NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
Paras. 320–24.
Military Hospitals.
320. Class of case accommodation.—The following classes of cases
will be accommodated in these hospitals
:—
(a) minor cases which only require a few days' treatment and for
whom hospital diets are unnecessary.
(b) serious or emergency cases pending transfer to a military
hospital.
321. Returns.— T h e s t a t i s t i c a l r e t u r n s w i l l b e r e n d e r e d t o t h e O . C .
hospital to which the sick are sent and will be included in the return
of that hospital, care being taken that the strength of the troops is also
indicated.
322. Medicines and surgical appliances. —Medicines and surgical
materials will be supplied on indent by the O. C. the military hospita
to which the sick are sent.
Hospitals for troops moving and in camp.
323. Hospital arrangements.—The following hospital arrangements
will be made for troops moving:—
(a) By rail—Hospital accommodation as laid down in Regula-
-tions for the Army in India, Chapter XI and the equip--
ment in E. R. (India), Part 2, Section V-D; medical personnel
detailed as required from military hospitals.
(b) By road—Such medical personnel and equipment provided
from military hospitals and such ambulance transport
as is considered necessary by the A. D. M. S. concerned
will be sent with troops marching. Rations and cooking
will be arranged for regimentally, but medical comforts
and hospital cooking will be available for special cases.
When necessary, one or more sections of a field ambulance
may be detailed with the approval of the D. M. S.
(c) At camps of instruction—Special as may be ordered.
(d) By sea—See Marine Regulations, India, Vol. IV.
Hospital clothing as actually required by troops proceeding to
England by hired transports (not R. I. M. vessels) will be shipped
on the indent of the medical officer countersigned by the A. D. M. S.
concerned.
Dispensaries.
324. Military dispensaries.—Dispensaries are sanctioned at:
—
(a) Fort William—for dispensing the prescriptions for the station
and district staff. A ward with six beds for British troops
is attached.
(b) Fort St. George—for dispensing the prescriptions for the ord-
nance staff and Governor's body guard.
(c) Jubbulpore, Kirkee and Cossipore—for the treatment of
factory employees.
80
Military Hospitals.
Para. 324.-
(d) Baroda—for followers.
(e) The Defensive Post, Multan—for the garrison. A detention,
ward is attached.
(f) Simla—Civil and Military Dispensary for civil and military
staffs of the Government of India and attached offices and
similar employees of the Punjab Government stationed
at Simla.
(g) Summer Hill, Simla—dispensary for clerks of Army Head
-quarters living at Summer Hill.
(h) Harness and Saddle Factory, Cawnpore—for the employees
of the factory.
(i) Proof Department, Balasore (Chandipore)—for the employees
of the Dept.
(j) Rifle Factory Gate Dispensary, Ishapore—for the employees
of the factory.
(k) Railway Rest Camp, Rawalpindi—for troops in the camp.
(l) Birdwood Barracks, Mozang (Lahore)—for the garrison.
(m) Gun Carriage Factory, Satpulla Vill.—for the factory em
-ployees.
(n) Cordite Factory, Aravankadu—for factory employees.
( o ) F o r t , F e r o z e p o r e — f o r t h e g a r r i s o n .
( p ) F o r t , G o v i n d g a r h , A m r i t s a r — f o r t h e g a r r i s o n .
( q ) S t a f f S u r g e o n s ' D i s p e n s a r i e s a t P o o n a a n d B a n g a l o r e — f o r
civil and military staffs and departments at those stations.
( r ) R e m o u n t D e p ô t s a t B a b u g a r h a n d S a h a r a n p u r — f o r t h e -
establishments of the Depôts.
( s ) C l o t h i n g F a c t o r y , S h a h j a h a n p u r — f o r f a c t o r y e m p l o y e e s .
and other ranks and their families living within the Muni
- c i p a l l i m i t s .
(v) Fort Dispensary, Jhansi—for the garrison.
(w) The New Nicholson Lines, Kohat—for the garrison.
(x) Garrison Dispensary, St. Thomas Mount.
(y) Fort, Peshawar—for garrison.
(z) Dispensary, Khandwa—for M. T. Company located there.
81
Paras. 325-31.
Hospital Dietary.
SECTION VI.—HOSPITAL DIETARY.
325. Articles of diet and scales of dietary.—The articles of hospital
dietary and extras and their scales of issue, authorised for British
and Indian troops and followers respectively are detailed in "Scales
of Rations and Supplies issued by the I. A. S. Corps".
326. Hospital dietary, to whom allowed. —(i) All persons entitled
to admission into a military hospital (B. M. H., I. M. H. or military
family hospital) and admitted thereto for treatment will be provided
with free hospital diets and extras, subject to the payment of hospital
stoppages, if any, authorised in each case, vide P. and A. Regs., Part II.
(ii) Patients must be "admitted" to hospital to entitle them to
hospital diets. Hospital diets will not be issued to patients on the
first day of admission to hospital or to patients "detained" in hospital.
Such patients will be subsisted on extras.
327. Extras.—With the approval of the O. C. hospital officers in
medical charge of patients in a military hospital or military family
hospital may order for them as extras any authorised articles of food
(including fresh fruit and extra ice) or drink procurable by the I. A.
S. C. that they consider necessary for the sick (including British Soldiers'
families).
328. Variation in diets.—The O. C. hospital will arrange that or--
dinary diets are varied as much as possible, and that food is served
in an appetising and attractive manner.
329. Hours of meals.—It is left to the discretion of the O. C. hospital
to arrange the hours for meals so as to suit local requirements, care
being taken that patients are not left too long without nourishment.
300. Ordering of diets and extras. —The officer in medical charge
of the case will order such diet and extras as may be suitable for each
patient on I. A. F. M-1204 (Patient's diet sheet) and will bear in mind
that all necessary economy, compatible with the well-being of the
patient, should be practised, in order that any undue issue of extras
may be avoided.
For patients in B. M. Hs. having their meals in the dining hall,
ordinary diet will be ordered on the patient's diet sheet by the medical
officer in charge of the ward, and extras will be ordered by the O. C.
hospital on the dining hall diet sheet.
331. Daily ward-requisition for diets and extras.—The daily re-
-quirements of diets and extras for the ward will be compiled on I. A. F.
M-1205 or M-1205-A by the assistant surgeon or sub-assistant surgeon
in sub-charge of the ward from patient's diet sheets, in accordance
with instructions on the form. The officer in charge of the ward is
responsible for the correctness of these forms and will sign the re-
quisition before its submission to the storekeeper.
82
Hospital Dietary.
Paras. 332-34
.
332. Supply of milk. —Except when milk is supplied by a Govern--
ment dairy, the cows should be milked at the hospital, morning and
evening, Frequent examinations of milk supplied to the hospital
should be made to ascertain the specific gravity and percentage of
fat in order that adulteration may be detected.
333. Rejection of diet supplies.—The procedure to be adopted in
dealing with articles of diet rejected by the O. C. hospital is laid down
in Regs. A. I., para. 463.
334. Civilian paupers' diets. —When destitute Europeans uncon--
nected with the army are admitted to a military hospital, statements
of issues of diets and extras and of expendable medical stores will be
sent to the C. M. A. concerned.
83
Paras. 335-38.
Hospital equipment.
SECTION VII.—HOSPITAL EQUIPMENT, STORES AND
SUPPLIES.
GENERAL INSTRUCTIONS.
335. Definition.—Hospital equipment and stores include:
—
M. E. S. equipment.
L A. S. C. supplies.
Ordnance equipment and clothing.
Medical, surgical, X-ray and dental equipment, stores and sup-
- p l i e s .
336. Authority for equipment.—Hospitals are equipped in
accordance with E. R. (India), Part 2, Section V. The rules relating
to requisitions and the general procedure and responsibility con--
nected with stores and equipment will be found in Regulations for
the Army in India, Financial Regulations, India, and E. R. (India),
Part I.
337. Custody of stores.—The senior member of the I. M. D. and
the hospital storekeeper respectively will be responsible under the
d i r e c t i o n o f t h e O . C . h o s p i t a l f o r t h e s a f e c u s t o d y o f s u c h s t o r e s a n d
equipment as the O. C. may direct. Equipment and stores will be
checked by the O. C. hospital or an officer detailed by him as follows:
—
Ration articles and articles of diets and extras at least once a
month, Hospital bedding and clothing at least every 3 months,
all other classes of stores and equipment at least every 6 months,
except barrack equipment which will be checked periodically by the
Barrack master in conjunction with the O. C.
338. Maintenance of accounts and equipment and stores.—(i)
The O. C. hospital is responsible that regular accounts of all equip--
ment and stores in his charge are maintained. For this purpose
equipment and stores will be arranged in groups according to the source
of supply, a separate stock ledger or section thereof being allotted
to each group.
(ii) Expense books (I. A. F. M-1227) will be maintained for the
purpose of accounting for all expendable articles.
(iii) Two voucher registers will be maintained, one for receipt vou--
chers and one for issue vouchers in which details of each voucher
received or issued will be entered on receipt or issue of that voucher.
Each entry in the register will be numbered consecutively and a cor--
responding number entered on the voucher. A fresh series of numbers
will be used for each year.
(iv) Detailed instructions of the current procedure for the main--
tenance of account of equipment and stores of military hospitals will
be found in circulars issued from time to time by the D. M. S. in India.
NOTE.—Persons entitled to admission to a civil hospital, will, when admitted there
-to, be entitled to free hospital dietary subject to the payment of hospital stoppages as
above.
84
Hospital equipment.
Paras. 339-45.
339. Verification of stock.—When an officer is appointed to the
command of a military hospital or other unit in possession of hospital
equipment or stores he will at once take steps to check the accuracy
of the stock of such equipment and stores in accordance with the
instructions laid down in para. 844, R. A. I.
340. Survey of stores.—Ordnance and clothing stores will be sur--
veyed, dealt with and replaced as laid down in E. R. (India), Part I,
and Clothing Regulations, India.
Stores supplied by the M. E. S. will be surveyed and dealt with
as laid down in M. E. S. Regulations.
341. Gift equipment.—Ledgers for gifts of equipment, e.g., from
the Indian Red Cross Society, etc. will be opened. Any necessary
charges for the upkeep of these articles will be met by the State.
342. Destruction of infected articles. —Articles which have been
used in connection with persons suffering from infectious diseases,
and which cannot be properly disinfected will be destroyed under
the orders of the O. C. station and these orders will form the
voucher for their replacement.
343. Retention of condemned clothing.— Os. C. hospitals may re-
-tain, for cleaning purposes, such quantities of sheets and blankets
(condemned as unserviceable) at the periodical inspection of equip-
ment and clothing), as are required to last until the next inspection.
Accumulation of such material is prohibited.
The O. C. will certify on I. A. F. Z-2098 that he has personally
seen the sheets and blankets torn into pieces suitable for cleaning
purposes only.
Articles of condemned hospital clothing must not be retained for
cleaning purposes but will be disposed of in accordance with the or-
-ders of the C. O. O. given on I. A. F. Z-2098.
344. Disposal of Supplies and equipment on closure of hospitals.
— W h e n h o s p i t a l s a r e t e m p o r a r i l y o r p e r m a n e n t l y c l o s e d , t h e e q u i p m e n t
will be disposed as follows : —
M. E. S. Equipment.— To be returned to the M. E. S. under the
orders of the district or brigade commander concerned.
I. A. S. C. Supplies.— To be disposed of under the orders of the
district or brigade commander concerned.
Ordnance Equipment.— To be returned to the local arsenal in
communication with the district or brigade commander and
the C. O. O. concerned.
Medical Equipment.— To be disposed of under the orders of the
district or brigade commander concerned, advised by the
A. D. M. S.
Medical Equipment.
345. The term "Medical equipment" includes all articles speci
-fied in the Medical Store Department "Priced Vocabulary of Medical
85
Paras. 346-48.
Hospital equipment.
Stores", which are authorised for issue to the army and in addition,
sera, vaccines and small-pox vaccine lymph.
346. Supply of medical equipment. —(i) Medical equipment with
the exceptions of sera, vaccines and smallpox vaccine lymph is drawn
from the medical store depôts which are under the control of the
D. G., I. M. S.
Medical equipment will be supplied in accordance with the scales
laid down in E. R. (India), Part 2, Section V. The authorised medi-
cines and expendable articles for which no scale is laid down, may be
obtained in such quantities as are approved by the A. D. M. S.
(ii) The medical equipment required for training and for
isolation camps will be obtained by the nearest British or Indian
military hospital from the Medical Store Depôt. Urgent require-
ments will be issued from the equipment of these hospitals.
347. Location of medical store depôts.—Medical store depôts are
situated at Lahore Cantonment, Bombay, Calcutta, Madras and
Rangoon.
The areas supplied by these depôts are as follows :—
Lahore Cantt. Depôt
Peshawar District.
Rawalpindi District.
Lahore District.
Kohat District.
Waziristan District.
Bombay Depôt
Baluchistan District.
Sind Ind. Bde. Area.
Mhow District (excluding Saugor, Now-
gong, Kamptee, Nagpur and Pach-
marhi).
Bombay District.
Poona Ind. Bde. Area (excluding Bel-
gaum).
Persian Gulf.
Zhob Ind. Bde. Area.
Calcutta Depôt
Meerut District.
Presidency and Assam District.
Saugor and Nowgong.
Jubbulpore, Kamptee, Nagpur and
Pachmarhi.
Lucknow District.
Delhi Ind. Bde. Area.
Madras Depôt
Madras District.
Deccan District.
Belgaum.
Rangoon Depôt
Burma District.
348. Loan equipment.—Certain articles of extra medical and
surgical equipment are maintained at headquarters stations of districts
86
Hospital equipment.
Paras. 349-55.
and independent brigades for issue on loan by A. Ds. of M. S. to hospi-
tals as required. Medical and surgical equipment not on charge on
.any particular hospital may be obtained on loan from another hospital
in possession of the equipment required.
349. Instruments on loan from medical store depots.—Instru-
ments and appliances may be obtained on loan from medical store
depots on the usual indents which will be marked " on loan." Articles
so obtained will be taken on charge and accounted for in the ledgers
an the usual way and must be returned without delay when necessity
for their use is ended. To the ledger entries in connection with such
articles should be added the note " on loan."
350. Retention of unauthorised articles.—Unauthorised articles
of equipment will be entered in I. A. F. M-1224, and may be retained
only under the sanction of the A. D. M. S. No replenishing nor any
repair of this unauthorised equipment is permissible as a charge against
the State.
35L Economy.—The strictest economy will be exercised in the
use of medical equipment and in demanding the same. Executive
and administrative medical officers will thoroughly satisfy them-
selves that only such articles and quantities as are actually required
are demanded, and in the case of expensive articles that the expense
is fully justified and that no less expensive articles will suffice. All
indents will be carefully scrutinized, by administrative medical officers
before submission to the medical store depot.
352. Lard and beef suet.—Neither pig's lard, nor beef suet will
ever be used in the preparation of ointments.
353. Nomenclature of equipment.—In describing equipment in
ledgers, vouchers, indents, etc., the item No. in the Priced Vocabulary
of Medical Stores will invariably be entered against each articles, and
the nomenclature of this vocabulary will be adhered to. Special stores
not included in this vocabulary will be inserted in alphabetical order
n the section containing stores of a similar nature or description.
354. Annual and intermediate indents.—Supplies of medical equip-
ment will be indented for annually on I. A. F. M-1216 in accordance
with the instructions on the form. Intermediate demands should be
avoided as far as possible. When intermediate demands are ab-
solutely necessary they may be submitted on I. A. F. (Medical) 24.
Telegraphic demands will be supported immediately by formal indents
marked " covering." All indents annual, intermediate and " cover-
ing " for medicines and expendable articles require the countersigna-
ture of the A. D. M. S.
355. Local purchase.—In urgent circumstances medical equip-
ment may be purchased locally by the 0. C. hospital the cost thereof
being met from the fixed allotments authorised for each hospital.
The sanction of the A. D. M. S. will be obtained before surgical
instru-ments and appliances are purchased in this manner.
Local purchases will be accounted for in the ledgers. The bills will
be forwarded to the A. D. ]d. S. who will carefully scrutinise them and
87
D 2
check each item of expenditure, satisfying himself of the necessity
for the purchase before passing the bills to the audit officer concerned.
356. Unpacking medical equipment. —All articles received will
invariably be unpacked and checked in the presence of an officer.
Observations regarding breakages, deficiencies, etc., will be recorded
on I. A. F. M-1216.
357. Despatch of medical equipment.—The conveyance of stores,
disposal of empty packages and handling of dangerous goods will be
carried out in accordance with the instructions laid down in E. R.,
India, Part I, and Regulations for the Army in India, Chapter XI.
358. Accounting for medical equipment. —Medical and surgical
equipment, X-ray, dental and laboratory equipment will be accounted
for on I. A. F. M-1224 which will be submitted annually in accordance
with the instructions thereon. Drugs, dressings, etc., will be held
on charge and accounted for in expense books (I. A. F. M.1227).
359. Storage and issue.—Surgical instruments will be kept in the
operating room or dispensary, under lock and key. Supplies of
medicines will be kept locked up in the medicine store in hospitals
where such a store exists. The expense bottles in the dispensary will
be replenished as required from this store and all issues made to the
dispenser will be recorded and checked. Old stocks will be used up
before new ones are issued.
360. Poisons.—Poisons will be kept under lock and key in a room
or cup board set apart for the purpose. They will not be stored in
excess of actual requirements. Careful supervision to prevent im-
proper expenditure will be observed in regard to the usage, issue and
dispensing of all hypnotic and poisonous drugs.
361. Stocks in hospital medical stores. —In military hospitals the
stocks in the medical store will be held on charge in expense books
but the drugs in the expense bottles and other consumable stores
kept in the dispensary will not be so held on charge. The drugs and
other consumable stores in the dispensary will be replenished as re-
quired by the member of the I. M. D. in charge of the medical store
on R. and D. vouchers (I. A. F. Z-2096) prepared by the dispenser
and signed by the O. C. hospital. A copy of these vouchers will be
maintained for audit purposes. The quantities so issued from the
medical store will be recorded in the expense books as they occur,
and the indents will form the supporting vouchers when these
books are examined.
362. Disposal of equipment no longer required. —(a) Serviceable
articles will be returned to the medical store depôt when in excess of
scale.
(b)
Repairable articles will be returned to the medical store depôt
for repair, but before this is done a board of medical officers should
examine the articles to decide whether they are repairable or are in a
condition to warrant their being classed as unserviceable. Minor
repairs to articles of hospital furniture supplied by medical store depôt
s
will however be carried out locally by the M. E. S.
88
Hospital equipment.
Paras. 363-66.
(c) Unserviceable articles will be disposed of to the best advantage
locally and the loss will be written-off. No such articles will be re-
turned to the medical store depôt.
Obsolete articles, i.e. , articles which are not stocked by medical
store depôts and therefore are not included in the Priced Vocabulary
of Medical Stores (India) will be disposed of under sub-para. (c) above
locally by the medical units within the limit of financial powers laid
down in para. 8, Financial Regulations for the Army in India, Part I.
Where necessary, the sanction of the next higher competent financial
authority will be obtained.
363. Disposal of deteriorated drugs, except chloroform which will
in all cases be destroyed as unfit for use. —Samples of deteriorated drugs
including anæsthetics, accompanied by a statement of the quantity
to be disposed of will be sent direct to the Officer in charge, Medical
Store Depôt, Madras, for report by the Advisory Chemist of the Medical
Store Department as to whether they can be economically recondi-
tioned. If found fit and worth reconditioning, the Officer in charge,
Medical Store Depôt, Madras, will in due course inform the unit
concerned where the bulk supplies are to be sent for that purpose.
Drugs not fit for reconditioning will be destroyed.
364. Destruction of unserviceable articles. —Articles recommended
for destruction and drugs not fit for reconditioning will be destroyed.
They will not be written off charge unless authority has been obtained
and their destruction has been carried out in the presence of a medical
officer. The following certificate will accompany the return in which
the articles are written-off :—
" I c e r t i f y t h a t t h e a b o v e - m e n t i o n e d a r t i c l e s h a v e b e e n d e s t r o y e d
this day, in my presence, beyond the possibility of further
use."
365. Stocktaking.—Stock will be taken of the medical equipment
(a ) whenever indents are prepared for fresh supplies, ( b) when I. A. F.
M-1224 is submitted, ( c) at the discretion of the O. C. hospital,. (See
paragraphs 838 and 844, R. A. I.)
366. Pocket instrument cases.—Every member of the I. M. D. in
military employment will be supplied with a pocket case of instru-
ments, which he must produce at any time for inspection, and pay for
if lost by neglect, etc. The first issue will be free and subsequent
issues, or replacement of component parts, will be dealt with under
the ordinary rules.
When a member of the I. M. D. is transferred to civil employment
or becomes non-effective, the O. C. hospital will be responsible for the
return of the pocket case to the medical store depôt which supplies
the area in which the hospital is located. In the case of transfer
from one military appointment to another, each member of the I. M. D.
will furnish a certificate of possession to his O. C. who will forward the
same with the other transfer documents of the assistant or sub-assistant
surgeon. On proceeding on field service the certificate referred to
89