|
Chapter: | 478X
 | Title: | MERCHANT SHIPPING (SEAFARERS) (MEDICAL STORES) REGULATION | Gazette Number: | |
| Schedule: | 1 | Heading: | SCALES | Version Date: | 30/06/1997 |
[sections 2(4), 5, 6(3)(a),
(b), (e), (f) & (h), 7(1),
8(1)(a) & 11]
2. Where an item is in a bottle, container, tube, ampoule, etc. of a given capacity, the bottle, container, tube, ampoule, etc. shall contain that capacity of the item unless otherwise stated in the scales. The use of the word "ampoule" should not be taken to exclude the use of pre-filled syringes where available and preferred.
3. The quantity of any items to be included in the First Aid Box or Satchel in Scale I is in addition to the quantity for the same items required to be carried in the ship's appropriate scale. Similarly where a ship is required to carry items of Scale I and also of Scale III and/or IV, the items in Scale III and IV are in addition to those in the ship's basic scale.
PART 1-MEDICINES
Note: Scale II is at the end of this Part.
Name of Medicine (ordering name is in small letters) | Ordering Size | Quantities Required (See Part 5 for Scale IV) | ||
Scale | Scale III | |||
IA | IB | |||
| ACTIVATED CHARCOAL -Activated charcoal effervescent granules | 5 g sachet | 10 | - | 10 |
| ADRENALINE -Adrenaline acid tartrate injection 1.8 mg in 1 mL (1 in 1000) | 0.5 mL ampoule | 5 | - | - |
| ALUMINIUM ACETATE -Aluminium acetate ear drops 13% | 10 mL bottle with dropper | 3 | 1 | - |
| AMINOPHYLLINE -Aminophylline | 360 mg suppository | - | - | 60 |
| AMITRIPTYLINE -Amitriptyline hydrochloride | 50 mg tablet | 50 | - | - |
| AMOXYCILLIN -Amoxycillin trihydrate | 250 mg capsule | 100 | 50 | 100 |
| 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 | - | - |
| ANTIBIOTIC EAR DROPS(a) -Ear drops containing in each mL neomycin 3400 units, polymixin B sulphate 10000 units, hydro-cortisone 10 mg | 5 mL dropper bottle | 3 | 1 | - |
| ANTISEPTIC SOLUTION -A solution containing 0.015% w/v chlorohexidine and 0.015% w/v cetrimide | 100 mL sachet | 60 | 60 | - |
| ARACHIS OIL -Arachis (Peanut) oil | 10 mL bottle with dropper | 2 | - | - |
| ASCORBIC ACID -(1) Ascorbic acid (vitamin C) -(2) Ascorbic acid (vitamin C) injection 100 mg in 1 mL | 1 g soluble tablet 5 mL ampoule | - - | - - | 120 20 |
| ASPIRIN -Dispersible aspirin tablet | 300 mg dispersible | 500 | 500 | - |
| ATROPINE -Atropine sulphate injection 1 mg in 1 mL | 1 mL ampoule | 5 | - | 200 |
| BENZOIC ACID -Benzoic acid compound ointment (benzoic acid 6%; salicylic acid 3%, in emulsifying ointment). Often called Whitfield's ointment | 50 mg | 10 | 5 | - |
| BENZYL PENICILLIN -Benzyl penicillin sodium injection powder (for reconstitution) in a rubber capped and metal topped glass vial | 600 mg vial | 70 | 35 | - |
| BISMUTH SUBGALLATE -Bismuth subgallate compound suppository (bismuth oxide 24 mg, balsam peru 49 mg, zinc oxide 296 mg, bismuth subgallate 59 mg) | 2.8 g suppository | 24 | 12 | - |
| BURN CREAM -Silver sulphadiazine cream 1% (w/w) | 50 g tube | 4 | 2 | - |
| CALAMINE LOTION -Calamine 15% lotion | 100 mL bottle | 6 | 3 | - |
| CALCIUM GLUCONATE -(1) Calcium gluconate 2 1/2% gel for hydro-fluoric acid burns -(2) Calcium gluconate effervescent | 25 g tube 1 g effervescent tablet | - - | - - | 6 10 |
| CHLORAMPHENICOL -Chloramphenicol eye ointment 1% | 4 g dispenser | 10 | 5 | 10 |
| CHLOROQUINE -either chloroquine sulphate 200 mg tablet (150 mg of chloroquine base); or chloroquine phosphate 250 mg tablet (155 mg of chloroquine base) | 200/250 mg tablet | 500 | 500 | - |
| CHLORPHENIRAMINE -(1) Chlorpheniramine maleate -(2) Chlorpheniramine maleate injection 10 mg in 1 mL | 4 mg tablet 1 mL ampoule | 60 5 | 30 - | - 20 |
| CHLORPROMAZINE -(1) Chlorpromazine hydrochloride -(2) Chlorpromazine hydrochloride injection 25 mg in 1 mL | 25 mg tablet 1 mL ampoule | 200 20 | 100 - | - 80 |
| CIMETIDINE(a) -Cimetidine | 200 mg tablet | 50 | - | - |
| CODEINE LINCTUS -Codeine phosphate 15 mg in 5 mL linctus | 200 mL bottle | 2 | 1 | - |
| CO-TRIMOXAZOLE -Co-trimoxazole (sulphamethoxazole 400 mg trimethoprim 80 mg) | 480 mg tablet | 100 | 50 | 50 |
| CYCLIZINE -(1) Cyclizine hydrochloride -(2) Cyclizine lactate 50 mg in 1 mL | 50 mg tablet 1 mL ampoule | 20 5 | 10 5 | - - |
| DIAZEPAM -(1) Diazepam injection 5 mg in 1 mL -(2) Rectal dispenser 4 mg in 1 mL | 2 mL ampoule 10 mg rectal dispenser | - 5 | - - | 60 - |
| DIHYDROCODEINE -Dihydrocodeine tartrate | 30 mg tablet | 100 | - | - |
| DIMERCAPROL -Dimercaprol injection 50 mg in 1 mL | 2 mL ampoule | - | - | 160 |
| EPHEDRINE -Ephedrine hydrochloride 0.5% nasal drops (ephedrine hydrochloride 50 mg, chlorbutol 50 mg, sodium chloride 50 mg, sterile water to 10 mL) | 10 mL bottle with dropper | 2 | 1 | - |
| ERGOMETRINE -Ergometrine maleate injection 0.5 mg in 1 mL | 1 mL ampoule | 5 | - | - |
| ERYTHROMYCIN -Erythromycin | 250 mg tablet | 100 | 50 | 100 |
| ETHANOL -Ethanol 10% solution | 500 mL bottle | - | - | 4 |
| FRUSEMIDE -(1) Frusemide -(2) Frusemide injection, 10 mg in 1 mL | 40 mg tablet 2 mL ampoule | 20 5 | - - | 80 40 |
| GAMMA BENZENE HEXACHLORIDE -(1) Gamma benzene hexachloride body lotion -(2) Gamma benzene hexachloride hair application 1% | 100 mL bottle 100 mL bottle | 6 2 | - - | - - |
| GLUCOSE -Glucose monohydrate powder | 500 g container | - | - | 1 |
| GLYCERIN OF THYMOL -Thymol glycerin compound mouth wash (thymol 0.05% and glycerol 10% in water) | 200 mL bottle | 4 | 1 | - |
| GLYCERYL TRINITRATE -Glyceryl trinitrate | 0.5 mg tablet | 100 | - | - |
| HYDROCORTISONE OINTMENT -Hydrocortisone 1% ointment | 15 g container | 10 | 5 | - |
| HYDROGEN PEROXIDE -Hydrogen peroxide 6% solution | 100 mL bottle | 2 | - | - |
| HYOSCINE HYDROBROMIDE -Hyoscine hydrobromide | 0.3 mg tablet | 100 | - | - |
| INDOMETHACIN -Indomethacin | 100 mg suppository | 10 | - | - |
| LIGNOCAINE -(1) Lignocaine hydrochloride 1% (plain) 20 mg in 2 mL -(2) Lignocaine hydrochloride 2% in a lubricant water miscible base (gel) | 2 mL ampoule 20 g container | 5 2 | - 1 | - - |
| MAGNESIUM TRISILICATE -Magnesium trisilicate (magnesium trisilicate 250 mg, dried aluminium hydroxide gel 120 mg) | 370 g compound tablet | 500 | 500 | - |
| MALOPRIM -Maloprim (pyrimethamine 12.5 mg and dapsone 100 mg). This item is only required in ships plying in waters surrounding the Solomon Islands and Papua New Guinea | 112.5 mg tablet | 360 | 360 | - |
| MENTHOL AND BENZOIN -Menthol and benzoin inhalation (methol 1 g and benzoin inhalation to 50 mL) | 50 mL bottle | 2 | - | - |
| METOCLOPRAMIDE -Metoclopramide hydrochloride injection 5 mg in 1 mL | 2 mL ampoule | - | - | 60 |
| METRONIDAZOLE -Metronidazole | 200 mg tablet | 60 | - | - |
| MICONAZOLE -(1) Miconazole nitrate 2% vaginal cream -(2) Miconazole nitrate pessaries -(3) Miconazole nitrate 2% topical cream | 78 g container with applicator pack of fourteen 100 mg pessaries with an inserter 30 g container | 2 1 1 | 1 - - | - - - |
| MORPHINE -Morphine sulphate injection 15 mg in 1 mL | 1 mL ampoule | 20 | - | 30 |
| NALOXONE HYDROCHLORIDE -Naloxone hydrochloride injection 400 micrograms in 1 mL | 1 mL ampoule | - | - | 30 |
| NITRAZEPAM -Nitrazepam | 5 mg tablet | 20 | 10 | - |
| OIL OF CLOVES -Clove oil | 10 mL bottle | 2 | 1 | - |
| PARACETAMOL -Paracetamol | 500 mg tablet | 500 | 500 | - |
| PENICILLIN V -Phenoxymethyl penicillin | 250 mg tablet | 200 | 100 | - |
| PETROLEUM JELLY -Soft paraffin | 50 g container | 4 | 2 | - |
| PHENOBARBITONE -Phenobarbitone sodium 200 mg in 1 mL | 1 mL ampoule | 5 | - | - |
| POLYETHYLENE GLYCOL -Polyethylene glycol molecular weight 300 | 1 litre bottle | - | - | 2 |
| POTASSIUM PERMANGANATE -Potassium permanganate crystals | 25 g container | 1 | 1 | - |
| PREDNISOLONE(a) -Prednisolone | 5 mg tablet | 60 | - | - |
| PRIPSEN -Piperazine phosphate hydrate 4 g and sennosides | 10 g sachet | 4 | 2 | - |
| PROGUANIL -Proguanil hydrochloride | 100 mg tablet | 1000 | 50 | - |
| PYRIMETHAMINE -Pyrimethamine 25 mg, sulphadoxine 500 mg | 525 mg tablet | 10 | - | - |
| QUININE SULPHATE -Quinine sulphate | 300 mg tablet | 50 | - | - |
| SALBUTAMOL -Salbutamol aerosol inhaler unit, giving 100 micrograms per metered inhalation | 200 dose container | 2 | - | 4 |
| SALT TABLETS -Sodium chloride and glucose enteric coated | 650 mg tablet | 1000 | 50 | - |
| SODIUM BICARBONATE -Sodium bicarbonate | 100 g | 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) | 9 g sachet | 40 | 20 | - |
| SURGICAL SPIRIT -Surgical spirit | 250 mL | 1 | - | - |
| TETANUS VACCINE -Tet vac formol toxoid, 0.5 mL to be kept refrigerated | 0.5 mL ampoule | 5 | - | - |
| TETRACYCLINE -Tetracycline hydrochloride | 250 mg tablet | 100 | 50 | - |
| VITAMIN K1 (phytomenadione) -Phytomenadione 10 mg in 1 mL | 1 mL ampoule | - | - | 4 |
| WATER FOR INJECTION -Water for injection | 2 mL ampoule | 70 | 35 | - |
| ZINC OINTMENT -Zinc oxide 15% in a simple ointment | 25 g container | 2 | 1 | - |
| ZINC OXIDE -Zinc oxide dental powder | 25 g container | 2 | - | - |
NB: For notes see end of this Schedule.
Name of Medicine | Ordering Size | Quantities Required |
Scale II | ||
| Aspirin children | 0.1 g tablet | 30 |
| Panadol | 500 mg tablet | 100 |
| Gelusil | tablet | 100 |
| Buscopan | 10 mg tablet | 100 |
| Nitrostat | 0.6 mg sublingual tablet | 100 |
| Ventolin Inhaler | 0.1 mg/inhalation | 200 dose container |
| Piriton | 4 mg tablet | 50 |
| Methylated Spirit | 500 mL | 500 mL |
| Tincture of Iodine (weak solution) | 25 mL | 25 mL |
| Gentian Violet Solution | 25 mL | 25 mL |
| Mercurochrome | 25 mL | 25 mL |
PART 2-INSTRUMENTS, APPLIANCES AND MEASURING EQUIPMENT
Note: The packaging for any item on these scales shall, where practicable, include the information given in the ordering description for that item.
Name of Item and Ordering Description | Quantities Required (See Part 5 for Scale IV) | |||
Scale | Scale II | Scale III | ||
IA | IB | |||
| CANVAS ROLL FOR INSTRUMENTS To contain the surgical instruments | 1 | - | - | - |
| CATHETER, URINARY Sterile, conforming to British Standards Institution Standard BS 1695 published on 30.4.81 (1) Foley type, size 16 Charriere gauge with 5 mL balloon (2) Nelaton (Jacques) size 16 Charriere gauge (with no balloon) (3) Penile sheath set | 1 1 1 | - - - | - - - | - - - |
| DENTAL INSTRUMENT To be of stainless steel throughout and contained in a separate canvas roll or container (1) Excavator double ended Guys' pattern G2 (2) Forceps, packing, 15 cm (3) Filling paste inserter (for inserting the filling paste into the tooth) (4) Filling paste packer (for packing and smoothing the paste in the tooth) (5) Dental mirror size 4 on handle (6) Dental spatula weston pattern (7) Glass mixing slab | 1 1 1 1 1 1 1 | - - - - - - - | - - - - - - - | - - - - - - - |
| EYE LOOP Disposable, of nylon with wooden handle | 2 | 1 | - | - |
| FLUORESCEIN STRIPS Fluorescein sodium 1% paper eye test strips | 100 | - | - | 100 |
| FORCEPS Of stainless steel throughout (1) Dissection, 12.5 cm (2) Epilation with oblique ends, 12.5 cm (3) Sinus, 12.5 cm (4) Spencer Well's, 12.5 cm (5) Tissue Forceps, 12.5 cm, 1-2 teeth | 1 1 1 2 1 | - - - - - | 1 - - - - | - - - - - |
| GUEDEL AIRWAY Conforming to British Standards Institution Standard BS 2927 published on 29.11.57 (1) Size 4 (2) Size 3 (3) Size 1 | 1 1 1 | - - - | - - - | - - - |
| KIDNEY DISH Size 250 mm, 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 | 2 | - | - | - |
| LOTION BOWL 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) | 1 | - | - | - |
| MAGNIFYING GLASS-7.5 cm diameter on handle MEASURES (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 (2) Measuring jug, size 1 litre, graduated in 25 mL of strong sterilisable transparent plastic (3) Measuring spoon, size 5 mL, of plastic conforming to British Standards Institution Standard BS 3221/6 1985 | 1 1 50 | - - - | - - - | - - - |
| MICROSCOPE SLIDE In strong individual transit containers | 10 | - | - | - |
| NECK COLLAR Adjustable, fractured (etc.) neck adult size. Set of 3: small, medium and large | 1 | - | - | - |
| OXYGEN GIVING SET(b) Comprising the following: (1) 2 X oxygen cylinders with 1-1 1/2 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 ¡Ñ 24% oxygen disposable face masks (6) 5 ¡Ñ 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 | - | - | - |
| RECTAL DRIP SET (1) A drip set for giving into the rectum 200 mL of fluid over a period of 10-15 minutes. The set to comprise 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 (2) Catheter, rectal size 26 Charriere sterile, conforming to British Standards Institution Standard BS 1695 published on 30.4.81 | 1 1 | - - | - - | 1 1(f) |
| RESUSCITATOR, MOUTH TO MOUTH Short oral airway with non-return valve, of the Brook Airway type | 2 | - | 1 | - |
| SCALPEL AND BLADE SET Blades and scalpels size 23, sterile, disposable | 6 | - | - | - |
| SCISSORS (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 3546 published on 19.7.63 (2) Size 12.5 cm both blades sharp-pointed | 1 1 | - - | 1 - | - - |
| SPLINTS (1) Set of common splints (2) Inflatable splints, set of 4 (half-leg, full-leg, half-arm, full-arm) (3) Liston's thigh splint-140 cm | 1 1 1 | - - - | - - - | - - - |
| STERILIZER Electrically heated sterilizer for unwrapped utensils and instruments (to hold at least 2 kidney dishes, one pair of scissors, 3 forceps, at one sterilization) | 1 | - | - | - |
| 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 (2) 40 mm half circle needle (3) Sterile, absorbable sutures BP, of catgut swaged to a 40 mm half circle cutting needle | 3 3 3 | 3 3 3 | - - - | - - - |
| 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) ¡Ñ 4 cm needle (2) 5 mL syringe with a 0.8 mm (21 swg) ¡Ñ 4 cm needle (3) 10 mL syringe with a 0.8 mm (21 swg) ¡Ñ 4 cm needle | 40(e) 5 20 | - - - | - - - | 200 20 - |
| 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 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 thermometer stubby bulb pattern (2) Sub-normal range, low body temperature thermometer, stubby bulb pattern (3) Ordinary range rectal thermometer, thermometer and its case clearly marked "for rectal use" (4) Whirling hygrometer | 2 1 2 1 | - - - - | 3 - - - | - - - - |
| TORCH SET Pencil or other torch suitable for examining eyes, with batteries, and one spare set of batteries and one spare bulb, in a suitable box | 1 | - | - | - |
| URINE TESTING EQUIPMENT (1) Urine test sticks, sugar-in the manufacturer's container with instructions (2) Urine test sticks, ketones-in the manufacturer's container with instructions (3) Salicylsulphonic acid-20% w/v, in a 25 mL bottle (4) 1 mL dropper (5) Specimen glass-size 50 mL, graduated in 5 mL of strong transparent sterilisable plastic or glass (6) Test tubes-size 10 cm of borosilicate glass, conforming to British Standards Institution Standard BS 3218 published on 29.2.60 | 50 50 2 1 2 4 | - - - - - - | - - - - - - | - - - - - - |
| URINE DRAINAGE BAG Sterile bedside type, 2 litre capacity, with tube and connector for catheter and spigot | 2 | - | - | - |
PART 3-BANDAGES, COTTON WOOL AND DRESSINGS
Note: The packaging for any item on these scales shall, where practicable, include the information given in the ordering description for that item.
Name of Item and Ordering Description | Quantities Required (See Part 5 for Scale IV) | |||
Scale | Scale II | Scale III | ||
IA | IB | |||
| BANDAGES Each bandage to be individually wrapped stretched (1) Crepe, BP, 7.5 cm ¡Ñ 4.5 m when (2) Elastic adhesive, BP, 7.5 cm ¡Ñ 4 m (3) Triangular of calico, BP, with 2 sides of about 90 cm and a base of about 127 cm (4) Tubular gauze bandage, seamless, of a size suitable for finger dressings, a length of 20 m, with applicator (5) Conforming bandage, 5 cm ¡Ñ 3.5 m BP (6) Conforming bandage, 7.5 cm ¡Ñ 3.5 m BP (7) Conforming bandage, 15 cm ¡Ñ 3.5 m BP | 4 2 4 1 4 6 - | 2 1 2 - 2 3 - | 12 4 6 - 12 12 12 | 20 - - - - - - |
| BUTTERFLY CLOSURES Adhesive skin closures, length approximately 5 cm, individually sealed sterile in a container | 20 | - | - | - |
| COTTON WOOL Absorbent cotton and viscose wadding, BP, in a roll, in damp proof packaging (1) Package containing 15 g, sterile (2) Package containing 100 g unsterile | 20 3 | 10 1 | - 1 | - - |
| DRESSINGS All dressings are to be individually wrapped and in a strong and suitable container (1) Sterile paraffin gauze dressing, BP, size 10 cm ¡Ñ 10 cm individually wrapped (2) Standard BPC dressings. The 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 dressing, standard no. 13 BPC (ii) Medium plain wound dressing, standard no. 14 BPC (iii) Large plain wound dressing, standard no. 15 BPC | 50 5 5 5 | 50 2 2 2 | 50 - - - | 50 - - - |
| DRESSING STRIP Elastic adhesive medicated dressing strip BPC, 6 cm ¡Ñ 1 m in a packet | 2 | 1 | 2 | - |
| GAUZE Packet containing one piece of sterile absorbent cotton gauze BP, size 30 cm ¡Ñ 90 cm | 12 | 6 | 12 | - |
| GAUZE, PADS Packet containing 5 sterile gauze pads BP size 7.5 cm ¡Ñ 7.5 cm | 20 | 10 | - | 20 |
| GAUZE RIBBON Packet containing sterile absorbent cotton gauze ribbon BP, size 2.5 cm ¡Ñ 5 m | 1 | - | - | - |
| SWABS A reclosable container, with 100 filmated gauze swabs BP 10 cm ¡Ñ 10 cm | 2 | - | - | - |
| SUSPENSORY BANDAGE Large size | 1 | - | - | - |
| ZINC OXIDE TAPE Zinc oxide plaster BP, 2.5 cm ¡Ñ 5 m, on a spool | 1 | - | 1 | - |
PART 4-SUNDRIES AND PUBLICATIONS
Note: The packaging for any item on these scales shall, where practicable, include the information given in the ordering description for that item.
Name of Item and Ordering Description | Quantities Required (See Part 5 for Scale IV) | |||
Scale | Scale II | Scale III | ||
IA | IB | |||
| AIDS KIT To be kept in a heavy gauge polythene bag, and labelled "to be used only for the treatment of ...." (insert name of seafarer). Each kit to contain the following: (1) 10 ¡Ñ 2 mL syringes (2) 10 ¡Ñ 20 mL syringes (3) 20 ¡Ñ 21 swg 0.8 mm needles (4) 1 ¡Ñ 27 swg dental cartridge needles (5) 1 blood giving set and cannula (6) 1 blood taking set, consisting of a collection pack containing anti-coagulants for 450 mL of blood with an integral needle (7) pack of pre-injection site swabs | 3 | 3 | - | - |
| BAG, BODY 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 | 2 | - | - | - |
| BAG-ICE PACK Of strong soft rubber, or equivalent plastic material with wide, screw capped, opening | 2 | - | - | - |
| BAG, PLASTIC AND CLOSURES Of strong black plastic (1) Bag of size approximately 15 cm ¡Ñ 30 cm (to hold specimen jars/containers) (2) Bag of size approximately 30 cm ¡Ñ 50 cm (to hold medivac records, dirty bandages, and after birth, etc.) | 6 6 | - - | - - | - - |
| BED-PAN Of stainless steel or sterilisable plastic | 1 | - | - | - |
| BUDS Of viscose or cotton wool, in a container | 100 | - | - | - |
| CHLORINE COMPOUND In reclosable air-tight containers, sufficient to chlorinate the potable water tanks and associated systems-compounds and quantities to comply with the procedures, etc. stated in the latest edition of "The Ship Captain's Medical Guide" or an advice issued by the Authority amending those procedures, etc. | Yes | - | - | - |
| CONTAINERS Air-tight, for the dispensing of tablets-20 tablet size | 20 | - | - | - |
| DISINFECTANT To conform to the specification for disinfectants prescribed in Schedule 4, Part 1-Quantity in litres | 10 | - | 1/2 | - |
| EYE BATHS | 2 | - | - | - |
| EYE-SHADES With elastic head band, robust quality throughout | 2 | - | - | - |
| FACE MASK Paper, disposable | 12 | - | - | - |
| FINGER STALLS With tapes, of robust material throughout 2 or more sizes | 5 | - | - | - |
| FIRST AID KIT To be distributed around the ship The following to be in a damp proof strong canvas bag, satchel, or box, with a strap for carrying: (1) 4 ¡Ñ triangular bandages, with sides of about 90 cm and a base of about 127 cm (2) 6 ¡Ñ standard dressings no. 8 or 13 BPC (3) 2 ¡Ñ standard dressings no. 9 or 14 BPC (4) 2 ¡Ñ extra large sterile unmedicated dressings, 28 cm ¡Ñ 17.5 cm (5) 6 medium size safety pins, rustless (6) 20 assorted elastic adhesive dressing strips medicated BPC (7) 2 sterile eye pads with attachment (8) 2 ¡Ñ packages containing 15 g sterile cotton wool (9) 5 pairs of large, disposable, polythene gloves | 3 | - | - | - |
| GLOVES Large, of polythene, disposable | 25 | - | - | 25 |
| HOT WATER BOTTLE Of rubber, with a fabric cover, size about 20 cm ¡Ñ 30 cm | 2 | - | - | - |
| INSECTICIDE To conform to the specification for insecticides prescribed in Schedule 4, Part 2 (1) In liquid form-litres (2) In a hand sprayer-spray containers of the standard domestic size(c) | 10 1 | - - | - - | - - |
| JARS, SPECIMEN Of strong plastic or glass, supplied with a lid to make them air-tight, and with blank labels stuck on, size 50 mL | 5 | - | - | - |
| LABELS (1) Plain self-adhesive, about 5 cm ¡Ñ3 cm (2) Tags for patients who have been given morphine | 50 20 | - 5 | - - | - 30 |
| NAIL BRUSH Of strong sterilisable plastic throughout | 1 | - | - | - |
| SPECTACLES-DARK Of robust material throughout | 1 | - | - | - |
| SAFETY PINS Rustless, size 5 cm | 12 | - | 24 | - |
| SPUTUM CUPS Cups, with covers, disposable | 20 | - | - | - |
| STRETCHER Neil Robertson type | 1 | - | - | - |
| TALC A reclosable puffer pack or sprinkler containing 100 g of talc dusting powder BP | 1 | - | - | - |
| TONGUE DEPRESSORS Wooden | - | - | 10 | - |
| TOWELS Paper, disposable, hand size | 100 | - | - | - |
| URINE BOTTLE Of sterilisable plastic, graduated in mL | 1 | - | - | - |
| WATERPROOF SHEETING Of smooth, strong non-adhesive, rubber or plastic, rolled on a hard core, size 1 m ¡Ñ 2 m | 2 | - | - | - |
| PUBLICATIONS (a) "The Ship Captain's Medical Guide"-21st or latest subsequent edition (b) Medical First Aid Guide (MFAG) for Use in Accidents Involving Dangerous Goods (latest edition) (c) Temperature, pulse and respiration, etc. chart (d) Liquid intake and output form (e) Visit to doctor form (f) A copy of the Merchant Shipping (Seafarers)(Medical Stores) Regulation (Cap 478 sub. leg. X and subsequent amendments) (g) Controlled drugs register | 1 - 20 10 10 1 1 | - - - 10 5 - - | - - - - - - - | - 1 - 10 10 - - |
PART 5-SCALE IV
1. The notes at the head of this Schedule apply to this Part.
2. All of the medicines in this scale shall be kept in a medical practitioner's attache case, as should most of the medical stores in this scale. 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. The 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. The case should be labelled clearly as follows-
- "The medicines in this case are to be used only by a qualified doctor, or by someone under the direct supervision of a doctor on board the ship.".
3. The obtaining, use, and disposal of morphine from this case shall be recorded in the ship's controlled Drugs Register, as stated in "The Ship Captain's Medical Guide".
4. The items listed in this Part are in addition to those of the main scale which the ship is required to carry. Where an injection is specified a prefilled syringe is acceptable in lieu.
SCALE IV
Name of Medicine, etc. (ordering name is in small letters) | Ordering Size | Quantity Required |
| ADRENALINE Adrenaline tartrate injection (1 in 1000) 1.8 mg in 1 mL | 1 mL ampoule | 5 |
| AMINOPHYLLINE Aminophylline injection 25 mg in 1 mL | 10 mL ampoule | 4 |
| BROOK AIRWAY |  | 1 |
| CHLORPROMAZINE Chlorpromazine hydrochloride injection 25 mg in 1 mL | 1 mL ampoule | 10 |
| CYCLIZINE Cyclizine lactate injection 50 mg in 1 mL | 1 mL ampoule | 5 |
| DEXTROSE Dextrose intravenous infusion 50% | 20 mL ampoule | 2 |
| DIAZEPAM Rectal dispenser 4 mg in 1 mL | 10 mg rectal dispenser | 5 |
| FRUSEMIDE Frusemide injection 10 mg in 1 mL | 2 mL ampoule | 5 |
| GLUCAGON Glucagon injection 1 mL with diluent | 1 mL ampoule | 1 |
| GLUCOSE Glucose intravenous infusion 5% | 1 litre | 1 |
| GLUCOSE IN BLOOD (1) Blood test sticks-glucose (2) Blood lancets, sterile | | 10 10 |
| HYDROCORTISONE Hydrocortisone sodium succinate powder for reconstitution with diluent | 100 mg vial | 2 |
| INSULIN Insulin injection, soluble, 100 units per mL | 10 mL vial | 1 |
| INTRAVENOUS INFUSION GIVING SET WITH CANNULA Intravenous, 18 gauge | | 1 |
| MORPHINE Morphine sulphate 15 mg in 1 mL | 1 mL ampoule | 1 |
| OXYGEN RESUSCITATOR(d) To deliver 35% oxygen by positive pressure | | 1 |
| PAEDIATRIC PARACETAMOL | 120 mg tablet | 24 |
| PREDNISOLONE Prednisolone | 5 mg tablet | 25 |
| SALBUTAMOL Salbutamol aerosol inhaler unit, giving 100 micrograms per metered inhalation | | 1 |
| SKIN SWABS Alcohol impregnated swabs, sterile | | 10 |
| SYRINGE AND NEEDLE, HYPODERMIC, PACK Sterile disposable conforming to British Standards Institution Standard BS 691 published on 31.12.79 (1) 2 mL syringe with a 0.8 mm (21 g) ¡Ñ 4 cm needle (2) 20 mL syringe with a 0.8 mm (21 g) ¡Ñ 4 cm needle (3) 1 mL insulin syringe 100 units with a 0.5 mm (25 g) ¡Ñ 16 cm needle | | 2 2 2 |
| STETHOSCOPE | | 1 |
| SPHYGMOMANOMETER | | 1 |
Notes:
(a) To be used ONLY on medical advice and to be labelled accordingly.
(b) An oxygen resuscitator set with accessories that will permit the equipment to give therapy with both 24% and 35% oxygen will be acceptable in lieu of this item if sufficient oxygen is carried for 3 hours treatment at 35% in addition to that required for resuscitation.
(c) A pre-packed press-button pressure canister may be used in lieu.
(d) Where an oxygen resuscitator is carried in compliance with Scale III it will not be necessary to carry a second set to meet Scale IV.
(e) It is recommended that ships trading extensively to tropical countries carry, in addition to the specified quantities, sufficient hypodermic syringes to provide for all crew innoculations individually.
(f) This item need not be carried if it is already required under Scale I.
(Enacted 1996)