제18425호                                관              보                  2015. 1. 8.(목요일)
        (b) ships carrying 100 or more persons and ordinarily engaged on international
        voyages of more than three days’ duration shall carry a qualified medical doctor who is
        responsible for providing medical care; national laws or regulations shall also specify
        which other ships shall be required to carry a medical doctor, taking into account, inter
        alia, such factors as the duration, nature and conditions of the voyage and the number of
        seafarers on board;
        © ships which do not carry a medical doctor shall be required to have either at least
        one seafarer on board who is in charge of medical care and administering medicine as
        part of their regular duties or at least one seafarer on board competent to provide medical
        first aid; persons in charge of medical care on board who are not medical doctors shall
        have satisfactorily completed training in medical care that meets the requirements of the
        International Convention on Standards of Training, Certification and Watchkeeping for
        Seafarers, 1978, as amended (“STCW”); seafarers designated to provide medical first aid
        shall have satisfactorily completed training in medical first aid that meets the
        requirements of STCW; national laws or regulations shall specify the level of approved
        training required taking into account, inter alia, such factors as the duration, nature and
        conditions of the voyage and the number of seafarers on board; and
        (d) the competent authority shall ensure by a prearranged system that medical advice
        by radio or satellite communication to ships at sea, including specialist advice, is available
        24 hours a day; medical advice, including the onward transmission of medical messages
        by radio or satellite communication between a ship and those ashore giving the advice,
        shall be available free of charge to all ships irrespective of the flag that they fly.
                    Guideline B4.1 - Medical care on board ship and ashore
                            Guideline B4.1.1 - Provision of medical care
1. When determining the level of medical training to be provided on board ships that are not
required to carry a medical doctor, the competent authority should require that:
        (a) ships which ordinarily are capable of reaching qualified medical care and medical
        facilities within eight hours should have at least one designated seafarer with the
        approved medical first-aid training required by STCW which will enable such persons to
        take immediate, effective action in case of accidents or illnesses likely to occur on board
        a ship and to make use of medical advice by radio or satellite communication; and
        (b) all other ships should have at least one designated seafarer with approved training
        in medical care required by STCW, including practical training and training in life-saving
        techniques such as intravenous therapy, which will enable the persons concerned to
        participate effectively in coordinated schemes for medical assistance to ships at sea, and
        to provide the sick or injured with a satisfactory standard of medical care during the
        period they are likely to remain on board.
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