of injections
          -            use of suction
          -            hygienic wound dressing
          -            basic nursing care
          -            administration of eye drops
          -            establishing and monitor vital signs
          -            defibrillation

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© OPITO

REV. 1       01-Jul 2001    AMEND. 7      Jan- 2013

GUIDANCE TO THE ASSESSOR

          The Industry competence standard for ERRV Advanced Medical Aid describes
          competent performance and lays down the criteria by which competence should be
          demonstrated.

          It is essential that you read and understand this Section "Guidance to the Assessor"
          before you use this checklist.

         What is in this document?

          This assessor's checklist describes the evidence which an assessor should seek in
          order to make a judgement on each candidate's competence and also includes a
          Candidate Record.

         Where and how will candidates be assessed?

          Candidates will normally be assessed during simulated exercises which will be
          conducted at a suitable location. The assessment will take the form of observation
          of the tasks being performed supported where necessary by oral and/or written
          questions.

         Who can be an Assessor?

          Assessors must be:

                      • Discipline experts trained and qualified in assessment techniques.

          Assessors may be assisted by other assessors and competent instructors when
          gathering evidence on individual performance

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REV. 1      01-Jul 2001       AMEND. 7    Jan- 2013

         How does an Assessor use this Checklist and Candidate Record?

                (a)       Check candidate's name and enter the candidate's name and
                          company on the checklist and candidate record.

                (b)       Prior to the assessment taking place you (the assessor) must:-

                          •      make the candidate(s) aware that they are to be assessed.
                          •      ensure that the candidate(s) understands the standard which
                                 they will be assessed against.
                          •      ensure that the assessment site and conditions for
                                 assessment are suitable.

                (c)       Having ensured (a) and (b) you (the assessor) should clearly detail to
                          the candidate(s) the task(s) to be performed indicating also how you
                          intend to gather evidence (e.g. observation of simulated exercises, oral
                          or written questions, witness statements).

                (d)       Allow an opportunity for feedback from the candidate prior to the
                          assessment.

                (e)       Start the assessment, allow the candidates to continue with the tasks
                          unless there is a breach of safety at which point the assessment should
                          be stopped. The exercise may continue when safety has been restored
                          in order to identify any future training or development needs.
                          Candidates should not be guided or prompted during the assessment,
                          however it may be necessary by using an appropriate questioning
                          technique to ensure the candidates have the necessary underpinning
                          knowledge and understanding to perform the tasks effectively and
                          safely.

                (f)       In order to keep your own record when you are satisfied that the
                          Candidates have demonstrated competence in each task place a () in
                          the appropriate 'onshore' box on the checklist and indicate the source of
                          evidence by entering the code O, S, Q or W alongside the (). The
                          codes are shown at the bottom of each page of the checklist.

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REV. 1    01-Jul 2001      AMEND. 7     Jan- 2013

              (g)       Boxes which are shaded do not require to be assessed and therefore do
                        not require any mark.

              (h)       Tasks where a candidate cannot yet demonstrate competence should
                        be identified in the 'Remarks' space by the appropriate task reference
                        number. These reference numbers relate directly to the ERRV
                        Advanced Medical Aid Competence Standard.

              (i)       The 'Remark' may later be superseded by a 'now competent' statement
                        if, following further coaching and/or practice, the candidate is able to
                        demonstrate competence. However, there may be instances where a
                        candidate does not demonstrate competence during the period of this
                        programme.

              (j)       In such cases the details of any training and development needs which
                        have been identified should be entered in the appropriate place on the
                        Candidate Record.

              (k)       In making a judgement it may be necessary for you (the assessor)
                        to consult with other assessors who may also have witnessed the
                        candidate's performance.

                        The Assessor's Checklist is an aid to the assessor in making this
                        judgement.

              (l)       When candidates have been assessed for competence as Advanced
                        Medical Aider(s) the result of the assessment of each candidate must
                        then be transferred to the Candidate Record either in the 'Competent'
                        column as () or as NYC (Not yet Competent). An NYC result requires
                        training/development needs to be identified in the appropriate space.

              (m)       On completion of the programme you should sign-off the Candidate
                        Record.

              (n)       Following the assessment, you (the assessor) should comment to the
                        Candidate on the positive aspects of the candidates performance and
                        identify if appropriate the area where competence has not been
                        demonstrated and further training and development is required.

                        These training/development requirements should also be communicated
                        to the candidates employer.

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OPITO Approved Standard
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REV. 1      01-Jul 2001       AMEND. 7         Jan- 2013

SPECIMEN CHECKLIST

 RESPOND TO CASUALTIES ON LOCATION

 Ref:     Task                                                                      Onshore   Onboard   Source of
                                                                                                        Evidence
 1        Care for casualties on location
 1.1      Maintain state of readiness
 1.1.1    Clarify roles and responsibilities
 1.1.2    Contribute to drills and exercises
 1.1.3    Check equipment
 1.1.4    Record and confirm serviceability of equipment
 1.1.5    Establish and maintain working relationships
          Procedures: Company training and equipment checks and
          serviceability.
          Appropriate persons (working relationships): All crew
          members, external sources of medical assistance.
          Requirements: Vessel operator, duty holder, industry
          Equipment:      Medical & non medical equipment - in
          accordance with Industry Guidelines, Triage and recording
          documentation,     decontamination     showers,      survivor
          accommodation facilities.

 Remarks:

 Source of Evidence       O - Observation      S - Simulation     Q - Questioning     W - Witness

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REV. 1      01-Jul 2001       AMEND. 7      Jan- 2013

 RESPOND TO CASUALTIES ON LOCATION

 Ref:     Task                                                                   Onshore   Onboard   Source of
                                                                                                     Evidence
 1.2      Prepare to receive casualties
 1.2.1    Respond to alarms
 1.2.2    Don PPE
 1.2.3    Direct crew
 1.2.4    Establish and maintain communication
 1.2.5    Prepare to receive casualties
 1.2.6    Confirm readiness of facilities and equipment
 1.2.7    Respond to instructions
          Alarms: Bells, klaxons, whistles, siren, vocal.
          Procedures: Watch and Station Bill, Emergency Procedures,
          Standing Orders.
          Appropriate Persons: (Facilities) Master, OOW
          Appropriate Persons (Communications): Master Mate, ship
          to shore medical radio link, installation/rig medic.
          Appropriate Persons (Instructions): Master, Mate, external
          medical advisors.

 Remarks:

 Source of Evidence       O - Observation   S - Simulation     Q - Questioning     W - Witness

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REV. 1      01-Jul 2001       AMEND. 7      Jan- 2013

 RESPOND TO CASUALTIES ON LOCATION

 Ref:     Task                                                                   Onshore   Onboard   Source of
                                                                                                     Evidence
 1.3      Receive and treat casualties
 1.3.1    Receive and assess casualties and make onboard transfers of
          casualties
 1.3.2    Record details of casualties
 1.3.3    Treat casualties
 1.3.4    Observe casualties and record observations. Modify treatment
 1.3.5    Prepare casualties for transfer from ERRV
 1.3.6    Medically supervise casualty during transfer from ERRV to
          point of handover
 1.3.7    Communicate follow-up information
          Procedures: Triage, casualty handling.
          Recording: Triage cards, observation charts
          Onboard transfer: Walking casualty, stretcher casualty
          Details of Casualty:        Identification, nature of injuries,
          treatment, triage category.
          Methods of transfer: By helicopter, FRC/other craft, basket,
          port call.
          Medical Treatment: Resuscitation, Management of:- cold and
          immersion injuries, unconsciousness, blood loss, burns/scalds,
          fractures/dislocation, pain, eye injuries, contamination, sea
          sickness
          Follow-up Information: Updated monitoring, triage and
          treatment information.

 Remarks:

 Source of Evidence       O - Observation   S - Simulation     Q - Questioning     W - Witness

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CANDIDATE RECORD

 RESPOND TO CASUALTIES ON LOCATION

 Candidate Name:

 Company

 Training and Development Needs:

 Declaration: The person named was assessed by me against the criteria and range indicated and in accordance
 with the assessment guidance.

 I consider the above person *has/*has not achieved a level of competence to enable him/her to join an Offshore
 ERRV as an Advanced Medical Aider for further vessel specific training and development.

 *I consider the above person requires further training and development as identified above.
 Assessor's Name                         Signature                                Date

* delete whichever does not apply

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REV. 1     01-Jul 2001    AMEND. 7      Jan- 2013

C         TRAINING PROGRAMME

          The information in this section is for trainers. Firstly, it provides the requirements
          for initial and further training which includes programmes to enable candidates to
          acquire the necessary knowledge and skills which underpin the tasks to be
          performed.

C.1       Advanced Medical Aid Programme

C.1.1     Target Group

          This programme is designed to meet the emergency response training and
          assessment requirements for a ERRV's Advanced Medical Aider.

C.1.2     Delegate Prior Achievement

          Attendance on this training course is only open to delegates whose Personal
          Record shows attendance at an Initial Shipboard Operations Training Programme.

C.1.3     Training Outcomes

          Delegates following a series of explanations, demonstrations and opportunities to
          practise, will as candidates be assessed against the standards relating to the
          following training outcomes:

C.1.3.1 Maintaining a state of readiness

C.1.3.2 Preparing to receive casualties

C.1.3.3 Receiving and treating casualties

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REV. 1     01-Jul 2001     AMEND. 7      Jan- 2013

C.1.4     Training Programme

          In order to make efficient use of the time and ensure effective learning there
          should, whenever practicable, be an integration of the three phases of explanation,
          demonstration and practice. During the training and assessment programme
          delegates must be guided in and practise facilitating, appraisal, leadership and
          team working techniques which will be required of them during the ongoing
          onboard training and development programme and when responding to an
          emergency. The training programme outlined below will assist delegates to meet the
          stated outcomes. Contents in Appendix 1 must be covered prior to course
          commencement.

C.1.5     Give an overview of ERRV Medical Aid Operations including

          a) the role and function of the ERRV Advanced Medical Aider
          b) the interaction of onboard and external sources of medical aid.

C.1.6     Give an explanation of:-

          a) Principles and priorities of first aid
          b) Anatomy and physiology

C.1.7     Give an explanation and demonstration of:-

          a)    The preparation and use of medical equipment including inspection and
                serviceability
          b)    Donning PPE
          c)    The use of communications equipment
          d)    Receiving casualties
          e)    Examining casualties
          f)    Applying triage
          g)    Preparing for onboard transfer
          h)    Initiating documentation
          i)    Treating casualties (applied medical knowledge, specialist procedures*
                expected of AMA)
          j)    Observing and recording condition of casualties
          k)    Preparing and transferring casualties from the ERRV
          l)    Leadership and teamworking, facilitating and appraisal techniques expected of
                an Advanced Medical Aider.

*Note:    It is expected that the AMA will be able to use the equipment provided for IV
          infusions and cannulation. The decision on when this equipment is to be used by the
          AMA will be made by a Medical Practitioner or similarly medically qualified person.
          The Medical Practitioner will provide instruction and supervision of the AMA either
          directly or via radio.

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C.1.8     Delegates to practise C.1.7 a) to l) inclusive
C.1.9     Assessment
C.1.9.1 Assessment of delegates will be a summation of the following components:-

          a)    Initial assessment
          b)    Continuous assessment
          c)    Final assessment by an external assessor.

C.1.9.2 The purpose of the initial assessment is to establish the retention of knowledge and
        understanding in relation to previous ERRV medical aid training. This will be
        achieved by an oral and or written questionnaire at course commencement.
          The purpose of the continuous assessment is to ensure delegates are acquiring the
          necessary skills, knowledge and understanding of the medical and care aspects
          being covered. This will be achieved by direct observation of practical work and by
          oral/written questioning.
          The final assessment, will be conducted by an external assessor assisted by
          course instructional staff. It will take the form of direct observation of scenario
          based exercises supplemented by oral questioning.
          Documentary evidence of the initial and continuous assessment will be provided for
          the external assessor's consideration.

C.1.10 Duration of Training and Assessment

          The optimum 'contact time' for the training and assessment is 38 hours. Contact
          time does not include course administration, lunch and refreshment breaks.

          Theoretical and practical components should be given equal emphasis.

          The total contact time per day shall not exceed 8 hours. The total training day shall
          not exceed 10 hours (the total training day includes contact time, coffee and meal
          breaks and travel between training sites where applicable).

C.1.11 Course Handouts to Delegates

          Delegates should be issued with course notes for Advanced Medical Aid Training
          when the course commences. These notes should be suitable for use as a
          reference manual during and following the course. The manual should be current
          and supported with supplementary information covering the following topics:-

                Leadership
                Teamwork
                Facilitating
                Appraisal techniques

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REV. 1     01-Jul 2001    AMEND. 7    Jan- 2013

C.2       Advanced Medical Aid Further Programme

          This programme is designed to meet the updating, further practice and assessment
          requirements for an Advanced Medical Aider. It should be undertaken within 2
          years of qualification as an Advanced Medical Aider and at periods not exceeding 2
          years thereafter.

C.2.1     Delegate Prior Achievement

          Attendance on this programme is open to delegates who are in possession of a
          valid ERRV Crew Advanced Medical Aid certificate or are able to produce evidence
          of achieving the outcomes in C.1.3 of this document.

C.2.2     Training Outcomes

          Delegates will have previously demonstrated their knowledge and skills and will
          have been assessed as competent Advanced Medical Aiders.           During this
          programme they will be given the opportunity to demonstrate, as detailed below,
          the knowledge and the actions they are required to take as an Advanced Medical
          Aider.

C.2.2.1 Maintaining a state of readiness.

C.2.2.2 Preparing to receive casualties.

C.2.2.3 Receiving and treating casualties.

C.2.3     Training Programme

          The training provider in meeting the outcomes C.2.2.1 to C.2.2.3 will offer the
          delegate the maximum opportunity to consolidate previous skills, knowledge and
          understanding. Relevant recent medical advances will be included. During the
          training and assessment programme delegates must be given the opportunity to be
          guided in and practise facilitating, appraisal, leadership and teamworking
          techniques which will be required of them during the ongoing onboard training and
          development programme and when responding to an emergency.                 Where
          necessary delegates should receive further training or coaching.

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REV. 1     01-Jul 2001    AMEND. 7     Jan- 2013

C.2.4     Assessment

C.2.4.1 Assessment of delegates will be a summation of the following components:-

          a)    Initial assessment
          b)    Continuous assessment
          c)    Final assessment by an external assessor.

C.2.4.2 The purpose of the initial assessment is to establish the retention of knowledge and
        understanding in relation to previous ERRV medical aid training. This will be
        achieved by an oral and or written questionnaire at course commencement.

          The purpose of the continuous assessment is to ensure delegates are acquiring the
          necessary skills, knowledge and understanding of the subject matter being
          covered. This will be achieved by direct observation of practical work and by
          oral/written questioning.

          The final assessment, will be conducted by an external assessor assisted by
          course instructional staff. It will take the form of direct observation of scenario
          based exercises supplemented by oral questioning.

          Documentary evidence of the initial and continuous assessment will be provided for
          the external assessor’s consideration.

C.2.5     Duration of Training and Assessment

          The optimum 'contact time' for the training and assessment is seen as 15 hours.
          Contact time does not include course administration, lunch and refreshment
          breaks.

          Theoretical and practical components should be given equal emphasis.

          The total contact time per day shall not exceed 8 hours. The total training day shall
          not exceed 10 hours (the total training day includes contact time, coffee and meal
          breaks and travel between training sites where applicable).

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REV. 1     01-Jul 2001      AMEND. 7      Jan- 2013

D         RESOURCES

          In order that a competence programme may be delivered successfully it is essential
          that the right people are there to support the programme and that the appropriate
          facilities and equipment are in place.

D.1       Staff

D.1.1     Qualifications & Experience

D1.1.1 Instructional Staff

          All instructional staff must be,

          (a)     Either a Medical Practitioner or Registered General Nurse or services
                  equivalent with a knowledge and experience of offshore ERRV crew working
                  conditions and also have a knowledge and understanding of pre hospital
                  care.

          (b)     Trained in instructional/lecture           techniques   and/or   have   proven
                  instructing/teaching experience.

          (c)     Included in an ongoing staff training programme, which includes visits to
                  operational ERRVs, to enable them to maintain and update skills and
                  knowledge.

D.1.1.2 Assessors

          All Assessors must be:

          (a)     Discipline experts trained and qualified in assessment techniques.

D.1.1.3 All Staff

          (a)     All staff must have the appropriate competencies to conduct/assist the element
                  of training being conducted.

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REV. 1     01-Jul 2001      AMEND. 7   Jan- 2013

D.1.2     Instructor and Assessor/Delegate Ratio

          (a)   It is recommended that the maximum number of delegates attending this
                programme is 12.

          (b)   The following ratios indicate the maximum number of delegates to be
                supervised by one Instructor at any one time during each activity.

                Theory                 12

                Demonstration          12

                Practical              6

                Assessor/Delegate      1

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REV. 1       01-Jul 2001   AMEND. 7     Jan- 2013

D.2       Facilities

          Different facilities may be required and it is important to make sure that these are
          available.

          Administration arrangements to support          delegates   from   booking   through
          registration and assessment to certification.

          Theory training area(s) so designed to enable each delegate to participate fully in
          the subject matter being taught.

          Demonstration and Practical training areas so designed to enable each delegate to
          participate fully in the activities identified in the training programme.

          Assessment areas suitable for any individual assessment of candidates required.

All facilities must be maintained, and where appropriate, inspected and tested in
accordance with current standards/legislation.

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REV. 1     01-Jul 2001    AMEND. 7     Jan- 2013

D.3       Equipment

          The following equipment, which must be of a type currently prescribed for offshore
          ERRVs, must be available for use and maintained to ensure effective operation/use
          during training sessions

          Medical Equipment for Training and Demonstration Purposes -

          T     = Delegate to use
          D     = Delegate to show
          (1)   = Number required

                                                           T             D              ( )

          Buprenorphine                                                  
          - 0.2mg tablets
          - injection 0.3mg (as hydrochloride) per ml,
            1ml ampoule
          Hyoscine Hydrobromide                                          
          - 0.3mg tablets
          - injection 0.6mg in 1ml
          Liquid Paraffin Eyedrops                                       
          - 5ml dropper bottle or sterile plastic
            sachets.
          (Caster Oil single dose sachets with dropper
          acceptable in lieu)
          Modified Gelatine Infusion Solution              
          - 500ml container for plasma substitution
          Paracetamol Tablets                                                   
          Sterile Eye Irrigation Fluid                                   
          - 500ml
          Airways                                          
          - Laerdal Pocket Mask, Model 82 00 11
          - Laryngeal Mask Airway, Size 4
          - Airway Trainer                                                              (1)
          - Guedal airway
          Back-board                                       
          - Ferno KED or equivalent

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REV. 1     01-Jul 2001   AMEND. 7     Jan- 2013

                                                           T   D   ( )

          Defibrillator                                    
          - automated external defibrillator approved
            by the supplier for use by personnel with
            minimum CPR and basic resuscitation skills
            in a ERRV at sea.
          Fluid Giving Sets                                
          - intravenous entry set for fluids
          Oxygen/Nitrous Oxide Set                         
          - O2/N2O Analgesic apparatus consisting of
            regulator, long hose, demand valve,
            standard size face mask and fully charged
            cylinder with key plus spare fully charged
            cylinder
          Oxygen-Giving Equipment                          
          - oxygen cylinders size F
          - pressure regulators for oxygen cylinders
            with adjustable flowmeter
          - 2m lengths oxygen tubing
          - cylinder keys
          - oxygen disposable face masks
                                         - 35%
                                         - 50%
                                         - 100%
          Manual Resuscitator                              
          - hand operated manual adult bag
            resuscitator (bag to be of silicone rubber)
            complete with oxygen reservoir of 2600ml
            capacity and face mask Size 5
          Scissors/Shears                                  
          - stainless steel scissors BS 3646
          - tough-cut shears for cutting clothing
          Sphygmomanometer                                 
          - fully automatic, battery operated type
            operating on oscillometric principle with
            automatic inflation and deflation providing
            digital read-out. Complete with spare
            set of batteries.
          Splints                                          
          - Listons thigh splint, 140cm
          - inflatable, set of 4 comprising half-leg,
            full-leg, half-arm and full-arm.
          - set of common splints (fracstraps acceptable
            in lieu)
          - Skeleton (slides and OHP acceptable)           
          Stethoscope                                      

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REV. 1     01-Jul 2001    AMEND. 7      Jan- 2013

                                                             T   D   ( )

          Suction Pumps                                      
          - electric suction pump complete with
            Yankauer suction catheters and flexible
            catheters size FG14
          - manual suction pump
          Surgical Collars                                   
          - Stifneck pattern or equivalent
                         - short
                         - regular
                         - tall
                         - noneck or adjustable equivalent
          NB. Adjustable collars able to achieve all
          three sizes will be accepted in lieu but the
          total of 15 must still be met.
          Syringes                                           
          - disposable syringe and needle in sterile
            sealed pack to BS 5081. Capacity 2ml
            with 21g, 4cm needle.
          Thermometers                                       
          - normal range (35 - 42C.) digital, battery
            operated, 3 digit display. Complete with
            spare battery and plastic sleeve with pocket
            clip.
          - sub-normal range, low body temperature,
            BS691 in durable case marked with
            contents
          Stretchers                                         
          - basket type with patient straps and webbing
            lifting strops.
          - Dummies                                                  (6)
          Surgical Gloves                                    
          - latex, disposable
                         - medium size
                         - large size
          Survivor Packs                                         
          - plastic carrier bag containing blanket
            (single size), disposable boiler suit, woollen
            socks and bath towel.
          Swabs                                                  
          - medical spirit type packed in foil sachets.
          Transfer Bags                                          
          - insulated, for personnel transfer to
            helicopter or ship
          Triage Priority Cards                              

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REV. 1     01-Jul 2001    AMEND. 7     Jan- 2013

                                                             T   D   ( )
          - Cruciform, International Standard, triage card
            in waterproof plastic bag
          Urine Bottles                                          
          - disposable
          Vomit Bags                                             
          Waste Disposal Bags                                    
          - for the disposal of clinical waste, self
            sealing, S.A.F.A. or equivalent, size Large
          Wound Cleansing Fluid                              
          - sterile solution of Cetrimide 0.15% and
            Chlorhexidine Gluconate 0.015% in 25ml
            sachets.
          Wristbands                                         
          - durable plastic survivor identification
          Bandages                                           
          - elastic, adhesive, 7.5cm x 4m
          - triangular calico, BP, with sides
            approx. 90cm and 127 cm
          - tubular gauze bandage, finger dressing,
            20m with applicator
          - conforming, BP, individual wrapped
                         - 5cm x 3m
                         -7.5 cm x 3m
          Cotton Wool                                        
          - hospital quality, 500gm packs
          Dressings                                          
          - clingfilm, rolls, approx. 30cm x 5m
          - porous paper type adhesive tape,
            rolls 2.5cm x 5m
          - elastic adhesive medicated dressings,
            mixed sizes
          - wound dressings, standard BPC.
                         - medium plain, 14 BPC
                         - large plain, 15 BPC
                         - extra large, 28cm x 17cm
          Gauze Swabs                                            
          - gauze cotton, absorbent, BP, type 13. 8ply,
            7.5cm x 7.5cm, sterile packets of 100
          Zinc Oxide Tape                                        
          - 2.5cm x 5m spools
          Apron                                              
          - plastic, disposable
          Bed-Pan                                                
          - disposable type

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REV. 1     01-Jul 2001    AMEND. 7      Jan- 2013

                                                           T   D   ( )
          - shelves for above
          Blankets                                             
          - wool, single size
          Body Bags                                            
          - 7ft, opaque, plastic with zip closure
          Instrument Trolley                               
          Lubricating Jelly                                    
          - for endotracheal intubation, 42g tubes
          Pens                                                 
          - fine point with water-resistant ink for
            survivor record.
          Pillows                                              
          - with plastic covers
          Resuscitation Manikin                                   (2)
          - suitable for cardio-pulmonary resuscitation
            and peripheral IV access practice.
            Complete with two sets each of replacement
            pads for hand and arm IV access practice.
          - Anatomical Torso
          Safety pins                                      
          - 5cm, rustless
          Sharps Disposal Box                              
          - BS7320, capacity 5 litre
          Sleeping Bags                                        
          - acrylic filled, washable, zip closure

          RESUSCITATION/IV PACK                                   (1)
          Bandages
          - elastic, adhesive, 7.5cm x 4m
          - conforming, BP, individually wrapped,
            7.5cm x 3m
          Fluid giving sets
          - intravenous entry set for fluids
          Guedal Airway, BS292
                 - size 3
                 - size 4
          Intravenous infusion canula
          - with Luer-lok injection port in sterile
            pack (Venflon)
                          - size 14g
                          - size 16g
                          - size 18g
          Pens
          - fine point with water resistant ink for
            survivor record

© OPITO                                    Page 33 of 37
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REV. 1     01-Jul 2001    AMEND. 7     Jan- 2013

                                                             T   D   ( )
          Plain Blood Tube
          - size 10ml
          Scissors/Shears
          - stainless steel scissors, BS 3646
          - tough-cut shears for cutting clothing
          Sodium Chloride
          - for intravenous infusion, 0.9% in 500ml
            container
          Tourniquets
          - Velcro, for setting up intravenous drips
          Triage Priority Cards
          - Cruciform, International Standard, triage card
            in waterproof plastic bag
          Wound Cleansing Fluid
          - sterile solution of Cetrimide 0.15% and
            Chlorhexidine 0.015% in 25ml sachets
          Zinc oxide tape
          - 1.25 cm x 5m

          AIRWAY MANAGEMENT PACK                                    (1)
          Bandage
          - gauze ribbon, BP, 2.5cm x 10m
          Catheter Mount
          - size 3.5in
          Endotracheal Flexible Introducer
          Endotracheal Tube
          - cuffed, disposable size 7
          - “                 “ size 8
          - “                 “ size 9
          Gauze Swabs
          - gauze cotton, absorbent BP, type 13,
            8 ply, 7.5cm, sterile packets of 100
          Guedal Airway
                - size 3
                - size 4
          Laryngoscope
          - Macintosh type with adult blade, 4 sets
            long-life batteries and spare bulb
          Lubricating Jelly
          - for endotracheal intubation, 42g tubes
          Magill’s Forceps
          Pens
          - fine point with water resistant ink for
            survivor record
          Syringe
          - disposable, 10ml

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REV. 1     01-Jul 2001    AMEND. 7      Jan- 2013

                                                          T            D             ( )

          Triage Priority Cards
          - Cruciform, International Standard, triage
            card in waterproof plastic bag
          Zinc Oxide Tape
          - 1.25cm x 5m spool
          - 2.5cm x 5m spool
          The wrapping or container for each pack is
          to be transparent and re-sealable such that
          the contents may be either verified without
          removal or renewed.
          Each pack is to be clearly labelled with its
          purpose and contents.

          FRC MEDICAL EQUIPMENT                                                     (1)
          Airway                                          
          - complete with flexible junction between
            casualty’s mouth and person providing
            resuscitation, e.g. Canada Mask and
            Tube
          First Aid Box
          - as per “M” Notice 1607
          Hypothermia Blankets
          - lightweight foil pattern
          Surgical Collar                                 
          - stifneck pattern or equivalent in short,
            regular and tall sizes
          NB. Adjustable types able to achieve all
          three sizes will be accepted but the total
          of three must still be met.

The FRC Medical equipment noted is to be kept in watertight containers and placed in each
FRC before launching.

© OPITO                                   Page 35 of 37
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REV. 1      01-Jul 2001    AMEND. 7     Jan- 2013

E.        GENERAL REQUIREMENTS

          Training Establishments are responsible for the following;

          (a)   Each individual attending any OPITO accredited course completing a Central
                Register (CR) registration form. This form must be returned by the training
                establishment to the OPITO on a weekly basis.

          (b)   All Joining Instructions contain information which indicate certain aspects of
                the course are of a physical nature. Also the responsibility for the individual
                completing the course without any adverse effects to their present state of
                health lies with the individual and/or company sponsoring the delegate.
                Where doubt exists regarding the medical fitness of any delegate the
                establishment should seek the advice of a medical officer.

          (c)   Prior to each course commencing delegates sign a declaration indicating they
                have read and understood a written statement regarding the physical nature
                of the training and the need for persons to be in good health. Instructional
                staff should also read out the above statement at this time.

          (d)   Appropriate medical facilities.

          (e)   For all lessons, written statements of Organisation which clearly define
                responsibilities and relationships for all staff either directly or indirectly
                involved.

          (f)   Ensuring all training and supporting activities are carried out in accordance
                with current legislation.

© OPITO                                    Page 36 of 37
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REV. 1      01-Jul 2001   AMEND. 7    Jan- 2013

Appendix 1 OPITO Information

The topics listed below are to be delivered as part of the introduction to this course and
included in the Lesson Plans/Instructor guides/Exercise Plans. Additional introduction topics
may include training centre layout and alarms, emergency actions, first aid and domestic
arrangements.

Mandatory OPITO Information:

   a)     Medical Fitness
   b)     Certification Periods
   c)     CR/Vantage (provided by OPITO)
   d)     OPITO Customer Service Statement (provided by OPITO)
   e)     The roles of employers and training providers (provided by OPITO)
   f)     What is OPITO’s role in industry? (provided by OPITO)
   g)     Current Global Network of training providers (provided by OPITO)
   h)     Emergency Response Framework (provided by OPITO – applicable for ER Training
          Providers)

© OPITO                                 Page 37 of 37
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