OPITO APPROVED STANDARD - ERRV Crew Advanced Medical Aid OPITO Standard Codes
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OPITO APPROVED STANDARD
ERRV Crew Advanced Medical Aid
OPITO Standard Codes
ERRV Crew Advanced Medical Aid: 6130
ERRV Further Crew Advanced Medical Aid: 6135OPITO 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 37OPITO 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 37OPITO Approved Standard
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© 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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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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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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FUNCTIONAL MAP
© OPITO Page 7 of 37OPITO Approved Standard ERRV Crew Advanced Medical Aid © OPITO 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 © OPITO Page 8 of 37
OPITO Approved Standard
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© OPITO
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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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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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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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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· 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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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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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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(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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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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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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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
© OPITO Page 19 of 37OPITO Approved Standard ERRV Crew Advanced Medical Aid © OPITO REV. 1 01-Jul 2001 AMEND. 7 Jan- 2013 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 © OPITO Page 20 of 37
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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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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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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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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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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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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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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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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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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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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 - 42C.) 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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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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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
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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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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.
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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 37OPITO Approved Standard
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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)
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