Friday, June 20, 2014

Scope of work Procedure SIte / offshore Medical Team




Objective:

  1. To prepare doctor/nurse working in offshore/onshore/site  location
  2. In  handling emergency case arising from accident or illness effectively and immediately, And  to ensure their rapid transfer to an appropriate medical facility as necessary.
  3. To  ensure healthy workforce by doing physical exam to determine Fitness for work.
  4. To prevent food and waterborne illness. thru Hygicnc Inspection
    • support health and safety program in the work location


Competency:
·  ATLS,
·  ACLS,Hyperkes(Ministry of Man Power Oec Health Training),
·  Past Experience working offshore/onshore/site
·  Familiar with Fitness for work guideline.

Roles and Responsibility:
  1. Check equipment readiness for Airway,Brcathing and Circulation management.
    1. (see check list ATLS standard medical equipment,)
    2. Audit equipment missing and report to Client's Company Doctor/HSE
  2. Maintain Kitchen Hygiene by doing
    1. Weekly Kitchen Inspection,
    2. Kitchen hygiene education to kitchen staff,
    3. Water sampling test for bacteriology every month.
    4. Familiar with Out break investigation protocol/ questionnaire.
  3.  Walk Thru Safety / Health inspection including checking PPE usage in the workplace.
  4. Health talk eg.on Prevention Low Back Pain,Welding Flash.etc
  5. Fitness for work by doing physical examination and or reviewing Medical check up report of employee/contractor .and Food handler
  6.  Medivac procedure/flow chart ..Become familiar here to send and contact person check with client's company doctor/HSE..Also need to know the medical emergency report form for trauma/aecident and illness.
  7. Give First Aid/Basic Life Support training.
  8. Mass disaster preparation and drill.(Coordinate with HSE staff)..
  9. Curative treatment for employee based on company policy/standard drugs
  10. Maintain medical record and report to Client

Perlengkapan ATLS



A.Airway

•          Pocket Face Mask
•          Manual Suction Apparatus
•          Airway:
·        Oropharynx airway, various size
·        Nasopharynx airway, various size
•          Endotracheal intubation
·        Laryngoscope
·        Endotracheal tubes, various size
•          Surgical tracheal intubation : cricothyroidectomy set
•          Stethoscope

                     

B. Breathing
•          Oxygen bottle with reducing valve
•          Oxygen delivery device:
·        Oxygen Mask
·        Oxygen mask with reservoir bag
•          Oxygen hose
•          Respirator bag ( ambu ) with reservoir bag
•          Venous catheter 14G,16G
•          Thoracotomy set
·        Chest tube & water sealed drainage set
•          Pulse oxymeter
•          Portable ventilator
•          Sphygmomanometer, aneroid, and mercury

C. Circulation
•          Venous catheter, various size
•          Lactated ringer solution
•          Infusion & transfusion set
•          Venous cut down set
•          Central venous catheter, various size
•          Pericardial puncture set
•          AED, for runner
•          Nasogastric tube
•          Urine catheter
•          Pneumatic antishcok garment

First Responder , Knowledge and Skill Bantuan medis primer