Chief Medical Officer

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MEDICAL & COMMAND STAFF
File:ChiefMedicalOfficer.png
Chief Medical Officer
Access: Infirmary, CMO's Office, Chemistry, Operating Rooms, Virology, Morgue, Bridge, Maintenance, EVA
Difficulty: Unrewarding
Supervisors: Captain
Duties: Coordinate the doctors, chemists, and psychiatrist to ensure the health of all crew.
Guides: Guide to Medicine, Guide to Chemistry, Guide to Surgery, Guide to Virology, Chain of Command


Overview

You control the entire medbay. Other than treating injured crew, it is your responsibility to ensure that important crew (including yourself) have received genetic backups and death alarms, and that all crew are using their suit sensors when appropriate,

You are the foremost medical expert on the station. The ideal Chief Medical Officer would have the knowledge to perform common surgical operations, manufacture the most essential pharmaceuticals, and develop 'cures' for viral infection. You should allow your subordinates to handle the bulk of the work, but don't be afraid to lend a hand. The objective in mind is ensuring that everyone in the department has their place; if you delegate all of your duties completely, you've lost your own place.

Your Job

You are often regarded as the least important Head of Staff, but in reality, you hold a great deal of power. Without a competent Chief Medical Officer coordinating things, the medbay often dissolves into a chaotic mess that only manages to heal anybody through sheer coincidence.

Your primary duty is to ensure that the crew is in top possible physical and mental shape. To do this, you will need the help of your assigned crew. Medical Doctors take several shapes; Nurses, Surgeons, Virologists and Emergency Medical Technicians. They all occupy the same slot, but have different, and obvious, specialties. The Chemist is responsible for the manufacture of important medicines. The Virologist is responsible for the development, and counteraction, of viral agents. The Psychologist is responsible for the mental health of crew.

You are additionally responsible for making tough decisions regarding life and death due to your medical oath and unique authority to issue a reasonable DNR. Is the barely alive burn patient screaming for death mentally sound to refuse treatment? Would they prefer death and resleeve over potentially developing PTSD from burning to death? Can your doctor use your entire phoron supply to save one patient at the risk of being unable to restock your cloner or rescue future patients requiring phoron-based medicine? Should you issue a DNR on the victim without a mind backup who was torn limb from limb or are the memories of a traumatic death too precious to throw away (obviously ask their ghost via LOOC before issuing a DNR for this reason as you're OOC obligated to resleeve the dead otherwise to not exclude them from the round)? As CMO, you are the station authority on these matters and may legally make such decisions if medical records do not indicate the patient's wishes in advance. Although unlikely to satisfy everybody, these decisions are up to your personal judgement so long as they are reasonable.

Non-Disclosure Policy and Consent

You are the highest authority on medical privacy, capable of barring even the Colony Director from your department if the impinge on patient privacy. You should be aware of which doctors don't have the best understanding of patient privacy and be ready to intervene if privacy is violated. Security will sometimes take advantage of new doctors and demand patient information, so remind your doctors security may not request even suit sensor information on Code Green without a warrant. Crew may refuse suit sensors or not report crew death if they think security is watching, so strive to demonstrate you value crew member privacy.

As CMO, you have the exclusive ability to override patient privacy. Doing this in any but the most pressing circumstances is the fastest way to lose the trust of the crew and may earn a demotion. This is very rarely needed during Code Green usually only invoked to allow doctors to answer questions from security on Code Blue and above.

You are additionally capable of determining if somebody is mentally incapable of refusing medical treatment if sufficient evidence to suggest they are not of sound mind. Keep in mind crew may refuse treatment for any reason as long as they understand the consequences of refusal. A crew member refusing life-saving treatment is not evidence of unsound mind if they understand they will die and show no evidence of irrational thought. A screaming, panicked crew member however may not be thinking clearly: here you would have grounds for determining them unable to refuse treatment.

Specialized Staff

When the round starts, review your medical staff and assign jobs. Remember, Emergency Physicians, Surgeons, and regular Doctors are all the same job, and they're all required to treat patients. Their specific title just indicates a specialization. They can and should be able to be given assignments outside of that, so long as it still falls within the description of Medical Doctor work. If they're unable or unwilling to do basic medical work because "they're a surgeon, not a doctor", then they need reeducating about what their job actually entails.

Make sure that you have a dedicated EMT team ready to respond to calls for medical assistance from outside of Medbay, someone manning the front desk to handle arrivals and minor cases, and someone - preferably a Surgeon - waiting in the wings to handle critical cases that require Cryo treatment or surgery. Each of these three assignments is vital for different reasons, and, once given a job, your staff should focus on doing that job exclusively except in case of emergency. If they don't, and they try to do someone else's job, it means that you have two doctors doing a job that could be done by one, and an area which is left understaffed. Make sure that everyone is entirely clear on exactly what their job is and why it is important.

When everyone has their assignments, make sure that everybody has their Medical belts stocked with the basic tools of the trade - gauze, ointment, inaprovaline, and things like that. Emergency Physicians should carry more than most, and should have a variety of Medkits available for unusual cases, since they're the first responders and may have to deal with anything.

Specialized Staff Obligations

CMO TRANSCORE DATA PACKET: Should the station find itself being evacuated or entering a Code Delta scenario you will be tasked with backing up the entirety of the station's resleeving documentation for that shift. Located inside your office should be a locker with a "CMO Packet" inside. This packet is to be inserted and retrieved from the resleever monitor. (should the game bug and cause the device to disappear after inserting it simply act as though you still have it IC.) CMO and the rest of the medical staff will be tasked with protecting this disc through life and limb. Allowing its transportation off the station and back to the proper Authorities. (OOC NOTE: DO NOT MESS WITH THIS DEVICE UNDER ANY OTHER CIRCUMSTANCES, OR RISK PUNISHMENT!)

Chemical Fixes

Once your main staff is set up, contact Chemistry and get them to start making medicines for your doctors. Clonexadone is a must-have, so have the Chemists take the cryoxadone from Cryo and mix some up immediately. Hyronalin, tricordrazine, alkysine, dexalin plus, spaceacillin, and ryetalyn are all important, so have those mixed up as soon as possible, and make sure that your doctors know that they're available and where to find them. Make sure that Virology gets some diluted milk and radium, too, or your Virologists won't be able to do anything. Once you have all of the basic medicines, have Chemistry mix up a little bit of everything and stock up on the important stuff.

Responding

As with other Head positions, a large part of your job is to be watchful for any calls for medical assistance. As soon as one comes in, make sure that your EMTs are responding and that the rest of your staff are ready to take in anybody who can't be treated in the field. It's also a good idea to ask for an Odysseus from Robotics, preferably with two mounted Sleepers. Make sure that your EMTs know how to operate it; an Odysseus can save a lot of lives and make it possible for your EMTs to answer calls that they would normally be unable to due to its armour and internals.

Outbreaks

When diseases break out, this is your chance to shine. You have a biohazard suit inside of your office. Use it. Then consult the Virologist and Chemist. You have the authority to isolate and detain anyone experiencing symptoms.

Immunize the medical personnel and quarantine the infected. Administer the drugs, keep people alive. Your Medical Doctors should be helping with this, if they're not, shout them into line.

Hypospray mk II

This is your medical tool, your lifeline. It's a fast injector (dealing bursts of 5 units, with a fill limit of 30 units). It starts with empty and is loaded with a 30 unit vial. It's considered very bad form to just go around randomly injecting people however.

Good candidates for your hypospray are Tricordrazine or Inaprovaline.

Links to Other Departments

As the CMO, you're the link between the captain, the other heads of staff, and your medical department. Security will often be a source of casualties, whether officers or prisoners; make sure any doctor going to treat a dangerous prisoner has an escort. Science--especially Toxins and Xenobiology--will send you its share of patients, too. When your equipment gets blown up, Engineering can rebuild it. During an epidemic, one of your most important connections is, strangely enough, the lowly janitor, whose biosuit allows him to safely clean up infectious material and slow the spread of the disease. You will also be required to try to explain why people are going crazy, returning from the dead, or trapped in the body of a monkey. Good luck with that one.

Predding

You have access to the gold mine itself! Cloning technology and chemistry! You are capable of medicating crew members to be much more docile (Assuming they want to be eaten) and easier to eat. Female (Or hermaphrodite) are capable of unbirthing patients to heal all basic damages. Bones won't be fixed!

Jobs on CHOMPstation

Command Colony Director, Head of Personnel, Head of Security, Chief Engineer, Research Director, Chief Medical Officer
Security Head of Security, Security Officer, Warden, Detective
Engineering Chief Engineer, Station Engineer, Atmospheric Technician
Cargo Quartermaster, Cargo Technician, Shaft Miner
Medical Chief Medical Officer, Medical Doctor, Paramedic, Psychologist, Chemist, Geneticist
Science Research Director, Scientist, Roboticist, Xenobiologist, Xenobotanist
Exploration Pathfinder, Explorer, Field Medic, Pilot
Service & Civilian Intern, Visitor, Bartender, Botanist, Chef, Chaplain, Command Secretary, Janitor, Librarian, Entrepreneur, Clown, Mime
Station-Bound AI, Cyborg, Maintenance Drone, Personal AI, Ghost, Mouse