a „ DIRECTIONS ? 4 CONCERNING THE DUTIES OF MEDICAL PURVEYORS AND MEDICAL STOREKEEPERS, THE MANNER OF OBTAINING AND ACCOUNTING MEDICAL AND HOSPITAL SUPPLIES FOR THE ARMY, e0n Geo/'# STANDARD SUPPLY TABLE Revised edition of Circular No. 12, Surgeon General's Office, October 20, 1862. WASHINGTON: GOVERNMENT PRINTING OFFICE, 1863. » u M (. --(" DIRECTIONS CONCERNING THE DUTIES OF MEDICAL PURVEYORS AND MEDICAL STOREKEEPERS, AND THE MANNER OF OBTAINING AND ACCOUNTING FOR MEDICAL AND HOSPITAL SUPPLIES FOR THE ARMY. STANDARD SUPPLY TABLE. Circular ) Surgeon General's Office no. 7. j May7' 1863' DUTIES OF MEDICAL PURVEYORS AND MEDICAL STOREKEEPERS. 1. Medical Purveyors are char-ed, under the direction of the Surgeon General, with the Belection and purchase of all medical and hospital supplies for the Army. In all cases o emergency they may provide f*uch additional accommodations for the sick and wounded of the Army, and may transport such medical and hospital supplies, as circumstances may render necessary. In all cases of emergency they shall promptly issue suplies on special requisitions made directly upon them, and such special requisitions shall consist simply of a list of the articles and quantities required, and be dated and signed by the Medical Officer who makes the requisition. The nature of the emergency must be stated, other- wise the requisition will be ^referred to the Medical Director. 2. Except in the "cases of emergency" referred to in the preceding paragraph, Medical Purveyors and Medical Storekeepers will issue medical and hospital supplies only on the order of the Surgeon General, the Assistant Surgeon General, or a Medical Director. 3. Medical Storekeepers are charged, under the direction of the Surgeon General and Medical Purveyors, with the storing and sife-keeping of medical and hospital supplies, and with the duties of receiving, issuing, and accounting for the same, according to regu- lations. Medical and hospital supplies transferred to medical Storekeepers by Medical Purveyors will be receipted for as invoiced without breaking packages, provided the number of packages correspond with the invoice, that they are in good shipping condition, and that there be no reason to suppose the contents broken or defective. 4 Medical Purveyors will be responsible for the quality of the medical and hospital supplies purchased by them, and they are directed to have all surgical instruments made in the best manner, of the best materials, and according to patterns approved by the Sur- geon Geneial. Each instrument is to inspected, and each chain saw tested on fresh bone by them, or under their supervision, before being paid for or issued. 4 5. Medical Purveyors and Medical Storekeepers will he held responsible that the medical and hospital supplies issued or transferred by them are well packed, that each article is designated by the name of the maker or vendor, and that each package is legibly and cor- rectly marked with the address of the officer for whom it is intended, and with its weight and contents, whether medicines, hospital stores, instruments, dressings, books and sta- tionery, bedding, clothing, or furniture and appliances 6. In issuing or transferring medical and hospital supplies, Medical Purveyors and Medical Storekeepers will furnish a packer's list and invoice to the officer who is to receive them, and transmit a duplicate of the invoice to the Surgeon General. In turning over supplies to a Quartermaster for storage or transportation, they will forward to the Surgeon General, with the invoice, the Quartermaster's receipt for the packages. 7. In issuing medical and hospital supplies, Medical Purveyors and Medical Storekeepers will, ordinarily, be governed by the Supply Table ; b^t when articles are required in large quantities for use in hospitals and at permanent posts, and not for reissue, or for field service, they will disregard the size of packages designated in that table, and will issue in such packages as they may deem most advantageous for the public service. 8. Medical Purveyors and all other disbursing officers will render direct to the Second Auditor of the Treasury, within ten days after the expiration of each successive month, a duly certified monthly statement of all public moneys on hand from last returns, received, dis- bursed, or transferred during the month, the balance remaining on hand, and where deposited, (Form 1.) A duplicate of this monthly summary statement will be forwarded at the same time to the Surgeon General, with an estimate of the funds required during the ensuing month, (Form 2 ) 9. Medical Purveyors and all other medical disbursing officers will also render direct to the Second Auditor of the Treasury, within one month after the expiration of each successive quarter, a quarterly account current of moneys received, expended &c , during the quarter, (Form 3,) with an abstract of disbursements, (Form 4,) and proper vouchers, (Form 5.) A dupli- cate of the account current, and of the abstract, will be forwarded at the same time to the Surgeon General. 10. Medical Purveyors and all other medical disbursing officers will render their sum- mary statements, accounts, abstracts, and vouchers, as above directed, when they cease to disburse, from change of duty or otherwise. 11. Medical Purveyors and Medical Storekeepers will make to the Surgeon General, at the end of each fiscal quarter, returns in duplicate of medical and hospital property, (Form 6,) with an abstract of receipts and issues, (Form 7.) giving the number of the voucher and the name of the person from whom received and to whom issued. 12. Medical Purveyors and Medical Storekeepers will give bonds in such sums as the Secretary of War may require, with security to be approved by him. Medical Officers tem- porarily assigned to duty as Acting Medical Purveyors are not required to give bonds. MEDICAL AND HOSPITAL SUPPLIES. 13. The standard of medical and hospital supplies for the Army is the Supply Table. It is not the design of the Department to confine medical officers absolutely to that table, either in variety or quantity, but only to establish a standard for their guidance in making requi- 5 sitions for supplies, leaving individual preferences to be indulged at the discretion of the Medical Directors or the Surgeon General. Neither is it supposed that the quantities of the table will always meet the necessities of unusual emergencies, as during epidemics, or in unhealthy seasons and localities ; and medical officers who allow their supplies to be ex- hausted through any such contingencies, without timely notice of their approaching neces- sities, will be held to a strict accountability. 14. Medical Purveyors and Medical Storekeepers at depots for issue, and at field depots, and the senior medical officers of hospitals, regiments, posts, or detached commands, will make their requisitions for medical and hospital supplies upon the Medical Director under whom they may be serving. The Medical Director will approve or modify the requisitions at his discretion ; and, in ordinary cases, will transmit them to the nearest Purveyor or Medical Storekeeper, with his order for the supplies. If, however, the amount required be large, and the situation and nature of the service permit, the Medical Director wilt trans- mit the requisitions, with his recommendations indorsed thereon, to the Surgeon General. 15. Requisitions for medical and hospital supplies are to be made in duplicate. In pre- paring them, medical officers will conform to the Standard Supply Table, both in the articles and quantities asked for, avoiding fractions in quantities. When increased quantities or additional articles are required, satisfactory reasons therefor must be assigned, or they will not be supplied. 16. Requisitions for outfits of medical and hospital supplies will be made for three months, and in the form of a letter, stating the number of men or beds to be supplied, and whether for general hospitals, permanent posts, or field service. If for permanent posts, the amount of hospital accommodations must be stated, so that, if less than one hundred beds, the allowance of bedding, hospital clothing, furniture, and appliances may be correspondingly reduced. 17. Eequisitions to replenish medical and hospital supplies will always be made in detail, according to Form 8, and for those articles only that are really deficient in quantity. If the supplies aie to be obtained from the principal purveying depots, these requisitions will be made quarterly ; if from department or field depots, they will be made at such times and for such periods as the Medical Director may prescribe. Special requisitions are not in- tended to take the place of the regular quarterly requisition. They are only permissible in cases of emergency, and the face of the requisition must state the circumstances which constitute the emergency rendering such special requisition necessary. 18. When it is necessary to obtain medical and hospital supplies, and recourse cannot be had to a Medical Purveyor or Storekeeper, they may be purchased by a Quartermaster, on special requisition made according to Form 9 and Account Form 10.—(See Army Regula- tions, paragraph 1233.) A triplicate of all such special requisitions, giving the name and station of the officer upon whom it is made, is to be transmitted, through the Medical Director, to the Surgeon General, for his information, and as a guide in auditing the account when presented. 19. Those articles of the Standard Supply Table which are printed in italics will be fur- nished only on special requisitions approved by the Surgeon General. 20. Articles of furniture and appliances in Class No. 2 will be issued on "requisitions for outfits," but not on "requisitions to replenish supplies," unless the medical officer certifies that they cannot be purchased with the hospital funds. 6 21. Medical officers having charge of medical and hospital supplies will make to the Surgeon General annually, on the 31st of December, and whenever relieved therefrom, returns in duplicate, (Form 6.) These returns will exhibit the condition of the supplies, and state to whom or from whom and when and where issued or received. 22. Hospital clothing belongs to the United States, and will only be worn by patients during their stay in the hospital. Each article will bo marked as hospital property, and with the number of the bed for which it is appropriated. 23. An officer transferring medical and hospital supplies will furnish a certified invoice and packer's list to the officer who is to receive them and transmit a duplicate of the invoice to the Surgeon General. The receiving officer will furnish a receipt to the officer making the issue, with a report of the quality and condition of the articles, and transmit a duplicate of the receipt and report to the Surgeon General. A medical officer who turns over medical supplies to a quartermaster for storage or transportation will forward to the Surgeon General, with the invoice, the Quartermaster's receipt for the packages. 24. Medical officers will take up and account for all medical and hospital supplies of the Army that come into their possession, and report, when they know it, to whose account they are to be credited. 25. The transfer of surgical instruments issued to medical officers for their personal use is positively forbidden. Each medical officer will retain those instruments in his imme- diate possession so long as he remains in the Army, and will be held responsible for their complete and serviceable condition, and for their easy accessibility at all times. If the instruments be lost, destroyed, or damaged, they must be replaced or repaired as soon as possible by requisition upon the nearest Medical Purveyor, setting forth fully the causes of such loss or damage. If the loss or damage be from the unavoidable casualties of the service, the expense of replacing or repairing the instruments will be paid by the Medical Department; if from any other causes, such expenses must be paid by the medical officer. 26. When a medical officer leaves the Army, he will deliver his instruments to the nearest Medical Purveyor, taking receipts therefor in detail ; and if transportation be re- quired, he will take receipts for the package containing the instruments from an officer of the Quartermaster's Department. 27. Staff Surgeons, Staff Assistant Surgeons, and medical officers in charge of general hospitals, will be furnished with additional instruments, on special requisition, provided the reasons for requiring them be given and prove satisfactory to the Surgeon General. 28. The Surgeon General, Assistant Surgeon General, Medical Inspector General, and Medical Inspectors, are allowed the same instruments as Staff Surgeons. 29. These instruments will be accounted for to the Surgeon General on the 31st of December annually, in a special return, (Form 11,) in which the true condition of each must be stated ; and if any be lost or damaged, a report of the facts and circumstances attending such loss or damage must be given. 30. Amputating, trephining, exsecting, general operating, and pocket instruments that do not correspond in detail with the sets prescribed by regulations, will be accounted for on the regular property returns as amputating, trephining, exsecting, general operating, and pocket sets, without designating the special instruments comprising each set, or making a special return thereof. 7 31. Medical officers will report to the Surgeon General and to the issuing officer all defects observed in the quality, quantity, or packing of medical and hospital supplies, or in the material or construction of their surgical instruments, giving the name of the vendor or maker, and of the officer by whom they were issued. 32. Carbolic acid, (Bower's,) sulphate of iron, nitrate of leid, chlorinated lime, perman- ganate of potash, or charcoal, will be furnished as antiseptics or disinfectants, when re- quired. 33. Applications for microscopes by medical officers in charge of general hospitals will be favorably considered, provided the evidence be satisfactory that the officer will use the instrument for the benefit of science, and will report the results of his observations to the Surgeon General. 34. The dissecting case, obstetrical case, pocket case for hospitals, teeth-extracting case, medicine case, and medicine panniers, will be issued, receipted, and returned for as sets, without stating their contents in detail. 35. No officer shall d-rop from his return any medical or hospital property as worn out or unserviceable until it has been condemned after proper inspection, and ordered to be so dropped. Articles purchased with the hospital fund will not be accounted for on the regular return of medical and hospital property. 36. Acquisitions on officers of the Quartermaster's Department for hospitals, and the necessary fixtures and hospital tents, for fuel, straw, and wagons for the transportation of the sick and wounded, and of medical and hospital supplies, &c, will be mide by the senior surgeon and approved by the commanding officer or Medical Director. Eequisitions for hospitals will state the number and dimensions of the rooms required, the use to which they are severally to be applied, and the strength of the command for which they are estimated, duplicates of which will be transmitted to the Surgeon General. 37. Surgical instruments, medicine cases, panniers, and mess chests that need and are worth repairing, or that require to be refilled, will be invoiced and sent, when circum- stances permit, to the nearest Medical Purveyor or Medical Storekeeper, and are not to be submitted to inspection with a view to condemnation, unless the probable expense of trans- portation and repair will exceed the value of the articles. 38. All empty boxes, cans, and bottles, in which medical and hospital supplies were received, are to be carefully cleansed and preserved from damage. Such as will not be required for further use in the hospital will be disposed of, at either private or public sale, at least once a year, and the net proceeds of such sales will be turned over to the nearest Medical Purveyor, and be receipted for by him as public funds pertaining to the M.dical Department of the Army. At stations_near a Medical Purveyor, these articles will be turned over to that officer. 39 In all official lists of medical supplies, the .classification, order, and nomenclature of the Standard Supply Table will be strictly followed. The whole table need not be tran- scribed, but the names of those articles only which are accounted for or required. STANDARD SUPPLY TABLE. Articles. Materia Medica. Acaciae Pulvis, in | lb. bottles.............................oz Acid urn Aceticum,.in £ lb. g. s. bottles................,.. oz Citric inn, in \ lb. bottles.........................oz, Muriaticum, in £ lb. g. s. bottles............. .....oz, Nitricum, in £ lb. g. s. bottles......................oz. Phosphorieum Dilutum, in 2 oz. g. s. bottles.......oz. Sulphuricum, in i lb. g. s. bottles..................oz. Aromaticum, in £ lb. g. s. bottles.....oz. Tannicum, in 1 oz, bottles........................oz. Tartaricum, in 8 oz. bottles.......................oz. . Signed duplicates. Indorsements to be as follows : Voucher No. —. Name--------- Articles or service Date ------. Form 6. Return of medical and hospital property received, expended, issued, and remaining on hand at--------, for the------ending ------, 186 . Articles and quantities. a u 3 !L> U e3 § a O i> <-> +j CO a J 2 3 3 ■a*-*--> '53 o a> P3 -a *p a 3 O o o O "3 -5 V J3 +*> ,d T3 *S5 1> TT a S> a. « a> 3 >3 Lost or destroyed by unavoidable acci-dent. ^> •d a 3 <=> 6 CO 3 n d t-o CO ^* d "*"***• d -"> 6 **-> d *-■- d -""*■" d "-*-• S3 § te 2 * 1 te 2 te | !"3 £ te a ■-1 § 5=5 8 *- S *g * 5 \. a S3 <*"• u a Ate Ate Ate JaJZJ -Sfc • -sfc Jasz* -S^ -afc .diz* 43 jZ* Jaiz; -djz* • 3 3 3 3 3 3 3 3 3 3 3 3 3 O O O O O o O o O O o o O > > > > t> H > t> •> O > *> > t> H Materia Medica. I certify that the above abstract ia correct. —___ , ----------, U. S. Army. N. B.—Invoices and receipts must accompany this abstract. When the receipts and issues are numerous, a separate abstract may be made for each. Station, From - Form 8. Requisition for medical and hospital supplies. ----------------. Period,--------------- to Command: Officers, •; Enlisted Men, ; All others entitled to Medicines, •; Total, Articles and quantities. On hand. Wanted. Articles and quantities. On hand. Wanted. Materia Medica. Date, to Surgeon U. S. Army. N. B—Requisitions will exhibit the quantity of each article " on hand" of which more is " wanted." They will be transmitted in duplicate, and by different mails. Indorsement to be as follows: Requisition. Station,-------- Period,-------- From-------- -, U. S. Army. ------------, U. S. Army. 30 Form 9. Special requisition on the quartermaster's department for medical and hospital supplies required at ■-------. Ammonias Carbonas.........................-...........-.................. oz- "^ Quinias Sulphas............................................................ oz- 10 &c. &c. &c. &c. I certify that the medicines above required are necessary for the sick at------, in con- sequence of, [here state whether from loss, damage, &c, &c ,] and that the requisition is agreeable to the supply table, and that recourse cannot be had to a medical purveyor or storekeeper in time to meet the emergency. Surgeon United States Army. Approved: Received Commanding Officer. -, 186 , of -, the articles above enumerated. Surgeon United Slates Army. Form 10. Account for medicines, Sfc., purchased by an officer of the quartermaster's department. The United States To -, DK. Quantity. Price. Dolls. Cts. 32 10 $0 04 2 95 1 29 ?,R 50 30 78 I certify that the articles above charged for the use of the sick at to the foregoing requisition, and that the charges are reasonable and just. are agreeable Received, account. -, 186 , of Surgeon United States Army. -,---- dollars and — cents, in full of the above Note.—The above certificate may be signed by the surgeon making the requisition, or by any surgeon or assistant surgeon belonging to the army. Signed triplicates. Form 11. Annual return of surgical instruments in the possession of For capital operations. No. Condition. For minor operations. December, 186 . medical department, United States army, on the 31st day of No. Condition. For the pocket case. No. Condition. I certify on honor that this return is correct, and that the surgical instruments were issued to me by for my personal use, agreeably to the regulations for the medical department of the army. For the field case. No. Condition. 03 on the — day of 186 , Surgeon United States Army. Note.—The true condition of each instrument must be stated, and if any be lost or damaged a report of the facts and circumstances attending such loss or damage must be given. A duplicate of this return is required.