Oxygen is the one item in the chest that answers to two regulators, and most fleets satisfy only one
The short version 21 CFR 201.161 allows oxygen without a prescription only for oxygen deficiency and emergency resuscitation, by properly
September 11, 2026
A prescription cannot stock a ship’s medicine chest, and the regulation says so in one sentence
The short version 21 CFR 1306.04(b) forbids issuing a prescription so a practitioner can obtain controlled substances for general dispensing
The random testing rate is not in the regulation, and 46 CFR 16.230(k) can stop your master working
The short version 46 CFR 16.230(e) sets the minimum random rate at 50 percent unless the Commandant publishes otherwise. The
Three US medical rules reach your foreign flag vessel, and your flag state compliance answers none of them
The short version 21 CFR 1301.25 covers any vessel engaged in international trade, with no US flag qualifier. The master
A sharps container is plastic, so it can never go over the side
The short version 33 CFR 151.67 prohibits discharging plastic or garbage mixed with plastic from any ship. No size limit,
46 CFR 197.314 requires a medical kit approved by a physician, and never says which physician
The short version 46 CFR 197.314(a)(1) requires a medical kit approved by a physician at every dive location, and gives
One sentence governs medical care on a vessel full of teenagers
The short version 46 CFR 169.725 requires an approved first aid kit to subpart 160.041. That is the whole medical