Category Archives: offshore medic

Offshore rig medic: FAQ

The questions I am most frequently asked regarding the almost two years I worked as an offshore rig medic  on the Maersk Deliverer outside Cabinda (Angola).

Q: How do you get to the rig?
A: Commercial plane overnight to Luanda (8h). Heli Malongo charterd plane Luanda-Cabinda (1h). Helicopter from either Cabinda or Malongo (1h drive north of Cabinda) and out to the rig (45 min).

Q: What does the rig look like?
A:

Maersk Deliverer
Maersk Deliverer

Q: Does the rig stand on the seabed?
A: No. The Maersk Deliverer is a deepwater semi-submersible rig constructed to drill on water depths until 3000 meters (the world record is 3400 meters). Maersk Deliverer is in fact floating and an advanced electronic system (dynamic positioning) makes it possible to keep the rig still while the drilling is going on.

Q: How many people are on the rig?
A: 180 when full.

Q: How big is the rig?
A: 117*117 meter.

Q: Are there any women onboard?
A:  Yes, but very few, we´d be maximum 5 at any given time. Occasionally I would be the only female onboard. A couple workes as stewardesses. Additionally one DPO, and a couple of geologists and engineers (MWD) were employed.

Q: What nationalities work on the rig? Are the majority Danish?
A: No, I would say at any time no more than 10 Danes were onboard. Half of the crew were from Angola, Scotland, England, USA and Poland.

Drilling. Maersk Deliverer

Q: What is the food like?
A: Meals are served four times/24h in the Galley. They galley is always open with snacks available all the time. The food would be a mix of various dishes, with vegetarian and healthier options as well as traditional deep-fried dishes. DIY hamburgers were served every Sunday, and lasagna would be served once a week as well.

Q: What are sleeping arrangements like?
A: Most share a cabin with a colleague working the opposite shift – ie. 6 am-6 pm would share with 6 pm-6 am. Initially, the doctor was assigned a two-bed cabin with generally no other occupant, which was later changed to a single cabin. All cabins had TV and wifi signal.

Q: Telephone and internet?
A: No mobile telephone reception. Wifi was available indoors with data limit to prevent movie download etc. Computer and telephone via satellite in the sick bay.

Q: What else is there to do in the spare time?
A: Hang out in the TV room. Exercise in the gym, which is well-equipped with treadmills, cycles, weights.

Drill pipes, Maersk Deliverer
Drill pipes, Maersk Deliverer

Q: Can you perform surgery on the rig?
A: Yes, in theory. The sick bay is well-equipped. However, unless a life-threatening emergency, evacuation onshore would be preferable.

Q: Did you experience any emergencies? Severe illnesses? People who died?
A: No. No. No.

Q: What exactly did you do during the day? What did a typical day look like?
A: I dscribed a typical day in detail here.

General information: The basic information about the job as an offshore medic.
Photogallery of my time as an offshore rig medic on the Maersk Deliverer is available on flickr.

A typical day at work as an offshore rig medic

Between 2013 and 2015 I worked as a rig medic on the Maersk Deliverer (Maersk Drilling) located offshore Cabinda, Angola.

A typical day onboard:

05:50 The Sick Bay is supposed to open at 6am. I get up at the last minute and walk the 20 meters upstairs from my cabin..

06:00 The daily rush hour in the Sick Bay is  6-8 am: The crew on night shift just got off, and if they have some medical concerns they will see me before they go to bed. The day crew also prefers to visit the Sick Bay early. Furthermore all the managers both off and onshore start working (and sending emails) between 6-7 am and issues may come up at the morning meeting that require my input: Questions about the status of medicical supplies, maintenance of medical equipment, advice on certain haphazard chemicals etc.

Drilling on the Maersk Deliverer
Drilling on the Maersk Deliverer

06:30 Daily water test: I test a sample of tap water in the Sick Bay. The water onboard is produced by a fresh-water generator.

06:45 Two crew members present with what looks like a common cold, both Angolans. I test both for malaria and both test negative.

07:00 I walk the 50 meter down the corridor to the galley, where I have breakfast. Bacon and eggs. Breakfast is served between 5 and 7 am, and includes pasta dishes and french fries as this meal serves as “dinner” for the crew working 12 pm-12 am.

08:00 Via email I am advised of several crew members needing an update of their DMA Medical Certificate. I work with the RSTC to arrange appointments with them..

09:00 Time for coffee break in the galley with the Camp Boss and the Chief Cook. No issue is to small to be discussed here.

Abseiling, Maersk Deliverer
Abseiling, Maersk Deliverer

10:00 I go through the medical inventory.  This may takes several hours, and I perform one inventory count per month. The autoclave failed the test and it has been decided to replace it. I briefly go down to check some ordering issues with the MatMan.

11:00 Several crew members pass by and ask for seasickness medicine. It is crew change day for many of the Angolan employees who crew change by boat. They transfer from the rig via a basket to the boat, which then takes them onshore. Unfortunately I have never tried this basket transfer myself as I always transfer by helicopter.

12:00 Lunch is served in the galley from 11-13. There is a choice of healthy food, vegetables and salad next to the deep-fried foods. I make myself a sandwich.

13:00 The bimonthly Safety Meeting is held in the TV room. The Safety Officer presents the safety data and one topic is singled out for discussion. Today it was about wearing the correct PPE.  A monthly safety award is presented to a crew member who has made a significant contribution toward safety. 

Maersk Deliverer in Port Elizabeth
Maersk Deliverer in Port Elizabeth for the 5-yearly yard stay

15:00 Time for the daily afternoon coffee again with the Camp Boss and Chief Cook. The TV screen on the wall displays some of the key safety performance indicators such as days since last LTI (Lost Time Incident).

15:30-18:00 Time for the weekly safety inspection, which takes me all around the rig checking the various first aid equipment.

15:30 I am called on the PA system. It turns out one of the crew members has a headache.

18:00 I go down to the gym and run 8 km on the treadmill.

Casings, Maersk Deliverer
Casings, Maersk Deliverer

19:00 Dinner. Lasagna, my favorite dish. I asked the cook if he could make it.

21:00 Time for the weekly safety drill. This week the scenario was fire on the main deck. The four crew members acting as stretcher team and medical assistants are called to the site to transport and move a dummy. After the drill, the team leaders meet for a debriefing on the bridge.

22:00 I take a walk on the helideck. Everyone around the deck is busy assisting the drilling operations and the PA system goes off every 20 minutes. The rig is active 24/7 with no difference between night and day.

General information: Some basic things to know about the job as an offshore medic.
Photogallery of my time as an offshore rig medic on the Maersk Deliverer on flickr.

Offshore rig medic: Some basic information

I worked as a medical doctor for Maersk Drilling on the rig Maersk Deliverer in Angola from 2013-5.

On an offshore rig the position is called a medic. According to local regulations as well as company preferences, the medic can be a nurse, a paramedic or a doctor. Most are, in fact, not doctors.

The drilling contractor: Owns and operates a drilling rig. In my case the drilling contractor was Maersk DrillingThe drilling contractor then hires the staff necessary to run the rig, some directly, others via an agency. I was hired by the agency Vikarlaeger, who again was hired by Maersk Drilling to supply the rig with doctors.
The operator: Owns the right to operate (drill) in a certain area. Hires the drilling contractor to drill a certain well by paying a fixed day-rate as well as additional fees according to a complex contractual system. The relationship between Operator and Drilling contractor is complicated and both hire service companies etc. In my case, the operator was Chevron.
The drilling rig:
 Essentially a machine creating holes in the earth. Rigs come in may different sorts: Some operate on land, some offshore, some stand, some float. I worked on Maersk Deliverer, a semi-submersible drilling rig, a floating rig designed to operate on deep water. A short video of the rig is available on YouTube.

Maersk Deliverer
Maersk Deliverer

The work schedule: Varies from rig to rig. I worked a schedule of 4 weeks on-4 weeks off..

The work: Again, varies according to the company. Generally speaking the tasks may be divided into medical duties and non-medical duties. Depending on local as well as maritime regulations you may or may not be the only medic onboard. Some countries require local medics to be present onboard. I was alone onboard.
I have described a typical working day on the Maersk Deliverer in another post.

Working hours: Normally 6am-6 pm followed by on-call.

General medical duties:
Patient consultations: The majority of patients seen in the sick bay have minor complaints such as common cold or musculoskeletal symptoms. Dental issues are also common. Furthermore malaria was not uncommon among the Angolan employees.
On the Maersk Deliverer, the sick bay is well equipped, however any patient with serious illness would be evacuate onshore. I never had any emergency evacuations, however occasionally a crew member had to be sent off the rig for treatment, the main reason being dental problems and non-work related musculo-skeletal problems.
Day to day running of the sick bay: Ordering medicines and necessary equipment, maintaining logbooks, checking equipment.
Health promotion and hygiene: Adhering to basic principles of hygiene is extremely important when so many people live together in a confined environment. The role of the medic in this context may be to give lectures, put up posters etc. Promoting a healthy lifestyle is another potential focus area for an offshore medic.

A medical support system, where advice may be provided upon request will always be in place. In my case Radio Medical Denmark. Furthermore, Chevron has a clinic in Cabinda. 

The derrick, Maersk Deliverer
The derrick, Maersk Deliverer

Occupational health is a major priority in the industry and offshore safety is a major concern and an important parameter on which company performances are measured. One safety parameter is the number of work-related injuries.  For these purposes, there is sharp administrative division between work-related and non-work related illnesses and as an offshore rig medic you will be involved in discussing and preventing work-related injuries with colleagues onboard.

Additional tasks vary greatly from company to company and may include various tasks related to safety and training issues.
On larger rigs, such as Maersk Deliverer, a safety officer is responsible for all issues related to safety (inductions, meetings, reporting, inspections, prevention, work-place evaluations, etc). Larger rigs may also employ an RSTC (Rig Safety and Training Coordinator) to assist in all safety and training-related issues. On smaller rigs, several of the above job functions may be performed by the rig medic.

Drilling on the Maersk Deliverer
Drilling on the Maersk Deliverer

Additional tasks: Maersk Deliverer had two safety officers as well as one RSTC employed, thus I did not have many additional tasks. I did have a few however:

  1. Daily and weekly tests of the drinking water. Fresh water is made onboard with a fresh-water generator.
  2. Weekly safety inspections: A tour of the entire rig checking eyewash stations  ear plugs, first aid equipment and AEDs.
  3. Weekly hygiene inspection of the galley and cabins with the Camp Boss.
  4. Weekly safety drills: Drills involving the entire rig with scenario such as fire, toxic gas outlet etc. This is an opportunity to train the stretcher team: Four crew members assigned to assist the medic in emergencies, including, but not limited to carrying a stretcher.
  5. Being a medical doctor I had the additional task of completing DMA Medical Certificates for the crew.

I have described a typical day at work in a separate post.

Specific offshore requirements for a medic: Required certificates vary according to the rig location and the drilling contractor. In my case: OPITO (BOSIET) (offshore safety course) including HUET, OGUK and a DMA Medical Examination.

Offshore vocabulary:  Be prepared to learn a complete new terminology and an astonishingly high number of abbreviations.

Online information sources:
Offshore rig medic jobs
A photogallery from my time as an offshore rig medic is available on flickr.