June 6, 2020 by Austin McDaniel What do I do if one of my crewmembers starts showing symptoms? Immediately re-screen the crewmember using the procedures in Appendix 01 Section IV, and follow the procedures for Identification and Isolation in Section VII. If you are in port, contact the local medical facility for guidance. If you are at sea, first engage your telemedicine contacts, if you have them. If they are not available or if they direct you to bring the sick crewmember to shore, contact the nearest local public health nursing center in Section VII.c. You are also still required by Federal laws to notify the U.S. Coast Guard in accordance with the Maritime Safety Information Bulletin (MSIB) 06-20.