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01243 432485
07702 842190

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MCA STCW Proficiency in Medical Care on Board Ship

  • Course

    This five day course in Proficiency in Medical Care on Board Ship is appropriate to anyone who is designated to take charge of medical care on board ship as well as people undertaking blue water sailing. On successful completion of the course you will have sufficient knowledge of the types of ships medical equipment and stores and their use to be able to:

    • Diagnose medical problems on board ship
    • Provide medical care to the sick and injured while they remain on board
    • Participate in co-ordinated schemes for medical assistance to ships

    This course is a natural progression from the MCA Proficiency in Medical First Aid on Board Ship Course in that it teaches you to diagnose illnesses and injuries and how to underake long term care of a casualty on board. It covers

    • Making a diagnosis
    • The cardiovascular and respiratory systems
    • The abdomen
    • ENT, dental and ophthalmic
    • Communicable diseases
    • Wounds and injuries
    • Medication
    • Equipment and information
    • Patient management - general
    • Patient management - specific

    The course will be a combination of lectures, case studies, role play and practical sessions including suturing, catheterisation, giving injections and medication.

    Before commencing on this course you must be over 16 years old and have received MCA approved or recognised training in Medical Proficiency in Medical First Aid on Board Ship (in accordance with Section A-VI4-1 of the STCW code) and have been issued with the certificate.

    The course which is run from our training centre in Emsworth Yacht Harbour starts at 9.00am and finishes at approximately 5.30pm.

    Tea, coffee and all equipment to complete the course including the St Johns / Red Cross First Aid Manual will be provided. You just need to bring a notepad. Lunch can be obtained from the Deck Cafe on site or the village which is a short walk away or alternatively bring a packed lunch with you.

    The MCA STCW Proficiency in Medical Care on Board Ship Course is in accordance with Regulation VI/4 of the Annex to the STCW Convention and Section A-VI/4(4-6) of the STCW Code and the Merchant Shipping (Training and Certification) Regulations 1997.

  • Syllabus

    Module 1: Communication


    Obtaining Radio Medical Advice
    Liaison with hospitals and medical facilities
    Liaison with port authorities
    Record keeping and documentation including medical records, log books and drug registers.
    Patient reassurance
    Medical terminology
    Awareness of medical section of the International Code of Signals
    National and international medical regulations

    Practical: Role play

    Module 2: Making a Diagnosis


    Recognising an acutely ill patient
    Taking and recording a case history
    Simple clinical examination and interpretation of findings
    Observation of the patient and interpretation of findings
    Observation of body waste and interpretation of findings
    Observation of vital signs and interpretation of findings
    Reporting including verbal description of findings


    Case study / role play
    Taking and recording temperature, pulse, blood pressure and respiratory rate
    Use of an aneroid sphygmomanometer and stethoscope

    Module 3: The Cardio Vascular and Respiratory Systems


    Anatomy and physiology of the cardio vascular system
    Anatomy and physiology of the respiratory system
    Causes, recognition and management of cardiovascular conditions including angina, heart attack and stroke
    Causes, recognition and treatment of respiratory conditions including acute bronchitis, pneumonia, pleurisy,pneumothorax and asthma.
    Recognition of life threatening medical conditions of the cardio vascular and the respiratory system.
    Identification of the causes of chest pain.
    Taking a history of the respiratory and cardiovascular system
    Physical examination of the respiratory and cardio vascular system
    Collection and observation of sputum
    Basic life support and airway management techniques
    Use of oxygen


    Taking and recording radial and carotid pulse, and apex beat.
    Use of GTN in all forms (familiarisation only)
    Airway management with the aid of a training manikin using head tilt, chin lift, jaw thrust
    Airway management and breathing with the aid of a training manikin using devices including oropharyngeal airway, face mask, bag-valve-mask manual resuscitator, and mechanical resuscitator
    Use of suction devices (equipment familiarisation)
    Use of respiratory inhaler devices (equipment familiarisation)

    se of oxygen administration equipment (equipment familiarisation)
    Auscultation of breathing using a stethoscope
    Simple chest physiotherapy

    Module 4: The Abdomen


    Anatomy and physiology of the gastro intestinal, female reproductive and genito urinary systems
    Causes, recognition and management of abdominal conditions including:
    - gastro oesophageal reflux, peptic ulcer, diarrhoea and vomiting, appendicitis, peritonitis,
    - lower and upper urine tract infection, renal calculi, urinary retention
    - complications of pregnancy, miscarriage, ruptured ectopic pregnancy and childbirth.
    Recognition of life threatening medical conditions of the abdomen.
    Taking an abdominal history
    Physical examination of the abdomen
    Collection and observation of vomit, faeces and urine


    Auscultation of bowel sounds using a stethoscope
    Collection of a urine specimen and urinalysis using reagent strips
    Bladder catheterisation of male and female anatomical models
    Use of a pregnancy testing kit (equipment familiarisation)

    Module 5: ENT , Dental and Ophthalmic


    Anatomy and physiology of the ear, nose, throat, mouth and eye
    Causes, recognition and management of facial pain including dental conditions, sinusitis, trauma
    Causes, recognition and management of oral conditions including infection and dental
    Causes, recognition and management of ear, nose and throat conditions including tonsillitis, otitis externa and media, sinusitis and epistaxis
    Causes, recognition and management of ophthalmic conditions
    Examination of an eye – sight test, pupil reactions, use of fluroscein staining
    Removal of a foreign body from the eye


    Physical examination of the mouth, throat and ear.
    Pupil observation
    Use of devices to control major nose bleed (equipment familiarisation and use of anatomical models

    Module 6: Communicable Diseases


    The infection process including causative agents and transmission
    Prevention and control of infection, general and specific to on board, including sanitation, basic hygiene, immunisation, prophylaxis, monitoring, isolation and education.
    Sexually transmitted infections
    Use of antibiotics
    Guidance in MGN 257(M) – Prevention of Infectious Disease at Sea by Immunisation and anti Malaria medication
    Disinfection and sterilisation procedures
    Methods of taking, and recording of temperature
    Sources of current information


    Take an oral temperature using a standard clinical thermometer
    Use low reading thermometers (equipment familiarisation)
    Hand washing technique

    Module 7: Wounds and Injuries


    Primary and secondary treatment of wounds, burns, musculo - skeletal and other injuries, including revision of appropriate first aid
    Methods of cleaning, assessing, closing, protecting and monitoring of wounds
    Types of wounds and the wound healing process
    Management of wound infection including prophylaxis and use of antibiotics


    Use of dressings in medical stores
    Familiarisation with suture materials
    Wound closure using adhesive suture strips, interrupted skin sutures and skin stapler (simulation and equipment familiarisation)
    Removal of wound closures (simulation and equipment familiarisation)
    Procedures to control bleeding (simulation and equipment familiarisation)

    Module 8: Medication


    Storage and availability
    Classification including legal, group and names, non proprietary (generic) and proprietary
    Prescribing, recording and monitoring use
    Safety aspects
    Sources of information including MSN1768 (M + F)
    Methods of administration
    Dosage calculation
    Injection techniques for intra muscular and subcutaneous administration, including immunisation and infiltration of local anaesthetic


    Intramuscular injection technique (simulation)
    Sub cutaneous injection technique (simulation)
    Infiltration of local anaesthetic (simulation)
    Use of intravenous infusion (equipment familiarisation)
    Use of a rectal infusion set (equipment familiarisation)
    Giving rectal suppositories (equipment familiarisation)
    Disposal of sharps
    Dosage calculations

    Module 9: Equipment and Information


    Medical stores available on board
    Sources of information on board


    Familiarisation with Ship Captain’s Medical Guide and other publications

    Module 10: Patient Management - General


    General principals of patient care
    Pain management
    Casualty handling and transportation
    Evacuation procedures, including helicopter evacuation
    Managing death on board including treatment of a dying person, recognising death and procedures after death including corpse management.


    Familiarisation with stretchers

    Module 11: Patient Management - Specific


    Management of a rescued person including dehydration, seasickness, effect of heat and cold
    Management of drowning
    Recognition and management of substance misuse

    Practical: None

  • FAQ's

    MCA STCW Proficiency in Medical Care on Board Ship - FAQ’s

    These are a few of the questions we get asked by people booking on the MCA STCW Proficiency in Medical Care Course. If you have any further queries or are unsure whether this is the course for you please call us on 01243 432485 and we will be only too happy to chat to you.

    What time does the MCA Proficiency in Medical Care Course start and finish?

    Typically we start at 9.00am and finish at about 5.30pm with an hour break for lunch

    What is included in the course fee?

    The price includes course notes and all course materials to be able to complete the course

    What do I need to bring?

    You just need to bring a notepad with you (ideally A4 size).

    Where is the course held?

    It will be held at Classroom 1 in Emsworth Yacht Harbour, Thorney Road, Emsworth, Hants PO10 8BP

    What qualifications or experience do I need to complete the MCA Proficiency in Medical Care Course?

    You need to hold an up to date MCA Proficiency in Medical First Aid Certificate before completing the medical care course.

    Are there any exams?

    At the end of the course there will be both a written and a practical assessment.

    What qualification will I get once I have completed the course?

    On successful completion of the course you will be issued with the MCA STCW Proficiency in Medical Care Certificate.

    How many people will there be on the course?

    We have a maximum of 6 people on a course.

    How long is the certificate valid for?

    It is valid for 5 years.

    Do I need to do this course?

    This course has been designed for anyone who may be responsible for carrying out medical care on vessels that go up to 150 miles from a safe haven but it is useful for any person who goes offshore in their boat.

    It is also a requirement for anyone who wants to obtain the MCA Certificates of Competency in both deck and engineering and for the PYA interior head of department certificate.

    How do I book
    Just click on the book now button

  • Testimonials

    just wanted to say thanks for the Med Care course, enjoyed them both, although the bum got a bit numb towards the end!.  Would recommend your school and Sue to anyone thinking of doing courses.

    Brian Campbell-Bottoms

    Just wanted to say thank you very much again for the medical course.  I found it very valuable.

  • Technical Requirements

  • Video

  • All Dates

    Dates to be announced

    5 Day Courses

    Wednesday, 21 March until Sunday, 25 March 2018

or to discuss your requirements you can contact us seven days a week from 8.00a.m to 7.30pm on 01243 432485 or 07702 842190

MCA STCW Proficiency in Medical Care on Board Ship

Cost: £ 560

Next Course Dates

Dates to be announced

5 Day Courses

Wednesday, 21 March until Sunday, 25 March 2018

Emsworth School of Navigation

Emsworth Yacht Harbour, Thorney Road, Emsworth
Hampshire, PO10 8BP

01243 432485, 07702 842190

Emsworth School of Navigation LLP t/as Emsworth School of Navigation is a Limited Liability Partnership Registered in England and Wales—No: OC413937