Standard Operating Procedure (Soteria Medical) - Revision history

K5 at 23:15, 15 November 2024

2024-11-15T23:15:09Z

← Older revision		Revision as of 23:15, 15 November 2024
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			{{SOP}}

	The Soteria Institute Biological Laboratory, or Biolab, is a medical facility established on the surface outpost of Nadezhda, and is part of the Soteria Institute’s Medical and Biological Division. It is tasked primarily with providing medical care and services to the surface outpost’s inhabitants, including keeping the Marshals and Blackshield healthy and operational. Secondarily, the Biolab may also engage in scientific medical studies, including chemical testing, tissue modification, and psionic research. The Biolab is also expected to work hand-in-hand with the Soteria Institute Research and Development Facility, which is located in a joint facility with the Biolab.		The Soteria Institute Biological Laboratory, or Biolab, is a medical facility established on the surface outpost of Nadezhda, and is part of the Soteria Institute’s Medical and Biological Division. It is tasked primarily with providing medical care and services to the surface outpost’s inhabitants, including keeping the Marshals and Blackshield healthy and operational. Secondarily, the Biolab may also engage in scientific medical studies, including chemical testing, tissue modification, and psionic research. The Biolab is also expected to work hand-in-hand with the Soteria Institute Research and Development Facility, which is located in a joint facility with the Biolab.
	== Personnel ==		== Personnel ==

Dutop: /* Do not Revive */ Rework of DRN section to limit ambiguity

2024-10-15T20:04:54Z

Do not Revive: Rework of DRN section to limit ambiguity

← Older revision		Revision as of 20:04, 15 October 2024
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	Post-Mortem instructions are to be obeyed whenever possible and reasonable. Unreasonable or unfeasible Post-Mortem instructions need not be obeyed.		Post-Mortem instructions are to be obeyed whenever possible and reasonable. Unreasonable or unfeasible Post-Mortem instructions need not be obeyed.
	=== ~~DNR and Suicide~~ ===		=== Do Not Revive ===

	A ~~“do not revive” or DNR~~ order ~~may be placed in a colonist’s records only under very specific circumstances~~, ~~and dictates that they should not be revived after death, making any death their final death. Should a~~ DNR ~~be found~~, the patient ~~is not to~~ be ~~revived. Revival despite a DNR may result~~ in ~~a Negligence charge~~. ~~In some cases, a DNR may~~ be ~~accompanied~~ by conditions, such as ~~stating that~~ the patient ~~should only remain dead if their~~ death is ~~the result of~~ a specific medical condition. ~~A DNR may be placed under the following circumstances:~~		A “Do Not Revive” order, or DNR, forbids the revival of the specified patient. This order must be documented in the patient's medical files, either by stating “Do Not Revive” or using the abbreviation “DNR.” It can be limited by conditions, such as when the patient's death is caused by a specific medical condition.

	A patient ~~who would typically~~ be ~~fit to refuse treatment confirms their desire~~ not to be revived~~. This requires assessment by~~ a ~~Psychiatrist or CBO~~.		Medical personnel is required to check patient records for DNR orders prior to revival. If medical staff has reason to believe that the DNR order was not issued correctly or legally, the Colony's High Council must be contacted via fax. The patient is not to be revived, and the body must be preserved (cryo tube, stasis bag or morgue tray) until a response from the High Council is received. Failure to check medical records for DNR orders where possible may lead to negligence charges. Furthermore, if the patient is a criminal offender, reviving them despite a DNR order in their medical records can be considered aiding in the crime. According to colony law, this can result in similar charges being applied to the person reviving the patient.
	~~A patient has been sentenced~~ to ~~legal execution via proper procedures~~.
	A patient is ~~an infiltrator~~, ~~outsider, or known enemy of~~ the colony, ~~and Security staff have declared that they are not~~ to ~~be revived~~.

	~~The~~ DNR ~~should be added~~ to the ~~patient’s medical records by~~ Biolab ~~staff~~, ~~and~~ is ~~applicable only for~~ the shift ~~wherein it was applied~~. ~~A voluntary DNR may be permanently applied to a~~ patient ~~record only after faxing~~ a DNR ratification to ~~Soteria’s~~ offices in the lower colony. ~~This must be signed off on by a CBO. Thereafter~~, ~~this permanent~~ DNR ~~may be added to post-mortem instructions with~~ the date of ~~the~~ application and the CBO’s name ~~who signed off~~. ~~If a~~ DNR ~~assessment occurs in the lower colony, a ratification fax is not necessary~~, ~~but~~ the ~~date of application and a name remain necessary~~.		Any patient capable of refusing treatment may also request that medical staff add a DNR order to their file. Assessment by a psychiatrist, or if none is available, the Chief Biolab Overseer (CBO), is required. For the DNR order to remain in effect beyond the current shift, the records must be updated in the Soteria main offices in the lower colony. The patient can make this request personally. If the patient requests the change through Upper Colony medical staff, a DNR ratification must be faxed to Soteria's offices in the lower colony, and the CBO’s signature is required. In this case, the DNR order in the medical records will also include the date of application and the signing CBO’s name. Every patient has the right to have their voluntary DNR order to be removed, following the same workflow.

	~~For~~ a DNR to be ~~considered valid~~, ~~it must contain~~ the ~~words “Do Not Revive”~~ or the ~~acronym “DNR”~~.		When medical staff are informed of a lawful execution, a DNR order must be added to the criminal's medical records.

			Medical staff may also be ordered to add a DNR order to a colonist's record by a Warrant Officer (per [[Standard_Operating_Procedure_(Marshals)\|Marshals Standard Operating Procedures]]) or the Lower Council. If no Warrant Officer is present, medical staff may also be ordered by Marshal Officers (including higher-ranking specializations) to add a DNR order to a patient's file if the patient is an infiltrator, outsider, or a known enemy of the colony. If there is uncertainty about whether one or more of these conditions apply, High Council has to be contacted, following the same procedure as described above.

ChefDoggo: Undo revision 4230 by SingingSpock (talk)

2024-10-02T01:49:03Z

Undo revision 4230 by SingingSpock (talk)

← Older revision		Revision as of 01:49, 2 October 2024
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	Individuals with no valid reason to remain on Biolab premises who refuse to comply with a request to leave may be removed with force.		Individuals with no valid reason to remain on Biolab premises who refuse to comply with a request to leave may be removed with force.
	=== Payment for Treatment ===		=== Payment for Treatment ===
	While the Biolab’s primary purpose isn’t to turn a profit, supplies still have associated costs. The Soteria Institute ~~'''~~REQUIRES~~'''~~ all personnel in the Medical division to charge for products and treatment according to the chart below, with a handful of exceptions. Personnel ~~employed with~~ the Marshals and Blackshield are ~~exempt from payment unless~~ their injuries are ~~obviously not~~ a result of their ~~assigned workload~~ (~~such~~ as ~~criminal activity). Requiring payment from Marshal or Blackshield personnel requires proof that their injuries were NOT~~ a result of their ~~duties for the good of the colony. Soteria personnel attempting to charge without valid proof may face sanctions or Extortion charges~~.		While the Biolab’s primary purpose isn’t to turn a profit, supplies still have associated costs. The Soteria Institute REQUIRES all personnel in the Medical division to charge for products and treatment according to the chart below, with a handful of exceptions. Personnel from the Marshals and from Blackshield are not to be charged if their injuries are a result of their work protecting the colony (though they may be charged for treatment rendered as a result of, for example, criminal behavior on their part). All colonists who are injured combating a colony-wide threat, such as the Class Seven Biohazard, the Class Eight Biomechanical Infestation, or some external threat, are guaranteed the same free treatment as Blackshield and Marshal colonists.

	~~Additionally, the above clauses regarding Marshal and Blackshield personnel also apply to any and all~~ colonists who ~~sustain injuries while~~ combating a colony-wide threat, such as ~~a carrion,~~ Class Seven Biohazard, Class Eight Biomechanical Infestation, or some ~~other~~ external threat.

	If a Biolab Overseer is available during a given shift, they may change the following prices as they see fit, or waive them entirely. Moreover, payment for medical treatment may be reasonably delayed for up to two hours based on the availability of doctors or other Biolab staff to handle processing invoices, or if the patient has insufficient funds to pay. This deferred payment may be overruled at any time by a CBO, who may then require payment as immediately as is reasonable. Payment may NOT be deferred in any way for visitors, outsiders, or other non-colonists.		If a Biolab Overseer is available during a given shift, they may change the following prices as they see fit, or waive them entirely. Moreover, payment for medical treatment may be reasonably delayed for up to two hours based on the availability of doctors or other Biolab staff to handle processing invoices, or if the patient has insufficient funds to pay. This deferred payment may be overruled at any time by a CBO, who may then require payment as immediately as is reasonable. Payment may NOT be deferred in any way for visitors, outsiders, or other non-colonists.

SingingSpock: Update to fee waiving section for Marshals and Blackshield

2024-07-12T03:32:30Z

Update to fee waiving section for Marshals and Blackshield

← Older revision		Revision as of 03:32, 12 July 2024
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	Individuals with no valid reason to remain on Biolab premises who refuse to comply with a request to leave may be removed with force.		Individuals with no valid reason to remain on Biolab premises who refuse to comply with a request to leave may be removed with force.
	=== Payment for Treatment ===		=== Payment for Treatment ===
	While the Biolab’s primary purpose isn’t to turn a profit, supplies still have associated costs. The Soteria Institute REQUIRES all personnel in the Medical division to charge for products and treatment according to the chart below, with a handful of exceptions. Personnel ~~from~~ the Marshals and ~~from~~ Blackshield are ~~not to be charged if~~ their injuries are a result of their ~~work protecting the colony~~ (~~though they may be charged for treatment rendered~~ as a result of, for ~~example~~, ~~criminal behavior on their part). All~~ colonists who ~~are injured~~ combating a colony-wide threat, such as ~~the~~ Class Seven Biohazard, ~~the~~ Class Eight Biomechanical Infestation, or some external threat~~, are guaranteed the same free treatment as Blackshield and Marshal colonists~~.		While the Biolab’s primary purpose isn’t to turn a profit, supplies still have associated costs. The Soteria Institute '''REQUIRES''' all personnel in the Medical division to charge for products and treatment according to the chart below, with a handful of exceptions. Personnel employed with the Marshals and Blackshield are exempt from payment unless their injuries are obviously not a result of their assigned workload (such as criminal activity). Requiring payment from Marshal or Blackshield personnel requires proof that their injuries were NOT a result of their duties for the good of the colony. Soteria personnel attempting to charge without valid proof may face sanctions or Extortion charges.

			Additionally, the above clauses regarding Marshal and Blackshield personnel also apply to any and all colonists who sustain injuries while combating a colony-wide threat, such as a carrion, Class Seven Biohazard, Class Eight Biomechanical Infestation, or some other external threat.

	If a Biolab Overseer is available during a given shift, they may change the following prices as they see fit, or waive them entirely. Moreover, payment for medical treatment may be reasonably delayed for up to two hours based on the availability of doctors or other Biolab staff to handle processing invoices, or if the patient has insufficient funds to pay. This deferred payment may be overruled at any time by a CBO, who may then require payment as immediately as is reasonable. Payment may NOT be deferred in any way for visitors, outsiders, or other non-colonists.		If a Biolab Overseer is available during a given shift, they may change the following prices as they see fit, or waive them entirely. Moreover, payment for medical treatment may be reasonably delayed for up to two hours based on the availability of doctors or other Biolab staff to handle processing invoices, or if the patient has insufficient funds to pay. This deferred payment may be overruled at any time by a CBO, who may then require payment as immediately as is reasonable. Payment may NOT be deferred in any way for visitors, outsiders, or other non-colonists.

SingingSpock: Chemical price updated

2024-07-05T21:02:27Z

Chemical price updated

← Older revision		Revision as of 21:02, 5 July 2024
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	* Advanced Kits: 10 credits/body part		* Advanced Kits: 10 credits/body part
	* Soteria Branded Gauze or Ointment: 25 credits/body part		* Soteria Branded Gauze or Ointment: 25 credits/body part
	* Chemicals and Medication: 20-~~60 credits per chemical per bottle~~ (~~according to medicinal complexity~~)		* Chemicals and Medication: 20-40cr for every 30u (rounded up if below) of unique medicine administered
	* Defibrillation: 75 credits		* Defibrillation: 75 credits

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	Payment for Medical treatment may be rendered either as credits, or as other tangible or intangible bargains -- assistance, supplies, and so on. Non-monetary payment should be duly recorded in the notes section of any invoices which are written. Monetary payments may be deferred, but cannot be waived except by a CBO, in accordance with the guidelines described at the beginning of the section.		Payment for Medical treatment may be rendered either as credits, or as other tangible or intangible bargains -- assistance, supplies, and so on. Non-monetary payment should be duly recorded in the notes section of any invoices which are written. Monetary payments may be deferred, but cannot be waived except by a CBO, in accordance with the guidelines described at the beginning of the section.

	=== Treatment Procedures ===		=== Treatment Procedures ===

SingingSpock: Formatting fix

2024-07-03T23:05:01Z

Formatting fix

← Older revision		Revision as of 23:05, 3 July 2024
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	Whatever the specialization, psychologists are mental health professionals, not trauma doctors; they are not expected to assist the Biolab’s SLTs or physicians in any direct capacity, though they are not barred from doing so if they possess the requisite knowledge, skills, and abilities. Rather, the psychologist’s primary duty is to see to the mental health and stability of the colony’s inhabitants, as well as assisting any ongoing psychological, psychiatric, or psionic research projects. It is to a psychologist that an unstable colonist will be delivered for mental evaluations, and besides the CBO, the psychologist is the only individual who can sign off on unfitness for work forms, when the cause is psychological.		Whatever the specialization, psychologists are mental health professionals, not trauma doctors; they are not expected to assist the Biolab’s SLTs or physicians in any direct capacity, though they are not barred from doing so if they possess the requisite knowledge, skills, and abilities. Rather, the psychologist’s primary duty is to see to the mental health and stability of the colony’s inhabitants, as well as assisting any ongoing psychological, psychiatric, or psionic research projects. It is to a psychologist that an unstable colonist will be delivered for mental evaluations, and besides the CBO, the psychologist is the only individual who can sign off on unfitness for work forms, when the cause is psychological.

	Job Competency Requirements:		'''Job Competency Requirements''':
	Moderate Proficiency in Medical SOP		* Moderate Proficiency in Medical SOP
	High Proficiency with privacy regulations in General SOP		* High Proficiency with privacy regulations in General SOP
	Moderate Proficiency in psychological, psychiatric, or psionic techniques		* Moderate Proficiency in psychological, psychiatric, or psionic techniques

	=== Chief Biolab Overseer ===		=== Chief Biolab Overseer ===
	Chief Overseers are the Institute’s primary hands in the field; on the surface colony, the Chief Biolab Overseer is in charge of the affairs of the Biolab, as their title would suggest. Their primary duty is not tending to patients, performing chemistry, or even handling surgeries, though they may need to do these things when their staff are unavailable. The CBO is expected to be competent and capable, first and foremost, in managing their team and representing the Soteria Institute's interests and providing a public face to the surface outpost's inhabitants. The CBO holds a seat on the Low Council, though it is a joint seat with the CRO. Overseers are reminded that if they cannot agree on a vote, they lose Soteria's vote for a given council decision.		Chief Overseers are the Institute’s primary hands in the field; on the surface colony, the Chief Biolab Overseer is in charge of the affairs of the Biolab, as their title would suggest. Their primary duty is not tending to patients, performing chemistry, or even handling surgeries, though they may need to do these things when their staff are unavailable. The CBO is expected to be competent and capable, first and foremost, in managing their team and representing the Soteria Institute's interests and providing a public face to the surface outpost's inhabitants. The CBO holds a seat on the Low Council, though it is a joint seat with the CRO. Overseers are reminded that if they cannot agree on a vote, they lose Soteria's vote for a given council decision.

SingingSpock: Formatting

2024-07-03T18:26:20Z

Formatting

← Older revision		Revision as of 18:26, 3 July 2024
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	~~== Overview ==~~

	The Soteria Institute Biological Laboratory, or Biolab, is a medical facility established on the surface outpost of Nadezhda, and is part of the Soteria Institute’s Medical and Biological Division. It is tasked primarily with providing medical care and services to the surface outpost’s inhabitants, including keeping the Marshals and Blackshield healthy and operational. Secondarily, the Biolab may also engage in scientific medical studies, including chemical testing, tissue modification, and psionic research. The Biolab is also expected to work hand-in-hand with the Soteria Institute Research and Development Facility, which is located in a joint facility with the Biolab.		The Soteria Institute Biological Laboratory, or Biolab, is a medical facility established on the surface outpost of Nadezhda, and is part of the Soteria Institute’s Medical and Biological Division. It is tasked primarily with providing medical care and services to the surface outpost’s inhabitants, including keeping the Marshals and Blackshield healthy and operational. Secondarily, the Biolab may also engage in scientific medical studies, including chemical testing, tissue modification, and psionic research. The Biolab is also expected to work hand-in-hand with the Soteria Institute Research and Development Facility, which is located in a joint facility with the Biolab.
	== Personnel ==		== Personnel ==

SingingSpock: /* Chief Biolab Overseer */

2024-07-03T18:25:53Z

Chief Biolab Overseer

← Older revision		Revision as of 18:25, 3 July 2024
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	High Proficiency with privacy regulations in General SOP		High Proficiency with privacy regulations in General SOP
	Moderate Proficiency in psychological, psychiatric, or psionic techniques		Moderate Proficiency in psychological, psychiatric, or psionic techniques
	== Chief Biolab Overseer ==		=== Chief Biolab Overseer ===
	Chief Overseers are the Institute’s primary hands in the field; on the surface colony, the Chief Biolab Overseer is in charge of the affairs of the Biolab, as their title would suggest. Their primary duty is not tending to patients, performing chemistry, or even handling surgeries, though they may need to do these things when their staff are unavailable. The CBO is expected to be competent and capable, first and foremost, in managing their team and representing the Soteria Institute's interests and providing a public face to the surface outpost's inhabitants. The CBO holds a seat on the Low Council, though it is a joint seat with the CRO. Overseers are reminded that if they cannot agree on a vote, they lose Soteria's vote for a given council decision.		Chief Overseers are the Institute’s primary hands in the field; on the surface colony, the Chief Biolab Overseer is in charge of the affairs of the Biolab, as their title would suggest. Their primary duty is not tending to patients, performing chemistry, or even handling surgeries, though they may need to do these things when their staff are unavailable. The CBO is expected to be competent and capable, first and foremost, in managing their team and representing the Soteria Institute's interests and providing a public face to the surface outpost's inhabitants. The CBO holds a seat on the Low Council, though it is a joint seat with the CRO. Overseers are reminded that if they cannot agree on a vote, they lose Soteria's vote for a given council decision.

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	=== Workplace Structure ===		=== Workplace Structure ===
	The Chief Biolab overseer is the highest authority in the Biolab. Medical Doctors and the Psychiatrist are considered to be of equal rank, but cannot overrule each other in their respective fields, and are permitted to give orders to SLTs, where such orders do not conflict with a CBO’s orders. SLTs are the lowest rank in the Biolab, but are generally expected to be able to handle their own duties without direct supervision.		The Chief Biolab overseer is the highest authority in the Biolab. Medical Doctors and the Psychiatrist are considered to be of equal rank, but cannot overrule each other in their respective fields, and are permitted to give orders to SLTs, where such orders do not conflict with a CBO’s orders. SLTs are the lowest rank in the Biolab, but are generally expected to be able to handle their own duties without direct supervision.

	== Procedures ==		== Procedures ==
	All individuals, regardless of background, inclination, or status, are bound by these procedures whenever they perform the following services under Soteria’s name. This includes cyborgs utilizing Medical modules or machinery.		All individuals, regardless of background, inclination, or status, are bound by these procedures whenever they perform the following services under Soteria’s name. This includes cyborgs utilizing Medical modules or machinery.

SingingSpock: Medical SOP rework, courtesy of Vex8tion

2024-07-03T18:25:35Z

Medical SOP rework, courtesy of Vex8tion

Show changes

LillyTrilby: /* Hygiene and Disease Control */

2023-03-24T23:49:31Z

Hygiene and Disease Control

← Older revision		Revision as of 23:49, 24 March 2023
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	== Hygiene and Disease Control ==		== Hygiene and Disease Control ==
	Medical staff ~~should~~ wear sterile clothing (such as non-allergenic lab coats and gloves) while treating patients, ~~though~~ this ~~is not required~~ while ~~“standing~~ by '' provided they can don proper equipment in a reasonable timeframe. Blood, vomit, chemical spills and other janitorial issues should be cleaned as soon as is feasible.		Medical staff are required to wear sterile clothing (such as non-allergenic lab coats and gloves) while treating patients, exception to this being while said medical staff are standing by, provided they can don proper equipment in a reasonable timeframe; additional exceptions are also to be made for SLTs while they are performing search, rescue, stabilization, or otherwise performing SLT related tasks, as long as they are reasonably sanitized beforehand (Washed hands, clean equipment, Ect…). Blood, vomit, chemical spills and other janitorial issues should be cleaned as soon as is feasible.

			Medical personnel and patients are disallowed to smoke within Soteria grounds (the only exception being the lobby) due to flammability/safety risks and health concerns. Soteria personnel are allowed to ask patients to either remove their cigarette before being treated, or leave the premises

			Quarantine procedures:
	In the event that an infectious disease posing a considerable threat to personnel is suspected to exist:		In the event that an infectious disease posing a considerable threat to personnel is suspected to exist:
	* All infected crew are to be isolated.		* All infected crew are to be isolated.