Medical SOP

While these SOPs may come with in character punishments on the Alfa server for non-command members, intentional disregard on the Beta server may be grounds for a role ban from the department. Repeated intentional disregard for SOPs by command members on either server may also result in a role ban.

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.

Chemical	Department Exceptions	Prescription Allowed
Amoxla	Medical	Allowed
Carporoxin		Not Allowed
Chlorine		Not Allowed
Cryptobiolin		Not Allowed
Ephedrine	Security	Allowed
Ethyloxyephedrine		Allowed
Fluorine		Not Allowed
Gastrotoxin		Not Allowed
Happiness	Clown	Allowed
Impedrezene		Not Allowed
Lipozine		Allowed
Mercury		Not Allowed
Mindbreaker toxin		Allowed
Phosphorus		Not Allowed
Potassium		Not Allowed
Psicodine		Allowed
Radium	Engineering	Not Allowed
Silicon		Not Allowed
Space Mirage		Allowed
Sulfur		Not Allowed
Synaptizine	Security	Not Allowed
THC		Allowed
Uranium	Bartender Engineering	Not Allowed

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.

Chemical	Department Exception	Prescription Required	Permit Allowed
Amatoxin		N/A	Not Permitted
Bungotoxin		N/A	Not Permitted
Buzzochloric bees		N/A	Not Permitted
Chloral hydrate	Medical	N/A	Not Permitted
Chlorine trifluoride		N/A	Not Permitted
Desoxyephedrine		Required	Permitted
Ferrochromic acid		N/A	Not Permitted
Fluorosulfuric acid		N/A	Not Permitted
Fresium	Medical	Required	Permitted
Heartbreaker toxin		N/A	Permitted
Licoxide		N/A	Not Permitted
Lipolicide		N/A	Not Permitted
Mechanotoxin		N/A	Not Permitted
Napalm		N/A	Not Permitted
Norepinephric acid		N/A	Not Permitted
Pax	Security	Required	Permitted
Pest killer	Botany	N/A	Permitted
Phlogiston		N/A	Not Permitted
Plant-B-gone	Botany	N/A	Permitted
Polytrinic acid		N/A	Not Permitted
Razorium		N/A	Not Permitted
Sulfuric acid		N/A	Not Permitted
Tear gas	Security	N/A	Permitted
Thermite		N/A	Not Permitted
Toxin		N/A	Not Permitted
Unstable mutagen	Botany	N/A	Permitted
Weed killer	Botany	N/A	Permitted

Syndicate Contraband

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

Chemicals
Hyperzine
Lexorin
Mute toxin
Nocturine
Tazinide
Vestine

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.
   1. 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.

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:
   1. Patient name
   2. Patient job
   3. Approximate time of death/DNR approval
   4. Reason for DNR status
   5. CMO stamp for approval
5. Should a corpse become unclonable, it must be annotated on the appropriate DNR sheet, and then stamped by the CMO.
6. Unclonable corpses, including those whose soul has moved on, may be operated on or placed into the biomass reclaimer.

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 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 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.
   1. The syringes for the syringe gun may be prepared ahead of time.
4. 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.
   1. This form will not be required in the case of imminent station danger.
   2. This form will specify the quantity of chemical, frequency of creation, date, time, and signature of the captain or acting captain.
5. The CMO should wear clothing clearly identifying them as the CMO. (Mantle, cape, hat, etc.)
6. The CMO may request any additional documentation they deem necessary to protect patient health.

Chemist

1. Chemists report directly to the Chief Medical Officer
2. Chemists should prioritize all basic medicines before moving on to advanced medicines.
3. All medicines should be labeled as follows:
   1. Chemical name
   2. Chemical effect/major side effects
   3. Overdose limits
   4. Any interfering chemicals (e.g. Lacerinol and Bicaridine react to form Razorium)
4. Chemists should ensure that any illegal chemicals are kept in the ChemMaster 4000 or disposed of immediately after use.
5. Chemists may fill prescriptions signed and stamped by the CMO.
6. Non-illegal chemicals may be synthesized and prescribed by chemists at their discretion.
7. Chemists may perform the duties of Medical Doctors during emergencies, but must follow the Medical Doctor SOP
   1. 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.
   1. This also applies to any medication prescribed by the Psychologist.
4. Examinations may result in the following actions, with a sign off from the Captain or crew member's head of department:
   1. Demotion from their current position, if the patient's mental state leaves them unable to fulfill their duties.
   2. Prescriptions of Pax or other similar drugs for those who are found to be extremely violent.
   3. Increased observation of prisoners or crew who are deemed a danger.
   4. Lightening of sentences for prisoners who have shown good behavior, and a change of moral character.
5. 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.
2. Patients must fill out and sign a surgery consent form for any elective surgeries. This form must be stamped by the CMO.
3. Surgeons should wear masks, sterile gloves, and scrubs when possible, while operating.
4. The surgery room must be kept clean and tidy for patient hygiene.
5. Surgeons are permitted to harvest organs and limbs from deceased patients who have been considered unrecoverable.
6. 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.
2. Medical Interns are not permitted to utilize chemicals on their own without supervision.
3. Medical Interns are to stay with their assigned trainer at all times.
4. In emergencies, Medical Interns may treat patients as a Medical Doctor.
5. Medical Interns may not perform elective surgeries at any time.