Document No. STA-06-401 Version No, Date 1.0 01/06/2018 Effective Date 01/07/2018 Compiled by Consultant, Senior Examiner Deck, QSS - Developer Approved by Chief Examiner Approval date 31/05/2018 OPERATIONS SEAFARER CERTIFICATION STANDARD OF TRAINING & ASSESSMENT SA MARITIME QUALIFICATIONS CODE Medical First Aid (including Elementary First Aid) STCW Code A-VI/4-1 & STCW Code A-VI/1-3
Document Compiled by Name Position Signature Date Gary Walsh Consultant 21/05/2018 Pierre Schutz Senior Examiner Deck 21/05/2018 Azola Nkota QSS - Developer 21/05/2018 Approval Name Position Signature Date Azwimmbavhi Mulaudzi Chief Examiner 31/05/2018 Distribution Name All Training Institutions, Seafarers Title SAMSA personnel External Stakeholders Revision History Version Effective Date Summary of Changes 1.0 01/07/2018 First issue after approval by the Syllabus Committee on 23 May 2018 Document Review Page 2 of 15
Contents Background and Context... 4 Introduction... 4 Legal Basis of the SAMSA Code... 4 Continuous Improvement and feedback... 5 Applicable International standard(s)... 7 Standard of competence (Objectives of the Training)... 7 Pre-requisites for entry into the course... 7 Education, Training & Assessment of candidates... 7 Duration of the course... 9 Maximum number candidates per course... 9 Requirements from training institutions... 9 Persons Conducting the Training and Assessment... 11 Institution s library... 12 Transitional arrangements... 12 Page 3 of 15
Background and Context Introduction I. The SAMSA Code is a set of Documents used by SAMSA to bring into effect and formalise the requirements (standards) for training, assessment and certification of Seafarers. II. Majority of these standards have to meet minimum standards set internationally for seafarers whose qualifications have to meet international standards. The primary sectors that training, assessment and certification have to meet internationally are: II.1. Fishing the International Convention on Standards of Training, Certification and Watchkeeping for Fishing Vessel Personnel, 1995 (STCW-F), which came into force in South Africa on 01 July 2017; II.2. Seagoing Merchant Vessels - The International Convention on Standards of Training, Certification and Watchkeeping for Seafarers (STCW), 1978, as amended which is already in force in South Africa. III. Where the SAMSA Code is giving effect to international standard(s), that international standard shall be the primary basis and the name of such standard shall bear the name of that standard, with the exception of the numbering which is unique to the SAMSA Code. IV. The SAMSA Code, in the adoption of the international standards, shall take into account other requirements of that standard with regards to implementation procedures. Legal Basis of the SAMSA Code V. The Merchant Shipping (Safe Manning, Training and Certification) Regulations, 2013, as amended requires that SAMSA establish the South African Maritime Qualifications Code (SAMSA Code). V.1. The STCW Convention, in Regulation I/6, requires that the education and training objectives and related standards of competence to be achieved are clearly defined and that the levels of knowledge, understanding and skills appropriate to the examinations and assessments required under the Convention are identified. The objectives and related quality standards may be Page 4 of 15
specified separately for different courses and training programmes and shall cover the administration of the certification system. it further states that application of the quality standards shall cover the administration of the certification system, all training courses and programmes, examinations and assessments carried out by or under the authority of a Party and the qualifications and experience required of instructors and assessors, having regard to the policies, systems, controls and internal quality assurance reviews established to ensure achievement of the defined objectives. V.2. To give effect to these requirements, SAMSA s Quality Standards System comprises of primarily two elements, viz: V.2.1. The SAMSA Code, to deal with...the education and training objectives and related standards of competence to be achieved are clearly defined and that the levels of knowledge, understanding and skills appropriate to the examinations and assessments required which this document forms part of; V.2.2. The OPS-500 system, to deal quality standards shall cover the administration of the certification system, all training courses and programmes, examinations and assessments carried out by which then provides pro-forma documents and operational procedures. VI. The SAMSA Code is set to meet, and in some instances, exceed the minimum standards that inform the creation of a specific standard. It primarily seeks to ensure that the candidate (seafarer) is skilled in a manner that they can perform both regular and emergency duties that may be assigned to that seafarer on the basis of that qualification. Continuous Improvement and feedback VII. Seafarers, Employers and Training Institutions are invited to use a critical eye when using the SAMSA Code and provide feedback to SAMSA in writing, such criticism may focus on its effectiveness, implementation and application. Page 5 of 15
VIII. As this document may be reviewed without notice, users are invited to download the latest copy each time they use the document. However, when submitting an accreditation application, the application will be assessed on the basis of the requirements that existed immediately prior to the application being made. Page 6 of 15
Medical First Aid (including Elementary First Aid) Applicable International standard(s) 1. This standard has been developed to meet the requirements of Medical First Aid as contained in Section A-VI/4, Table A-VI/4-1, Chapter VI of the STCW Code. This standard includes the requirements of Elementary First Aid Section A-VI/1, table A-VI/1-3. 2. Persons who complete the Medical First Aid training successfully may be eligible to apply for a Certificate of Proficiency in Medical First Aid and Elementary First Aid at SAMSA. Standard of competence (Objectives of the Training) 3. The training in Medical First Aid is for all seafarers who are designated to provide medical first aid onboard Seagoing Vessels and some Port Operations vessels. The objective of the training is so that seafarers may take immediate and effective action in the case of accidents or illness likely to occur onboard. The objectives and outcomes of the training should be that the candidate is able to: 3.1. Take immediate action upon encountering an accident or other medical emergency; 3.2. Apply immediate first aid in the event of accident or illness onboard. Pre-requisites for entry into the course 4. The course is open to all persons who intend serving onboard a seagoing ship who are designated to provide medical first aid onboard a ship. Education, Training & Assessment of candidates 5. The education and training of the seafarer must follow a systematic and logical sequence with respect to the minimum subject matter which is to be covered. The subject matter can be found in column 2 of the table below. The training could be a combination of Page 7 of 15
lecturing, audio visual aids, practical examples, practical exercises and/or a combination of all or any means. 6. To be considered a successful candidate in this course, the candidate shall have demonstrated their competence in accordance with column 3 of the table below. The assessment to assess such competence may consist of a written assessment of theory together with a practical demonstration of competence where a learner s conceptual understanding of something is evaluated through the approach he/she takes in applying it practically. All assessments for this course are formal and thus shall be recorded accordingly. These assessments methods may be divided into: 6.1. Formative assessment is an assessment designed to feed into further learning, and is very important for the learning process. A range of formal, non-formal, and informal formative assessment procedures are used to focus on teaching and learning to improve learner success. Formative assessment may be used as part of a formal (final) assessment of this course; 6.2. Practical Assessment may be described as an assessment made by the assessor when observing the manipulation of objects to determine the competency of a candidate on a specific skill. Practical requirements on particular Knowledge, Understanding and Proficiencies (KUP s) relating to applying first aid shall be assessed. Institutions are required to include a checklist for each KUP where a practical assessment is required. For this course, candidates must demonstrate, practically, the ability to: 6.2.1. position casualty; 6.2.2. apply resuscitation techniques; 6.2.3. improvise bandages and use materials in the emergency kit. Outcomes of the prescribed practical assessments on this course must count towards the final assessment of this course. Page 8 of 15
6.3. Summative assessment is conducted at the end of sections of learning or whole learning programmes, to evaluate learning related to a particular qualification, part-qualification, or professional designation. Summative assessment of learning usually has as its aim the evaluation and/or the certification of learning that has already taken place, and the extent to which this learning has been successful. There must be a formal Summative Assessment at the end of the course. During the accreditation process, an institution shall submit a minimum of three Summative Assessment tests. Duration of the course 7. Training in Medical First Aid shall be conducted over a period of no less than 4 days of theoretical and practical training. Maximum number of candidates per course 8. The maximum number of candidates permitted for this course shall not exceed 16 candidates. 9. For practical exercises and assessments, the ratio of candidates to facilitator/assessor shall be 8:1 for all candidates actively participating in any practical exercise. Requirements from training institutions 10. When developing or reviewing training material for Medical First Aid, this part of the SAMSA Code shall be included in the front pages of the training material. The course material shall include a contents page which clearly identifies the content covered in the course. 11. For accreditation, the institution must demonstrate to the examiner that they have the following facilities and are able to perform all the necessary exercises for the course: 11.1. Have a classroom, hall, boardroom, or equivalent, of sufficient capacity where the theoretical elements of the course will be presented; 11.2. When making use of audio-visual material, then the appropriate equipment should be available; Page 9 of 15
11.3. Have the ability to conduct all necessary practical demonstrations and exercises to complete the course, and the following shall be the minimum equipment required: 11.3.1. Life-size adult CPR manikins, ratio of 4:1 manikin; 11.3.2. Life-size child CPR manikin; 11.3.3. Life-size infant CPR manikin; 11.3.4. Portable Oxygen resuscitator; 11.3.5. Oropharyngeal airway and Bag Valve Mask; 11.3.6. Neil Robinson Stretcher; 11.3.7. CPR mouth pieces, 1 per candidate; 11.3.8. Examination gloves, various sizes; 11.3.9. Training Automated External Defibrillator; 11.3.10. Various bandages, dressings, splints, braces, etc. as could be expected to be found onboard a merchant ship and required so as to demonstrate correct usage and complete practical demonstration and assessments; 11.3.11. Appropriate additional resources to improve the delivery of the course, e.g. anatomical diagrams, CPR Charts, etc.; 11.3.12. Training institutions should consult the Ship s Medicine Chest as set out in the International Medical Guide for Ships. 11.4. When submitting an application for accreditation, the following must be supplied as a minimum: 11.4.1. Proof facilitators/instructors and/or assessors meet the requirements of paragraph 13 below; Page 10 of 15
11.4.2. Copy of any training material given to/used by the seafarers attending the course; 11.4.3. A list of medical equipment, charts and/or appliances as required in this paragraph; 11.4.4. Time-table showing time spent and a lesson plan on each section of the training to demonstrate all subject matter covered and meeting the minimum duration of the course as stipulated in paragraph 7 above. The time-table should also stipulate how each section of the training shall be presented, i.e. lecture with slide presentation, educational video, practical demonstration, etc.; 11.4.5. Copies of slide presentations, videos and practical demonstrations to be available for perusal by the relevant SAMSA Surveyor accrediting the training; 11.4.6. Matrix/document cross referencing subject matter required to be covered as per this SAMSA Code as well as taking guidance from STCW '78 as amended and where this is covered in the training manual supplied/used by the seafarer attending the training. 12. All documents presented as required by this section shall form part of the Quality Standards (Management) System of the institution. Changes and amendments to them shall be appropriately recorded, electronic media to include date stamps. Persons Conducting the Training and Assessment 13. For this course to be accredited, the institution must have facilitators and/or assessors with the following minimum qualifications and/or experience: 13.1. Qualifications and Experience as per table below Qualifications Basic Ambulance Assistant, with valid membership of the HPCSA Experience 2 years experience Page 11 of 15
Qualifications Medical Care, with CoC as Chief Officer and/or 2 nd Engineer Experience Not applicable 13.2. Alternative and/or equivalent qualifications may be accepted in lieu of the above qualifications with the concurrence of the relevant Senior Examiner and the Chief Examiner. Institution s library 14. The Institution shall have, in addition to the course content, the latest editions of the following reference material in hard copy or electronic format 1 : 14.1. Merchant Shipping Act, 1951, as amended; 14.2. Merchant Shipping (Safe Manning, Training and Certification) Regulations, 2013 as amended; 14.3. Ship's Medicines and Medical Appliance Regulations, 1991, as amended; 14.4. Maritime Occupational Safety Regulations, 1994, as amended; 14.5. Ship Captain s Medical Guide, published by the MCA; 14.6. International Medical Guide for Ships; 14.7. Medical First Aid Guide as per Maritime Dangerous Goods Code. Transitional arrangements 15. These new SAMSA Code requirements shall come into force on 01 July 2018. 16. Facilitators and assessors who have been previously approved for this course, but who do not meet the above requirements may continue to do so at the discretion of the Senior Examiner. For institutions whose facilitators and/or assessors don t meet the requirements in Paragraph 13 or higher, they; 1 Where reference material is electronic, means shall be provided for candidates to access such material Page 12 of 15
16.1. Shall apply in writing to the Senior Examiner for such facilitators and/or assessors to be considered to continue offering this course; 16.2. Applications referred to above shall be made within a three-month period of this Code coming into effect. 17. Within three months of these requirements coming into force, institutions currently accredited for this course shall show compliance by submitting the following: 17.1. A statement of Qualifications and Experience of lecturers, facilitators and/or assessors; 17.2. An inventory of the training equipment and/or tools, including library material, meeting the requirements or this standard; 17.3. A list of changes made to the course, as a result of this standard becoming effective, a revised course content and related documents shall be submitted to the nearest SAMSA Office for consideration and continued accreditation. This submission must be made within six months from the effective date of this standard; 17.4. All information required to be submitted as set out in this Standard shall be sent to the Chief Examiner via e-mail to institutions@samsa.org.za. Page 13 of 15
Specification of minimum standard of competence in Medical First Aid (including Elementary First Aid) Column 1 Column 2 Column 3 Column 4 Competence Knowledge, understanding and proficiency Methods for demonstrating competence Criteria for evaluating competence 1. Take immediate action upon encountering an accident or other medical emergency 2. Apply immediate first aid in the event of accident or illness on board. 1.1. Assessment of needs of casualties and threats to own safety 1.2. Appreciation of body structure and functions 1.3. Understanding of immediate measures to be taken in cases of emergency, including the ability to: 1.3.1. position casualty 1.3.2. apply resuscitation techniques 1.3.3. control bleeding 1.3.4. apply appropriate measures of basic shock management 1.3.5. apply appropriate measures in event of burns and scalds, including accidents caused by electric current 1.3.6. rescue and transport a casualty 1.3.7. improvise bandages and use materials in the emergency kit Assessment of evidence obtained from approved instruction or during attendance at an approved course 2.1. First-aid kit. Assessment of evidence obtained from 2.2. Body structure and function. practical instructions. 2.3. Toxicological hazards on board, including use of the Medical First Aid Guide for Use in Accidents 2.4. Involving Dangerous Goods (MFAG) or its national equivalent. 2.5. Examination of casualty or patient. The manner and timing of raising the alarm is appropriate to the circumstances of the accident or medical emergency The identification of probable cause, nature and extent of injuries is prompt and complete and the priority and sequence of actions is proportional to any potential threat to life Risk of further harm to self and casualty is minimized at all times The identification of probable cause, nature and extent of injuries is prompt and complete, and conforms to current first-aid practices. Risk of further harm to self and others is minimized at all times. Treatment of injuries and the patient's condition is appropriate and conforms Page 14 of 15
Column 1 Column 2 Column 3 Column 4 Competence Knowledge, understanding and proficiency Methods for demonstrating competence Criteria for evaluating competence 2.6. Spinal injuries. to recognized first-aid practice and 2.7. Burns, scalds and effects of heat and cold. international guidelines. 2.8. Fractures, dislocations and muscular injuries. 2.9. Medical care of rescued persons 2.10. Radio medical advice. 2.11. Pharmacology. 2.12. Sterilization. 2.13. Cardiac arrest, drowning and Asphyxia. Page 15 of 15