Medical SOP

General Procedures

Contraband Chemicals List:

The following lists are considered comprehensive in terms of their contents.

Minor Contraband

• These chemicals fall under minor contraband unless otherwise stated by standard operating procedures.
• Some minor illegal chemicals may be utilized with a department exception, or with a prescription written by medical professional.
• Illegal component chemicals are to be kept in the ChemMaster 4000 or disposed of after their immediate use.

Major Contraband

• These chemicals fall under major contraband unless otherwise stated by standard operating procedures.
• Some major illegal chemicals may be utilized with a permit written by HoS or Warden. Some will also require a script written by CMO.
• When able, illegal component chemicals are to be kept in the ChemMaster 4000 or disposed of.

Syndicate Contraband

These chemicals will always be considered illegal, and should never be used outside of an emergency.

Medical Bay

1. For medical crew safety, the medical bay must not be placed on all access unless Red Alert is called.
2. The medical bay must be kept neat and tidy for patient health.
3. Chemicals should be kept in a stored locker or location, and closed when not in use.
4. Defibrillators should be kept in their cabinets when not in use, and should be charged whenever possible.
5. It is recommended that spare batteries be kept next to defibrillator cabinets.

Patient Care

1. Patients must be triaged according to the severity of their injuries.
2. Command members must take treatment priority.
3. Doctors may not leave the Medbay for personal reasons if there are untreated patients. This does not include the necessity of eating and drinking.
4. Patients who repeatedly harm themselves, or threaten medical staff, are not required to be treated by medical staff.
5. In the rare event that a patient's soul has moved on while their body remains, the body should be made comfortable and treated humanely. Such bodies may be used for organ donation, or for a brain transplant.

Deceased Patient Care

1. Patients should be triaged by level of rot.
2. Patients who are in advanced stages of rot should be placed into stasis beds or body bags.
3. Patients who are not being treated should be stored in the morgue until sufficient resources can be diverted to revive them.
4. Patients who become unrevivable or are deemed unrevivable require a morgue report filled out with:
5. Patient name
6. Patient job
7. Approximate time of death/DNR approval
8. Reason for DNR status
9. CMO stamp for approval
10. Should a corpse become unclonable, it must be annotated on the appropriate DNR sheet, and then stamped by the CMO.
11. Unclonable corpses, including those whose soul has moved on, may be operated on or placed into the biomass reclaimer.

Virology and Outbreak Procedure

1. On discovery of a contagious illness, notify Medical and the Chief Medical Officer at once. Isolate symptomatic crew before extended contact.
2. Don appropriate protective equipment before handling patients or contaminated areas. Masks and gloves are the minimum for routine contact; a sealed virology biosuit and hood are required for suspected airborne disease or unknown high-risk work.
3. Examine patients with a health analyzer for general condition and known allergies. Collect a fresh disease swab for rapid screening, and draw blood for an electrolyzed panel when confirmation of stage, antibodies, or organ involvement is required.
4. Treat early testing with caution. Incubating infections may evade detection, while surface contamination can produce a positive swab without proving systemic infection.
5. Quarantine may be ordered by the CMO. Release requires resolved symptoms and, when available, a negative follow-up test or documented immunity or vaccine status.
6. Treat active illness with the indicated antiviral, antibiotic, or specialized antiviral. Confirmed samples may be used to prepare strain-specific vaccines for uninfected or incubating crew. Vaccines do not cure established symptomatic infection.
7. Decontaminate between patients. Wear sterile gloves and masks for surgery or sampling, wash and sterilize dirty tools, and use powered scrubbers and sterilization chambers when leaving contaminated spaces.
8. Medical may request Code Violet when an outbreak threatens station-wide spread or overwhelms medical capacity. See Violet Alert Protocol below.
9. Naturally occurring outbreaks are medical incidents. Suspected deliberate release through food, atmosphere, or engineered strains requires Security involvement and preservation of samples and evidence. See Bioterrorist.
10. Live pathogen experimentation and intentional environmental release are prohibited outside authorized sealed containment. Full mechanics: Virology SOP.

Violet Alert Protocol

1. All medical personnel are to be secured in the Medbay immediately.
2. The CMO's safety will take priority over curing an infection.
3. Chemistry and Virology will focus all efforts on researching the cure to the infection.
4. Medical entrances should be locked down to prevent further infection of medical personnel.
5. Any potentially infected personnel should be isolated and quarantined.
6. Any pacified infected personnel should be brought to chemistry or virology to aid in cure production.
7. A cure should be distributed to the crew once available, in a controlled manner.

Staff Procedures

Chief Medical Officer

1. Standard Command SOP applies.
2. The CMO is responsible for training or assigning a trainer to any and all Medical Interns.
3. The Syringe Gun is for emergencies only, and should not be used below red alert.
4. The syringes for the syringe gun may be prepared ahead of time.
5. The CMO may not allow any Major Contraband Chemicals to leave the Medbay or Chem without a chemical approvals form stamped by the HoS, Captain, or Acting Captain.
6. This form will not be required in the case of imminent station danger.
7. This form will specify the quantity of chemical, frequency of creation, date, time, and signature of the captain or acting captain.
8. The CMO should wear clothing clearly identifying them as the CMO. (Mantle, cape, hat, etc.)
9. The CMO may request any additional documentation they deem necessary to protect patient health.

Virologist

1. Virologists report directly to the Chief Medical Officer.
2. Virologists sit immediately below Surgeons in medical seniority for coordination purposes, but do not supervise Surgeons and Surgeons do not require Virologist playtime.
3. Primary duties include sample collection (swabs and blood), diagnosis, culture/vaccine preparation, pathogen containment, and outbreak reporting.
4. Virologists must maintain chain-of-custody for samples and vaccines. Label samples with patient identity, time, and sample type whenever practical.
5. Use PPE appropriate to the pathogen risk. Full bio suit and hood for airborne or unknown high-risk work. Surgical masks and sterile nitrile gloves are mandatory for routine patient sampling and any observation of surgery with open wounds.
6. Sterilize or discard contaminated tools, gloves, and PPE between patients. Dirty surgical tools and nitrile gloves must be washed and sterilized before reuse. Use the paired sterilization chamber when leaving contaminated spaces: close the entrance, wait for fog to fade, then exit through the opposite door.
7. Virologists prepare their own antiviral, antibiotic (ceftriaxone), specialized antiviral (ribavirin), antipyretic, sterilant, and allergy medications using the chemistry equipment in the Virology laboratory.
8. Do not deliberately release live pathogens outside authorized sealed testing environments. Suspected bioterror activity must be reported to the CMO and Security.

Chemist

1. Chemists report directly to the Chief Medical Officer

#Chemists should prioritize all basic medicines before moving on to advanced medicines. #All medicines should be labeled as follows: ##Chemical name ##Chemical effect/major side effects ##Overdose limits ##Any interfering chemicals (e.g. Lacerinol and Bicaridine react to form Razorium) #Chemists should ensure that any illegal chemicals are kept in the ChemMaster 4000 or disposed of immediately after use. #Chemists may fill prescriptions signed and stamped by the CMO. #Non-illegal chemicals may be synthesized and prescribed by chemists at their discretion. #Chemists may perform the duties of Medical Doctors during emergencies, but must follow the Medical Doctor SOP ##One chemist must always stay in the chemical lab.

Medical Doctor

1. Medical Doctors report directly to the Chief Medical Officer.
2. Medical Doctors should wear sterile gloves when dealing with patients, and either scrubs or a doctor's coat to differentiate them from other crew members.
3. Medical Doctors are permitted to observe surgeons and chemists in their official duties, as long as no patients require treatment.

Paramedic

1. Paramedic report directly to the Chief Medical Officer.
2. Paramedics should stabilize crew members who are in critical condition before moving them to the Medbay.
3. Crew members who are deceased are to be placed into a body bag before transport to the Medbay.
4. Paramedics are permitted to carry one defibrillator on their person, as long as at least one remains in the Medbay.
5. Should a crewmember not be able to be stabilized in the field (excess damage, no means to heal) or defibrillated, they should inform the Medbay using radio communications prior to arrival.
6. Paramedics should carry sufficient supplies for each major damage type (burn, brute, poison, air loss, blood loss, and radiation).

Psychologist

1. The Psychologist report directly to the Chief Medical Officer.
2. The Psychologist is authorized to perform a full psychometric workup on any crew member who is willing.
3. Examinations of unwilling crewmembers may only occur with written approval by the CMO, and one the following: HoS, Magistrate, Captain.
4. This also applies to any medication prescribed by the Psychologist.
5. Examinations may result in the following actions, with a sign off from the Captain or crew member's head of department:
6. Demotion from their current position, if the patient's mental state leaves them unable to fulfill their duties.
7. Prescriptions of Pax or other similar drugs for those who are found to be extremely violent.
8. Increased observation of prisoners or crew who are deemed a danger.
9. Lightening of sentences for prisoners who have shown good behavior, and a change of moral character.
10. The Psychologist may request to consult with a prisoner at any time to evaluate their mental state.

Surgeon

1. Surgeons report directly to the Chief Medical Officer.

#Patients must fill out and sign a surgery consent form for any elective surgeries. This form must be stamped by the CMO. #Surgeons should wear masks, sterile gloves, and scrubs when possible, while operating. #The surgery room must be kept clean and tidy for patient hygiene. #Surgeons are permitted to harvest organs and limbs from deceased patients who have been considered unrecoverable. #Live patients must be given a sedative during the duration of their surgery, unless they request otherwise. Any requests must be documented on their surgery consent form.

Medical Intern

1. Medical Interns report directly to the Chief Medical Officer, but are expected to follow the orders of their designated trainer.

#Medical Interns are not permitted to utilize chemicals on their own without supervision. #Medical Interns are to stay with their assigned trainer at all times. #In emergencies, Medical Interns may treat patients as a Medical Doctor. #Medical Interns may not perform elective surgeries at any time.

Standard Operating Procedure — Command · Engineering · Medical · Science · Security · Service · Cargo · General · Legal

Adapted from the Starlight wiki under CC BY-SA 4.0.