ACCRE NO.

: 04o-00
Initial Issue Date: 07-03-2012
Revision Date: 00

REPUBLIC OF THE PHILIPPINES

DEPARTMENT OF TRANSPORTATION AND COMMUNICATIONS

MARITIME INDUSTRY AUTHORITY

STCW ADMINISTRATION OFFICE

FORM 2B : INVENTORY OF TRAINING EQUIPMENT

Course: MEDICAL CARE (IMO MODEL COURSE 1.15)
Name of Training Center: _____________________________________________________
Selfassessment
To be
accomplished
by TC

Items

Quantity
Required

Number
At Hand

Pre inspection evaluation

Inspection

To be accomplished by
STCW Evaluator

To be accomplished by
STCW Inspector

Complied

Not
Not
Complied
Complied
Complied

Classroom of 42 square meters

1
for a maximum intake of 24
students. No side shall be less
than 5 meters.
Set of audio visual equipment
1
suitable for the teaching aids to
be used
Organized
ships
medicine
1
chest/cabinet with contents
properly labeled as per list. (see
attached list)
Medical instrument to check
vital signs such as:
1. Sphygmomanometer
1
2. Clinical thermometer
1
3. Weighing Scale
1
4. Stethoscope
1
Kit for treatment of eye
1
irrigation/wash
Various splints, braces, etc
As stated
Dressings, bandages
As Stated
Life-size dummy for practical
1
training in resuscitation
Portable resuscitator kit
1
Standard Stretcher
1

Evaluators Comments:

______________________________
Evaluators Name & Signature
Date of Evaluation __________________

MECA / Form 2B / Page 1 of 9

ACCRE NO.: 04o-05

Initial Issue Date: 06-25-1998
Revision Date: July 3, 2012

REPUBLIC OF THE PHILIPPINES

DEPARTMENT OF TRANSPORTATION AND COMMUNICATIONS

MARITIME INDUSTRY AUTHORITY

STCW Administration Office
FORM 2B : LIST OF MEDICINES FOR SHIPS MEDICINE CHEST/CABINET
Course: MEDICAL CARE (IMO MODEL COURSE 1.15)
Name of Training Center: _____________________________________________________

Note: Minimum quantity required for medicines:

Capsules / Tablets 5 pcs
Vial / Ampule 1 pc
Solution 20 ml
Cream / Ointment 3.5 grams

Description
1
2
3
4

Acetylsalicylic Acid, 300mg tablets

Alcohol, rubbing (70% ethyl alcohol), 500
ml
Aluminum acetate, ear drops, 13%
solution in 20-ml bottle with dropper
Aluminum acetate powder, 2-g packets,
for making equivalent aluminum acetate
solution (Burrows), 12s
(Not available in the local drug store)
Aluminum hydroxide gel, with magnesium
hydroxide or magnesium trisilicate, oral
suspension, 360 ml
Aluminum hydroxide gel, with magnesium
hydroxide or magnesium trisilicate, oral
suspension, 1-g tablets

Form

Substitute

Tablets
Liquid

Aspirin

Otic Drops

Selfassessment

Pre inspection
evaluation

To be
accomplished
by TC

To be accomplished
by
STCW Evaluator
Not
Complied
Complied

Garamycin

Solution
Small
canister with
proper
labeling

Suspension

Tablets

Maalox
suspension
Maalox plus
tablets
MECA / Form 2B / Page 2 of 9

Inspection
To be accomplished
by STCW Inspector
Complied

Not
Complied

Description
7

Aminophylline suppository, rectal, 500

mg,
(Not available in the local drug store)

8
9

Amitriptyline tablets, 25 mg
Ampicillin capsules, 250 mg

10

Antihaemorrhoidal suppositories

11
12

Ascorbic Acid tablets (vitamin C), 50 mg,

Atropine sulfate injection, 0.5 mg/ml, 1-ml
ampoules
Benzathine benzylpenicillin, injection, 2.4
million units per 5-ml vial
Benzoic and salicylic acid ointment, 30-g
tube per 5-ml vial
Calamine lotion, plain, 120 ml
Calcium gluconate, effervescent tablets,
1g
Cetrimide 40% solution, 500 ml
(disinfectant)
Charcoal, activated, powder, 120g
Chloroquine phosphate tablets, 250 mg

13
14
15
16
17
18
19

Form

Substitute

Suppositories

Small
container
with proper
labeling

Tablets
Tablets

Thorazine
Ampicin
250mg
FACTU
Suppository

Suppositories

Selfassessment

Pre inspection
evaluation

To be
accomplished
by TC

To be accomplished
by
STCW Evaluator
Not
Complied
Complied

Tablets
Ampoules
Vial
Ointment
Lotion
Tablets
Cream
Powder
Tablets

Whitefields
Caladryl
Calcium D
Redoxon
Drapolene
Cream
Aralen

MECA / Form 2B / Page 3 of 9

Inspection
To be accomplished
by STCW Inspector
Complied

Not
Complied

Description
20
21
22

23

Chlorphenamine maleate tablets, 4 mg,

Chlorphenamine maleate injection, 10mg,
1-ml ampoules
Chlorpromazine hydrochloride tablets, 25
mg
(Controlled Drugs)
Chlorpromazine hydrochloride injection,
25 mg in 1-ml ampoules
(Controlled Drugs)

Form

To be
accomplished
by TC

To be accomplished
by
STCW Evaluator
Not
Complied
Complied

Tablets
Ampoules
Tablets

Empty bottle
with proper
labeling

Ampoules

Empty
ampoule with
proper
labeling

Clove oil, 20ml

25

Codeine sulfate tablets, 30 mg

(Controlled Drugs)

Tablets

Empty bottle
with proper
labeling

26
27

Cyclizine sulfate tablets, 30 mg

Dextran injection, 6% and sodium
chloride, 0.9%, 500ml, with administration
set
Diazepam injection, 5 mg/ml, 2-ml
ampoule
Diazepam tablets, 5 mg
Dimercaprol injection, 100 mg in 2-ml
ampoules
(Not available in the local drug store)

Tablets
Liquid

Nodiz

29
30

Pre inspection
evaluation

Substitute

24

28

Selfassessment

Toothache
Drops

Ampoule
Tablets
Box

Valium
Valium
Empty
ampoule with
proper
labeling

MECA / Form 2B / Page 4 of 9

Inspection
To be accomplished by
STCW Inspector
Complied

Not
Complied

Description
31
32
33
34

35
36

37
38
39

40

Doxycycline hydrochloride tablets, 100

mg
Ephedrine sulfate tablets, 25 mg
(Controlled Drugs)
Epinephrine hydrochloride injection,
1:1000,1-ml ampoules
Ergometrine maleate injection, 0.2 mg in
1-ml ampoules
(Controlled Drugs)
Erthromycin (stearate or ethylsuccinate)
tablets, 250 mg
Eye anaesthetic drops, 0.5% solution of
tetracaine hydrochloride, in dropper
bottles, 10ml
Eye antiinfective drops, 1% solution of
chloramphenicol in dropper bottles, 10ml
Eye ointment, 1% tetramycline
hydrochloride, 4-g Tube
Eyewash or eye-irritating solution,
isotonic, sterile, in plastic squeeze bottle,
120ml
Fluorescein sodium ophthalmic strip,
sterile (1%, on paper applicators)

Form

Substitute

Capsule

Doxycycline
Hyelate Cap

Tablets

Empty bottle
with proper
labeling

Selfassessment

Pre inspection
evaluation

To be
accomplished
by TC

To be accomplished
by
STCW Evaluator
Not
Complied
Complied

Ampoules
Ampoules
Methergin
Tablets

Erythrocin

Solution
Alcaine
Chloramphe
nicol
Ointment

Terramycin

Optic Drops
Eye Mo
Strip

MECA / Form 2B / Page 5 of 9

Inspection
To be accomplished
by STCW Inspector
Complied

Not
Complied

Description
41
42
43

44
45

46
47
48
49
50
51
52
53

Furosemide tablets, 40mg

Glyceryl trinitrate tablets, 0.5 mg
Hydrocortisone sodium succinate, 100mg vial, for injection, intravenous, or
intramascular
Hydrocortisone ointment 1%, 30-g tube
with rectal tip
Ichthynol and glycerine ointment
(ichthammol 10%, glycerin, soft paraffin,
wool fat 90%), in 100-g container
Insect repellant (diethyltoluamide
solution), 50ml
Iodine, 2.5% solution, in 100ml bottles
with glass stoppers
Lidocaine hydrochloride injection 1%, 2ml ampoule
Lindane cream, 1% 60-g tube
Magnesium hydroxide suspension, 550
mg/10ml, 500 ml
Metronidazole tablets, 200mg
Miconazole nitrate, 2% vaginal cream,
with applicator, in 80-g container
Miconazole nitrate, 100-mg, pessary and
inserter

Form

Substitute

Tablets
Tablets
Vial

Lasix
Nitrostat

Ointment

Selfassessment

Pre inspection
evaluation

To be
accomplished
by TC

To be accomplished
by
STCW Evaluator
Not
Complied
Complied

Trimycin

Ointment
Bactroban
Solution
Solution
Ampoule
Lotion
Tablets
Tablets
Cream

Off Lotion
Iodine 2%
Xyclocaine
Kwell Lotion
Simeco

Daktarin

Suppository

MECA / Form 2B / Page 6 of 9

Inspection
To be accomplished
by STCW Inspector
Complied

Not
Complied

Description

Form

54
55

Mineral oil (liquid petrolatum), 500 ml

Morphine sulfate injection, 10mg/ml, 1-ml
ampoules
(Controlled Drugs)

Oil
Ampoule

56

Naloxone hydrochloride injection, 0.4

mg/ml, 1-ml ampoule
Neomycin + bacitracin ointment (5mg
neomycin + 500 IU bacitracin zinc per
g)_, 30-g tube
Oral rehydration salts (sodium chloride
3.5 g, sodium bicarbonate 2.5 g (or
trisodium citrate 2.9 g), potassium
chlorade 1.5 g, glucose 2. g) in waterproof bags/sachets
Oxygen, size E tank
Paracetamol, 500 mg tablet
Petrolatum, white, 60-g tube

Ampoule

57

58

59
60
61
62
63
64

Phenobarbital tablets, 30 mg
Phenoxymethyl penicillin potassium
tablets 250 mg
Pilocarpine hydrochloride eye-drops, 2%,
15-ml dropper bottle

Selfassessment

Pre inspection
evaluation

To be
accomplished
by TC

To be accomplished
by
STCW Evaluator
Not
Complied
Complied

Substitute
Empty
ampoule with
proper
labeling

Ointment

Granules
Oresol
Hydrite

Tablets
Cream

Biogesic
Petroleum
Jelly

Tablets
Tablets
Ophthalmic
Solution

MECA / Form 2B / Page 7 of 9

Inspection
To be accomplished
by STCW Inspector
Complied

Not
Complied

Description
65
66
67

68
69
70
71
72
73
74
75
76
77
78
79
80

Potassium permanganate, 100 g

Probenecid tablets, 500 mg
Procaine benzylpenicillin, sterile
suspension, injection, 600 000 units/ml, 1ml vials
Proguanil tablets, 100 mg
Pyrantel tablets, 250 mg
Quinine sulfate tablets, 300 mg
Quinine dihydrochloride, injection, 300
mg/ml, 2-ml ampoule
Salbutamol aerosol inhaler unit
Sodium chloride injection, 0.9 1000 ml
Sodium chloride tablets, 1 g
Spectinomycin hydrochloride, injection, 2
g per 5-ml vial
Sulfamethoxazole + trimethoprim (400 mg
+ 80 mg) tablets
Talc (talcum powder), 120 g
Tetanus immune human globulin, 250
units, vial or ampoule
Tetanus toxoid adsorbed, single dose,
ampoule
Tetracycline ear-drops, 1% tetracycline
solution in dropper bottle, 10 ml

Form
Powder
Tablets
Vial

Pre inspection
evaluation

To be
accomplished
by TC

To be accomplished
by
STCW Evaluator
Not
Complied
Complied

Substitute

Benzyl
Penicillin

Tablets
Tablets
Tablets
Ampoules

Fancidar
Combantrin

Nebulizer
Vial
Tablets
Vial

Pulmocare

Tablets

Selfassessment

Forgram
Bactrim

Powder
Vial
Ampoule
Solution

MECA / Form 2B / Page 8 of 9

Inspection
To be accomplished
by STCW Inspector
Complied

Not
Complied

Description
81
82

Tetracycline hydrochloride capsules, 250

mg
Water, sterile, 5-ml ampoules

83

Zinc oxide paste, 30-g tube

Form

Selfassessment

Pre inspection
evaluation

To be
accomplished
by TC

To be accomplished
by
STCW Evaluator
Not
Complied
Complied

Substitute

Capsules
Ampoules /
Bottle

Evaluators Comments:

______________________________
Evaluators Name & Signature
Date of Evaluation _______________

MECA / Form 2B / Page 9 of 9

Inspection
To be accomplished
by STCW Inspector
Complied

Not
Complied