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Standards for local

medical support

Report No. 6.44/222


May 1995
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Standards for local medical support

Report No: 6.44/222


May 1995
This report has been prepared for the E&P Forum by their committee on safety, health and personnel competence through
their Local Medical Support Task Force.

Local Medical Support Task Force membership


Dr D Dawson UNOCAL Chairman
Dr A Barbey Schlumberger
Dr N Burke Shell
Dr E Dahl-Hansen Esso
Dr M Gilbert British Gas
Dr W Howe Conoco
Dr J Keech BP Exploration
Dr D McCready British Gas
Dr J Rodier Elf
Dr I Downey E&P Forum
Standards for local medical support

Table of contents

Summary ii

1 Non-life threatening situation - non-time critical 1


1.1 Consultation and Treatment......................................................................................................................... 1
1.1.1 Health Professionals
1.1.2 Equipment
1.1.3 Building
1.1.4 Administration
1.1.5 Logistics
1.2 Requirement for further treatment (in-patient)............................................................................................. 2
1.2.1 Health Professionals
1.2.2 Equipment
1.2.3 Building
1.2.4 Administration
1.2.5 Logistics

2 Life threatening situation - time critical 3


2.1 In Transit Care Facility ................................................................................................................................ 3
2.1.1 Health Professionals
2.1.2 Equipment
2.1.3 Building
2.1.4 Administration
2.1.5 Logistics
2.2 Definitive Care Facility ................................................................................................................................ 5
2.2.1 Health Professionals
2.2.2 Equipment
2.2.3 Building
2.2.4 Administration
2.2.5 Logistics

3 Preventative medical care/occupational health 7


3.1 Health Professionals ..................................................................................................................................... 7
3.2 Equipment.................................................................................................................................................... 7
3.3 Building ....................................................................................................................................................... 8
3.4 Administration ............................................................................................................................................. 8
3.5 Logistics ....................................................................................................................................................... 8

Appendix 1 Basic diagnostic kit 9

Appendix 2 WHO model list of essential drugs (7th list) 10

Appendix 3 Anaphylaxis kit 19

Appendix 4 Basic equipment for consultations 20

Appendix 5 Suggested equipment list 22


i) Examination room set ................................................................................................................................ 22
ii) Treatment room set .................................................................................................................................... 23
iii) Minor operating theatre set ........................................................................................................................ 24
iv) Anaesthetic equipment ............................................................................................................................... 25
v) Obstetric and gynaecology room set........................................................................................................... 26
vi) Laboratory room set ................................................................................................................................... 27
vii) Chemical kit for laboratory room ............................................................................................................... 28

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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

Each facility should be assessed under the following


headings:
health professionals
building
administration
logistics

The following recommendations are based on target


standards and should be approved and under the con-
trol of the company or contractors medical advisor.

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Standards for local medical support

1 Non-life threatening situation - non-time critical

1.1 Consultation and treatment


The uses for which an operator might access such a Equipment and medication for anaphylaxis should be
facility are when a medical or surgical condition is such present (appendix 3).
that the health care available in the field is unable to
cope satisfactorily with the situation and further evalu- 1.1.3 Building
ation by a doctor is deemed necessary.
The characteristics or features required include:
1.1.1 Health professionals clean consultation room with couch

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:

single use (disposable) suture kit appointment/access system

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.

A good pharmacy should be available (WHO essential


drug list - appendix 2) and there should also be an
adequate supply of dressings and intra-venous fluids.

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1.2 Requirement for further treatment (in-patient)


If definitive treatment can be delayed, it may be appro- Equipment and medication for anaphylaxis should be
priate for this to be carried out in the Definitive Care present (appendix 3).
Facility (see section 2.2). Where treatment is deemed to
be necessary locally, the following should be in place: 1.2.3 Building
The characteristics or features required include:
1.2.1 Health professionals
clean in-patient wards with adequate space, light-
A doctor with appropriate training and experience ing and ventilation
should be available for the condition to be treated. A
certified nurse may be appropriate for certain proce- adequate toilet/washing facilities
dures. minor procedures/treatment room

1.2.2 Equipment operating theatre - easily sterilized


see appendix 4 anaesthetic/ recovery room
appropriate lighting with alternative back-up power catering facilities
supply laundry facilities.
suction and oxygen supply
Also in place should be building requirements detailed
appropriate bedlinen. in 1.1.3 as follows :
In addition there should be the following equipment clean consultation room with couch
listed in 1.1.2: clean waiting area
desk, chairs, examination couch treatment/minor procedures room
basic diagnostic kit (Appendix 1) privacy
ear syringe clean running water/hand washing facilities
single use (disposable) needles and syringes toilet
single use (disposable) suture kit good light
appropriate methods for sterilization (preferably temperature control, ie ventilation
autoclave)
environmental protection, eg insect screens.
refrigerator (with back-up electricity supply if nec-
essary) The facility should be in a good state of maintenance
and hygiene.
suitable disposal for clinical waste including nee-
dles
1.2.4 Administration
access may be required for:
The characteristics or features required include:
audiogram standard operating procedure eg consent for sterile
laboratory facility for appropriate test eg malaria, procedures and aseptic techniques etc.
stools, biochemistry, haematology agreement to transfer patient out of hospital for fur-
x-ray facilities (to include chest x-ray) ther treatment as may be required (To be agreed
by operator/contractor medical staff and doctor in
E.C.G. charge of patient)
ultrasound. suitable catering, laundry, cleaning procedures
A good pharmacy should be available (WHO essential maintenance of medical records including therapy.
drug list - appendix 2 ) and there should also be an
adequate supply of dressings and intra-venous fluids.

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Standards for local medical support

In addition the following characteristics or features 1.2.5 Logistics


listed in 1.1.4 should be in place:
The following should be available:
appointment/access system
transport for stretcher cases
health records and retrieval system
telephone/radio communication.
security (especially with respect to drugs)
The facility should have the following feature listed in
confidentiality 1.1.5 :
scale of charges plus method of payment accessible
cleaning and maintenance routine. have telephone/radio communications.

2 Life threatening situation - time critical

2.1 In-transit care facility


The facility to be used for emergencies, stabilization The following equipment listed in 1.2.2 should also be
and resuscitation where the time required to reach the in place:
main hospital would increase the danger to the patient. appropriate lighting and back-up power supply

2.1.1. Health professionals appropriate bedlinen

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.

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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

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Standards for local medical support

2.2 Definitive care facility


Adequate communication in appropriate languages is 2.2.2 Equipment
essential. This facility should be of such a nature that
There should be evidence that all equipment is in good
time critical conditions that are life threatening, requir-
working order and that there are adequate supplies of
ing emergency action, can be competently treated. Such
consumables e.g. x-ray films and reagents.
conditions may, for example, include but not be lim-
ited to: myocardial infarction, status asthmaticus, hae- x-ray unit capable of a full range of procedures
matemesis, pneumonia, chest injuries, ruptured spleen, portable x-ray
intracranial haemorrhage, ectopic pregnancy. This facil-
ity may not be available in the particular country. CAT scan, preferably full body
vital sign continuous monitoring capability
2.2.1. Health professionals
blood gas determination
The facility should be staffed by, or have reasonable
biochemistry and bacteriology facilities
physical access to the following specialists who are
skilled, experienced and registered as specialists in their defibrillator (charged)
own country:
ventilator
Physician (Internist)
suitable range of anaesthetic equipment and agents
Cardiologist
endoscopic equipment
General Surgeon
equipment appropriate for the use of the specialists
Accident and Emergency Specialist identified in 2.2.1.
Burns Specialist pulse Oxymetry
Anaesthetist - with critical care experience
The following diagnostic equipment is desirable:
Orthopaedic Surgeon MRI (Magnetic Resonance Imaging)
Neurosurgeon Pharmacy
Gynaecological Surgeon
There should be adequate pharmaceutical supplies to
Radiologist cover life saving situations including thrombolytics.
Ophthalmologist The following equipment taken from 2.1.2 should also
be present:
ENT (ear, nose and throat)
see Appendix 5
Endocrinologist
ability to cross match blood and test for:
Paediatrician
HIV l
Pathologist
HIV 2
Psychiatrist
syphilis
Other health professionals should include properly
malaria (if appropriate )
trained and certified general nurses. Generally, a mini-
mum of three years is required for certification. In addi- hepatitis B
tion, there should be sufficient senior nursing staff to
hepatitis C
provide adequate supervision of junior staff. Ancillary
health professionals should include radiographers, phys- Chagas Disease (if appropriate )
iotherapists, laboratory technicians and staff competent protocols for the management of local health haz-
in the use of the equipment in the next section. ards should be available
appropriate methods for sterilization (preferably
autoclave)

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refrigerator (with back-up electricity supply if nec- 2.2.4 Administration


essary)
The following should be in place:
Suitable disposal of clinical waste including nee- agreement or arrangement for the hospital to receive
dles the patient on a 24 hr basis
A good pharmacy should be available (WHO essential pre-arrangement or agreement that all financial
drug list - appendix 2 ) and there also should be an ade- obligations will be met
quate supply of dressings and intravenous fluids. Equip-
reasonable guarantee that bed accommodation will
ment and medication for anaphylaxis should be present.
be available
(appendix 3).
agreement to transfer the patient out of the hospital
2.2.3 Building for further treatment as may be required
The building should include: permission for the presence of a co-ordinating
24 hr triage/emergency receiving room health professional to act as a liaison for contact
with the company/contractor
resuscitation area with ability to deal with more
than one critically ill patient at a time
2.2.5 Logistics
critical care beds with central monitoring for car- have its own (or access to) sufficient ambulance(s),
diac and other cases fully equipped with appropriately trained staff, to
a minimum of two suitable well lit, ventilated and recover two critically ill or injured persons from
adequately equipped operating theatres airport, heliport, sea base to hospital on a 24 hour
basis
post operative surgical critical care or recovery
room have its own reliable national and international tel-
ephone system
isolation room for communicable diseases
desirable, but not essential, to have its own or closely
facility suitable for treating life threatening burns adjacent helicopter landing area
in-patient beds
facility for preserving a body pending repatriation
(mortuary)

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Standards for local medical support

3 Preventative medical care/occupational health

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.

3.1 Health professionals


Clinical health surveillance should be the responsibility be done by a doctor or nurse who has sufficient knowl-
of a doctor who has a knowledge of preventative health edge and experience to perform the task in a competent
care, ideally in the occupational health setting. Some of manner.
the procedures can be done by a nurse working directly
Support for evaluation and management of occupa-
under the supervision of a doctor.
tional health risks should only be done by a doctor or
Depending on local legislation immunizations may be nurse who has sufficient knowledge and experience to
given by a nurse under the written directions of a doctor, perform the task in a competent manner.
who has assessed the nurses competence to immunize
Arrangements for first aid training should only be given
and deal competently with any adverse reaction.
by a health professional competent and certified to give
Evaluation of health aspects of catering, living accom- such training.
modation, waste disposal and water testing should only

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.

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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.

The facility should be in a good state of maintenance


and hygiene.

3.4 Administration

The characteristics or features required include:


appointment system
health records and retrieval system
security (especially with respect to drugs)
confidentiality
scale of charges plus method of payment.

3.5 Logistics
The facility should be:
accessible
have telephone/radio communication.

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Standards for local medical support

Appendix 1 - Basic diagnostic kit

blood pressure apparatus - mercury sphygmoma-


nometer
stethoscope
combination eye, ear, nose and throat examination
set
laryngeal mirrors with handle
Snellen eye chart
torch
proctoscope
disposable gloves or finger cots
urine testing kit
patella hammer
tape measure
tuning fork
clinical thermometer
height measurement
clinical weighing scales
disposable tongue depressors

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Appendix 2 - WHO model list of essential drugs


(7th list)
Reproduced by permission from the use of essential drugs. then influenced by the comparative cost and availability
Model list of essential drugs (7th list): fifth Report of the of equivalent products.
WHO Expert Committee. Geneva, World Health Organ-
The numbers preceding the drugs sections and subsec-
isation, 1992 (WHO Technical Report Series, No 825).
tions in the model list have, in general, been allocated in
accordance with English alphabetical order; they have
Explanatory notes
no formal significance.
Many drugs included in the list are preceded by a
For full details giving route of administration, dosage
symbol () to indicate that they represent an example of
forms and strengths, refer to WHO Technical Report
a therapeutic group and that various drugs could serve
Series 825 The Use of Essential Drugs fifth report of
as alternatives. It is imperative that this is understood
the WHO Expert Committee, World Health Organi-
when drugs are selected at national level, since choice is
zation, Geneva 1992.

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

2 Analgesics, antipyretics, non-steroidal anti inflammatory drugs and drugs used to


treat gout
2.1 Non-opioids 2.2 Opioid analgesics
acetylsalicylic acid codeine
allopurinol morphine
colchicine Complementary drug
ibuprofen pethidine
indomethacin
paracetamol

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3 Antiallergics and drugs used in anaphylaxis


chlorphenamine hydrocortisone
dexamethasone prednisolone
epinephrine

4 Antidotes and other substances used in poisonings


4.1 General methionine
charcoal activated methylene blue
ipecacuanha naloxone
penicillamine
4.2 Specific Prussian blue
atropine sodium calcium edetate
desferoxamine sodium nitrite
dimercaprol sodium thiosulfate

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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spectinomycin 6.4 Antiprotozoal drugs


sulfadimidine 6.4.1 Antiamoebic and antigiardiasis drugs
sulfamethoxazole + trimethoprim diloxanide
tetracycline metronidazole
Complementary drugs Complementary drug
ciprofloxacin chloroquine
clindamycin
6.4.2 Antileishmaniasis drugs
doxycycline
meglumine antimoniate
nitrofurantoin
pentamidine
trimethoprim
6.4.3 Antimalarial drugs
6.2.3 Antileprosy drugs
a) for curative treatment
clofazimine
chloroquine
dapsone
primaquine
rifampicin
quinine
6.2.4 Antituberculosis drugs
Complementary drugs
ethambutol
mefloquine
isoniazid
sulfadoxine + pyrimethamine
pyrazinamide
tetracycline
rifampicin
b) For prophylaxis
rifampicin + isoniazid
streptomycin chloroquine
proguanil
Complementary drugs
thioacetazone + isoniazid Complementary drug
mefloquine
6.3 Antifungal drugs 6.4.4 Antitrypanosomiasis
amphotericin B a) African trypanosomiasis
griseofulvin
melarsoprol
ketoconazole
pentamidine
nystatin
suramin sodium
Complementary drugs
Complementary drug
flucytosine
eflornithine
b) American trypanosomiasis
benznidazole
nifurtimox
6.5 Insect repellents
diethyltoluamide

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7 Antimigraine drugs
7.1 For treatment of acute attack 7.2 For prophylaxis
acetylsalicyclic acid propranolol
ergotamine
paracetamol

8 Antineoplastic and immunosuppressant drugs and drugs used in palliative care


8.1 Immunosuppressant drugs mercaptopurine
azathioprine methotrexate
ciclosporin procarbazine
vinblastine
8.2 Cytotoxic drugs vincristine
bleomycin
Complementary drug
cisplatin
calcium folinate
cyclophosphamide
cytarabine 8.3 Hormones and antihormones
dacarbazine dexamethasome
dactinomycin ethinylestradiol
doxorubicin prednisolone
etoposide tamoxifen
fluorouracil

9 Antiparkinsonism drugs
biperiden
levodopa + carbidopa

10 Drugs affecting the blood


10.1 Antianaemia drugs 10.2 Drugs affecting coagulation
ferrous salt desmopressin
ferrous salt + folic acid heparin
folic acid phytomenadione
hydroxocobalamin protamine sulfate
Complementary drugs warfarin
iron dextran

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11 Blood products and plasma substitutes


11.1 Plasma substitutes 11.2 Plasma fractions for specific uses
dextran 70 albumin, human
polygeline Complementary drugs
factor VIII concentrate
factor IX complex

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

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13.5 Keratoplastic and keratolytic agents 13.6 Scabicides and pediculicides


benzoyl peroxide benzyl benzoate
coal tar permethrin
dithranol
fluorouracil
13.7 Ultraviolet-blocking agents
Complementary drugs
podophyllum resin
p-arninobenzoic acid, sun protection factor 15
salicyclic acid
benzophenones, sun protection factor 15
zinc oxide

14 Diagnostic agents
14.1 Ophthalmic drugs 14.2 Radiocontrast media
fluorescein amidotrizoate
tropicarnide barium sulfate
iopanoic acid
propyliodone
Complementary drugs
meglumine iotroxate

15 Disinfectants and antiseptics


15.1 Antiseptics 15.2 Disinfectants
chlorhexidine calcium hypochlorite
hydrogen peroxide glutaral
iodine

16 Diuretics
arniloride Complementary drugs
furosemide mannitol
hydrochlorothiazide spironolactone

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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

18 Hormones, other endocrine drugs and contraceptives


18.1 Adrenal hormones and synthetic substitutes 18.3.3 Barrier methods
dexamethasone condoms with or without spermicide (nonoxinol)
hydrocortisone diaphragms with spermicide (nonoxinol)
prednisolone
18.4 Estrogens
Complemetary drug
ethinylestradiol
fludrocortisone
18.5 Insulins and other antidiabetic agents
18.2 Androgens
insulin injection (soluble)
Complementary drug intermediate-acting insulin
testosterone tolbutamide

18.3 Contraceptives 18.6 Ovulation inducers


18.3.1 Hormonal contraceptices Complementary drugs
ethinylestradiol + levonorgestrel clomitene
ethinylestradiol + norethisterone potassium iodide
Complementary drugs propylthiouracil
depot medroxyprogesterone acetate
norethisterone
18.7 Progesterones
norethisterone
norethisterone enantate
18.3.2 Intrauterine devices 18.8 Thyroid hormones and antithyroid drugs
copper-containing device Levothyroxine

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

20 Muscle relaxants (peripherally acting) and cholinesterase inhibitors


gallamine Complementary drugs
neostigmine pyridostigmine
suxamethonium vecuronium bromide

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

2000 OGP 17
International Association of Oil & Gas Producers

22 Oxytocics and antioxytocics


22.1 Oxytocics 22.2 Antioxytocics
ergometrine salbutamol
oxytocin

23 Peritoneal dialysis solution


intraperitoneal dialysis solution (of appropriate
composition)

24 Psychotherapeutic drugs
amitriptyline fluphenazine
chlorpromazine haloperidol
diazepam lithium carbonate

25 Drugs acting on the respiratory tract


25.1 Antiasthmatic drugs Complementary drugs
aminophylline cromoglicic acid
beclometasone ephedrine
epinephrine
25.2 Antitussives
salbutamol
codeine

26 Solutions correcting water, electrolyte and acid-base disturbances


26.1 Oral rehydration potassium chloride
oral rehydration salts sodium chloride
potassium chloride sodium hydrogen carbonate
compound solution of sodium lactate
26.2 Parenteral
glucose 26.3 Miscellaneous
glucose with sodium chloride water for injection

27 Vitamins and Minerals


ergocalciferol sodium fluoride
iodine thiamine
nicotinamide Complementary drugs
pyridoxine ascorbic acid
retinol calcium gluconate
riboflavin

18 2000 OGP
Standards for local medical support

Appendix 3 - Anaphylaxis kit

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.

2 Chlorpheniramine (or similar


antihistamine)
2 ampoules of Chlorpheniramine 10mg/ml
3 1ml syringes
2 21G needles
2 19G needles

3 Hydrocortisone (succinate or sodium


phosphate)
Dry powder (requires water for injection for mixing) or
ampoules of solution 100mg/ml. A total dose of 500mg
should be available.
3 1ml syringes
2 21G needles
2 19G needles
or
dexamethasone injection, 4mg ( as sodium phos-
phate) in 1ml ampoule

4 Guedel airways
Minimum of two of each size

5 Hand operated ventilation bag and mask

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

Appendix 4 - Basic equipment for consultations

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

Appendix 5 Suggested equipment list


i) Examination room set
Non-consumable items
1 Tuning fork 2 Metal tongue depressors
1 Percussor 10 Thermometers centigrade
1 Auriscope with plastic handle & speculae, 1 Adult weighing machine bathroom type,
including spare bulb metric
1 Sphygmomanometer, mercurial, in metal case 1 Portable baby weighing pack. weighing up to
1 Stethoscope, magnatone 25kg in 100 gram steps with 3 trousers and 2
slings
1 Ophthalmoscope, Keelers, (standard)
2 Kidney dishes and/or lotion bowls, stainless
1 Penlight torch with batteries
steel
2 Dissecting forceps, straight, plain 5 (12.5cm)
1 Wash bowl, PIP
2 Scissors, dressing, straight, both points blunt
1 Tray instrument 14102 (35.6 25.4cm)
5 (12.5cm)
polypropylene
1 Proctoscope
1 Trolley, instrument with s/s shelves 1818
1 Vaginal speculum. Cusco (46 46cm)
1 Foetal stethoscospe 1 Steriliser instrument, electric, small state volt-
1 Nasal speculum age required
1 Aural forceps

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

Appendix 5 Suggested equipment list


ii) Treatment room set
Non-consumable items
2 Sinus forceps 2 Baby feeding bottles
6 Forceps dissecting, plain 5 (12.5cm) 1 Brush, bottle cleaning
1 Probe 5 (12.5cm) 10 Teats for baby feeding bottles
1 Splinter forceps 4 Kidney dishes or lotion bowls
2 Dressing scissors, straight, both points blunt 5 2 Bedpan pip
(12.5cm) 2 Measuring jug, polypropylene 1 litre
1 Bandage scissors, probe-ended chrome 7 4 Gallipots, polypropylene 3 (7.5cm) diameter
(17.5cm)
2 Gallipots, stainless steel
2 Stitch scissors both points sharp, 5 (12.5cm)
2 Urinals, polypropylene
10 Rectal tubes, rubber, assorted sizes
1 Enema douche can, polypropylene, with tubing
10 Urinary catheters, rubber assorted sizes and 1 gateclip
1 Plaster of Paris knife 1 Douche nozzle
1 Plaster of Paris shears 1 Tourniquet, simple
1 Aural syringe, metal 1 Trolley, instrument with s/s shelves 2418
2 Eye bath, glass (61 46cm)
4 Eye Dropper Bottles 1 Steriliser instrument electric s/s med.
1 Multiple puncture apparatus with plates for (20126) - (51 31 15cm) new (or recon-
BCG vaccinations and tuberculin testing (spare ditioned when available) state voltage required
plates - see consumables)
10 Medicine measures, polypropylene 50ml
Optional extra
1 Panjet injector, export model. Dosage O.lml
10 Thermometers, centigrade
per shot, Reservoir capacity 4.5ml, applications:
1 Hair clippers local anaesthetics, intradermal vaccination e.g.
500 Safety pins BCG and measles

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

Appendix 5 Suggested equipment list


iii) Minor operating theatre set
Non-consumable items
o
1 Bard Parker Handle N 3 1 Pair college tweezer
o
1 Bard Parker Handle N 4 1 Eye spud
2 Retractor, small, non self-retaining 1 Foreign body needle
10 Spencer Wells. artery forceps, straight, 5 1 Nasal speculum
(12.5cm)
1 Aural forceps
2 Spencer Wells, artery forceps, straight, 7
72 Assorted surgical suture needles, straight, half
(17.5cm)
circle and curved, cutting and round bodied
4 Kocher artery forceps, straight, 6 (16cm)
5 Kidney dishes and/or lotion bowls
4 Mosquito artery forceps, straight, 5 (12.5cm)
2 Gallipot. stainless steel
6 Towel clips, assorted sizes
4 Gallipot, polypropylene, 3 (7.5cm) diameter
4 Forceps, tissue
1 Simple portable operating theatre table com-
3 Sponge-holding forceps, 9 (24cm) plete with:
2 Sinus forceps Lithotomy poles
2 Cheatle sterilizer forceps
Mattress
1 Bowl lifting forceps
Shoulder rests
2 Dissecting forceps, Treves 6 (15cm) with 12
teeth 1 Surgeons stool, fi xed height with stump feet
4 Dissecting forceps 5 (12.5cm) plain and anti-static cushion
2 Probe 1 Instrument trolley with stainless steel shelves,
241834H (60 45 85cm) and anti-static
2 Aneurysm needle
castors
2 Needle holder, Mayo Hegar, 7 (18cm)
1 Stainless steel pedal bin
2 Needle holder, Bruce Clark, 5 (12.5cm)
1 Bowl stand on anti-static castors and complete
1 Mayo scissors, straight, 6 (16.25cm) with stainless steel bowl
1 Mayo scissors, curved 6 (16.25cm) 1 Steriliser, electric 20126 (50 30 15cm)
1 Maclndoes scissors, curved 7 (17.5cm) stainless steel state voltage required
1 MacIndoes scissors, straight 7 (17.5cm) 1 Instrument tray, stainless steel with lid
2 Suture scissors, straight, both points sharp, 5 1282 (31.25 20 6.9cm)
(12.5cm) 1 Mayo table with anti-static castors and com-
1 Dental set consisting of: plete with stainless steel tray 2015l
o (50 37.5 2.5cm)
1 Upper right molar forcep N 17R
o 1 Portable autoclave with stand, suitable for steri-
1 Upper left molar forcep N 18L lizing up to 20PSI, with one safety valve and one
o
1 Upper straight forcep N 1 overload valve and pressure clock, to take steri-
o lizing drum up to size 119 (27.5 24cm)
1 Lower molar forcep N 22
o
2 Sterilizing drum for autoclave 119
1 Lower roots forcep N 74 (27.5 24cm)
o
1 Upper roots forcep N 51 1 Primus stove for portable autoclave
2 Root elevators - right and left 2 Spare gasket for autoclave

1 Probe, double ended


Non-consumable items, optional extras
1 Syringe - dental cartridge 2.5ml 100 Needles, disposable 27G short for cartridge
100 Needles, disposable 27G long for cartridge syringe
syringe

24 2000 OGP
Standards for local medical support

Appendix 5 Suggested equipment list


iv) Anaesthetic equipment
Non-consumable items
1 Sphygmomanometer, aneroid 2 Anaesthetic airway, rubber, infant
1 Stethoscope, magnatone, dual chestpiece 2 Anaesthetic airway, rubber, child
1 Mouth gap 2 Anaesthetic airway, rubber, adult
2 Tongue depressor 10 Anaesthetic cannulae, non-disposable, gordh
*1 EM0 anaesthetic machine for ether (see below type
for OMV) 1 Tongue forceps
1 Anaesthetic face mask - small 1 Macintosh Laryngoscope with 3 blades (infant,
1 Anaesthetic face mask - medium child, adult)
1 Anaesthetic face mask - large 2 Syringes 2mls, non-disposable glass with metal
tip
2 Endotracheal tube, cuffed rubber, child
12 Needles stainless steel 21G1
2 Endotracheal tube, cuffed rubber, adult
1 Tourniquet, simple
2 Endotracheal tube, uncuffed for infants
1 Instrument trolley with stainless steel shelves,
2 Brush for cleaning endotracheal tubes
181834H (45 45 85cm)
Non-consumable items, optional extras
* Vaporiser miniature, OMV, for use with EMO
calibrated for Halothane Autoclave, portable
all electric 240V

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

Appendix 5 Suggested equipment list


v) Obstetric and gynaecology room set
Non-consumable items
1 Sphygmomanometer, mercurial, in metal case 1 Vaginal speculum, Auvard
Stethoscope, magnatone 1 Uterine sound
4 Kocher artery forceps, straight 6 (16cm) 1 Uterine dilators, Hegar, set of 8
2 Sponge-holding forceps, 9 (24cm) 1 Midwifery forceps with traction handle
1 Needle holder, Mayo Hegar, straight, 7 2 Foetal stethoscope
(18cm) 10 Mucus extractor, rubber and glass
1 Scissors, suture, straight, both points sharp, 5 2 Uterine curette, double-ended blunt/sharp
(12.5cm)
1 Vacuum extractor, birds/Malmstrom
1 Scissors, episiotomy
1 Infant resuscitation bag outfit incl. airway and
1 Scissors, umbilical face mask
10 Urinary, catheters, rubber, assorted 60 Suture needles, curved cutting SIS, assorted
1 Ovum forceps 2 Kidney dishes and/or lotion bowls
1 Vulsellum forceps 1 Bedpan, polypropylene
2 Vaginal speculum, Cusco 1 Instrument tray, polypropylene, large

Non-consumable items - optional extras


1 Obstetric bed 1 Trolley, instrument 241834
1 Bonneys insufflation apparatus (61 46 86cm)

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

Appendix 5 Suggested equipment list


vi) Laboratory room set
Non-consumable items
2 Test tubes racks, assorted types 1 Microscope lamp, electric, 220V (can be sup-
50 Test tubes plied for use with a car battery)
1 Test tube holder 4 Evaporating dishes
2 Test tube brushes 4 Glass rod, stirring
1 Specific gravity urinometer with test glass 6 Tubing clips
2 Measuring cylinder, graduated, glass 100ml 2 Flask boiling, assorted
2 Measuring cylinder, graduated, glass 250ml 2 Funnels, glass
1 Cylinder, ungraduated, glass 1 litre 1 Funnels, polypropylene
6 Pipettes, assorted haematological, graduated 8 Assorted dispensary bottles glass stoppered
and plain 1 Sahli haemoglobinometer
2 Pippettes, red cell 2 Graduated tube - spare for Sahli haemoglobi-
2 Pippettes, white cell nometer
12 Petri dishes, glass 2 20cm pipette extra for Sahli haemoglobinom-
eter
12 Westergren pipettes
6 Glass writing pencils
1 Stand for Westergren pipettes
1 Book: A Medical Manual for Developing Coun-
1 Haemocytometer set, containing 2 cell stand-
tries
ard counting chamber Improdev Neubauer
2 Bacteriological wire holders
1 Spare couting chamber for haemocytometer
set 2 Spirit lamp metal
1 Hand centrifuge, 4 bucket 4 Dropper bottles, amber for stains
6 Centrifuge tubes, polypropylene 10ml 3 Assorted glass measures and beakers
1 Echo Alpha Microscope, monocular, mechan- Assorted lengths and sizes of rubber and plastic
ical stage supplied, objectives achromatic tubing
10,40, 100, Eyepiece 10 Huygens

Consumable items reagent for urine testing


10 Bililabstix for testing pH, protein, glucose, 500 Microscope slides
ketones, bilirubin and blood (bottle of 100) 500 Microscope cover slips
10 Clinistix for testing glucose (bottle of 50) 1 Microscope oil 100ml
10 Albustix for testing protein (bottle of 50) 1 Lens cleaning tissue, 10 15cm sheets (25 wal-
10 Boxes of filter paper, assorted types lets of 25)
50 Specimen containers, stool - universal plastic 4 Bacteriological wire loops (packs of 25)
100 30ml universal specimen containers 2 Applicators, wooden (box of 72 doz)
50 EDT A containers for blood 5ml

2000 OGP 27
International Association of Oil & Gas Producers

Appendix 5 Suggested equipment list


vii) Chemical kit for laboratory room
Due to the problems of transporting hazardous labora- of your needs in a complete kit specially packed for
tory chemicals overseas, we have devised a special labo- export by air or sea.
ratory Chemical Kit which is designed to include most

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?

Our purpose is to:


provide information about the oil and gas exploration and production industry;
represent our members interests at global and regional regulatory bodies; and
develop operating guidelines.

What are our aims?

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.
25/28 Old Burlington Street
London W1S 3AN
United Kingdom
Telephone: +44 (0)20 7292 0600
Fax: +44 (0)20 7434 3721
165 Bd du Souverain
4th Floor
B-1160 Brussels, Belgium
Telephone: +32 (0)2 556 9150
Fax: +32 (0)2 556 9159

Internet site: www.ogp.org.uk


e-mail: reception@ogp.org.uk

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