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Civil Medical and Research Union
1. Introduction
2. Civil Protection
3. Health and Safety Oversight
4. Priority Patient treatment Standards
5. Information Retention
6. Operational Restrictions
7. Professional Conduct Expectations
8. Clinical Standards
9. Emergency Standards
1. Introduction
At the CMRU, it is expected that all staff conform to the rules and regulations held therein, performing their tasks against the rules et out in this handbook. Here you will learn how to administer aid to those within civil protection, people of high class among the administration, those who are only worth a glance among the underclass assets and biotic creatures, deserving of nothing more than a bandage and directions to the door.
It is imperative that you, our valued and esteemed employee of this civil union keep apprised to changes in documentation within this book. It is your duty to ensure your understanding is kept up to date and in line with the administrations wishes. Failure to understand the literature may come with repercussions and possible dismissal from the union, or charges brought against you.
2. Civil Protection
As well as the usual patient intake day to day, it is expected that those who serve our great benefactors within civil protection, may come through our doors seeking medical aid. It is our privilege to serve and ensure their well being, by treating any and all wounds or medical problems with distinction.
As officers arrive for treatment you can expect them to take priority over any citizen below the rank of tier four already present. Their functions within urban centers ensure the safety of its recognized, hard working registered citizens. During their treatment, along with their after care, you must observe and ensure that:
- You are a nurse practitioner or above, before beginning any treatment on an officer
- Seek management approval if under that rank (Only in cases of emergency when required staff are unavailable)
- All treatment administered is recorded within the CMRU database, or among any sanctioned recording method
- Seek approval from additional officers before removing any uniforms to gain entry to wounded areas
- Follow overwatch directives where applicable during treatments
- Ensure an officer can return to operational duty as soon as possible, without compromising safety
Failure to abide by these standards may result in employment termination and charges against you
3. Health and Safety Oversight
It is well known that those working for the workers union perform tasks that may result in harm to their work force, or those aiding in their protection. It is therefore expected that those working among our ranks will be called upon to attend shifts in a professional capacity, providing on site medical assistance and oversight during shifts that pose significant risk. Should our assistance be demanded on a shift, you must:
- Co-ordinate with the shift foreman or person/s responsible for the shift, ensuring you know what the shift entails, equipment is being used, how many will be in attendance and if you require clothing to protect from hazardous environments
- You maintain a professional demeanor throughout, observing your role within the shift. You are there for medical reasons, do not overstep your authority
- Where applicable, liaise with the foreman or person/s responsible for the shift and conduct a risk assessment prior to departure
- Report unsafe working practices through management or above for review.
Anyone at the rank of nurse practitioner may attend a shift when requested. Registered nurses and below must be accompanied by a practicing nurse, as so they may oversee your work and guide you, in line with any and all learning materials provided.
4. Priority Patient Treatment Standards
The upper echelons of society may find themselves injured or falling ill from various external pathogens from time to time. These highly esteemed individuals, serve our benefactors for the betterment of the human race, excelling our ascension on a daily basis. They are recognized for their achievements and as such granted higher tiers and privileges than normal people in society. When treating a patient of this caliber, remember to:
- Provide advanced care, time and patience. Their recovery is important
- Be ready to accept an appointment, no matter the time of day or how you may be feeling.
- Consider treatments that are non standard, where applicable and approved by management
- Adhere to the Priority Patient Table (PPT)
P-P-T |
|---|
Civil Administration Personnel |
Captains |
Directors + Rank Leaders |
Civil Protection Units |
Registered Collaborators |
Tier two-one citizens |
Underclass citizens, as well as low tier biotic assets may only receive the minimum treatments. Their failure to become a recognized citizen within your urban population is no fault of the civil medical branch. Do not waste valuable resources on those who do not provide and engage with the rest of civilized society.
Anyone caught offering above the minimum treatments to keep those of underclass status alive will be prosecuted
Patients come and go from the clinic and it is our job to ensure records are kept. Anything from equipment usage, patients name, CID number, social class, violations and previous medical notes must be observed. When making your logs into official records, be sure to include notes that:
- Provide information on all interactions involving treatments, resource use and clinical decision making, along with presenting conditions and applied intervention
- Logs are done in a timely manner, as not to lose valuable information or forget to add logs to patient files
- Maintain patient confidentiality at all times, especially with those in the upper echelons of society
In cases of minor examinations to all patients, it is at the attending physicians discretion as to record details of any interactions, should no equipment or medical aid be administered.
6. Operational Restrictions
Among urban centers lay undesirable locations, where necrotic and xenian assets may be found roaming, as well as a variety of undesirable individuals. As an employee of the C-M-R-U, it is expected that you adhere to the following:
- Leave all equipment, clothing, medical supplies, communication devices and documents inside the C-M-R-U building, before entering any condemed sector.
- You assume responsibility and your own safety if working in these sectors
- Loss of anything outline in point one will be considered as negligence, unless determined otherwise after careful review
- Only under expcetional circumstances approved by those in management positions, are you to attend any medical emergencies and treat patients within these zones
Failure to adhere with these rules may result in your termination and charges brought against you
7. Professional Conduct Expectations
All employees working under the umbrella of the Civil Medical and Research Union take pride in their work, along with their outward appearence to others. It is expected that you conduct yourself professionally when representing the union, doubly so whilst you're in full uniform and conducting treatment in or outside our medical facilities. As such, the administration and its directorate demand that:
- You maintain composure and neutrality during all interactions
- Avoid unnescessary escalation or involvement in non-medical disputes
- Uphold proceedural integrity at all times
- Seek clarification when uncertain. Do not act outside of protocols
- Follow orders given by civil protection assets at all times
8. Clinical Standards
Within the medical branch, employees take strides to ensure surgical excellence and high standards with their treatments. Those standards are only maintaibned through regular, consistant training. The chart below outlines various skills and proficiencies a clinician mustbe familure with, in order to correctly diagnose and treat their patients.
| Exam Type | When to use it | What you check | What you're looking for |
|---|---|---|---|
| General Survey | Every Patient | Appearence, Posture, Breathing effort, Skin Colour | Sick vs Stress, Distress, Sist&cyanosis, Sweating |
| Vital Signs Exam | Every Patient | BP, Pulse, Respirations, Temperature, Conciousness | Oxygen Saturation |
| Respiratory Exam | Shortness of breath, cough, chest pain | Chest rise, breating sounds, oxygen level | Wheezing, absent sounds, low oxygen |
| Cardiovascular exam | Chest pain, dizziness, collapse | Pulse strength, heart rate, BP, skin warmth | Weak pulse, irregular rythm, low/high BP |
| Neurological exam | Head injury, stroke signs, confusion | GCS, pupil reaction, limb strength, speech | Weakness, unequal pupils, reduced conciosness |
| Abdominal exam | Chest pain, dizziness, collapse | GCS, pupil reaction, limb strength, speech | weakness, unequal pupils, reduced conciousness |
| Neurological exam | Head injury, stroke signs, confusion | GCS, pupil reaction, limb strength, speech | Weakness, unequal pupils, reduced conciousness |
| Skin Exam | Injury, limb pain | Movement, deformity, swelling, pain level | Fracture Suspicion, restricted movement |
| Endocrine/Gluclose Check | Rash, Infection, Wounds | Colour, temperture, wounds, swelling | Infection, Bleeding, pressure sores |
| Focused Trauma Exam | Accidents, assult | Head-to-toe inspection for bleeding or deformity | hidden injuries, internal bleeding signs |
Remember to do a general survey and get their vital signs, then perform a focused exam as and where applicable
9. Emergency Standards
Patients in a critical condition will require emergency care to save their life or prevent their death. Following this matrix will help to ensure the goals of successful patient treatment and release from clinical care.
| Scenario | When to use it | What you do | What you're looking for |
|---|---|---|---|
| Airway Assessment & Management | Patient unconscious, choking, severe trauma | Check airway patency, clear obstructions, position airway, assist ventilation if required | Obstruction, gurgling, inability to maintain airway |
| Rapid Trauma Assessment | Major injury, assault, industrial accident | Perform head-to-toe survey, control bleeding, stabilize patient | Hidden injuries, hemorrhage, deformities |
| Hemorrhage Control | Active bleeding or traumatic wounds | Apply pressure, dress wounds, elevate if appropriate | Bleeding control, signs of shock |
| Shock Assessment | Pale, clammy, confused patients | Check perfusion, mental state, vitals, skin temperature | Hypoperfusion, circulatory collapse |
| Oxygen Administration | Shortness of breath, trauma, low saturation | Provide supplemental oxygen and monitor response | Improvement in breathing, oxygenation |
| Cardiac Monitoring | Chest pain, collapse, irregular pulse | Monitor heart rate and rhythm, observe perfusion | Arrhythmias, deterioration |
| Altered Consciousness Evaluation | Confusion, collapse, head injury | Assess responsiveness, pupils, glucose if available | Neurological decline, metabolic causes |
| Seizure Management | Active or post-seizure patient | Protect airway, prevent injury, monitor recovery | Continued seizure activity, postictal state |
| Burn Assessment | Thermal or chemical exposure | Estimate burn extent, cool area, cover wounds | Depth of burn, fluid loss risk |
| Overdose / Toxic Exposure Assessment | Suspected poisoning or substance exposure | Assess mental state, breathing, exposure history | Respiratory depression, toxicity signs |
| Respiratory Distress Intervention | Severe breathing difficulty | Position upright, assist breathing, monitor closely | Fatigue, worsening hypoxia |
| Fracture Stabilization | Limb deformity or severe pain | mmobilize affected area, assess circulation | Compartment risk, vascular compromise |
| Infection Escalation Check | Fever, systemic illness signs | Monitor vitals, assess severity, isolate if needed | Sepsis indicators, deterioration |
| Emergency Triage | Multiple casualties or high workload | Prioritize based on severity and survivability | Immediate vs delayed care needs |
| Emergency Transfer Preparation | Patient requires higher level care | Stabilize, document, coordinate transfer | Safe handoff readiness |
| Psychological Crisis Support | Panic, breakdown, acute distress | Provide reassurance, assess safety, observe behavior | Risk to self or others |
| Collapse / Unresponsive Patient Protocol | Found unresponsive | Check responsiveness, airway, breathing, circulation | Cardiac arrest or critical instability |
| Contamination Control Procedure | Biohazard or unknown exposure | Isolate patient, use protective measures | Spread risk, staff safety |
| Acute Pain Management Assessment | Severe pain complaints | Evaluate severity, cause, response to intervention | Underlying emergency causes |
//OOC notes:
This serves as an in character document, a guide for characters to follow and is assumed as in character policy for the CMRU. Players can of course decide not to follow these standards at any time, though may find their characters at a loss or otherwise.
Written by @Rabithunter & @dno
Last edited: