health care for seafarers in ports. port health inspection declaration of health deratification...

Health Care for Seafarers in Ports

Port Health

InspectionDeclaration of HealthDeratificationControl of outbreaksDisaster planning

Medical Emergencies

100Fire BrigadesHospitalsSIWHA / Red Cross

MediportPre-employment and periodic medical examinationMedical support during the voyage Medical consultations for seafarers Vaccinations and malaria prevention Medical bill reviewing and medical expertise to insurance companies Drug and alcohol screening programs Assistance during hospitalisation / repatriation Examinations on request of authorities Scientific work and research in maritime medicine

Health Care for Seafarers in Ports

Medical skills of the maritime physicianMaritime knowledge of the maritime physicianLocation / facilitiesMaritime medical unitPatient management strategyOther organisationsOrganisationHospitalisation / repatriationMedical recordsMedical report

Medical skillsGeneral medicineGeneral internal medicineOccupational medicineTropical medicineEmergency medicine

Locationport area Visit shipsclean and comfortableseafarers feel at home.Round the clock. 7 days per week.

« Clinical path »A clinical path is a description of key events in the process of patient care which the healthcare team presumes will most likely result in maximum quality at minimal costs and minimal time.

A clinical path is the result of everyone's collaborative effort toward determining what might be the best way to treat the average seafarer.

« Clinical path »

a clinical path is not a description of all the interventions that each patient must have. The physician can change, delete, and add to these interventions to suit their patient's unique requirements.

« A Seafarers path »Reporting of the problem on boardPermission of the captain to send him to the clinic / hospitalTransport / Access to the clinic / hospitalReceptionWaiting timeIntakeClinical examinationLaboratory test

« A Seafarers path »X-rayCommunication of resultsAssessmentExplanationReportingMedicationTransport back on board

Other organisations

Welfare organisationsPort Health AuthoritiesPort AuthoritiesEmergency medical centersPort Coordination centersHospitalsUniversitiesPort Clinics in other ports

OrganisationAdministration:

Patient intake, reports, certificates, transport, invoicing, accounting, follow up.

Reception / intake: Reception of incoming information:

Telephone, telefax, internet, regular post, incoming medical results.

CommunicationLanguages, interpreter

Medical assistance:Stock:

Medical materialsVaccinations

OrganisationInstruments:

Hygiene, sterilisation

Preliminary examination:Biometry, hearing, vision, ECG, spirometry, x-ray, bloodtests, drug and alcohol tests, urinetest.

Nursing:Injections, woundtreatment, bandages, instrumentation

Hospitalisation

Captain / crewmembersOwner / crewing agencyShipping AgencyP&I correspondent, club

Hospitalisation

Maritime policeRepatriation serviceEmbassy / ConsulateWelfare visitorsFamily

Injured / SickSeaman

Captain

SIWHA

Shipping Agent

P & I

Hospital

Fire brigade

100

Port Health

Embassy

Port doctor

Owner

Welfare

Maritime Police

Crew

Family

Repat/transport