710. Whenever a supply of water is obtained from shore, either Testing water. for drinking or cooking, and before it is taken on board, he shall institute as complete an analysis of it as possible with the means at hand, and report at once if any doubt exists as to its purity. All such analyses shall be recorded in the medical journal. offered for sale. 711. He shall examine the contents of boats attending the ship To examine with articles of food or drink for sale, and report if the articles food and drink are, in his opinion, suitable to be consumed as food or drink. (See art. 392, par. 6.) 712. He shall make inspections of the cells and other places of To inspect confinement, as well as of the prisoners, and report the result to cells and prisonthe captain. ers. 713. He shall once in each week accompany the executive officer Inspection of when that officer is inspecting the living spaces, holds and store- holds, etc. rooms, and shall make to the captain, after said inspection, a written report of the sanitary condition of the vessel Medical Sur 714. Whenever in his opinion any person on board becomes unfit for further duty on account of ill health or injury, he shall report vey. the fact to the captain and, if necessary, recommend a medical survey or transfer to a hospital. 715. (1) A patient, while being transferred to a hospital, shall, Transfer of a if practicable, be accompanied by a medical officer. patient. (2) A patient, when transferred from the care of a medical officer of the Navy to that of any other person, shall be accompanied by a hospital ticket_containing a complete record of the case as recorded in the medical journal. If transferred to the care of a medical officer, this statement shall be recorded in his medical journal or affixed to the case paper. United States na 716. (1) When a patient is transferred to any other than a Patients in United States naval hospital, the date of the transfer shall be noted any other than a in the medical journal, and the case continued therein until the val hospital. patient returns to duty, or until the ship leaves port if the patient is left behind. (2) On the departure of the ship, if in a foreign port, the senior medical officer shall forward, through the captain, to the consul a record of the cases of all patients referred to in paragraph 1 of this article, who are left behind. The record in each instance shall state that it is to accompany the patient, if sent to the United States, or to be forwarded to the captain of the next ship arriving in the port. (3) Upon the arrival of a ship in a foreign port, her medical officer shall take charge of all cases referred to in paragraph 2, and continue their record in his medical journal, as laid down in paragraph 1 of this article. (4) When practicable, he shall frequently visit these patients in order to continue a correct journal record. He shall interest himself in their welfare, report their progress to the captain, and suggest any measures that he may consider necessary for their benefit. (5) The hospital expenses of such patients shall be paid from the proper appropriation under the Bureau of Medicine and Surgery. When patients return to a ship, the items of expense incurred on their account shall be included in the expenses noted on the quarterly report of sick. (6) When such patients are transferred or received. a report of the fact shall be made to the surgeon of the fleet, and, if in a port of the United States, to the Bureau of Medicine and Surgery. sage to United States. Patients re- 717. The senior medical officer of a ship returning to the United ceived for pas- States shall, when patients are received for transportation to hospital, enter such patients on his journal, and account for them as the sick of the ship. He shall note on his journal the record of their cases as entered on the hospital tickets, and, after indorsing on the hospital tickets anything of interest in their cases that may have occurred while under his charge, he shall forward the hospital tickets with the patients when transferred to hospital. Certificates of death. Medical jour nal. Transmitting official papers. Reports on naval cadets. 718. (1) He shall prepare duplicate certificates of death and forward them through the captain to the Bureau of Medicine and Surgery, and shall furnish a copy to the surgeon of the fleet. (See art. 372, par. 9.) (2) The statement as to origin of disease or disability causing death shall always be noted therein, with reasons for the opinion expressed as to whether or not it was incurred in line of duty. 719. (1) He shall keep a medical journal, which shall be subject at any time to the inspection of the captain and the surgeon of the fleet. (2) He shall, upon the completion of a medical journal, forward it with the next quarterly reports to the Bureau of Medicine and Surgery. 720. He, and all other medical officers of the ship, shall forward all official reports, communications, and returns, whatever their destination, through the captain. 721. (1) In order that the Naval Academy records of the physical condition of naval cadets may be complete, and that the Board of Medical Officers making the final examinations of cadets before final graduation may have all necessary information, the senior medical officers shall-when cadets are detached from seagoing ships, either for transfer to other ships, or to return to the United States, or upon the completion of a cruise-make reports to the captain, of the physical condition of the naval cadets during their service on board said ship, and at its termination; also, a full account of all cases of illness or injuries that may have occurred to them. (2) These reports will be forwarded by the captain to the Navy Department. Invoices and re- 722. (1) When a ship is commissioned he shall be furnished with ceipts of medical triplicate invoices of all articles in her medical outfit; they shall be stores and sup- duly signed by the director of the naval laboratory or medical plies. storehouse. (2) When delivered to him he shall take charge of all articles of the medical outfit that are duly invoiced and, when satisfied that they correspond in character and amount to the specifications of the invoices, he shall receipt for them. These invoices and receipts must be approved by the captain, after which the medical officer will retain the third, forwarding the first to the director of the laboratory or medical storehouse, and the second to the Bureau of Medicine and Surgery. (3) Medical stores transferred from the naval laboratory to a ship, after the invoices of her regular outfit have been signed and disposed of, shall be invoiced and receipted for in like manner. (4) When medical stores are transferred from a storeship, storehouse, or depot to a ship, the invoices and receipts must be made in triplicate, approved by the senior officer, and disposed of in the same manner as though at a navy yard. (5) When medical stores are transferred from one ship in commission to another, the invoices and receipts shall be made in duplicate and approved by the senior officer. The officer transferring and the officer receiving the stores shall each sign both copies, the latter retaining the original and the former the duplicate. (6) If the senior medical officer finds any discrepancy, error, or omission in the invoices of stores he shall report it to the captain, who shall have the invoices corrected before they are receipted. (7) All invoices of medical stores shall be kept on file for future reference, and when the ship goes out of commission shall be transferred to the medical officer of the navy yard with the medical outfit and its inventory. 723. (1) Requisitions for medical stores and supplies that may be needed shall be made by the senior medical officer on the prescribed forms for the ensuing six months, as follows: (a) For hospitals-on the 1st of March and September; (b) For ships in commission-on the 1st of April and October; (c) For receiving ships, yards, and stations—on the 1st of May and November. (2) The quantities of medicine required shall correspond in amount to the packages mentioned in the supply table, and the column "On hand" shall always be filled opposite the articles required. Requisitions. Ships on de (3) When serving in a ship not attached to a squadron, and without the United States, he shall make semiannual requisitions for tached service. medical stores on the pay officer of the ship. (4) Special requisitions for indispensable articles not in the supply Special requisitable, or for articles that are in the supply table that will be needed tions. before the time for the semiannual requisition, may be made at any time. Medical stores 724. (1) The allowances in the supply table are intended as the basis of supplies for a ship when fitting out for a cruise. Needful and supplies. additions may subsequently be made from time to time by requisitions, but it is not necessary or expected that these additions shall bring the amount of supplies on hand fully up to that given in the supply table. Not to be pur (2) Timely requisitions for stores and supplies must be made to cover ordinary expenditures, but they shall not be filled by pur- chased. chase, if it can be avoided. Stores from (3) When any of the stores and supplies on board, in charge of other officers, are necessary for the sick, they may be obtained upon other departrequisition duly approved by the captain. A receipt for them shall ments. be given. 725. Washing and extra provisions and groceries for the sick shall be obtained by open purchase on duly approved requisitions. Washing and extra provisions. 726. Surgical instruments and appliances shall not be replaced Surgical by others, unless condemned by a board of survey; and all that are struments. condemned shall be turned in at a navy yard. in Medical store 727. The senior medical officer shall see that only medical stores and supplies, and spirits and wines that are the property of the room. Government, are kept in the medical storeroom. He shall retain the key himself, subject to the provisions of article 540, and never permit it to pass into the custody of an enlisted man without permission of the captain. The storeroom shall not be opened, except in the presence of an officer, unless in an emergency. Custody of 728. He shall not permit any spirits, wines, or malt liquors, the spirits, wines, property of the Government and under his charge, to be placed in and malt liquors. the possession of any enlisted or appointed man, except in small quantities for immediate consumption by patients. Loss of medical stores. Medical outfit of commission. 729. In the event of discovering any loss or destruction of medical stores, surgical instruments, or furniture, he shall report the fact immediately to the captain. 730. When the ship goes out of commission, he shall carefully when going out pack all medical supplies, including books and blank forms, and transfer them to the senior medical officer of the navy yard. They shall be accompanied by an accurate inventory in triplicate, made out in the order of the supply table, stating the quantity and condition of the articles.. The inventory shall be signed by the senior medical officer and the captain. Transfer of stores. Bill of health. Reports of epidemic or contagious diseases. Sanitary re port. Station and duty in battle. Station and duty at quarters. Surgeon's division. A report of 731. (1) When stores and supplies are transferred from the charge of one medical officer to another, triplicate receipts must be passed. (2) Whenever a medical officer is relieved from duty, he shall transfer to his successor all public property in his charge. 732. (1) In all cases, unless otherwise directed, he shall procure a bill of health before leaving port. (2) Upon arrival of the ship in port, he shall be prepared to receive the health officer and exhibit to him the bill of health; also to answer any questions that may be asked concerning the sanitary condition of the ship. 733. During the prevalence of epidemic or contagious diseases on foreign stations, especially in ports of the Gulf of Mexico, the West Indies, and South Atlantic Station, the senior medical officer shall forward to the Bureau of Medicine and Surgery all reliable information relating thereto that he may be able to procure. 734. On the 1st of January of each year and at the end of the cruise, he shall make to the Bureau of Medicine and Surgery a sanitary report, which shall include a report of the sanitary condition of the ship and station, accounts of epidemics, recommendations or cautions that may be of service to other ships visiting the ports, information of the health of the personnel of ships on the station, and any facts not generally known of professional interest concerning ports visited. 735. In battle he shall have charge of the sick and wounded, and shall be stationed at a place designated by the captain. 736. (1) He shall be stationed in the sick bay at quarters. (2) He shall take charge of the surgeon's division and of the men on the sick list, require their presence at the sick bay if able to come, and report absentees. 737. (1) The surgeon's division shall consist of all medical officers of the ship, the pharmacist, hospital steward, hospital apprentices, first class, and hospital apprentices. (2) For the issue of money, small stores, and clothing, the enlisted men of this division shall form part of the powder division. 738. He shall cause to be entered upon the report book the breaches of dis- names of any subordinates of the surgeon's division, or of the sick cipline to be or their attendants, who may be guilty of any breaches of discipline. 739. He shall indorse upon the record of every summary courtnection with martial, the sentence of which involves confinement for a period exceeding ten days, on diminished rations, or on bread and water, made. Duty in con summary courtsmartial. his opinion as to whether the infliction of such sentence would pro- SECTION 2.-JUNIOR MEDICAL OFFICERS. 741. (1) Junior medical officers shall at all times conform to the directions of the senior medical officer in regard to the professional treatment, care, and comfort of the sick and wounded. (2) They shall be unremitting in their attention to the sick and wounded, and shall exact from those under their direction a rigid performance of their duties. (3) They shall personally see that the medicines are properly weighed, measured, and labeled for distribution, and that they are administered by competent persons. Absence or dis General duty. 742. They shall, subject to the direction of the senior medical To keep the officer, keep the medical journal and prepare the regular reports and medical journal, returns, unless the senior medical officer prefers to perform this duty himself. 743. They shall keep the senior medical officer fully informed as To consult with to the condition of all patients, and frequently consult with him in the senior medregard to their professional treatment. ical officer. Permission to 744. They shall, before applying for leave to be absent from the ship, obtain from the senior medical officer permission to do so. leave the ship. Should the senior medical officer refuse such permission, he shall report his reasons for so doing to the captain. |