NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
MEDICAL SUBORDINATE DEPARTMENT.
[SECT. V.
92
service under the Uncovenanted Service Rules, counting their service from
the date of passing their examination as Hospital Assistants.
59.
CONDITIONS UNDER WHICH COMPETITION FOR SUB-ASSISTANT SURGEON
IS PERMITTED.—Before a Hospital Assistant can be allowed to return to the
Medical College to undergo a course of study for the grade of Sub-Assistant
Surgeon, he must have served seven years in the grade of Hospital Assistant,
and likewise be possessed of a competent practical kn owledge of the English
language. This opportunity of advancement will only be extended to such
members of the service as are reported specially deserving by their general
conduct and qualifications, and who have kept up their professional know-
ledge by the study of English works on Medicine and Surgery, and who are
likely to be able to pass the requisite examination within the prescribed
period of two years.
60. Numbers assigned to Hospital Assistants.—With a view to pre-
vent mistakes as to the individuality of the subordinates in the Hospital
Assistant branch of the Subordinate Medical Department, in which there are
many persons of the same name, or of names so nearly alike as to be scarcely
distinguishable from one another, it is directed that a number be assigned
to each Hospital Assistant and Native Medical Pupil.
61. The number assigned will accordingly be inserted in every official
document in which a subordinate's name is mentioned, and this number will
be retained by the individual, as long as he may remain in the medical estab-
lishment, without reference to any change in his rank.
62. Numbers that may become vacant by casualties will not again be
assigned to any individual, unless a fresh numeration of the whole establish-
ment should take place.
63. On the entertainment of a Native Medical Pupil being notified, a
number will, at the same time, be assigned to him in General Orders.
64. Duties of Medical Subordinates.—The especial duty of the
Apothecary, Assistant Apothecary, and Hospital Assistants in Regimental or
other Hospitals will be the charge of the Regimental Dispensary, including the
custody of all medicines, instruments, &c., the making up of prescriptions, and
keeping accounts of expenditure of medical stores.
65. Medical Subordinates in British corps are not, under ordinary cir-
B. M. S. Cir. No. 7 cumstances to be employed in making out or examining
of 13th March 1868. Returns, except the Returns of Medicines, Instruments,
&c., connected with their own department but where no Hospital Writer is
allowed, they must prepare the statistical Returns also, or render such assist-
ance in their preparation as the Medical Officer may require.
66.
MEDICAL OFFICERS PRIMARILY RESPONSIBLE.—Medical Officers in
SECT. V.]
MEDICAL SUBORDINATE DEPARTMENT.
93
charge of hospitals are invariably to be held reponsible for the custody, pre-
servation, and distribution of the medical supplies of every description attached
to the hospital dispensaries ; para. 64 is intended to define the duties which
Medical Subordinates are required to perform, subject to the control and
direction of their immediate superiors.
67. TO OBEY ORDERS.—Medical Subordinates of all classes will obey the
instructions communicated to them by the Medical Officers under whom they
may be placed. They are to take the utmost care of all Medical, Surgical, and
Purveyors' Stores belonging to the hospital; to dispense and administer the
medicines ordered by the Surgeon, and to see that the Hospital servants
perform carefully their several duties, and generally, in the absence of the
Medical Officer, that all duties of the Hospital essential to the well-being of
the sick are diligently and efficiently performed.
68. TO ADMINISTER MEDICINES.—The practice of delegating the adminis-
tration of medicines to ward coolies is prohibited.
69.
NOT TO PRESCRIBE EXCEPT IN EMERGENCIES.—Medical Subordinates are
not, under ordinary circumstances, to prescribe for patients in hospital. If
the case on admission be of an urgent nature, the Medical Officer in charge
is to be immediately sent for, and the subordinate will use his discretion in
the adoption of such temporary remedies as the urgency of the case may seem
to require.
70.
MEDICINES NOT TO BE ISSUED WITHOUT AUTHORITY.—Medical Subor-
dinates are prohibited from issuing medicines on the requisition of non-pro-
fessional persons, and except in cases of unavoidable necessity, no medicine
shall be supplied, unless under the orders of the Medical Officers in charge of,
or attached to, corps or hospitals. Emergent prescriptions, however, forwarded
to the nearest hospital for preparation are immediately to be attended to.
Military Officers belonging to Regiments, who may require an occasional dose
of aperient, or other medicine, should be furnished with a prescription, and
in such cases, it will only be necessary to return the vessel in which the medi-
cine was received, with the label initialed by the Medical Officer, when it
becomes requisite to have it renewed.
71. Detachment duties.—The Medical duties of details or small de-
tachments, whether of European or Native troops, are to be performed by
Medical Subordinates generally ; for which purpose a sufficient number of the
several grades will be placed in each division of the Army.
72. Apothecaries, Assistant Apothecaries, and Hospital Assistants, at-
tached to Administrative circles, are to be held expressly available for duty with
detachments, or invalids moving from station to station ; while those attached
MEDICAL SUBORDINATE DEPARTMENT.
[SECT. V.
94
to Garrison Surgeons or Deputy Medical Store-keepers, are not to be detached
unless on occasion of necessity.
73. SUBORDINATES WITH DETACHMENTS TO BE RELIEVED.—Commanding
Officers will, when practicable, relieve Medical Subordinates temporarily
attached, for the purpose of affording medical aid, to detachments or small
parties, European or Native, which may pass through their divisions or, stations,
in order that they may return to their own stations as soon as possible.
Officers Commanding Divisions and Stations will, on the same principle, avail
themselves, upon all suitable occasions, of the service of such Medical Subordi-
nates, as, on their return to their stations, may be disposable for duty with
detachments en route, or immediately about to move.
74.
MEDICAL STORES, AND COMFORTS.—No time should be lost by Medical
Subordinates in delivering over surplus stores to the Commissariat Store-
keepers or in returning their supplies of medicines and instruments to Medical
Store Depots.
75. On the arrival of detachments at their respective destinations, the
boxes with the remains of the supply of medicines will be delivered over to the
Medical or Deputy Medical Store-keeper, as the case may be, or at stations
where there is no depôt of Medical Stores, to the senior Medical Officer present.
These medicines are to be brought on the hospital books of the Medical Officers
by whom they are received and accounted for under the head " received by
transfer from detachments."
76.
CUSTODY OF MEDICAL COMFORTS.—Medical Subordinates, on returning
to Madras from foreign service in charge of details, shall, until the sick have
been disposed of, forward the chest of medical comforts for safe custody to the
Government Granary on the Beach, which is open daily from 10 A. M. to 5
P. M., Sundays and holidays excepted ; or they will deliver the chest to the
sentry at the Commissary General's Office, if they arrive beyond those hours,
unless they are in a position to make their own arrangements for the pro-
tection of Government stores committed to them. On the disposal of the sick
they will hand over the remaining medical comforts with the necessary vou-
chers to the Store-keeper General at the Commissariat Office. Lists of medi-
cal comforts and a return showing daily expenditure are to be rendered to the
Deputy Inspector General of the Circle, soon after arrival.
77. A cart for the conveyance of the chest can readily be procured by
indent on the Commissariat Department.
78.
INSTRUMENTS TO BE IN GOOD ORDER AND COMPLETE.—Deputy Inspectors
General of Hospitals, shall, in every instance, ascertain when Medical Sub-
ordinates are proceeding in charge of detachments, that the instruments sup-
plied to them are complete, and in good order.
SECT. V.]
MEDICAL SUBORDINATE DEPARTMENT.
95
79.
LOSS OF GOVERNMENT STORES.—Medical Subordinates who lose, or
wilfully or negligently destroy instruments or utensils entrusted to their care
for public use, are to be held responsible for them, and shall be required to
replace them at their own expense.
80.
INDENTS FOR MEDICAL STORES.—Medical Subordinates in charge of
small detachments at out-stations, and attached to Civil establishments, are
generally to restrict their indents to the list of articles allowed in 3rd class
medical indents. Deputy Inspectors General will, in every case where
demands for extra articles of supply are made by Medical subordinates, call
for an explanation, and restrict such requisitions as far as possible.
81. Medical Subordinates who are in sole charge of permanent out-posts
and minor civil stations or departments, are to be furnished with a pocket case,
a catheter, male silver, a field tourniquet, and a set of tooth instruments, which
are to be accounted for in the yearly returns of expenditure of medicines, &c.
82. Individuals of the Subordinate Medical establishment detached
with sick officers or parties of troops, are on no account to leave them on
their arrival at a station, until regularly relieved.
83. Vaccination.—Medical Subordinates, whether attached to Civil
or Military Hospitals, will take every opportunity of extending vaccination, not
only to the people of their own charge, but to the inhabitants of the neigh-
bouring parcherry, bazaars, or adjoining villages ; those attached to Collectors
will invariably practice vaccination, during the tour of Jummabundy, when
many opportunities present for the practice of the operation.
84. It is the duty of every Regimental Medical Officer to maintain
vaccination in the Regiment, Regimental bazaars, and places frequented by
camp followers, with the help of his subordinates ; and of Civil Surgeons in
the jail and station generally ; and all Medical Subordinates in isolated posi-
tions are responsible for maintaining vaccination in their various spheres.
85. A monthly return is to be forwarded to the Deputy Inspector
General of the Division, showing the number of persons vaccinated by subor-
dinates.
86. Applications for lymph should be made to the Deputy Superin-
tendent of Vaccination of the circle.
87. Civil Department, Control.—All Medical Subordinates in the
civil department are subject in their professional capacity to the supervision
and control of the Executive Medical Officer of the Zillah or District to which
they belong, or the nearest thereto, and when not actually employed on circuit
in the district, they will perform their duties in communication with the Dis-
trict Surgeon, or under his immediate instructions.
MEDICAL SUBORDINATE DEPARTMENT.
[SECT. V.
96
88. In order to bring the whole of the Medical Subordinates of a Dis-
Cir. No. 299 of trict in civil employ, in turn, under the eye of a superior
23rd January 1866. professional officer, it is directed that all Revenue Officers
when returning to stations where they are no longer dependent for profes-
sional aid on the services of the Medical Subordinates attached to their res-
pective offices, shall direct such Medical Subordinates to place themselves
under the orders of the chief Medical Officer of the station, until such time
as their exclusive services may again be required for duty elsewhere.
89. When thus temporarily placed under the orders of the Medical
Officer, the subordinates may be employed by him only at the Head-quarter
Station, until required by their departmental superiors.
90. Cases will sometimes arise when the services of Hospital Assistants
not under the immediate orders of the Civil Surgeon, whether resident at the
Zillah station or in the provinces, may be required for emergent duty in any
part of the district. In all such cases, however, the permission of their
departmental superiors must be previously obtained by the Deputy Inspector
General of Hospitals, or the Zillah Surgeon, and Government will hold the
departmental officers responsible in the event of their refusing the services
of their subordinates when required on emergency for other duty than that to
which they have been specially nominated.
91. It will be the duty of the Medical Officer applying for the services
Cir. No. 979 13th
March 1865 ; No.
3,059,28th Aug. 1865.
of a Hospital Assistant, under the circumstances contem
plated by the foregoing paragraph, to intimate at the
same time the arrangements proposed for supplying his
place during his temporary absence.
92. Government have strictly forbidden the withdrawal of Medical
Subordinates without the authority of their departmental superiors.
93. Court Martial, Warrant Officers.—Warrant Officers and Hos-
G. O. C. C. No. 24 pital Apprentices not being liable to imprisonment by
of 2nd April 1866. sentence of Courts Martial, are not to be medically exa-
mined, with a view to their capacity for enduring such punishment, previous
to their trial.
94.
ARREST.—No stoppages are to be made from the pay and allow-
G. O. G. No. 506 of antes of a Warrant Officer while under arrest, except
10th December 1867. under the sentence of a competent Court, unless any
portion of his emoluments be in the nature of staff pay, when it will rest
with the Government to decide, whether that portion shall be withheld
under the rules which apply to a Commissioned Officer.
SECT. V.]
MEDICAL SUBORDINATE DEPARTMENT.
97
95.
EXTRACT FROM COURT MARTIAL SHEETS TO BE FURNISHED TO HEAD
Circular No. 3,114 OF MEDICAL DEPARTMENT.—An extract from the confirmed
of 25th July 1866.
proceedings of all Courts Martial, other than General,
held on Medical Subordinates, must be taken by the Commanding Officer of
the Regiment, or by the Medical Officer of any department to which the
prisoner is attached, and transmitted to the Inspector General of the Indian
Medical Department at the Presidency for record in his office, and for the Court
Martial Sheet accompanying the prisoner. Court Martial sheets for Medical
Subordinates doing duty with British troops, will be sent, on the first instance
to the Inspector General, British Medical Service.
96. In the case of Medical Subordinates serving in civil employ, who
may be made over for trial by Court Martial to Officers Commanding Divi-
sions or Stations, the extract will be taken and forwarded by the Division or
Station Staff Officer,
97.
G. O. C. C. No. 107, dated 26th December 1854, contains the
form in which the extracts should be made.
98.
Medical Subordinates unfit for service, to be immediately
Cir. No. 4,004 of relieved.—It rests with Deputy Inspectors General of
20th Nov. 1865. Circles, to make immediate and temporary arrangements
promptly to replace any Subordinate pronounced unfit for service by an Invalid-
ing Committee, without waiting for the pensioner's name to be notified in.
General Orders.
99. In every case, the exact arrangement by which the duties of the
Subordinate are to be conducted, must be indicated by the Deputy Inspector.
General to the Civil Surgeon or other executive Medical Officer on the spot,
and responsibility will rest with the latter to give prompt effect to the order.
of his divisional superior.
100. Mileages. — A f i x e d m i l e a g e a l l o w a n c e o f f o u r A n n a s i s g r a n t e d t o a l l
Cir. No. 2,667 of Civil Medical Subordinates, to whatever department at-
28th June 1866. tached, who may be required to proceed to any distance
beyond five miles from their stations for the purpose of examining corpses or
wounded persons, or to be present at the execution of sentences of corporal
punishment, or when required to travel on special or extraordinary duty.
Subordinates in Military employ who may be called upon to make a post-mor-
tem examination or to certify to the nature of wounds or injuries, are entitled
to draw a fee of five Rupees, besides mileage.
101. Mileage is not claimable when travelling on transfer from one
station or department to another, or in the ordinary movements of Medical
Subordinates on detachment, or jummabundy duties, &c. Marches undertaken
in the ordinary Course of duty are already provided for.
N
MEDICAL SUBORDINATE DEPARTMENT.
[SECT. V.
98
102. Reports.—Apothecaries and Hospital Assistants, on their arrival
at the Presidency shall, in addition to the other reports prescribed by regula-
tions, report in person their arrival, place of residence, and the cause of their
absence from their several stations, with the authority by which it may have
been sanctioned, at the Inspector General's Office (Indian MedicalDepartment).
A similar report is to be made by the above grades on quitting the Presidency.
Subordinates under the orders of the Inspector General, British Medical Ser-
vice, will report themselves to that official.
103. Casualties.—Medical Officers in charge of hospitals or establish-
ments, whether Civil or Military, are required to report direct to the Inspector
General, Indian Medical Department, and without delay, all casualties in the
Medical Subordinate Department, which may occur among individuals who may
be under their orders, or in hospital.
104. Similar reports are to be made to the Deputy Inspector General
of the Division.
105. Channel of communication with superior authority.—It is an
irregular practice for Hospital Assistants to address their superiors by letter
on any subject ; the course that ought to be adopted by individuals below
the grade of a Warrant Officer in preferring their grievances, claims, &c., is to
state them to their immediate superiors, who after making the necessary
enquiries, and being satisfied of the justice or correctness of their representa-
tions, will submit the same through the regular channel with their own
observations and opinion on the merits of the case to Head-quarters, for His
Excellency the Commander-in-Chief's orders.
106.
MEDICAL SUBORDINATES NOT TO BE EMPLOYED ON PRIVATE SERVICE, &C.
The employment by Medical Officers of subordinates under them in any private
capacity, is most positively forbidden.
107. Discharge.—N o
M e d i c a l S u b o r d i n a t e w i l l b e e n t i t l e d t o c l a i m h i s
discharge under ten years' service, calculated from date of first appointment
as Medical Apprentice or Medical Pupil, otherwise than upon payment of the
amount of stipend received by him up to date of his being passed out of the
Medical College as qualified for the public service : and no Apprentice or
Medical Pupil can be permitted to relinquish the service without sanction of
the Commander-in-Chief, and a refund of the whole amount of stipend received
during his service.
108. Apothecary Class, Promotion.—No Assistant Apothecary shall
be promoted to the rank of Apothecary, until he shall have passed his exa-
mination for the superior grade, before a Board of Medical Officers.
109. The Board will be composed, at the Presidency, of the Deputy Inspec-
tor General, Indian Medical Department, as President, and the Principal of
SECT. V.]
MEDICAL SUBORDINATE DEPARTMENT.
99
Station
18
A. B., President.
Members.
(Size, Foolscap, half a sheet.)
C. D.,
E. F.,
the Medical College and a Professor as members, and at other stations of
the Deputy Inspector General of Hospitals of the Division as President, and
two Medical Officers as members.
110. The examination will embrace the following points :—Anatomy,
Surgery, Materia Medica, Pharmacy, Practice of Medicine, Midwifery, and
Vaccination. The report will be made agreeably to the following form :—
Report upon examination of Medical Subordinates—(here enter date
and month) 18 .
Rank and
Name.
F o r w h a t g r a d e e x a m i n e d .
QUALIFICATION IN
A n a t o m y .
S u r g e r y .
M a t e r i a M e d i c a .
P h a r m a c y .
P r a c t i c e o f m e d i c i n e .
M i d w i f e r y .
V a c c i n a t i o n .
Remarks.
Qualified or not
qualified.
111. Nature of Examinations. — I n
the extent to which the exami-
nation is to be carried in the several particulars above specified, the Board
will be guided in each case by the opportunities which the individual may
have enjoyed of acquiring professional knowledge, but under no circumstance
is any individual to be passed for the superior grade, unless found perfectly
qualified for the duties which he will actually be required to perform.
112. Certificates of Qualification.—Each individual passed by the
Board will receive a certificate of qualification for the next superior grade.
Certificates granted by up-country Boards will be forwarded by the President
for registry in the Medical College, when they will be returned to the Pre-
sident for delivery to the parties examined.
113. Half-yearly Examination .—The examination will take place
half-yearly in the months of June and December, and for the convenience
100
MEDICAL SUBORDINATE DEPARTMENT. [SECT. V.
of individuals, who may desire to obtain certificates of qualification in anti
- c i p a t i o n o f t h e i r p r o m o t i o n , A s s i s t a n t A p o t h e c a r i e s f r o m N o . 1 t o N o . 1 0 o n
the list, will be allowed to present themselves before the Board for that
purpose.
114. OUT-STATIONS.—Assistant Apothecaries succeeding to promotion
when at out-stations, not having already passed, will be appointed to act in the
superior grade, until an opportunity may offer for their undergoing the pre
-scribed examination.
115. The assembly of the Board of Examiners and all subsidiary details
will be under the direction of the Commander-in-Chief.
116. Promotion of Hospital Assistants .—Hospital Assistants will, in
like manner, be subjected to examination for promotion to the 2nd and 3rd
classes of their grade by a Board of Medical Officers appointed by the Com
- m a n d e r - i n - C h i e f o n t h e f o l l o w i n g s u b j e c t s , v i z . , A n a t o m y S u r g e r y , M a t e r i a
Medica, Practice of Medicine, Midwifery, and Vaccination, to ascertain that
they keep up their knowledge of professional subjects.
117. A report agreeably to the following form, is to be forwarded to the
Inspector General in duplicate, signed by the President
*Report upon examination, of a Medical Subordinate at (here enter station)
dated (here enter date and month) 18
F o r w h a t c l a s s e x a m i n e d .
QUALIFICATIONS IN
Rank and
Name.
A n a t o m y .
M a t e r i a M e d i c a
S u r g e r y .
M i d w i f e r y .
P r a c t i c e o f M e d i c i n e .
V a c c i n a t i o n .
Remarks.
(Here state distinctly
whether the Hospital
Assistant is found
qualified for the
higher class or not.)
*(Size, Foolscap, half a sheet.)
President Medical Committee.