The Medical Division includes all Medical Officers (MO), Chief Medical Officer, First Medical Officer, Senior Medical Officer, Ship's Physician, or Ship's Surgeon was Senior Staff-Level Medical practitioner with Medical Authority who was, by definition, "in Command of Medicine on their assigned Posting. A Nurse could also hold the position of Chief Medical Officer, if no qualified Doctors are available.

 

The Chief Medical Officer aboard a Starship or Starbase is directly in charge of the Sickbay or Infirmary, commanding Medical Department Personnel and Activities. The CMOs' Primary Duties are the oversight and maintenance of the overall Health, Physical, and Mental Fitness of Crew and Passengers.  Furthermore as Standard Medical Procedure, the CMO has full Medical Authority over any Patient officially admitted into their Care in their Facility, including Superior Officers, until they were formally released from Care.

Officers likely to be assigned as the CMO over long-duration Missions of Exploration have Scientific Training in Disciplines outside of Medicine, allowing them to take on major, extended Research Projects, or to better participate in a wider variety of Encounters.

A Medical Practitioner or Medical Expert is an Individual skilled in the Science of Medicine, who specifically provides Health Care Services and Advice. The designations and responsibilities of Medical Officers, Medical Staff or Medical Personnel varied by their level of Expertise, and included such Occupations as Physicians, Surgeons, Dentists, Apothecaries, Nurses, Midwives, Psychologists, and Psychiatrists.

REQUIRED READING FOR ALL MEDICAL PLAYERS -THE  STARFLEET MEDICAL MANUAL

 

The Chief Medical Officer or ship's surgeon is a mid-level staff position, typically held by a STARFLEET Officer who is a doctor of medicine with surgical skills. A nurse could also hold this position if no qualified doctors were available. Chief medical officers were also referred to as the "ship's surgeon" in the 23rd and 24th centuries.

 

Specific Duties

CMOs aboard a Starship or Starbase are directly in charge of the Sickbay or Infirmary, commanding Medical Department Personnel and activities. The CMOs primary Duties are the oversight and Maintenance of the overall Health and Physical Fitness of Crew and Passengers. Furthermore, as per Standard Medical Procedure, the CMO has full Medical Authority over any Patient officially admitted into their Care in their Facility, including Superior Officers, until they are formally released from Care.

 

Officers likely to be assigned as the CMO over long-duration missions of exploration must have scientific training in disciplines outside of medicine, allowing them to take on major, extended research projects, or to better participate in a wider variety of encounters.

 

Medical Authority

In addition to the normal duties of an officer, Starfleet Order 104 Section C gives CMOs the power to relieve an officer or crewman, including a superior one, of their duties if, in the CMO's professional judgment, the officer in question is medically unfit. The CMO in question would need to officially certify and provide evidence of unfitness at a subsequent board of inquiry. Typically, the CMO is expected to have the support of a senior command officer or detailed medical documentation to justify this course of action. The chief medical officer can impose medical physicals upon crewmembers if the mission lasts more than two weeks.

 

The CMO also seemed to have the authority to order officers to do things that would be beneficent to their health, like sleeping. In the 23rd century, chief medical officers certified the health of research personnel on alien planets on a yearly interval.

 

Chapter Duties

As the CMO for your Chapter, you will be asked to submit a monthly MSR to your XO or CO detailing any Medical activities aboard the Chapter. These reports are then forwarded onto Starfleet Medical at Fleet level. It is asked of, but not expected, of the CMO to actively promote the Surgeon General and the Region Assistant Surgeon General / Chief Medical Officers goals for the forthcoming year.

 

You will be expected as per Starfleet regulations to have at least 40% of the Crew trained in Emergency Medical Procedures.

 

Medical  OFFICER

Medical Officers undertake the majority of the work aboard the ship/facility, examining the crew, and administering medical care under the instruction of the Chief Medical Officer also run the other Medical areas not directly overseen by the Chief Medical Officer.

 

CHIEF NURSE / NURSE

Nurses provide vital patient care within a medical department aboard a Starship, Outpost or Starbase. Nurses spend a considerable amount of time with their patients and their approach to patient care is based on the strong historical foundation of nurses serving as patient advocates. Working collaboratively with medical officers and other members of the healthcare team, nurses work every day to help their patients maintain their health or recover from ailments.

 

Nurses also may have held the position of chief medical officer on a starship if no doctor was available.

 

Chapter Duties

As the Chief Nurse or Nurse for your Chapter, you will be asked to submit a report for the CMO’s monthly MSR detailing any real-life medical activities that you may have undertaken.

 

COUNSELOR

 

Counselors act as general overseers of the crew's mental well-being. They give advice and guidance for personal problems that crewmembers may have. If necessary, they can provide psychiatric and psychological treatment and care. Counselors can also refer clients too the medical personnel for more conventional treatments.

 

They work closely with the Chief Medical Officer. Counselors also work frequently with the command staff of a starship or installation in other roles beyond personal Counseling. Counselors perform crew evaluations and offer career guidance for other Starfleet officers. They are often called on to act as mediators during negotiations and serve as diplomatic officers during contact with other species.

 

The Counselor:

◾Should ensure all crew aboard a Starship, Outpost or Starbase maintain adequate mental health.

◾Could advise the commanding officer and other senior officers in many situations, such as first contact, cultural awareness and hostile encounter experiences.

◾Could relieve any officer or crewmember of duty where sufficient evidence exists that a person is unable to perform their duties due to a mental condition.

 

Chapter Duties

As the Chief Counselor / Counselor for your Chapter, you will be asked to submit a report for the CMO’s monthly MSR detailing any real-life medical activities you have undertaken. 24 Morale Officer A Morale officer is a term for a person whose job it is to look after the morale of a crew. Often, the duties of a morale officer coincide with those of a counselor.

 

EMERGENCY Medical HOLOGRAM

 

The Emergency Medical Hologram (EMH) System was designed by a team of Starfleet Medical researchers, headed by Dr. Lewis Zimmerman, after several incidents in which medical care aboard ship was unreasonably compromised - for the simple reason that medical officers are mortal, and suffer injury and illness just as much as their patients. In normal use, the EMH serves as an assistant to the ship’s Medical Staff; in Emergencies, it can operate completely independently of Human Supervision.

 

The earliest versions of the EMH were designed for emergency use only, placing speed and clinical acumen at a premium; these systems, while technically brilliant, had a characteristically abrasive personality that did not endear them to either medical officers or crews. More advanced versions of the EMH include enhanced interaction Subroutines, allowing for the development of a “bedside Manner.”

 

Any EMH will develop a unique “personality” with repeated use; a commonly observed trait in the EMH is music appreciation, although the type of music varies widely. (This seems to be influenced by the personalities of the people the EMH interacts with. Left to its own devices, the EMH typically develops a liking for classical music.) Other early signs of personality enhancement in the EMH are alteration of vocal subroutines (the system may not always initiate with “Please state the nature of the medical emergency?”) and desire for a name (although most EMH units prefer simply to be called “Doctor”).

 

While the core functions of the EMH are hard-written into the computer core and cannot be altered, personality functions can, and many Starfleet medical officers hasten the process of EMH personality enhancement by replacing or revising the system’s interaction modules as needed, and officially unsanctioned but popular procedure. Personality can also be enhanced by allowing the EMH more control over its function.

 

EMH systems, while invulnerable to disease and injury, can be adversely affected by several factors. The most common of these is EMH matrix degradation over extended periods of usage; in extreme cases, the system will develop a memory instability similar to the human neurological disorder Alzheimer’s disease, necessitating complete replacement of the EMH system. This can be prevented by regular system maintenance. (Good luck in getting the EMH to comply, though; as, like any good Doctor, the EMH makes a truly rotten Patient.) As the EMH develops an integrated personality, it will also learn to form associations with the preferred Crew; a display of preference in a clinical setting may lead to a cognitive/ethical feedback loop, which can only be broken by erasing the system’s memory of the trigger event. Like any computer system, the EMH is easily affected by computer viruses (note that the system occasionally manifests these as human disease processes). Finally, physical damage to the ship’s computer core can cause complete EMH failure.

 

The EMH, being a hologram, is limited to areas of the ship where holoemitters have been installed; aboard most vessels, this restricts the EMH to Sickbay, the Holodeck and the Engineering Department. Some work has been done on the feasibility of a mobile Holoemitter, but as of this writing, such a device remains physically impossible to create.

 

Standard Medical Examination

All Starfleet Personnel aboard your Ship/Station/Facility must receive a Standard Medical Examination from a Member of the Medical Staff before they can be cleared for Duty. Likewise, all Visitors must be cleared by Medical before they are allowed to mix with the General Population.

 

Standard Medical Examinations should be given to Crewmembers at the following times:

1. When the Crewmember is first posted to the ship/station/facility.

2. When the Crewmember returns from an LOA.

3. When the Crewmember returns from an away mission.

4. If the Crewmember Reports to the Sickbay/Infirmary with any Medical Complaints.

5. At six-Mission intervals thereafter.

 

Standard Medical Examinations should be carried out according to the following procedure:

 

Medical Records

The attending Physician should review the Patient’s Medical History before beginning the examination so that they are familiar with any existing medical conditions. For new Personnel: Medical histories should be provided by their previous Chief Medical Officer. For existing Personnel: Medical histories should be accessed from the ship/station/facility medical database. 26

 

Physical Evaluation Cardiovascular: Heart rate and blood pressure must be within 2% tolerance of the recommended average levels for that species. Blood gas levels and viscosity should be analyzed to ensure adequate distribution to internal organs and establish if there is any risk of embolism.

Pulmonary: Respiratory rate should be within 3% tolerance of the recommended average level for that species. Oxygen intake should be measured and tracked to ensure no obstruction of the airways.

 

Gastroenterological: Stomach acid levels should be within 0.5% tolerance of the recommended average levels for that species. The digestive tract should be free of obstructions or swelling. Nutritional absorption levels should be tracked and recorded.

 

Neurological: All Neurological readings (e.g. engrammatic stability, cerebral activity, neurotransmitter levels) should be within 0.1% tolerance of the recommended average levels for that Species. Any variances should be recorded and the Patient admitted to Sickbay/Infirmary while further Scans are run.

 

Hormonal: All Hormones present should be within 5% tolerance of the recommended average levels for that Species. Any variances between 5 and 10% should be recorded and monitored. Any variances over 10% should be Recorded and the Patient admitted to Sickbay/Infirmary while further Scans are run.

 

Ocular Evaluation: All crew are required to pass a basic visual acuity test with a minimum score of 60%. A retinal scan should be taken and filed with the patient’s medical history. Scans should be run on all areas of the eyes and optic nerves.

 

Auditory Evaluation: All Crew are required to pass a basic Auditory Acuity Test with a minimum score of 60%. Scans should be run on all areas of the auditory organs and adjacent nerves.

 

Psychological Evaluation: A Crewmember may only be cleared for duty if the attending medical officer is satisfied that they are of sound mind and able to make rational judgments.

FIRST AID

• You may reset a dying character's Death Count with 30 seconds appropriate Roleplayed action (time reduces with more ranks).
• Once you have reset their Death Count, you may pause it at 0 seconds for as long as you keep checking up on them every few seconds.

First Aid allows a character to perform Roleplayed first aid to reset and pause a character's Death Count. First Aid can be bought up to 4 times, and the cost increases by 1 each rank. With one rank in First Aid, you can reset a dying characters Death Count with 30 seconds of Roleplayed action - bandaging, tying a tourniquet, etc. Remember that you must obtain a player's consent to physically touch them - otherwise you must do your Roleplaying at a few inches distance. While you are performing this initial treatment, you cannot perform any other actions, including walking or other movement. Every additional rank of this skill decreases the time needed to reset someone's Death Count by 10 seconds, to a minimum of 5 seconds. So with 1 rank, it takes 30 seconds, with 2 ranks 20 seconds, 3 ranks 10 seconds, and with 4 ranks only 5 seconds.

When you have reached the time required, you may tell the character that you are treating to reset their count to zero - they are still dying, but their count does not increase. After a period of treatment, you may pause their Count at 0 seconds as long as you keep treating them - you must remain close to the character you are treating and check on them every half-minute or so, or else they will resume dying. You should inform the dying character that you are pausing their count while you are administering to them. You may, however, perform other short actions while keeping their count paused (such as moving the body, for instance).

DOCTOR

A skilled Medical Player is an Asset to any Crew embarking on dangerous Missions

• You can save a dying Character, stopping their Death Count with 2 minutes of Roleplayed Surgery (time reduces with more ranks).
• You can facilitate Healing in up to 5 resting Characters, so that they regain 1 Body Hit with every 10 minutes rest (time reduces with more Ranks).
• You can perform Surgery alone, or with a Team to treat many Conditions, at some Risk (risk decreases with more Ranks).
•  

The Physician Skill can be used in one of three ways - stopping a Death Count, restoring Hits or performing Surgery.  Physicians can perform Emergency Medicine to stop a dying Character's Death Count. This takes 2 minutes (120 seconds) of Roleplayed Surgical action, and requires appropriate (and relatively safe Physreps - no real Knives, Needles or similar) surgical Tools or Devices. You may use this ability on a Character whose Death Count you have paused, and it remains paused while you treat them. Once you have done the required amount of Roleplayed Action, then the dying Character is no longer Dying, and can stop counting their Death Count. Each additional Rank of the Physician Skill you possess, reduces the time required by 20 seconds (to a minimum of 20 seconds). So a Character with 3 Levels in the Medical Division, can stop a Death Count in 80 seconds, and one with 4 Levels in the Medical Division can stop a Death Count in 60 seconds, etc.

Physicians can promote Healing so that Characters can regain lost Hits. A Physician can Supervise up to 5 Characters who are Resting and Recuperating, occasionally performing Roleplayed Medical Activities, and those Characters will regain 1 Hit to a single Location, or one Global Body Hit every 10 minutes. Recuperating Characters cannot Fight, or Perform any strenuous activity, or move faster than a slow Walk within each 10 minute period. Each additional Rank of this Skill increases the number of Hits that the Supervised Characters recover, after each 10 minute period by one.

Physicians can perform Surgery to treat some Conditions - Broken Bones, some Infections, Infestation by horrible Alien Parasites, etc. Surgery can be risky, and may Fail, or even have Negative Consequences for the Patient. Performing Surgery requires a attending Marshall, and at least 6 minutes of Roleplayed Surgery, using appropriate Tools. See the Surgery page for more details.

 

Surgery

HEALING AND WOUND Treatment

Performing Surgery

Phases

Start Phase

Treatment Phase

Finishing Phase

Treatment SCAN

Green Scan

Yellow Scan

Red Scan

Black SCAN

Escalating Consequences