Department Standard Operating Procedure: Medical

These are In-Character Guidelines Standard Operating Procedures (SOPs) are general guidelines and may be used as justification for administrative action and/or IC punishments, such as being fired from your position. They are not meant to be followed to the letter, because circumstances and context may permit you to break SOP. However, the fact that SOP is malleable is not an excuse to ignore it entirely.

Chief Medical Officer

Higher alert levels overwrite SOP of lower ones.

Duty:

Coordinating the medical department and ensuring every doctor knows what they’re doing.

Assisting the captain in making decisions on medicine related matters.

CONDITION 3 - RELAXED OPERATIONS

1. The Chief Medical Officer is permitted to carry a regular Defibrillator or a Compact Defibrillator on their person at all times.
2. The Chief Medical Officer is permitted to carry a telescopic baton and a flash. In case Genetic Powers need to be forcefully removed, they are cleared to carry a Syringe Gun.
3. The Chief Medical Officer is not permitted to allow the creation of overtly hazardous chemicals in Chemistry without express consent from either the Captain or Head Of Security, except of course when created as an intermediary product.
4. The Chief Medical Officer is not permitted to allow the release of any virus without a full list of its symptoms, as well as the creation of a vaccine, to be kept in a secure location. The virus may not have any harmful symptoms whatsoever, though neutral/harmless symptoms are permitted. Contact and/or airborne viruses may only be released with consent from the Chief Medical officer and the Captain.
5. The Chief Medical Officer must make sure that any cloneable corpses are, in fact, cloned.
6. Medical Doctors must maintain the entirety of Medbay in an hygienic state. This includes, but is not limited to, cleaning organic residue, fluids and corpses.

CONDITION 2 - STANDARD OPERATION

ALL REGULATIONS CARRY OVER FROM CONDITION 3 UNLESS OTHERWISE STATED

1. In the event of a viral outbreak, the Chief Medical Officer may grant the Virologist temporary authority over the rest of the Medical personnel.
2. The chief medical officer must ensure that medbay is at all times ready to handle the following situations in large scale:

• Viral outbreaks.
• Radiation sickness.
• Bleeding & Brute damage.
• Burns and Husked personnel.
• Mass Casualty Events
• Mass Poisoning

CONDITION 1 - GENERAL QUARTERS

ALL REGULATIONS CARRY OVER FROM CONDITION 3 AND 2 UNLESS OTHERWISE STATED

1. The Chief Medical Officer must ensure that all critical personnel and departments are receiving adequate medical attention if needed.
2. If loss of life is widespread, the Chief Medical Officer may want to transition most medical staff into more fluid, paramedic-like assignments, providing broad first aid to the ship as a whole.
3. If such is the case, the Chief Medical Officer has to ensure that critical machinery(the cloner, chemistry, sleepers) is manned and ready for use at all times.

CONDITION ZEBRA - AIRTIGHT DOORS ENGAGED

ALL REGULATIONS CARRY OVER FROM CONDITION 3,2 AND 1 UNLESS OTHERWISE STATED

1. The Chief Medical Officer is to don a space-capable hardsuit, preferably their own, and needs to maintain a constant supply of oxygen.
2. The Chief Medical Officer must ensure that their doctors are not suffocating, and must see to their recovery at once if such is the case.
3. The Chief Medical Officer must ensure that a sufficient amount of brute/oxygen healing chems are available for distribution

Medical Doctor

Higher alert levels overwrite SOP of lower ones.

Duty:

To provide medical aid to all who require it.

CONDITION 3 - RELAXED OPERATIONS

1. Though not mandatory, it is highly recommended that Doctors wear Sterile Masks and Latex/Nitrile gloves when handling patients.
2. Medical Doctors must ensure there is at least one (1) Defibrillator available for use, at all times, next to or near the Sleepers/Stasis beds.
3. Medical Doctors must maintain the entirety of Medbay in a hygienic state. This includes, but is not limited to, cleaning organic residue, fluids and corpses.
4. Medical Doctors must place all corpses inside body bags, and the Morgue Trays must be correctly tagged.
5. Medical Doctors must, together with Geneticists and Chemists, make sure that Cloning is stocked with Synthflesh.
6. Medical Doctors must make sure that the Morgue does not contain cloneable corpses.
7. Medical Doctors must certify that all cloned personnel are treated for cellular damage, brain damage, and possible mutations after being cloned. An exception is made if the Cloning Pod was fully upgraded by Science
8. Medical Doctors are not permitted to leave Medbay to perform recreational activities if there are unattended patients requiring treatment, If an asystolic patient must be left unattended for any period of time for any reason, they are to be buckled to a Stasis Bed if needed until such time as they can be treated.
9. Medical Doctors must stabilize patients before delivering them to Surgery, except in the case of a corpse being repaired for resuscitation.

CONDITION 2 - STANDARD OPERATION

ALL REGULATIONS CARRY OVER FROM CONDITION 3 UNLESS OTHERWISE STATED

1. Medical doctors may not leave the medbay unattended
2. Medical doctors must, in the absence of paramedics, keep watch on the crew monitor and make sure any wounded personnel receive medical care.

CONDITION 1 - GENERAL QUARTERS

ALL REGULATIONS CARRY OVER FROM CONDITION 3 AND 2 UNLESS OTHERWISE STATED

1. Medical doctors must enforce strict triage discipline, and ensure that critical personnel are revived as fast as possible.

CONDITION ZEBRA - AIRTIGHT DOORS ENGAGED

ALL REGULATIONS CARRY OVER FROM CONDITION 3,2 AND 1 UNLESS OTHERWISE STATED

1. Medical doctors must wear a vacuum-safe suit and carry a sufficient amount of oxygen at all times.
2. Medical doctors must carry oxygen deprivation medicine/kits at all times.

Paramedic

Higher alert levels overwrite SOP of lower ones.

Duty:

To rescue wounded personnel from dangerous areas, to render first aid as a first responder.

CONDITION 3 - RELAXED OPERATIONS

1. Paramedics are not permitted to perform Field Surgery unless there are no available Medical Doctors or the Operating Rooms are unusable.
2. Paramedics are permitted to perform Surgical Procedures inside an Operating Room. However, Doctors should take precedence.
3. Paramedics are fully permitted to carry a Defibrillator on their person at all times, provided they leave at least one (1) Defibrillator for use in Medbay.
4. Paramedics must stabilize all patients before bringing them to the Medical Bay. If the patient presents with large blood loss, they are to be rushed to medical post haste.
5. In such a case as a patient is found dead, and cannot be brought back via Defibrillation, the Paramedics must ensure that said patient is brought to Cloning, and Medbay is notified.

CONDITION 2 - STANDARD OPERATION

ALL REGULATIONS CARRY OVER FROM CONDITION 3 UNLESS OTHERWISE STATED

1. Paramedics must carry, at all times, enough materials to provide for adequate first aid of all Major Injury Types (Brute, Burn, Toxic, Respiratory).

CONDITION 1 - GENERAL QUARTERS

ALL REGULATIONS CARRY OVER FROM CONDITION 3 AND 2 UNLESS OTHERWISE STATED

1. Paramedics should prioritize retrieval above all else, and may be allowed to let a patient die if such would accelerate retrieval.
2. The use of performance enhancing drugs is permitted if need be to ensure swift retrieval.

CONDITION ZEBRA - AIRTIGHT DOORS ENGAGED

ALL REGULATIONS CARRY OVER FROM CONDITION 3,2 AND 1 UNLESS OTHERWISE STATED

1. Paramedics must wear a vacuum-safe suit and carry a sufficient amount of oxygen at all times.
2. Paramedics must ensure that they are carrying enough medication to handle large scale brute/burn/oxyloss.

Chemist

Higher alert levels overwrite SOP of lower ones.

Duty:

To provide medication and chems to the doctors and patients, and to ensure cryogenics is stocked with suitable chems.

CONDITION 3 - RELAXED OPERATIONS

1. Chemists are not allowed to do the following without written orders by the CMO or captain:
   1. Chemists are not permitted to experiment with explosive mixtures.
   2. Chemists are not permitted to experiment with poisonous mixtures and/or narcotics.
   3. Chemists are not permitted to experiment with Life or other Omnizine-derived mixtures apart from Omnizine or Strange Reagent.
2. Chemists are not permitted to produce alcoholic beverages.
3. Chemists must, together with Geneticists and Medical Doctors, ensure that Cloning is stocked with Synthflesh.

CONDITION 2 - STANDARD OPERATION

ALL REGULATIONS CARRY OVER FROM CONDITION 3 UNLESS OTHERWISE STATED

1. Chemists must ensure that the Medical Fridge is stocked with at least enough medication to handle Brute, Burn, Respiratory, Toxic and Brain damage. Failure to follow this Guideline within thirty (30) minutes is to be considered a breach of Standard Operating Procedure.

CONDITION 1 - GENERAL QUARTERS

ALL REGULATIONS CARRY OVER FROM CONDITION 3 AND 2 UNLESS OTHERWISE STATED

1. Chemists are not allowed to leave Chemistry unattended if the Medical Fridge is devoid of Medication, except in such a case as Chemistry is unusable.

CONDITION ZEBRA - AIRTIGHT DOORS ENGAGED

ALL REGULATIONS CARRY OVER FROM CONDITION 3,2 AND 1 UNLESS OTHERWISE STATED

1. Chemists must wear a vacuum-safe suit and carry a sufficient amount of oxygen at all times.
2. Chemists must ensure that the Chemistry Fridge is stocked with enough medication to handle large scale brute/oxyloss.

Virologist

Higher alert levels overwrite SOP of lower ones.

Duty:

The curing of non-beneficial pathogens and outbreaks, and the research of beneficial viral pathogens.

CONDITION 3 - RELAXED OPERATIONS

1. Virologists must always wear adequate protection (such as a Biosuit and Internals for Airborne Viruses) when handling infected personnel and Test Animals. Exception is made for IPC Virologists, for obvious reasons.
2. Virologists must only test viral samples on the provided Test Animals. Said Test Animals are to be maintained inside their pen, and disposed of via Virology's Disposals Chutes if dead, to prevent possible contamination. In addition, the Virologist may not, under any circumstances whatsoever, leave Virology while infected by a Viral Pathogen that spreads by Contact or Airborne means, unless permitted by the Chief Medical Officer.
3. Virologists may not, under any circumstance whatsoever, release an active virus without prior consent from the Chief Medical Officer. Contact and/or Airborne viruses may only be released with consent from the Chief Medical officer and Captain. In the event a Contact and/or Airborne virus is released, the crew must be informed, and Vaccines should be ready for any personnel that choose to opt out of being infected.
4. Virologists must ensure that all Viral Samples are kept on their person at all times, or at the very least in a secure location (such as the Virology Fridge).
5. All visitors to Virology must be warned if there is an active Airborne/Contact Viral Pathogen being tested. This includes Medical Personnel.
6. Virologists must work together with Medical Staff, especially Chemistry, if there is a cure that requires manufacturing.
7. In the event of a lethal Viral Outbreak, the Virologist must work together with the Chief Medical Officer and/or Chemists and/or Bartender to produce a cure.

CONDITION 2 - STANDARD OPERATION

ALL REGULATIONS CARRY OVER FROM CONDITION 3 UNLESS OTHERWISE STATED

1. All Guidelines carry over from condition 3

CONDITION 1 - GENERAL QUARTERS

ALL REGULATIONS CARRY OVER FROM CONDITION 3 AND 2 UNLESS OTHERWISE STATED

1. All Guidelines carry over from condition 3
2. Virologists must help out with general first aid unless a viral outbreak is present.

CONDITION ZEBRA - AIRTIGHT DOORS ENGAGED

ALL REGULATIONS CARRY OVER FROM CONDITION 3,2 AND 1 UNLESS OTHERWISE STATED

1. Virologists must wear a vacuum-safe suit and carry a sufficient amount of oxygen at all times.
2. Virologists must help out with damage control as outlined in the Condition Zebra SOP - Noncritical Personnel

Geneticist

Higher alert levels overwrite SOP of lower ones.

Duty:

The research of genetic mutations in order to enable better performance of the crew in their tasks.

CONDITION 3 - RELAXED OPERATIONS

1. Geneticists are not permitted to ignore Cloning, and must provide mutadone when required, as well as humanized animals if required for Surgery. In addition, the Geneticist must, together with Chemists and Medical Doctors, make sure that Cloning is stocked with Synthflesh.
2. Geneticists are permitted to test Genetic Powers on themselves. However, they are not to utilize these powers on any crew members, nor abuse them to obtain items/personnel outside their access.
3. Geneticists are permitted to grant Genetic Powers to Command Staff at their discretion, provided prior permission is requested and granted. All staff must be warned of the full effects of the Injector. The Geneticist is not, however, obligated to grant powers, unless the Research Director/Chief Medical Officer issues a direct order.
4. Geneticists are not permitted to grant Powers to non-Command Staff without express verbal consent from the Research Director/Chief Medical Officer. Both the Chief Medical Officer and the Research Director maintain full authority to forcefully remove these Powers if they are abused.
5. Geneticists must place all discarded humanized animals in the Morgue. It is recommended that said discarded humanized animals be directed to the Crematorium;
6. Geneticists are not permitted to provide body doubles, unless the Research Director approves it. In addition, Security is to be notified of all doubles.
7. Geneticists are not permitted to alter personnel’s UI Status, unless it has been previously tampered with by hostile elements, or permission is given.
8. Geneticists are not permitted to use sentient humanoids as test subjects unless the sentient humanoid has granted their permission, on paper, signed, and witnessed by a third party.

CONDITION 2 - STANDARD OPERATION

ALL REGULATIONS CARRY OVER FROM CONDITION 3 UNLESS OTHERWISE STATED

1. Geneticists must prioritize cloning above experimentation, and when able, should help out in medbay to their best abilities.

CONDITION 1 - GENERAL QUARTERS

ALL REGULATIONS CARRY OVER FROM CONDITION 3 AND 2 UNLESS OTHERWISE STATED

1. All Guidelines carry over from condition 3. In regards to Guideline 4, the Geneticist is now permitted to grant Powers to Security personnel, under the same conditions as detailed in Guideline 3.

CONDITION ZEBRA - AIRTIGHT DOORS ENGAGED

ALL REGULATIONS CARRY OVER FROM CONDITION 3,2 AND 1 UNLESS OTHERWISE STATED

1. Geneticists must wear a vacuum-safe suit and carry a sufficient amount of oxygen at all times.
2. Geneticists must help out with damage control as outlined in the Condition Zebra SOP - Noncritical Personnel

Surgical Procedures

1. Medical personnel must wear a sterile mask and latex gloves, and a surgery apron when available.
2. Medical personnel must keep the operating room in a hygienic condition at all times to prevent infection.
3. Medical personnel must wash their hands before and after operating on each patient, and dispose of and change or sterilize gloves.
4. Medical personnel are to use either anesthetics or sedatives (for species that cannot breathe anesthetics) during surgical procedures. Exception is made if the patient requests otherwise.
5. Medical personnel are not to remove any legal implants (such as loyalty or tracking implants) from the patient, unless requested by Security.
6. Medical personnel may not bring surgical tools outside of the operating room, If surgery tools are needed elsewhere, they are required to obtain approval from the CMO or make new tools from the medbay autolathe.
7. Medical personnel must inform Security of any appearance-altering surgeries.

Viral Outbreak Procedures

1. The implementation of Viral Outbreak Procedures requires authorization from the Chief Medical Officer or the Captain.
2. All Medical personnel are to contribute in fighting the outbreak if there are no other critical patients requiring assistance. Eliminating the viral threat becomes the number one priority.
3. Crewmembers are to be informed of known symptoms, and directed to Medbay immediately if they are suffering from them.
4. All infected crewmembers are to be confined to either an isolated room or Virology.
5. A blood sample is to be taken from an infected crewmember, for study and development of a cure.
6. If any infected crewmember attempts to leave containment, Medbay quarantine is to be initiated immediately, and only lifted when more patients need to be admitted, or the viral outbreak is over.
7. Once antibodies are produced, they are to be replicated, then handed out to all infected crewmembers.
8. In case the viral pathogen leads to fluid leakage, cleaning these fluids is to be considered top priority.
9. The Chief Medical Officer has the authority to place sections of the ship under quarantine during the outbreak, to be enforced by Security.
10. Sterile masks/Internals and gloves are mandatory for medical personnel and recommended for crew.
11. Quarantine must be maintained until the outbreak is contained and resolved.
12. Once the viral outbreak is over, all crewmembers are to return to regular duties and all quarantines are lifted.

Corpse Disposal Procedures

1. For the sake of hygiene, Medical personnel should wear a sterile mask and latex gloves while handling corpses.
2. All corpses must be placed in body bags.
3. Cause of death should be reasonably certain, and security should be informed of any notable corpses.
4. Medical personnel must ensure that Security-based DNR notices (such as executed personnel, for instance) are respected.
5. Medical personnel must ensure that every ID,PDA or Headset from unclonable and DNR designated bodies is delivered to either the relevant Head of Staff, or the Executive Officer.
6. Medical personnel must attempt to clone all revivable corpses at least once before disposing of the corpse, unless in violation of Guideline 4.
7. If the body is unclonable, the brain is to be removed from the body and attempted to be scanned and cloned.
8. Medical personnel may not take any items from cloneable corpses. However, if any contraband is discovered, Security must be notified.
9. If applicable, a body is to be harvested of all available and usable organs aside from the brain.
10. Medical personnel must notify the Chaplain of any unclonable corpses and provide said corpses as requested for funerals.
11. Medical personnel must dispose of corpses by placing them in the Morgue, cremating them, otherwise storing or spacing them. Placing them in the Morgue is the primary method. Do not use one of the other options unless the Morgue is full, unsafe, or nonexistent.
12. Do not throw corpses into the disposal shoots without notifying both Supply staff and Security staff.