do cruise ships hire medical assistants

Cruise Ship Medical Jobs

Healthcare cruise ship careers: nurse, doctor and paramedic jobs.

All medical personnel working for a cruise line meet or exceed the recruitment standards established by the cruise lines and have proven proficiency in emergency medicine . Healthcare jobs on cruise ships include a wide range of tasks and responsibilities . The medical team onboard manages acute medical emergencies, trauma patients, and a diverse general practice case load for a population of up to 6000 passengers and crew from over 100 nationalities.

MEDICAL NURSE

Pro Sea Staff agency is recruiting medical nurses for the following cruise ship companies: Princess Cruises, Holland America, P&O Australia, Seabourn, Royal Caribbean International, Celebrity and Pullmantur. Cruise ship nurses work as a part of the onboard medical team to provide first class healthcare services to the passengers and the crew.

Contracts are 4 months on board and 2 months off Flights to and from ships are paid by the cruise lines Single cabin accommodation Meals and healthcare insurance provided by the company

MEDICAL DOCTOR

Pro Sea Staff recruitment agency works with Princess Cruises, Holland America, P&O Australia, Seabourn, Royal Caribbean International, Celebrity and Pullmantur to employ medical doctors for their respective fleet of vessels. As a part of the onboard medical team cruise ship medical doctors provide first class healthcare services to the passengers and the crew.

Working for a cruise line as a Doctor, Nurse or Paramedic onboard a passenger cruise ship

Cruise ship medical wards on board.

The medical team onboard a cruise ship works in the   ship’s medical enter  with  facilities similar to most small hospitals on land.  These facilities include Intensive Care Units, High Dependency Units and general wards, several treatment and examination rooms, a well-stocked pharmacy, a comprehensive clinical laboratory and digital radiology.

Although medical evacuation of patients to land-based hospital facilities is sometimes necessary, the onboard medical centers are designed to enable assessment, investigation, and care for relatively long periods. Cruise line medical teams are able to provide treatment and diagnostic services comparable to most small hospitals and can admit acutely unwell cases if needed.

Types of clinical cases and emergencies

Clinical cases include non-urgent general practice pathologies, adult and pediatric emergency medicine cases such as acute coronary syndromes, cardiac and respiratory failure, infective processes, anaphylaxis, trauma, orthopedic injuries and acute surgical conditions as well as occupational health issues and public health issues. Critically ill patients may require onboard medical treatment for several days in the medical center ICU’s which are equipped with telemetry, cardiac pacing, CPAP, electronic infusion devices, and mechanical ventilators.

Do cruise ships have medical facilities with doctors and nurses on board? The short answer is yes.

When you board a cruise ship you become part of a community of people of all ages who will be together for several days, a week or more. On large cruise ships carrying thousands of passengers and crew, your community may be the size of a town or even a small city. To handle any health issues that come up in this floating metropolis, cruise lines employ doctors and nurses who work out of an onboard medical center.

To be clear, the onboard facility is not a hospital – it's more akin to a health center or ambulatory care unit. The professionals who work there have training in emergency medicine and the equipment to stabilize a patient even in dire circumstances. Mostly, though, what they deal with are things like sprained ankles, upset stomachs and people who have forgotten to pack medication.

For more cruise guides, reviews and tips, sign up for TPG's cruise newsletter .

That said, in the wake of the COVID-19 pandemic, many cruise lines have expanded their medical care facilities on ships and added new requirements for medical personnel. Royal Caribbean , for example, now requires all its doctors to have training in acute respiratory illness and has added an infection control officer who oversees the line's infection control plan on each ship.

If you have an emergency on any cruise ship, you can push a button on your stateroom phone for help – the equivalent of dialing 911 from your home phone. For minor ailments, you can visit the medical facility during set office hours.

Who are the medical personnel?

The American College of Emergency Physicians, in conjunction with the Cruise Lines International Association, sets strict standards for who treats patients, as well as guidelines for medical facilities, on ships operating from the U.S. Similar authorities are involved for international cruises. All medical staff are both certified and experienced.

Under the ACEP standards, physicians must have three years of post-graduate/post-registration experience in general and emergency medicine or be board-certified in emergency medicine, family medicine or internal medicine. Staff also must be certified in advanced life support or have certification or physician specialist training in areas such as emergency medicine, anesthesiology or critical care.

Ships that carry children under age 12 are required to have at least one physician with training in pediatrics or with an equivalent emergency training that involves kids.

Training requirements for nurses also are quite detailed. Typically, one of the nurses is a trained paramedic and all nurses are experienced registered nurses.

Medical staff varies by ship size, but typically ships have a doctor and at least two nurses. The world's largest cruise ships may have two doctors and five or six nurses. River ships and small ships that hover close to shore have less staff since they can easily access health facilities on land.

Cruise lines find shipboard nurses and doctors via worldwide recruitment companies. Medical personnel typically work on ships on two- to six-month contracts.

Doctors and nurses report to a chief medical officer at the cruise line's headquarters, who is available 24 hours a day to deal with emergencies.

What to expect at a cruise ship medical center

Cruise ship medical centers usually are located on a lower deck, set apart from crowded areas and close to the back-of-the-house crew facilities. The medical personnel treat both passengers and crew.

While medical personnel are on call 24 hours a day, most passengers visit during scheduled hours. Carnival Cruise Line 's facilities, for instance, are open on embarkation day from 8 to 9 a.m. and 3 to 5 p.m; on sea days from 9 a.m. to noon and 3 to 6 p.m.; and on port days from 8 to 10 a.m. and 4 to 6 p.m.

Inside the medical center you'll find a waiting room – where you will fill out medical history forms as you would in any doctor's office – and exam rooms. Only if your medical situation requires it will you see a separate area with hospital beds, a small surgical suite where wound suturing and other minor surgeries may be conducted, or the ICU or isolation rooms.

Equipment in shipboard medical centers includes defibrillators, cardiac monitors, external cardiac pacing capability, a ventilator, oxygen tanks, x-ray machines and lab equipment. Some lines add technology; for example, select Carnival ships have thrombolytic therapy (to break down blood clots) and pulse oximetry (to test oxygen levels). There will also be wheelchairs and stretchers.

Pharmacy supplies include seasickness pills, aspirin and other over-the-counter products, antibiotics and limited supplies of prescription medications, as well as emergency medications such as those needed for advanced cardiac life support.

Serious situations

While most medical complaints on ships are routine, the medical team is equipped to perform life support services and stabilize anyone seriously ill. Personnel trained in medivac procedures would then generally medically disembark the patient on a stretcher at the next port of call and have the person transferred to a hospital.

If an extreme case occurs at sea, the U.S. Coast Guard (or equivalent local authority overseas) will be called in to hoist the patient off the ship by boat or helicopter.

No one likes to think about it, but your ship may also have a morgue with refrigerated units.

Jobs for Medical Staff on Cruise Ships

Attention doctors, nurses, and even dental care professionals: cruise lines might put you to work. Most mega cruise ships employ trained medical staff for both passengers and crew. CruiseJobFinder interviewed the owner of Medsource, who is in charge of the overall recruitment of medical staff. Don't miss this entire interview.

Read this interview excerpt to learn ways you can launch your own cruise industry job search.

Become a Member to Access the Entire Interview

What types of jobs do you recruit for? Is there a particular department or role?

We recruit only those with a specific medical degree, namely doctors and nurses. Doctors should have a General Practitioner background with very good knowledge of at least one other discipline including Cardiology, ER, Anesthetics, Internal Medicine or ICU. Nurses must be fully Registered Nurses and should have ICU or ER experience.

Doctors and nurses should have 3 to 5 years of post graduate experience before being allowed to work on cruise ships, and must have completed an ACLS course.

Do you only work with candidates who are of a certain nationality or living in certain geographic areas?

Do you charge a fee to your clients?

No we don't.

What services do you offer the people who apply through your company? Do you give them training, do you secure new contracts after they have completed their first cruise?

As the people we recruit are highly skilled professionals, we do not offer training. The main on board orientation occurs on the ship by that particular cruise ship. Contracts are almost always secure and about 90% of the doctors and nurses we recruit, come back for more.

Are there any common traits people should have in order to get hired, and then to succeed in the cruise industry?

In the cruise industry, success is all about working hard and eventually making your way up the ladder into the more prominent, or managerial positions, but as far as the medical profession is concerned, success is about how you relate to others, how you enjoy working in slightly difficult conditions. You must be a reliable, hard working, professional person with a positive attitude and excellent bedside manner.

What are the best pieces of advice you would give someone who's starting to look for their first job on a cruise ship?

I would say that you should try and go for some refresher courses. This will help you to boost your knowledge about certain types of medicine, and give you even more confidence. Another bit of advice is to learn how to use a computer and various computer programs because you will need to do quite a lot of admin.

What are the typical terms of employment offered?

Contracts can be anywhere from 14 weeks to 6 months or so. Hours worked include 2 clinics of 3 to 4 hours each, with the rest of the time being spent on duty. The overall hour you are expected to work are from 8am to 5pm. Obviously if something happens in the middle of the night you will be there to help.

What contact do you have with your candidates after they accept work with a cruise line?

We are in constant contact with our doctors and nurses, so that we can find out how the cruise is going and also to help who want to renew their contracts.

What are some common misperceptions people have about working on cruise ships?

That it like going on holiday, although the doctors and nurses only work until 5:00pm and can take turns going ashore with the rest of the passengers. You do have more free time as a doctor, but there are instances when you might have to be up all night with a sick patient. Another is that it is glamorous. With cramped cabins to sleep in and a small infirmary to work in, I would not call it glamorous, but it still exciting and fun.

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• Our Medical Team

The Paramedic provides the initial medical care for guests and crew in a range of unique and challenging environments onboard and ashore.

• Provide high-quality medical care to both guests and crew in emergent and non-emergent settings.
• As the first responder for onboard emergencies, perform triage, provide on-scene treatment, and transfer patients to the medical center for continued care. Perform similar activities ashore in designated destinations.
• Under the supervision of the nurses and doctors, assess and provide treatment for specific conditions within the medical center.
• Provide non-clinical and administrative support under the supervision of other medical staff.
• Assist the medical staff in monitoring inventory levels and checking equipment.
• Participate in medical training and ship safety drills within assigned role. Support audits, inspections, and public health monitoring. Participate in shipboard training and competency programs to learn new skills.
• Perform laboratory tests and other procedures.
• Uphold the company’s core values and the best customer service standards.

Advanced Life Support Paramedic qualification (or equivalent) and current registration/licensing with an appropriate government or national regulatory body

At least three years post graduate clinical experience in paramedicine, emergency medicine, or other acute care settings

Most recent work experience should be in a clinical setting

prior to joining a ship

may be required before completing the first year of employment

Written and spoken is essential; other languages are an asset.

and proficiency with Microsoft 365 in the Windows operating system is essential.

experience and proficiency are essential.

outstanding interpersonal, customer service, and communication skills; ability to work cohesively in a small, diverse team.

WHY CHOOSE US?

Embark your medical career on a new international voyage of discovery. Join our team of skilled Medical team working on any of our 90 ships across our nine brands: Carnival Cruise Line, Princess Cruises, Holland America Line, Seabourn, Cunard, AIDA Cruises, Costa, P&O Cruises (UK) and P&O Australia. Our staff are passionate about providing quality healthcare to our guests and crew while they sail the world creating lasting memories.

90 SHIPS ACROSS 9 CRUISE LINES AND +8 NEW SHIPS COMING BY 2025

SAILING IN NORTH AMERICA, AUSTRALIA, EUROPE AND MORE

COMING SOON

Cruises see a fair amount of overboard incidents: Are ships equipped?

Mental health crises can happen anywhere. But what happens if you're stuck in the middle of the ocean?

Between 2009 and 2019, there were 212 overboard incidents – when a guest or crew member goes over the edge of a ship – according to  statistics compiled for Cruise Lines International Association  by consulting firm G.P. Wild (International) Limited. "In discussions with cruise line representatives, they indicated that in every case where the cause of the (overboard) was established following a careful investigation it was found to be the result of an intentional or reckless act," the report said, noting that motives could not be determined in some cases.

There were also numerous reports of suspected suicides among crew trapped at sea during the COVID-19 pandemic. And while cruise lines have protocols and services in place to support to guests and crew members, some experts say they are lacking.

Cruise ships feature a range of amenities, from roller coasters and go-kart tracks to spas and dining, but passengers may not always know where to find mental health resources on board.

‘It’s really, really, really needed’

Cruise ships may be designed to prioritize fun and relaxation, but not everyone responds the same to that approach.

For some passengers, being around family members or away from their day-to-day routine can be stressful, said Dr. Tia Dole, Chief 988 Suicide & Crisis Lifeline Officer at Vibrant Emotional Health. “But for other people who might have been struggling with their mental health … going on a vacation actually takes you out of your environment, it makes you feel better,” she said.

The widespread presence of alcohol and gambling in onboard casinos may also prove challenging for some travelers, said Dr. Michelle Riba, a clinical professor at the University of Michigan Medical School's Department of Psychiatry and former president of the American Psychiatric Association.

"People have to be self-reflective and talk to their loved ones about how problematic it might be to be on a ship where there's easy access to that," she said.

And when it comes to the kinds of overboard incidents that appear in news reports with some frequency, she said jumping into the water has perhaps been featured prominently in films and TV shows, and cruises may provide another "access point" to impulsive suicides.

Travis Heggie, a professor at Bowling Green State University who studies tourist health and safety issues, said it's difficult to draw concrete comparisons, however, between rates at sea and on land due to a lack of comprehensive statistics. Riba added that it would be hard to compare the two, given varying demographics and other factors.

Still, suicide on cruise ships is a “growing concern” for Heggie, among both guests and crew. He has recommended adding mental health care to cruise ship infirmaries in his research .

“It’s really, really, really needed,” he said.

Dole also emphasized that “the reasons why people die by suicide are as unique as a fingerprint” and said it’s important not to generalize.

"The circumstances that lead up to completed suicide, and the things that sort of push people over the edge are incredibly unique," she said.

Do cruise ships have mental health resources?

If passengers find themselves in need of mental health support during a cruise, some lines do have resources available.

Passengers sailing with Carnival Corp., the parent company of brands including Carnival Cruise Line, Princess Cruises and Holland America Line, can contact onboard medical staff “who are available 24/7 for mental health support and other medical needs,” a spokesperson for the company said in an email.

“With a referral from the shipboard medical team, guests may also access tele-psychiatrist services for face-to-face consultations with these licensed specialists within 24 hours if needed,” the spokesperson added. The consultations are offered through a third-party company that connects passengers with U.S.-based psychiatrists (the company did not respond to USA TODAY’s request for comment).

While training in mental health care varies among onboard medical staff, they can “fulfill recommendations made by the psychiatrists.” There is a pharmacy on board with many medications used to treat mental health problems, and those not carried on the vessel can be ordered in a port.

Like other medical care, passengers have to pay for any costs associated with mental health services. “Travel insurance coverage varies by provider and typically covers acute-need services but usually includes limitations for pre-existing illnesses,” the spokesperson said. “We urge travelers to contact travel insurance providers directly for specific terms and conditions.”

Crew members can also see psychiatrists via telehealth with a referral from the onboard medical team. The company also has an employee assistance program that allows them to access free mental health services.

Royal Caribbean Group, another major cruise line operator, and Cruise Lines International Association, the industry’s leading trade group, did not answer questions regarding onboard mental health resources before publishing. Norwegian Cruise Line Holdings Ltd. did not respond to a request for comment.

Cruise ships may also quarantine passengers deemed to be a threat to themselves or others, according to Michael Winkleman, a maritime attorney with Lipcon, Margulies & Winkleman, P.A.

“Our team of onboard medical professionals safeguards the health and well-being of our guests and crew (including mental health), which may include placing a patient under secure watch in the medical center or in a cabin depending on the risk,” the Carnival Corp. spokesperson said.

While there are major differences – namely, being in the middle of the ocean – Winkleman said there are some commonalities between cruise lines’ approach and that of hotels or resorts, which often do not have on-site mental health providers. “They are just expecting to provide a fun, safe vacation for their guests,” he said.

Crises on cruises, like an overboard incident, for example, may also get outsized attention given their setting, Heggie added. "People are expecting to go and have a good time and have the vacation or holiday mindset, and, 'Oh, something bad happened.' "

However, Winkleman said he thinks cruise lines “could do a lot more” to provide mental health support to crew, many of whom work rigorous schedules on months-long contracts.

How passengers can care for their mental health

Travelers can take proactive steps to care for their mental health before a trip if need be. If passengers have a mental health provider, Dole recommends speaking with them beforehand and making sure they have any medication they might need.

Passengers can also reach out to their therapists mid-cruise to schedule a session as needed – though state laws regarding telehealth vary and could prevent them from accessing care. “But generally speaking, it's really about where the person resides,” Dole said. “So (if) you're on a work trip, and you're like, ‘I need to see my therapist,’ they'll see you.”

Riba noted that it may be more difficult to coordinate than at home with spotty cell service and possible time differences.

The 9-8-8 Suicide & Crisis Lifeline also works in U.S. states as well as territories like Puerto Rico and the U.S. Virgin Islands.

How safe are cruise stops?: Travel advisories are only one marker for destinations

Checking in with your fellow travelers can also be helpful. Dole said, “One of the biggest clues someone is struggling” is a change in behavior. Typically, that takes the form of withdrawal, but it could also manifest in people engaging in risky or dangerous behaviors.

“‘I noticed something is different,’” she suggested saying. “‘Is there something happening that you feel comfortable talking to me about?’ And that that's not going to make people be defensive as much as, ‘What's wrong? Are you okay? What's happening?’”

Dole recommended framing the question in a way that avoids sounding judgmental or accusatory. “But actually asking the question, especially for young people, can save someone's life,” she said.

If you or someone you know may be struggling with suicidal thoughts, you can call  988  any time day or night, or chat online.   Crisis Text Line also provides free, 24/7, confidential support via text message to people in crisis when they dial 741741.

Nathan Diller is a consumer travel reporter for USA TODAY based in Nashville. You can reach him at [email protected].

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• Occupational Medicine

Cruise Ship PA

By FriendlyPA January 6, 2009 in Occupational Medicine

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Ever heard of a cruise ship PA??? I was looking through online classifieds and it seems that the only positions on a cruise ship available for medical personnel are for physicians and nurses. Was just wondering if there were even any opportunities for PAs on cruise ships, or these positions still have to be invented.

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carnival cruise lines has hired pa's in the past. I have a buddy who works for them occasionally.

• 2 years later...

orangeparkpa

Hey... and how would one find such a job? Any idea how your buddy working on Carnival found his?

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Hey... and how would one find such a job? Any idea how your buddy working on Carnival found his? Ed [email protected]

posting info would be great also

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Cruise Ship Medical Exam

Checking your fitness to work at sea.

After a successful interview, your cruise recruiter will inform you that you need to get a medical exam done before you are officially hired. Learn the reasons why it is required, what it involves, what you will need to disclose and which doctors are authorized to conduct a Seafarer medical exam.

Why You Need a Medical Exam to Work on a Cruise Ship

Over 70 years ago, the International Labour Organisation (ILO) decided that uniform regulations concerning the medical examination of seafarers were needed. Convention No. 73 declares that a person employed on a ship must have “…a certificate attesting to his fitness for the work for which he is to be employed at sea signed by a medical practitioner.”

The ILO also states that the crew member be “…in good health and not likely to endanger the health of other persons on board.” Consider that crew members live close to each other on board and may have contact with passengers. Therefore if a crew member had a contagious disease it would endanger the health of their fellow crew members along with passengers.

All cruise ship crew must be medically, physically and mentally fit for the job that they are employed to do. This includes being fit to perform emergency duties if required and able to deal effectively with isolation from friends and family. The doctor must attest to the overall fitness of the potential employee and sign a certificate saying so.

Overview of Medical Exam for Crew Members

There are two main types of medical exams for working on cruise ships. The pre-sea exam is very stringent as it may prevent a person from starting a career at sea if they don’t meet the requirements. Alternatively, the periodic exam certifies that the seafarer continues to be fit for sea service taking into consideration the intended cruise job that the person will be doing on board.

The actual name of the medical exam depends on the country you are taking the exam. In Canada, for example, it’s called a Mariner’s medical certificate.  In the United States it’s called a CG-719K. You can find the Merchant Mariner Physical Examination instruction guide located here   (pdf) . The UK and many other countries call the exam an ENG1.

These medical exams are conducted to identify medical conditions, examine previous medical history, detail any injuries, identify substance abuse and overall make an assessment that the crew member is fit to work on a cruise ship. Doctors will also assess a crew member’s mobility, balance, strength, and endurance. There must not be any physical disability issues.

Cruise Industry Approved Doctors

It’s important to know that not all doctors are authorized to conduct a seafarer medical examination. Your recruiter will give you a list of doctors available in your area. They may also send you specific forms that need to be completed by you and the doctor.  Here are sources for cruise industry approved doctors in Canada and the United Kingdom:

Transport Canada – Marine Medical Examiners UK Government – Seafarer medical certificates

What to Expect During a Cruise Ship Jobs Medical

You must make an appointment with an approved doctor. Although you may not be informed by the doctor’s office, there are some items that you need to bring with you. Here is a brief list.

• Glasses or contacts (don’t wear contacts to   the doctor’s appointment since you will be required to remove them)
• Copy of vaccinations (World Health Organization – International Travel and Health )
• List of medications that you take

The exam typically starts with the crew member completing a health questionnaire, detailing medical history, ailments, diseases, vaccinations, surgical operations, injuries and current medication. It includes personal information such as age, height and weight.

Next, the crew member is weighed, measured and given a urine test. Some doctors may also conduct blood tests including a blood glucose test. Hearing and vision tests are also given along with testing blood pressure and pulse rate. A chest x-ray may also be taken.

The doctor conducts a physical examination that includes asking questions based on the answers provided in the questionnaire. When you are given the medical certificate will depend in part on how long it takes to get the results of your blood and urine tests. The certificate is valid for a maximum of two years and typically costs from US$50 up to US$250, depending in which country the exam takes place.

Questions to Expect During Your Seafarer Medical Exam

The health questionnaire can be intimidating. It is usually a couple pages long and there may be questions that challenge your willingness to be perfectly honest. After all, you really want to work on a cruise ship—so you don’t want to fail the medical exam! The best advice, however, is that you should be completely honest. So that there are no unexpected surprises, here are typical questions that are on a pre-employment medical exam for a cruise ship job.

• Do you wear glasses or contacts?
• How much do you drink per day/per week?
• How much do you smoke per day/per week?
• What medication do you take?
• How much exercise do you do per day/per week?
• Have you suffered from a major depression?
• Have you ever had substance abuse issues in your life?
• Do you have diabetes?
• Do you have asthma?
• Have you ever had a seizure?
• When was your last seizure?
• Do you suffer from migraines?
• Do you have any allergies?
• Do you have any skin infections?
• Do you suffer from varicose veins?
• Do you have any STIs (STDs)?
• Do you have AIDS?
• Do you get nose bleeds?
• Do you suffer from seasickness?
• What vaccinations have you had?

The doctor will address your Body Mass Index (BMI) based on your height and weight, paying attention for symptoms of diabetes. A person with a high BMI may be unfit because they may not be able to perform their emergency duties.

Hiring Process after the Seafarer Medical Exam is Complete

Once you have been given your medical certificate, you need to send a copy to your recruiter and keep the original for yourself. You will need to bring the original on the ship when you join, but you should also keep another copy for yourself. If you have been denied the medical certificate, then you won’t be allowed to join a ship. You do have the right to appeal, though.

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