|
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
|
-
|
|
|