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• Datorita conditiilor de munca si pentru prevenirea accidentelor de
munca, armatorii au solicitat examinari din ce in ce mai complexe
ale personalului navigant.
• Standardele de examinare au devenit din ce in ce mai dure.
• S-a impus necesitatea existentei unor clinici si a unor medici
recunoscuti international – pe baza calitatii actului medical prestat de
acestia.
• S-au pus bazele unor fise de examinare comun acceptate si
recunoscute
• Actual autoritatile maritime desemneaza clinici si medici – dupa
auditari riguroase – care sa presteze examinarile medicale ale
personalului navigant conform standardelor fiecarei autoritati in parte
• Medicii si clinicile acreditate au obligatia de a se conforma unor
standarde in ceea ce priveste locatia, circuitele, echipamentele ,
abilitatile si capabilitatile medicale cerute de autoritatile
internationale
• Lipsa specialitatii in Romania de sine statatoare – ca medicina
maritima – impune obtinerea de acreditari si aprobari internationale
• Autoritatile internationale urmaresc constant si riguros calitatea
serviciilor prestate de medicii si clinicile acreditate prin audituri
regulate si prin cererea de rapoarte de activitate.
•Scaderea standardelor de calitate a
examinarilor , feed backul oferit de personalul
navigant precum si un numar mare de repatrieri
medicale duce invariabil la pierderea acreditarii
de catre clinica/medicul implicat
•Armatorii solicita diferite tipuri de fise
maritime – de fond sau de pavilion, ceea ce
implica eforturi sustinute ale personalului
medical pentru intrunirea tuturor cerintelor
armatorilor.
*Repatrierea medicala a unui navigator
declanseaza o serie de actiuni cu implicatii
serioase: necesitatea gasirii de urgenta a unui
inlocuitor, care sa fie examinat si trimis,
achitarea costurilor de spitalizare si repatriere a
navigatorului, achitarea unui compensatii
materiale pe durata concediului medical,
achitarea de compensatii materiale familiei in
cazul decesului navigatorului la bordul navei
( in cuantum de aprox 100 000 eur)
• Lipsa unui membru al echipajului implica retinerea navei la cheu (nu
este permisa plecarea cu echipaj incomplet) – cu costuri imense
pentru armator : intarzierea in livrarea marfurilor , neonorarea
comenzilor, posibilitatea declansarii unei situatii mult mai grave cum
ar fi dezinhibarea unei substante chimice periculoase prin prelungirea
timpului pana la descarcare (datorita depasirii timpului de viata al
substantei inhibitoare)
• In general costurile intarzierilor si a nerespectarii programului unei
nave costa armatorul intre 200 000 si 250 000 eur /zi.
• Armatorul isi rezerva dreptul de a da in judecata clinica prestatoare a
examinarii in conditiile in care cauza intarzierilor a fost generata de o
stare medicala precunoscuta sau ignorata de catre medicii
examinatori
• Din aceste considerente, s-au facut eforturi considerente si constante
in privinta prevenirii imbolnavirilor la bordul navei, a repatrierilor
medicale si a deceselor pe mare – de aici – elaborarea de standarde si
ghiduri medicale foarte concise si clare , acreditarea si aprobarea
medicilor familiarizati cu conditiile speciale de munca pe mare,
verificarea acestora si a calitatii actului medical prestat de acestia.
• Unul din programele derivat din toate aceste constatari este
programul PEME – Pre-Employment Medical Examination
• To ensure that crew are fit and to reduce the potential for unnecessary
claims, Steamship Mutual offers a rigorous and enhanced PEME. Using
only recommended clinics, the scheme aims to ensure that seafarers who are
medically unfit are not given clearance to serve at sea.
• As part of the Club’s ongoing loss prevention programme, a PEME scheme
was introduced in January 2009 for crewmembers recruited in the
Philippines, in an effort to reduce the risk of unnecessary crew claims
arising from pre-existing medical conditions. Further details are given in the
PEME brochure and also in Club circular B.479 of December 2008.
• The scheme is based upon enhanced examinations designed to screen for
conditions likely to be encountered for personnel in three age bands – under
30, 31 to 45, and 46 and over. These examination standards have been
compiled with the assistance of independent UK based consultants –
Medical Rescue International (MRI). The Medical Examination Records for
the three age bands can also be downloaded below.
(http://www.simsl.com/Loss-Prevention-and-Safety-Training/PEME.html)
• Datorita conditiilor specifice ale acestei activitati – examinarea
medicala trebuie facuta cu putin timp inainte de plecarea in voiaj
( putin inainte pentru a asigura deplasarea in stare de sanatate a
marinarului la nava, dar suficient timp pentru a permite reevaluari ale
analizelor sau de specialitate daca starea medicala a marinarului o
impune
• Este necesara o evaluare cat mai amanuntita si o stadializare a
problemelor medicale existente pentru a putea stabili aptitudinea
marinarului de a naviga si riscul de agravare al unor stari
preexistente.
Examination (PEME) program in the two largest labor supplying countries
providing seafarers to Member’s vessels: Ukraine and the Philippines. On 20
February 2006, the Board of Directors of the American Club made it mandatory
for all Members to use the Club approved clinics in these countries or be
subject to a double-retention deductible for illness claims. The program was
further extended in 2006 and 2008 to include seafarers from India, Indonesia,
Latvia, Poland, Romania and Russian Federation.
The PEME program continues to be successful in reducing the frequency of
illness claims arising in respect of seafarers employed on American Club
entered vessels which would otherwise have arisen.
In this document, the American Club presents the set of medical tests,
examinations and associated standards that have been used for the mandatory
PEME program, and a new medical history questionnaire that should form an
integral part of the PEME.
Your Managers recommend that Members review the list of examinations
carefully with their crewing departments and manning agents for each country
from where seafarers are employed. In addition, Members should remain
vigilant vis-à-vis their manning agents to ensure PEMEs are carried out
objectively, and without influence from the manning agent or the seafarer.
The examination forms are fully comprehensive. However, certain tests and
procedures may be subject to limitations in accordance with local or national
laws and regulations (e.g. HIV testing) and Members should ensure that they
have a clear understanding of any such limitations.
As with the mandatory PEME program, it is recommended that this be an
annual examination at a minimum.
We hope this guidance will help Members in providing a framework for PEMEs
and a consistent set of standards which will assist Members in controlling
claims arising from pre-existing conditions.
Finally, these Guidelines are a living document and will be periodically updated
and upgraded to further refine the PEME program.
AgHBs (HbsAg)