Remote Healthcare for Energy and Associated Maritime Activities

1. Remote Healthcare for Energy and Associated Maritime Activities IRHC Council Brief 21st March 2013

2. Why? • The need to explore and develop fields in remote*, and extreme remote**locations will continue to grow in the future Remote Locations Extreme Remote Locations Evacuation to a Hospital cannot be guaranteed within 4 hours (e.g. inclement weather) Evacuation to a Hospital can never be achieved within 4 hourseven in the best of circumstances

3. Why? • The need to explore and develop fields in remote*, and extreme remote**locations will continue to grow in the future • Health challenges: • No evacuation possible • Delay to treatment • Evacuation risk (e.g. helicopter ditching) • Environmental risks (e.g. hot or cold extremes) • High risk activities (diving, drilling, etc) • Risks: • Harm to people • Business continuity • Legal liability • Business reputation

4. Basic Belief • Work in remote locations can be done without causing harm to people • Healthcare in remote locations can approximate non-remote locations

5. Remote Healthcare Workshop 2013 • Objectives: To identify common health support requirements for RHC in energy and maritime operations and provide guidance to RHCP • Participation: 88 professionals from Health, HSE, energy, maritime, academic institutions, technology providers, and emergency medical providers • Activities: • 6 plenary presentations, • 4 breakout workshops, • 1 expert panel discussion • Output: Remote Healthcare Guide

6. Key questions • Key Questions • What are the health challenges of working in remote locations? • What are the common ways of addressing these challenges? • What are the competency requirements for a RHC Professional working at these remote locations? • What medical equipment and medical supplies are required? • What are the topside, communication and telemedicine capabilities required? • What preventive controls and planning considerations are needed? • Key Focus Areas • Planning and Prevention • People and Competency • Topside and Telemedicine • Equipment and Supplies • Mindset and Culture

7. 1. Planning and Prevention • Health Risk Assessment (HRA) • Medical Emergency Response Planning • MERP in Extreme Remote Locations • Sites with Low Exposure • Demonstrating ALARP • Fitness to Work (FTW) • Workplace Health Promotion Programmes • Cardiovascular Risk • Resilience • Food Safety Management System

8. 1. Planning and Prevention: Tier Response Requirements

9. 2. People and Competence • Tier 1: Designated First Aider (DFA) • Initial Training • Skills Maintenance • Tier 2: On-site Health Professionals • Competency • Experience

10. 3. Topside and Telemedicine • Topside • Role and Responsibility • Service Delivery Standards • Competency Requirements • Telemedicine

11. 4. Equipment and Supplies • Tier 1: First Aid Box • Tier 2: Site Clinic • Sites with Low Exposure • Room and Layout • Equipment • Medications • Equipment/Medications for Specific Hazards or Specific Extreme Environments

12. Mindset and Culture • Personal accountability • Broad skill set • Flexibility • Leadership • Collaboration • Curiosity • Courage

13. Feedback • Useful in implementing RHC: • New projects • Contract management • Lacks scientific rigour (mostly level 5 evidence) • Not an industry consensus • Limited document review • Further clarity needed in some sections

14. What’s Next? • Feedback from users • Document Review 2014 • ? Adoption / adaptation by industry groups • Collaboration between energy companies, academic organisations, and emergency service providers