|
MINISTRY OF SURFACE TRANSPORT
(
Shipping Wing)
New
Delhi the 24th October, 1994
G.S.R.
555— In exercise of the powers conferred by Section 172 read with
section 457 of the Merchant Shipping Act, 1958 ( 44 of 1958) and in
supersession of the Merchant Shipping ( Medicines, Medical Stores and
Appliances ) Rules. 1966, except as respects things done or omitted
to be done before such supercession, the Central Government hereby
makes the following rules , namely :-
1.
Short
title, commencement and application.
(1)
These
rules may be called the Merchant Shipping ( Medicines, Medical Stores
and Appliances) Rules 1994.
(2)
They
shall come into force on publication in the Official Gazette.
(3)
They
shall apply to all foreign going Indian vessel and all home trade
Indian ships of two hundred tones gross or more.
2.
Definition—In
these rules, unless the context otherwise requires –
(a)
“Act”
means the Merchant Shipping Act, 1958 ( 44 of 1958).
(b)
“ EM
Schedules” means the Emergency Schedules for vessels carrying dangerous
goods prescribed by the International Maritime Organization and as
revised from time to time.
(c)
“ IMDG
Cod” means the International Maritime Dangerous Goods Code prescribed
by the International Maritime Organization and as revised from time to
time.
(d)
“ MFA
guide” means Medical First Aid Guide prescribed by the International
Maritime Organization and revised from time to time.
(e)
“ Medical
Guide” means the ship Captain’s Medical Guide published by the
International Maritime Organization and the World Health Organization
and revised from time to time.
(f)
“Medical
Officer” means a person possessing a degree in Medicine and Surgery of
any recognized University and enrolled as a Medical Practitioner on the
register of the Medical Council of any State and also holds a valid
license issued by the Port Health Officer of the port of departure of
the vessel in the form prescribed under the Merchant Shipping 9
Carriage of Medical Officer) Rules, 1961.
(g)
“Official Pharmacopoeia” means the Indian Pharmacopoeia ( I.P.),
the National Formulary of Indian ( N.F.I.), the British Pharmaceutics
Code ( B.P.C) and U.S. Pharmacopoeia ( U.S.P.).
(h)
“person”
in relation to these rules means any person above the age of one year
and include ship’s crew and officers.
(i)
“ Port
Health Officer” means any person appointed by the Central government
either by name or by virtue of his office, to be the health officer of a
port and includes—
(i) An Additional. Deputy or Assistant
Port Health Officer, or any officer appointed by the Central
Government, either by name or by virtue of his office, to perform any/or
all duties of a health officer of a port; and
(ii)
A person
appointed by the Central Government under sub-section (3) of section
172 of the Act to inspect the medicines, medical stores and appliances
with which a vessel or ship is required to be provided;
(j)
“
Schedule” means the Schedule appended to these rules.
3.
Scale
of Medicines etc.—(1)
all “ships” shall carry medicines, medical, stores and appliances
hereinafter referred to as “ Medicines etc”. as specified in the
First
Schedule to these rules.
(2)
The
tables given in the
First
Schedule Specify the
(i)
Medicines
in Part I:
(ii)
Medical
stores and appliances in Part II
(iii)
Publications in Part III;
(iv)
Instruments in Part IV:
(v)
Bandages
etc. in Part V; and
(vi)
Disinfectants in Part VI.
(3) Every Cargo ship on foreign
going voyages and passenger ships shall carry the scales of medicines
etc., as prescribed in sub-column (a) of column (2) of the
First
Schedule
. Where the total number of persons on board exceeds forty on
any such ship one set of each of the items listed in sub column (b) of
column (2) of the said Schedule shall be, carried for each additional
forty persons or party thereof.
(4) Where the ships are required to
carry a Medical Officer in accordance with the provisions of section 173
of the Act, the scales of medicines etc. shall be carried so as to be
sufficient for 99 persons and the Medical Officer shall determine the
additional medicines required to be carried, taking into account the
duration of the voyage and the area of the operation, subject to the
approval of the Port I-Health Officer at the port of departure .
(5) Every cargo ship on home trade
voyages, where voyage exceeds more than Nineteen Six shall carry the
sa1es of medicines etc.. as specified in column (3) of the said
Schedule.
(6) Every cargo ship on home trade
voyages of ninety-six hours or less duration shall carry the scales of
medicines etc.. is specified in column (4) of the said schedule.
(7) All ships shall carry medicines etc.,
prescribed under column (5) of First
Schedule
. Such medicines etc.
shall be kept in doctors attached case. Such an attach case shall
locked and the key shall be kept in the custody of the person authorized
by the Master of the vessel. Medicines in such attach case shall be
used only by a qualified medical practitioner. The medicines etc.,
specified in column (5) shall be in addition to those prescribed under
columns 2 to 4 (both inclusive )
(8) (1) Medicines etc., recommended to be
used under the instructions of a qualified medical practitioner by Radio
Medical Advice are administered as per he instructions and not
otherwise.
(2) Enough care is taken so that
medicines etc., which have to be used only by a qualified medical
practitioner would not fail into the hands of non-medical practitioners
4. Scale of Medicines
for special vessels—(1)
All cargo ships carrying chemicals as a whole or part of a cargo or the
residues of the earlier cargo in quantity in excess of those defined in
Vol. 1 of the IMDG Code shall carry on board medicines as specified in
EMS & reproduced in the Second Schedule. These shall be in addition to
those specified in the First Schedule and shall be stored separately
there from.
(2) The recommended quantities of
medicines specified in, the
Second Schedule are generally considered to
be sufficient according to instructions given in MFRG. to treat : (i) in
case of inhalation—
(a) a crew complement of about 24, in the
event of a major emergency (e.g. explosion) for a period of 24 hours by
which time either evacuation can be expected to have been completed or
additional supplies of medicines to have been brought in by the rescue
services.
(b) Few persons exposed in a lesser
emergency until the vessel reaches the next port or some other
assistance is received.
(ii) In case of ingestion or eye contact
one or two persons until landed or cured ; and
(iii) in case of skin contact (leakage or
spillage) four persons, until landed or cured.
(3)
Where the total persons on board exceed twenty four but do not exceed
fifty. the scale of medicines given in the
Second Schedule should be
increased by a factor of 1.5. Where the persons of board exceed fifty
the scale of medicines given in the second schedule should be increased
by a factor of 2.0.
5. Standards of Medicines—(l)
All such medicines medical stokes etc. shall confirm to the
specifications as laid down in the current issue of the official
pharmacopeias applicable in each case .
(2) All
tables and capsules should as far as possible be in proper moisture
resistant packaging in order to avoid determination due to humid
conditions prevalent on board.
6. Labels—-(l)
All labels on containers or wrapping shall be rendered resistant to
moisture by the use of an efficient labels varnish or by some other
suitable means.
(2) All
labels shall indicate—
(a) the
generic name of the preparation as given in the’ official pharmacopoeia
in
English,
(b) the prescribed does (maximum and
minimum), strength of each medicine its batch No., date of manufacture
date of expiry as well as name and address of the manufacturer.
(c ) the article to used externally only
shall have on the container o wrapping a label bearing the words “for
external use only”.
7.
Position : every medicine indicated as a “Poison” “Controlled
substances” respectively printed thereon in capital letters either in
red lettering or on red back ground.
(2) All such medicines shall
be kept under lock and key’ in separate cabinet or chest and the key of
the cabinet chest shall he kept by the officer authorized by the Master
of the vessel .
8.
Record Book : (1) The master shall maintain an upto date record of
medicines, medical stores and appliances available on board. The stock
of medicines and such records shall be available for inspection of the
Port Health Officer at any time.
(2) The
medicines, medical stores and appliances on board every vessel as well
as the record thereof be inspected once it twelve months by the Port
Health Officer. After inspection the Port Health Officer shall issue the
certificate in the format prescribed in the
Third Schedule.
(3)
Where a vessel is not likely to return to the Indian Port within a
period of twelve months from the last inspection by the Port Health
Officer, the Master shall procure sufficient medicines, enter the
details of voyage and certify that he has fully complied with the rules
and enter the same in a separate register.
(4)
Separate register must be maintained for ‘poisons’ and ‘controlled
substances’.
9.
Substitutes- any particular item of medicine or medical store
mentioned in the First or Second Schedule is not as a substance having
closely similar pharmacological
action or, in the case of
prescribed preparations or formulations, similar preparations or
formulations which comply with the standards laid down thereof in official
pharmacopoeia, may be substituted after obtaining the sanction of the Port
Health Officer.
10.
Publications—The Master of every vessel shall in use of these
medicines. medical stores and appliances be guided by the la4est edition
of the publication enumerated in Part In of the
First Schedule.
11.
Special Precautions in endemic/epidemic areas—Master of every vessel
entering an endemic /epidemic area shall carry adequate quantity of
preventive and curative medicines as per the advice of the Port Health
Officer from the Port of departure.
12.
Disposal—(l) All intact sterile disposable packages should be
replaced as and when considered unusable by the Port Health Officer or
on the expiry date marked on the packages. whichever is earlier.
(2)
Medicines: Medical Stores and appliances shall be replaced on the
advice of the Port Health Officer.
13. Replacement of medicine-
(1) All medicines consumed in the course of the voyages shall be
replaced in the next mayor port of call.
(2)
Medicines. which are not due to expire at least within one year from
the date of purchase. shall only be used for replacement.
14. Storage
—(l) All medicines shall he stored in proper lockers or medicine chests
so as to prevent displacement when the vessel is at sea.
(2) Each
category of medicines such as injections. ointments tablets syrups etc..
should be stored on separate shelves m the medicine chest.
(3) All
medicines should be properly labelled with generic names, dosage,
strength, date of manufacture and date of expiry. The medicines should
preferably be arranged in such a way that they can be identified
without any loss of time.
(4) The
principal of FIFO (First in – first out) should invariably be followed
for storage of medicines.
15. Recations-
Before giving any
drug, drug sensitivity of the individual for a particular drug
should be verbally ascertained. Whenever any adverse type of
reactionary reported by an individual after consumption of medicines
supplied from the medicine chest, the consumption of such medicines by
the individual should be stopped forthwith. In case more people are
also affected by the same drug, the whole batch of the concerned
medicine should be sealed and the details of such reactions alogwith
the samples of medicines used should be handed over to the Port Health
Officer, of the next immediate port for further necessary action. The
remaining stoke of such medicines shall only be used if so permitted by
the Port Health Officer, after his report or instructions.
16. Carriage of additional persons/ supernumeries-
when supernumeries are carried on board , the Master shall ensure that
special medicines. If any, required for the use of such supernumeries
(such as wives and children) should be procured and made available on
board in consultation with the Port Health Officer.
17. Special precautions regarding infectious persons
on board-
A. if a case of any infectious is detected on board, following
measures should be taken, namely :-
(a)
Give
treatment to the sick person:
(b)
Isolate
the sick person;
(c)
Take
adequate measures to stop spread of infection:
(d)
Keep a
watch on the appearance of the symptoms amongst the contacts.
(e)
To ensure
sanitary disposal of excreta in case of Cholera : and
(f)
Report the
case to the Port Health Officer of the next port of call.
B.
If a case of AIDS is detected on board, following measurements should be
adopted, namely :-
(1)
The
patient should be kept under close surveillance particularly in respect
of his sexual habits;
(2)
All
seranges and needles used on AIDS case should be discarded after
boiling for 20 minutes;
(3)
Persons
handing the AIDS case should take care regarding personal protective
devices e.g.;
(a)
while
handling the AIDS case all personnel protective measures like wearing
of gloves etc. are used:
for disinfections:
(b)
aseptic
disposal of infected material and body fluids be carried out :and
(4) report the case to the port Health Officer of the next
port of call.
18. Exemptions
--- (1) The Port Health Officer at any of the major ports may, by
order in writing and upon such conditions, if any, as he may think fit
to impose and for reasons to be recorded, exempt any vessel from
carrying onboard any particular item required by these rules to be
carried thereon.
(2)
These exemption order shall be in the form set out in
Fourth
Schedule.
|
THE FIRST SCHEDULED
(See rule 3)
PART I
MEDICINES FOR
THE SHIPS MEDICINES CHEST
|
Item
No |
Description
of item
(1) |
Foreign
going
(2)
|
Home
Trade
(3) |
Home
Trade (4) |
(5)
(5) |
Remakes
|
|
|
|
(a) |
(b) |
|
|
|
|
|
1 |
Acetylaslicylic acid 300 mg tablets |
800 |
200 |
200 |
100 |
- |
Aspirin not
to be taken on empty stomach |
|
2. |
Alcohol,
Rubbing, ( 70% ethyl alcohol (in ml) |
4000 |
1000 |
1000 |
500 |
20 |
Spirit for
external use only. |
|
3. |
Aluminium
acetate, ear drops, 13% solution in 20 ml bottle with dropper (
in ml). |
8 |
- |
2 |
1 |
- |
Ear drops
for earache |
|
4. |
Aluminium
acetate powder, 2 gms, packets for making equivalent aluminim
acctate solution ( Borrow’s) ( in ml) |
2 |
1 |
- |
- |
- |
For
externaluse only for skin inflammation. |
|
5. |
Aluminium
hydroxide ge, with magenesium hydroxide or magnesium trisilcate,
oral suspension, (in kl) ( Anta acid) 360 ml. |
4000 |
2000 |
1000 |
500 |
- |
Antiacid/Anti
flatulent |
|
6. |
Aluminium
hydroxide, with magnesium hydroxide or magnesium trislicate, 1-
g tablets. |
1000 |
250 |
250 |
100 |
- |
Antacid/anti
flatulent |
|
7. |
Aminophyline
tablets, 500 mgs. ( (Badio Medical Advice) |
2 |
12 |
6 |
6 |
- |
Refrigerate
– Asthma |
|
8
|
Amitriptyline tablets, 25 nig (Radio Medical Advice)
|
100 |
25 |
25 |
10 |
- |
Avoid
Alcohol Depression.
. |
|
9 |
Ampicillin
Capsules 250 mg. (Radio Medical Advice) |
1000 |
200 |
200 |
100 |
- |
Antibiotics.
|
|
10 |
Antihaemorrchoidal suppositories |
150 |
25 |
75 |
75 |
- |
Refrigeration preferable / for Piles |
|
11 |
Ascorbic
acid tablets (vitamin C) 100 mg. |
75 |
- |
25 |
10 |
- |
Vitamin C
deficiency.
|
|
12 |
Atropine
sulfate injection,
0.5 mg/ml,
1_nil ampules
(Radio
Medical Advice) |
100 |
25 |
75 |
50 |
- |
For
insecticide poisoning |
|
13 |
Benzedrine
Benzypenicilin, injection, 2.4 million units per S ml. vial
(Radio Medical Advice)
|
20 |
- |
10 |
5 |
- |
Antibiotic |
|
14 |
Benzoic and
Salicylin acid Ointment, 30g tube.
|
4 |
2 |
2 |
1 |
- |
Fungal skin
infection.
|
|
15 |
Calamine
lotion, plain (in ml) |
1000 |
500 |
500 |
250 |
- |
Soothing
Ointment. |
|
16 |
Calcium
gluconate, effercent tablets, 1g. |
100 |
25 |
- |
- |
- |
For oxal
acid or soidum fluoride poisoning.
Avoid
alcohol/Anti |
|
17 |
Cotrimide 40% Solution, 500 ml (disinfectant) (in ml) |
3000 |
2000 |
1000 |
500 |
- |
For external
use only.
|
|
|
Note :-—This
is a concentrated (stock) solution when I % centrimide is
mentioned the stock solution should be diluted.
|
|
|
|
|
- |
|
|
18 |
Charcoal,
activated, powder (in gms) |
250 |
- |
150 |
50 |
-
|
Antidose for
poisoning. |
|
19 |
Chloroquine
Phosphate tablets, 250 mg. (C) Not : &r the supression and
treatment of
Malaria. |
100 |
- |
100 |
50 |
- |
(*)Note to
be taken on empty stomach.
|
|
20 |
Chlor-phenamine maleate tablets, 4 mg |
60 |
20 |
20 |
20 |
- |
Avoid alchol/Anti
alergic
|
|
21 |
Chiorphenainine Hydranialeate injection, 10 nig. I—mi ampules. |
20 |
15 |
10 |
5 |
- |
Avoid alchol/Anti
alergic
|
|
22 |
Chlorpromazine Hydrochloride tablets, 25 mg. (Radio Medical
Advice). |
100 |
50 |
50 |
20 |
- |
Avoid alchol/Anti-emetic
anti anxiety. |
|
23 |
Chlcrproxizine hy injection 25 mg in 1—mi ampoules. |
20 |
- |
10 |
5 |
10 |
Avoid
alcohol /Anti-emetic Anti- anxiety. |
|
24 |
Clove Oil
(in ml) |
50 |
- |
30 |
10 |
- |
Tooth-ache. |
|
25 |
Codeline
phosphate linetus in nil 15 mg/5 ml. |
3000 |
1000 |
50 |
50 |
- |
Controlled
substances-dry cough. |
|
26 |
Cyclizine
hydrochloride tablets, 50 mg. |
400 |
200 |
150 |
50 |
- |
Antimemetic,
for motion sickness. |
|
27 |
27. Dextran
injection 6% and sodium Chloride 0. 9
|
8 |
2 |
|
|
|
Intravenous
fluids. Do not use turbid solution. |
|
28 |
Diazepam
injection,
5 mg/ml, 2nd
anipoules (Radio Medical Advice) |
30 |
10 |
10 |
5 |
5 |
Controlled
substance Sedative Avoid alcohol Tranquiliqer |
|
29 |
Diazepam
tablets 5 mg.
|
300 |
100 |
100 |
50 |
- |
—
-do- -do- |
|
30 |
Dimercaprolfjnjecti 100 mg in 21 ml impulse (Radio Medical
Advice)
|
75 |
25 |
10 |
10 |
- |
Antidote in
metal poisoning |
|
31 |
Do,
hydrochloride tabletsl0 trig |
200 |
50 |
50 |
25 |
- |
Antibiotic |
|
32 |
Ephedrine
sulphate tablets 25 mg
(Radio
Medical Advice) |
200 |
100 |
50 |
50 |
- |
Asthma
|
|
33 |
Eponephrine
hydrochloride injection
1 : 1000 1
ml. ampoules
(Radio
Medical Advice) |
20 |
10 |
10 |
10 |
5 |
Asthma
|
|
34 |
Ergometrine
maleate injection 0. 2 trig, 1 tnT.
ampules |
10 |
- |
5 |
2 |
- |
To stop
bleeding after delivery
|
|
35 |
Erythromyc
in (stearate or ethysuccinate) tablets 25 mg.
(Radio
Medical Advice) |
750 |
250 |
200 |
100 |
- |
Anti-biotic. |
|
36 |
Eye
anaesthetic drops 0.5% solution of tetraca in hydrochloride in
dropper bottles 10 ml. |
4 |
2 |
1 |
1 |
- |
Should be
marked "For external use". |
|
37 |
Eye
antiinfective drops, 1% tetracycline hydrocholoride 4 grams
tube. |
20 |
8 |
8 |
2 |
- |
For eye
infection. |
|
38 |
Eye ointment
1% tetracycline hydrocholoride 4 grams tube. |
2 |
8 |
8 |
2 |
- |
For eye
infection. |
|
39 |
Eye-wash or
eye irritation solution, isotonic sterile, in plastic squeeze
bottle 12 ml. |
10 |
2 |
2 |
1 |
- |
|
|
40 |
Flourescein
sodium opthelmic strips, sterile (1% on paper applications)
(strips) (Radio Medical Advice) |
200 |
- |
50 |
25 |
- |
To detect
corneal uclear. |
|
41 |
Furosemide
tablets, 40 mg. (Radio Medical Advice). |
100 |
25 |
75 |
20 |
- |
Accelerates
urine formation |
|
42 |
Glyceryl
trinitrate tablets 0.5 mg. (or isosorbide dinitrate tablets 10
mg.) (Radio Medical Advice) |
200 |
50 |
50 |
50 |
- |
Keep bottle
tight-Chest pain closed store in (Cardiac) temperature of 0.250
C store in dark place. |
|
43 |
Hydrocortisene sodiaum succinate (100 mg. via for injection
intravenous of intramuscular. (Radio Medical Advice) |
8 |
2 |
2 |
1 |
2 |
Shock |
|
44 |
Hydrocortisone cintment 1% 30g. tube with rectalip.
|
15 |
4 |
2 |
1 |
- |
Skin
allergies |
|
45 |
Ichthmol and
glucerine oinement (Itchthamol 10% glycerine, soft paraffin wool
for 90 % in 100g. in gms. |
5 |
2 |
3 |
3 |
- |
For boils |
|
46 |
Inspect
repellent (diethyltoluemide solu;tion) 50 ml. (or ointment). |
40 |
10 |
12 |
12 |
- |
|
|
47 |
Iodine 2.5%
solution, in 100ml. bottles with glass stopper. |
4 |
2 |
3 |
2 |
- |
Bottle
should be marked – Anticeptic "POISON' for external use only.
|
|
48 |
Liodicaire
hydrochloride injection 1% 2ml. ampoules. (Radio Medical
Advice). |
12 |
- |
4 |
2 |
- |
Local
anasthetic. |
|
49 |
Lindane
cream 1% 60g tube. |
12 |
- |
4 |
2 |
- |
For external
use. for scables &(lice). |
|
50 |
Magnesium
hydroxide suspension 550mg. 10ml (in ml.) |
5000 |
1000 |
3000 |
1000 |
- |
Laxative. |
|
51 |
Matronidasole tablets 400 mg. |
750 |
250 |
300 |
200 |
- |
Avoid
alcohol – Dysentery. |
|
52 |
Miconazole
nitrate 2% veginal cream with application in 80 g container (in
Gms). |
5 |
3 |
2 |
- |
- |
Anti-fungal. |
|
53 |
Miconazalenitrate 100 mg. pessary and inserter.
|
20 |
- |
5 |
2 |
- |
Anti-fungal |
|
54 |
Mineral oil
(Liquid petroleum) (in 1000 ml. bottles) |
2 |
- |
1 |
1 |
- |
For cleaning
of skin. |
|
55 |
Morphine
sulfate injection 10mg/ml. 1ml. ampoules. (Radio Medical Advice) |
20 |
- |
10 |
5 |
- |
Controlled
substances. Pain killer substitute with pebtazocine
hydrochloride when Morphine not available 30 mg/ml. |
|
56 |
Naloxone
Hydrochloride injection 0.4 mg/ml. 1 ml.
(Radio
Medical Advice) |
6 |
- |
3 |
2 |
- |
Required
with – Antidole to morphine only Morphine. |
|
57
|
Neomycine +
bacitracir ointment (5 mg. nepmycin + 500 IU bacitracine Zine
per g) 30g. tube. |
25 |
10 |
15 |
10 |
- |
Keep at
tempra-Local skinture at 2-200
C infection. |
|
58 |
Oral
Rehydration salts (sodium chloride 3.5g sodium (bicarbonate
2.5g) Potassium chloride 1.5 g glucose 20g in water proof
bags/sachets. |
6 |
15 |
20 |
10 |
- |
One
bag/sachet should – DIARRHOFA be dissolved on 1 litre of boiled
cooled – solution be boiled. |
|
59 |
Oxygen size
E tank |
2 |
1 |
- |
- |
- |
The tank
should – keep away always be full from fire of oxygen.
|
|
60 |
Paracetamol
500 mg tablets. |
1000 |
300 |
300 |
100 |
- |
Aches &
Pains |
|
61 |
Petrolatum
white 60-g tube. |
12 |
|
4 |
2 |
- |
Cracked
soles dressing. |
|
62 |
Phenobarbital tablets 30 mg. |
300 |
-
|
100 |
25 |
- |
Controlled
substance—Sedative for |
|
63 |
Phenoxymethyl penicilline (RMA) potassium tablets 250 mg. |
500 |
-
|
200 |
100 |
- |
Antibiotic
|
|
64 |
Pilocarpune
hysrochioride eye (RMA) drops 2% lSml. drpper bottle |
4 |
-
|
1 |
1 |
- |
For
glaucoma. |
|
65 |
Potassium
permangaflate (in Gms) |
200 |
-
|
100 |
50 |
- |
For
external use |
|
66 |
Prob
tablets 500 mg. (RMA |
250 |
-
|
100 |
50 |
- |
To use
vith Penicillin |
|
67 |
Procaine
b sterile suspension injection 6,00,000 units/mI. 1 ml. vials (RMAI) |
40 |
-
|
10 |
5 |
- |
Antibiotic Refrigerate |
|
68 |
PrDguanil tablets 100
mg. |
100 |
-
|
100 |
100 |
- |
Malaria
Prevention |
|
69 |
Pyrantel tablets 250
mg.ation 70. Quinine sulfate tablets 300 mg. |
200 |
-
|
150 |
100 |
- |
Worms |
|
70 |
Quinine
sulfate tables 300 mg. |
100 |
-
|
50 |
2 |
- |
Malaria |
|
71 |
Quinine
dihydrocloride, injection 300 mg/mI.2-mi ampoules. |
10 |
-
|
3 |
2 |
- |
Malaria
|
|
72 |
Salbutamol aerosol
ibhaler unit |
6 |
2 |
2 |
2 |
- |
Asthma |
|
73 |
Sodium
chloride injection 0. 9 1000 ml. 1000
|
6 |
- |
3 |
2 |
- |
Administration Set should be obtained from the manufacturer of
the intravenous solution |
|
74 |
Sodium
chloride tablets 1g. |
2000 |
1000 |
500 |
200 |
- |
For Heat
exhaustion. |
|
75 |
Spactionomycin hydrochloride injection 2-g Per 5 ml vial(Radio
Medical Advice) |
20 |
15 |
- |
- |
-
|
Antibiotic
|
|
76 |
Sulfarne
thoxazole + trim thoprim (400 mg + 80 mg) tablets (Radio Medical
Advice) |
1000 |
250 |
200 |
100 |
- |
Antibiotic
|
|
77 |
Talc
(talcum Powder) (in Gms) |
1000 |
750 |
500 |
250 |
- |
|
|
78 |
Tetanus
immune human globulin 250 flitS. vial or ampules.
|
10 |
- |
3 |
2 |
- |
Refrigerate do not freeze Note : this drug should be carried
only on ships that carry cattle horses or hides— Titanus
Prevention.
Antibiotic
Pain
ternin |
|
79 |
Tetanus
toxide absorbed single dose ampdules mm I 0 |
Mm10 |
- |
6 |
4 |
- |
Refrigerate do Tetanus not
freeze
Prevention |
|
80 |
Tetracyline ear-drops I % tetracyline sOlution in dropper bottle
10 ml. |
20 |
- |
6 |
4 |
- |
Antibiotic |
|
81 |
Tetracylin hydrochloride Capsules 250 ng. (Radio Medical
Advice) |
100 |
- |
200 |
100 |
- |
Antibiotic
|
|
82 |
w S
5i-nl. ampOules |
150 |
40 |
30 |
20 |
- |
Antiseptic |
|
83 |
ZincOXide
paste 30 g. tube |
12 |
8 |
6 |
4 |
-- |
Skin
Ointment |
| |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
PART-II
MEDICAL STORES AND APPLIANCES
Remarks
|
Item no.
|
(1) |
(2)
(a)
(b) |
(3)
(a) (b) |
(4) |
Remarks
|
|
1 |
Besin,
emesin kidney shape, Stainless steel |
1 |
- |
1 |
1 |
- |
|
|
2 |
Basin, wash
with rim stainless steel |
1 |
- |
1 |
1 |
- |
|
|
3 |
Bed pen
enamel |
1 |
- |
- |
- |
- |
|
|
4 |
Cane with
rubber tip |
1 |
- |
- |
- |
- |
|
|
5 |
Cruch,
adjustable, wood with rubber tip |
1 |
1 |
- |
- |
- |
|
|
6 |
Eye cup, for
eye irrigation |
2 |
1 |
1 |
1 |
-- |
made of
glass or plastic that not affected by boiling |
|
7 |
Funnel
enamel 12-cm diameter
|
2 |
- |
1 |
1 |
- |
|
|
8 |
Glass
cylinder, 50 ml graduated |
2 |
- |
1 |
1 |
- |
for
measuring liquid
|
|
9 |
Glass
cylinder, 500 cm graduated
|
2 |
- |
1 |
1 |
- |
for
measuring liquid (to prepare 1% centimeter solution from stock
solution) |
|
10. |
Heating-pad,
electric water proof A/C D/C |
2 |
.. |
1 |
1 |
.. |
|
|
11.
|
hot-water/ice bag, rubber stopperless typoe |
2 |
.. |
1 |
1 |
.. |
|
|
12. |
Litter,
stockes |
2 |
.. |
1 |
1 |
.. |
|
|
13. |
Magnifying
glass (x8/loupe) |
1 |
.. |
1 |
1 |
.. |
|
|
14. |
Neil-Robertsen
Stretchor |
2 |
1 |
1 |
1 |
.. |
|
|
15. |
Oxygen unit,
portable without size E oxygen Cyliner, adult face mask,
regulator , tubling wrench, instruction books ( all in
self-contained carrying case) |
2 |
.. |
1 |
|
.. |
|
|
16. |
Spare oxygen
cylinder size E for item 15 (filled with oxygen) |
1 |
1 |
.. |
.. |
.. |
|
|
17 |
Refrigerator about 60 litre capacity with inside thermometer
cyclamatic automatic defrosting to operate on ship’s electrical
current, and fitted with a lock |
1 |
.. |
1 |
1 |
.. |
|
|
18 |
Cuffs, leather or cloth for restraining |
2 |
1 |
.. |
.. |
.. |
Restraints
may be improvised form bed sheets |
|
19. |
Mummy restraint (whole body restraint) |
2 |
1 |
.. |
.. |
.. |
|
|
20 |
Side-board |
|
2 |
2.. |
.. |
.. |
|
|
21. |
Resuscitator, hand-operated with excess pressure relief devide,
inlet check valve with nipple for optional connection to
low-pressure oxygen line |
2 |
.. |
1 |
1 |
.. |
Consist of a
compressible bag with a check value storage bag grommets, adult
face mask, and a non-re-breathing valve |
|
22. |
Rubber inflatable ring-pad |
1 |
.. |
.. |
.. |
.. |
|
|
23. |
Scales, adult, weighing, clinical capacity 150 kg. |
1 |
.. |
1 |
1 |
.. |
|
|
24 |
Sphygmomanometer, electronic |
2 |
.. |
1 |
1 |
1 |
Instrument
for taking blood pressure |
|
25. |
Splints, inflatable, arm, for above/below elbow, assorted sizes
6 S |
2 |
.. |
1 |
1 |
.. |
|
|
26. |
Splints, finger, aluminium, padded, assorted sizes 6s. |
2 |
.. |
1 |
1 |
.. |
|
|
27. |
Splints, inflatable, leg for above/below knee assorted sizes
6s. |
2 |
.. |
1 |
1 |
.. |
|
|
28. |
Sterilizer, steam pressure type for dressing and instruments
|
1 |
.. |
1 |
1 |
.. |
Should be of
a type with a drying phase. |
|
29. |
Steriliser, water type-3 litre capacity, electric ( chamber
approximately 28 X 14 X 10 cm) |
1 |
.. |
1 |
1 |
.. |
Preferably
with automatic cut-off, when there is insufficient water. |
|
30. |
Stethoscope, disc-diaphragm type |
2 |
.. |
1 |
1 |
1 |
|
|
31. |
Thermometer, bath |
2 |
.. |
1 |
11 |
1 |
|
|
32. |
Tray, with cover, for sterilization of small instruments |
2 |
.. |
1 |
1 |
.. |
To be a
component of the sterilizer : must fit inside sterilizer
compartment. |
|
33 |
Urinal, male |
2 |
.. |
1 |
1 |
.. |
|
|
34. |
Receiptacle, with pedal-operated lid 12 litre capacity. |
1 |
.. |
1 |
1 |
.. |
|
PART
– III
LATEST EDITIONS OF THE FOLLOWING PUBLICATIONS
|
Item
No. |
(1) |
(2)
(a)
(b) |
(3)
(a) (b) |
(4)
|
Remarks
|
|
1 |
International medical guide for ships |
1 |
.. |
1 |
1 |
.. |
|
|
2 |
Medical
first aid guide for use in accidents involving dangerous goods |
1 |
.. |
1 |
1 |
.. |
|
|
3 |
International Health Regulations |
1 |
.. |
1 |
1 |
.. |
|
|
4 |
Vaccination
certificate requirements and health advice for international
travel |
1 |
.. |
1 |
1 |
.. |
|
|
5 |
Merchant
Shipping Act |
1 |
.. |
1 |
1 |
.. |
|
|
6 |
Merchant
Shipping (M Medical stores and appliances) Rules |
1 |
.. |
1 |
1 |
.. |
|
|
7 |
Indian Port
Health Rules |
1 |
.. |
1 |
1 |
.. |
|
|
8 |
Indian Ports
Act |
1 |
.. |
1 |
1 |
.. |
|
|
9 |
A Pocket
guide to cold water survival IMO, London |
1 |
.. |
1 |
1 |
.. |
|
|
10 |
Guidelines
for drinking-water quality Vol. 1 Recommendations, Geneva, W.H.O. |
1 |
.. |
1 |
1 |
.. |
|
PART-IV
INSTRUMENTS
|
|
|
(2)
(a) (b) |
(3)
(a) (b) |
4 |
Remarks |
|
1 |
Airway Pharynageal plastic adult and child sizes (Disposable) |
2 |
.. |
1 |
1 |
1 |
|
|
2 |
Blades surgical knife detachable small tang, sterile
(a) No.10
(b) No.15 |
1
1
1
|
1
1 |
..
.. |
..
.. |
..
.. |
|
|
3 |
Forceps dressing bayonet shaped, adson I 8 cm. |
1 |
1 |
1 |
1 |
.. |
|
|
4 |
Forceps, haemostat, straight spencer wells 2 15 cm. |
2 |
.. |
1 |
1 |
.. |
|
|
5 |
Forceps, haernostat, curved, Haistead mosquito 2 15 cm. |
2 |
.. |
.. |
.. |
.. |
|
|
6 |
Forceps, hemostat, curved Kelly, I 5 cm. |
2 |
.. |
.. |
.. |
.. |
|
|
7 |
Forceps, splinterm tweezers 10 cm. |
1 |
.. |
1 |
1 |
.. |
|
|
8 |
Forceps, tissue. 2-3-dents
(a)13 cm.
(b) 18cm. |
1
1
1 |
..
..
.. |
1
1
1 |
1
1
1 |
..
..
.. |
|
|
9 |
Handles knife (scalpel) No. 3 |
2 |
.. |
.. |
.. |
.. |
For detachable surgical knife blades. |
|
10 |
Scissors, bandage, lister, angular, one point, sharp One point
blunt, 20 cm. |
3 |
.. |
1 |
1 |
.. |
|
|
11 |
Scissors, surgical straight, 15 cm. |
2 |
.. |
1 |
1 |
.. |
|
|
12 |
Hammer, reflex-testing, 20 cm |
1 |
.. |
1 |
1 |
.. |
|
|
13 |
Needle-holder, suture, Hegar-mayo 14 cm |
2 |
.. |
1 |
1 |
.. |
For suturing wounds.
|
PART V
BANDAGES ETC.
|
Item NO |
(1) |
(2)
(a)
(b) |
(3)
(a) (b) |
(4)
|
Remarks
|
|
1 |
Adhesive
tape, surgical
(a) 5cm x 5
M rolls
(b) 2cm x
5Mroils |
6
6 |
..
-- |
2
2 |
2
2 |
--
-- |
|
|
2. |
Administration set, intravenous, with butterfly hub needle
I mmx 40mm,
sterile disposable |
5 |
2 |
3 |
2 |
- |
Procure from
the manufacturer that supplies the intravenous fluids.
|
|
3 |
Applicators,
wood cotton-tipped ends, sterile 2 mm x 15 mm |
200 |
150 |
100 |
50 |
- |
|
|
4. |
Bandage,
cotton, elastic, rubberless.
(a)
10 cm X 5m
roll
(b)
8 cm X 5 m
roll
(c)
5 cm X 5m
roll |
12
12
12
12 |
-
4
4
4 |
-
8
8
12 |
-
4
4
6 |
-
-
-
- |
|
|
5.
|
Bandage,
gauze, roller sterile 3cm X10 m two-ply, clinging, 2
safety-pins. |
12 |
4 |
12 |
6 |
- |
elastic
gauze bandage |
|
6.
|
Bandage,
gauze, roller sterile
(a)
10 cm by 5 m
(b)
12 cm by 5
m |
60
40 |
10
10 |
30
20 |
30
10 |
-
- |
Individually wrapped
Individually
wrapped |
|
7. |
Bandage,
absorbant, adhesive,
5 cm X 5 m |
200 |
100 |
50 |
25 |
- |
Absorbant
bandage with adhesive |
|
8. |
Casualty
dressing, adhesive, individually wrapped, sterile
(a)
9 cm X 6 cm
(b)
18cm X 9 cm |
30
20 |
15
10 |
15
10 |
10
5 |
-
- |
|
|
9. |
Bandage,
muslin, triangular, folded, with 2 safety-pins 90 X 130 cm. |
4 |
1 |
2 |
1 |
- |
|
|
10 |
Tube-gauze-type bandage for finger. |
10 |
2 |
4 |
2 |
- |
|
|
11. |
Spray
dressing,120 ml |
8 |
2 |
2 |
1 |
- |
|
|
12. |
Petrolatum-gauze burn- and wound dressing various sizes
individually packed sterile. |
20 |
15 |
10 |
5 |
- |
|
|
13. |
First aid
emergency dressing ( pad with 30 cm open swave gauze tail,
sterile)
(a)
small size
(b)
medium size
(c)
large size |
10
20
20 |
10
10
10 |
5
10
10 |
5
10
5 |
-
-
- |
|
|
14. |
Bottle,
vial, amber, 50 ml. glass or plastic for capsule or tablets
Blood
lancets, sterile |
50
- |
30
- |
20
- |
10
- |
-
10 |
Self
–sticking lebels should be procured & kept with these bottles. |
|
15. |
Catheter,
double-eye, pointed. Robinson sterile, disposable,
(a)
6 French (2
mm)
(b)
8 French (3
mm)
(c)
12 French (4
mm)
(d)
14 French (
5 mm)
(e)
16 French
(5.5 mm) |
2
2
2
2
2 |
-
-
-
-
- |
1
1
-
-
- |
1
1
-
-
- |
-
-
-
-
- |
(for urinary
catheterization)
(6 French
and 8 French catheters, can be used or pharymeal suction ) |
|
16. |
Catheterization tray, sterile. Disposable regular type: 14
French straight catheter sterile g oves, small forceps cotton
ball lubricant, antiseptic solution, underpaid and drops,
specimen container, and label |
3 |
- |
1 |
1 |
- |
|
|
17. |
Clinical
record chart |
40 |
- |
- |
- |
- |
As per International Medical guide for ships. |
|
18. |
Temperature/pulse chart |
40 |
20 |
- |
- |
- |
|
19. |
Medical
report form for seafarers. |
100 |
50 |
- |
- |
- |
|
20. |
Collar,
cervical, with trap |
1 |
1 |
1 |
1 |
- |
|
|
21. |
Clinical
record chart pad |
1 |
1 |
1 |
1 |
- |
|
|
22. |
Cotton,
absorbent
(a)
50 g roll
(b)
200 g roll |
20
10 |
10
5 |
5
5 |
3
3 |
-
- |
|
|
23. |
Cotton
absorbent sterile 100g |
3 |
1 |
1 |
1 |
1 |
|
|
24.
|
Finger cots,
rubber, asserted sizes |
12 |
- |
6 |
6 |
- |
|
|
25 |
Flashlight
(penlight type) with replacement batteries 2 sets each |
2 |
- |
1 |
1 |
- |
|
|
26 |
Gauze
bandage, tubular, 2 cm by 5cm rolled with applicator
|
5 |
- |
1 |
1 |
- |
Covering
bandage for finger and toes.
|
|
27 |
Gloves,
surgical, sterile, disposable large size (7-1/2 or 8), (pairs) |
12 |
- |
4 |
2 |
- |
|
|
28 |
Gowns,
surgical |
5 |
- |
- |
- |
- |
|
|
29 |
Medicine cup
waxed paper. or plastic 30 ml graduated, disposable. |
100 |
- |
50 |
50 |
- |
|
|
30 |
Mask, face
disposable |
100 |
20 |
50 |
50 |
- |
|
|
31 |
Microscope
slide |
100 |
- |
20 |
20 |
- |
|
|
32 |
Mortuary
transfer bag, leak- 2 proof. |
2 |
1 |
1 |
1 |
- |
|
|
33 |
Needle,
hypodermic, 0.5 mmx 36 16 mm sterile |
36 |
18 |
12 |
6 |
- |
Needles to
fit into the type of syringes carried on board. |
|
34 |
Needle
intravenous injection I mm, 5cm |
18 |
12 |
6 |
6 |
- |
|
|
35 |
Need
intravenous injection 1.1mm, 3cm |
12 |
9 |
6 |
6 |
- |
|
|
36 |
Occult blood
detection tablet, with 60 filter papers. |
60 |
40 |
50 |
25 |
- |
For
detection of occult blood in farces or Sputum follow Instruction
for use given by the manufacturer |
|
37 |
Pad,
abdominal, sterile combined 6 dressing gauze, 20cm x 20cm
individually sealed. |
6 |
4 |
3 |
2 |
- |
|
|
38 |
Pad cotton
eye sterile,
Individually
sealed. |
12 |
6 |
12 |
12 |
- |
|
|
39 |
Pad,
non-adherent sterile dressing non-woven cotton and rayon fabric
with performed plastic. cover, individually sealed 8cm x 10cm) |
100 |
50 |
40 |
20 |
- |
dry
dressing material for Wounds
|
|
40 |
Safety-pin
rustless (Brass 100 coated) |
100 |
- |
40 |
20 |
- |
Assorted
sizes |
|
41 |
Scrubbing-brush, hand |
3 |
- |
2 |
2 |
- |
|
|
42 |
Self
stitching labels
(a) 1”x l”
(b) 1”x 2”
(c) 2”x 3” |
300
300
500 |
-
-
- |
100
100
100 |
50
50
50 |
-
-
- |
|
|
43 |
Sheath
rubber (condom) 5s (NIRODH) |
1000 |
250 |
200 |
100 |
- |
|
|
44 |
Sheet,
waterproof, 110cm x 180 cm |
2 |
- |
1 |
1 |
- |
|
|
45 |
Skin
closure, adhesive surgical 50 sterile (butterfly closure) 6mm. |
50 |
- |
25 |
25 |
- |
to close
wounds in place of sutures when feasible. |
|
46 |
Skin closure
adhesive suturless 10 sterile 10cm x 8cm. |
10 |
- |
3 |
3 |
- |
|
|
47 |
Suture,
tapered, 1/2 circle non- traumatic needle, 28mm, absorbable
non-boilable 70 cm long size 00, sterile, individually sealed. |
12 |
- |
3 |
3 |
- |
|
|
48. |
Suture,
armed ½ circle, 25 mm non-traumatic needle, non-absorbable,
silk, braided 45 cm long size 000, sterile individually scaled
|
24 |
- |
6 |
3 |
- |
|
|
49. |
Suture armed
3/8 circle, 20mm needle, size 000 sterile absorbable,
individually sealed. |
|
|
|
|
|
|
|
50 |
Suture,
armed non-absorbable polyster 3/8 circle, 13mm needles with
non-traumatic, point size 5.0 sterile sealed. |
12 |
6 |
3 |
1 |
- |
|
|
51. |
Suture
removable, containing suture-removing forceps, sterile, and
suture removal scissors, sterile. |
12 |
- |
1 |
1 |
- |
|
|
52. |
Syringe
glass
(a)
2ml.
(b)
5ml.
(c)
20 ml. |
6
2
2 |
-
-
- |
2
-
1 |
1
1
1 |
-
-
- |
Injection needles should fit
the type of syringes carried glass
Syringes. May be used when
disposable syringes are not available
|
|
53. |
Syringes,
plastic disposable
Sterile
individually sealed with injection needle:
(a)
2ml with
hypodermic needle ½ mm 16 mm
(b)
2ml with
intramuscularly, needle 1 mm, 5 cm.
(c)
5ml, with
intramuscular needle 1 mm 5 cm
(d)
20 ml & IV
needle 1mm, 5 cm |
75
75
50 |
25
25
25
- |
10
10
10 |
10
10
10 |
2
2
2
2 |
|
|
54. |
Test strip
and colour chart. Combined sugar (urinary, blood glucose, ketone,
protein, bilirubin and PH) strips |
100 |
50 |
50 |
50 |
- |
|
|
55 |
Test
tablets, kit, glucose reducing sugar in urine, individually
sealed. |
100 |
50 |
25 |
25 |
10 |
|
|
56. |
Tissues,
facial Boxes |
6 |
4 |
3 |
1 |
- |
|
|
57 |
Thermometer
clinical fever |
6 |
- |
4 |
4 |
- |
|
|
58. |
Tourniquets,
non-pneumatic, blood taking type, composed, of gum rubber with
electrotype fastener. |
4 |
2 |
2 |
2 |
- |
|
|
59 |
Tongue-
depressor wooden |
50 |
25 |
20 |
10 |
- |
|
|
60 |
Towels,
paper, sterile disposable individually wrapped |
30 |
- |
15 |
5 |
- |
|
|
61 |
Towels,
surgical cotton |
25 |
- |
15 |
5 |
- |
|
|
62 |
Wrapping
material, cotton |
15 |
10 |
5 |
5 |
- |
|
PART VI
DISINFECTANTS
|
Item No. |
1 |
2
(a)
(b)
|
3
(a)
(b)
|
4 |
5
Remarks
|
|
1 |
Chlorinated lime, 2 Use :As a
disinfectant and deodorant for ceases, urine, glass and
earthenware (Not for disinfecting metal instruments or rubbers
articles). It is sprinkled liberally over the substances to be
disinfected., mixed thoroughly (if indicated) by stirring
with a wooden tongue depressor or suitable implements, and
allowed to stand for atleast 1 hour. A small amount of water may
be added to facilitate mixing, if necessary.
Caution :
Open container Cautiously, away from face and eyes. Replaced
immediately after use to prevent loss of chlorine, chlorinated
lime. loses such or its activity, even with careful storage, in
year) Keep separate from internal medicines,
|
10 |
- |
10 |
10 |
- |
|
|
2 |
High test
calcium
hypochlorite, I -liter, in granular form. containing about 70%
available chlorine.
Use: (1) For
disinfecting water and(2) for the disinfections of smooth hard
surfaced objects in the dietary area, and cutlery. For this
purpose a solution with 100 parts per million available chlorine
should be used (take 1.5g of granuales of calcium hypochlo rite
io 10 liters of water) Caution : Same as for chlorinated lime.
Note— 70 g
of high-test calcium hypochlorite will is infect 100 liters (1
tome) of p0- table water.
|
15
|
5
|
5
|
5
|
-
|
Keep
separate from internal
|
|
3 |
Sodium
Hypochlorite 10% solution, 1-litre. Use: For disinfecting
smooth. hard surfaces and objects (tablets, dishes, cutlery,
etc..) in dietary area. Dissolve 40 ml of the solution in 10
liters. Of potable water.
Caution :
Keep separate from internal medicines. Label the bottles
(‘DISINFECTANT”)
|
10 |
10 |
5 |
5 |
- |
|
|
4. |
Aquous
phenolic 30 solution 1- litre
Use : as a
disinfectant for smooth hard surfaced objects in non-dietary
area: walls floors etc. Before use, dilute with water 1:10 to
obtain the 3% solution used for disinfections.
Caution :
open bottlies cautiously away from eyes and face. Avoid
contamination of skin. Pjenol is a highly toxic substance.
Keep separate from internal medicines. Label the bottles
‘POISON” |
4 |
2 |
2 |
1 |
- |
|
|
