DEPARTMENT POLICIES
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Medical Personnel are required to follow the listed policies at all times
Medical Personnel are required to follow the listed policies at all times
Failure to comply may result in disciplinary action, with the possibility of Medical License removal.
If you have questions regarding these policies, please contact a Medical Consultant or Director of Medicine.
1.0 - THe GOLDEN RULE: Site Personnel Welfare
1.0 - THe GOLDEN RULE: Site Personnel Welfare
The main goal of the Department of Medicine is to maintain the physical and mental wellbeing of Foundation personnel. With this in mind, we focus on conducting physical and mental evaluations to ensure our personnel are in their best shape to conduct their duties within the Foundation.
When any major issues arise that are a threat to the health and wellbeing of Foundation personnel, it is our duty to react and respond appropriately to treat illness and ailments, preventing futher risk.
1.1 - THe SILVER RULE: COnsent
1.1 - THe SILVER RULE: COnsent
Consent is a key concept of the medical field regardless of what procedure is being conducted. While consent may be a formality ensuring we stay ethical, it is also a sign of respect to the patient.
Therefore, consent is required for all medical procedures, unless overridden by a Medical Lead after determination of psychological illness.
The only regular exception to consent is in the event that Nu7, DEA, ISD, or a Combat Medic suspects a disguise, in which case Electroconvulsive Therapy may be performed without consent.
1.2 - Department of medicine chain of command
1.2 - Department of medicine chain of command
Directors of Medicine - [Senior Clearance 4]
Directors of Medicine - [Senior Clearance 4]
Lead Physician - [Senior Clearance 4]
Consultant - [Junior Clearance 4]
Lead Physician - [Senior Clearance 4]
Consultant - [Junior Clearance 4]
_______________________________________________
Senior Doctor - [Clearance 3]
Senior Doctor - [Clearance 3]
Combat Medic - [Clearance 3]*
Combat Medic - [Clearance 3]*
Doctor - [Clearance 2]
Doctor - [Clearance 2]
Chemist - [Clearance 2]
Chemist - [Clearance 2]
Trainee - [Clearance 1]
Trainee - [Clearance 1]
Yes, Combat Medic is below Sr. Doctor unless it is for a COMBATIVE scenario
2.0 - General Medical Policies
2.0 - General Medical Policies
2.1 - Electroconvulsive Therapy must never be forced upon another person for medical purposes.
2.1 - Electroconvulsive Therapy must never be forced upon another person for medical purposes.
Exception: ECT may be authorized without consent given by MTF, DEA, ISD, Combat Medic, and Site Administration for the purpose of trying to undisguise suspected disguised personnel.
2.2 - Medical Trainees and Pharmacists are not considered licensed personnel, and are therefore prohibited from performing ECT under all circumstances.
2.2 - Medical Trainees and Pharmacists are not considered licensed personnel, and are therefore prohibited from performing ECT under all circumstances.
2.3 - Medical staff are not permitted to give or sell Poison to anyone unless authorized by a member of Senior Medical Leadership (Lead Physician+) or SA/SC.
2.3 - Medical staff are not permitted to give or sell Poison to anyone unless authorized by a member of Senior Medical Leadership (Lead Physician+) or SA/SC.
Research Personnel may request to have poison used for testing purposes, but a Licensed Doctor must be present to administer it.
2.4 - Medical Personnel are not permitted to use Open Comms.
2.4 - Medical Personnel are not permitted to use Open Comms.
Consultant+ may use Open Comms given DEA leadership or Site Admin+ authorization.
2.5 - Medical Personnel are not allowed to watch Headcams, unless authorized for a test or a panic button has been pressed.
2.5 - Medical Personnel are not allowed to watch Headcams, unless authorized for a test or a panic button has been pressed.
2.6 - Carrying Morphine without reason is considered ownership of unauthorized equipment.
2.6 - Carrying Morphine without reason is considered ownership of unauthorized equipment.
Valid reasons include if a patient would require morphine for a treatment or has a valid prescription.
2.7 - Human Blood Sampling can only be conducted by Licensed Medical personnel.
2.7 - Human Blood Sampling can only be conducted by Licensed Medical personnel.
I.e. Doctor, Combat Medic, Senior Doctor, Consultant, and Director of Medicine
2.8 - Electroconvulsive Therapy may not be given to replace keycards.
2.8 - Electroconvulsive Therapy may not be given to replace keycards.
All reasonable efforts must be made to contact Site Administration to issue missing keycards. If there are no available Site Administration personnel on-site, then you may conduct ECT to replace the keycard.
2.9 - Psychiatric Holds may only be mandated by Sr. Doctor+ with a valid clinical reason and may not last for more than 20 minutes.
2.9 - Psychiatric Holds may only be mandated by Sr. Doctor+ with a valid clinical reason and may not last for more than 20 minutes.
3.0 - Medical SCP POlicies
3.0 - Medical SCP POlicies
3.1 - Medical Personnel below Clearance 3 may not conduct tests on any SCP.
3.1 - Medical Personnel below Clearance 3 may not conduct tests on any SCP.
3.2 - Medical Personnel Clearance 3 and below may not sample any SCP without approval from an Anomaly Specialist Lead.
3.2 - Medical Personnel Clearance 3 and below may not sample any SCP without approval from an Anomaly Specialist Lead.
3.3 - Senior Doctors may perform Sentient SCP Welfare evaluations with Medical Leadership permission, and perform emotional counseling if necessary.
3.3 - Senior Doctors may perform Sentient SCP Welfare evaluations with Medical Leadership permission, and perform emotional counseling if necessary.
4.0 - Medical COMBATIVE Policies
4.0 - Medical COMBATIVE Policies
4.1 - Trainees, Chemists, Doctors, and Sr. Doctors are not permitted to carry firearms.
4.1 - Trainees, Chemists, Doctors, and Sr. Doctors are not permitted to carry firearms.
Medical Leadership may open carry small secondaries, AKA pistols
Medical Enlisted may have a fire arm if they have the proper permit given out by ISD.
4.2 - Non-Combative Medical personnel must actively avoid dangerous situations.
4.2 - Non-Combative Medical personnel must actively avoid dangerous situations.
4.3 - Medical Non-Combative personnel should not attempt to defibrillate personnel while still in the crossfire.
4.3 - Medical Non-Combative personnel should not attempt to defibrillate personnel while still in the crossfire.
If you find an opening, you may proceed to leash someone and seek shelter to provide aid.
4.4 - If a Foundation Personnel is ethically terminated, then Medical personnel should not attempt to defibrillate them unless ordered to by SA/SC or by the Combative that terminated them.
4.4 - If a Foundation Personnel is ethically terminated, then Medical personnel should not attempt to defibrillate them unless ordered to by SA/SC or by the Combative that terminated them.
4.5 - Medical staff should not defibrillate D-Class personnel unless ordered to by CL4+ or Combative personnel.
4.5 - Medical staff should not defibrillate D-Class personnel unless ordered to by CL4+ or Combative personnel.
5.0 - LOCATION Based POlicies
5.0 - LOCATION Based POlicies
5.1 - Clearance 3 and below medical personnel should not be removing D-Class from D-Block for any reason.
5.1 - Clearance 3 and below medical personnel should not be removing D-Class from D-Block for any reason.
GENSEC, however, may withdraw d-class from the medical line for healing by medical personnel, and Sr. Doctors can perform psych evals on D-Class given they consent/request it and have a GENSEC or Combat Medic escort while in Medbay.
5.2 - Combat Medics are the only medical personnel permitted within inner D-Block, and only when requested to assist in sweeps by Site Admin or Medical/Gensec leadership.
5.2 - Combat Medics are the only medical personnel permitted within inner D-Block, and only when requested to assist in sweeps by Site Admin or Medical/Gensec leadership.
5.3 - Medical Staff are not permitted to enter HCZ without valid reason.
5.3 - Medical Staff are not permitted to enter HCZ without valid reason.
Valid reasons include S.C.P Welfare Evaluations, assisting the Department of Research with a test, staffing the HCZ Medbay, Combat Medics responding to a breach, or Consultants sampling S.C.P's.
5.4 - Combat Medics may only enter Floor 3 in order to respond to a code or medical emergency.
5.4 - Combat Medics may only enter Floor 3 in order to respond to a code or medical emergency.
5.5 - Medical personnel are only permitted to enter Floor 3 and Floor 3 Elevator if called upon by Site Command or FISA
5.5 - Medical personnel are only permitted to enter Floor 3 and Floor 3 Elevator if called upon by Site Command or FISA
6.0 - COMBAT MEDIC ARMORY ACCESS policies
6.0 - COMBAT MEDIC ARMORY ACCESS policies
6.1 - Access to the armory will be given provisionally to different sections of the site depending on the current operational state. Medical Leadership may also authorize temporary access to personnel outside of those listed during the following operational states.
6.1 - Access to the armory will be given provisionally to different sections of the site depending on the current operational state. Medical Leadership may also authorize temporary access to personnel outside of those listed during the following operational states.
6.2 - Entry Permissions
6.2 - Entry Permissions
All Combative CL3+ personnel may freely access the armory. CL3+ personnel may also escort CL2 personnel in for provisional access.
All Combative CL3+ personnel may freely access the armory. CL3+ personnel may also escort CL2 personnel in for provisional access.
During a Code 4: Should the breach reach LCZ, all personnel will be given provisional access for the duration of the code for the purpose of retrieving Scrambles.
During a Code 4: Should the breach reach LCZ, all personnel will be given provisional access for the duration of the code for the purpose of retrieving Scrambles.
During a Facility Power Outage: All CL2+ Personnel will be given provisional access for the purpose of retrieving Night Vision Goggles ONLY.
During a Facility Power Outage: All CL2+ Personnel will be given provisional access for the purpose of retrieving Night Vision Goggles ONLY.
Personnel who access the armory outside of these designated scenarios, or access without authorization for their Regiment/Department, will be Trespassed under the Foundation Legal Codex, and Code of Conduct section 2.9.
Personnel who access the armory outside of these designated scenarios, or access without authorization for their Regiment/Department, will be Trespassed under the Foundation Legal Codex, and Code of Conduct section 2.9.
7.0 - Medical Ethics
7.0 - Medical Ethics
7.1 - Patient Duty of Care
7.1 - Patient Duty of Care
- All Medical personnel are expected to provide the highest standard of care to all patients, including D-Class, Foundation personnel, non-hostile groups of interest, and civilians per medical ethics and best practices.
7.2 - Patient-Doctor Confidentiality
7.2 - Patient-Doctor Confidentiality
- Medical personnel must maintain patient confidentiality at all times, per medical ethics and legal requirements. Patient information should only be shared with authorized individuals such as the patient's primary care doctor, Consultants, Directors of Medicine, Site Administration, Foundation Command, and CL4 staff of Internal Security in cases of audits or investigations which must be approved by the Director of Internal Security +. Patient information stored in the scipNET computer system should be accessed only by authorized personnel.
7.3 - Informed Consent for Medical Procedures
7.3 - Informed Consent for Medical Procedures
- Before any medical procedure is performed, informed consent must be obtained from the patient or their legal representative. Patients must be fully informed of the risks, benefits, and alternatives to the procedure. In cases of mental incapacitation, CL4 Staff of Internal Security or Ethics Committee Members may authorize medical procedures in the best interest of the patient. Internal Security are not to be authorizing medical procedures not brought up or recommended by a medical professional. Known and documented cognitohazards do not need Internal Security authorization and should be managed according to established protocols.
7.4a - Pscyhiatric Evaluations
7.4a - Pscyhiatric Evaluations
- Psychological evaluations may be mandated by members of Foundation Command, Site Administration, a Director of Medicine, or a Director of Internal Security. Alternatively, Regiment or Department Leaders may mandate psychiatric evaluations for specific individuals in their divisions. Medical Consultants will reserve the right to mandate treatment for any individual deemed psychologically ill.
7.4b - Psychiatric Holds
7.4b - Psychiatric Holds
- All psychiatric holds must be initiated by a Senior Doctor and above. The duration should be based on the individual's needs and risk level and may not be held for a longer period of 20 minutes. Release decisions should follow a thorough review by mental health professionals, always respecting the individual's dignity and rights.
7.5 - Specialized Treatments
7.5 - Specialized Treatments
- In the event that a normal course of treatment may not be available or said treatment is not an option to the patient, the Ethics Committee may authorize specialized or experimental treatments that are normally prohibited under the Code of Ethics. When administering these treatments, medical personnel shall listen carefully to the Ethics Member’s instructions, as to stay within the purview of humanitarian and medical ethics.
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