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Hospital of St. Amyas Code of Conduct


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Hospital of St. Amyas Code of Conduct

As of the 5th of The Amber Cold, Year 23 of the Second Age

As of Msitza and Dargund, 372 E.S.

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On Medical Personnel:

  • Surgeon General: The head medic of the hospital and in charge of everything relating to health and recovery of all citizens and allies of Hanseti-Ruska. This includes: running and maintaining the hospital, educating all apprentices and practitioners in the ways of medicine, and assisting in HRA operations as either a combat medic or a field doctor.

  • Assistant Surgeon General: The second in command to the Surgeon General and appointed by the Surgeon General. Their duties are to educate practitioners and apprentices while acting as the Surgeon General while they are not currently present.

  • Practitioner: A medic that has completed the training and passed the exam given by the clinic management. They may practice medicine within the Kingdom of Hanseti-Ruska and accompany the HRA on operations where the medic corps is required.

  • Apprentice: A medic that HAS NOT completed the training and HAS NOT passed the exam given by the clinic management. They are allowed to assist in cases to gain theoretical and practical knowledge, but they must be supervised by a full practitioner or higher. 

    • An Apprentice may not perform surgeries, autopsies, enter the morgue or discharge a patient without the supervision of a licensed practitioner or higher unless it is life threatening and no licensed practitioner or higher can be found.

    • If a patient gets severely crippled, wounded, or dies due to the treatment given by an apprentice, not from the injuries the patient sought the clinic help for, the apprentice will be held liable if there were no licensed practitioner supervising them. 

  • Auxiliary Medical Personnel: A medic that does not reside in the Kingdom and has been verified by the Surgeon General in order to practice medicine in the Kingdom of Hanseti-Ruska. The branches include but are not limited to: Auxiliary general practitioner, Auxiliary combat medic, Auxiliary field doctor, Therapist, Alchemist, Botanist, so on and so forth.



 

On Defining Medical Terminology:

  • Medic: Any practitioner or higher with proper licensing.

  • Combat Medic: A medic trained to fight and treat the wounded while in a battle setting. In order to be a full Combat Medic, one must have licensing from the Hospital and be at least a Footman in the HRA.

  • Field Doctor: A medic trained to work in Field Hospitals and other mobile healing centers behind the front lines of battle. They must have licensing from the Hospital but they do not need to be an active member of the HRA.

  • Alchemist: A person with the knowledge of the science of Alchemy. The person in question must be able to prove beyond basic skills in order to qualify for a medical alchemist license. 

  • Therapist: A medic with the specialization in mental health and trauma. They must pass an additional exam to be able to practice within the Kingdom of Hanseti-Ruska

  • Botanist: A medic with the specialization in herbs and their medical properties. They work with the Alchemist branch to produce remedies and salves for Hospital use. They must pass an additional exam in order to practice and produce within the Hospital.

  • Malpractice: When a medic purposefully injures/cripples/ kills a patient, causes physical or mental harm to a patient, and/or practices without proper training or proper license, that medic shall be banned from practicing medicine in the Kingdom of Hanseti-Ruska on the grounds of malpractice.

  • Autopsy: A study of a dead being for the purposes of determining a cause of death or furthering an education of the personnel of the hospital.

    • Invasive: An autopsy where the cadaver is cut open for one of two purposes: to determine cause of death when a non-invasive autopsy is unable to do so or to provide further knowledge of the body to the Hospital staff.

    • Non-Invasive: An autopsy where the corpse is not cut open for the purpose of determining the cause of death. The corpse must remain intact till the next of kin or state is able to come collect said corpse.

  • Cadaver: A deceased body meant for to be studied for furthering the education of the Hospital staff.

  • Corpse: A deceased body stored in the morgue until the next of kin or state come to collect said body for funeral rites.

  • Clinical Trespassing: When a person not injured or a part of hospital staff is interfering with hospital operations.

    • There is one exception: When the HRA is injured and out number the clinic staff, those with medical training become temporary hospital staff. 



 

On The Medical Licensing Process: 

  • Obtaining the Medical Exam: The Apprentice wishing to become a full practitioner must fully complete their training under the Surgeon General or Assistant Surgeon General. A Practitioner may assist in lessons but these will not count towards the required amount.

  • The Written Medical Exam: Once the Apprentice has completed the training and has gotten the approval of the Surgeon General, they may then take the written exam. This exam will cover hospital policy and procedure while also covering theoretical events where medical knowledge is needed to make the call. 

  • The Practical Medical Exam: After the Apprentice has passed the written exam, a practical exam will be given on a cadaver. The Surgeon General will injure the cadaver and instruct the Apprentice in question to heal the cadaver to the best of their ability. This is to demonstrate all the practical skills needed to be an actively practicing practitioner.

  • Licensing: Once the Apprentice has passed above mentioned points, they are then qualified for a medical license to practice in the Kingdom of Hanseti-Ruska

    • Should any Apprentice practice without obtaining a license, they are liable for all injuries caused and will be brought before the court for malpractice.

    • Should any Practitioner or Auxiliary Personnel practice without a license or have gotten their license revoked, they will be banned from practicing medicine within the Kingdom of Hanseti-Ruska and if caught will be brought before the court for malpractice.  

    • Should the Surgeon General or Assistant Surgeon General lose their license, they will be stripped of their position, banned from practice, and brought before the court for malpractice and gross incompetence.

 

On Patient Care:

  • Practitioners may refuse to treat a patient.

    • Only the Koeng or the Lord Palatine may overrule this unless at least one of, but not limited to one, the below mentioned conditions are met:

      • They are a Non-descendant creature

      • Have a bad history with the medic in question

      • Have assaulted (verbally or physically) the medic in question

      • Have disregarded previous orders from a practitioner or higher

    • If the patient gets severely crippled, wounded, or dies due to the practitioner refusing to treat the patient, the practitioner cannot be held liable if the patient falls under any of the above mentioned categories.

  • Patients may refuse treatment so long as they are fully conscious when the attending medic arrives.

    • Only the Koeng or the Lord Palatine may overrule this should they or the Surgeon General informing them deem it necessary

    •  Another descendant or next of kin may NOT refuse on behalf of the patient if said patient is unconscious

On Morgue Procedures:

  • Entry into the Morgue shall be restricted to the Surgeon General and Assistant Surgeon General. Practitioners and the Lord Palatine may request permission, but this permission must be acquired each entry into the morgue. Apprentices and Auxiliary personnel may only be down in the morgue under the watch of the Surgeon General or Assistant Surgeon General.

  • Proper Care of Corpses and Cadavers will be left to the Surgeon General and Assistant Surgeon General. Each corpse and cadaver will be stored for 13 months before being cremated. This is to prevent a viral pandemic to break out. If the corpse does not have family or the family has not come to collect the corpse, it must be burned.

  • Lessons will be held in the morgue for practical skills. These lessons shall be held by the Surgeon General or Assistant Surgeon General presiding. Only Apprentices and other hospital staff may be down in the morgue as a lesson is taking place. All others will be asked to leave lest they be charged with clinical trespassing.

  • Cremation will take place when: the corpse has not been collected after 13 months and no family or the state has stated otherwise after being contacted or the cadaver has not been used in 13 months to prevent disease from spreading.

  • Reports will be written by the Surgeon General or Assistant Surgeon General depending on which office is doing the autopsy. The family, State, and Hospital Management shall have access to the autopsy report should the need arise. 





 

All of the policies above are to be held by the Surgeon General and the staff under them. Should any issues arise, do contact the Hospital of St. Amyas.


 

Signed by:

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Dr. Aestenia Aevaris

Surgeon General of Hanseti-Ruska

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