Syftet med undersökningen var att undersöka olika rutiner vid hantering av skeppsapotek ur säkerhetssynpunkt och hur sjukvårdarsansvariga upplever rutiner kring hantering av skeppsapotek. Undersökningen bygger på intervjuer och enkätundersökningar från sjukvårdsansvarigbefäl. 19 enkäter delades ut till en klass med sjukvårdare i Kalmars sjöfartshögskola via en kontaktperson, av dessa intervjuades fyra personer. Enkäter av samma slag skickades även ut via internet. Undersökningens resultat visar på att det saknas tydliga riktlinjer för hur rutiner vid hantering av skeppsapotek ska skötas. Dock ur säkerhetssynpunkt upplevde sjukvårdarna inte detta som något problematiskt. Dessutom kunde man identifiera tre olika rutiner som användes ute till sjöss, nämligen rutiner med hjälp av Excell dokument, journalföring med papper och penna och rutiner med hjälp av underhållsprogrammet AMOS. När det gäller samarbete mellan fartyg och läkemedelsleverantörer upplever respondenterna att det genomgående fungerar bra. Dock att det förekomma problem, t.ex. fel beställningar eller att läkemedelsleverantörer skickar läkemedel med kort utgångsdatum. / The purpose of this study was to investigate different routine for handling ship´s pharmacy from a safety point of view and how the paramedics experience the routine procedures regarding the handling of ship's pharmacy. The survey was based on interviews and surveys from medical responsible officers. 19 questionnaires were distributed to a class of paramedics in Kalmar Maritime Academy via a contact person, of those 19 four people were interviewed. Surveys of the same nature were also sent out via the internet. The survey results show that there are no clear guidelines on how procedures for handling ship’s pharmacy must be maintained. However, from safety point of view paramedics did not see this as somewhat problematic. In addition, the study could identify three different routine procedures that were used at sea, namely routines using Excell documents, keeping a journal and routines with the help of the maintenance program AMOS. In terms of cooperation between the ship and drug suppliers are experiencing respondents that consistently works well. However, there exist problems such as wrong orders or drug suppliers send drugs with short expiry dates.

The Port of Gävle is one of the most important harbours in Sweden as far as size and freight capacity is concerned. Marine traffic is increasing greatly, thus environmental pollution as well as noise and vibrations are of major concern in port cities. Shore to ship power supply systems might be a feasible solution to curtail emissions because the Auxiliary Engines are instead shut down while the ship stays alongside the quay. The literature review shows they are reliable and very appealing in all respects, thereby contributing to sustainable development. Taking into account the kind of vessels that call at the Port of Gävle, a High Voltage Shore Connection is recommendable, in compliance with the International Standards. An own technical survey is developed to gather all the information, as well as personal interviews to collect first-hand data. Technical issues such as the synchronisation procedure and the ground system with regard to safety are briefly discussed. Due to the lack of data, calculations consist of average values: peak and average demand, and fuel consumption during a typical call. Considering updated energy prices for both electricity and fuel, results show that an on‑shore power supply system make energy costs decrease by 71% at berth in comparison with burning marine fuel, which is saved by around 4 tonnes per call. Additionally, up to 5126 tonnes of CO2 are avoided per year, among other pollutants. Shore‑side power has proven to be profitable and appealing to the Port of Gävle; however, vessels need to be retrofitted, which implies relatively high investments. Collaboration agreements and shipping companies’ willingness to undergo changes are key issues that still need to be solved.