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

© 2000 OGP i
International Association of Oil & Gas Producers
Summary
This set of standards has been developed for use by
health professionals in assessing local medical support
facilities. This assessment should be carried out as part
of the Health Management System. These checklists
provide the detail that is required for the evaluation and
assessment section of the E&P Forum’s “Guidelines for
remote land-based geophysical operations” (report No
6.30/190). However, the checklist is equally applicable
to all types of operations and is designed to assist health
professionals in making an assessment of local medical
support in the area of a proposed or existing operation
where company or contractor personnel may be at risk.
ii © 2000 OGP
The suitability of a particular facility should be assessed
for the following categories of cases:
• non life-threatening situation - non time-critical
– consultation and treatment
– requirement for further treatment (in-patient)
• life threatening situation - time critical
– in transit care facility
– definitive care facility
• 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 contractor’s medical advisor.
 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
facility are when a medical or surgical condition is such
that the health care available in the field is unable to
cope satisfactorily with the situation and further evalu-
ation by a doctor is deemed necessary.
1.1.1 Health professionals
Equipment and medication for anaphylaxis should be
present (appendix 3).
1.1.3 Building
The characteristics or features required include:
• 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.

© 2000 OGP 1
International Association of Oil & Gas Producers
1.2 Requirement for further treatment (in-patient)
If definitive treatment can be delayed, it may be appro-
priate for this to be carried out in the Definitive Care
Facility (see section 2.2). Where treatment is deemed to
be necessary locally, the following should be in place:
1.2.1 Health professionals
A doctor with appropriate training and experience
should be available for the condition to be treated. A
certified nurse may be appropriate for certain proce-
dures.
1.2.2 Equipment
• see appendix 4
• appropriate lighting with alternative back-up power
supply
• suction and oxygen supply
• appropriate bedlinen.
In addition there should be the following equipment
listed in 1.1.2:
• desk, chairs, examination couch
• basic diagnostic kit (Appendix 1)
• ear syringe
• single use (disposable) needles and syringes
• single use (disposable) suture kit
• appropriate methods for sterilization (preferably
autoclave)
• refrigerator (with back-up electricity supply if nec-
essary)
• suitable disposal for clinical waste including nee-
dles
• access may be required for:
– audiogram
– laboratory facility for appropriate test eg malaria,
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.
2 © 2000 OGP
Equipment and medication for anaphylaxis should be
present (appendix 3).
1.2.3 Building
The characteristics or features required include:
• clean in-patient wards with adequate space, light-
ing and ventilation
• adequate toilet/washing facilities
• minor procedures/treatment room
• operating theatre - easily sterilized
• anaesthetic/ recovery room
• catering facilities
• laundry facilities.
Also in place should be building requirements detailed
in 1.1.3 as follows :
• clean consultation room with couch
• clean waiting area
• treatment/minor procedures room
• privacy
• clean running water/hand washing facilities
• toilet
• good light
• temperature control, ie ventilation
• environmental protection, eg insect screens.
The facility should be in a good state of maintenance
and hygiene.
1.2.4 Administration
The characteristics or features required include:
• standard operating procedure eg consent for sterile
procedures and aseptic techniques etc.
• agreement to transfer patient out of hospital for fur-
ther treatment as may be required (To be agreed
by operator/contractor medical staff and doctor in
charge of patient)
• suitable catering, laundry, cleaning procedures
• maintenance of medical records including therapy.
 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:
• appointment/access system
• health records and retrieval system
• security (especially with respect to drugs)
• confidentiality
• scale of charges plus method of payment
• cleaning and maintenance routine.
The following should be available:
• transport for stretcher cases
• telephone/radio communication.
The facility should have the following feature listed in
1.1.5 :
• accessible
• 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.

© 2000 OGP 3
International Association of Oil & Gas Producers
A good pharmacy should be available (WHO essential
drug list - appendix 2 ) and there should also be an ade-
quate supply of dressings and intravenous fluids. Equip-
ment and medication for anaphylaxis should be present.
(appendix 3).
2.1.3 Building
• resuscitation area with ability to deal with more
than one patient.
There should also be the characteristics listed in 1.2.3:
• clean consultation room with couch
• clean waiting area
• treatment/minor procedures room
• privacy
• clean running water/hand washing facilities
• toilet
• good light
• temperature control, ie ventilation
• environmental protection eg insect screens
• catering facilities
• laundry facilities
• clean in-patient wards with adequate space, light-
ing and ventilation
• adequate toilet/washing facilities
• minor procedures/treatment room
• operating theatre - easily sterilized
• anaesthetic/ recovery room.
The facility should be in a good hygienic state.
2.1.4 Administration
• company/contractor should have written plan, spec-
ifying roles and responsibilities for transfer to In
Transit Care Facility and on to Definitive Care
Facility.
The following characteristics or features listed in 1.2.4
are required:
• standard operating procedure eg sterile procedures
and aseptic techniques etc. Agreement to transfer
patient out of hospital for further treatment as may
be required (to be agreed by operator/contractor
medical staff and doctor in charge of patient)
• suitable catering, laundry, cleaning procedures
4 © 2000 OGP
• maintenance of medical records including therapy
• appointment/access system
• health records and reporting system
• security (especially with respect to drugs)
• confidentiality
• scale of charges plus method of payment
• cleaning and maintenance routine.
2.1.5 Logistics
• company/contractor responsibility to ensure access
to, or provide ambulance transportation between
field In Transit Care Facility and Definitive Care
Facility
• have a minimum telephone communication for
national coverage
• desirable to have close access to a helipad or air
strip.
The ambulance should as a minimum have (or contain)
the following:
• capability to deal with the local terrain safely and
be well maintained
• trained and experienced driver
• radio communication
• one stretcher that can be secured with adequate
room for a health professional to attend
• easy access for stretcher in/out of ambulance
• adequate ventilation and temperature control
• lighting
• life support equipment including:
– oxygen/suction
– means of ventilating patient
– defibrillator with ECG, intravenous fluids and
relevant life support drugs - depending on avail-
ability of trained staff to use it
– dressings, splints, administration sets, cervical
collars and spinal board
– drip hook
– blanket.
 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)

© 2000 OGP 5
International Association of Oil & Gas Producers
• refrigerator (with back-up electricity supply if nec-
essary)
• Suitable disposal of clinical waste including nee-
dles
A good pharmacy should be available (WHO essential
drug list - appendix 2 ) and there also should be an ade-
quate supply of dressings and intravenous fluids. Equip-
ment and medication for anaphylaxis should be present.
(appendix 3).
2.2.3 Building
The building should include:
• 24 hr triage/emergency receiving room
• resuscitation area with ability to deal with more
than one critically ill patient at a time
• critical care beds with central monitoring for car-
diac and other cases
• a minimum of two suitable well lit, ventilated and
adequately equipped operating theatres
• post operative surgical critical care or recovery
room
• isolation room for communicable diseases
• facility suitable for treating life threatening burns
• in-patient beds
• facility for preserving a body pending repatriation
(mortuary)
6 © 2000 OGP
2.2.4 Administration
The following should be in place:
• agreement or arrangement for the hospital to receive
the patient on a 24 hr basis
• pre-arrangement or agreement that all financial
obligations will be met
• reasonable guarantee that bed accommodation will
be available
• agreement to transfer the patient out of the hospital
for further treatment as may be required
• permission for the presence of a co-ordinating
health professional to act as a liaison for contact
with the company/contractor
2.2.5 Logistics
• have its own (or access to) sufficient ambulance(s),
fully equipped with appropriately trained staff, to
recover two critically ill or injured persons from
airport, heliport, sea base to hospital on a 24 hour
basis
• have its own reliable national and international tel-
ephone system
• desirable, but not essential, to have its own or closely
adjacent helicopter landing area

3 Preventative medical care/occupational health
Reference should be made to the Health Management
System described in the E&P Forum report number
6.30/190 “Health management guidelines for remote
land-based geophysical operations”. The uses for which
an operator might use a Preventative Medical Care facil-
ity include:
• clinical health surveillance of locally hired employ-
ees
• immunizations
3.1 Health professionals
Clinical health surveillance should be the responsibility
of a doctor who has a knowledge of preventative health
care, ideally in the occupational health setting. Some of
the procedures can be done by a nurse working directly
under the supervision of a doctor.
Depending on local legislation immunizations may be
given by a nurse under the written directions of a doctor,
who has assessed the nurse’s competence to immunize
and deal competently with any adverse reaction.
Evaluation of health aspects of catering, living accom-
modation, waste disposal and water testing should only
3.2 Equipment
The normal equipment for conducting a health surveil-
lance examination should be in place. Such equipment
would include that presented in Appendix 1.
• Access may be required for:
– vitalograph
– vision (keystone vision test)
– audiogram
– chest x-ray
– laboratory facility for appropriate test e.g. stools,
biochemistry, haematology (malaria, Chagas’
disease if applicable)
© 2000 OGP
Standards for local medical support
• evaluation of health aspects of catering, living
accommodation, waste disposal and water testing
• support for evaluation and management of occupa-
tional health risks
• arrangements for first aid and training
• conforming with local occupational health legisla-
tion
• briefing new arrivals on local health risks.
be done by a doctor or nurse who has sufficient knowl-
edge and experience to perform the task in a competent
manner.
Support for evaluation and management of occupa-
tional health risks should only be done by a doctor or
nurse who has sufficient knowledge and experience to
perform the task in a competent manner.
Arrangements for first aid training should only be given
by a health professional competent and certified to give
such training.
Equipment for Immunizations would include:
• refrigerator (with back-up electricity supply if nec-
essary)
• single use disposable needles and syringes
• sterile swabs
• equipment and medication for anaphylactic reac-
tion (see appendix 3).
Colorimetric testing for chlorine content of potable
water is useful. Access to bacteriological testing should
be available.
Arrangements for first aid training should include suit-
able teaching aids including life-like resuscitation man-
nequin.
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.

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.

8 © 2000 OGP
 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

© 2000 OGP 9
International Association of Oil & Gas Producers

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
1.3 Preoperative medication
ketarnine
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

10 © 2000 OGP
 Standards for local medical support

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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International Association of Oil & Gas Producers

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

12 © 2000 OGP
 Standards for local medical support

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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International Association of Oil & Gas Producers

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

14 © 2000 OGP
 Standards for local medical support

13.5 Keratoplastic and keratolytic agents 13.6 Scabicides and pediculicides

benzoyl peroxide benzyl benzoate
coal tar permethrin
dithranol
13.7 Ultraviolet-blocking agents
fluorouracil
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

© 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

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
3×ampoules 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, 35˝×50˝ (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, 2˝×2˝ (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 × 11⁄2˝ 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 14˝×10˝×2˝ (35.6 × 25.4cm)
5˝ (12.5cm)
polypropylene
1 Proctoscope
1 Trolley, instrument with s/s shelves 18˝×18˝
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
200 Examination gloves - large
200 Examination gloves - medium
4 Batteries for Penlight torch, LR03 long life,
gold seal Batteries, auriscope, LR20 long life,
gold seal
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 24”×18”
2 Eye bath, glass (61 × 46cm)
4 Eye Dropper Bottles 1 Steriliser instrument electric s/s med.
1 Multiple puncture apparatus with plates for (20˝×12˝×6˝) - (51 × 31 × 15cm) new (or recon-
BCG vaccinations and tuberculin testing (spare ditioned when available) state voltage required
plates - see consumables)
Optional extra
10 Medicine measures, polypropylene 50ml
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
50 Urinary catheters, disposable, assorted sizes
180 Plaster of Paris/Gypsona bandages, assorted
sizes
180 Orthopaedic padding rolls for use with Plaster
of Paris, and rolls of stockinette
50 Spare plates for multiple puncture apparatus
200 Examination gloves - large
200 Examination gloves - medium
48 Bandages, elastic adhesive, assorted sizes
2 Boxes. Wooden applicators (box of 72 doz)
10 Triangular bandages
60 Crepe bandages, assorted sizes
20 Cotton wool rolls, 500g
7500 Gauze swabs, assorted sizes
1500 Cotton bandages, assorted sizes
96 Rolls, zinc oxide plaster, assorted sizes
20 Infant feeding tubes
2 Gauze roll length loom, width 22.5cm - 4 fold,
(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, 61⁄2˝ (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, 91⁄2˝ (24cm) plete with:
2 Sinus forceps Lithotomy poles
2 Cheatle sterilizer forceps
Mattress
1 Bowl lifting forceps
Shoulder rests
2 Dissecting forceps, Treve’s 6˝ (15cm) with 1×2
teeth 1 Surgeon’s stool, fixed height with stump feet
4 Dissecting forceps 5˝ (12.5cm) plain and anti-static cushion
2 Probe 1 Instrument trolley with stainless steel shelves,
24˝×18˝×34˝H (60 × 45 × 85cm) and anti-static
2 Aneurysm needle
castors
2 Needle holder, Mayo Hegar, 71⁄2˝ (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, 61⁄2˝ (16.25cm) with stainless steel bowl
1 Mayo scissors, curved 61⁄2˝ (16.25cm) 1 Steriliser, electric 20˝×12˝×6˝ (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˝ 121⁄2˝×8˝×23⁄4˝ (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 20˝×15˝×l˝
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
1 Upper straight forcep N 1
o
overload valve and pressure clock, to take steri-
o lizing drum up to size 11˝×91⁄2˝ (27.5 × 24cm)
1 Lower molar forcep N 22
o
2 Sterilizing drum for autoclave 11˝×91⁄2˝
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 21G×11⁄2
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
18˝×18˝×34˝H (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 Surgeon’s gloves, sterile (pairs) size 7 and 61⁄2
288 Eye pads 100 Surgeon’s gloves, sterile (pairs) size 8 and 71⁄2
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 61⁄2˝ (16cm) 1 Uterine dilators, Hegar, set of 8
2 Sponge-holding forceps, 91⁄2˝ (24cm) 1 Midwifery forceps with traction handle
1 Needle holder, Mayo Hegar, straight, 71⁄4˝ 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 24˝×18˝×34˝
1 Bonneys insufflation apparatus (61 × 46 × 86cm)

Consumable items
20 Urinary catheters, disposable, assorted types 250 Gloves, surgeons, size 71⁄2(pairs )
8 Umbilical tape. unsterile, 20 metre reel 250 Gloves, surgeons, size 81⁄2(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 2˝×2˝ (5cm × 5cm)×8ply
dles)
432 Maternity pads, unlooped size 2
60 Skin suture with cutting needles

26 © 2000 OGP

Appendix 5 – Suggested equipment list
vi) Laboratory room set
Non-consumable items
2 Test tubes racks, assorted types
50 Test tubes
1 Test tube holder
2 Test tube brushes
1 Specific gravity urinometer with test glass
2 Measuring cylinder, graduated, glass 100ml
2 Measuring cylinder, graduated, glass 250ml
1 Cylinder, ungraduated, glass 1 litre
6 Pipettes, assorted haematological, graduated
and plain
2 Pippettes, red cell
2 Pippettes, white cell
12 Petri dishes, glass
12 Westergren pipettes
1 Stand for Westergren pipettes
1 Haemocytometer set, containing 2 cell stand-
ard counting chamber Improdev Neubauer
1 Spare couting chamber for haemocytometer
set
1 Hand centrifuge, 4 bucket
6 Centrifuge tubes, polypropylene 10ml
1 Echo Alpha Microscope, monocular, mechan-
ical stage supplied, objectives achromatic
10×,40×, 100×, Eyepiece 10× Huygens
Consumable items – reagent for urine testing
10 Bililabstix for testing pH, protein, glucose,
ketones, bilirubin and blood (bottle of 100)
10 Clinistix for testing glucose (bottle of 50)
10 Albustix for testing protein (bottle of 50)
10 Boxes of filter paper, assorted types
50 Specimen containers, stool - universal plastic
100 30ml universal specimen containers
50 EDT A containers for blood 5ml
© 2000 OGP
Standards for local medical support
1 Microscope lamp, electric, 220V (can be sup-
plied for use with a car battery)
4 Evaporating dishes
4 Glass rod, stirring
6 Tubing clips
2 Flask boiling, assorted
2 Funnels, glass
1 Funnels, polypropylene
8 Assorted dispensary bottles glass stoppered
1 Sahli haemoglobinometer
2 Graduated tube - spare for Sahli haemoglobi-
nometer
2 20cm pipette extra for Sahli haemoglobinom-
eter
6 Glass writing pencils
1 Book: A Medical Manual for Developing Coun-
tries
2 Bacteriological wire holders
2 Spirit lamp metal
4 Dropper bottles, amber for stains
3 Assorted glass measures and beakers
Assorted lengths and sizes of rubber and plastic
tubing
500 Microscope slides
500 Microscope cover slips
1 Microscope oil 100ml
1 Lens cleaning tissue, 10 × 15cm sheets (25 wal-
lets of 25)
4 Bacteriological wire loops (packs of 25)
2 Applicators, wooden (box of 72 doz)
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

2×250ml Ferric chloride sol ‘Analar’ ABT 60% WN 2×25g Crystal Violet C G Gurr for microscopical
FeCl 3 (iron (iii) chloride Sol) (hazard) staining
2×100g Potassium ferricyanide ‘Analar’ (pot heaxa- 2×500ml Leishman’s staining solution for micros-
cycanoferrate (iii)) copy
2×250g Sodium cyanide Analar (hazard) 2×25g Gram’s iodine Gurr for microscopical stain-
1×1l Acetone Analar (hazard) ing (hazard)
4×500ml Methanol Analar (hazard) 2×500ml Methylene blue alkaline (Loeffier’s) Gurr
staining solution (hazard)
10×2.5l Spirit methylated industrial GPR about 90%
w/w total alcohols, 640P (hazard) 2×bottle Buffer tablets Gurr approx. 7.2 each tablet
produces 100ml
2×250g Zinc sulphate Analar
50 tablets Potassium iodine GPR
2×500ml Acetic acid glacial (hazard)
2×250g Fields stain A “Gurr”
2×500ml Carbol fuchsin Ziehl-Neelsen (strong) Gurr
for microscopical staining (hazard) 2×25g Fields stain B “Gurr”
2×500ml Carbol fuchsin dilute solution Gurr for 2×25g Giemsa’s stain “Gurr”
microscopical staining

28 © 2000 OGP
What is OGP?

The International Association of Oil & Gas Producers represents the world’s 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