Professional Documents
Culture Documents
medical support
Global experience
The International Association of Oil & Gas Producers (formerly the E&P Forum) has
access to a wealth of technical knowledge and experience with its members operating
around the world in many different terrains. We collate and distil this valuable knowl-
edge for the industry to use as guidelines for good practice by individual members.
Our overall aim is to ensure a consistent approach to training, management and best
practice throughout the world.
The oil and gas exploration and production industry recognises the need to develop con-
sistent databases and records in certain fields. The OGPs members are encouraged to
use the guidelines as a starting point for their operations or to supplement their own
policies and regulations which may apply locally.
Many of our guidelines have been recognised and used by international authorities and
safety and environmental bodies. Requests come from governments and non-government
organisations around the world as well as from non-member companies.
Disclaimer
Whilst every effort has been made to ensure the accuracy of the information contained in this
publication, neither the OGP nor any of its members will assume liability for any use made
thereof.
Copyright OGP
Table of contents
Summary ii
2000 OGP i
International Association of Oil & Gas Producers
Summary
This set of standards has been developed for use by The suitability of a particular facility should be assessed
health professionals in assessing local medical support for the following categories of cases:
facilities. This assessment should be carried out as part non life-threatening situation - non time-critical
of the Health Management System. These checklists
provide the detail that is required for the evaluation and consultation and treatment
assessment section of the E&P Forums Guidelines for requirement for further treatment (in-patient)
remote land-based geophysical operations (report No
6.30/190). However, the checklist is equally applicable life threatening situation - time critical
to all types of operations and is designed to assist health in transit care facility
professionals in making an assessment of local medical
definitive care facility
support in the area of a proposed or existing operation
where company or contractor personnel may be at risk. preventative medical care/occupational health
ii 2000 OGP
Standards for local medical support
A suitable doctor should preferably have at least 5 years clean waiting area
post-graduate experience. He or she should never be treatment/minor procedures room
newly qualified. The doctor should be familiar with
local medical conditions and have a broad general expe- privacy
rience. He or she should have good communication clean running water/hand washing facilities
skills and be familiar with all available local medical
toilet
facilities that could be used for further referral.
good light
1.1.2 Equipment temperature control, ie ventilation/heating as nec-
The normal equipment for conducting consultations, essary
physical examinations and minor treatments should be environmental protection eg insect screens.
in place. Such equipment would include:
desk, chairs, examination couch The facility should be in a good state of maintenance
and hygiene.
basic diagnostic kit (appendix 1)
ear syringe 1.1.4 Administration
single use (disposable) needles and syringes The characteristics or features required include:
appropriate methods for sterilization (preferably health records and retrieval system
autoclave) security (especially with respect to drugs)
splints/ collars/ stretcher confidentiality
refrigerator (with back-up electricity supply if nec- scale of charges plus method of payment
essary)
cleaning and maintenance routine.
suitable disposal for clinical waste including nee-
dles 1.1.5 Logistics
access may be required for: The facility should be:
audiogram accessible
laboratory facility for appropriate test eg malaria, desirable to have telephone/radio communication.
stools, biochemistry, haematology
x-ray facilities (to include chest x-ray)
E.C.G.
ultrasound.
2000 OGP 1
International Association of Oil & Gas Producers
2 2000 OGP
Standards for local medical support
Advanced trauma life support trained or similarly expe- suction and oxygen supply
rienced doctor with suitable support staff providing 24 desk, chairs, examination couch
hour cover.
basic diagnostic kit (appendix 1)
2.1.2. Equipment ear syringe
see appendix 5 single use (disposable) needles and syringes
in-house x-ray facility single use (disposable) suture kit
ability to group and cross match blood and test for: appropriate methods for sterilization (preferably
HIV 1 autoclave)
HIV 2 refrigerator (with back-up electricity supply if nec-
essary)
syphilis
suitable disposal of clinical waste including nee-
malaria (if appropriate) dles
hepatitis B access may be required for:
hepatitis C audiogram
Chagas disease (if appropriate) laboratory facility for appropriate test eg malaria,
stools, biochemistry ,
defibrillator
haematology
ventilator x-ray facilities including chest x-ray
protocols for the management of local health haz- E.C.G.
ards should be available. ultrasound.
2000 OGP 3
International Association of Oil & Gas Producers
A good pharmacy should be available (WHO essential maintenance of medical records including therapy
drug list - appendix 2 ) and there should also be an ade-
appointment/access system
quate supply of dressings and intravenous fluids. Equip-
ment and medication for anaphylaxis should be present. health records and reporting system
(appendix 3). security (especially with respect to drugs)
2.1.3 Building confidentiality
resuscitation area with ability to deal with more scale of charges plus method of payment
than one patient.
cleaning and maintenance routine.
There should also be the characteristics listed in 1.2.3:
clean consultation room with couch 2.1.5 Logistics
clean waiting area company/contractor responsibility to ensure access
to, or provide ambulance transportation between
treatment/minor procedures room field In Transit Care Facility and Definitive Care
privacy Facility
clean running water/hand washing facilities have a minimum telephone communication for
national coverage
toilet
desirable to have close access to a helipad or air
good light strip.
temperature control, ie ventilation
The ambulance should as a minimum have (or contain)
environmental protection eg insect screens the following:
catering facilities capability to deal with the local terrain safely and
be well maintained
laundry facilities
trained and experienced driver
clean in-patient wards with adequate space, light-
ing and ventilation radio communication
adequate toilet/washing facilities one stretcher that can be secured with adequate
room for a health professional to attend
minor procedures/treatment room
easy access for stretcher in/out of ambulance
operating theatre - easily sterilized
adequate ventilation and temperature control
anaesthetic/ recovery room.
lighting
The facility should be in a good hygienic state.
life support equipment including:
2.1.4 Administration oxygen/suction
company/contractor should have written plan, spec- means of ventilating patient
ifying roles and responsibilities for transfer to In
Transit Care Facility and on to Definitive Care defibrillator with ECG, intravenous fluids and
Facility. relevant life support drugs - depending on avail-
ability of trained staff to use it
The following characteristics or features listed in 1.2.4
dressings, splints, administration sets, cervical
are required:
collars and spinal board
standard operating procedure eg sterile procedures
and aseptic techniques etc. Agreement to transfer drip hook
patient out of hospital for further treatment as may blanket.
be required (to be agreed by operator/contractor
medical staff and doctor in charge of patient)
suitable catering, laundry, cleaning procedures
4 2000 OGP
Standards for local medical support
2000 OGP 5
International Association of Oil & Gas Producers
6 2000 OGP
Standards for local medical support
Reference should be made to the Health Management evaluation of health aspects of catering, living
System described in the E&P Forum report number accommodation, waste disposal and water testing
6.30/190 Health management guidelines for remote
support for evaluation and management of occupa-
land-based geophysical operations. The uses for which
tional health risks
an operator might use a Preventative Medical Care facil-
ity include: arrangements for first aid and training
clinical health surveillance of locally hired employ- conforming with local occupational health legisla-
ees tion
immunizations briefing new arrivals on local health risks.
3.2 Equipment
The normal equipment for conducting a health surveil- Equipment for Immunizations would include:
lance examination should be in place. Such equipment refrigerator (with back-up electricity supply if nec-
would include that presented in Appendix 1. essary)
Access may be required for:
single use disposable needles and syringes
vitalograph
sterile swabs
vision (keystone vision test)
equipment and medication for anaphylactic reac-
audiogram tion (see appendix 3).
chest x-ray Colorimetric testing for chlorine content of potable
laboratory facility for appropriate test e.g. stools, water is useful. Access to bacteriological testing should
biochemistry, haematology (malaria, Chagas be available.
disease if applicable) Arrangements for first aid training should include suit-
able teaching aids including life-like resuscitation man-
nequin.
2000 OGP 7
International Association of Oil & Gas Producers
3.3 Building
The characteristics or features required include:
clean room
waiting area
privacy
running water/hand washing/toilet
good light
temperature control, ie ventilation/heating (if nec-
essary)
environmental protection eg insect screens.
3.4 Administration
3.5 Logistics
The facility should be:
accessible
have telephone/radio communication.
8 2000 OGP
Standards for local medical support
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International Association of Oil & Gas Producers
1 Anaesthetics
1.1 General anaesthetics and oxygen 1.2 Local anaesthetics
diazepam bupivacaine
ether lidocaine
halothane
ketarnine
1.3 Preoperative medication
atropine
nitrous oxide
choral hydrate
oxygen
diazepam
thiopental
morphine
promethazine
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Standards for local medical support
5 Anti-epiletics
carbamazepine phenobarbital
diazepam phenytoin
ethosuximide valporic acid
6 Anti-infective drugs
6.1 Anthelminthics oxarnniquine
6.1.1 Intestinal anthelminthics praziquantel
levamisole
6.2 Antibacterials
mebendazole
6.2.1 Penicillins
niclosamide
amoxicillin
piperazine
ampicillin
praziquantel
benzathine benzylpenicillin
pyrantel
benzylpenicillin
thiabendazole
cloxacillin
6.1.2 Specific anthelminthics
phenoxymethylpenicillin
albendazole
piperacillin
6.1.3 Antifilarials procaine benzylpenicillin
diethylcarbamazine
6.2.2 Other antibacterials
ivermectin
chloramphenicol
suramin sodium
erythromycin
6.1.4 Antischistosomals gentamicin
metrifonate metronidazole
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International Association of Oil & Gas Producers
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Standards for local medical support
7 Antimigraine drugs
7.1 For treatment of acute attack 7.2 For prophylaxis
acetylsalicyclic acid propranolol
ergotamine
paracetamol
9 Antiparkinsonism drugs
biperiden
levodopa + carbidopa
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International Association of Oil & Gas Producers
12 Cardiovascular drugs
12.1 Antianginal drugs nifedipine
glyceryl trinitrate propranolol
isosorbide dinitrate Complementary drugs
nifedipine atenolol
propranolol captopril
Complementary drug methyldopa
atenolol reserpine
sodium nitroprusside
12.2 Antidysrhythmic drug
lidocaine 12.4 Cardiac glycosides
propranolol Complementary drug
verapamil digoxin
Complementary drugs
12.5 Drugs used in vascular shock
atenolol
dopamine
procainamide
quinidine 12.6 Antithrombotic drugs
acetylsalicylic acid
12.3 Antihypertensive drugs
hydralazine Complementary drug
hydrochlorothiazide streptokinase
13 Dermatological drugs
13.1 Antifungal drugs (topical) mupirocin
benzoic acid + salicylic acid neomycin + bacitracin
miconazole silver sulfadiazine
nystatin
13.3 Anti-inflammatory and antipruritic drugs
sodium thiosulfate
betamethasone
Complementary drug
calamine lotion
selenium sulfide
hydrocortisone
13.2 Anti-infective drugs
13.4 Astringent drugs
methylrosanilinium chloride (gentian violet)
aluminium diacetate
14 2000 OGP
Standards for local medical support
14 Diagnostic agents
14.1 Ophthalmic drugs 14.2 Radiocontrast media
fluorescein amidotrizoate
tropicarnide barium sulfate
iopanoic acid
propyliodone
Complementary drugs
meglumine iotroxate
16 Diuretics
arniloride Complementary drugs
furosemide mannitol
hydrochlorothiazide spironolactone
2000 OGP 15
International Association of Oil & Gas Producers
17 Gastrointestinal drugs
17.1 Antacids and other antiulcer drugs 17.4 Anti-inflammatory drugs
aluminium hydroxide hydrocortisone
cimetidine sulfasalazine
magnesium hydroxide
17.5 Antispasmodic drugs
17.2 Antiemetic drugs atropine
metoclopramide
promethazine
17.6 Cathartic drugs
senna
17.3 Antihaemorrhoidal drugs
local anaesthetic, astringent and anti-inflamma-
17.7 Drugs used in diarrhoea
tory drug 17.7.1 Oral rehydration
oral rehydration salts
17.7.2 Antidiarrhoeal (symptomatic) drugs
codeine
16 2000 OGP
Standards for local medical support
19 Immunologicals
19.1 Diagnostic agents 19.3 Vaccines
tuberculin, purified protein derivative (PPD) 19.3.1 For universal immunisation
BCG vaccine (dried)
19.2 Sera and immunoglobulins
diphtheria-pertussis-tetanus vaccine
anti-D immunoglobulin (human)
diphtheria-tetanus vaccine
antiscorpion sera
measles-mumps-rubella vaccine
antitetanus immunoglobulin (human)
measles vaccine
antivenom sera
poliomyelitis vaccine (inactivated)
diphtheria antitoxin
poliomyelitis vaccine (live attenuated)
immunoglobulin, human normal
tetanus vaccine
rabies immunoglobulin
19.3.2 For specific groups of individuals
hepatitis B vaccine
influenza vaccine
meningococcal vaccine
rabies vaccine
rubella vaccine
typhoid vaccine
yellow fever vaccine
21 Ophthalmological preparations
21.1 Anti-infective agents 21.4 Miotics and anti glaucoma drugs
gentamicin acetazolamide
idoxuridine pilocarpine
silver nitrate timolol
tetracycline
21.5 Mydriatics
21.2 Anti-inflammatory agents atropine
prednisolone Complementary drugs
epinephrine
21.3 Local anaethetics
tetracaine
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International Association of Oil & Gas Producers
24 Psychotherapeutic drugs
amitriptyline fluphenazine
chlorpromazine haloperidol
diazepam lithium carbonate
18 2000 OGP
Standards for local medical support
Contents to include:
Items 1 to 5 inclusive are essential. Useful supplementary items
1 Adrenaline (epinephrine) 6 Intravenous infusion
3ampoules of adrenaline 1mg/ml solution
(1:1000 solution) 7 Oxygen
appropriate syringes and needles Medical quality oxygen and appropriate adminis-
tration set.
These could be replaced by International Medication
Systems (IMS) ready filled syringes of Adrenaline I :
1000.
4 Guedel airways
Minimum of two of each size
Notes:
Laryngoscope and endotracheal tubes have not been
included as clumsy attempts at endotracheal intubation
may make the laryngeal oedema worse. Only those skilled
at endotracheal intubation should attempt this.
Other equipment for Cardio-Pulmonary resuscitation
should be available.
Notes on the administration and dosage of drugs should be
available.
2000 OGP 19
International Association of Oil & Gas Producers
Non-consumable items
1 Auriscope 1 Primus stove
1 Sphygmomanometer, mercurial, in metal case 1 Spare washer for primus stove
1 Stethoscope 1 Field steriliser, SIS for use with primus stove
o o
1 Bard Parker scalpel handles N 3 and N 4 60 Assorted single use (disposable) surgical suture
2 Spencer Wells artery forceps, 5 (127mm) needles SIS, cutting
2 Kochers artery forceps 10 Medicine measures, polypropylene
1 Sinus forceps 6 Clinical thermometers, centigrade
1 Cheatle forceps 1 Hair clippers
1 Toothed dissecting forceps 6 (152mm) 500 Safety pins
4 Dissecting forceps 1 Tape measure, metric
1 Probe 5 (127mm) 1 Portable baby weighing pack, weighing up to
25kg in 100 gram steps with 3 trousers and 2
1 Needle holder, small, Bruce Clark type
slings
2 Dressing scissors
1 Wash bowl pip
1 Elastoplast scissors, probe ended
4 Assorted s/s containers - kidney dishes and/or
2 Stitch scissors lotion bowls
10 Rectal and flatus tubes, rubber 1 Jug, measuring, stainless steel, 500ml
10 Urinary catheters, rubber 1 Enema/douche can polypropylene with tubing
1 Foetal stethoscope 1 Jug, polypropylene, 1 litre
3 Mucus extractors, non-disposable 1 Bedpan, polypropylene
1 Small vacuum extractor with disposable cups 1 Gallipots S/S
1 Episiotomy scissors 2 Urinals, polypropylene
1 Monocular simple non-mechanical stage micro- 1 Book - Where there is no Doctor by
scope D. Werner
20 2000 OGP
Standards for local medical support
Consumable items
200 Blood lancets 60 Skin sutures - assorted nylon/silk - with cut-
100 Scalpel blades, size 10, for Bard Parker handle ting needles where available
o
N3 300 Examination gloves
100 Scalpel blades, size 23, for Bard Parker handle 500 Chart Child Health
o
N4 12 Bandages, elastic adhesive, 2 (5cm 4.5m)
5 Umbilical tape, unsterile, 20 metre reels 12 Bandages, elastic adhesive, 3 (7.5cm 4.5m)
6 Clinistix (bottle of 50) 10 Bandages, triangular, 3550 (80cm 127cm)
6 Albustix (bottle of 50) 12 Bandages, crepe - 2, (5cm)
15 30ml Glass specimen containers 24 Bandages. crepe - 3, (7.5cm)
15 30ml Universal containers, with spoon - no 36 Bandages, cotton, WOW, 1 (2.5cm)
label
36 Bandages. cotton, WOW , 2 (5cm)
5 Haemoglobin test books
5 Cotton wool rolls, 500grms
300 Microscope slides
500 Gauze swabs, 22 (5cm 5cm) 8 ply
300 Cover slips
24 Plaster, zinc oxide 1 (2.5cm)
Syringe/needle combination sets, Leur
24 Plaster, zinc oxide 2 (5cm)
500 2ml with 23G 1 needle
30 Infant feeding tubes
5ml with 21G 1 needle
5 Tubes lubricating jelly, 82gm
60 Chromic catgut*, absorbable sutures (complete
2 Replacement batteries for auriscope
with needles where available)
24 Plain catgut*, absorbable sutures (complete
with needles where available)
(* - assorted sizes)
2000 OGP 21
International Association of Oil & Gas Producers
Consumable items
300 Wooden tongue depressors 4 Batteries for Penlight torch, LR03 long life,
200 Examination gloves - large gold seal Batteries, auriscope, LR20 long life,
gold seal
200 Examination gloves - medium
4 Batteries for ophtalmoscope, LR14, long life,
gold seal
22 2000 OGP
Standards for local medical support
Consumable items
400 Blood lancets 2 Boxes. Wooden applicators (box of 72 doz)
50 Urinary catheters, disposable, assorted sizes 10 Triangular bandages
180 Plaster of Paris/Gypsona bandages, assorted 60 Crepe bandages, assorted sizes
sizes 20 Cotton wool rolls, 500g
180 Orthopaedic padding rolls for use with Plaster 7500 Gauze swabs, assorted sizes
of Paris, and rolls of stockinette
1500 Cotton bandages, assorted sizes
50 Spare plates for multiple puncture apparatus
96 Rolls, zinc oxide plaster, assorted sizes
200 Examination gloves - large
20 Infant feeding tubes
200 Examination gloves - medium
2 Gauze roll length loom, width 22.5cm - 4 fold,
48 Bandages, elastic adhesive, assorted sizes (gross width 90cm)
2000 OGP 23
International Association of Oil & Gas Producers
24 2000 OGP
Standards for local medical support
Consumable items
30 Anaesthetic giving needles, disposable 240 Sutures chromic and plain catgut (absorbable
400
o
Blades to fit a N 3 handle with needles)
400
o
Blades to fit a N 4 handle 100 Surgeons gloves, sterile (pairs) size 7 and 6
288 Eye pads 100 Surgeons gloves, sterile (pairs) size 8 and 7
120 Skin sutures, silk. nylon with needles where 2 Batteries for laryngoscope, LR20, long life,
available gold seal
2000 OGP 25
International Association of Oil & Gas Producers
Consumable items
20 Urinary catheters, disposable, assorted types 250 Gloves, surgeons, size 7(pairs )
8 Umbilical tape. unsterile, 20 metre reel 250 Gloves, surgeons, size 8(pairs)
10 Mucus extractor, disposable 300 Gloves, examination, large
20 Reagents for urine testing - Uristix for testing 200 Gloves, examination, medium
protein and glucose 5 Cotton wool rolls (500gms)
108 Chromic sutures/catgut (absorbable with nee- 500 Gauze swabs 22 (5cm 5cm)8ply
dles)
432 Maternity pads, unlooped size 2
60 Skin suture with cutting needles
26 2000 OGP
Standards for local medical support
2000 OGP 27
International Association of Oil & Gas Producers
2250ml Ferric chloride sol Analar ABT 60% WN 225g Crystal Violet C G Gurr for microscopical
FeCl3 (iron (iii) chloride Sol) (hazard) staining
2100g Potassium ferricyanide Analar (pot heaxa- 2500ml Leishmans staining solution for micros-
cycanoferrate (iii)) copy
2250g Sodium cyanide Analar (hazard) 225g Grams iodine Gurr for microscopical stain-
11l Acetone Analar (hazard) ing (hazard)
4500ml Methanol Analar (hazard) 2500ml Methylene blue alkaline (Loeffiers) Gurr
staining solution (hazard)
102.5l Spirit methylated industrial GPR about 90%
w/w total alcohols, 640P (hazard) 2bottle Buffer tablets Gurr approx. 7.2 each tablet
produces 100ml
2250g Zinc sulphate Analar
50 tablets Potassium iodine GPR
2500ml Acetic acid glacial (hazard)
2250g Fields stain A Gurr
2500ml Carbol fuchsin Ziehl-Neelsen (strong) Gurr
for microscopical staining (hazard) 225g Fields stain B Gurr
2500ml Carbol fuchsin dilute solution Gurr for 225g Giemsas stain Gurr
microscopical staining
28 2000 OGP
What is OGP?
The International Association of Oil & Gas Producers represents the worlds oil and gas
industry. Our members include private and state-owned oil and gas companies, national
associations and petroleum institutes.
What do we do?
We aim to:
increase understanding of the industry;
work with international regulators to develop workable proposals which take full
account of industry views;
contribute to continuous improvements in industry operating standards;
be a visible and approachable organisation to which governments and others refer on
matters relating to the industry;
maintain a large, diverse and active membership; and
communicate issues affecting members to international bodies and the public.
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