GUIDE

Business Travel First Aid and Medication

December 2005

2005-0035

The Canadian Association of Petroleum Producers (CAPP) represents 150 companies that explore for, develop and produce more than 98 per cent of Canadas natural gas and crude oil. CAPP also has 125 associate member companies that provide a wide range of services that support the upstream oil and natural gas industry. Together, these members and associate members are an important part of a $90-billion-a-year national industry that affects the livelihoods of more than half a million Canadians.

Review by July 2008

Disclaimer This report was prepared for the Canadian Association of Petroleum Producers (CAPP) by Jean Bernier, Dianne Anderson, Stacey Lytwyn, Cathi Nelson, Susan Schafer, Agnes Murrin, Marie Sopko and Cheryl Whitehead (members of the CAPP Nurses Committee). While it is believed that the information contained herein is reliable under the conditions and subject to the limitations set out, neither CAPP nor its committee guarantees its accuracy. The use of this report or any information contained will be at the users sole risk, regardless of any fault or negligence of CAPP.

2100, 350 7th Ave. S.W. Calgary, Alberta Canada T2P 3N9 Tel (403) 267-1100 Fax (403) 261-4622

403, 235 Water Street St. Johns, Newfoundland Canada A1C 1B6 Tel (709) 724-4200 Fax (709) 724-4225

Email: communication@capp.ca Website: www.capp.ca

Contents
Purpose ............................................................................................................................ 1 Kit Assembly.................................................................................................................... 1 Kit Contents ..................................................................................................................... 1 First Aid Supplies ............................................................................................................. 2 Suggestions Prior to Travel ............................................................................................... 2 Upon Returning Home ...................................................................................................... 3 Sample of Brand and Generic Named Drugs ...................................................................... 5 Sample of First Aid Supplies ............................................................................................. 8 Personal Medical Information ........................................................................................... 9 Sample Medical Letter .................................................................................................... 10

CAPP Business Travel First Aid and Medication Guidelines

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Purpose
These guidelines and travel-kit information are designed for all travelers to use when medical assistance is not readily available. Carry current immunization record with you at all times.

Kit Assembly
Use a soft-sided shaving kit bag with compartments. Use the bag compartments to separate the medications from the first aid supplies Use small zip lock bags for items Use one-unit dose packages, if possible Medication should be clearly identified and in original container, with directions for use Recommend pharmacist assemble contents of the kit; alternative may be the employee or a company designate Print list of first aid supplies on an 8.5x5.5 card (Page 5)and place in compartment of kit together with first aid supplies Print list of commonly used over-the-counter medications on an 8.5x 5.5 card (Page 3 & 4) and place together with medications in a separate compartment of the kit Print list detailing personal medical information on an 8.5x 5.5 card (Page 6) and place in a separate compartment Place company logo on kit, if possible Consider placing prescription medications in kit also Carry this on your person while travelling

Kit Contents Over the Counter Drugs (minimum recommendations)

Antacid Antibiotic for ear and eye infections Anti-diarrhea Anti-histamine Anti-fungal powder Decongestant Individual hand sanitizer Laxative Motion sickness Pain medication non-prescription Rehydration drink Throat lozenges Topical ointment for infected wounds/abscesses Sunscreen Insect repellant Chap Stick Visine
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CAPP Business Travel First Aid and Medication Guidelines

Water purification tablets

Personal Medications (may include prescriptions):

Please check expiration dates Examples: o Epi-pen and/or anti-histamines for severe allergies o Insulin for insulin dependent diabetics o Inhalers o Nitroglycerine o Anti-malarial o Needles, syringes o Codeine derived cough syrup o Broad spectrum antibiotic o Sedative short acting benzodiazepines

NB: Letter signed by physician, detailing prescription medications, especially narcotics. (Page 7)

First Aid Supplies Procedure for Release of Kits

Information required: Name of employee Destination Length of stay Date of departure Expected date of return (if recycling kits) If kits are to be re-used set up a system to sign out and return the kit to the company designate immediately upon return from trip.

Suggestions Prior to Travel

Employee to contact companys Health Centre or Travel Clinic to discuss: Any current health problems Updating immunizations Diseases prevalent to destination Contents of kit and usage Preparation of food Living conditions sanitation of water If carrying a prescription drug of any kind obtain letter from company or personal physician Complete personal medical information card Second pair of eyewear (contacts or eyeglasses) Up-to-date dental care Insect precautions Anti-malarial
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Upon Returning Home

Should you become ill within upon your return, please inform your physician of the countries to which you have traveled

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Sample of Brand and Generic Named Drugs

Drug Name (brand name

and generic, if applicable) Polysporin Ear and Eye drops (Polymixn B and Garamycin) Sudafed decongestant tablets (Pseudoephedrine Hydrochloride)

Dosage

Indications for Use

Precautions
maintain sterility of dropper tip

one to two drops in infected eye ear/eye infections or ear 2-4 times/day 60 mgms - one tablet every 4-6 hours, NOT to exceed 4 tablets in 24 hours opens blocked nasal passages prior to flying, prevent middle ear pressure pain or temporary deafness

Chlor-tripolon Antihistamine tablets (Chlopheniramine Maleate)

4 mgms - one tablet every 4-6 hours

allergic symptoms such as hay fever, allergic asthma, allergic rashes

may increase heart rate and may act as a stimulant at night time. DO NOT USE if you have high blood pressure, thyroid problems, glaucoma or are taking MAO antidepressants may cause drowsiness, DO NOT take with alcohol

Gravol tablets (Dimenhydrinate) 50 mgms - one to two tablets every 4 hours for nausea and 30 minutes prior to departure for motion sickness, NOT to exceed 8 tablets in 24 hours Tylenol extra strength 500 mgms one to two tablets (Acetaminophen) every 4 hours, NOT to exceed 8 tablets in 24 hours

control or prevent nausea, may cause drowsiness, DO vomiting and motion (sea or air) NOT take with alcohol sickness

pain, fever and headaches

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Drug Name (brand name

and generic, if applicable) Gastrolyte Oral Rehydration (Dextrose monhydrate, disodium citrate, potassium chloride and sodium chloride) Pepto Bismol (Bismuth Subnitrate/Bismuth Subcarbonate) Imodium (Loperamide Hydrochloride)

Dosage

Indications for Use

Precautions

Dissolve each package in 200 ml persistent diarrhea (i.e. 5-6 of "safe" drinking water ( do not times/day.) See package for use other liquids) further directions. 30 mL (repeat every half hour or as indicated) 2 mgms - two tablets initially followed by one tablet after each diarrhea motion, NOT to exceed 8 tablets in 24 hours take one to two tablets at bedtime, NOT to exceed 4 tablets twice a day, one to two CHEWABLE tablets 1/2 - 1 hour after meals and at bedtime, NOT to exceed 16 tablets in 24 hours one tablet every 2 hours, DO NOT exceed 8 tablets in 24 hours controls diarrhea and relieves symptoms of abdominal cramping constipation DO NOT take if blood in stool, high fever or vomiting

Senokot S (Docusate Sodium and standardized sennosides)

avoid prolonged use, DO NOT take with symptoms of acute abdominal pain, nausea or vomiting

Diovol Antacid Tablets (Magnesium hydroxide, aluminuim hydroxide, simethicone) Bradosol Lozenges (Hexyresorcinol)

upset stomach, heartburn or excessive gas

minor sore throats

contains sugar

Sunscreen Ombrelle SPF 30 apply as directed (Parsol 1789 [Butylmethoxydibenzyl methane], Parsol MCX [octylmethoxy cinnamate], benzophenone and titanium dioxide)
CAPP Business Travel First Aid and Medication Guidelines Page4

avoid eye area, wash or wipe palms after applying

December 2005

Drug Name (brand name

and generic, if applicable)

Dosage

Indications for Use

Precautions
avoid eye area, wash or wipe palms after applying wash or wipe fingers after applying

Muskol (DEET apply a small quantity into hands insect repellent (Not to contain greater than 30% and cover all exposed skin Deet)) Tinactin Antifungal Crme apply twice daily to affected area (Tolnaftate)

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Sample of First Aid Supplies

Item
Telfa pads 4x4 gauze 2x2 gauze scissors (do not include in carry-on luggage) tweezers (do not include in carry-on luggage) roll of tape eye pads Band-Aids plastic strip and elastoplast knuckle Moleskin - cushioned, adhesive for tender areas, use for corns, blisters and reddened areas tensor 3" ear plugs sling - triangular antiseptic cleansing towelettes safety pins disposable gloves barrier devices individual hand sanitizer

No. 2 2 2 1 pair 1 pair 1 2 10 2 pks. 1 1 pair 1 10 5 2 1 1

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Personal Medical Information

Name: Blood Type: Allergies: Pre-Existing Medical Condition: Other:

Medications:
Generic &/or Trade Name Dose

Addendum

These medications are for your personal use only. Please do not distribute to other persons as they may suffer a severe drug reaction. Prescription medications should be reviewed on an individual employee basis with their personal physician or company Health Center.

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Sample Medical Letter

Company Logo and Address

Date

Regarding: *(name) DOB :* (date of birth):

To Whom It May Concern:

(Insert Name of employee) will be carrying the prescription drug(s), _____________________, prescribed by (Insert Physician name) for personal use only (Insert name of employee) will also be carrying the prescription drug(s) ______________________ for (Insert name(s) spouse and /or children. [Add reason why this drug is being carried (i.e. for future immunizations) plus if carrying quantity, why and who for. (I.e. will have in their possession a one-year supply of the prescription drug (Inset name) that has been prescribed by (Insert Physicians Name) for personal use only]. All medication being carried by the employee is not for resale.

Yours truly,

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December 2005