9.0.73, 2255. The Medical supplies for the Army are prescribed in the Standard Supply Table, furnished by the Surgeon General, and issues will be governed by it, except as to size of packages, which may be regulated by circumstances and quantities required. When any requisition is not according to the supply table, the reason therefor must be explained, as in the prevalence of epidemics, unhealthy location of troops, or other cause making a deviation desirable.-[Regs. 1863, ¶¶ 1266, 1270.] 2256. When any requisition for medical supplies is not according to the supply table, the reason therefor must be set out.-[Regs. 1863, ¶ 1270.] 2257. Carbolic acid, the sulphate of iron, charcoal, and other articles, will be fur 86nished by the Medical Department when needed, as antiseptics or disinfectants in hos pitals. Quicklime, chlorinated lime, and disinfectants, for the use of posts, must be obtained from the Quartermaster's Department.-[Cir. No. 4, Surg. Gen. Office, 1871.] 2258. Acting Assistant Medical Purveyors at field depots, and the senior Medical officer of every hospital, regiment, post, or detached command, shall forward their requisitions for Medical supplies to the Medical Director under whom they may be serving. The Medical Director will approve or modify the requisitions at his discretion and transmit them to the nearest purveying depot for issue. If the Assistant Medical Purveyor or officer in charge of the depot deem necessary, on account of the character of the supplies, he shall forward the requisition through the Chief Medical Purveyor to the Surgeon General for instructions. If the quantity required be large, and there is time, the Medical Director shall transmit the requisitions, with his recommendations indorsed thereon, to the Surgeon General.-[Regs. 1863, ¶¶ 1267, 1268; Cir. No. 1, Surg. Gen. Office, 1871.] 2259. Requisitions for outfits of medical supplies shall state the number of men or beds to be supplied, and whether the articles are needed for a general hospital, permanent post, or field service.-[Regs. Med. Dept.] 2260. Requisitions (Form No. 18) to replenish medical supplies are to be made in 4.0.48 detail, in duplicate, to be transmitted by different mails, on the 30th June and 31st December. They will be made only for articles that are, or probably will be, deficient. 83 They must exhibit the quantity of every article on hand, whether more be wanted or not. At remote posts, requisitions may be made at such times and for such periods as shall be specially authorized by the Surgeon General.-[Regs. 1863, ¶ 1267.] 2261. Special requisitions are only permissible in cases of emergency. A duplicate of every special requisition, giving the name of the officer upon whom it is made, must be immediately forwarded to the Surgeon General for his information. Requi 4.0.48/83 not on the Standard Supply Table must, in all cases, be forwarded to the Surgeon General, for his action.-[Cir. No. 1, Surg. Gen. Office, 1871, ¶ 4; Regs. 1863, ¶ 1271.] 2262. When it is necessary to obtain medical supplies, and recourse cannot be had to a purveying depot, they may be purchased by the Medical officer, and bills (Form No. 5) in duplicate therefor sent through the Medical Director to the Surgeon General for examination and payment. The purchasing officer shall prepare, in triplicate, an invoice (Form No. 6) of the articles bought-one copy to be forwarded to the Surgeon General, with the bill; one, as a voucher, to accompany his next property return, on which he shall account for the articles purchased; and one to be filed with his retained set of vouchers. Medical officers will exercise great care to avoid, by proper requisitions, the necessity for making direct purchases.-[Cir. No. 1, Surg. Gen. Office, 1871.] 2263. In all official lists of medical supplies the nomenclature, order, and classification of the Standard Supply Table shall be strictly followed. The whole table need not be transcribed in all instances, but the names of the articles mentioned must follow the official arrangement.-[Regs. 1863, ¶ 1275.] 2264. All officers, in transferring medical supplies, shall prepare invoices (Form No. 20) in triplicate—two for the receiving officer, and one to be sent to the Surgeon General. The receiving officer shall prepare receipts (Form No. 21) in triplicate-two M.0.48/ for the issuing officer, with a report of the quality and condition of the articles, and one 83 to be ser t to the Surgeon General, accompanied by a copy of the report. A packer's list (For n No. 19) will be furnished by the issuing officer, whenever requested by the officer raking requisition. The contents of medicine wagons must be invoiced in detail. When supplies are turned over to a Quartermaster for storage or transportation, a duplicate of the Quartermaster's receipt for the packages will be forwarded to the Surgeon General with the invoice.-[Regs. 1863, ¶ 1273.] 22 55. In transfers of funds belonging to the Medical Department, invoices (Form No.') and receipts (Form No. 2) will be prepared and disposed of as in the case of medical applies. They shall also show the source or appropriation from which the funds re derived.-[Regs. Med. Dept.] 2266. Medical officers are forbidden to transfer surgical instruments issued to them for their personal use, unless authorized by the Surgeon General. The instruments aust be ready for use at all times. If lost or damaged, they are to be immediately replaced or repaired by requisition on the Surgeon General, at the expense of the Med ical Department, if the loss or injury be unavoidable, otherwise at the cost of the Medical officer responsible.-[ Regs. Med. Dept.] 9.0.47/85 183 2267. Surgical instruments, medicine cases, panniers, and mess chests that need 0.4% and are worth repairing, will be invoiced and sent to the nearest purveying depot. They are not to be submitted to inspection with a view to condemnation, unless the probable expense of transportation and repair will exceed the value of the articles.[Regs. Med. Dept.] MEDICAL DIRECTORS. 2268. Medical Directors will be assigned, by order of the Secretary of War, as the chief officers of their Department at Division or Department Headquarters [G. 0. 121, 1865.] 2269. Medical Directors will make to the Surgeon General the following returns: On the 15th day of every month, a return of posts and stations of the Department (Form No. 23) with which he is serving; on the last day of each month, a return of Medical officers (Form No. 24), of private physicians under contract (Form No. 25), of Hospital Stewards (Form No. 26), and matrons (Form No. 27), and of the ambulance corps (Forms Nos. 28 and 29) when in service; and on the last day of every year, an exact transcript of the "Record of deaths" (Form No. 30), and of the "Record of certificates of disability" (Form No. 31).—[ Regs. 1863, ¶ 1303.] 2270. Besides the reports required by Regulations, the Medical Director shall make such special reports to the Surgeon General as shall at all times keep him fully informed as to the sanitary condition of his Department.-[Regs. 1863, ¶ 1303.] 2271. All requisitions, claims, or official communications which require the action of the Surgeon General, should be forwarded to him through the regular channel.— [Regs. Med. Dept.] MEDICAL OFFICERS. 2272. No person shall receive the appointment of Assistant Surgeon unless he shall have been examined and approved by an Army Medical Board consisting of not less than three Surgeons or Assistant Surgeons designated by the Secretary of War; and no person shall receive the appointment of Surgeon unless he shall have served at least five years as an Assistant Surgeon in the Regular Army and shall have been examined and approved by an Army Medical Board consisting of not less than three Surgeons, designated as aforesaid.-[R. S., § 1172.] 2273. All candidates for appointment in the Medical Corps must apply to the Hon. Secretary of War for an invitation to appear before the Medical Examining Board, The application must be in the handwriting of the candidate, stating age and birthplace, and be accompanied by testimonials from professors of the college in which he graduated, or from other physicians in good repute. Candidates must be between twenty-one and twenty-eight years of age (without any exceptions), and graduates of a regular Medical college, evidence of which must be submitted to the Board before examination.-[ War Dept., Nov. 30, 1878.] 2274. The morals, habits, physical and mental qualifications, and general aptitude for the service of each candidate will be subjects for careful examination by the Board, and a favorable report will not be made in any case in which there is a reasonable doubt.-[War Dept., Nov. 30, 1878.] 2275. The following will be the general plan of the examination : 1. A short essay, either autobiographical or upon some professional subject to be indicated by the Board. 2. Physical examination. This will be rigid, and each candidate will, in addition, be required to certify "that he labors under no mental or physical infirmity, nor disability of any kind, which can in any way interfere with the most efficient discharge of his duties in any climate." G 3. Oral examinations on subjects of preliminary education, general literature, and general science. The candidate must satisfy the Board in this examination that he possesses a thorough knowledge of the branches taught in the primary schools, and a failure to show this will end his examination. Oral examination on scientific subjects will include chemistry and natural philosophy; and that on literary subjects will include English literature, history of the United States, and general history-ancient and modern. Candidates possessing a knowledge of the higher mathematics, the ancier and modern languages, will be examined therein, and due credit given for a profic.eney in any or all of these subjects. 4. Written examination on anatomy, physiology, surgery, practice of medicine and general pathology, obstetrics, and diseases of women and children. Oral examination on these subjects, and also on medical jurisprudence, materia-medica, therapeutics, pharmacy, toxicology, and hygiene. Few candidates pay the attention to hygiene which it deserves; it is made an important subject in this examination. 5. Clinical examination, medical and surgical, at a hospital. 183% 6. Performance of surgical operations on the cadaver. The Board will deviate from this general plan whenever necessary, in such manner as they deem best to secure the interests of the service.-[War Dept., Nov. 30, 1878.] 2276. The Board will report the merits of the candidates on the several branches of the examination, and their relative merit in the whole (Form No. 32), according to which the approved candidates will receive appointments to existing vacancies, or to vacancies which may occur within two years thereafter.-[War Dept., Nov. 30, 1878.] 2277. An applicant failing one examination, may be allowed a second after one year, but not a third.-[Regs. 1863, ¶ 1319; War Dept., Nov. 30, 1878.] 2278. No allowance will be made for the expenses of persons undergoing examination. But those who are approved and receive appointments will be entitled to transportation in obeying the first order assigning them to duty.-[ War Dept., Nov. 30, 1878.] CONTRACT PHYSICIANS. 2279. When it is necessary to employ a private physician in the military service, the Surgeon General, the Medical Director, or, in emergencies, the commanding officer of a detachment may do so, by a written contract (Form No. 33), at a stated compensation not to exceed $- per month when the number of persons to be attended is one hundred or more; $- when it is from fifty to one hundred, and $— when it is under fifty.-[Regs. 1863, ¶ 1304.] 2280. But when he is required to abandon his own business, and give his whole time to the public service, the compensation may be fixed at $ per mouth. He shall also receive the quarters of an Assistant Surgeon of the rank of 1st Lieutenant, be furnished with fuel in accordance with the laws and regulations relating to commissioned officers, and when traveling under orders, the same traveling allowances as may be prescribed for commissioned officers of the Army by laws and regulations in force for the time; and when serving west of the Mississippi River, one daily ration in kind. He shall further receive, at the expiration of his term of service, traveling allowances as aforesaid, for actual travel only, to the place of making the contract, provided his contract shall not have been annulled for misconduct or neglect of duty.— [Regs. 1863, ¶ 1305.] 2281. When a private physician is required to furnish medicines, he shall be allowed as compensation 25 to 50 per cent. on the sum paid for his services, as may be determined by the Surgeon General.-[Regs. 1863, ¶ 1306.] 2282. In all cases, contracts will be made in quadruplicate, two copies of which shall be forwarded, through the Medical Director, to the Surgeon General with the prescribed oath of office (Form No. 34), one copy shall be retained by the officer making the contract, and one copy by the physician contracted with. 2283. Form of Contract with a Private Physician for service as an Acting Assistant Surgeon, U. S. Army. This contract, entered into this - day of, 18—, at between of the United States Army, and Dr. in the State of tioned the said Dr. in the State of - of witnesseth: That for the consideration hereinafter menpromises and agrees to perform the duties of a medical officer, agreeably to Army Regulations, at [or elsewhere (1*),] [and to furnish the proper medicines, (2*)]; and the said - promises and agrees, on behalf of the United States, to pay, or cause to be paid, to the said Dr. the sum of dollars for each and every month he shall continue to perform the services above stated. When on duty at a post or station where there are public quarters belonging to the United States, he shall receive the quarters in kind allowed by law to an Assistant Surgeon of the rank of First Lieutenant; when on duty at a post or station where there are no public quarters, he shall receive the commutation for quarters allowed by law to an Assistant Surgeon of the rank of First Lieutenant; he shall be furnished with fuel in accordance with the laws and regulations relating to commissioned officers, and when traveling under orders, the same traveling allowances prescribed for commissioned officers of the Army by laws and regulations in force for the time: and when serving west of the Mississippi River he shall receive one daily ration in kind. [And if the said Dr. shall be required to fur shall nish his medicines, he shall be impensated therefor at the rate of per cent. on his monthly pay, to be determined by the Surgeon General, (3*).] _And it is furthermore agreed, that at the expiration of his term of service, the said Dr. receive traveling allowances, as aforesaid, for actual travel only, to the place of making the contract; provided said contract is not annulled for misconduct or neglect of duty, in which case no traveling allowances will be furnished. All of which shall be his full compensation, and in lieu of all allowances and emoluments. This contract to continue at least if not sooner determined by the General commanding the Military Division or Department, the Medical Director, or the Surgeon General. It is furthermore expressly agreed and understood that, in conformity to the requirements of Section 3741 of the Revised Statutes, no member of, or delegate to, Congress shall be admitted to any share or part in this contract, or to any benefit to arise therefrom. In this contract (1*) (2*) (3*) ha- been stricken out. Signed, sealed, and delivered in the presence of— [Seal.] [Seal.] This form of contract and the allowances specified in it approved by the Secretary of War November 17, 1880. 2284. A contract with a private physician, made by the Surgeon General or the Medical Director of a Department, will be annulled only by the direction of those officers, or by that of the Commanding General of a Military Division or Department. The date of annulment of a contract shall be immediately reported to the Surgeon General.-[G. O. 3, 1869.] 2283. The accounts of Contract Physicians will be paid by Paymasters, and are to be made out in the ordinary form of an officer's pay account, vouched for by a certificate thereon by the commanding officer that it is correct and according to contract, and that the services have been duly rendered, which certificate he will not make unless the contract has been approved by the Medical Director of the Department or by the Surgeon General. The payments shall be made under the same rules that govern in the payment of officers at the same station.-[ Regs. 1863, ¶ 1308; Regs. Med. Dept.; G. 0.90, 1866.] 2286. Contract Physicians (Acting Assistant Surgeons) are entitled to the same protection in their positions, also to the same respectful subordinate conduct and to the same military courtesy from enlisted men as if they were commissioned officers. They are placed in the position of commissioned officers, so far as relates to their duties as Surgeons, by the United States Government.-[G. O. 100, 1875.] 2287. Surgeons from civil life who tender their services for the benefit of the sick and wounded in the field, under the invitation of the Secretary of War, will each be allowed transportation to and from the place their services may be needed, and, while so employed, the use of a public horse, a tent, and the privilege of purchasing Subsistence stores from the Subsistence Department.-[ Regs. 1863, Ap. B, ¶ 69.] SURGEON'S CALL. 2288. At Surgeon's call, the sick then in the companies will be conducted to the hospital by the 1st Sergeants, who will each hand to the Surgeon, in his company book, a list of all the sick of the company, on which the Surgeon shall state who are to remain or go into hospital; who are to return to quarters as sick or convalescent; what duties the convalescents in quarters are capable of; what cases are feigned; and any other information in regard to the sick of the company he may have to communicate to the company commander.-[ Regs. 1863, ¶ 1284.] SERVICE OF HOSPITALS. 2289. The senior Medical officer of a post is charged with the management and is responsible for the condition of the hospital, which is at all times subject to inspection by the commanding officer or a duly authorized inspector.-[ Regs. Med. Dept.] 2290. The senior Medical officer will select, with the approval of the commanding officer, the cooks, nurses, and matrons, and, at posts where there is no Hospital Steward appointed by the Secretary of War, a soldier to act as Steward. He will also appoint the matrons. Cooks and nurses will be taken from the privates, and will be exempt from other duty, but shall attend the parades for muster and weekly inspections of their companies at the post, unless specially excused by the commanding officer. While on such duty, they will be mustered on the rolls of the hospital as "cooks," or "nurses," as the case may be.-[Regs. 1863, ¶ 1293; G. O. 8, 1872.] 2291. Ordinarily, hospital tendants are allowed as follows: to a general hospital, one steward, one nurse as ward-master, one nurse to ten patients, one matron to twenty, and one cook to thirty; to a hospital where the command exceeds five com NOTE 1.-Contracts with private physicians should be made in quadruplicate: two copies to be forwarded to the Surgeon General for his action and record; one copy to be given to the physician contracted with, and one copy to be retained by the officer making the contract. NOTE 2-Accounts arising under this contract will be paid by the Pay Department. Those clauses in [] not applicable to this contract shall be stricken out before signature and so noted. NOTE 3.-Contracts with private physicians, made by the Surgeon General or the Medical Director of a Department, will be annulled only by the direction of those officers, or by that of the Commanding General of a Military Division or Department. (General Orders No. 3, War Department, Adjutant General's Office, Washington, D. C., January 21, 1869.) 4.0.58 87 panies, one steward and ward-master, one cook, two matrons, and four nurses; to a post or garrison of one company, one steward and ward-master, one nurse, one cook, and one matron; and for every two companies more, one nurse; at arsenals where the number of enlisted men is not less than fourteen, one matron is allowed. The allowance of hospital attendants for troops in the field will be, for one company, one steward, one nurse, and one cook; for each additional company, one nurse; and for commands of over five companies, one additional cook.-[Regs. 1863, ¶ 1294.] 2292. The senior Medical officer of a hospital will distribute the patients, according to convenience and the nature of their complaints, into wards or divisions, under the particular charge of the several Assistant Surgeons, and will visit them himself each day, as frequently as the state of the sick may require, accompanied by the assistant, steward, and nurse.—[ Regs. 1863, ¶ 1277.] 2293. His prescriptions of medicine and diet are written down at once in the proper register (Form No. 35), with the name of the patient and the number of his bed; the assistants fill up the diet table for the day, and direct the administration of the prescribed medicines. He will detail an Assistant Surgeon to remain at the hospital day and night, when the state of the sick requires it.—[Regs. 1863, ¶ 1278.] 2294. In distributing the duties of his assistants, he will ordinarily require the aid of one in the care and preparation of the hospital reports, registers, and records, the rolls, and descriptive lists; and of another in the charge of the dispensary, instruments, medicines, hospital expenditures, and the preparation of the requisitions and annual returns.-[Regs. 1863, ¶ 1279.] 2295. He will enforce the proper hospital regulations to promote health and prevent contagion, by ventilated and not crowded rooms, scrupulous cleanliness, frequent changes of bedding, linen, &c.-[Regs. 1863, ¶ 1280.] 2296. He will require the Steward to take due care of the hospital stores and supplies; to enter in a book, daily, the issues to the ward-masters, cooks, and nurses; to prepare the provision returns, and receive and distribute the rations.-[Regs. 1863, ¶ 1281.] 2297. He will require the ward-master to take charge of the effects of the patients; to register them in a book; to have them numbered and labeled with the patient's name, rank, and company; to receive from the Steward the furniture, bedding, cooking utensils, &c., for use, and keep a record of them, and how distributed to the wards and kitchens; and once a week to take an inventory of the articles in use, and report to him any loss or damage to them, and to return to the Steward such as are not required for use.-[Regs. 1863, ¶ 1282.] 2298. He shall make up the muster and pay rolls of the Hospital Stewards, nurses, and matrons, and of all soldiers in hospital, sick, or on duty, detached from their companies, on the forms furnished from the Adjutant General's Office, and according to the directions expressed on them.-[Regs. 1863, ¶ 1291.] 2299. Enlisted men employed continuously in hospitals as cooks and nurses, under existing regulations, for a period exceeding ten days, will be paid twenty cents per day as extra-duty pay by the Paymaster General on the hospital muster-rolls, when the men so employed are properly mustered as entitled to it.-[S. O. 94, 5, 1867.] 2300. The cooks and nurses are under the orders of the Steward; he is responsible 4.0.72 for the cleanliness of the wards and kitchens, patients and attendants, and all articles in use. He will ascertain who are present at sunrise, and sunset, and tattoo, and 87 report absentees.-[Regs. 1863, ¶ 1283.] 2301. The diet of patients in hospital will be regulated, as far as practicable, according to such tables as may be issued by the Surgeon General (Forms Nos. 36 and 37). [G. O. 306, 1864; R. S., § 1175.] 2302. Patients in hospital are, if possible, to leave their arms and accoutrements with their companies, and in no case to take ammunition into the hospital.-[Regs. 1863, ¶ 1287.] 2303. When a soldier in hospital is detached from his company so as not to be mustered with it for pay, his company commander shall certify and promptly send to the hospital his descriptive list and account of pay and clothing, containing all necesBary information relating to his accounts with the United States, on which the Surgeon shall enter all payments, stoppages, and issues of clothing to him in hospital. When he leaves the hospital, the Medical officer shall certify and remit his descriptive list, showing the state of his accounts. If he be discharged from the service in hospital, the Surgeon shall make out his final statements for pay and clothing, and shall in all cases promptly notify the Adjutant General and the company commander of the date, place, and cause of such discharge. If he die in hospital, the Surgeon shall take charge of his effects, and make the reports required in these Regulations concerning soldiers who die absent from their companies.-[Regs. 1863, ¶ 1286.] 2304. Medical officers, in giving certificates of disability, are to take particular care in all cases that have not been under their charge; and especially in epilepsy, convulsions. chronic rheumatism, derangement of the urinary organs, ophthalmia, ulcers, or any obscure disease liable to be feigned or purposely produced; and in no |