.; 


GN^s^ra 


REGULATIONS 


MEDICAL  DEPARTMENT 


MILITARY  FORCES 


SOUTH    CAEOLINA 


BY 


R.  W.   GIBBES,   M.D., 

PHYSICIAN  AND  SURGEON  GENERAL. 


COLUMBIA.: 

SOUTH  CAROLINIAN  STEAM  PRINTING  OFFICE 

1861. 


REGULATIONS 


MILITARY  FORCES 


SOUTH    CAROLINA 


BY 

R.  W.   GIBBES,   M.D., 

PHYSICIAN  AND  SURGEON  GENERAL. 


COLUMBIA.: 

SOUTH  CAROLINIAN  STEAM  PRINTING  OFFICE. 

1861. 


Digitized  by  the  Internet  Archive 

in  2012  with  funding  from 

University  of  North  Carolina  at  Chapel  Hill 


http://archive.org/details/regulationsformeOOsout 


REGULATIONS 


FOR   THE 


EDICAL  DEPARTMENT. 


1.  The  Surgeon  General,  under  the  authority  of  the  Governor, 
and  the  Militia  Laws  of  the  State,  is  charged  with  the  administra- 
tive details  of  the  Medical  Department,  the  government  of  hospitals, 
the  regulation  of  the  duties  of  Surgeons  and  Assistant  Surgeons, 
and  the  appointment  of  Surgeons  or  Assistant  Surgeons,  where 
needed,  for  local  or  detached  service.  He  will  issue  orders  and 
instructions  relating  to  their  professional  duties,  and  all  communi- 
cations from  them,  which  require  his  action,  will  be  made  directly 
to  him. 

2.  The  medical  supplies  required  by  Surgeons  and  Assistant 
Surgeons  will  be  ordered  by  the  Surgeon  General,  by  a  requisition 
on  the  Commissary  General  of  Purchases — a  duplicate  of  the  re- 
quisition of  the  Surgeon  or  Assistant  Surgeon  being  furnished  to 
be  filed. 

3.  When  a  medical  officer  transfers  medical  supplies  to  another, 
o'c  to  a  different  post,  he  will  take  a  receipt  for  the  same. 

4.  Medical  officers  will  account  for  all  medical  supplies  that  come 
into  their  possession. 

5.  The  senior  medical  officer  of  a  hospital  will  distribute  the 
patients,  according  to  convenience  and  the  nature  of  their  com- 
plaints, into  wards  or  divisions,  under  the  particular  charge  of  the 
Assistant  Surgeons,  and  will  visit  them  himself  each  day,  as  fre- 
quently as  the  sick  or  wounded  may  require,  accompanied  by  the 
Assistant,  Hospital  Steward  and  Nurse. 

6.  His  prescriptions  of  medicine  and  diet  are  daily  to  be  written 
down  in*a  register,  with  the  name  of  the  patient  and  number  of  the 


- 


4  MEDICAL   REGULATIONS. 

bed;  and  the  Assistant  or  Steward,  in  his  absence,  will  see  that  the 
directions  are  carried  out. 

7.  He  will,  if  in  charge  of  a  hospital  or  post,  with  the  approval 
of  the  commanding  officer,  appoint  a  steward,  cooks  and  nurses,  who 
will  be  under  his  orders. 

8.  He  will  enforce  the  proper  hospital  regulations  to  promote 
health  and  prevent  contagion,  by  ventilated  and  not  crowded  rooms, 
scrupulous  cleanliness,  changes  of  bed  linen,  &c. 

9.  At  the  Surgeon's  call  the  sick  in  each  company  will  be 
conducted  to  the  hospital  by  the  First  Sergeant,  who  will  hand 
to  the  Surgeon  in  his  company  book  a  list  of  all  the  sick,  on 
which  list  the  Surgeon  shall  state  who  are  to  remain  or  go  into 
hospital ;  who  are  to  return  to  quarters  as  sick  or  convalescent; 
what  duties  the  convalescents  in  quarters  are  capable  of,  or  any 
other  information  in  regard  to  the  sick  of  the  company  which  he 
may  have  to  communicate  to  the  commander,  and  report  to  him. 
(Form  1.) 

10.  Soldiers  in  hospital,  patients  or  attendants,  except  stewards, 
shall  be  mustered  on  the  rolls  of  the  hospital  department. 

11.  When  a  patient  is  transferred  from  one  hospital  to  another, 
the  medical  officer  shall  send  with  him  an  account  of  his  case  and 
the  treatment.     (Form  4.) 

12.  The  regulations  for  the  service  of  hospitals  apply  as  far  as 
practicable  to  the  service  in  the  field. 

13.  The  senior  medical  officer  of  each  hospital,  post,  regiment  or 
detachment,  will  keep  the  following  records :  a  register  of  patients 
(Form  2) ;  a  prescription  and  diet  book  (Form  3)  ;  a  case  book ; 
copies  of  his  requisitions;  monthly  returns  of  sick  and  wounded  J 
an  order  and  letter  book,  in  which  will  be  transcribed  all  orders  and 
letters  relating  to  his  duties. 

14.  Ordinarily,  hospital  attendants  are  allowed  as  follows :  to  a 
general  hospital,  one  steward,  one  nurse  to  ten  patients,  one  matron 
to  twenty,  and  one  cook  to  thirty ;  to  a  post  or  garrison  'of  one 
company,  one  steward,  one  nurse,  one  cook  and  one  matron,  and  for 
every  two  companies  more,  one  nurse;  at  arsenals,  where  the 
number  of  men  is  not  less  than  fourteen,  one  matron  is  allowed. 

15.  Medical  officers,  in  giving  certificates  of  disability,  are  to  take 
particular  care  in  all  cases  which  have  been  under  their* charge, 


Nctl 


MEDICAL   REGULATIONS.  0 

and  especially  in  epilepsy,  convulsions,  chronic  rheumatism,  gout, 
derangement  of  the  urinary  organs,  ophthalmia,  ulcers,  or  any 
obscure  diseases. 

16.  As  soon  as  companies  are  organized  and  offered  for  service, 
the  Surgeon  or  Assistant  Surgeon  will  examine  the  members  and 
vaccinate  them,  if  necessary. 

17.  Every  medical  officer  will  report  to  the  Surgeon  General  the 
date  when  he  arrives  at  a  station,  or  when  he  loaves  it,  and  his 
orders  in  the  case. 

18.  Surgeons  will  make  to  the  Surgeon  General  a  monthly  return 
(Form  7)  of  the  medical  officers  of  the  Command,  and  a  consoli- 
dated monthly  report  of  the  sick  and  wounded  from  the  several 
reports  made  to  them;  giving  the  disease,  name,  regiment  and  com- 
pany, discharges  and  deaths.  (Form  5.)  Also  a  return  of  medi- 
cines, instruments,  hospital  stores,  furniture,  &c.     (Form  6.) 

19.  If  it  be  at  any  time  necessary  to  employ  a  private  physician, 
the  commanding  officer  may  do  it  by  written  contract,  reporting  a 
duplicate  to  the  Surgeon  General. 

20.  Assistant  Surgeons  will  obey  the  orders  of  their  Senior  Sur- 
geon ;  see  that  subordinate  officers  do  their  duty,  and  aid  in  en- 
forcing the  regulations  of  the  hospital. 

21.  The  Steward  will  take  charge  of  all  hospital  stores,  instru- 
ments, furniture  of  every  description,  and  supplies  for  the  sick; 
keep  a  roster  of  nurses  and  attendants,  and  make  out  returns  for 
rations,  according  to  the  number  in  hospital;  receive  and  distribute 
rations,  and  submit  his  book  to  the  Surgeon,  monthly,  for  examina- 
tion, or  oftener  if  required.  He  will  issue  the  stores  to  nurses  and 
cooks,  and  enter  the  amount  delivered  in  his  book.  He  will  be  re- 
sponsible* for  furniture,  bedding,  cooking  utensils,  &c,  and  keep  the 
store-room  neat  and  clean.     (Form  6.) 

22.  In  the  management  of  hospitals  and  posts,  cleanliness,  order, 
regularity  in  meals,  attention  to  cooking,  and  special  care  of  the 
sick  and  wounded,  are  particularly  enjoined  upon  the  medical  officers. 

23.  In  passing  a  recruit,  the  medical  officer  is  to  examine  him 
stripped ;  to  see  that  he  has  free  use  of  all  his  limbs ;  that 
his  chest  is  ample;  that  his  hearing,  vision,  and  speech  are 
perfect;  that  he  has  no  tumors,  or  ulcerated,  or  extensively 
cicatrized  legs;  no  rapture  or  chronic  cutaneous  affection;;, 
that  he  has  not  received  any  contusion,  or  wound  of  the 

;  head,  that  may  impair  his  faculties ;  that  he  is  not  a  drunk- 
ard •  is  not  subject  to  convulsions  ;  and  has  no  infectious 
disorder,  nor  any  other  that  may  unfit  him  for  military 
service. 


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REMARKS. 

The  remarks  will 
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