case shall such certificate be given until after sufficient time and examination to detect any attempt at deception.-[Regs. 1863, ¶ 1296.] 2305. Whenever a patient is transferred from the care of one Medical officer to another, the account of his case, taken from the records, shall accompany him.[Regs. 1863, ¶ 1288.] 2306. Sick and wounded soldiers discharged while in hospital by the expiration of term of service will be entitled to medical treatment in hospital, and to the usual ration during their disability or for the period considered proper for them to remain under treatment. But a discharged soldier who has left the hospital shall not be readmitted except upon the written order of the commanding officer or the Medical Director.-[Regs. Med. Dept.] 2307. Hospital clothing proper belongs to the United States, and shall be worn by 2308. When a soldier is discharged from treatment for a contagious disease, his .. 230. Tents, clothing, hospital furniture, and any other stores that have been 3/83 2310. Medical officers in charge of hospital bedding and other property at mili-0.88 tary posts or stations will not, under any circumtances, permit such property to be used for other than hospital purposes and within the hospital to which it has been supplied. Inspectors will report every instance in which this regulation is violated.—[Ĝ. 0.99, 1877.J 2311. Civilians not in the public service shall only be admitted for treatment to hospitals in cases of direst necessity, and then only on the written statement of the senior Medical officer present that it is absolutely necessary to preserve life. A ration will not be issued by the Subsistence Department to the patient in such case; but a reasonable charge not exceeding one dollar per day should be made for care, treatment, and board, food being purchased from the hospital fund. Three-fourths of all moneys thus received, whether for food, medicines, or medical attendance, will be added to, and accounted for with, the hospital fund. The remaining one-fourth shall be distributed among the hospital attendants.-[Sec. War, June 16, 1879.] HOSPITAL FUND. 2312. The saving arising from an economical use of the rations of the sick and attendants in a hospital shall constitute the hospital fund. The amount shall be paid to the senior Medical officer at the post or station, and shall be accounted for and expended by him exclusively for the benefit of the men in the hospital, in the purchase of such articles of diet, comfort, or convenience as may be required, according to instructions received from the Surgeon General.-[G. O. 122, 1874.] 2313. Medical and official publications, furnished from the Surgeon General's Office to Surgeons in charge of post and other hospitals, belong to the hospital library, and are to be properly filed and preserved therein.-[Circ. Orders No. 9, Surg. Gen.'s Office, 1867.] 2314. The regulations for the service of hospitals apply, as far as practicable, to the Medical service in the field.-[Regs. 1863, ¶ 1289.] DUTIES OF MEDICAL OFFICERS. 2315. An important part of the duty of a Medical officer of the Army is the supervision of the hygiene of the post or command to which he is attached, and the recommendation of such measures as he may deem necessary to prevent or diminish disease among the troops. For this purpose he shall at least once a month examine and note in the medical history of the post the sanitary condition of the quarters, including all buildings belonging to the post, the character and cooking of the rations, the amount and quality of the water supply, the drainage, and the clothing and habits of the men, and make a report thereon in writing to the commanding officer, with such recommendations as he may deem proper. If the recommendations be approved and carried out, the Medical officer shall note the fact in the medical history of the post. If the action recommended be deemed impracticable or undesirable, the commanding officer 9.0.79/13 9.0.79 85 shall indorse his objections on the report and forward it to the Department Commander. A copy of such indorsement shall be furnished to the Medical officer, who shall record it in the medical history of the post.-[G. O. 125, 1874.] 2316. The annual sanitary reports (Form No. 38) required from Medical officers shall be forwarded through their commanding officers, who shall forward them through the regular channels, with such remarks as shall be deemed necessary.-[G. O. 125, 1874.] 2317. The same course will be taken with the special sanitary reports required on the following subjects, to be made as full and be as carefully prepared as possible, as the results are desired for publication: 1. On the food of the Army, its quantity, quality, and mode of preparation. What is the character of the articles forming the regular ration as furnished to the post? What is the average amount of saving for post fund? What articles of food, and in what amount, are purchased by the post fund, obtained from post garden, or by hunting or fishing? Ice, how obtained and in what quantities furnished? How is the cooking done for the men? Give bill of fare for a week at different seasons. Is the food of the men inspected daily? How often is it inspected by the Medical officer? Have any complaints been made by the men about the food, and have any cases of disease occurred which may be attributed to the food or its mode of preparation? If so, specify. Character of kitchen and bakery fixtures. Has any special apparatus, such as the Warren cooker or the felt box, been tried? If so, give results. Character and amount of extra articles furnished by the Commissary Department for officers' use. Diet of the sick, and hospital fund. Remarks, suggestions, and recommendations. 2. Duties of Medical officers in scouting parties and expeditions. Nature and amount of Medical supplies required; how carried. Means of transportation for wounded. Remarks. 3. On military punishments and their effect on the health and morale of the soldier. Give instances, recommendations, &c. 4. Personal cleanliness of the men. What are the post regulations, if any, with regard to bathing? What facilities are afforded? How often are the men's blankets washed? The above report must be forwarded promptly through the proper channel to the Medical Director on or before January 1st. Medical Directors will forward them through the Department Commanders, with their own observations and comments on the points above referred to.-[G. O. 125, 1874.] 2318. The medical history of the post shall be kept with the hospital records, and shall not be removed therefrom. It shall be open to the examination of the commanding officer, and the attention of inspecting officers is especially directed to this book, and they will report the manner in which it is kept.-[G. O. 125, 1874.] 2319. On the appearance of the first recognized case of cholera, yellow fever, or of any other epidemic disease, at any military post or station, whether among the officers and men or among citizens in the vicinity, the Medical officer in charge will at once announce the fact to the Medical Director, and forward a duplicate copy of the report direct to the Surgeon General. Besides the usual reports of sick and wounded, every Medical officer in charge of cholera or yellow fever patients will forward to the Surgeon General, at the close of each month, a list of patients suffering therefrom (Form No. 39). 2320. This report will embrace all cases of officers and enlisted men so far as known, and will be made in duplicate, one copy to be forwarded to the Medical Director and one direct to the Surgeon General. 2321. At the close of the epidemic, or of his term of service, the Medical officer in charge will also forward, with as little delay as practicable, a "history of the epidemic," setting forth, so far as known to him, the facts connected with its origin or importation, its progress and decline, together with an account of the methods of treatment or prevention employed, and their results, and of the results of autopsies.— [Circ. No. 2, Surg. Gen., 1868.] 2322. At such posts as may be designated by the Surgeon General, a meteorological register shall be kept by the senior Medical officer.-[ Regs. 1863, ¶ 1290.] 2323. Every Medical officer conducting meteorological observations under the preceding paragraph shall make monthly, to the Surgeon General, a report (Form No. 40), which shall be a true copy of the register.-[Regs. 1863, ¶¶ 1290, 1300.] 2324. Instruments for the observations, books for recording them, and blanks for the monthly reports, will be issued from the Surgeon General's Office.—[Circ. No. 1, Surg. Gen., 1871.] 2325. No part of the observations indicated on the blank form will be dispensed with, nor additional ones recorded, except in accordance with special instructions from the Surgeon General.--[ Regs. Med. Dept.] 2326. All pathological specimens of interest, accompanied, if possible, by com plete histories of the cases, shall be forwarded to the Army Medical Museum.-[ Regs. Med. Dept.] 2327. Üpon the march, or in battle, Medical officers shall habitually be attended by a mounted orderly carrying a medicine case and such instruments as may be considered necessary.-[ Regs. 1863, ¶ 1337.] 2328. All empty boxes, cans, and bottles, in which Medical supplies were received at permanent posts, not required for further use at a hospital, shall be disposed of as prescribed by Regulations concerning public property.-[Regs. Med. Dept.] 2329. Empty boxes, cans, and bottles, in the field, may be expended when not required for further use.-[ Regs. Med. Dept.] 2330. All blank forms that are required by Medical officers, with directions for filling them out, will be furnished upon application made direct to the Surgeon General. Ordinarily, requests will be made for one year's supply. With armies in the field, they shall be obtained from the Medical Director.-[Regs. Med. Dept.] REPORTS. 2331. When a post is abandoned, or a detachment is broken up, the Medical officer shall report it, without delay, to the Medical Director and the Surgeon General, and shall make the required reports of sick and wounded without waiting for the termination of the periods specified in other cases. 2332. In every case, the death of a Medical officer, Contract Physician, or Hospital Steward shall be specially reported by the attending Surgeon, or the nearest Medical officer, to the Medical Director and the Surgeon General.-[Regs. Med. Dept.] 2333. Within two days after every action, the senior Medical officer on duty with a regiment or detachment shall transmit through the proper channels to the Medical Director, in duplicate, lists of wounded (Form No. 41), and classified return of wounds and injuries (Form No. 42) of the command to which he is attached. The Medical Director shall immediately forward one set of these lists to the Surgeon General, and retain the other to accompany his report to his Commanding General.-[Regs. Med. Dept.] 2334. Medical officers shall report to the Surgeon General and to the issuing officer all defects observed in the quality, quantity, or packing of Medical supplies, or in the material or construction of their surgical instruments, and shall state the name of the vender or maker, and that of the issuing officer.-[Regs. Med. Dept.] 2335. The senior Medical officer of each hospital, post, regiment, or detachment, shall also prepare and forward the following reports: 1. A daily report, after Surgeon's call, of sick and wounded for the commanding officer.-[Regs. 1863, ¶ 1301.] 2. A monthly report of sick and wounded (Form No. 43), to be made out in duplicate on the last day of each month, and forwarded, one copy to the Medical Director for file in his office, and the other to the Surgeon General direct. 3. A monthly report of hired nurses and cooks (Form No. 45), to be made out in duplicate on the last day of each month, one copy to be sent to the Medical Director, and one to the Surgeon General. 4. A monthly statement of the hospital fund (Form No. 46), to be made in duplicate and forwarded, with one set of vouchers (Form No. 47), to the Medical Director, who will verify its correctness, retain one copy, and forward the other, with the vouchers, to the Surgeon General. An invoice of all durable articles purchased during each month from the hospital fund (Form No. 48) is to be prepared in triplicate, and certified by the Medical officer in charge of the hospital. The original of this invoice will be forwarded to the Surgeon General, with the copy of the statement of the hospital fund for the month, and the duplicate and triplicate used as directed in clause 7. 5. Quarterly reports of wounded (Form No. 49), of surgical operations (Form No. 50), and of wounded remaining under treatment at the beginning of the quarter (Form No. 51). These reports are to be made out on March 31, June 30, September 30, and December 31, of each year, and forwarded to the Surgeon General. 6. An annual sanitary report (Form No. 38), in duplicate, on the 31st December. These reports shall be sent to the Medical Director, by whom one shall be forwarded, with his remarks, to the Surgeon General. 7. A return of durable property purchased from the hospital fund (Form No. 52), to be made out in duplicate on 31st December, or whenever relieved from the charge of it, and forwarded to the Surgeon General, with one set of the invoices mentioned in clause 4. The triplicate invoices will be kept with the officer's retained copy of his return.-[Regs. 1863, ¶¶ 1300, 1303; Regs. Med. Dept., ¶ 79.] MEDICAL STOREKEEPERS. 2336. Medical Storekeepers are charged, under the direction of the Surgeon General and the Chief and Assistant Medical Purveyors, with the storing and safe-keep ing of Medical supplies, and with the duties of receiving, issuing, and accounting for the same, according to regulations. If a Medical Storekeeper be assigned to the same depot with an Assistant Medical Purveyor, he shall prepare all requisitions under his direction and subject to his approval.-[Regs. Med. Dept.] 2337. Medical supplies transferred to Medical Storekeepers by the Chief or Assistant Medical Purveyors will be receipted for as invoiced, without breaking packages, provided that the number of packages corresponds with the invoice, that they be in good shipping condition, and that there be no reason to suppose the contents broken or defective.-[Regs. Med. Dept.] 2338. Medical Storekeepers shall cause the Medical supplies issued or transferred by them to be well packed, each article designated by the name of the maker or vender, and each package legibly and correctly marked with the address of the officer for whom it may be intended, and with its weight and contents, whether medicines, hospital stores, instruments, dressings, books and stationery, bedding, clothing, or furni ture and appliances.-[Regs. Med. Dept.] MEDICAL ATTENDANCE. 2339. Medical officers, where on duty, shall attend officers and enlisted men, and laundresses allowed by law, and at stations where other medical attendance cannot be procured without great expense or inconvenience, and on marches, the hired men of the Army, and the families of officers and soldiers. Medicines will be dispensed to the families of officers and soldiers, and to all persons entitled to medical attendance; hospital stores to enlisted men, and to officers at posts where they cannot be obtained by purchase.-[Regs. 1863, ¶ 1295; G. O. 108, 1877.] 2340. When medical attendance is required by officers or enlisted men on duty, and the attendance of a Medical officer cannot be had, the officer, or, if there be no officer, then the enlisted man, may employ a private physician, and a just account (Form No. 55) therefor will be paid by the Medical Department.-[Regs. 1863, ¶ 1309.] 2341. Bills for medicines and medical attendance will be allowed for officers who were actually on duty at the time and place specified in the bill.-[G. O. 64, 1873.] 2342. Accounts for medical attendance must show the nature of the disease or injury for which he was treated, and that the services of a Medical officer of the Army could not be obtained.-[G. O. 64, 1873.] 4.0.49.82 connot 915.82 ކ ✓ 2343. Accounts for medicines must be accompanied by the original prescriptions, and must be for medicines-properly so called-only; they must show that the medicines could not have been procured at an Army dispensary.-[G. O. 64, 1873.] 2344. Officers properly absent from their commands or stations by reason of disability resulting from wounds received or disease contracted in the line of duty are entitled to receive medical attendance and medicines from the United States. If furnished by persons not in the employ of, or from stores not owned by the United States, the accounts for the same, before being paid, must be approved by the Secretary of War. 2345. The account shall state the name of the patient, and the date of and charge for each visit, and for medicines. The physician shall make a certificate to the account in case of an officer, or an affidavit in the case of an enlisted man, that the account is correct, and the charges are the customary charges of the place.-[Regs. 1863, ¶ 1310.] 2346. The officer shall make his certificate, or the enlisted man his affidavit, to the correctness of the account; that he was on service at the place, and stating the circumstances preventing him from receiving the services of a Medical officer.-[Regs. 1863, ¶ 1311.] 2347. When the charge is against an officer, he should pay the account, if practicable, and transmit it, properly receipted, to the Surgeon General for reimbursement; in all other cases, the account shall be transmitted to the Surgeon General for settlement.-[Regs. 1863, ¶ 1312.] 2348. If the charge be against a deceased officer or enlisted man, the physician shall make the affidavit in paragraph 2345, required to the account, and that he has been paid no part of it.-[Regs. 1863, ¶ 1313.] 2349. No charges for consultation fees will be paid by the Medical Department.— [Regs. 1863, ¶ 1314.] 2350. Accounts for the board, nursing, and medical attendance of sick soldiers in private hospitals shall be sent to the Surgeon General for settlement.-[Regs. Med. Dept.] HOSPITAL BUILDING. [G. O. 98, 1877.] 2351. No building shall be erected or occupied for hospital purposes until the opinion of a Medical officer has been obtained, in writing, as to the merits of the site and arrangement; and if the commanding officer dissent from this opinion, he shall return the same to the Medical officer, with his reasons for dissent indorsed thereon. 2352. Provisional hospitals are such as may be erected at temporary posts. 2353. Regulation hospitals will be built in accordance with plans approved, and will be erected at permanent posts, when especially authorized by the Secretary of War. The plans and specifications will be distributed from the Surgeon General's Office. 2354. In the construction of a new post the erection of the hospital shall go on pari passu with that of storehouses and men's quarters. 2355. Requests for the erection of regulation hospitals will be made by the Medical officer, through the commanding officer. The location of the building, the proposed material, the exact modifications of the regular plan (if any) which are proposed, and the estimated cost, are to be stated in the request. The commanding officer will indorse his opinion upon the request and forward it to Department Headquarters. The Department Commander will obtain the views of the Medical Director and Department Quartermaster, and forward the papers to the War Department, with his own opinion indorsed thereon. 2356. When the erection of a hospital has been authorized, the officer charged with its construction will consult, as to minor details, with the Medical officer of the post, who will act as inspector of the work on the part of the Medical Department. 2357. When the building is reported ready for occupation, the Medical officer will report in full, as to its merits, to the Surgeon General, through the regular channel, and shall furnish a copy of the same to the constructing officer. 2358. Medical officers in charge of post hospitals will prepare, on the 1st of May of each year, and forward without delay, through the regular official channels, to the Adjutant General of the Army, detailed estimates of repairs, alterations, or additions required for their respective hospitals during the next fiscal year, or for the erection of new hospital buildings when deemed necessary. The estimates will be accompanied by such drawings as may be necessary to their fall understanding, and will show the kind and cost of the materials and labor to be procured, and to what extent (if any) the work can be performed by the troops. Where no alterations or repairs are required, that fact will be immediately reported. For the Department of Dakota these estimates will be forwarded on the 1st of March. 2359. Copies of all plans, estimates and orders, connected with the erection or 4.51.87 repair of the post hospitals, whether temporary or permanent, will be furnished to the Medical Department by the officer making the same, and, when furnished to a Post Surgeon or Medical Director, they will at once forward them, with their comments, to the Surgeon General. 2360. The Surgeon General will furnish to the Quartermaster General in time for his annual estimates, a statement of the number and size of hospitals, and of the amount of hospital repairs which will probably be required during the ensuing year, with the estimated cost of the same. 2361. The Quartermaster's Department, when fitting up or erecting hospitals, will construct the ovens. Expenses incurred in repairs to hospital bakeries will be paid from the hospital fund.-[G. O. 34, 1865.] ARTIFICIAL LIMBS. 2362. Every officer, non-commissioned officer, enlisted or hired man, of the land or naval forces of the United States, who in the line of his duty as such, or through disease contracted in the service as such, shall have lost a limb or the use of a limb, shall receive once every five years an artificial limb or appliance, or commutation therefor, as he shall elect, under such regulations as the Surgeon General of the Army may prescribe; and the period of five years shall be held to commence with the filing of the first application after the seventeenth day of June, in the year 1870. The money value allowed as commutation is, for legs $75, for arms, feet, and apparatus for resection $50 each.-[R. S., §§ 4787, 4788; act of August 15, 1876, § 17.] 2363. Necessary transportation to have artificial limbs fitted shall be furnished by the Quartermaster General of the Army, the cost of which shall be refunded out of any money appropriated for the purchase of artificial limbs.-[Act of August 15, 1876, sec. 2.] 2364. Officers who pay accounts for the transportation of persons en route to procure artificial limbs, or returning therefrom, will, as soon as payment is made, forward the original account to the Quartermaster General; and, in letter of transmittal, will say that "the account is forwarded under the provisions of this paragraph that it may be referred to the Surgeon General for repayment to the Quartermaster's Department." The paying officer will take credit for the amount paid on his abstract "B" for the month, and will note thereon the fact that the account was forwarded to the Quartermaster General on (date to be specified) for the purpose aforesaid. On receipt of the account by the Quartermaster General, he will cause it to be duly examined, and, if found correct, to be forwarded to the Surgeon General, with request 66/8 .66 187 |