A flight crewmember in possession of a medical certificate shall also seek the advice of the AME, without undue delay if:
subject to hospital or clinic admission for more than 12 hours;
subject to surgical operation or invasive procedure;
prescribed regular use of medication; or
prescribed regular use of correcting lenses.
The competent authority must be informed if a flight crewmember in possession of a medical certificate is aware of / experiencing any of the following:
any significant personal injury involving incapacity to function as a flight crewmember; or
any illness leading to the incapacity to function as a flight crewmember for a period of 21 days or more; or
being pregnant.
In the event of any of the above, crewmembers must contact their AME as soon as is reasonably possible, the AME will then ensure that all communications with and formalities concerning the competent authority are complied with.
7.2Alcohol
Crewmembers shall not:
consume alcohol of any nature in excess, i.e. drink to such an extent that their physical condition is obviously impaired;
consume alcohol for a minimum period of 8 hours before reserve or reporting for duty;
consume alcohol while on reserve or during the duty period; or
commence a flight duty period with a level of alcohol in the blood in excess of 0.2. mg per ml (milligrams per millilitre), which is considered a natural level caused by digestion of regular food.
All operations personnel are required to assist each other in complying with these directives at all times.
7.3Pharmaceutical Preparations 7.3.1Narcotics, drugs, sleeping tablets and/or anti-depressants
Holders of medical certificates shall not take any prescription or non-prescription medication or drug, or undergo any other treatment, unless they are completely sure that the medication, drug or treatment will not have any adverse effect on their ability to perform their duties safely. If there is any doubt, advice shall be sought from an Aeronautical Medical Examiner (AME) or medical practitioner.
NB. General painkillers, such as Paracetamol, Alka Selzer, Aspirin, Treupel with no significant proven side effects, may be taken whilst on duty provided the dosages taken are kept within the specified limits, described on the package-inlay.
On occasions when sleeping tablets are considered necessary, only over-the-counter or homeopathic remedies may be used, provided the dosages taken are kept within the specified limits, described on the package inlay and have been authorised by the AME. No sleeping tablets shall be taken within 9 hours of starting a flight duty.
7.4Immunization (Vaccinations)
Different countries require vaccinations for crewmembers and passengers against specific diseases, often specifying that such immunization is only required upon entering the country “after leaving or transiting infected areas”.
Each crewmember scheduled to flight duty abroad must satisfy any requirement(s) for vaccination(s) and have himself vaccinated in time. Medical advice is to be sought concerning the period to be observed before returning to flying duties following immunization.
Crewmembers scheduled for flight duty in malaria-infected countries shall consult their medical examiner, and if advised, take / apply the appropriate medication as prescribed.
Crewmembers shall be aware of the fact that there are many extremely dangerous diseases, against which vaccination is not possible. Only general rules are given here for health-conscious behaviour in foreign countries:
Observe strict hygiene in eating / drinking (amoebic dysentery, brucellosis);
Do not bath in stagnant water; and
In infested (e.g. bush / jungle) areas, wear long-sleeved shirts and long trousers to prevent or minimize bites by disease-carrying insects (filariasis, malaria, encephalitis, sleeping sickness) or by outright poisonous insects or animals (spiders, scorpions, snakes); use insect-repellent.
7.5Deep Diving
Scuba divers have to respect the specific decompression calculations according to the number of performed transitions and depth. Crewmembers, whose sporting activities include deep sea diving to a depth up to 10 meters with no decompression, shall not fly within 48 hours of completing such diving activity.
Any crewmembers donating blood must wait for a period of 48 hours before beginning a flight duty.
7.7Sleep and Rest
Although the regulations of flight and duty periods are intended to ensure that adequate opportunities are provided for crewmembers to obtain rest and sleep, individuals should ensure that proper advantage is taken of such opportunities.
No crewmember shall perform duties on an airplane if he knows or suspects that he is suffering from fatigue, or feels unfit to the extent that the flight may be put at risk.
7.8Surgical Operations
Following any surgical procedure, aeronautical medical advice has to be sought before returning to flying duties.
7.9Pregnancy
Any pregnant crewmember in possession of a valid medical certificate shall inform their Authorised Medical Examiner (AME) of her pregnancy, who will then inform the competent authority. The medical certificate should deem suspended upon confirmation of the pregnancy.
The AME may raise the suspension of the medical certificate subject to specific conditions, as he thinks fit. The medical examiner may re-approve certification of a pregnant crewmember during the first 26 weeks of gestation.
7.10Radiation Exposure
[Operator’s name] constantly tracks the flight times and the route profiles flown for every permanently employed crewmember via [the Flight Operations software (Aviation Office)] and reports these to a certified provider [name], which calculates the received dose. These reports are transmitted in a 3 months schedule to the [Competent Authority of the Operator] Database. This procedure is in accordance with the national regulations [reference, if any].
If a crewmember realizes she is pregnant, she shall report to the NPFO as soon as possible.
[Optional: brief description of the measures to be taken if the annual dose is above the accepted limit accumulated in the crewmembers professional life.]
The crewmember is informed annually about his or her individually collected dose and has to participate in an annual training that is listed in OM Part D.
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