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Merchant Shipping (Medical Stores) Regulations 1996

Enacting Formula

1 Citation and commencement
  • 1 Citation and commencement

2 Definitions
  • 2 Definitions

3 Application
  • 3 Application

4 Medicines and medical stores for foreign-going ships
  • 4 Medicines and medical stores for foreign-going ships

5 Medicines and medical stores for home-trade ships
  • 5 Medicines and medical stores for home-trade ships

6 Medicines and medical stores for ships plying within special limit
  • 6 Medicines and medical stores for ships plying within special limit

7 Ships without doctors as crew members
  • 7 Ships without doctors as crew members

8 Obtaining, use and disposal of morphine from doctor’s attache case
  • 8 Obtaining, use and disposal of morphine from doctor’s attache case

9 Quantity of medicines and medical stores
  • 9 Quantity of medicines and medical stores

10 Inspection of medicines and medical stores
  • 10 Inspection of medicines and medical stores

11 Ships carrying chemicals
  • 11 Ships carrying chemicals

12 Additional medical supplies
  • 12 Additional medical supplies

13 Standards of medicines and medical stores
  • 13 Standards of medicines and medical stores

14 Packaging and labelling of containers
  • 14 Packaging and labelling of containers

15 Storage of medicines
  • 15 Storage of medicines

16 Replenishment of dated medicines
  • 16 Replenishment of dated medicines

17 Offences
  • 17 Offences

18 Exemptions
  • 18 Exemptions

19 Revocation
  • 19 Revocation

FIRST SCHEDULE

SECOND SCHEDULE Additional Items Required On Vessels Carrying Chemicals As Whole Or Part Of Cargo

THIRD SCHEDULE Malaria Areas FOURTH SCHEDULE

No. S 56

MERCHANT SHIPPING ACT 1995

ACT 19 OF 1995

MERCHANT SHIPPING (MEDICAL STORES) REGULATIONS 1996

In exercise of the powers conferred by sections 73 and 216 of the Merchant Shipping Act 1995, the Minister for Communications hereby makes the following Regulations:

Citation and commencement

1. These

Regulations

may

be

cited

as

the

Merchant

Shipping

(Medical

Stores)

Regulations 1996 and shall come into operation on 2nd February 1996.

Definitions

2. In these Regulations —

“chemical” means

any

chemical

Organization publications: (i)

listed

in the following International Maritime

  • (a) the General Index of the International Maritime Dangerous Goods Code;

  • (b) the Index of Dangerous Chemicals Carried in Bulk; and

  • (c) Chapter XIX of the International Code for the Construction and Equipment of Ships Carrying Liquified Gases in Bulk;

“foreign-going ship” includes every ship employed in trading or going between some place or places in Singapore and some place or places situated beyond the limits prescribed for home-trade ships;

“home-trade ship” means a ship plying solely upon a home-trade voyage; “home-trade voyage” means a voyage within the following limits:

an imaginary line drawn from a position in the Gulf of Martaban in latitude 16° 15’ north, longitude 96° east in a south-easterly direction to a position in latitude 15° north, longitude 97° east, thence due south to a position in latitude 9° north, longitude 97° east, thence in a south- westerly direction to a position in latitude 6° north, longitude 94° east, thence due south to a position latitude 4° north, longitude 94° east, thence in a south-easterly direction to a position in latitude 8° south, longitude 104° east, thence in an easterly direction to a position in latitude 10° south, longitude 120° east, thence due east to a position in latitude 10° south, longitude 125° east, thence due north to a position in latitude 8° north, longitude 125° east, thence due west to a position in latitude 8° north, longitude 110° east, thence in a 315° direction (N.W. true) to the coast of Vietnam, thence initially westward following the coasts of Vietnam, Cambodia, Thailand, the Malay Peninsular and Myanmar to the starting point;

“malarial areas” means the areas as specified in the Third Schedule; “special limit voyage” means a voyage within the following limits:

from a point where the longitude 103° 00’ east cuts the west coast of Johor, thence due south to latitude 00° 30’ north, thence due east to longitude 105° 00’ east, thence due north to latitude 01° 00’ north, thence to the point 02° 00’ north, 104° 15’ east, thence due west to the coast of Johor and thence following the coast of Johor westwards to the starting point.

Application

3.

These Regulations shall apply to all Singapore ships.

Medicines and medical stores for foreign-going ships

4.—(1) Every foreign-going ship shall keep on board a supply of medicines and medical stores according to Scale IA set out in the First Schedule provided that the number of persons on board does not exceed 30.

(2) When more than 30 persons are carried, then in addition to the items required under Scale IA, a set each of items listed in Scale IB set out in the First Schedule must be carried for each additional 30 persons or part thereof.

Medicines and medical stores for home-trade ships

  • 5. Every home-trade ship shall keep on board a supply of medicines and medical stores

according to Scale II set out in the First Schedule.

Medicines and medical stores for ships plying within special limit

  • 6. Every ship plying within Special Limit from the Port of Singapore shall keep on board

the supply of medicines and medical stores according to Scale III set out in the

First Schedule.

Ships without doctors as crew members

7.—(1) Every ship going to sea carrying more than 12 passengers but without a qualified doctor as a member of the crew shall carry, in addition to the medicines and medical stores specified in the main Scale which the vessel is required to carry under regulation 4, 5 or 6, those specified in Scale V in Part 5 of the First Schedule.

(2) All medicines required to be carried under Scale V in Part 5 of the First Schedule shall be kept in a doctor’s attache case.

(3) Any item which cannot be included in the case should, where possible, be strapped to it; otherwise, the item shall be kept in a place adjacent to the case.

(4) The doctor’s attache case shall be locked, the key to the case kept in the possession of the master or someone nominated by him, and the case kept in a locked cabinet.

(5) The case should be labelled clearly as follows:

“The medicines in this case are to be used only by a qualified doctor, or someone under the direct supervision of a doctor on board the ship.”.

Obtaining, use and disposal of morphine from doctor’s attache case

  • 8. The obtaining, use and disposal of morphine from the doctor’s attache case shall be

recorded in the ship’s controlled Drug Register in accordance with the Ship Captain’s Medical Guide.

Quantity of medicines and medical stores

  • 9. The quantity of medicines and medical stores to be kept on board a ship referred to in

these Regulations shall be as prescribed in the First Schedule regardless of the length of

voyage.

Inspection of medicines and medical stores

  • 10. The medicines and medical stores shall be inspected at least once in every 12 months

by a registered pharmacist, who, on being satisfied that the ship is provided with medicines

and medical stores in accordance with the appropriate scale, shall issue a certificate to that effect.

Ships carrying chemicals

11.—(1) Any ship carrying a chemical as whole or part of her cargo, or any residues of chemicals from earlier voyages shall carry the medicines and medical stores set out in Scale IV of the First Schedule in the quantities specified thereof.

(2) In addition to the types and quantities of medicines and medical stores required to be carried under paragraph (1), the ship shall also carry the required type of medicines and medical stores specified in the Second Schedule as antidote and ancilliary equipment for the chemical and the required additional quantity of such antidote and ancilliary equipment shall be that specified in the Chemicals Supplement to the Ship Captain’s Medical Guide or the IMO Medical First Aid Guide.

Additional medical supplies

  • 12. There shall be kept on board every ship on a voyage on which a qualified doctor is

carried as a member of the crew any additional supplies which the doctor may reasonably require having regard to the size of the crew, the number of passengers on board and the intended voyage.

Standards of medicines and medical stores

  • 13. All medicines and other medical stores kept on board a ship in accordance with these

Regulations shall conform to the standards and requirements set out in the current editions

of the British National Formulary or the British Pharmacopoeia or the European Pharmacopoeia or the United States Pharmacopoeia, and with the requirements of and specifications set out in the First and Fourth Schedules.

Packaging and labelling of containers

14.—(1) Without prejudice to any other written law, any container of medicines or other medical stores required by these Regulations to be kept on board a ship —

  • (a) shall have in English on a label the particulars specified in the First Schedule;

  • (b) in the case of a container of tablets or capsules, shall be capable of reclosure to prevent ingress of moisture;

  • (c) in the case of a container of disinfectant, shall not show deleterious reaction with the disinfectant after storage in normal conditions for 6 months;

  • (d) in the case of an insecticide, shall be air-tight, water-tight, packed in a suitable and sturdy case and, if the container is a pressure canister, have a cap or other means of protecting the valve against accidental opening when the canister is not in use; and

  • (e) the

in

case of medicine or disinfectant not in the

container supplied by

its

manufacturer, shall be packed in a sturdy, brown-coloured or non-translucent

container.

(2) Any label referred to in paragraph (1)(a) shall either be firmly affixed to the container and rendered resistant to moisture by varnish or other effective means or be an integral part of the container.

(3) The particulars required by paragraph (1)(a) to be shown on labels are —

  • (a) the ordering name by which the medicine or medical store is referred to in the First Schedule;

  • (b) any storage requirements laid down in any of the publications referred to in regulation 13, or elsewhere in these Regulations;

  • (c) if the medicines or medical stores are perishable, the expiry date as defined in regulation 16;

  • (d) the name and address of the supplier of the medicines and medical stores, the product licence number and batch number;

  • (e) in the case of any container of a disinfectant or of an antiseptic prescribed in any of the Scales set out in the First Schedule, the dilution recommended for any purposes stated thereon;

    • (f) in the case of any container of an insecticide prescribed in any of the Scales set out in the First Schedule, instructions for use and precautions to be taken as detailed in paragraphs 6 and 7 of the Fourth Schedule; and

  • (g) in the case of a container of hypochlorite, a notice indicating that the chemical may combust spontaneously and that the hypochlorite should be stored in a cool dark place.

Storage of medicines

15.—(1) Any

medicine

or

medical

instructions on its container.

store

shall

be

stored in accordance with the

(2) Any medicine shall, where applicable, be stored in accordance with the requirements for controlled drugs contained in the Ship Captain’s Medical Guide, and subject thereto, unless it is required to be kept in a refrigerator or in a first aid satchel or box, shall be stored —

  • (a) in the medical cabinet; or

  • (b) in a cool, dry, locked cabinet or locked container.

Replenishment of dated medicines 16.—(1) Where —

  • (a) a ship is required to have on board any medicine or other medical stores in accordance with any of the Scales set out in the First Schedule; and

  • (b) any label required by regulation 14(1)(a) to be borne by any container or any such medicine or other medical stores, indicates a date after which the medicine

or other medical store expiry date),

contained

in

it

is

not to be used (hereafter called the

that medicine or medical store shall be replaced at the earliest possible date after the expiry date, and in any event within 3 months of the expiry date.

(2) Medicines or medicinal stores

which have passed the expiry

date

shall, once

replacements have been obtained, or after 3 months, whichever is the earlier, be disposed of

in accordance with the Ship Captain’s Medical Guide.

Offences

17.—(1) If any provision of these Regulations is contravened, the owner of the ship shall be guilty of an offence and shall be liable on conviction to a fine not exceeding $2,000.

(2) It shall be a defence for any person charged in connection with a contravention of any provision of these Regulations to show that the deficiency was caused by medicines and medical stores being used for their proper purpose and that it has not been reasonably practicable to replace them.

(3) It shall be a defence for a person charged under these Regulations to show that he took all reasonable precautions and exercised all due diligence to avoid commission of the offence.

Exemptions

  • 18. The Director may exempt any person or ship or description of persons or ships from

all or any of the provisions of these Regulations on such terms as he may specify and may,

subject to giving reasonable notice, alter or cancel any such exemption granted.

Revocation

  • 19. The Merchant Shipping (Medical Scales) Regulations (Cap. 179, Rg 3) are revoked.

FIRST SCHEDULE

In this Schedule, the following annotations are used:

Regulations 4, 5, 6, 7, 9, 11, 13, 14 and 16.

  • (a) To be used ONLY on medical advice and to be labelled accordingly.

  • (b) Only required when the vessel is proceeding to or operating in a malarial area as defined in the Third Schedule.

  • (c) To be labelled “Not to be used more than four weeks after first opening”.

  • (d) Only required when the vessel is proceeding to or operating in tropical waters.

  • (e) An oxygen resuscitator set with accessories that will permit the equipment to give therapy with both 24 per cent and 35 per cent oxygen will be acceptable in lieu of this item if sufficient oxygen is carried for three hours resuscitation.

treatment at 35

per

cent in

addition to that required for

  • (f) Passenger vessels must carry one first aid kit for every 50 persons or fraction thereof that they are licensed to carry subject to a maximum of three kits.

  • (g) A pre-packed press-button pressure canister may be used in lieu.

  • (h) Not required on vessels of less than 80 grt.

    • (i) Where an oxygen resuscitator is carried in compliance with Scale IV it will not be necessary to carry a second set to meet Scale V.

 

PART I

MEDICINES

NAME OF MEDICINE (ordering name is in small letters)

ORDERING SIZE

QUANTITIES REQUIRED (See Part 5 for Scale V)

 

SCALE

SCALE

SCALE

SCALE

1A

1B

II

III

IV

ACTIVATED CHARCOAL Activated charcoal effervescent granules

5

gram sachet

10

-

10

-

10

ADRENALINE Adrenaline acid tartrate injection 1.8mg in 1ml(1 in 1,000)

0.5

ml ampoule

  • 5 5

-

-

-

ALUMINIUM ACETATE

10

ml bottle

  • 3 1

1

-

-

Aluminium acctate eardrops 13%

withdropper

 

AMINOPHYLLINE

 

360

mg suppository

-

-

-

-

60

Aminophylline

   

AMITRIPTYLINE Amitriptyline hydrochloride

50

mg tablet

50

-

-

-

-

AMOXYCILLIN Amoxycillin trihydrate

250

mg capsule

100

50

-

-

-

AMYL NITRITE Amyl nitrite 0.17 mg in 0.2 ml

0.2

ml ampoule

-

-

-

-

96

ANAESTHETIC EYE DROPS Amethocaine 0.5%

In a single dose applicator

20

-

20

-

-

ANTIBIOTIC EAR DROPS (a) Ear drops containing in each ml Neomycin 3400 units. Polymixin B Sulphate 10,000 units. Hydrocortisone 10 mg

5

ml dropper bottle

3

1

1

-

-

ARACHIS OIL

 

10

ml bottle with

2

-

-

-

-

Arachis (peanut) oil

dropper

 

ASCORBIC ACID

     

(1)

Ascorbic acid (vitamin

  • 1 gram soluble tablet

-

-

-

-

120

C)

 

(2)

Ascorbic acid (vitamin

  • 5 ml ampoule

-

-

-

-

20

C)

Injection 100 mg in

 

1 ml

ASPIRIN

 

300

mg dispersble

500

500

500

100

-

Dispersable aspirin

tablet

 
     

NAME OF MEDICINE (ordering name is in small letters)

   

ORDERING SIZE

 

QUANTITIES REQUIRED (See Part 5 for Scale V)

 
   

SCALE

SCALE

SCALE

SCALE

1A

1B

II

III

IV

ATROPINE

1

ml ampoule

5

-

5

-

200

Atropine sulphate injection 1 mg in 1

     

ml

BENZOIC ACID

     

Benzoic acid compound ointment (Benzoic acid 6%; salicylic acid 3%, in emulsifying ointment). Often called Whitfield's ointment

 

50

gram

10

5

5

-

-

BENZYL PENICILLIN

     

Benzyl penicillin sodium injection powder (for reconstitution) in a rubber capped and metal topped glass vial

(1) 3 gram vial(2) 600 mg vial

1020

520

-10

--

--

BISMUTH SUBGALLATE

     

Bismuth subgallate compound suppository (Bismuth subgallate 200 mg, zinc oxide 120 mg)

 

1

gram suppository

24

12

12

-

-

BURN CREAM

   

Silver Sulphadiazine Cream 1% w/w

   

50

g tube

4

2

4

-

-

CALAMINE LOTION

     

Calamine 15% lotion

   

100

ml bottle

6

3

3

1

-

CALCIUM GLUCONATE

     

(1)

Calcium

gluconate

 

25

gram tube1 gram

--

--

--

--

610

2½%

gel

for

effervescent tablet

 

hydrofluoric acid burns

(2)

Calcium

gluconate

effervescent

 

CETRIMIDE CONCENTRATE

     

Cetrimide concentrate 40%

   

100

ml bottle

4

2

2

2

-

CHLORAMPHENICOL

     

Chloramphenicol eye ointment 1%

 

4 gram dispenser

10

5

5

1

10

CHLOROQUINE

     

Either Chloroquine sulphate 200 mg tablet (150 mg of chloroquine base); or Chloroquine phosphate 250 mg tablet (155 mg chloroquine base)

200/250 mg tablet

  • 500 500(b)

500

-

-

CHLORPHENIRAMINE

     

(1)

 
  • 505 -20

25-

255

--

NAME OF MEDICINE (ordering name is in small letters)

 

ORDERING SIZE

 

QUANTITIES REQUIRED (See Part 5 for Scale V)

 
 

SCALE

SCALE

SCALE

SCALE

1A

1B

II

III

IV

 

Chlorpheniramine

 

4

mg tablet1 mg

 

malcate

ampoule

(2)

Chlorpheniramine

malcate

injection

10

mg in 1 ml

CHLORPROMAZINE

     

(1)

Chlorpromazine

 

25

mg tablet1 ml

20020

100-

10010

--

-80

hydrochloride

ampoule

 

(2)

Chlorpromazine hydrochloride injection 25 mg in 1 ml

CIMETIDINE (a)

     

Cimetidine

200

mg tablet

50

-

-

-

-

CODEINE LINCTUS

     

Codeine phosphate 15 mg in 5 ml linctus

 

200

ml bottle

2

1

2

1

-

CO-TRIMOXAZOLE

     

Co-trimoxazole (sulphamethoxazole 400 mg trimethoprim 80 mg)

 

480

mg tablet

100

50

50

-

-

CYCLIZINE

   

(1)

Cyclizine

50

mg tablet1 ml

205

105

- 5

- -

- -

hydrochloride

 

ampoule

 

(2)

Cyclizine lactate 50 mg in 1 ml

DIAZEPAM

   

(1)

Diazepam

5

mg tablet2 ml

102

--

52

5-

-60

(2)

Diazepam injection 5 mg in 1 ml

ampoule

 

DIHYDROCODEINE

     

Dihydrocodeine tartrate

 

30

mg tablet

100

-

100

10

-

DIMERCAPROL

     

Dimercaprol injection 50mg in 1 ml

 

2

ml ampoule

-

-

-

-

160

EPHEDRINE

   

Ephedrine hydrochloride 0.5% nasal

10

ml bottle with

2

1

1

-

-

drop (Ephedrine hydrochloride 50 mg, chlorbutol 50 mg, sodium chloride 50 mg, sterile water to 10 ml)

dropper

 

NAME OF MEDICINE (ordering name is in small letters)

ORDERING SIZE

QUANTITIES REQUIRED (See Part 5 for Scale V)

 

SCALE

SCALE

SCALE

SCALE

1A

1B

II

III

IV

ERGOMETRINE

   

Ergometrine maleate injection 0.5 mg in 1 ml

1 ml ampoule

5

-

5

-

-

ERYTHROMYCIN

     

Erythromycin

250

mg tablet

100

50

100

-

-

ETHANOL

   

Ethanol 10% solution

 

500

ml bottle

-

-

-

-

4

FRUSEMIDE

   

(1)

Frusemide

400

mg tablet2 ml

205

- -

205

- -

8040

(2)

Frusemide injection, 10 mg in 1 ml

ampoule

 

GAMMA BENZENE HEXACHLORIDE

     

(1)

Gamma

benzene

50

gram container

  • 6 6

-

-

-

hexachloride 1% body

   

cream

(2)

Gamma

benzene

50

ml container

  • 2 2

-

-

-

hexachloride

2%

hair

   

application

GLYCERIN OF THYMOL

     

Thymol glycerin compound mouth wash (thymol 0.05% and glycerol 10% in water)

200

ml bottle

  • 4 2

1

-

-

GLYCERYL TRINITRATE (c)

     

Glyceryl Trinitrate

 

0.5

mg tablet

100

-

100

100

-

HYDROCORTISONE OINTMENT

   

Hydrocortisone 1% ointment

 

15

gram container

10

5

5

-

-

HYDROGEN PEROXIDE

     

Hydrogen peroxide 6% solution

 

100

ml bottle

2

-

-

-

-

HYOSCINE HYDROBROMIDE

     

Hyoscine hydrobromide

 

0.3

mg tablet

100

-

100

50

-

INDOMETHACIN

     

Indomethacin

100

mg suppository

10

-

-

-

-

LIGNOCAINE

   
     

NAME OF MEDICINE (ordering name is in small letters)

ORDERING SIZE

QUANTITIES REQUIRED (See Part 5 for Scale V)

 

SCALE

SCALE

SCALE

SCALE

1A

1B

II

III

IV

(1)

Lignocaine hydrochloride (plain) 20 mg in 2ml

1%

ml ampoule20 gram container

2

52

-1

5-

--

--

(2)

Lignocalne hydrochloride 2% in a

 

lubricant

water

miscible base (gel)

MAGNESIUM TRISILICATE

   

Magnesium trisilicate (Magnesium

370

mg compound

500

500

500

100

-

trisilicate 250 mg, dried aluminum hydroxide gel 120 mg)

tablet

 

MALOPRIM

   

Maloprim (pyrimethamine 12.5 mg and dapsone 100 mg)

112.5 mg tablet,

360

360

360(b)

-

-

METHOL AND BENZOIN

     

Menthol and benzoin inhalation (methol 1 gram and benzoin inhalation to 50 ml)

50

ml bottle

2

-

1

-

-

METHYLENE BLUE

     

Methylene blue 1% (10 mg per 1 ml) solution

10

ml ampoule

-

-

-

-

40

METOCLOPRAMIDE

     

Metoclopramide hydrochloride injection 5 mg in 1 ml

2

ml ampoule

-

-

-

-

60

METRONIDAZOLE

     

Metronidazole

200

mg tablet

  • 60 -

60

-

-

MICONAZOLE

     

(1)

Miconazole nitrate 2%

78

grain container

211

1--

---

---

---

vaginal cream

with applicator Pack

 

(2)

Miconazole

nitrate

(3)

pessaries

Miconazole nitrate 2% topical cream

of 14 100 mg pessaries with an

inserter 30 g container

MORPHINE

   

Morphine Sulphate Injection 15 mg in 1 ml

ml ampoule

  • 1 -

  • 20 5

-

30

NITRAZEPAM

     

Nitrazepam

mg tablet

  • 5 10

  • 20 10

-

-

NAME OF MEDICINE (ordering name is in small letters)

ORDERING SIZE

QUANTITIES REQUIRED (See Part 5 for Scale V)

 

SCALE

SCALE

SCALE

SCALE

1A

1B

II

III

IV

OIL OF CLOVES

     

Clove oil

 

10

ml bottle

2

1

1

1

-

PARACETAMOL

     

Paracetamol

 

500

mg tablet

  • 500 500

500

100

-

PENICILLIN V

     

Phenoxymethyl Penicillin

250

mg tablet

  • 200 60

100

60

-

PETROLEUM JELLY

   

Soft paraffin

 

50

gram container

4

2

2

1

-

PHENOBARBITONE

   

Phenobarbitone sodium 200 mg in 1

1

ml ampoule

5

-

-

-

-

ml

 

POLYETHYLENE GLYCOL

   

Polyethylene glycol molecular weight

1

litre bottle

-

-

-

-

2

300

 

POTASSIUM PERMANGANATE

   

Potassium permanganate crystals

10

gram container

1

1

1

1

-

PREDNISOLONE (a)

   
 

(1)

Prednisolone

5

mg tablets5 ml vial

601

- 1

601

--

--

(2)

Prednisolone Injection 25 mg in 1 ml

 

PRIPSEN

     

Piperazine phosphate hydrate 4 grams and sennodides

10

gram sachet

4

2

2

-

-

PROGUANIL

     

Proguanil hydrochloride

mg tablet

  • 100 50

1000

1000(b)

-

-

PYRIMETHAMINE (b)

   

pyrimethamine 25 mg, Sulphadoxine

mg tablet

  • 525 -

  • 12 -

-

-

500

mg

 

QUINNINE SULPHATE

   

Quinine Sulphate

 

mg tablet

  • 300 -

  • 50 -

-

-

SALBUTAMOL

     

Salbutamol aerosol inhaler unit, giving

dose container

  • 200 -

2

1

-

4

100

micrograms per metered

 

inhalation

 

NAME OF MEDICINE (ordering name is in small letters)

ORDERING SIZE

 

QUANTITIES REQUIRED (See Part 5 for Scale V)

 

SCALE

SCALE

SCALE

SCALE

1A

1B

II

III

IV

SALT TABLETS

   

Sodium chloride and glucose enteric coated

650

mg tablet

 

1000

500

500(d)

-

-

SODIUM BICARBONATE

   

Sodium bicarbonate

100

gram

1

-

1

-

-

SODIUM CHLORIDE AND DEXTROSE

   

Sodium chloride and dextrose oral powder, compound (35 mmol of Na+, 20 mmol of K+, 37 mmol of Cl -, 18 mmol of HCO3- and 200 mmol of dextrose per litre when reconstituted)

22

gram sachets

 

40

20

20

-

-

SURGICAL SPIRIT

   

Surgical spirit

250

ml

1

-

1

-

-

TETANUS VACCINE

   

Tet Vac Formol Toxoid, 0.5 ml to be kept refrigerated

0.5 ml ampoule

 

5

-

5

-

-

TETRACYCLINE

   

-Tetracycline hydrochloride

250

mg tablet

 

100

50

100

-

-

VITAMIN K1 (phytomenadione)

   

Phytomenadione 10 mg in 1 ml

1 ml ampoule

 

-

-

-

-

4

WATER FOR INJECTION

   

Water for injection

 

(1)

10

ml

1020

510

-10

--

--

 

ampoule

 
 

(2)

2

ml

 

ampoule

ZINC OINTMENT

   

Zinc oxide 15% in a simple ointment

25

gram container

 

2

1

1

1

-

ZINC OXIDE

   

Zinc oxide

25

gram container

 

2

-

-

-

-

 

PART II

 

INSTRUMENTS, APPLIANCES AND MEASURING EQUIPMENT

Note: The packing for any item on these scales shall where practicable include the information given in the ordering description below.

Name of Item and Ordering Description

 

SCALE

SCALE

SCALE

SCALE

 

1A

IB

II

III

IV

CANVAS ROLL FOR INSTRUMENT To Contain the surgical instruments

1

-

1

-

-

CATHETER URINARY

     

Sterile conforming to British StandardsInstitute Standard BS 1695 published on 30.4.81

 

(1)

Foley type size 16 Charriere gauge with 5 ml balloon

1

-

-

-

(2)

Nelaton

(Jacques)

size

16

1

-

-

-

Charriere

gauge

(with

no

 

balloon)

(3)

Penile sheath set

 

1

-

-

-

DENTAL INSTRUMENTS

     

To be of stainless steel throughout and contained in a separate canvas roll or container

 

(1)

Excavator double ended Guys' pattern G2

1

-

-

-

(2)

Forceps, packing, 15 cm

 

1

-

-

-

(3)

Filling

paste

inserter

(for

1

-

-

-

inserting the filling paste into

 

the tooth)

(4)

Filling

paste

packer

(for

1

-

-

-

packing and and smoothing the

 

paste in the tooth)

 

(5)

Dental mirror size 4 on handle

1

-

-

-

(6)

Dental spatula weston pattern

1

-

-

-

(7)

Glass mixing slab

 

1

-

-

-

EYE LOOP Disposable of nylon with wooden handle

2

1

2

-

-

FLUORESCEIN STRIPS

 

100

 

100

-

100

Fluorescein sodium 1% paper eye test strips

     

FORCEPSof Stainless steel throughout

   

(1)

Dissecting, 12.5 cm

 
  • 1 -

1

-

-

(2)

Epilation

with

oblique

ends

  • 1 -

1

1

-

12.5 cm

 

(3)

Sinus, 12.5 cm

 
  • 1 -

-

-

-

Name of Item and Ordering Description

 

SCALE

SCALE

SCALE

SCALE

 

1A

IB

II

III

IV

 

(4)

Spencer Wells', 12.5 cm

 
  • 2 -

  • 1 -

-

(5)

Tissue Forceps

12.5

cm

1-2

  • 1 -

  • 1 -

-

 

teeth

GUEDEL AIRWAY

     

Conforming to British Standards Institution Standard BS 2927 published on 29.11.57

 
 

(1)

Size 4

  • 1 -

  • 1 -

1

(2)

Size 3

  • 1 -

  • 1 -

-

(3)

Size 1

  • 1 -

  • 1 -

-

KIDNEY DISH

 
  • 2 -

  • 1 -

-

Size 250mm, conforming to British Standards Institution Standard BS 1823

 

published on 15.6.73 for stainless steel, or British Standards Institution Standard BS

5452

published on 28.2.77 for sterilisable

plastic

 

LOTION BOWL

 
  • 1 -

  • 1 -

-

Size at least 200 mm by 90 mm, to BS

 

1823

for stainless steel, or to BS 5452 for

sterilisable plastic, to be lettered “medical” (for BS standards see entry above for Kidney dish)

 

MAGNIFYING GLASS

MEASURES

 
  • 1 -

  • 1 -

-

7.5 cm diameter on handle

 

(1)

Dispensing measure, size 10 ml, of glass, in 1 ml divisions starting at 1 ml, conforming to British Standards Institution Standard BS 1922 published on 23.1.69

  • 1 -

1-

  • 1 -

-

(2)

Measuring jug, size 1 litre, graduated in 25 mls of strong sterilisable transparent plastic

  • - -

-

(3)

Measuring spoon, size 5 ml; of plastic conforming to British Standards Institution Standard BS 3221/6 1985

  • 50 -

50

-

-

MICROSCOPE SLIDE In strong individual transit containers

 
  • 10 -

  • - -

-

NECK COLLAR

 

1

-

1

-

-

Name of Item and Ordering Description

 

SCALE

SCALE

SCALE

SCALE

 

1A

IB

II

III

IV

Ajustable, fractured (etc) neck - adult size. Set of 3: small, medium and large

   

OXYGEN GIVING SET (e) Comprising the following:(1) 2 x oxygen cylinders with 1-½; hrs supply of oxygen each with key(2) 1 flow-meter unit giving a minimum setting of 4 litres per minute(3) 1 pressure regulating unit(4) 1 set of tubing(5) 5 x 24% oxygen disposable face masks(6) 5 x 35% oxygen disposable face masks each part constructed so that it can only be assembled in the correct manner

-

-

-

-

1

RAZOR Disposable, pack of 5

 

1

-

1

-

-

RECTAL DRIP SET

 

1

-

  • - -

-

(1)

A drip set for giving into the rectum 200 mls of fluid over a period of 10-15 minutes. The

 
 

set to comprise of a 2 m length of transparent plastic tubing

attached

to

a “reservoir”; a

device for attaching the tube to the rectal catheter; a device for regulating the flow of liquid from the reservoir, and a spigot to close the catheter when the drip set is disconnected

Catheter,

rectal

size 26

1

(2)

 

-

  • - -

-

Charriere sterile, conforming

 
 

to British Standards Institution Standard BS 1695 published

30.4.81.

   

2

-

  • 2 -

-

RESUSCITATOR, MOUTH TO MOUTH

Short oral airway with non-return valve, of the Brook Airway type

 

SCALPEL AND BLADE SET

 

6

-

  • 6 -

-

Blades and scapels size 23, sterile, disposable

   

SCISSORS

 

1

-

  • 1 -

1

(1)

Of stainless steel throughout.

 

Size about

18

cm,

one blade

sharp-pointed and

the

other

round-ended; conforming to British Standards Institution Standard BS 3646 published on 19.7.63

(2)

1

-

  • 1 -

-

Name of Item and Ordering Description

 

SCALE

SCALE

SCALE

SCALE

 

1A

IB

II

III

IV

 

Size 12.5 cm both blades sharp -pointed

   

SPLINTS

  • 1 -

1

1

-

(1)

Set of common splints

 

(2)

Inflatable splint, set of 4 (half- leg, full leg half-arm, full-arm)

  • 1 -

-

-

-

(3)

Liston's thigh splint - 140 cm

  • 1 -

1

-

-

STERILIZER

 
  • 1 -

-

-

-

Electrically heated sterilizer for unwrapped utensils and instruments (to hold at least two kidney dishes, one pair of scissors, 3 forceps, at one sterilization)

 

SUTURE AND NEEDLE – PACK Sterile, non-absorbable, sutures BP, of mono-filament nylon, or silk, swaged to a 26 mm and 40 mm half circle needle with a cutting edge. Each needle and suture to be in a sealed pack

   

(1)

  • 26 mm half circle needle

  • 3 3

  • 1 -

-

(2)

  • 40 mm half circle needle

  • 3 3

  • 1 -

-

(3)

Sterile, absorbable sutures BP, of catgut swaged to a 40 mm half circle cutting needle

  • 3 3

  • 1 -

-

SYRINGE AND NEEDLE, HYPODERMIC – PACK Sterile, disposable, conforming to British Standards Institution Standard BS 5081 published on 30.6.76 each syringe and needle in a sealed pack

   

(1)

  • 2 ml syringe with a 0.8 mm (21 SWG) x 4 cm needle

40

-

10

-

200

(2)

  • 5 ml syringe with a 0.8 mm (21 SWG) x 4 cm needle

5

-

  • - -

20

(3)

10

ml

syringe with a 0.8 mm

20

-

  • - -

-

(21 SWG) x 4 cm needle

   

THERMOMETERS - INCLUDING HYGROMETERS To give the temperature In degrees C, or degrees C and degrees F. Each thermometer, with instructions as to use, to be in a strong metal or strong plastic case, and to conform to British Standards Institution Standards BS 691 published

   

Name of Item and Ordering Description

 

SCALE

SCALE

SCALE

SCALE

 

1A

IB

II

III

IV

on 31.12.79 in respect of (1),(2) and (3) below, and BS 2842 published on 31.10.75 in respect of the hygrometer

     

(1)

Ordinary

range

 

clinical

2

-

2

-

-

thermometer,

stubby

bulb

   

pattern

(2)

Sub-normal

range,

low

body

1

-

-

-

-

temperature thermometer, stubby bulb pattern

   

(3)

Ordinary

range

 

rectal

2

-

  • 1 -

-

thermometer, thermometer and

   

its

case

clearly

marked “for

rectal use”

(4)

Whirling hygrometer

1

THORCH SET

 

1

-

  • 1 -

-

Pencil or other torch suitable for examining eyes, with batteries, and one spare set of batteries and one spare bulb, in a suitable box

   

URINE TESTING EQUIPMENT

     

(1)

Urine test sticks, sugar - in the manufacturer's container with instructions

  • 50 -

  • 50 -

-

(2)

Urine test sticks, ketones in the manufacturer's container with instructions

  • 50 -

  • 50 -

-

(3)

Salicylsulphonic acid - 20% w/v in a 25 ml bottle

  • 2 -

  • - -

-

(4)

1 ml dropper

 
  • 1 -

  • - -

-

(5)

Specimen

glass-size

50

ml

  • 2 -

  • - -

-

graduated in 5 mls of strong transparent sterilisable plastic or glass

 

(6)

Test tubes -

size

10

cm

of

  • 4 -

  • - -

-

borosilicate glass, conforming to British Standards Institution Standard BS 3218 published on 29.2.60

 

URINE DRAINAGE BAG

 
  • 2 -

  • - -

-

Sterile bedside type, 2 litre capacity, with tube and connector for catheter and spigot

 

PART III

BANDAGES, COTTON WOOL AND DRESSINGS

Note: The packing for any item on these scales shall, where practicable, include the information given in the ordering description for that item.

(See

Part 5

for

Scale

V)

Quantities

Required

Name of Item and Ordering Description

 

SCALE

SCALE

SCALE

SCALE

1A

IB

II

III

IV

BANDAGES

         

Each bandage to be individually wrapped

 

(1)

Crepe,

BP,

7.5

cm

x

4.5 m

4

2

2

-

20

when stretched

   

(2)

Elastic adhesive, BP, 7.5 cm

2

1

1

-

-

  • x 4 m

 

(3)

Triangular of calico, BP, with 2 sides of about 90 cm and a base of about 127 cm

4

2

4

-

-

(4)

Tubular

gauze

bandage,

1

-

1

-

-

seamless,

of

a

size suitable

 

for finger dressings, a length of 20 m, with applicator.

(5)

Conforming bandage, 5 cm x 3.5 m BP

4

2

4

-

-

(6)

Conforming bandage, 7.5 cm

6

3

6

-

-

  • x 3.5 m BP

   

BUTTERFLY CLOSURES

 

20

-

20

-

-

Adhesive skin closures, length approximately 5 cm, individually sealed sterile in a container

 

COTTON WOOL

         

Absorbent cotton and viscose wadding, BP, in a roll, in damp proof packaging

(1)

Package

containing

15

20

10

15

10

-

grammes, sterile

   

(2)

Package

containing

100

3

1

1

1

-

grammes, unsterile

   

DRESSINGS

         

All dressings are to be individually wrapped and in a strong and suitable container

Name of Item and Ordering Description

 

SCALE

SCALE

SCALE

SCALE

1A

IB

II

III

IV

(1)

Sterile paraffin

gauze

50

50

20

10

50

dressing, BP size 10 cm x 10

 

cm individually wrapped

(2)

Standard BPC dressingsThe containers for these dressings should each bear a label with instructions covering the following points: “Open by pulling tab. Avoid touching wound and do not finger the face of the sterilised pad. Place pad over wound retain hold of short end of bandage, wind remainder firmly and tie in a knot”

(i)

Small

plain

wound

  • 5 2

  • 5 -

-

 

dressing standard no 13 BPC

 

(ii)

Medium plain wound

B3PC

  • 5 2

2

  • 5 -

 

dressing, standard no 14

 

(iii)

Large plain

wound

  • 5 2

2

  • 5 -

 

drtessing, standard no 15 BPC

DRESSING STRIP

 
  • 2 1

 
  • 1 -

1

 

Elastic adhesive medicated dressing strip BPC, 6cm x 1m in a packet

GAUZE

  • 12 6

 
  • 6 -

4

 

Packet containing one piece of sterile absorbent cotton gauze BP, size 30 cm x 90 cm

GAUZE PADS Packet containing 5 sterile gauze pads BP size 7.5 cm x 7.5 cm

  • 20 10

10

4

20

GAUZE RIBBON Packet containing sterile absorbent

 
  • 1 -

1

  • - -

 

cotton gauze ribbon BP, size 2.5 cm x 5

m

SWABS

  • 2 -

-

  • - -

A reclosable container, with 100 filmated gauze swabs BP 10 cm x 10 cm

SUSPENSORY BANDAGE Large size

 
  • 1 -

1

  • - -

 

ZINC OXIDE TAPE

 
  • 1 -

1

  • - -

 

Name of Item and Ordering Description

SCALE

SCALE

SCALE

SCALE

1A

IB

II

III

IV

Zinc oxide plaster BP, 2.5 cm x 5 m on a spool

       
 

PART IV

SUNDRIES AND PUBLICATIONS

 

Notes: The packaging for any item on these scales shall, where practicable, include the information given in the ordering description for that item.

Name and Item and Ordering Description

SCALE

SCALE

SCALE

SCALE

1A

1B

II

III

IV

BAG, BODY

  • 2 -

-

-

-

Large size; designed to hold a dead person in a refrigerator up to 14 days or in a cool place for up to 5 days

BAG-ICE PACK

  • 2 -

-

-

-

Of strong soft rubber, or equivalent plastic material with wide, screw capped, opening

BAG, PLASTIC AND CLOSURES Of strong black plastic

       

(1)

Bag of approximate size 15 cm x 30 cm (to hold specimen jars/containers)

  • 6 -

-

-

-

(2)

Bag of size approximately 30 cm x 50 cm (to hold medivac records, dirty bandages, and after-birth, etc)

  • 6 -

-

-

-

BED-PAN Of stainless steel or sterilisable plastic

  • 1 -

-

-

-

BUDS Of viscose or cotton wool, in a container

100

-

100

-

-

CHLORINE COMPOUND

Yes

-

Yes

-

-

In reclosable air-tight containers, sufficient to chlorinate the potable water tanks and associated sytems - compounds and quantities to comply with the procedures etc stated in the latest edition of “The Ship Captain’s Medical Guide or any marine circular amending those procedures, etc

CONTAINERS

20

-