STANAG: AMedP-1.9 Minimum Requirements for Emergency Medical Supplies on Board Ships

Note: The reservations listed on this page include only those that were recorded at time of promulgation and may not be complete. Refer to the NATO Standardization Document Database for the complete list of existing reservations.

DEU

Germany reserves the right:

In compliance with COUNCIL DIRECTIVE 2010/32/EU implementing the Framework Agreement on prevention from sharp injuries in the hospital and healthcare sector concluded by HOSPEEM and EPSU, the Ordinance on Safety and Health Protection at Work involving Biological Agents (Biological Agents Ordinance – Biostoffverordnung) and the Technical Regulation for Biological Agents (TRBA) 250, working procedures and work equipment used by Health Service Institutions must be designed or selected in such a way as to prevent or minimize injuries caused by all medical sharps (including needle-sticks). This is achieved by using safe instruments. TRBA 250 prescribes the use of these instruments in the following work areas:

1. Treatment and care of patients proven to be infected with pathogens of risk group 3 (including 3**) or higher, treatment of patients endangering others, activities carried out by rescue services and in emergency receptions and activities carried out in hospitals and infirmaries in law enforcement institutions.
2. Irrespective of No. 1, safety equipment must be used in all activities where a risk of infection due to needle-stick injuries exists or can be assumed. In particular, these activities include blood taking,any other punctures for taking body fluids and obtaining vascular access.
3. Concerning all other activities not covered by Nos. 1 and 2 the employer must assess the risks of accidents and infection in his risk assessment and take appropriate measures. If these activities are carried out on board ships, safe instruments must be added to the following items specified under "Annex A - A.2 Equipment” Disposable scalpels, Equipment for injection and Equipment for infusion.

DNK

The Danish Navy is basically using the same medicine chests as recommended by the Danish Maritime Authority (DMA). DMA is committed to working through the IMO to create globally applicable regulations for international shipping. Danish ships always carry a mandatory medicine chest on board in which the selection of medicine and equipment has been determined by an executive order. DKN navy ships in international operations are therefore using the civilian Medicine chest A as a minimum as recommended by the DMA through IMO. The medicine and equipment on board DKN Navy ships is therefore not necessarily exactly equal, both in quality as well as quantity, to the medicine and equipment listed in Annex A.

FRA

The minimum quantities of medicines held on board French ships may sometimes differ from the minimum quantities described in AMedP-1.9.

GRC

The subject STANAG fully complies with the WHO's "International Medical Guide for Ships" publication. Nevertheless, referred publication applies to maritime ships with a physician not always aboard. Given the fact a physician serves as a medical officer in a large portion of ships, medical supplies should be adapted in order to support therapeutic interventions. Pursuantly to the Hellenic Navy applicable directions, medical supplies are classified according to the presence of a physician aboard or not and quantities are adapted to the crew number.

ITA

ITA Navy does not include in its Equipment Aciclovir, Haloperidol and Zidovudine

LTU

Lists of emergency medical supply on board ships will be prepared according to warship type and valid national documents.

LVA

Medical supplies on board ships are defined accordingly to the ship type, national regulations and medical guidelines.

TUR

It is assessed that there is no need to have Misoprol and Fluorescein in the minimum requirements for emergency medicine on board ships due to the very low possibility to encounter a post-partum haemorrhage and to the fact that ships medical crew will not operate a corneal damage case and request a medevac

Note: The reservations listed on this page include only those that were recorded at time of promulgation and may not be complete. Refer to the NATO Standardization Database for the complete list of existing reservations.

Ocean-going merchant vessels without a doctor on board.

Merchant vessels engaged in coastal trade or going to nearby ports, and not more than 24 hours away from a port of call.

Fishing boats or private craft that are never more than a few days from home port, or only a few hours form a port of call.

Navy ships operating outside NATO territory and/or conducting high risk operations.

Navy ships operating within NATO territory and conducting low or medium risk operations.

Not applicable to navy ships.