OPITOAPPROVEDSTANDARD ERRVCrewAdvancedMedicalAid

OPITOApprovedStandard ERRVCrewAdvancedMedicalAid
OPITO
REV.1 01Jul2001 AMEND. 6 08June2010

ThisStandardwasdevelopedbyanIndustryWorkGroupcoordinatedby OPITO. The following organisations were represented on the Work Group:

TheEmergencyResponseandRescueVesselAssociationLtd(ERRVA) HealthandSafetyExecutive(HSE) TrainingProviders WorkplacePractitioners

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

GuidanceandadviceonthisStandardisavailablebycontacting

OPITO MinervaHouse BruntlandRoad Portlethen Aberdeen AB124QL Tel:01224787800 Fax:01224787830 Email:standards.management@opito.com OPITO
All rights reserved. No part of this publication may be reproduced, stored in a retrievalorinformationstoragesystem,ortransmitted,inanyformorbyanymeans, mechanical, photocopying, recording or otherwise, without the prior permission in writingofthepublishers.

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AMENDMENTS
AMENDMENT&DATE
1 2

PAGES

CHANGES MADEBY I.Emslie T.Wilson

T.Wilson T.Wilson

CHECKEDBY APPROVED BY G.Clark P.Crowther

J.Cameron J.Cameron

02/06 Change Cogent to Various OPITOandSBVtoERRV 271207 Changed to new All

OPITO logo updated header, title page&numberingscheme Simplifiedassessorqualifications 14,26 171108 Addedrevisionbartoheader Allexcept 11Dec2008 titlepage Changedheadertoreflect amendmentnumberingscheme 11Dec2008 ReplacedUKOOAwithOil&Gas UKandremovedreferenceto Cogent08June2010 Allexcept titlepage 2

I.Emslie P.Crowther
J.Cameron M.Duncan

3 4

T.Wilson

J.Cameron

M.Duncan J.Cameron

L.Geddes

M.Carr

AnyamendmentsmadetothisstandardbyOPITOwillberecordedabove.

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OPITOApprovedStandard ERRVCrewAdvancedMedicalAid
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CONTENTS
SECTIONA INTRODUCTION DevelopmentofStandard PerformanceAssessment Certification&Recording SECTIONB FUNCTIONALMAP COMPETENCESTATEMENTS Overview TheStatements GUIDANCEFORASSESSORS AssessingCandidates Checklists SECTIONC TRAININGPROGRAMME InitialTraining SECTIOND RESOURCES Staff Facilities Equipment SECTIONE GENERALREQUIREMENTS

PAGE

5 6 6

8 913

1416 1720

2125

2627 28 2935

36

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Introduction
Thisdocumentintroducesanddescribesthecompetencestatementsandsafetytraining forERRVCrewAdvancedMedicalAid.Itexplainshowcompetenceshallbeassessed andcertificated. The industry recognises that a major objective is to prevent incidents occurring and if theydotocontrolandminimisetheireffect. Thepurposeofthisdocumentistosetoutthenature,objectivesandtheframeworkfor the emergency response training and assessment requirements for ERRV Crew AdvancedMedicalAiderswhichwillbeconductedatanonshoretrainingestablishment. Training Establishments should recognise that this is only part of a broader training programmewhichincludesongoingonboardtrainingandassessment. All personnel undertaking this training will have completed a ERRV Crew Initial ShipboardOperationsTrainingProgramme.

A.1

DevelopmentofStandard
TheStandardhasbeendevelopedusinganationalcompetencemodel.Thisinvolved the analysis of functions required to handle an emergency offshore from which StatementsofCompetenceweredeveloped.TheseStatementsspecifywhatpersonnel arerequiredtodoinanemergency. A Functional Map and the Competence Statements are part of this document (SectionB). Usingthiscompetencebasedprocess,thefollowingwereidentifiedanddeveloped: WhatAMAsareexpectedtodo. Theknowledgeandskillstheywouldrequiretoenablethemtodo whatwasexpectedofthem Howtheycoulddemonstratewhatwasexpectedofthem. Howtheirperformancewouldbeassessed.

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 benefitsbeingfocusedandeffectivetraining. OPITO, as custodian has a responsibility to industry to maintain, develop and update thesestandards.

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A.2

PerformanceAssessment
Delegates attending this training and assessment programme (referred to as candidates during assessment) will be given a series of explanations and demonstrationswhichwillidentifywhattheyareexpectedtoknowanddo.Thiswill be followed by practical exercises which will allow delegates to demonstrate their skills,knowledgeandunderstandingoftheiremergencyresponserole.Assessment ofthedelegates'performancewillbeagainstthestatedtrainingoutcomes. AspecimenAssessor'sChecklistwithguidanceisprovided(SectionB).Assessors shouldusethis,orothersuitabledocument,torecordthecandidate'sperformance. If required, further time and opportunity for coaching will be given to delegates to enablethemtoreachthestandardleadingtotheawardofacertificate. However, thetimeavailableforthisduringaprogrammeislimitedanditshouldberecognised theremaybeoccasionswhereotherarrangementsneedtobemade.

A.3

Certification&Recording
Followingsatisfactorycompletionofthetotaltrainingprogramme,whichmayincludefor someindividualsadditionalcoaching,thetrainingproviderwillregisterthecandidatewith theOPITOCentralRegister. Onreceiptoftheregistration,OPITOwillissuetheindividualaPersonalRecord

A.4

AdvancedMedicalAidTraining
Onshore ERRV CrewAdvancedMedicalAidtrainingcomprisestwoprogrammes, a) b) AdvancedMedicalAidProgramme AdvancedMedicalAidFurtherProgramme

asdescribedinsectionC.

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FUNCTIONALMAP

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KeyRole:

RespondtoCasualtiesonLocation

Unit1:
Element1.1:

Careforcasualtiesonlocation
Maintainstateofreadiness

Element1.2:

Preparetoreceivecasualties

Element1.3:

Receiveandtreatcasualties

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Unit1: Element1.1

Careforcasualtiesonlocation Maintainstateofreadiness

This element is about contributing to drills and exercises and maintaining a state of readiness. StandardsofPerformance
Inachievingthiselementyouwillhave: 1.1.1 Clarified to all crew members their roles and responsibilities within the proceduresforcompanytraining. 1.1.2 Contributed to drills and exercises in accordance with the requirements of thevesseloperator,dutyholderandindustry. 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 Recordedserviceabilityofequipmentandconfirmedthestatustothemaster ofthevesselinaccordancewithprocedures. 1.1.5 Established effective working relationships and structure with all crew membersandexternalsourcesofmedicalassistance.

UnderpinningKnowledgeandUnderstanding
Withinthelimitsofyourresponsibilityyoumustbeabletodemonstratethatyouknow: WatchandStationBillandEmergencyProcedures Companyandindustrytrainingrequirements Medicalandnonmedicalequipmentinspection,serviceability,recordingofchecks Leadership,teamworking,coachingandappraisaltechniques IndustryGuidelines(Survey&ManagementofOperations)

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Element1.2:

Preparetoreceivecasualties

Thiselementisaboutrespondingtoalarmsandpreparingtoreceivecasualties StandardsofPerformance
Inachievingthiselementyouwillhave: 1.2.1 Respondedtoalarmbells,klaxons,whistles,siren,vocalsinaccordancewith emergencyprocedures,standingordersandthewatchandstationbill. 1.2.2 DonnedyourPPEinaccordancewithemergencyprocedures. 1.2.3 Directed the relevant crew members to undertake tasks in accordance with priorities and emergency procedures, standing orders and the watch and stationbill. 1.2.4 Establishedandmaintainedeffectivecommunicationwiththemaster,mate, FRCCoxswaininstallation/rigmedicandtheshiptoshoremedicalradiolink in accordance with emergency procedures, standing orders and the watch andstationbill. 1.2.5 Made preparations to receive casualties in accordance with emergency procedures, standing orders and the watch and station bill (preparations to includemanagementofteamandtheprovisionofequipment). 1.2.6 Confirmed the readiness of facilities and equipment to the bridge, in accordancewithemergencyprocedures,standingordersandthewatchand stationbill. 1.2.7 Responded to communicationsfromthemaster,mateandexternalmedical advisorsinaccordancewithemergencyprocedures,standingordersandthe watchandstationbill.

UnderpinningKnowledgeandUnderstanding
Withinthelimitsofyourresponsibilityyoumustbeabletodemonstratethatyouknow:

Teammanagementtechniques Alarmresponseroutines Watch and Station Bill, equipment preparation, care (preparation, reception, assessment,triage,treatment),transfer(onboardandfromvessel) UseofPPE Preparationofmedicalandnonmedicalequipment Medicalcommunicationsbyradio Useofinternalcommunicationsequipment

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Element1.3

Receiveandtreatcasualties

This element is about receiving casualties onboard the vessel, assessing their conditionanddeliveringmedicaltreatment. StandardsofPerformance
Inachievingthiselementyouwillhave: 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 walkingandstretchercasualties. 1.3.2 Recorded by triage cards, the details of casualties identification, nature of injuries,treatmentcontinuedmonitoringandtriagecategory. 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 accordancewithpriorities. 1.3.4 Managethemedicalcareteam. 1.3.5 Observed and recorded the condition of casualties with the use of observationchartsandmodifiedthetreatmentasrequired. 1.3.6 Prepared casualties for transfer from ERRV in accordance with procedures forcasualtyhandlingforwalkingandstretchercasualties. 1.3.7 MedicallysupervisedthecasualtiesduringtransferfromERRVtothepointof transfer handover by helicopter, FRC/other craft, transfer basket or port of call. 1.3.8 Communicatedfollowupinformationtothereceivingmedicalunit,including updatedmonitoring,triageandtreatmentinformation.

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UnderpinningKnowledgeandUnderstanding
Withinthelimitsofyourresponsibilityyoumustbeabletodemonstratethatyouknow: Watch and Station Bill, equipment preparation, care (preparation, reception, assessment,triage,treatment),transfer(onboardandfromvessel) Relevant methods of communication intercom, telephone, hand heldVHF,treatment roomradiolink,written/documentary,facetoface Casualtyhandlingmethods Preparationanduseofmedicalandnonmedicalequipment IMDGcode(medicalfirstaidguide) Preparationsofcasualtiesfortransfer Theprincipleofsupervisionandmanagementofhumanandmedicalresources

TheoreticalKnowledge
Principles and Priorities of First Aid (Primary and secondary survey techniques) AnatomyandPhysiology

AppliedMedicalKnowledge
primaryandsecondarysurveytechniques coldandimmersioninjuries(drowning,neardrowning,secondarydrowning, hypothermia,frostbite,contamination) resuscitation (EAR, CPR, recovery position, airway protection, oxygen administration,choking) unconsciousness(causes,levels) shock(bloodloss) burnsandscalds fractures,dislocationsandsofttissueinjuries chest/abdominalinjury blastinjury controlofpain eyeinjuries spinalinjuries seasickness casualtyrecordingprocedures headinjuries crushinjuries

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SpecialistProcedures
IVinfusions,cannulations(preparation,administrationandmonitoring) administrationofinjections useofsuction hygienicwounddressing basicnursingcare administrationofeyedrops establishingandmonitorvitalsigns defibrillation

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GUIDANCETOTHEASSESSOR
The Industry competence standard for ERRV Advanced Medical Aid describes competentperformanceandlaysdownthecriteriabywhichcompetenceshouldbe demonstrated. ItisessentialthatyoureadandunderstandthisSection"GuidancetotheAssessor" beforeyouusethischecklist.

Whatisinthisdocument?
Thisassessor'schecklistdescribestheevidencewhichanassessorshouldseekin order to make a judgement on each candidate's competence and also includes a CandidateRecord.

Whereandhowwillcandidatesbeassessed?
Candidates will normally be assessed during simulated exercises which will be conductedatasuitablelocation.Theassessmentwilltaketheformofobservation of the tasks being performed supported where necessary by oral and/or written questions.

WhocanbeanAssessor?
Assessorsmustbe: Disciplineexpertstrainedandqualifiedinassessmenttechniques. Assessors may be assisted by other assessors and competent instructors when gatheringevidenceonindividualperformance

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HowdoesanAssessorusethisChecklistandCandidateRecord?
(a) Check candidate's name and enter the candidate's name and companyonthechecklistandcandidaterecord. Priortotheassessmenttakingplaceyou(theassessor)must: makethecandidate(s)awarethattheyaretobeassessed. ensure that thecandidate(s)understandsthestandardwhich theywillbeassessedagainst. ensurethattheassessmentsiteandconditionsfor assessmentaresuitable.

(b)

(c)

Havingensured(a)and(b)you(theassessor)shouldclearlydetailtothe candidate(s)thetask(s)tobeperformedindicatingalsohowyouintendto gatherevidence(e.g.observationofsimulatedexercises,oralorwritten questions,witnessstatements). Allow an opportunity for feedback from the candidate prior to the assessment. Start the assessment, allow the candidates to continue with the tasks unlessthereisabreachofsafetyatwhichpointtheassessmentshould bestopped.Theexercisemaycontinuewhensafetyhasbeenrestored inordertoidentifyanyfuturetrainingordevelopmentneeds.Candidates should not be guided or prompted during the assessment, however it may be necessary by using an appropriate questioning technique to ensurethecandidateshavethenecessaryunderpinningknowledgeand understandingtoperformthetaskseffectivelyandsafely. In order to keep your own record when you are satisfied that the Candidateshavedemonstratedcompetenceineachtaskplacea()in theappropriate'onshore'boxonthechecklistandindicatethesourceof evidence by entering the code O, S, Q or W alongside the (). The codesareshownatthebottomofeachpageofthechecklist.

(d)

(e)

(f)

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(g)

Boxeswhichareshadeddonotrequiretobeassessedandthereforedo notrequireanymark. Taskswhereacandidatecannotyetdemonstratecompetenceshouldbe identified in the 'Remarks' space by the appropriate task reference number.Thesereferencenumbersrelatedirectlytothe ERRV Advanced MedicalAidCompetenceStandard. The'Remark'maylaterbesupersededbya'nowcompetent'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. Insuchcasesthedetailsofanytraininganddevelopmentneedswhich have been identified should be entered in theappropriateplaceonthe CandidateRecord. Inmakingajudgementitmaybenecessaryforyou(theassessor)to consult with other assessors who may also have witnessed the candidate'sperformance. The Assessor's Checklist is an aid to the assessor in making this judgement.

(h)

(i)

(j)

(k)

(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' columnas(3)orasNYC(NotyetCompetent).AnNYCresultrequires training/developmentneedstobeidentifiedintheappropriatespace. On completion of the programme you should signoff the Candidate Record. 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 demonstratedandfurthertraininganddevelopmentisrequired. Thesetraining/developmentrequirementsshouldalsobecommunicated tothecandidatesemployer.

(m)

(n)

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SPECIMENCHECKLIST
RESPONDTOCASUALTIESONLOCATION

Ref: 1 1.1 1.1.1 1.1.2 1.1.3 1.1.4 1.1.5

Task Careforcasualtiesonlocation Maintainstateofreadiness Clarifyrolesandresponsibilities Contributetodrillsandexercises Checkequipment Recordandconfirmserviceabilityofequipment Establishandmaintainworkingrelationships Procedures: Companytrainingandequipmentchecksand serviceability. Appropriate persons (working relationships): All crew members,externalsourcesofmedicalassistance. Requirements: Vesseloperator,dutyholder,industry Equipment: Medical & non medical equipment in accordance with Industry Guidelines, Triage and recording documentation, decontamination showers, survivor accommodationfacilities.

Onshore

Onboard

Source of Evidence

Remarks:

SourceofEvidenceOObservationSSimulationQQuestioningWWitness

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RESPONDTOCASUALTIESONLOCATION

Ref:

Task

Onshore

Onboard

Source of Evidence

1.2 1.2.1 1.2.2 1.2.3 1.2.4 1.2.5 1.2.6 1.2.7

Preparetoreceivecasualties Respondtoalarms DonPPE Directcrew Establishandmaintaincommunication Preparetoreceivecasualties Confirmreadinessoffacilitiesandequipment Respondtoinstructions Alarms: Bells,klaxons,whistles,siren,vocal. Procedures: Watch and Station Bill, Emergency Procedures,StandingOrders. AppropriatePersons:(Facilities) Master,OOW Appropriate Persons (Communications): Master Mate, shiptoshoremedicalradiolink,installation/rigmedic. Appropriate Persons (Instructions): Master, Mate, externalmedicaladvisors.

Remarks:

SourceofEvidenceOObservationSSimulationQQuestioningWWitness

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RESPONDTOCASUALTIESONLOCATION

Ref:

Task

Onshore

Onboard

Source of Evidence

1.3 1.3.1 1.3.2 1.3.3 1.3.4 1.3.5 1.3.6 1.3.7

Receiveandtreatcasualties Receive and assess casualties and make onboard transfers ofcasualties Recorddetailsofcasualties Treatcasualties Observe casualties and record observations. Modify treatment PreparecasualtiesfortransferfromERRV Medically supervise casualty during transfer from ERRV to pointofhandover Communicatefollowupinformation Procedures: Triage,casualtyhandling. Recording: Triagecards,observationcharts Onboardtransfer: Walkingcasualty,stretchercasualty Details of Casualty: Identification, nature of injuries, treatment,triagecategory. Methods of transfer: By helicopter, FRC/other craft, basket,portcall. Medical Treatment: Resuscitation, Management of: cold and immersion injuries, unconsciousness, blood loss, burns/scalds, fractures/dislocation, pain, eye injuries, contamination,seasickness Followup Information: Updated monitoring, triage and treatmentinformation.

Remarks:

SourceofEvidenceOObservationSSimulationQQuestioningWWitness

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CANDIDATERECORD
RESPONDTOCASUALTIESONLOCATION

CandidateName:

Company

TrainingandDevelopmentNeeds:

Declaration: The person named was assessed by me against the criteria and range indicated and in accordancewiththeassessmentguidance. I consider the above person *has/*has not achieved a level of competence to enable him/her to join an OffshoreERRVasanAdvancedMedicalAiderforfurthervesselspecifictraininganddevelopment. *Iconsidertheabovepersonrequiresfurthertraininganddevelopmentasidentifiedabove. Assessor'sName Signature Date

*deletewhicheverdoesnotapply

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TRAININGPROGRAMME
Theinformationinthissectionisfortrainers.Firstly,itprovidestherequirements for initial andfurthertrainingwhichincludesprogrammestoenablecandidatesto acquire the necessary knowledge and skills which underpin the tasks to be performed.

C.1

AdvancedMedicalAidProgramme

C.1.1 TargetGroup
This programme is designed to meet the emergency response training and assessmentrequirementsforaERRV'sAdvancedMedicalAider.

C.1.2 DelegatePriorAchievement
Attendance on this training course is only open to delegates whose Personal RecordshowsattendanceatanInitialShipboardOperationsTrainingProgramme.

C.1.3 TrainingOutcomes
Delegatesfollowingaseriesofexplanations,demonstrationsandopportunitiesto practise, will as candidates be assessed against the standards relating to the followingtrainingoutcomes:

C.1.3.1Maintainingastateofreadiness C.1.3.2Preparingtoreceivecasualties C.1.3.3Receivingandtreatingcasualties

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C.1.4 TrainingProgramme
In order to make efficient use of the time and ensure effective learning there should,wheneverpracticable,beanintegrationofthethreephasesofexplanation, 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.Thetrainingprogrammeoutlinedbelowwillassistdelegatestomeetthe statedoutcomes.

C.1.5 GiveanoverviewofERRVMedicalAidOperationsincluding
a) theroleandfunctionoftheERRVAdvancedMedicalAider b) theinteractionofonboardandexternalsourcesofmedicalaid.

C.1.6 Giveanexplanationof:
a) Principlesandprioritiesoffirstaid b) Anatomyandphysiology

C.1.7 Giveanexplanationanddemonstrationof:
a) b) c) d) e) f) g) h) i) j) k) l) The preparation and use of medical equipment including inspection and serviceability DonningPPE Theuseofcommunicationsequipment Receivingcasualties Examiningcasualties Applyingtriage Preparingforonboardtransfer Initiatingdocumentation Treatingcasualties(appliedmedicalknowledge,specialistprocedures*expected ofAMA) Observingandrecordingconditionofcasualties Preparingandtransferringcasualtiesfromthe ERRV Leadership and teamworking, facilitating andappraisaltechniquesexpectedof anAdvancedMedicalAider.

*Note:

ItisexpectedthattheAMAwillbeabletousetheequipmentprovidedforIVinfusions andcannulation.ThedecisiononwhenthisequipmentistobeusedbytheAMAwill bemadebyaMedicalPractitionerorsimilarlymedicallyqualifiedperson.TheMedical Practitioner will provide instruction and supervision of the AMA either directly or via radio.

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C.1.8 DelegatestopractiseC.1.7a)tol)inclusive C.1.9 Assessment C.1.9.1 Assessmentofdelegateswillbeasummationofthefollowingcomponents:

a) b) c) Initialassessment Continuousassessment Finalassessmentbyanexternalassessor.

C.1.9.2 The purpose of the initial assessment is to establish the retention of knowledge andunderstandinginrelationtopreviousERRVmedicalaidtraining.Thiswillbe achievedbyanoralandorwrittenquestionnaireatcoursecommencement. 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 workandbyoral/writtenquestioning. 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 basedexercisessupplementedbyoralquestioning. Documentary evidence of the initial and continuous assessment will be provided fortheexternalassessor'sconsideration.

C.1.10 DurationofTrainingandAssessment
Theoptimum'contacttime'forthetrainingandassessmentis38hours.Contact timedoesnotincludecourseadministration,lunchandrefreshmentbreaks. Theoreticalandpracticalcomponentsshouldbegivenequalemphasis. The total contact time per day shall not exceed 8 hours. The total training day shallnotexceed10hours(thetotaltrainingdayincludescontacttime,coffeeand mealbreaksandtravelbetweentrainingsiteswhereapplicable).

C.1.11 CourseHandoutstoDelegates
DelegatesshouldbeissuedwithcoursenotesforAdvancedMedicalAidTraining when the course commences. These notes should be suitable for use as a referencemanualduringandfollowingthecourse.Themanualshouldbecurrent andsupportedwithsupplementaryinformationcoveringthefollowingtopics: Leadership Teamwork Facilitating Appraisaltechniques

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C.2

AdvancedMedicalAidFurtherProgramme
This programme is designed to meet the updating, further practice and assessmentrequirementsforanAdvancedMedicalAider.Itshouldbeundertaken within 2 years of qualification as an Advanced Medical Aider and at periods not exceeding2yearsthereafter.

C.2.1

DelegatePriorAchievement
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 evidenceofachievingtheoutcomesinC.1.3ofthisdocument.

C.2.2

TrainingOutcomes
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, theknowledgeandtheactionstheyarerequiredtotakeasanAdvancedMedical Aider.

C.2.2.1 Maintainingastateofreadiness. C.2.2.2 Preparingtoreceivecasualties. C.2.2.3 Receivingandtreatingcasualties. C.2.3 TrainingProgramme 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 techniqueswhichwillberequiredofthemduringtheongoingonboardtrainingand development programme and when responding to an emergency. Where necessarydelegatesshouldreceivefurthertrainingorcoaching.

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C.2.4 Assessment C.2.4.1 Assessmentofdelegateswillbeasummationofthefollowingcomponents:

a) b) c) Initialassessment Continuousassessment Finalassessmentbyanexternalassessor.

C.2.4.2 The purpose of the initial assessment is to establish the retention of knowledge andunderstandinginrelationtopreviousERRVmedicalaidtraining.Thiswillbe achievedbyanoralandorwrittenquestionnaireatcoursecommencement. 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/writtenquestioning. 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 basedexercisessupplementedbyoralquestioning. Documentary evidence of the initial and continuous assessment will be provided fortheexternalassessorsconsideration.

C.2.5 DurationofTrainingandAssessment
The optimum 'contact time' for the training and assessment is seenas15hours. Contact time does not include course administration, lunch and refreshment breaks. Theoreticalandpracticalcomponentsshouldbegivenequalemphasis. The total contact time per day shall not exceed 8 hours. The total training day shallnotexceed10hours(thetotaltrainingdayincludescontacttime,coffeeand mealbreaksandtravelbetweentrainingsiteswhereapplicable).

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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 appropriatefacilitiesandequipmentareinplace.

D.1

Staff

D.1.1 Qualifications&Experience D1.1.1 InstructionalStaff

Allinstructionalstaffmustbe, (a) Either a Medical Practitioner or Registered General Nurse or services equivalentwithaknowledgeandexperienceofoffshoreERRVcrewworking conditions and also have a knowledge and understanding of pre hospital care. Trained in instructional/lecture instructing/teachingexperience. techniques and/or have proven

(b)

(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.1.1.2Assessors
AllAssessorsmustbe: (a) Disciplineexpertstrainedandqualifiedinassessmenttechniques.

D.1.1.3AllStaff
(a) Allstaffmusthavetheappropriatecompetenciestoconduct/assisttheelement oftrainingbeingconducted.

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D.1.2

Instructor andAssessor/DelegateRatio
(a) It is recommended that the maximum number of delegates attending this programmeis12. (b) Thefollowingratiosindicatethemaximumnumberofdelegatestobesupervised byoneInstructoratanyonetimeduringeachactivity. Theory Demonstration Practical Assessor/Delegate 12 12 6 1

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OPITO
REV.1 01Jul2001 AMEND. 6 08June2010

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 registrationandassessmenttocertification. Theorytrainingarea(s)sodesignedtoenableeachdelegatetoparticipatefullyin thesubjectmatterbeingtaught. Demonstration and Practicaltrainingareassodesignedtoenableeachdelegate toparticipatefullyintheactivitiesidentifiedinthetrainingprogramme. Assessmentareassuitableforanyindividualassessmentofcandidatesrequired.

All facilities must be maintained, and where appropriate, inspected and tested in accordancewithcurrentstandards/legislation.

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OPITOApprovedStandard ERRVCrewAdvancedMedicalAid
OPITO
REV.1 01Jul2001 AMEND. 6 08June2010

D.3

Equipment
The following equipment, which must be of a type currently prescribed for offshore ERRVs, must be available foruseandmaintainedtoensureeffectiveoperation/use duringtrainingsessions

MedicalEquipmentforTrainingandDemonstrationPurposes
T =Delegatetouse D =Delegatetoshow (1) =Numberrequired

T Buprenorphine 0.2mgtablets injection0.3mg(ashydrochloride)perml, 1mlampoule HyoscineHydrobromide 0.3mgtablets injection0.6mgin1ml LiquidParaffinEyedrops 5mldropperbottleorsterileplastic sachets. (CasterOilsingledosesachetswithdropper acceptableinlieu) ModifiedGelatineInfusionSolution 500mlcontainerforplasmasubstitution ParacetamolTablets SterileEyeIrrigationFluid 500ml Airways LaerdalPocketMask,Model820011 LaryngealMaskAirway,Size4 AirwayTrainer Guedalairway Backboard FernoKEDorequivalent

D 3

()

3 3 3 3

(1) 3

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OPITOApprovedStandard ERRVCrewAdvancedMedicalAid
OPITO
REV.1 01Jul2001 AMEND. 6 08June2010

T Defibrillator automatedexternaldefibrillatorapproved bythesupplierforusebypersonnelwith minimumCPR andbasicresuscitationskills ina ERRV atsea. FluidGivingSets intravenousentrysetforfluids Oxygen/NitrousOxideSet O2/N2OAnalgesicapparatusconsistingof regulator,longhose,demandvalve, standardsizeface maskandfullycharged cylinderwithkeyplussparefullycharged cylinder OxygenGivingEquipment oxygencylinderssizeF pressureregulatorsforoxygencylinders withadjustableflowmeter 2mlengthsoxygentubing cylinderkeys oxygendisposablefacemasks 35% 50% 100% ManualResuscitator handoperatedmanualadultbag resuscitator(bagtobeofsiliconerubber) completewithoxygenreservoirof2600ml capacityandfacemaskSize 5 Scissors/Shears stainlesssteelscissorsBS3646 toughcutshearsforcuttingclothing Sphygmomanometer fullyautomatic,batteryoperatedtype operating onoscillometricprinciplewith automaticinflationanddeflation providing digitalreadout.Completewithspare setofbatteries. Splints Listonsthighsplint,140cm inflatable,setof4comprisinghalfleg, fullleg,halfarmandfullarm. setofcommonsplints(fracstrapsacceptable inlieu) Skeleton(slidesandOHPacceptable) Stethoscope 3

()

3 3

3 3

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OPITOApprovedStandard ERRVCrewAdvancedMedicalAid
OPITO
REV.1 01Jul2001 AMEND. 6 08June2010

T SuctionPumps electricsuctionpumpcompletewith Yankauersuctioncathetersandflexible catheterssizeFG14 manualsuctionpump SurgicalCollars Stifneckpatternorequivalent short regular tall noneckoradjustableequivalent NB.Adjustablecollarsabletoachieveall threesizeswillbeacceptedinlieubutthe totalof15muststill bemet. Syringes disposablesyringeandneedleinsterile sealedpacktoBS5081.Capacity2ml with21g,4cmneedle. Thermometers normalrange(35 42C.)digital,battery operated,3digitdisplay.Completewith sparebatteryandplasticsleevewithpocket clip. subnormalrange,lowbodytemperature, BS691indurablecasemarkedwith contents Stretchers baskettypewithpatientstrapsandwebbing liftingstrops. Dummies SurgicalGloves latex,disposable mediumsize largesize SurvivorPacks plasticcarrierbagcontainingblanket (singlesize),disposableboilersuit,woollen socksandbathtowel. Swabs medicalspirittypepackedinfoilsachets. TransferBags insulated,forpersonneltransferto helicopter orship TriagePriorityCards 3

()

(6) 3

3 3

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OPITOApprovedStandard ERRVCrewAdvancedMedicalAid
OPITO
REV.1 01Jul2001 AMEND. 6 08June2010

T Cruciform,InternationalStandard,triagecard inwaterproofplasticbag UrineBottles disposable VomitBags WasteDisposalBags forthedisposalofclinicalwaste,self sealing,S.A.F.A.orequivalent,sizeLarge WoundCleansingFluid sterilesolutionofCetrimide0.15%and ChlorhexidineGluconate0.015%in25ml sachets. Wristbands durableplasticsurvivoridentification Bandages elastic,adhesive,7.5cmx4m triangularcalico,BP,withsides approx.90cmand127cm tubulargauzebandage,fingerdressing, 20mwithapplicator conforming,BP,individualwrapped 5cmx3m 7.5cmx3m CottonWool hospitalquality,500gmpacks Dressings clingfilm,rolls,approx.30cmx5m porouspapertypeadhesivetape, rolls2.5cmx5m elasticadhesivemedicateddressings, mixedsizes wounddressings,standardBPC. mediumplain,14BPC largeplain,15BPC extralarge,28cmx17cm GauzeSwabs gauzecotton,absorbent,BP,type13.8ply, 7.5cmx7.5cm,sterilepacketsof100 ZincOxideTape 2.5cmx5mspools Apron plastic,disposable BedPan disposabletype

()

3 3 3

3 3

3 3

3 3 3

OPITO

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OPITOApprovedStandard ERRVCrewAdvancedMedicalAid
OPITO
REV.1 01Jul2001 AMEND. 6 08June2010

T shelvesforabove Blankets wool,singlesize BodyBags 7ft,opaque,plasticwithzipclosure InstrumentTrolley LubricatingJelly forendotrachealintubation,42gtubes Pens finepointwithwaterresistant inkfor survivorrecord. Pillows withplasticcovers ResuscitationManikin suitableforcardiopulmonaryresuscitation andperipheralIVaccesspractice. Completewithtwosetseachofreplacement padsforhandandarmIVaccesspractice. AnatomicalTorso Safetypins 5cm,rustless SharpsDisposalBox BS7320,capacity5litre SleepingBags acrylicfilled,washable,zipclosure RESUSCITATION/IVPACK Bandages elastic,adhesive,7.5cmx4m conforming,BP,individuallywrapped, 7.5cmx3m Fluidgivingsets intravenousentrysetforfluids GuedalAirway,BS292 size3 size4 Intravenousinfusioncanula withLuerlokinjectionportinsterile pack(Venflon) size14g size16g size18g Pens finepointwithwaterresistantinkfor survivorrecord

D 3 3

()

3 3 3

3 3 (2)

3 3 3

(1)

OPITO

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OPITOApprovedStandard ERRVCrewAdvancedMedicalAid
OPITO
REV.1 01Jul2001 AMEND. 6 08June2010

T PlainBloodTube size10ml Scissors/Shears stainlesssteelscissors,BS3646 toughcutshearsforcuttingclothing SodiumChloride forintravenousinfusion,0.9%in500ml container Tourniquets Velcro,forsettingupintravenousdrips TriagePriorityCards Cruciform,InternationalStandard,triagecard inwaterproofplasticbag WoundCleansingFluid sterilesolutionofCetrimide0.15%and Chlorhexidine0.015%in25mlsachets Zincoxidetape 1.25cmx5m AIRWAYMANAGEMENTPACK Bandage gauzeribbon,BP,2.5cmx 10m CatheterMount size3.5in EndotrachealFlexibleIntroducer EndotrachealTube cuffed,disposablesize7 size8 size9 GauzeSwabs gauzecotton,absorbentBP,type 13, 8ply,7.5cm,sterilepacketsof100 GuedalAirway size3 size4 Laryngoscope Macintoshtypewithadultblade,4sets longlifebatteriesandsparebulb LubricatingJelly forendotrachealintubation,42gtubes MagillsForceps Pens finepointwithwaterresistantinkfor survivorrecord Syringe disposable,10ml

()

(1)

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OPITOApprovedStandard ERRVCrewAdvancedMedicalAid
OPITO
REV.1 01Jul2001 AMEND. 6 08June2010

T TriagePriorityCards Cruciform,InternationalStandard,triage cardinwaterproofplasticbag ZincOxideTape 1.25cmx5mspool 2.5cmx5mspool Thewrappingorcontainerforeachpackis tobetransparentandresealablesuchthat thecontentsmaybeeitherverifiedwithout removalorrenewed. Eachpackistobeclearlylabelledwithits purposeandcontents. FRCMEDICALEQUIPMENT Airway completewithflexiblejunctionbetween casualtys mouthandpersonproviding resuscitation,e.g.CanadaMaskand Tube FirstAidBox asperMNotice1607 HypothermiaBlankets lightweightfoilpattern SurgicalCollar stifneckpatternorequivalentinshort, regularandtallsizes NB.Adjustabletypesabletoachieveall threesizeswillbeacceptedbutthetotal ofthreemuststill bemet.

()

3 3

(1)

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

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OPITOApprovedStandard ERRVCrewAdvancedMedicalAid
OPITO
REV.1 01Jul2001 AMEND. 6 08June2010

E.

GENERALREQUIREMENTS
TrainingEstablishmentsareresponsibleforthefollowing (a) EachindividualattendinganyOPITOaccreditedcoursecompletingaCentral Register (CR) registration form. This form must bereturnedbythetraining establishmenttotheOPITOonaweeklybasis. All Joining Instructionscontaininformationwhichindicatecertainaspectsof thecourseareofaphysicalnature.Alsotheresponsibilityfortheindividual 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 establishmentshouldseektheadviceofamedicalofficer. 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. Instructionalstaffshouldalsoreadouttheabovestatementatthistime. Appropriatemedicalfacilities. For all lessons, written statements of Organisation which clearly define responsibilities and relationships for all staff either directly or indirectly involved. Ensuring all training and supporting activities are carried out in accordance withcurrentlegislation.

(b)

(c)

(d) (e)

(f)

OPITO

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