REGULATIONS 
FOR THE 
Letterman General 
Hospital 
Presidio Of San Francisco 
California 
1939 
San Francisco (GH) 5*16-39—250 I.ETTERMAN GENERAL HOSPITAL 
Presidio of San Francisco, Calif., 
March 1, 1939. 
The Regulations in this pamphlet are for the information and guidance 
of Patients, and of Personnel responsible for the administration of this hos- 
pital. They will be effective on the date of distribution, superseding the 1936 
edition. It is contemplated that revised editions of this pamphlet will be pub- 
lished when warranted by the number of important changes—usually once in 
three years. Amendments will be made by official changes as required and 
will be securely pasted in the pamphlet. 
Memoranda and instructions in conflict with these regulations are hereby 
rescinded. 
Distribution will be made as prescribed by the Commanding Officer. 
order of Brigadier General Brooke : 
Robert c. McDonald, 
Col., M.C., 
Executive Officer. ORGANIZATION 
i 
1. Basis of Organization.—The general organization of this hospital is in 
conformity with the provisions of AR 40-590 and AR 40-600. 
2. Major Divisions.—The hospital consists of two major divisions: 
a. Administrative. 
b. Professional. 
3. Composition of Administrative Division.—a. The Administrative Di- 
vision is divided into various departments under charge of officers designated as 
follows: 
(1) Executive Officer 
(2) Adjutant 
(3) Chaplain 
(4) Chief Nurse 
(6) Fire Marshal 
(7) Hospital Inspector 
(8) Medical Supply Officer 
(9) Mess Officer 
(10) Police Officer 
(11) Post Exchange Officer 
(12) Quartermaster 
(13) Recreational Officer 
, (14) Recruiting Officer 
(15) Registrar 
(16) Summary Court Officer 
(17) Training Officer 
(5) Commanding Officer, Detachment Medical Department 
b. All of the above officers are responsible directly to the Commanding 
Officer for the proper conduct and administration of their respective depart- 
ments. 
4. Composition of Professional Division.—a. The Professional Division 
consists of eight services as follows: 
(1) Dental 
(2) Eye, Ear, Nose and Throat 
(3) Laboratory 
(4) Medical 
(5) Nursing 
(6) Out-patient 
(7) Radiological 
(8) Surgical 
b. The Professional Services are made up of various sections, as follows: 
(1) Dental Service 
Operative Section 
Oral Surgery Section 
Prosthetic Section 
(2) Eye, Ear, Nose and Throat Service 
Ear, Nose and Throat Section 
Eye Section 
2 ORGANIZATION 
(3) Laboratory Service 
Serology, Chemistry and Clinical Microscopy Section 
Pathology Section 
(4) Medical Service 
Cardio-vascular Renal Section 
Gastro-intestinal Section 
General Medical Section 
Infectious Diseases Section 
Neuro-psychiatric Section 
Officers’ Section 
(5) Nursing Service 
(6) Out-Patient Service 
(7) Radiological Service 
Roentgenological Section 
Radium Section 
(8) Surgical Service 
Anesthesia and Operating Section 
General Surgery Section 
Genito-LTrinary Section 
Obstetrical Section 
Orthopedic Surgery Section 
Physiotherapy Section 
Septic Surgery Section 
Each professional service is in charge of an officer who is known as 
}f Service. Each section is in charge of an officer known as Chief of Sec- 
Women’s Section 
d. Each Chief of Service is responsible directly to the Commanding Officer 
for proper administration of his service; each Chief of Section to his Chief of 
Service and each Ward Officer to his Chief of Section. 
3 GENERAL DUTIES OF ADMINISTRATIVE STAFF 
5. Executive Officer.—The Executive Officer is charged, under the direc- 
tion of the Commanding Officer, with the coordination of all activities of the 
hospital and with the performance of such other duties as may be prescribed by 
the Commanding Officer. 
6. Adjutant.—a. General. The Adjutant will perform the duties of his 
office as prescribed in Army Regulations. He will have charge of the Post 
Office and will exercise general supervision over the efficiency of the local mail 
service subject to existing Postal Regulations. He will exercise administrative 
supervision over the civilian employees, Medical Department, employed at this 
hospital, in matters relative to their assignment, pay, employment, etc., subject 
to existing regulations. 
b. Information office.—The Adjutant will exercise such administrative 
supervision over the information office as will insure the proper routine 
maintenance of the following functions: 
(1) To maintain a continuous 24 hour service; 
(2) To maintain an index of patients and their location in this hos- 
(3) To maintain a roster of seriously ill patients; 
(4) To maintain a roster of duty personnel. 
pital; 
(5) To give official information regarding patients and duty personnel, 
except that requests for diagnoses will be referred to the 
(6) To receive, receipt for and deliver, packages, telegrams, special 
Registrar; 
delivery letters, flowers, etc., for patients in hospital. Special 
delivery letters and telegrams for duty personnel will also 
be received, receipted for and delivered. Record of receipt 
and disposition of all such packages, etc., will be kept in a 
book provided for the purpose. 
7. Chaplain.—The Chaplain will perform the duties of his Corps as pre- 
scribed in Army Regulations. 
8. Chief Nurse.—The Chief Nurse is under the immediate orders of the 
Commanding Officer of this hospital. She will have general supervision over 
all members of the Army Nurse Corps on duty at this hospital, will arrange their 
hours of duty, their assignment, have supervision over their mess, and be re- 
sponsible for their discipline both on and off duty. She will bring to the atten- 
tion of the Commanding Officer any serious breach of discipline on the part of a 
nurse or other occupant of the Nurses’ Quarters. The Chief Nurse will be in 
charge of the Nurses’ Quarters, the property contained therein, will be responsi- 
ble for the comfort and well-being of the nurses under her, and for the proper 
keeping of the necessary records of the members of the Army Nurse Corps on 
duty at this hospital (AR 40-20). 
9. Commanding Officer, Detachment Medical Department. The Com- 
manding Officer, Detachment Medical Department, will exercise immediate 
command over all enlisted personnel of the Medical Department on duty at this 
hospital, and supply such details, temporary or permanent to the different wards 
and departments of the hospital as may be required. He will be responsible for 
the discipline, instruction, training, equipment and uniform, quartering, and 
proper keeping of the necessary records of all members of his detachment. 
4 GENERAL DUTIES OF ADMINISTRATIVE STAFF 
10. Fire Marshal.—The Fire Marshal is responsible to the Commanding 
Officer for all matters in connection with the provisions of the Fire Regulations 
at this hospital. He will make frequent inspection of the fire equipment and 
apparatus, and take the necessary action to maintain it in a proper condition 
at all times. He will conduct the fire drills at frequent intervals and will be re- 
sponsible for the proper instruction of all members of the command in the 
operation of the fire equipment and apparatus for the thorough understanding 
of their respective duties in the event of a fire at the hospital. 
11. Hospital Inspector.—a. The Hospital Inspector will act as Medical In- 
pector of the Hospital, (AR 40-270), Investigating Officer, (Paragraph 35, 
Manual for Courts-Martial, 1928), Surveying Officer, (AR 35-6640), and will 
make such routine and special inspections and investigations as may be pre- 
scribed by the Commanding Officer. 
b. He will audit all public funds with the exception of the hospital fund 
and Post Exchange Fund at least once each month, reporting the fact of audit 
and any existing irregularities to the Commanding Officer. 
c. He will make a monthly check of all alcoholics, narcotics, and habit 
forming drugs in the pharmacy and in the hands of the Medical Supply Officer, 
reporting the fact of inspection and existing irregularities to the Commanding 
Officer. 
d. He will inspect and check, at irregular intervals, the narcotic books in 
all wards, noting facts and dates of inspection immediately after the last entries 
in the books. 
f. In conformity with the provisions of Paragraph 2 b (11), AR 210-70, he 
will make an inventory, at least once a month of such articles in the hands of 
accountable and responsible officers as may be designated by the Commanding 
Officer and upon completion thereof, report the fact of inventory and irregu- 
larities so discovered to the Commanding Officer. 
e. He will prepare the monthly sanitary reports required by AR 40-275. 
g. He will make frequent inspections of all offices and departments of the 
hospital to insure that the regulations governing their operations are on file and 
are being complied with. 
12. Medical Supply Officer.—The Medical Supply Officer is charged with 
the procurement, storage, and issue of all medical supplies at this hospital and 
is accountable for all medical property, except where other accountability is 
specifically designated by proper authority. He will submit the required requisi- 
tions, etc., and maintain the necessary property and other records pertaining 
to his office which may be required by existing regulations, AR 40-1705. The 
Medical Supply Officer is also in charge of the Laundry and is responsible for 
the proper general administration of the plant. 
13. Mess Officer.—The Mess Officer will have charge of and be responsible 
for the administration of all that pertains to the Hospital Messes. He is Cus- 
todian of the Hospital Fund and, as such, is responsible that it is expended in 
accordance with existing regulations. 
14. Police Officer.—The Police Officer is directly responsible to the Com- 
manding Officer that a proper standard of police is maintained throughout the 
grounds, porches, walks, and such other departments of the hospital as may be 
5 GENERAL DUTIES OF ADMINISTRATIVE STAFF 
placed under his charge. Details of convalescent patients to assist in the police 
of hospital will be supplied the Police Officer daily by the Professional Services 
of the hospital. 
15. Post Exchange Officer.—The Post Exchange Officer is responsible for 
the general management, funds, and proper operation of the Post Exchange and 
its several activities at this hospital, in conformity with AR 210-65. 
.10. x Quartermaster.—The Quartermaster will perform the duties prescribed 
in Army Regulations.ln addition tfo-the duties incident to that position as 
Quartermaster he will act as Signal Officer (AR 105-15). In his position as 
Quartermaster, he acts as Commanding Officer, Detachment Quartermaster 
Corps, and is responsible to the Commanding Officer for the proper administra- 
tion of that detachment. He will exercise supervision over all civilian employ- 
ees, Quartermaster Corps, at this station. 
17. Recreational Officer.—The Recreational Officer has charge of all army 
recreational activities of this hospital, including the Service Club and the Hos- 
pital Radio. 
18. Recruiting Officer.—The Recruiting Officer is responsible for all mat- 
ters in connection with recruiting. (AR 600-750). 
19. Registrar.—a. General. The Registrar is the Commanding Officer of 
the detachment of patients and will perform the duties as outlined in AR 40-590 
and such additional duties as may be prescribed by the Commanding Officer. 
He will have charge of all sick and wounded records and reports pertaining to 
all patients. He will act as officer in charge of Veterans’ Administration Rec- 
ords. He will exercise administrative jurisdiction in all matters pertaining to 
deaths and the disposition of remains, and make the reports in connection there- 
with which may be required by existing regulations. He will prepare the neces- 
sary notification to the nearest relatives or friends or seriously ill patients and 
also a notification when such patients have been removed from the seriously ill 
list. He will act as the Custodian of Patients’ Funds and Valuables and will 
have charge of the Patients’ Baggage Room. 
b. Reports of Changes. To enable stations from which patients are re- 
ceived to maintain records of their personnel the Registrar will mail a report on 
Form 15, L.G.H., for each military patient, to the Commanding Officer con- 
cerned. 
(1) For any patient not admitted through his own proper Station 
Hospital. 
(2) For every patient returned to duty. 
(3) See “Reports on Non-Pay Status of Military Patients.” 
20. Summary Court Officer.—The duties of the Summary Court Officer 
will be as outlined in Manual for Courts-Martial and such other War Depart- 
ment Regulations as may be applicable. 
21. Training Officer.—The Training Officer is responsible for the pro- 
fessional training of officers and internes. He will prepare the necessary 
schedules of training in conformity with instructions from the Commanding 
Officer. He will keep the necessary records of officers and internes under 
training and arrange for their rotation on the several professional services 
and sections. For the purpose of training, officers will be divided into two 
groups: . . 
6 GENERAL DUTIES OF ADMINISTRATIUVE STAFF 
a. Officers of the Regular Army designated for the basic medical, basic 
surgical or specialist training, prescribed by The Surgeon General. 
b. Officers of the Reserve Corps ordered to active duty. 
22. Professional Division.—The duties and responsibilities of the com- 
ponent parts of the Professional Division are as outlined elsewhere in these 
regulations. 
b. Officers of the Reserve Corps ordered to active duty. 
7 COMMISSIONED PERSONNEL 
23. Hours of Duty and Duty Groups.—a. Routine. Office hours for 
officers on duty at this hospital will be from 9:00 AM to 4:30 PM daily, except 
Saturdays, Sundays, and holidays. On excepted days, office hours will end 
at noon. Chiefs of Services who desire to be absent from duty during office 
hours will so inform the Commanding Officer. Other officers will apply to 
their respective chiefs of service for authority. Authority to be absent twenty- 
four (24) hours or more will be granted only by the Commanding Officer, 
b. Duty Groups pc, 3 
(1) All officers at this station will be arranged m two duty groups, 
with team mates, by the Chiefs of their services and sections. 
As casualties occur in duty groups and team the arrangement 
will be amended. Duty groups will be designated as Group 
“A” and “B”. Team mates will be designated by special 
function. 
(2) On week days and on notified special days, all duty groups and 
teams will be held available for duty during duty hours except 
when authorized to be absent. 
(3) On Sundays and national holiday mornings only one duty 
group and one member of a team will be required to be on 
duty, except when required for some specific duty as Officer 
of the Day, Emergency Officer, etc. Duty groups will serve 
alternately and the designated group for each Sunday or holi- 
day will be published on the Officers’ Bulletin Board. A team 
mate, in addition to service in duty groups, will be available 
for duty as relief for the other team mate when he is sick, 
absent, or excused and will automatically take over his mate’s 
duties unless other arrangements have been made by su- 
perior authority. 
24. Report as to Members of Family; Changes in Address and Tele- 
phone Number.—For use in preparing the directory of officers residing in 
San Francisco and the Bay cities and for local reference purposes, each of- 
ficer on duty at this hospital will keep the Adjutant advised as to the follow- 
ing: 
a. Whether or not married. 
b. Names of adult children and adult members of family (if any). 
c. Residence address and telephone number. 
25. Leave of Absence.—a. Applications. Applications for leave of ab- 
sence should be submitted far enough in advance, of date desired, to permit 
the necessary consideration and action. Applications will be prepared in 
letter form in triplicate and submitted directly to the office under whose im- 
mediate jurisdiction the applicant is serving. This officer will indorse on the 
application his remarks relative to the granting of the leave of absence and 
will then forward it to the Commanding Officer. Application for leave of 
absence will contain the following information: 
(1) Amount of leave desired. 
(2) The date effective. 
(3) Statement that leave requested is not in excess of that accrued. COMMISSIONED PERSONNEL 
(4) Whether or not a member of a War Department Board, and if 
so, its nature. # 
(5) Address while on leave. #2, 
b. Procedure.—Officers granted leave of absence of such duration as to 
necessitate relieving them from their assignment will not depart until they 
have accomplished a transfer to their successor of all property for which they 
are responsible. A clearance form will not be required for officers depart- 
ing on leave, unless at the time of their departure it is known or anticipated 
that their station will be changed after leaving. Officers departing on leave 
of absence will report their departure to the Adjutant and to the Officer of 
the Day’s Office. A similar procedure will be followed upon their return. 
26. Bulletin Board.—All officers of this command will scrutinize the 
Officers’ Bulletin Board daily and familiarize themselves with any instruc- 
tions, orders or other publications which may appear thereon for their infor- 
mation and guidance. 
27. Relief of Officers from Duty.—When an order is received relieving 
an officer from further duty at this hospital, either temporarily or perma- 
nently, the officer concerned will be so advised by the Adjutant. The order 
directing the relief from duty, copy of which will be furnished the officer con- 
cerned, will constitute the authority for the relief and no additional order 
will be issued from these Headquarters relative thereto, except the necessary 
order relieving the officer from his specific assignment. An officer being 
relieved from duty will, prior to departure, proceed as follows: 
a. Notify the Quartermaster and furnish him with four copies of the 
order effecting his relief. 
b. Settle all indebtedness with the Post Exchange, Letterman General 
Hospital; Post Exchange, Presidio of San Francisco; Hospital Fund, Let- 
terman General Hospital, and return any books in his possession belonging 
to the Hospital or Medical Libraries. 
c. Take the necessary action to be relieved of responsibility for any 
property issued locally on memorandum receipt, and obtain clearance from 
the Medical Supply Officer and the Quartermaster, which, if properly au- 
thenticated and presented to the Adjutant, will permit him to leave this sta- 
tion. 
d. Report to the Officer of the Day’s Office immediately prior to de- 
parture from hospital, after being relieved from duty. 
28. Officers’ Assemblies.—Routine assemblies of officers will be held 
as follows: 
a. Administrative Conference. An administrative conference will be held 
in the Officers’ Assembly Room on every Thursday at 11:50 AM. All officers 
will attend. At these conferences the Commanding Officer will discuss matters 
bearing on the administration of the hospital. 
b. Hospital Staff Meeting. 
(1) A hospital staff meeting will be held once each week. All officers 
of the Medical, Dental and Veterinary Corps will attend. The 
character of these meetings will be professional, their purpose 
being to present cases and papers on professional subjects for 
’ " discussion. ~v: ' " • 
9 COMMISSIONED PERSONNEL 
(2) A record wilbbe made of attendance and proceedings of each staff 
meeting to include: 
(a) Name of officer presiding and of officer or officers making 
presentation. 
(b) Subject under discussion. 
(c) Patient’s name. 
(d) Nature of case with oustanding or unusual features. 
(e) Abstract of each paper presented. 
(f) Conclusion drawn from the study of each case presented. 
(g) Name of recorder. 
(3) The record will be prepared under the direction of the Chief of 
Service under whose supervision the meeting is held and trans- 
mitted to the Adjutant for file. Heavy white paper approxi- 
mately 8 x 13 inches will be used. One such sheet should ordi- 
narily be sufficient for the record of each staff meeting. 
c. Staff meeting, Medical and Surgical Services to be held periodically. The 
day, hour and place of meeting will be designated by the Chief of Service con- 
cerned. All officers assigned to the service concerned will attend. The pur- 
pose of these meetings will be to discuss professional and administrative matters 
pertaining to the service and to report unusual cases and cases which present 
diagnostic difficulties. Each week at one of these meetings an analysis of all 
deaths occurring on the services since the last meeting will be made. These 
analyses will consist of: 
(1) A review of the clinical records in the case by the Ward Officer or 
other officer most concerned. 
(2) A statement of the ante-mortem diagnosis with reasons therefor 
by the same officer. 
(3) A review of the autopsy protocol when autopsy has been made. 
(4) A discussion of the case by the Chief of Service or other officer 
designated by him. This discussion to bring out any apparent 
errors in connection with the medical or surgical care of the 
case and such advice as might tend to prevent such errors in 
handling of future cases of like nature. 
d. Review of Professional Journals.—The Chiefs of the Medical and 
Surgical Services will cause all of the officers assigned to their respective service 
to meet periodically at a specified date and hour for the purpose of reviewing 
current professional journals or articles selected therefrom by the Chief of 
Service. Officers will be assigned journals or articles for review in advance of 
the meeting. 
e. Autopsies.—All medical officers will attend autopsies unless prevented 
by urgent duties. Prior to the autopsy the Ward Officer who had the case in 
charge will review the patient’s clinical record, present his diagnosis and the 
clinical evidence to support it. The meeting for this purpose will be conducted 
by the Chief of Service or his designated representative. Immediately upon 
completion of autopsy the Ward Officer will confer with the officer perform- 
ing the autopsy with the view of ascertaining the primary and contributory 
cause or causes of death for subsequent use in completing the Death Certificate. 
10 ARMY NURSE CORPS 
29. Status.—As regards medical and sanitary matters and work in connec- 
tion with sick, members of the Army Nurse Corps and Army Nurse Corps Re- 
serve are to be regarded as having authority in and about military hospitals 
next after the officers of the Medical Department, and are at all times to be 
obeyed accordingly and to receive the respect due their position. 
30. Nurses; Procedure on Arrival.—Upon arrival at this hospital, all nurses 
will report immediately to the Chief Nurse for instructions and assignment to 
duty. 
31. Supervision.—The Chief Nurse has supervision over all members of 
the Army Nurse Corps and the Nursing Service at this hospital. She will be 
obeyed and respected accordingly. 
32. Hours of Duty.—The hours of duty for all members of the Army Nurse 
Corps will be as prescribed by the Chief Nurse. 
33. Nursing Service; Duties of Supervisors, Head Nurses and Nurses; Re- 
ports Rendered by.—a. Supervisors (general duties).—Qualified members ot 
the Army Nurse Corps will be detailed, when necessary, as assistants to the 
Chief Nurse, to supervise the nursing service of the hospital during the day or 
night tours of duty. 
(1) Day Supervisor, duties of.—The Day Supervisor will perform such 
duties as may be required of her by the Chief Nurse. 
(2) Night Supervisor; duties of; reports rendered by.—Nurses will 
apply to the Night Supervisor for instruction, when necessary, 
and will inform her, as soon as practicable, of any emergencies 
arising in their respective wards. Upon being relieved from duty 
in the morning she will make a written report of any unusual 
incidents of the night, and derelictions of duty on the part of the 
night nurses. 
b. Head Nurses, duties of; reports rendered by.—The Head Nurse of the 
ward will serve as its responsible nursing head. Under the direction of the 
Ward Surgeon, she will have charge of the ward, patients, nurses, enlisted per- 
sonnel, and other persons assisting in the nursing, care of the sick, and will be 
obeyed and respected accordingly. Her hours of duty will be the same as those 
of the other nurses, but ordinarily she will be required to perform night duty 
only one month in six. The Head Nurse will send the report of the nurses’ time 
on duty to the Chief Nurse daily, not later than 7:30 AM, on the form provided 
for the purpose. She will report to the Chief Nurse concerning the efficiency of 
the nurses under her. She will be responsible for: 
(1) The receiving and recording of all orders relating to the care and 
treatment of patients in her ward. 
(2) The proper administration of all medicines and treatments. 
(3) The proper serving of all food in the ward. 
(4) The careful, accurate, and legible preparation of all ward records 
and routine reports as required. In this connection, particular 
care will be taken in maintaining the ward narcotic register. 
(5) The safeguarding of keys of ward cabinets containing liquor, 
opiates and poisons. 
11 ARMY NURSE CORPS 
(6) The checking and care of the ward property, also preparation of 
requisitions for needed supplies for the consideration and 
signature of the Ward Surgeon. 
(7) The cleanliness and order of the ward and its adjoining rooms. 
(8) The care of patients’ effects, other than money and valuables, until 
transferred to the proper custodian. 
c. Nurses, duties of; reports rendered by.—Nurses will perform such duties 
as may be required of them by the head nurses of their respective wards, under 
the direction of the Ward Surgeon. They will make a report of the work of their 
ward to the Chief Nurse at 7:00 AM and 6:00 PM, daily, on the form provided 
for the purpose. In order to minimize the number of night calls of the Pro- 
fesional Officer of the Day, night nurses will make every effort to obtain full 
instructions from him in regard to such matters as may be necessary, when he 
makes his evening rounds, or before 10:00 PM, if possible. 
34. Procedure of Nurses on Relieving Others in Charge of Wards.—Nurses 
relieving others in charge of wards will accomplish and sign the statement on 
the back of the “Ward Morning Report,” showing the date and time they as- 
sumed charge, and the number of patients to be accounted for, as shown by the 
ward records. In Wards No. S-l and S-2, an actual physical count of all patients 
will be made before the statement referred to is accomplished. In other wards 
of the hospital, a similar check will be made upon relief of person in charge be- 
tween the hours of 6:30 PM and 9:00 AM, only. Steps will be taken to satisfac- 
torily account for absentees from check, and when they cannot be properly ac- 
counted for, report will be furnished the Ward Surgeon, or, in his absence, the 
Officer of the Day. 
35. Procedure on Being Relieved from Duty; Clearances.—On departure 
from hospital, either by transfer or on leave, all nurses will report to the Chief 
Nurse’s Office for a clearance slip, which will be completed as directed, and re- 
turned to the Chief Nurse before departure. The address of all nurses going on 
leave must also be furnished the Chief Nurse. 
12 ENLISTED PERSONNEL 
36. Assignment to Duty.—Noncommissioned officers will be assigned by 
their respective organization commanders. Other enlisted personnel will be 
assigned to duties by First Sergeants in accordance with the instructions of the 
organization commanders. Enlisted personnel so assigned will be under the 
immediate jurisdiction of the senior member of the command on duty in the fa- 
cility to which assigned, for all matters pertaining to their respective duties 
therein. All requests for additions, change in personnel or complaints will be 
made to the organization commanders. 
37. Organization of Medical Detachment Into Services.—a. General. 
The Detachment Medical Department is organized into two services: 
(1) Administrative 
(2) Professional 
b. Administrative Service.—The Administrative Service consists of all en- 
listed personnel, Medical Department, on duty in the several offices and depart- 
ments of the hospital, whose duties are strictly non-professional. This service 
functions directly under the charge of the First Sergeant, Detachment Medical 
Department, who receives his instructions from the Commanding Officer, De- 
tachment Medical Department. 
c. Professional Service.—The Professional Service consists of all enlisted 
personnel, Medical Department, on duty in the professional division of the hos- 
pital, including ward attendants, men on duty in the clinics, laboratories, etc. 
This service functions directly under the charge of a noncommissioned officer, 
who will be furnished the necessary assistants for supervising the service dur- 
ing the twenty-four hour period. The hours of duty for each noncommissioned 
officer will be regulated and prescribed by the Commanding Officer, Detach- 
ment Medical Department, under whom the service functions. The Profes- 
sional Service will cooperate with the Ward Officers and nurses to the end that 
efficient enlisted men will be supplied for the duties devolving upon this class 
of personnel. Privates First Class and Privates assigned to day duty on the 
Professional Service will report to the noncommissioned officer on duty in 
charge of the Professional Service group, between 6:30 and 6:55 A.M. at the 
entrance of the mess hall. Those assigned to night duty will report to the Pro- 
fessional Service office between 6:30 and 6:55 PM. Upon reporting, each man 
will be inspected by the noncommissioned officer who will assure himself that 
each man is sober, clean, and in proper uniform. 
(1) To make all details and assignments, and exercise supervision 
over all enlisted men, Medical Department, within the Profes- 
sional Service, under the jurisdiction of the Commanding Offi- 
cer, Detachment Medical Department. He will make frequent 
check of such personnel to assure himself that all men detailed 
are actually on duty and performing their respective work satis- 
factorily. He will consult chiefs of service concerned on assign- 
ing and reassigning men on duty in their services. The non- 
commissioned officers in charge during the night tours of duty 
will make such complete rounds of wards during the night as 
may be prescribed in Memoranda issued from time to time. 
(2) Under the direction of the Commanding Officer, Detachment 
Medical Department, he will exercise supervision over the In- 
formation Office and properly maintain the required card rec- 
13 ENLISTED PERSONNEL 
ords of that department. Information will be dispensed in a 
courteous and polite manner and visitors will be treated with 
every consideration. 
38. Conduct.—a. Gambling. Gambling by any enlisted member of this 
command, in the hospital proper, the barracks, or on the surrounding hospital 
reservation, is prohibited. 
b. Smoking. Smoking by enlisted men on duty is not permitted in wards, 
clinics, when serving or handling patients, when assisting officers and nurses, 
in kitchens, Mess Halls, food preparation rooms, or in elevators. Smoking at 
any time in storerooms, in shops where combustible materials such as paints and 
oils, are stored, is prohibited. Officers in charge of the various activities will 
designate suitable places available in their respective departments where smok- 
ing may be permitted and will require men under their supervision to confine 
smoking to such areas. 
c. Beer, wine, or other liquors and habit-forming drugs.—The use, intro- 
duction or possession of intoxicating alcoholic liquors or habit-forming drugs 
on the military reservation without proper authority is prohibited. 
d. Loafing or Loitering of Unauthorized Persons in Barracks and Hos- 
pital.— 
(1) No unauthorized person will be permitted to loaf or loiter in or 
around the barracks. Enlisted men will not entertain visitors 
in the barracks; the Recreation room is provided for that pur- 
pose. The noncommissioned officers of this command will 
strictly enforce this regulation. 
(2) Loitering or congregating in hallways, clinics, wards, storerooms, 
or administrative offices will not be tolerated. In order to avoid 
congestion of people in front of the Mess Hall at meal time, 
enlisted men will not leave their post of duty until meal hour. 
Enlisted personnel may visit in the wards during visiting hours 
but will not be allowed to visit in the operating room at any 
time. 
e. The soliciting by enlisted men of free rides by thumbing occupants of 
passing motor vehicles is prohibited. 
39. Passes and Furloughs.—a. Special Privilege Cards. Each enlisted 
man will be issued a special privilege card upon joining the command. This 
card will entitle the holder to leave the military reservation when off duty sub- 
ject to future good conduct while a member of the command. 
-b. Passes.—The head of each administrative department and the noncom- 
missioned officer in charge of the Professional Service will submit to the detach- 
ment commander concerned, by 9:00 AM daily, a list of all enlisted personnel 
under their respective jurisdiction who desire passes and whose services may 
be spared for the time specified. Pass forms will be accomplished by the De- 
tachment Commanders and finally approved by them if for a period of twenty- 
four hours or less. Should the period of absence exceed twentyfour hours, and 
not exceed seventy-two hours, authorized by Army Regulations, the pass will 
be transmitted to the Adjutant for approval. 
14 ENLISTED PERSONNEL 
After final accomplishment, passes will be transmitted to the First Sergeant 
or noncommissioned officer in charge of quarters who will issue them to the 
soldiers when they report for uniform inspection immediately prior to depar- 
ture. Passes will be turned in to the First Sergeant or noncommissioned officer 
in charge of quarters immediately upon soldier’s return from absence. 
c. Furolughs.—Applications to be absent for a period great than seventy- 
two hours will be made as “furlough applications” and submitted directly to 
the Detachment Commander concerned. 
40. Lights in Barracks and Service Club.—Lights will be extinguished in 
barracks at 9:00 PM. Lights in Service Club may burn until 11:00 PM. Due 
economy will be exercised by all concerned in the use of electric current. 
41. Sleeping out of Quarters.—Enlisted men are prohibited from sleeping 
out of quarters unless authorized to do so by the Detachment Commanders. 
42. Uniform.—The uniform of the members of this Command will be that 
prescribed by Army Regulations and memoranda issued by the Commanding 
OfScer from time to tirne^^ 
43. Calls.—Calls for this command are as follows: 
Reveille 6:00 AM 
Breakfast— 
Duty Personnel 6:15 AM 
And 7:15 AM 
Patients— 
Diet Carts 6:50 AM 
Table Service 6:30 AM 
Cafeteria Service 7:00 AM 
Venereals 6:30 AM 
Fatigue Call 7:00 AM & 1:00 PM 
Recall 11:30 AM & 4:00 PM 
Dinner— 
Duty Personnel 11:30 AM 
And 12:00 Noon 
Patients— 
Diet Carts 11:30 AM 
Table Service 11:30 AM 
Cafeteria Service 12:00 Noon 
Venereals 11:30 AM 
Sick Call— 
Week days 1:30 PM 
Saturdays, Sundays and holidays 9:00 AM 
Supper— 
Duty Personnel 4:30 PM 
And 5:00 PM 
Patients— 
Diet Carts 4:30 PM 
Table Service 4:30 PM 
Cafeteria Service 5:00 PM 
Venereals 4:30 PM 
15 ENLISTED PERSONNEL 
44. Issues of Clothing.—Clothing will normally be issued to the members 
of the Detachments but once quarterly, as provided for in Army Regulations 
35-6560. Such issues, will, as a general rule, be made on or about the 15th of 
the first month of each quarter. Those desiring to draw clothing will submit 
request therefor to the First Sergeants on Form 35 AGO not later than the 10th 
of the first month of the quarter. In the preparation of these requests care will 
be taken to give the correct size and description of clothing desired. Only in 
cases of emergency will issues of clothing be made at any other time. All articles 
of worn-out or unserviceable clothing will be turned in at the time of issue of 
new clothing. 
45. Laundry Service.—Laundry service for members of the Detachments 
is furnished by the Government Laundry at Alcatraz, California, at the rate of 
$1.50 per month. Those desiring to avail themselves of this service will be re- 
quired to observe the following procedure: 
a. Laundry must be properly listed on the prescribed forms furnished for 
this purpose, bundled and turned over to the noncommissioned officer in charge 
not later than 8:00 AM on Friday of each week. 
b. In the event a shortage is discovered upon return of the laundry, such 
fact will be reported immediately to the noncommissioned officer in charge, 
who will make a personal check of the contents of the bundle in order that the 
necessary affidavits may be executed by the owner and himself in support of a 
claim for shortage. Failure to observe these instructions will bar the owner of 
the right to submit a subsequent claim. 
46. Promotions and Ratings.—Chiefs of Services and Heads of Depart- 
ments of this hospital, having enlisted personnel assigned to duty under their 
jurisdiction, who believe they merit promotions or specialist ratings, should 
write a recommendation to that effect to the Detachment Commanders con- 
cerned. These recommendations will be retained in the office of the Detach- 
ment Commanders and when vacancies occur they will be referred to before 
promotions or specialist ratings are awarded. The officers submitting the 
recommendations should be guided in each case as to the qualifications of the 
individual, bearing in mind that for promotions to the grade of private first class, 
the soldierly qualities are of paramount importance, such as military bearing, 
suitability for various assignments, loyalty to superiors, neatness and continued 
good conduct; while for a specialist rating, the special aptitude and qualifications 
for the position for which the rating is authorized should be considered first. In 
connection with recommendation for specialist ratings, attention is invited to 
Paragraph 6 a, AR 615-20. 
47. Government Property.—lt is the duty of every one in the service to 
properly care for and safeguard Government property at all times. The members 
of the Detachments are responsible for the care and safeguarding of Govern- 
ment property where they are on duty as well as the property issued to them 
individually and recorded and receipted for on Individual Equipment Record. 
Losses of and damages to property should be reported at once. The wrongful 
selling or trading of Government property is a serious offense. Individual equip- 
ment and clothing should be kept clean, and foot arid wall lockers should be kept 
neaitly packed and locked at all times. All unserviceable clothing and equipment 
16 ENLISTED PERSONNEL 
should be returned to the Detachment Supply Office. All men going on de- 
tached service, furlough, or being admitted to hospital, if able, will, before 
leaving, turn in all equipment, surplus clothing and effects to their respective 
Detachment Supply Offices. 
48. Noncommissioned Officer in Charge of Quarters.—a. ihe Command- 
ing Officer, Detachment Medical Department, will detail a permanent noncom- 
missioned officer in charge of quarters. 
b. The duties of the noncommissioned officer in charge of Medical Detach- 
ment quarters will be to preserve order and discipline in the barracks of the 
Detachment Medical Department. He will make such inspections as to sani- 
tation and police as the Commanding Officer, Detachment Medical Department, 
may prescribe. He will be in charge of the billeting of the detachment. In his 
office he will maintain a file of the members of the detachment showing their 
bed number and place of duty. When members of the detachment absent them- 
selves without leave, he will at once secure the effects of the absentee and turn 
them in to the Detachment Property Office, making proper list and record of 
his action. He will notify the enlisted members of the operating room staff and 
the enlisted men on emergency duty in the laboratory when their services are 
needed. He will awaken the cooks at the proper time and will make the rounds 
of the barracks to see that the other members of the detachment are up and in a 
condition to perform their duties at the proper time. 
c. A suitable enlisted man will be detailed as an assistant to the First Ser- 
geant of the Quartermaster Detachment whose duty will be to see that the de- 
tachment barracks are maintained in a proper state of police at all times; also 
that the laundry of the members of the detachment is collected, properly listed 
and forwarded to the laundry at the prescribed time. 
49. Emergency Roster.—The Commanding Officer, Detachment Medical 
Department, will prepare daily a roster of six Privates and Privates First Class, 
Medical Detachment, who will be available for emergency duty. This roster 
will be sent to the office of the Noncommissioned Officer in charge of quarters 
where it will be posted. A copy will also be posted on the Detachment Bulletin 
Board. The men so detailed will not leave the reservation during their tour of 
duty, and will keep the noncommissioned officer in charge of quarters notified 
of their whereabouts. 
50. Training.—All enlisted men below grade three of this command, will, 
during the training period of the Detachment Medical Department, stand drill 
and inspection formations unless excused by this headquarters. The period of 
training and subject matter to be covered will be published annually. 
51. Venereal Prophylaxis.—All members of the Detachments who have had 
illicit sexual intercourse will, at once, upon their return to this hospital, report 
to the designated station, and there receive such cleansing and prophylactic 
treatment as .may be prescribed by the War Department, unless they have 
previously and after the last illicit intercourse taken prophylactic treatment at 
some other military prophylactic station. , • CIVILIAN EMPLOYEES 
52. General.—a. Supervision. The Adjutant and the Post Quartermaster 
will exercise administrative supervision over civilian employees of the Medical 
Department and the Quartermaster Corps respectively. 
b. Physical examination. 
(1) A physical examination will be given applicants for all positions 
to determine the physical fitness of the applicant to perform the 
duties required except in the case of temporary employees of 
the Quartermaster Corps. This examination will be made by 
the Outpatient Service and no person will be employed who fails 
to pass the required physical examination. 
(2) All civilian barbers and male civilian food handlers will be ex- 
amined once each month by a representative of the Outpatient 
Service to determine their freedom from communicable dis- 
eases. To accomplish this, the head of the department con- 
cerned, that is, the Mess Officer, Chief Nurse, and Post Exchange 
Officer will each furnish the Chief of the Outpatient Service a 
list of all barbers or food handlers in their respective depart- 
ments. This list will be in duplicate and transmitted to the Chief 
of the Outpatient Service between the 10th and 15th of every 
month. Upon receipt of tire list referred to above, the Chief of 
the Outpatient Service will arrange for the examination and, 
upon completion thereof, furnish a certificate to the head of the 
department concerned setting forth the result of the examina- 
tion so far as communicable diseases are concerned. In the 
event that communicable diseases is discovered, the Chief of the 
Outpatient Service will either hospitalize the case or recommend 
to this office his discharge from the service depending on the 
circumstances and the character of the disease. 
(3) The Post Exchange Officer, Chief Nurse, and Mess Officer will 
each keep a record showing the names of employees, the date of 
examination upon employment and result thereof, and the dates 
and results of subsequent monthly examinations. The cer- 
tificates furnished by the Chief of the Outpatient Service will 
be retained as part of this record. 
53. Hours of Duty.—Hours of duty for civilian employees will be as fol- 
lows: a. For clerks and stenographers—9:oo AM to 4:30 PM, except on Sat- 
urdays and Sundays. On Saturdays, 8:30 AM to 12:30 PM. 
b. For other employees the 44 hour week will govern. Hours of arrival 
and departure will be regulated by the Officer in Charge so as to meet the needs 
of the service. 
54. Absence on Account of Sickness.—Employees absent from duty on ac- 
count of sickness will report such fact immediately to the officer in charge of 
their department or office. Upon return to duty, a physician’s certificate will be 
furnished as required by War Department regulations. If such certificate is 
satisfactory to the officer in charge, the employee may be paid for time absent 
on account of sickness, if not in excess of that allowed by law. 
18 CIVILIAN EMPLOYEES 
55. Injuries in Line of Duty.—An employee injured in line of duty will re- 
port as soon as possible to the Outpatient Service for examination and treat- 
ment. A report of such injury will be rendered to the Adjutant or the Quarter- 
master as soon as practicable, on the form provided by the Employees’ Com- 
pensation Commission (Form C.A. 1). 
56. Leaves of Absence.—a. Requests for leave of absence from clerks, 
stenographers, laundry employees, and mess attendants will be forwarded to 
the Commanding Officer for approval through the officer in immediate charge 
of the employee. 
b. Requests for leave of absence from aides, dietitians, and maids will be 
forwarded to the Commanding Officer for approval through the Chief Nurse and 
the officer in immediate charge of the employee. 
c. Requests for leave of absence from Quartermaster employees will be 
forwarded direct to the Quartermaster who is authorized to take final action 
on the request within the prescribed limits. 
d. Leaves of absence will be so regulated as to interfere least with the work 
of the hospital. 
57. Absence from Duty.—Heads of departments and services will promptly 
report the beginning and termination of all absences from duty of civilian em- 
ployees to the Adjutant or the Quartermaster for Medical Department and 
Quartermaster Corps employees respectively. Absences from duty will be noted 
in the Daily Report. 
58. Resignation.—An employee desiring separation from the service will 
submit his resignation to the officer through whom employment was secured. 
59. Relief from Duty.—Upon being relieved from duty prior to transfer to 
another station or separation from the service, civilian employees will be re- 
quired to obtain a clearance from those departments of the hospital with which 
they have had financial dealings. Employees residing in the Nurses’ Quarters 
will report to the Chief Nurse, prior to their departure on leave or relief from 
service, for the necessary clearance, and should at the same time leave their ad- 
dress. 
19 PROFESSIONAL DIVISION 
60. General.—The Professional Division consists of eight services, viz., 
/Dental, Eye, Ear, Nose and Throat, Laboratory, Medical, Nursing, Outpatient, 
'Radiological, and Surgical. 
61. Duties of Chief of Service.—The senior officer assigned to duty in each 
service will be in charge of that service and will be known as the Chief of 
Service. The duties and responsibilities of a Chief of Service are: 
a. General supervision over the entire service. 
b. yhe issue of such orders and formulation of such regulations for the 
operation o'f the service as may be necessary. 
c. The assignment of officers to sections, wards and other activities within 
the service. 
d. Responsibility tor the administration, sanitation, and police ot wards, 
sections, and other activities pertaining to the service, and the professonal care 
of patients thereon. 
e. Responsibility for the maintenance of clinical records and that records 
are examined and corrected before they are transmitted to the Registrar. 
62. Assistant Chief of Service.—ln addition to his other duties a medical 
officer may be detailed as assistant Chief of Service by the Chief of Service. 
63. Chiefs of Sections.—Each Section of a Service will be conducted by 
a designated medical officer who will be known as the Chief of Section. He will 
be responsible to the Chief of the Service for the administration and operation 
of his section including care and treatment of all cases in that section. 
64. Staff Meetings.—Chiefs of Services will arrange for Service Staff Meet- 
ings and Groups for the review of professional journals. 
. 65. Disposition Board.—a. Whenever an officer or Warrant Officer may 
require action by a retiring board or transfer to another hospital, the Chief of 
Service concerned will cause the patient to be reported to a Board of Officers 
convened by the Commanding Officer and known as the Disposition Board. 
Similar action will be taken in the case of an officer or Warrant Officer, who, 
although considered fit for duty, believes himself to be in need of further treat- 
ment, transfer to another hospital, action by a retiring board, or change of sta- 
tion. 
b. Officers or Warrant Officers ordered to the hospital for examination 
and report as to their physical fitness for service, for observation of defects dis- 
covered at physical examination, and those in which there may be a question 
of doubt as to proper disposition, will also be referred to the Board. 
c. Ihe Disposition Board will act upon any other special cases referred 
to it by the Commanding Officer. PROFESIONAL DIVISION 
d. The Disposition Board will examine the patient and report to the Com- 
manding Officer their opinion as to physical fitness for military service and sub- 
mit specific recommendations as to disposition of the case, either continuance 
of treatment in hospital or quarters, action by a retiring board, return to duty, 
transfer to another hospital or any other action that they may consider advisable 
to best conserve the welfare of the patient. A synopsis of the patient’s medical 
history will be incorporated in the proceedings of the Board. 
e. The Chief of the Medical Service, the Chief of the Surgical Service, and 
the Chief of the Officers’ Section, Medical Service, will constitute the Disposi- 
tion Board. 
Reports.—The Chief of each Service/ frill sijbmit at the end of each 
month a consolidated report in duplicate on Form 111, L.G.H., of the number 
of outpatients in the various sections of their services. With this object in 
view, they will cause every chief of section on which outpatients are treated to 
maintain an outpatient index in conformity to the requirements of AR 40-1070. LABORATORY SERVICE 
67. General.—The Laboratory Service functions primarily as part of the 
Professional Division of this hospital. It also functions as a Corps Area Lab- 
oratory for the Ninth Corps Area, and as such will perform such laboratory ex- 
aminations and research work as may be required of Corps Area Laboratories, 
as set forth in Army Regulations 40-305. 
68. Chief of Service.—The duties of the Chief of the Laboratory Service 
are: 
a. General charge of the laboratory. 
b. Supervising the performance of such examinations as are requested 
thereof by ward officers, making reports of the same directly to the officer con- 
cerned. 
c. Supervision of the Basal Metabolic Laboratory; 
d. General charge of the morgue including care of bodies of deceased per- 
sons (until turned over to the proper undertaker), performance of post-mortem 
examinations, preparation of proctocols and preservation, classification, storage 
and disposition of pathological specimens. 
e. Such laboratory service and consultations on matters of sanitation as 
are required by Army Regulations 40-305, of Commanding Officers of Corps 
Area Laboratories. 
f. Such other duties as the Commanding Officer may direct. 
69. Emergency Detail.—There will be at least one commissioned officer in 
the laboratory during the period of regular duty and a competent enlisted tech- 
nician will be on emergency duty throughout the twenty-four hours. 
70. Record of Examinations.—There will be maintained in the laboratory 
a record of all examinations made. 
71. Procedure in Requesting Examinations.—a. Requests for laboratory 
examinations will be made in duplicate on the Medical Department Blank Forms 
provided for that purpose. Requests for examinations not included in the 
printed Medical Department forms will be made on Form 55u (Laboratory Re- 
port, Miscellaneous). A check mark beside any particular item or items appear- 
ing on the form may be used to indicate which examinations are desired, or ad- 
ditional items may be written on the form where indicated. Requests -which are 
not checked by item will be given the regular routine examination. 
b. Routine specimens and requests (except from the Outpatient Service), 
will be sent to the laboratory not later than 9:30 AM. Specimens and requests 
from the Outpatient Service may be sent to the laboratory at any time during 
office hours. Specimens will be brought to the laboratory by ward attendants 
and not by patients. 
c. Requests for emergency examinations will receive prompt attention and 
have precedence over routine work. Extreme care will be exercised in making 
emergency requests and, in all cases, such requests will be signed by a medical 
officer. 
d. The Wassermann Test.—Specimens for routine Wassermann test will 
be collected on Mondays and Thursdays. Patients whose condition permits will 
be sent to laboratory between 8:00 and 10:00 AM. The blood of strictly bed 
patients and all female patients in hospital will be collected in the wards by lab- 
22 LABORATORY SERVICE 
oratory personnel. The requests for bed patients will bear the notation “Bed 
patient” and the number of the bed, and will be forwarded to the laboratory 
before 10:00 AM. Requests for Wassermann tests will be prepared on Form 
55q, M.D. All First Requests for the Wassermann test at this laboratory will 
invariably be accompanied by “The Wassermann Card,” Form 97, M.D., prop- 
erly executed and signed by a medical officer. 
e. Blood Chemistry. Specimens for blood chemistry examinations will be 
collected from hospital patients on Mondays and Thursdays, and from Out- 
patients on Tuesdays. Glucose tolerance, Icterus index and Rosenthal tests 
will be made by appointment. Patients whose condition permits will be sent 
to the laboratory at 7:00 AM without breakfast. In the case of bed patients and 
all female patients in hospital, the specimen will be obtained on the ward by 
laboratory personnel. Requests for bed patients and female patients will specify 
the number of the ward and bed and be forwarded to the laboratory on the day 
before examiantion. Emergency examinations will be made on any day re- 
quested. 
f. Spinal Fluid.—Spinal fluids for serological examination will be collected 
by an officer designated by the chief of the service concerned, in sterile con- 
tainers furnished by the laboratory. Specimens accompanied by the proper re- 
quest for examination will be delivered to the laboratory not later than noon 
on Mondays and Thursdays. It is essential that spinal fluids be sent to the 
laboratory immediately after removal from the body. 
g. Darkfield Examinations. Patients requiring darkfield examinations will 
be reported to the the laboratory at 1:30 PM, except Saturdays, Sundays and 
holidays. 
h. Tissues for Histo-Pathologic Examinations.—All tissues will be ac- 
companied by Form 55w, properly executed. Tissues which are not sent im- 
mediately to the laboratory should be placed in 10% Formalin (4% Formalde- 
hyde Solution) which can be obtained at the laboratory; if the tissue is not in 
a preservative, it will be sent immediately to the laboratory and delivered in 
person to some member of the laboratory staff. When a study of frozen sections 
is desired, the pathologist will be notified as early in advance as practicable. 
i. Protein Hypersensitiveness.—Examinations for protein hypersensitive- 
ness will be made at the laboratory by appointment. Requests (Form 55u, M.D.) 
will be forwarded to the laboratory and will specify the nature of the affection 
and the type of protein suspected (pollen, food, epidermal or bacterial). 
j. Basal Metabolism Determinations. The Chief of the Laboratory Serv- 
ice or his representative will make the appointment for the examination direct 
to the ward or office of the Chief of the Outpatient Service including details 
for the preparation for the test. 
k. Requests for sterile solutions for intravenous use will be signed by the 
officer making the request. 
72. Use of Proper Containers.—Proper containers for the collection of 
specimens will be used in every case. Such containers may be obtained at the 
laboratory in sufficient numbers to supply immediate needs only. All speci- 
mens will be labeled witji the name of the patient and ward to which assigned. 
The use of adhesive planter for specimen labels is prohibited. 
23 LABORATORY SERVICE 
73. Autopsies.—The Chief of the Laboratory Service, or one of his assist- 
ants, will conduct all authorized postmortem examinations and will preserve a 
record of all autopsies performed. 
74. Preservation of Specimens.—Valuable and interesting specimens ob- 
tained in autopsies or operations will be preserved and forwarded to the Army 
Medical Museum accompanied by pertinent data (Army Regulations 40-310). 
75. Blood Transfusion.—a. The Chief of the Laboratory Service will se- 
lect a sufficient number of suitable donors to meet the requirements of this hos- 
pital and keep an available list of them in his office. He will prepare written 
instructions governing the method of selection, the necessary medical supervi- 
sion and the manner of keeping the records. Any member of the Detachment 
Medical Department, this hospital, who is physically qualified and who com 
plies with the requirements outlined by the Chief of Laboratory Service, may 
have his name placed on the donors’ list on application. Donors are selected 
from this as nearly in rotation as practicable. 
b. Although this list of donors is maintained primarily for the purposes of 
this hospital, requests for donors are frequently received from various hospitals 
in the City of San Francisco and from civilian physicians. In an endeavor to 
cooperate with the civilian medical profession, the Chief of Laboratory Service 
is permitted to select suitable donors in rotation from the list maintained in his 
office, to volunteer their services in fulfilling these requests, provided that a 
suitable number of donors of each type are always available for use at this hos- 
pital. 
c. Requests for blood transfusions for patients in this hospital will be pre- 
pared in triplicate on Form No. 26, L.G.H. (Transfusion Record), and sent to 
the Chief of the Laboratory Service. Upon receipt of such request, the Chief 
of the Laboratory Service, or his representative, will type the patient. He will 
then secure a suitable donor and examine him for evidence of recent venereal or 
other infection. In each instance the temperature of the donor will be taken. 
Having completed the examination he will enter name of the donor and other 
required information on Form 26, L.G.H., and send them with the donor to the 
officer requesting the transfusion. 
d. The officer requesting the transfusion will then ascertain, personally or 
by telephone, from the Chief of the Surgical Service, or his representative, the 
name of the surgeon who is to perform the transfusion and the place and time 
of operation. At the time designated he will send the donor and patient with 
the three Forms No. 26, L.G.H., to the place indicated. 
e. After the transfusion has been performed the operating surgeon will 
complete Forms No. 26, L.G.H., sending one to the officer requesting the trans- 
fusion for file with the patient’s clinical record, one to the Chief of the Labor- 
atory Service, and the third to the person responsible for the preparation of 
vouchers for payment. 
f. All requests for donors from sources outside this hospital will be re- 
ferred to the Chief of the Laboratory Service or his representative and only 
those donors selected as outlined above will be authorized to volunteer their 
services in response to such requests. Any member of this command who serves 
as donor for transfusion without being called by the Laboratory Service will be 
subject to disciplinary action for violation of this order and his name will be 
24 LABORATORY SERVICE 
permanently removed from the list of donors. Men who act as donors at civil- 
ian hospitals or for civilian physicians do so voluntarily and may, if their duties 
permit, be furnished a pass by the Commanding Officer, Detachment Medical 
Department, for such length of time as may be necessary for this purpose. No 
responsibility is assumed by this hospital or the military service for payment of, 
or accident or injury to, men on pass for the purpose of volunteering their 
services as donors away from this hospital. 
g. The normal allowance for a transfusion is $15.00; plus $2.00 for each 
100 cc’s of blood. 
76. Disposition of Bodies.—a. Bodies of deceased persons will be properly 
prepared and removed to the morgue. The Chief of the Laboratory Service, or 
his representative, will be responsible for the care of bodies held in the morgue 
and will turn them over to the undertaker, or other person, only on written au- 
thority of the Registrar or the Officer of the Day. 
b. The person removing the body from the morgue will acknowledge re- 
ceipt thereof on the copy of the order authorizing removal. This record will be 
filed in the laboratory. 
(1) The Chief of the Laboratory Service or his assistant will act as 
the Commanding Officer’s representative to supervise the prep- 
aration of the remains for burial, including vertification of the 
employment by the undertaker of effective and scientific em- 
balming process where embalming is required, including vessel 
injection and ligation after autopsy. Interstate and local ordi- 
nances concerning burials and shipment of remains will be 
scrupulously observed. 
(2) He will also act as an inspector for the Quartermaster, and as such 
will require the undertaker to fulfill the terms of his contract 
or employment. 
(3) He will also inspect each body after it is properly clothed (See 
Paragraph 8, A.R. 30-1820) and ready to be placed in the casket 
and will file in the hospital a signed record of the fact of com- 
pliance with the above requirements. 
25 EYE, EAR, NOSE AND THROAT SERVICE 
77. General.—The Eye, Ear, Nose and Throat Service will function for the 
examination and treatment of the Eye, Ear, Nose and Throat patients in hos- 
pital and for those patients referred to it by Ward Officers and by the Outpatient 
Service. 
78. Hospital Patients.—Hospital cases will ordinarily be treated in the 
wrards set aside for the Eye, Ear, Nose and Throat Service but when inter- 
current disabilities are present, they may be treated in wards set aside for those 
particular disabilities. 
79. Outpatients.—Outpatients will be treated in the Clinic or the Ear, 
Nose and Throat Clinic only when referred thereto by the Chief of Outpatient 
Service. They will not be required to pass through the Outpatient Service, 
however, for subsequent treatments of the initial ailment. 
80. Operations.—Rescinded. 
81. Reports.—a. When a hospital patient is referred to the E}re Clinic or 
the Ear, Nose and Throat Clinic for examination, the Ward Officer will pre- 
pare and sign in duplicate either Form No. 59, L.G.H. “Eye Case Record” or 
Form No. 57, L.G.H. Ear, Nose and Throat Case Record” and forward it to 
the clinic On receipt of the form, the Ward will be advised as to the date and 
hour the patient is to appear for examination. 
b. Routine examinations and routine hearing and vision tests will be made 
by the Ward Officer. Only in cases of suspected eye, ear, nose and throat 
pathology, will patients be referred to this section for examination and report. 
A copy of the completed report will be returned to the ward for file with the 
clinical record. 
c. When an outpatient is referred to the Eye, or the Ear, Nose and Throat 
Clinic by the Chief of the Outpatient Service two copies of Form No. 59, L.G.H., 
“Report of Eye Examination,” or Form No. 57, L.G.H., “Report of Ear, Nose 
and Throat Case,” whichever is applicable, will accompany him. When the re- 
quired treatment or examination has been made, a report will be prepared and 
sent to the Chief of Outpatient Service. The original will be filed in the clinic. 
82. Records.—a. The Chief of Service will maintain an outpatient index, 
as prescribed in Paragraph 10, A.R. 40-1070, and will be responsible for the 
proper indexing and recording of all pertinent data concerning all outpatients 
examined and treated. 
b. Ihe Chief of Service will prepare reports of operation (Form 55k, M.D.), 
for all operations performed in the Eye, Ear, Nose and Throat operating room, 
the original of which will be transmitted to the proper ward officer for file with 
patient’s clinical record and the duplicate filed with the records of the clinic. 
26 RADIOLOGICAL SERVICE 
83. Procedure to Obtain Roentgenological Examinations.—Requests for 
roentgenological examinations will be prepared in duplicate in the wards or 
departments of the hospital requesting such examinations, using M.D. Form 55i, 
clearly stating the part to be examined and the provisional diagnosis and signed 
by the officer making the request. Requests coming from nearby organizations 
will be prepared in the office of the Chief of the Outpatient Service. Requests 
for roentgenological examinations of patients in hospital will be sent to the 
laboratory by messenger, and will not accompany the patient except in emerg- 
ency. Requests for emergency examinations of bed-side examinations will be 
marked “Emergency” or “Bed-side” on the face of the form. All dental X-ray 
examinations will be made in the X-Ray Laboratory of the Dental Service. Re- 
quests for such examinations will be sent to the Chief of that service. 
84. Preparation of Reports.—Reports in every case will be prepared in 
duplicate, one copy going to the officer requesting the examination for attach- 
ment to the patient’s clinical record and the other copy for file in the X-ray 
Laboratory. On the last day of each month, the Chief of Service will prepare 
and transmit to the Commanding Officer a report of the activities of the service 
during the month. 
85. File of Records and Roentgenograms.—A record of every roentgeno- 
logical examination made and roentgen therapy given will be filed in the X-ray 
Laboratory. All records will be accurately indexed before filing and will be so 
filed as to be readily accessible. All roentgenograms will be stored in the fire- 
proof filing room. All roentgenograms temporarily removed from the file room 
will be signed for by a member of the hospital staff or his designated representa- 
tive who will assume all responsibility for them until they are returned. Roent- 
genograms and reports will not be furnished to patients unless so ordered by 
the Commanding Officer. Demonstrations of roentgenograms by the Chief of 
Service or his assistant will be held between 1:00 PM and 2:00 PM, and officers 
are urged to take advantage of this consultation hour. 
86. Roentgen Therapy.—All requests for Roentgen Therapy will be pre- 
pared in duplicate, using M.D. Form 5Si and forwarded to Chief of Radiological 
Service. The clinical record will accompany the patient when sent to the 
Roentgen Therapy Clinic, and a record of treatment will be entered on M.D. 
Form 55g by the Roentgenological Section. 
87. Radium Therapy.—The Chief of the Radiological Service will be di- 
rectly responsible for the safe keeping and application of radium. 
All requests for Radium Therapy will be prepared in duplicate using M.D. 
Form 55i and forwarded to the Chief of Radiological Service. 
The clinical record will accompany the patient when sent to the Radium 
Therapy Clinic, and a record of the treatment will be entered on M.D. Form 55g 
by the Radium Section. 
27 DENTAL SERVICE 
88. Organization.—The Dental Service will constitute a unit of the Pro- 
fessional Division of the hospital. It will include all officers of the Dental Corps, 
members of the Army Nurse Corps, enlisted men assigned to Dental Service, 
and such other personnel as may be assigned to it by proper authority. The 
Dental Service will be sub-divided into the following sections: 
a. Operative. 
b. Prosthetic. 
c. Oral Surgery. 
89. Chief of Service.—The senior officer assigned to duty in the Dental 
Service will be in charge of that service and be known as the Chief of the Dental 
Service. His duties and responsibilities in general will be: 
a. General supervision over entire service. 
b. The issuing of such orders and formulation of such regulations for the 
operation of the service as he may consider necessary. 
c. The assignment of officers on that service to specific duties. 
d. Responsibility for the administration, sanitation, and police of operating 
rooms, clinics, and other activities pertaining to his service. 
e. Responsibility for the technical training of enlisted and civilian person- 
nel assigned to the Dental Service. 
f. Responsibility for the performance of the annual survey of enlisted men 
of the various detachments as prescribed in AR. 40-500. 
90. Priority in Dental Treatment.—Dental treatment will be given at this 
hospital in the following priority: 
a. All personnel requiring emergency treatment. 
b. Patients in hospital for dental treatment only. 
c. Patients in hospital where local infection has a probable bearing on their 
hospitalization. 
(Examinations requiring x-ray surveys will not be requested unless above 
condition exists). 
d. All hospital duty personnel and all military personnel on active duty, 
where dental treatment is not otherwise provided for. 
e. Retired personnel and families of active duty personnel when prac- 
ticable. 
91. Dental Examination and Treatment of Patients in Hospital.—Except 
in cases of emergency, patients in hospital who require dental examination and 
report, or dental treatment, will be sent to the Dental Clinic at 9:00 AM daily 
except Sundays and holidays, accompanied by Form 16, LGH, prepared in 
duplicate. This report will show the patient’s name, status, etc., whether re- 
ferred for treatment or examination, or both, the patient’s diagnosis, his prob- 
able duration of hospitalization, together with any remarks pertinent to the 
case, with special reference to the presence of syphilis in the infectious stage, 
whether the case is of an emergency nature and requires immediate attention 
and whether bedside examination is required. This form will not be entrusted 
to the patient but delivered to the office of the Chief of the Dental Service at 
the time the patient reports. Upon completion of the examination of patient, 
28 DENTAL SERVICE 
the dental officer making the examination will note the result on both the origi- 
nal and duplicate Form 16, L.G.H., return the original to the Ward Officer and 
file duplicate with the records of the Dental Service. The routine dental ex- 
amination of patients in hospital is not contemplated and will not be requested 
unless there be an occasion for such examination. Leaves, furloughs, or passes 
which might interfere with dental treatment will not be granted without con- 
sultation with the Chief of the Dental Service. 
92. Dental Treatment of Out-Patients.—a. Officers and members of the 
Army Nurse Corps on duty at this hospital who require dental treatment will 
report to the Outpatient Service for original appointment with the Chief of the 
Dental Service. 
b. Enlisted men of the various duty detachments who require dental treat- 
ment will have their names placed on the Daily Sick Report to the Chief of the 
Out-Patient Service. The Chief of that Service will refer the enlisted man to 
the Chief of the Dental Service and at the same time transmit to the Chief of 
the Dental Service a copy of Form 16, L.G.H., in duplicate, as prescribed in 
Paragraph 91 above. 
93. Dental Emergency Officer.—A Dental Officer will be detailed by rostei 
by the Chief of Dental Service for the purpose of examining patients referred 
to the Dental Service for examination, for the treatment of emergencies, and 
for the survey of enlisted men of the command as required by Army Regula- 
tions. Dental Officers on duty at this station will serve as Dental Emergency 
Officer in rotation for periods of one week; the weekly tour will begin and end 
at 9:00 AM each Monday. During his tour he will keep the Officer of the Day’s 
Office constantly informed where he can be reached by telephone. The Chief 
of the Dental Service will furnish the Adjutant with name of the officer to be 
detailed as Dental Emergency Officer at least twenty-four (24) hours before the 
detail becomes effective. 
94. Appointments.—The Chief of the Dental Service will prepare an ap- 
pointment card, Form 4, L.G.H., for patients in hospital who are given dental 
appointments and will send the card to the Ward Officer of the ward to which 
the patient is assigned. Ward Officers will be responsible that patients under 
their charge for whom dental appointment cards are received are required to 
report to the Dental Clinic promptly at the designated hour or, if such patient 
is unable to keep the appointment, are responsible that the Chief of the Dental 
Service is so notified in advance. 
95. Procedure in Special Cases.—a. Patients with suspected fracture of 
the jaw will be referred to the Dental Service immediately upon admission. In 
the event the patient is admitted at other than duty hours, the Dental Emergency 
Officer will be notified. 
b. When a patient is admitted to the Ward for Dental treatment only, the 
Ward Officer will immediately notify the Chief of the Dental Service who will 
expedite treatment with a view to his early discharge. DENTAL SERVICE 
96. Responsibility for Dental Patients in Hospital.—The Ward Officer of 
the ward to which a patient in hospital for “dental treatment only” has been 
assigned is responsible for the discipline, care, etc., of the patient, and for the 
preparation and maintenance of the patient’s clinical record. 
97. Reports.—a. The Chief of the Dental Service will advise the Ward 
Officer one (1) day in advance of completion of treatment of a patient in hos- 
pital for dental treatment only in order that the Ward Officer may take the 
necessary steps for discharge of the patient from hospital. 
b. Upon completion of treatment in each case, the Chief of the Dental 
Service will furnish the Ward Officer with a copy of the patient’s case record, 
Form 79, M.D. (Par. 5, AR 40-1010), which will be attached to and become a 
part of patient’s clinical record. OUTPATIENT SERVICE 
98. Functions.—a. The Outpatient Service will serve as a Dispensary 
AR 40-550 for the personnel on duty with Fleadquarters Ninth Corps Area, 
military personnel living in San Francisco and the Bay cities, for the personnel 
of this command and Fort Mason. 
b. Officers and soldiers assigned to regular organizations at Fort 
Winfield Scott, Presidio of San Francisco, Fort McDowell, and Fort 
Baker, under treatment by the Outpatient Service at this hospital, 
may, when necessary and with the acquiescence of the Surgeon concerned, be 
placed in a status of quarters from a duty status by the Chief of the Outpatient 
Service. In such cases the Chief of the Outpatient Service will act in an ad- 
visory capacity only to the surgeon of the command concerned, furnishing him 
with the necessary data for the register of sick and wounded. The Chief of 
the Outpatient Service will retain professional control over the patient when 
necessary and will inform the Surgeon concerned of any changes in the status 
of the case. 
c. Militarized persons of organizations referred to above will be changed 
from a hospital to a quarters status in the following mannerl Upon approval 
by the Chief of Service concerned the patient will Be transferred formally to the 
station to which he belongs. Subsequent administrative action will be the re- 
sponsibility of the of the surgeon of the command concerned. When agreed to 
by the surgeon of the command concerned and the Chief of Outpatient Service 
the latter will retain professional control of the case until final disposition is 
effected. Clinical records will be completed in the same manner as for duty 
cases. 
99. Special Duties of Chief of Service.—a. He is responsible for the pro- 
fessional care of patients entitled to medical attention other than those admitted 
to hospital. 
b. He will arrange that medical attendance is available for authorized per- 
sons calling at the Dispensary during the prescribed office hours and for 
emergency sick calls within the city limits of San Francisco. 
c. He will act as Surgeon for the Letterman General Hospital and as such 
will arrange for the prescribed sick call and necessary physical examinations 
including examinations of recruits, immunization procedure, etc., as may be 
required. He will maintain the necessary records pertaining to these duties. 
31 OUTPATIENT SERVICE 
(1) He will arrange for such consultation or examination by the 
chiefs of the various professional services or chiefs of specialist 
sections as he may consider advisable and refer to them those 
cases which require specialist’s treatment, certain days of each 
week being designated for special clinics. He will notify in ad- 
vance the service concerned should no appointments be made. 
No professional service or section in this hospital will treat 
outpatients other than those properly referred therto by the 
Chief of the Outpatient Service. 
Surgical Service— 
Day of Week— 
Hour— 
Pre-Natal Clinic 
Wednesday 
1:30 PM. 
Orthopedics 
Thursday 
1:30 PM. 
Gynecology 
Tuesday 
1:30 PM. 
Genito-Urinary and 
Dermatology 
Thursday 
1:30 PM. 
General Surgery 
Friday 
2:30 PM. 
Medical Service— 
Cardio-V ascular- 
Renal 
Friday 
1:30 PM. 
Gastro-Intestinal- 
Metabolic 
Thursday 
1:30 PM. 
Respiratory 
Friday 
1:30 PM. 
(2) He will make appointments, issue appointment cards, give neces- 
sary preliminary treatment (iodekon, etc.), and issue special 
instructions to patients who require special roentgenological 
service. 
d. He will exercise supervision over the Pharmacy. 
e. The Chief of Outpatient Service is charged with the control and the 
responsibility for the operation of venereal prophylactic stations for the per- 
sonnel of this command in accordance with the provisions of Paragraph 4 a and 
b, AR 40-235. He will maintain a file of venereal prophylaxis reports (Medical 
Department Forms No. 77) for all prophylaxis administered and will dispose 
of them as prescribed in the above quoted regulations. 
100. Emergency Medical Officer.—a. A medical officer to be known as the 
Emergency Medical Officer will be detailed daily from the roster prepared by 
this headquarters for duty with the Outpatient Service. His tour of duty will 
be from 4:30 PM of one day to 9:00 AM of the following day, except Saturdays, 
Sundays and holidays, when it will be from 12:0 noon of one day to 9:00 AM 
of the following day. During his tour of duty he will be required to keep the 
Officer of the Day’s office constantly informed where he can be immediately 
reached by telephone. He will respond promptly to all calls received from the 
Officer of the Day’s office or calls received direct from those entitled to out- 
patient medical attendance. At the termination of his tour of duty he will sub- 
mit a report of each case visited to the Chief of the Outpatient Service on the 
card provided for that purpose. 
b. During hours other than those prescribed for duty at the hospital, the 
duties of the Chief of the Outpatient Service as regards medical attendance for 
patients applying in person at the Dispensary will be assumed by the Officer OUTPATIENT SERVICE 
of the Day. Outpatients who require treatment at their homes at hours other 
than regular hospital hours will be attended by the Emergency Medical Officer. 
c. A suitable Emergency Medical Kit, with standard equipment approved 
by the Chief of the Outpatient Service, will be kept in the personal possession 
of the Emergency Medical Officer during his tour of duty. The kit will be ob- 
tained from the office of the Chief of Outpatient Service at the time the Emerg- 
ency Medical Officer reports for duty. 
101. Records and Reports.—a. The Chief of the Outpatient Service will 
maintain an outpatient index as prescribed in paragraph 10, AR 40-1070, and will 
be responsible for the recording of all pertinent data concerning persons treated. 
b. Immediately upon completion of the required physical inspection of 
enlisted men on duty at the hospital (AR 615-250), he will report in writing the 
result to the Commanding Officer, giving the date upon which the examination 
was held, the number of venereal cases found and the disposition of such cases, 
together writh any other information of which the Commanding Officer should 
be cognizant. 
c. He is authorized to transmit pencil originals and carbon duplicates where 
required for dental, laboratory, X-ray, or consultation requests (Form 55). 
(1) The Chief of each Professional Service will on the first day of 
each month render a report to the Chief of the Outpatient 
Service showing the number of treatments given outpatients 
during the preceding month in the various departments and 
sections of the hospital, under his jurisdiction, where outpatients 
are treated. The treatments given will be enumerated separate- 
ly for the following classes of outpatient personnel: 
(a) Regular Army (commissioned and enlisted) 
(b) Training units (ROTC - CMTC - Organized Reserves) 
(c) Civilians (dependents of active and retired personnel, etc.) 
(d) C.C.C. 
(e) Veterans. 
(2) Patients in hospital will not be reported. Patients seen in the Out- 
Patient Clinic proper by various consultants representing the 
different hospital services will not be included in the report of 
the chief of a Professional Service as such patients and treat- 
ments will be reported by the Chief of Outpatient Service. The 
Chief of the Laboratory Service will report the total number of 
pollen extract sensitization tests given to outpatients without 
reference to classification of personnel or distinction between 
test and treatment. Each visit of a patient will be reported as a 
treatment. 
(3) The Chief of the Outpatient Service will consolidate the above 
reports of work done in the Outpatient Service proper and fur- 
nish to the Registrar each month a consolidated report showing 
the total amount of outpatient work done in this hospital. He 
will, however, report separately the work done on outpatients 
by the Dental Service, which will not be included in the con- 
solidation mentioned above. OUTPATIENT SERVICE 
(4) The Registrar will include the information thus obtained from the 
Chief of the Outpatient Service in the Report of Sick and 
Wounded, reporting the dental work done on outpatients sepa- 
rately. 
d. On the last day of each month he will submit a report to the Command- 
ing Officer containing the following information: 
(1) Number of patients treated (by classes). 
(2) Number of treatments (by classes). 
(3) Number of physical examinations conducted (by classes). 
(4) Number of persons carried in quarters (by classes). 
(5) Summary of work —to include number of office visits, quarters 
visits, babies attending clinic, and new admissions to baby clinic. 
34 PHYSIOTHERAPY 
102. Procedure and Records—a. Patients requiring physiotherapy treat- 
ments will be examined by their Ward Officers or by a medical officer at the 
Outpatient Service. Requests for treatment will be prepared in duplicate on 
Form No. 8, L.G.H. The diagnosis will be signed by the Officer who requests 
treatment. 
b. The Aide in charge will send appointment slips to the wards after re- 
ceiving requests for treatments. The Charge Nurse will be responsible for the 
delivery of appointment slips to the patients. She will also be responsible for 
the promptness and regularity of the patients reporting for treatments. Out- 
patients reporting to the Physiotherapy Section for treatment will receive their 
appointments from the Aide in charge. 
c. A record will be kept of each patient treated and will show the follow- 
ing: Name, status, diagnosis, condition at beginning of treatment, any change 
of treatment, appropriate notes on the progress of the case and condition on 
completion of treatment. A duplicate will be furnished for file with the Clinical 
Record. 
d. When a patient is considered cured or has reached maximum improve- 
ment, the medical officer in charge of the case will notify the Chief of Physio- 
therapy Section who will discontinue treatments. The original request on Form 
No. 8, L.G.H. will be returned to the ward or to the Outpatient Service. The 
duplicate will be kept on file in the Physiotherapy Section. 
GENITO-URINARY SECTION 
103. Treatment and Records of Syphilitics.—a. The provisions of this par- 
agraph apply to military personnel only. Instructions regarding syphilitics 
among other classes of personnel will be issued by the Commanding Officer in 
memoranda from time to time. 
b. All salvarsan treatments will be administered under the direction of 
the Chief of Section or one of his commissioned assistants. The Chief of Sec- 
tion will prescribe such days as he may deem best for the administration of this 
treatment and all patients, both hospital and out-patient cases, undergoing treat- 
ment requiring the administration of salvarsan will be present on those days. 
c. As prescribed in Paragraph 6c, AR 40-235, in all cases of syphilis in 
which the initial diagnosis is made at this hospital, Syphilitic Registers (Medical 
Department blank form), will be instituted by the Chief of the Genito-Urinary 
Section. He will review all cases prior to discharge in so far as the syphilis is 
concerned. He will complete all registers as far as tbe treatment administered 
and laboratory examinations made at this hospital are concerned and forward 
same to the Registrar for transmittal to the surgeon of the patient’s station. 
d. Patients from other posts who are to be treated at this hospital will be 
instructed when to report by the Chief of Section. The Chief of Section will 
obtain the patients’ Syphilitic Registers from their station surgeon. Under no 
circumstances will a patient from another post be permitted to complete a 
course of treatment at this hospital without appropriate notation having been 
made in his register. 
e. When a military patient who has syphilis is to be separated from the 
service, his Ward Officer will notify the Chief of the G. U. Section. The latter 
35 GENITO-URINARY SECTION 
will explain to the patient the necessity for uninterrupted completion of treat- 
ment after he leaves the service. The Chief of the G. U. Section will also fur- 
nish the patient with a written summary of the clinical features of his case and 
of treatment received, so prepared as to enable other physicians to continue the 
treatment intelligently. A copy of this summary, signed by the patient, will 
then be incorporated in his syphilitic register and an additional copy will be sent 
to the Registrar who will forward it to the State Health Officer of the state in 
which the patient intends to reside. The officer who prepares the summary 
will include the patient’s prospective future address as indicative of the state 
in which he intends to reside. 
36 ORTHOPEDIC SECTION 
104. Treatment and Records.—a. Patients other than those admitted di- 
rectly to the wards of this section will be given treatment by this section on 
request prepared as follows: 
(1) When an orthopedic consultation is desired for patients in wards 
other than those pertaining to this section or for whom it is 
desired that orthopedic appliances be furnished, the responsible 
officer will initiate a consultation request (Form No. 63, 
L.G.H.), and forward it to the Chief of Orthopedic Section in the 
usual manner. The clinical record of such patients will ac- 
company the consultation request. Upon receipt of the latter, 
the Chief of Orthopedic Section, if the patient is ambulant, will 
designate a time and place for examination. Upon the conclu- 
sion thereof, there will be entered on the consultation request 
the findings and recommendations of the examining officer 
with a statement in appropriate cases as to when and where the 
patient will report for treatment, measurements for prosthetic 
appliances, etc. 
(2) For non-ambulatory cases on whom an orthopedic consultation 
is required, a request will be similarly initiated and upon receipt 
thereof by the Chief of the Orthopedic Section, the latter or one 
of his commissioned assistants will visit the patient in his proper 
ward and make such examinations and recommendations as may 
be pertinent. 
(3) Cases referred for orthopedic consultation by the Chief of the 
Outpatient Service will be instructed to report for examination 
in the Outpatient Clinic at 1:30 PM Thursdays. 
b. A workshop for the manufacture of artificial limbs, braces, splints, and 
other orthopedic appliances will be maintained by this section. It will operate 
under the immediate charge and direction of the Chief of the Orthopedic Sec- 
tion with such civilian employees and enlisted men, Medical Department, as 
may be assigned to it by proper authority. All materials or appliances emanat- 
ing therefrom will be authorized in writing by the Chief of Section only and no 
work of any nature will be done in the workshop except on written authority 
given by the Chief of Section. Beneficiaries of the U. S. Veterans’ Bureau who 
are patients in this hospital will be furnished orthopedic appliances in appropri- 
ate cases, provided they remain in hospital during the manufacture and fitting 
of same. Such appliances will not be furnished to this class of patients on an 
Outpatient Status. 
c. The clinical records will be maintained in the wards of the Orthopedic 
Section as in other section except that in all cases of fracture a separate form 
(Fracture Record, Form No. 9, L.G.H.), will be accomplished and maintained 
as a part of the clinical record. A record will be kept in the Orthopedic Work- 
shop of all appliances manufactured and repairs made on appliances. An out- 
patient index prescribed in Paragraph 10, AR 40-1070, will be maintained in the 
Office of the Chief of the Orthopedic Section. 
37 ANESTHESIA AND OPERATING SECTION 
105. Duties of the Chief of Section.—The duties of the Chief of Section, in 
general will be as follows: 
a. He will be in charge of the Operating Pavilion, the personnel assigned 
thereto, and the property therein. 
b. He will instruct and supervise anesthetists and other personnel assigned 
to the Section and will be responsible for the proper administration of anes- 
thetics (local and general) and the post-operative care of patients until they are 
delivered to the authorities in their respective wards. He will assure himself 
that no general anesthetic is administered until the anesthetist has been fur- 
nished with the Report of Pre-Operative Examination (Form No. 28, L.G.H.). 
c. He will requisition supplies and equipment required for the proper op- 
eration of the Section and will be responsible for the care, safeguarding, and 
proper use thereof. He will, on the last day of the month, check all property 
for which he is responsible, reporting any overages or shortages to the Medical 
Supply Officer. 
d. He will be responsible for the maintenance of a sufficient stock of 
surgical dressings in the Operating Pavilion and Surgical Dressing Preparation 
Room and such dressings are properly prepared, adequately sterilized, and 
systematically stored; also that issues of properly sterilized surgical dressings 
are made to those sections and wards requiring them. 
e. He will consult with the Chief of the Surgical Service and will prepare, 
twenty-four hours in advance schedules of operations to be performed. 
f. He will be responsible for the good order, cleanliness, neatness, and 
proper maintenance of the Operating Pavilion and its equipment and the Surg- 
ical Dressing Preparation Room. 
g. He will be responsible for the readiness of the Operating Pavilion at all 
times to meet any surgical emergencies that might arise. 
106. Emergency Operating Staff.—There will be detailed daily, by the Chief 
of Section, a qualified anesthetist, a member of the Army Nurse Corps, and one 
enlisted man, all of whom will be available during the entire twenty-four hour 
period, starting at 9:00 AM, as assistants to the Officer of the Day in such surg- 
ical emergencies as may arise. The names of those so detailed will be reported 
to the Officer of the Day’s Office and the personnel so detailed will be instructed 
not to leave the hospital during their periods of duty and to keep the Officer of 
the Day’s Office constantly advised of their whereabouts. Nurses on call for 
emergency operating room duty will be notified through the Office of the Chief 
Nurse or Night Supervisor. 
107. Duty Hours.—The Operating Pavilion will be open from 7:00 AM 
until completion of the day’s work. All doors and windows will be closed and 
locked by the last member of the Operating Room staff to leave the Operating 
Pavilion each day.. 
38 OFFICERS’ SECTION 
108. General.—a. Only such patients as may be authorized treatment on 
officer status will be admitted to this Section. 
b. Printed instructions will be given to each patient upon his admission 
to this Section for his guidance while in the hospital. 
c. Promptly upon admission of a patient he will be examined by the Chief 
of the Officers Section, or his assistant, who will decide upon the professional 
section to which he should be assigned for proper observation and treatment, 
and who will notify the chief of that section accordingly—either in person, by 
telephone, or in writing. The Chief of Officers Section will be responsible for 
proper care of the patient until the selected section chief actually sees patient 
and accepts responsibility. In case of doubt as to the nature of the illness, the 
Chief of Officers Section will be responsible until diagnosis is sufficiently clear 
to indicate to which section the case properly belongs, after which the patient 
will be turned over for further professional care to the appropriate Chief of 
Section as prescribed above. 
109. Treatment in Quarters.—Under exceptional circumstances and when 
it is considered to be to the best interests of the service, an officer or Warrant 
Officer patient sick in hospital whose home is in San Francisco or one of the bay 
cities, may be transferred, if he so desires, to the Outpatient Service for treat- 
ment in quarters. When in the opinion of the Chief of Section or the Medical 
Officer having the case in charge such transfer is indicated, the recommendation 
for transfer will be made on Form No. 20, L.G.H., in accordance with the pro- 
cedure outlined in these regulations. 
110. Payment of Hospital Charges.—Regulations require pay patients to 
settle their indebtedness for hospital charges in full before leaving the hospital, 
or promptly at the end of each month if they continue in hospital. Should the 
hospital charges against a patient in the Officers’ Section remain unpaid on the 
fifth of the month immediately following the month in which they are incurred, 
the Mess Officer will make immediate report to the Commanding Officer. 
111. Sick Leave.—An officer patient desiring sick leave will make applica- 
tion in writing to the Commanding Ofifcer through the Chief of Service con- 
cerned and the Medical Officer having immediate charge of his case. The Chief 
of Service will transmit the application to the Commanding Officer by indorse- 
ment in conformity with the requirements of Paragraph 17, AR 605-115. 
39 INFECTIOUS DISEASES SECTION 
112. General.—The Infectious Diseases Section will treat all cases of in- 
fectious diseases in the hospital and such other cases as may, in the opinion of 
the Chief of the Medical Service, require isolation for special reasons. The wards 
assigned to this section will be selected and arranged with a view to providing 
necessary facilities for segregation and isolation. 
113. Clothing and Personal Hygiene, Ward Personnel.—a. All personnel 
on duty in this section, before coming in close contact with infectious patients, 
will cover their uniforms or street clothing with gowns. Masks will be worn 
for individual protection against infection when, in the opinion of the Chief of 
Section, they are considered necessary. 
b. Rubber gloves will be worn by all attendants in handling cases of en- 
teric infections, such as typhoid and para-typhoid fevers, cholera, bacillary 
dysentry, etc., and in such other cases as may be designated by the ward officers. 
c. Basins containing two per cent solution of Liquor Cresolis Compound, 
bottles of hand lotion, and a supply of towels will be kept on small tables at 
convenient locations in the Isolation Wards and all personnel will be instructed 
by the Ward Officer to disinfect their hands with disinfectant solution after 
handling each patient. Fresh solution will be placed in these basins as frequent- 
ly as may be indicated. 
d. The clothing of patients admitted to ward in Infectious Diseases Sec- 
tion, will, after disinfection (if indicated), be sent to the Patients’ Baggage 
Room. 
114. Laundry.—All soiled bed linen, hospital clothing of patients, towels, 
and other articles of hospital linen which have been in contact with patients suf- 
fering with contagious diseases will be placed in a sack, securely tied, and sent 
to the Disinfecting Plant for sterilization before it is delivered to the hospital 
laundry, provided, in the opinion of the Chief of the Medical Service, such pro- 
cedure is necessary to prevent the spread of infection. Linen of this character 
which has been soiled by excreta or discharge from the respiratory tract will be 
soaked in a five per cent solution of liquor cresolis compound for at least thirty 
minutes prior to being placed in a sack as prescribed above, if, in the opinion of 
the Chief of the Medical Service, such procedure is necessary to prevent the 
spread of infection. 
115. Dishes and Tableware.—All dishes and tableware used in the Infec- 
tious Diseases Section, after being washed, will be placed in a steam sterilizer 
and sterilized with live steam for at least fifteen minutes. Following this they 
will be allowed to dry spontaneously. In special cases, to be designated by the 
Chief of Section, individual patients will be issued personal dishes and tableware 
which will be washed and kept separately for the designated individual at all 
times. Meals will be served on metal trays which can be sterilized in the steam 
sterilizer after each meal. 
116. Waste Disposal.—a. Urine and Feces. In all cases of enteric infec- 
tions and in such other cases as may be prescribed by the Ward Officer, urine 
and feces will be thoroughly sterilized with cresol before they are consigned 
to the sewer. 
40 INFECTIOUS DISEASES SECTION 
b. Sputum.—Metal sputum cups will not be used in the Contagious Section. 
Metal holders for paper sputum cups will be sterilized by soaking in two per 
cent Liquor Cresolis Compound twice weekly. 
c. Each patient will be provided with a supply of paper towels or napkins 
to be used in place of handkerchiefs which, after they are used, will be placed in 
a paper bag to be attached to the bed in a position convenient to the occupant 
thereof. 
d. The paper bags and paper sputum cups referred to above will be re- 
newed daily, the used ones being placed in a special covered waste pail xor trans- 
portation to the incinerator. Two cans will be available for this purpose so that 
one may be always on hand in the ward for the reception of this infectious ma- 
terial. Cans for this purpose will be labeled “For Sputum Containers” and used 
for no other purpose than that prescribed above. Cans for sputum containers 
will be delivered daily to noncommissioned officer in charge of police for trans- 
portation to the incinerator where they will be emptied and returned to the ward 
after they have been sterilized by live steam. The noncommissioned officer in 
charge of police is responsible for the disposition of the contents of these cans 
and their sterilization. 
117. Visitors.—No person will visit patients in this ward except by permis- 
sion of the Ward Officer in charge or, in emergency, by written permission of 
the Officer of the Day. The permit given will designate the visitor by name, 
the date, and the hour when such visit will be permitted. 
118. Deaths.—When a patient suffering from contagious disease dies, the 
body will be closely wrapped and pinned in a sheet wet with a 5% solution of 
Liquor Cresolis Compound before it is removed to the mortuary. 
119. Reports.—The Chief of the Infectious Diseases Section will require 
Ward Officers on duty in this Section to submit a report of contagious diseases 
(Form 89, L.G.H.) to the Registrar through the Chief of the Medical Service, 
for each case of communicable disease admitted to their ward. This will be ac- 
companied by a notification on the prescribed form for the California State 
Board of Health. In the event that the patient is an officer, warrant officer, 
enlisted man, or civilian living on a military reservation, or a member of the 
family of an officer, warrant officer, enlisted man, or civilian whose duties re- 
quire him to be present on a military reservation, the Registrar will furnish the 
medical officer having sanitary jurisdiction over the military reservation a copy 
of the report submitted by the Ward Officer, and will also send a copy of the 
report to the Surgeon of the Corps Area concerned. 
120. Posting of Regulations.—A copy of these regulations will be kept 
posted in the ward office of each ward of the Infectious Diseases Section. 
41 NEURO-PSYCHIATRIC SECTION 
121. Responsibility for Conduct of Closed Wards.—a. The Ward Officer 
will take such steps in the administration of closed wards as will insure the 
maintenance of an especial and alert vigilance at all times. 
b. Upon escape of a patient from the closed N. P. Section the following 
will be notified at once by the non-commissioned officer in charge: 
(1) The Receiving Office. 
(2) The Adjutant, or in his absence, the Officer of the Day. (See Par. 
178-k). 
122. Assignment of Enlisted Attendants; General Policy; Number.—The 
Commanding Officer, Detachment Medical Department, is charged with the 
assignment of a sufficient number of enlisted men as attendants. Enlisted men 
will be selected because of their adaptability for this special duty. They will be 
assigned with a view to permanency and will be changed only for cogent rea- 
sons, and after consultation with the Ward Officer. There will be at least one 
noncommissioned officer on duty at all times. The ward will never be left with 
less than five attendants, nor will any floor of the ward be left unattended at 
any time. There will be an attendant on duty in the basement when patients 
are permitted therein. 
123. Duties of Entrance Attendants.—One attendant will be constantly on 
duty at the entrance to the ward and under no CTcamstances absent himself 
from his post without first calling the noncommissioned officer in charge, who 
will assign another attendant in his place during his absence. The entrance 
attendant will keep a record wherein will be noted the name of every patient 
leaving the ward with the name of the responsible attendant and the time of 
departure. He will note the hour of return of such patients. He will keep the 
ke}r to the entrance constantly in his possession. He will permit only authorized 
persons—either personnel on duty, persons entering the ward on official busi- 
ness, or authorized visitors—to pass in or out of the ward. He will permit no 
visitors to enter the ward except as prescribed in regulations. He will permit 
no patient to leave the ward unless accompanied by a proper attendant, and then 
only in such manner as may be prescribed by the Ward Officer. 
124. Procedure on Admission of Patients.—Patients will be admitted to 
the closed ward as prescribed in regulations. Upon arrival at closed ward, care 
will be taken that the patient’s clothing is removed, listed, and stored in the 
Baggage Room, and the patient dressed in hospital clothing. Trunk lockers or 
clothing of patients will not be permitted to remain in the ward. When patients 
are admitted, the Ward Officer or one of his assistants, or in their absence, the 
Officer of the Day, will research them for valuables, knives, weapons, or other 
dangerous articles. (See Par. 374-e). 
125. Daily Inspections; Check of Patients; Check of Keys and Tools.—a. 
An inspection of the ward will be made daily before 9:00 AM by the nurse in 
charge and the noncommissioned officer on duty, for all property or dangerous 
objects which patients may have concealed. The windows, doors, and all parts 
of the ward will be thoroughly inspected at frequent intervals each day to in- 
sure that the security of the ward is being maintained. 
42 NEURO-PSYCHIATRIC SECTION 
b. Reconstruction Aides will keep check of their tools and sharp instru- 
ments. On completion of the day’s work, they will assure themselves that noth- 
ing with which a patient might injure himself or others has been removed from 
the workrooms. 
c. Nurses in charge, when coming on duty, will assure themselves that all 
patients are present and will make notation thereof on the back of the daily 
morning report of the ward. When the noncommissioned officers change re- 
lief, they, together, will make a careful count of all patients in the ward to as- 
certain that all patients are present. 
d. A notation of the number of keys turned over will be made by the nurse 
in charge and the noncommissioned officer in a record book provided for this 
purpose when a change of reliefs is made. 
126. Security of Basement and Hydrotherapy Department.—The gate to 
the basement of the ward will be kept locked except when the basement is being 
used. The doors of hydrotherapy room will b kept locked when there is no 
attendant therein. All closets and unused rooms will be kept locked. 
127. Administration of Medicines.—All medicines and poisons will be kept 
in locked cabinets or closets. The nurse, or, should a nurse not be on duty, the 
noncommissioned officer on duty will keep the keys of the cabinet in their pos- 
session at all times. No medicine will be given to patients for self administra- 
tion. Each dose prescribed will be administered by the nurse in charge, or in 
her absence, the noncommissioned officer on duty. No medicine or bottles will 
be left in patient’s rooms or where patients may procure them. 
128. Serving of Meals.—An attendant will be assigned in charge of the 
dining room and will be present at all times during the preparation and serving 
of meals. Special diets and tra}rs will be prepared by a nurse who will closely 
supervise the feeding of patients. The dining room will be kept locked when 
not being used and no patient will be allowed therein, except when accompanied 
by an attendant. A careful check of all knives, forks, or other utensils with 
which a patient might injure himself or others will be made after each meal. 
These utensils will be locked up when not in use. 
129. Treatment of Patients.—a. All personnel will constantly bear in mind 
that patients in a closed ward are mentally ill and treat them with consideration 
and kindness at all times. Attendants are forbidden to strike or maltreat a pa- 
tient in any manner. 
b. Under no circumstances will arms, clubs, or weapons of any description 
be used in the ward nor will such articles be permitted inside the entrance to 
the ward. 
c. No form of mechanical restraint will be applied as a punishment. Re- 
straint for therapeutic reasons will be applied only by order of a medical officer 
and under the direction and supervision of the nurse or non-commissioned offi- 
cer will keep a record of the time the patient is in restraint. Nurses and en- 
listed attendants will familiarize themselves with the use of the restraint ap- 
paratuses. A patient in restraint will be carefully and constantly watched. 
43 NEURO-PSYCHIATRIC SECTION 
<3. The rooms in which individual patients are confined will be kept locked 
when so ordered by the Ward Officer, The attendant in charge of the door will 
kep the keys thereof and will be responsible for the custody and safety of the 
patients confined. 
e. Patients will be taken out for daily exercise with proper attendants and 
under such regulations as the Ward Officer may prescribe. 
130. Patients’ Complaints; Absence from Ward.—a. Any patient having 
a complaint will be permitted a hearing by the Ward Officer. 
b. No patient will be allowed in the attendant’s rooms except on business, 
nor will they be permitted to leave the ward on any pretext except by express 
direction of a medical officer. 
44 DETENTION WARD 
131. General.—The detention ward (S-2) of this hospital is maintained for 
the purpose of furnishing treatment to patients who have been confined for dis- 
ciplinary reasons. The classes of patients treated on this ward are: 
a. General prisoners. 
b. Garrison prisoners. 
c. Patients who may, on account of infraction of hospital regulations, be 
temporarily committed by proper authority. 
d. Members of this command under the status of arrest and confinement. 
e. Such other persons as the Commanding Officer may direct. 
132. Ward Officer.—The detention ward (S-2) will operate under the di- 
rection of the Chief of the Neuro-psychiatric Section. In addition to the duties 
usually prescribed for other ward officers, the medical officer in charge will be 
responsible for the custody of all patients and prisoners admitted to his ward. 
He may issue from time to time special instructions for this ward not in con- 
flict with these regulations. He may direct special patients be secured in Ward 
S-l when the physical or mental condition of the patient makes this advisable. 
He will be governed by AR 600-375 in so far as it may be applied to patients 
undergoing treatment and prisoners in a detention ward. He will see that each 
patient admitted to the ward is referred for treatment to the service which the 
nature of his case indicates. He will see that physical examinations and re- 
ports required from time to time by AR 615-250 are made by a medical officer 
responsible for the professional care of the patient. He will make such physical 
examinations and reports from time to time as may be required by AR 615-250. 
The Ward Officer will not permit the use of arms, clubs, or weapons of any 
other description in the ward nor will he permit such articles to be kept in the 
ward by attendants. He will personally see that mechanical restraint is not 
applied as a punishment or for any purpose except by his order. 
133. Non-commissioned Officer in Charge.—The non-commissioned officer 
in charge will be held responsible for the proper performance of any special 
instructions given from time tjo time by the ward officer, and for the proper 
observance of all orders or regulations effecting the patients and the personnel 
on duty in the detention ward. During his tour of duty, he will be held person- 
ally responsible for all keys pertaining to the ward. He will check all keys im- 
mediately on entering upon a tour of duty. When necessary for an attendant 
to have a key in his possession, the non-commissioned officer will personally 
give the key to him and will personally receive the key fr’om him when he no 
longer requires it. 
134. Attendants.—There will be at all times in addition to the non-com- 
missioned officer in charge two attendants, one on duty at the entrance of the 
ward. The tour of duty for attendants on the Detention Ward will be as pre- 
scribed by the Commanding Officer. The Commanding Officer, Detachment 
Medical Department, will be responsible for the assignment of the proper num- 
ber of attendants to duty in the detention ward and for the selection of men 
who are qualified for the position; that is, the care and safety of patients ordi- 
narily treated in a detention ward. 
135. Duties of Entrance Attendant.—Attendants in the detention ward will 
divide the duty at the entrance of t*he ward into periods of four hours, each tak- 
ing his duty in turn. The relief of one attendant by another will be made direct- 
ly by order of the non-commissioned officer on duty, who will personally re- 
45 DETENTION WARD 
ceive keys from the attendant relieved and deliver them to the attendant reliev- 
ing him. It shall be the duty of the entrance attendant to keep the key to the 
main entrance constantly in his possession outside the barred gate and beyond 
th reach of patients or prisoners. Before admitting persons to the ward, he will 
call the non-commissioned officer in charge, who will direct that the person be 
admitted if he deems it necessary and proper. The entrance attendant will not 
leave the vicinity of his post during his tour of duty unless he finds it absolutely 
necessary, in which case he will first call the non-commissioned officer in charge 
who will detail some other attendant to relieve him during his absence. Should 
it be necessary at any time to send a messenger from the ward, the entrance at- 
tendant will not be detailed for that purpose. Between the hours of 5 PM and 
7 AM, the entrance attendant will admit to the ward only medical officer, the 
non-commissioned officer in charge or members of the command on official 
business, except by order of the Officer of the Day. The entrance attendant 
will keep a record wherein will be noted the name of every patient or prisoner 
leaving the ward, with the name of the responsible attendant and the time of 
departure, and will note therein the hour of their return. 
136. Procedure on Admission.—No patient will be admitted or confined in 
the detention ward except upon order of a commissioned officer. Patient 
prisoners (not already patients in this hospital) and prisoners who are not pa- 
tients will be admitted through the same channels as patients are admitted to 
other wards. Procedure upon arrival at the detention ward will be in accord- 
ance with Par. 124, with the exception that any safety razor or safety razor 
blades that may be in possesssion of the prisoner or patient will be locked in 
the cabinet furnished for this purpose in the office of the noncommissioned 
officer in charge. (See Par. 374e). 
137. Daily Inspections of Ward.—Under the direction of the noncommis- 
sioned officer in charge, a search of the entire ward will be made daily before 9 
AM for matches, weapons or other dangerous objects that patients or prisoners 
may have concealed. The windows, doors, and all other parts of the ward will 
be subjected to frequent and thorough inspections, to insure that the security 
of the ward is being maintained. When the noncommissioned officers in charge 
change relief, a careful check will be made of all patients and prisoners. 
138. Temporary Absence of Patients and Prisoners from Detention Ward. 
When it is necessary to remove a prisoner from the Detention Ward for treat- 
ment at a clinic elsewhere, a member of the guard will be called who will escort 
the patient and be responsible for him until returned to the ward. A record of 
the time of departure from and return to ward will be noted. These patients 
will be given precedence in treatment and returned promptly to the ward. 
139. Administration of Medicines.—No medicines will be given patients 
or prisoners for self-administration. Each dose of medicine prescribed will be 
administered by the non-commissioned officer in charge or by a member of the 
Army Nurse Corps. No medicines or bottles will be left in the patients’ or pris- 
oners’ rooms, or where they may be secured by other than the non-commis- 
sioned officer in charge. 
46 DETENTION WARD 
140. Serving of Meals.—Meals will be served in the ward dining room ex- 
cept when a medical officer orders otherwise. Under the supervision of the 
noncommissioned officer in charge, an atteendant will be placed in charge of 
the dining room. He will see that meals are properly served and the dining 
room and kitchen properly policed after each meal. Prisoners or patients, whose 
physical condition permits, may be used as kitchen police. All flat tableware 
will be kept under lock and key when not in use and counted after each meal. 
Items of this nature will be provided for the use of patients and prisoners only at 
the discretion of the ward officer. 
141. Recreation of Patients and Prisoners.—Patients and prisoners will be 
permitted on the screened porch of the detention ward between the hours of 
1 PM and 4PM daily under the surveillance of an attendant. Providing their 
physical condition permits, they may also be utilized in the policing of the ward. 
At all other times they will be kept locked in their rooms. The attendant in 
charge of each floor will at all times have charge of the keys of each room, as 
provided for in paragraph 133, and will be charged with the custody of safe- 
keeping of all prisoners on his floor. Garrison and general prisoners will not 
be placed in the same room. 
142. Mistreatment of Patients or Prisoners.—All attendants are forbidden 
to strike or mistreat patients or prisoners and any attendant so offending will 
be punished unless the action was necessary In self-defense, to save life, or pre- 
vent escape, in which event they will bear the burden of proving their action a 
necessity. Attendants will not fraternize with patients or prisoners. 
143. Procedure to Quell Riot or Serious Disturbance.—ln the event of a 
riot or serious disturbance, attendants are authorized to use sufficient force to 
quell it and, if necessary, will call on any available personnel for assistance. 
144. Patient?’ or Prisoners’ Complaints.—Any patient or prisoner having 
a complaint will be allowed a hearing by the ward officer in his office. At no 
time will they be permitted to enter the attendants’ room or officer’s office ex- 
cept when directed to do so on official business. 
145. Guard Report.—Military prisoners and patients confined in the de- 
tention ward will be accounted for on the guard report, Form 10, A.G.0., which 
will be completed before 8:15 AM, daily and forwarded to the Officer of the 
Day’s Office. Civilian patients will be accounted for on the report of the Offi- 
cer of the Day. 
146. Visitors and Visiting Hours.—The medical officer in charge of attend- 
ants on duty in the detention ward will be governed by paragraphs 275 and 276 
in all questions involving visitors and visiting hours. 
147. General.—a. Mail. The Medical officer in charge of the detention 
ward will be governed by Paragraph 328 in his actions regarding prisoners’ 
mail. 
b. Smoking. Smoking may be permitted within the detention ward at the 
discretion of the ward officer. ELECTROCARDIOGRAPHY 
148. Electrocardiography.—The Chief, Medical Service, will designate a 
specially qualified officer to be in charge of electrocardiography. This officer 
will assume responsibility for the government property used in connection with 
this work. Requests for electrocardiograms will be made on Form 92, Letter- 
man General Hospital, signed by the officer making the request, and forwarded 
to the officer in charge of electrocardiography. The results of the examination 
will be reported on the same form and returned to the officer requesting the 
examination, together with typical sections of the electrocardiograms which 
will be attached to the clinical record of the patient in question. Additional 
sections of the electrocardiograms will be retained in the electrocardiograph 
room as a permanent record. 
48 WARD ADMINISTRATION 
149. Ward Officers.—Ward Surgeons and their assistants will be assigned 
to duty by the Chief of Service. They will be responsible to the Chief of Service 
and Section for administration, sanitation, equipment, and discipline of their 
ward, the treatment of patients therein, and the proper performance of duty by 
assistant ward officers, interns, nurses and attendants, including civilian em- 
ployees. Unless excused by proper authority or required by their duties to be 
elsewhere, they will be present in their wards from 9:00 AM until 12:00 noon, 
and from 1:30 PM to 4:30 PM. They will visit their wards sufficiently often 
during the period the night personnel is on duty to assure themselves that pa- 
tients are properly cared for, that night personnel is efficient, and that the ward 
is being conducted in conformity to regulations. They will make formal rounds 
at 9:00 AM daily, or as soon thereafter as practicable, at which time they will 
personally see each patient in the ward and make such inquiries of the patients 
as to satisfy themselves as to their condition. They will also make a round of 
their wards about 4:00 PM at which time they will see all bed patients. 
150. Ward Management, a. Ward management is a serious and ex- 
tremely important duty of a ward officer, the responsibility for which cannot 
be subordinated. The Professional attendance, care and treatment of patients 
is of primary importance, but such care and treatment cannot be properly ac- 
complished unless efficient administrative methods are maintained. 
b. Absolute cleanliness, orderliness, and quietness are the first essentials 
of ward administration and can be attained only by the constant vigilance of of- 
ficers, non-commissioned officers, nurses and others in authority. 
c. Frequent, careful and thorough inspections must be made and immedi- 
ate action taken to correct irregularities, the object being to maintain the ward 
constantly ready for inspection. Ward officers will make at least two daily in- 
spections of their wards, once during the forenoon and again during the after- 
noon. Ambulatory patients, whose physical condition permits, will be required 
to assist in the ward police, provided they are designated for that purpose by 
the ward officer. 
d. The discovery and elimination of vermin requires constant attention of 
ward officers. Roaches, ants and flies are constantly present in this locality and 
must be combated continuously. The method for elimination of ants will be as 
prescribed. Roaches will be eliminated by the distribution of sodium fluoride. 
The usual method for the extermination of flies will be carried out. A suf- 
ficient number of fly swatters will be constantly on hand in each ward and used 
when required. 
e. Ward officers will assure themselves that; patients have sufficient toil- 
et articles (comb and brush, tooth brush, tooth paste, soap, and shaving uten- 
sils) in their possession; that their teeth are cleaned at least once daily and that 
they bathe or are bathed at proper intervals. 
f. Patients, other than those on an officers’ status, will be required to wear 
hospital outer clothing while in the hospital. Except in the case of patients on 
officers’ status, personal clothing, with the exception of shoes, socks, under- 
clothes and headcovering, will be deposited in the hospital clothing room. Pa- 
tients will wear a convalescent gown, properly belted, while away from their 
wards. Ward officers are responsible that hospital clothing wprn 15y patients 
is serviceable, neat and scrupulously clean. 
49 WARD ADMINISTRATION 
g. Metafsputum cups, when in use will contain a small quantity of 5% 
solution of liquor cresolis compound. Paper sputum cups will be enclosed in 
the metal containers provided for the purpose. Ward Officers will take the 
necessary steps to see that a 5% solution of liquor cresolis compound is pre- 
pared in large bottles and stored in the wards under lock and key and that when 
a disinfectant is placed in sputum cups, the solution so prepared will be used 
to the exclusion of other disinfectants. 
h. Clinical thermometers when not in use will be kept completely immersed 
in 5% solution of liquor cresolis compound. Before being used, thermometers 
will be taken from the liquor cresolis solution and completely immersed in de- 
natured alcohol and thoroughly wiped off with cotton before being placed in 
patient’s mouth. After removal from patient’s mouth, thermometers will be 
thoroughly washed and returned to lysol solution. This procedure will be re- 
peated after each successive patient. Any other method of sterilizing clinical 
thermometers is prohibited. Prescribed containers for clinical thermometers 
are issued by the Medical Supply Officer. Clinical thermometers, Item No. 
79320. will be considered as non-expendable medical property. The Medical 
Supply Officer has been directed to make no replacements for this item unless 
the broken or unserviceable thermometer is presented for exchange. 
i. Lavatories will be maintained in a constant state of cleanliness and 
order. Steps will be taken to prevent accumulation of soiled towels, pajamas, 
etc. A bucket partially filled with water will be kept habitually in a convenient 
place in each lavatory for the reception of refuse, such as c'garette butts, pieces 
of paper, etc. Bedpan covers (fabric) will be used to conceal bedpans and 
urinals when in transit to and from the patient or whenever it is necessary to 
leave the utensil in the vicinity of the patient’s bed. Prescribed bed pan covers 
are issued by the Medical Supply Officer. 
j. No food or drink will be transferred from one part of the hospital to 
another unless it is enclosed in a covered receptacle. Food containers and food 
trucks will be thoroughly inspected by ward officers to see that they are main- 
tained in a clean condition. Dishes, cups, knives, forks, spoons and other eat- 
ing utensils will be sterilized after use. Such utensils will be washed in hot 
soapy water and then subjected to live steam for five minutes. Diet kitchen 
sinks are equipped with live steam outlets. 
k. (1) Press interviews or photographs may be authorized by the follow- 
ing officers only: 
Commanding Officer. 
Executive Officer. 
Adjutant. 
(2) Authorized Press Interviews will be conducted in a private room 
or under conditions where privacy will be assured. 
(3) Press photographs of patients will not be taken in hospital wards. 
Patients authorized to be photographed will be conducted to the 
Officers’ Assembly Room, if feasible, or to another place spe- 
cially designated, where the photograph may be taken. 
l. All Ward Officers will see that men on duty in wards are provided with 
a fatigue uniform when they come on duty, which must be worn while scrub- 
bing or doing that class of work that would excessively soil white clothing. WARD ADMINISTRATION 
Attention is called, however, to the fact that when not actually eneaered in 
scrubbing, etc., the white uniform including the blouse must be worn. 
151. Control of Patients.—a. Ward Officers should impress upon their 
patients that they are interested in their welfare and anxious to make them com- 
fortable and to improve their physical condition. They should endeavor to ex- 
plain to them the necessity and importance of certain ward regulations, diag- 
nostic and therapeutic procedures, etc., to the end that the patients are 
relieved of the mystery, fear, and suspicion that is often present in the mind of 
those who are subjected to hospital environment. They should not hesitate to 
discuss the patient’s condition with him and to give him such information rela- 
tive to the progress of his case, results of laboratory procedures, diagnosis, etc., 
as may assist him to gain an insight into his physical condition. The majority 
of patients appreciate frankness in these matters and will cooperate accord- 
ingly. 
b. Ward officers are responsible for the discipline of the patients in their 
wards. Patients committing minor offenses will be punished by admonition, 
restriction of privileges, etc. Major offenses or repeated minor offenses may 
require action by a court-martial, or in the case of beneficiaries of the Veterans’ 
Administration, by a disciplinary board. Patients requiring action by a court- 
martial or a disciplinary board will be reported to the Commanding Officer, De- 
tachment of Patients. 
c. Rules for patients are printed on the large and small cardboards. A 
copy of the large size cardboard will be kept on the bulletin board of each ward. 
The small size cardboards will be given to patients. 
152. Complaints of Patients.—Ward officers will carefully investigate all 
complaints made to them by their patients, no matter how trivial the complaint 
may appear to be, and in the event that the complaint is justified, take immedi- 
ate steps for the correction of the irregularity. Irregularities that are beyond 
the power of the ward officer to correct will be immediately reported by him 
to the Hospital Inspector. 
153. Privacy of Patients.—AVard officers will exert every effort to preserve 
the privacy ox patients so far as possible. Seriously ill patients in open wards 
will be protected by screens. All other patients in open wards will be obscured 
by screens while undergoing surgical dressings or such diagnostic and thera- 
peutic procedures as spinal puncture, veni-puncture, etc., while being bathed, 
and while the bed pan is being used. Patients will also be protected by screens 
while partially or completely stripped for examination. 
154. Medicines and Medical Treatment.—a. Medicines and medical treat- 
ment of patients will be prescribed only by medical officers other than dental 
treatment which may be prescribed by dental officers. A book of records will be 
maintained in each ward, known as a Ward Order Book,” which will consist 
of a loose leaf binder containing Doctor’s Sheets (Form No. 82, L.G.H.); Treat- 
ment Record and Nurse’s Report Sheets (Form No. 83, L.G.H.); Temperature, 
Pulse, and Respiration Sheets (Form No. 84, L.G.FL). 
b. All medicines will be given direct to the patient by the nurse at the time 
ordered by the medical officer. 
c. Except in cases of emergency, interns will not order the administration 
of morphine or codeine without obtaining the approval of the Officer of the 
Day or other senior Medical Officer. Under no circumstances will morphine or 
51 WARD ADMINISTRATION 
codeine be prescribed by a Medical Officer until he has examined the patient 
and convinced himself that there exists therapeutic indication for the use of this 
drug. 
d. The number of hypodermic tablets of morphine kept in any one ward 
or department, other than the Pharmacy and Medical Supply Storeroom, will 
be limited to thirty (30) except when in the opinion of the Chief of the Pro- 
fessional Service concerned, a greater number will be necessary to meet require- 
ments. In this case the Chief of Service will give such authority in writing, 
stating the maximum number to be maintained in the ward. This written au- 
thority will be filed with the narcotic record. Hypodermic tablets in excess of 
the amount indicated will be returned to the Pharmacy and proper notation 
made in the narcotic record. 
e. Standard poison bottles (blue colored glass), have been adopted for 
use in the wards of this hospital. The bottles are obtainable from the Medical 
Supply Officer on requisition. All poisons in wards will be kept habitually in 
these bottles. 
{. All prescriptions for ethyl alcohol, whiskey and other alcoholic liquors 
'and narcotics will be written in ink. 
155. Alcohol and Narcotics.—All morphine, cocaine, codeine, alcohol and 
alcoholic liquors, and other habit forming drugs, to include barbital, luminal, 
sulphonal, trional, and similar products, will be kept securely locked and the 
amounts on hand limited to actual necessity. The keys will be kept habitually 
in the personal possession of a member of the Army Nurse Corps or a Medical 
Officer. In every ward where morphine, cocaine, codeine, and whiskey are dis- 
pensed, a record will be maintained on Form No. 76, L.G.H., (Narcotic Record). 
Ward Officers will assure themselves that this record is properly and accurate- 
ly kept and on the 10th, 20th and last day of each month will audit the record 
and certify as to its correctness. 
156. Visitors to Wards.—Ward officers are responsible that visitors are 
not permitted in wards at hours other than the regular visiting hours or such 
hours as may be prescribed in regulations. 
157. Ward Bulletin Boards.—Ward bulletin boards are for the purpose of 
disseminating information, orders, etc., to patients. The contents of these bulle- 
tin boards will be neatly arranged and kept free from obsolete and extraneous 
matter. The following will be constantly posted on ward bulletin boards. 
One copy of regulations on conduct of patients, and one copy of the menu for 
for the day. 
158. Ward Attendants.—Ward attendants will be assigned to wards by the 
detachment commander in numbers specified by the Commanding Officer. One 
ward attendant will be designated as “Ward Master” by the detachment com- 
mander. Under the supervision of the ward officer and ward nurse the ward 
master will have general charge of the ward attendants and see that they per- 
form their duties satisfactorily, that they are neat and clean about their person, 
and that they are in the prescribed uniform at all times. Ward officers will in- 
struct ward attendants in their duties and require them to exercise gentleness, 
kindness and tolerance in dealing with patients. 
159. Property; Responsibility, Requisitions, Check of Property, Non- 
Standard Suplies, Care of, Etc.—a. Ward officers are responsible for all prop- 
erty in their wards- Transfer of responsibility will be in accordance with regula- 
tions. If no shortage is discovered, the succeeding officer will sign and forward 
52 WARD ADMINISTRATION 
the Memorandum Receipt to the Medical Supply Officer within forty-eight 
hours after he has assumed charge of the ward. When a shortage exists, report 
will be made to the Medical Supply Officer, who will adjust such discrepancies 
as are possible; the remainder will be placed on Report of Survey by the former 
ward officer. Overages found will be listed and turned in to the Medical Supply 
Officer for adjustment. 
b. Requisitions for supplies will be signed by the ward officer and for- 
warded to the Medical Supply Officer not later than 12 noon, Monday of each 
week, and he will be held accountable that only such articles are requested as 
are needed. Requisitions will be prepared on the typewriter when practicable 
and will include the item number and conform to the nomenclature published 
in the Medical Supply Catalogue. Requisitions will be based on the needs of 
one week and supplies will be based on the needs of one week and supplies will 
not be accumulated. Emergency requisitions will not be forwarded for supplies 
unless such emergency actually exists and then only for such amounts as to 
meet the emergency. 
c. Property will be checked on the first day of each month, except when 
this day falls on Sunday or a holiday, in which case the check will be made on 
the day following. Results of the check showing all shortages and overages 
will be sent to the Medical Supply Officer by noon of the following day. 
d. Requests for purchase of non-standard supplies will be made through 
the Chief of Service. 
e. Ward officers are responsible for the proper care and economical use 
of all property in their wards. Breakage and damage not due to fair wear and 
tear will be acted on in accordance with paragraphs 1 and 2, AR 35-6640. 
f. The use of hospital bedding and clothing for cleaning purposes is for- 
bidden. All hospital clothing and linen will be exchanged at the laundry. 
g. All drugs and chemicals will be drawn from the Pharmacy. 
h. Except as provided above property will be exchanged between the hours 
of 8 AM and 11:30 AM Monday of each week at the Medical Store House. 
i. All typewriters in the hands of wards will be kept habitually in the ward 
office. All typewriters when not in use will be covered with the regular type- 
writer cover, or, in the event no such cover is on hand, by pillow slip or other 
suitable piece of fabric. No patient or attendant will be permitted to operate 
a typewriter unless designated to do so by the Ward Officer. The use of type- 
writers will be restricted to official business. 
j. The use of the electric floor polisher is prohibited in all parts of the 
hospital, other than barracks, between the hours of 9:00 AM and 4:30 PM except 
Friday afternoon when polisher may be used in wards only if the Officers 
so desire. The Johnson Bar will be used in place of electric polisher during pro- 
hibited hours. 
160. Seriously 111 Patients.—Ward officers will keep a list of all patients 
in their wards who have been reported as seriously ill. Phis list will be prepared 
on Form 22, L.G.H. (List of Seriously 111), and conspicuously displayed at all 
53 WARD ADMINISTRATION 
times on the nurse’s desk and checked daily by the ward oiiicer to see that it is 
kept up to date and that the names of those patients who are no longer seriously 
ill have been removed from the list and that fact reported to the Registrar. 
161. Records and Reports.—Ward officers are responsible for the prepara- 
tion and accuracy of the following records and reports: 
a. Records; 
Clinical Record 
Seriously 111 List 
Narcotic Record, Form 76, L.G.H. 
Ward Order Book 
Nurse’s Medication List, Form 79, L.G.H. 
b. Reports: 
(1) Daily: 
Ward Morning Report, Form 7, L.G.H. 
Diet Card, Form 73, M.D. 
Regular Pass List, Form 90, L.G.H. 
Special Pass List, Form 91, L.G.H. 
(2) Weekly: 
Requisitions for Medical Supplies 
(3) Monthly; 
Monthly list of patients prepared in triplicate as of midnight 
of the last day of every month; one copy sent to Registrar and 
one copy to Chief of Service not later than 11 AM the following 
day. The third copy is retained. 
Overages and Shortage Report of Property. 
(4) Occasional: 
Seriously 111 Report and report removing patient’s name from 
Seriously 111 List 
Report of Death, Form 17, L.G.H. 
Report of Communicable Diseases. Whenever a case of com- 
municable disease appears in a ward, a report will be rendered 
on Form 89, L.G.H., and forwarded to the Chief of Service 
for transmission to the Registrar. 
Clearance Slip, Form 30, L.G.H. 
Disposition Slip, Form 14, L.G.H. 
Recommendation for Discharge for Disability, Form 80, 
L.G.H. 
Report of Pay Patients to Mess Officer 
Report to Officer in Charge of U. S. V. A. Records regarding 
patients leaving against medical advice. 
Report to Registrar when placing patient under the provisions 
of AR 35-1440 and removing him from same. 
Report of case of fraudulent enlistment to Commanding Officer, 
Detachment of Patients 
Diagnosis Card. 
54 WARD ADMINISTRATION 
162. Pertinent Regulations Affecting Ward Officers.—Under the following 
subjects in these regulations will be found instructions, the knowledge of which 
is necessary to ward officers: 
Nursing Service Veterans’ Administration 
Laboratory Service Patients 
Eye, Ear, Nose and Throat Clinical Records 
Service Patients’ Diets 
Radiological Service Seriously 111 Patients 
Dental Service Visitors and Visiting Hours 
Physiotherapy Section Discharge on Disability 
Genito Urinary Section Mess Regulations 
Pharmacy Medical Supply Officer 
Funds and Valuable 
163. Report of Diagnoses.—a. On or before the last day of each month 
the ward officer will prepare and transmit to the Registrar a Diagnosis Card 
(Form 10, L.G.H.) on all “remaining cases’’, i.e., all cases except Veterans Ad- 
ministration Beneficiaries, who were admitted to hospital during the preceding 
month. Care will be taken that the Diagnosis includes all diagnoses, complica- 
tions, operations, dates of cure of such conditions as have been cured, and other 
data in compliance with Par. 15, AR 40-1030. Should any additional diagnoses 
or changes in diagnoses already reported or other data reportable under Par. 
15, AR 40-1030, be established after a Diagnosis Card has been forwarded as 
directed above, a new Diagnosis Card with date of all changes and bringing the 
diagnoses to date, will be submitted to the Registrar without delay. 
b. Diagnosis Cards covering all cases of venereal disease, alcoholism, or 
misconduct in which loss of pay is involved under AR 35-1440 will be forwarded 
to the Registrar immediately upon the establishment of such facts. 
c. Diagnoses will conform as far as practicable to the nomenclataure of dis- 
eases set forth in AR 40-1035. 
d. A duplicate copy of all diagnosis cards will be filed immediately behind 
the first sheet of the clinical record of the patient to which it pertains. 
164. Weekly Statistical Report.—ln order to enable the Registrar to com- 
plete the Weekly Statistical Report required by Par. 2, AR 40-1080, the officers 
in charge of the Infectious Disease Section and Genito-Urinary Section will 
prepare and for-ward to the Registrar each Saturday not later than 
9:30 AM, a Weekly Statistical Report giving the required information concern- 
ing cases of infectious disease on his section during the current week ending 
Friday at midnight. Other section chiefs will forward Diagnosis Cards on 
cases of infectious disease on their section immediately upon the establishment 
of such diagnoses. Upon the cure of such infectious diseases a Diagnosis Card 
recording the fact and date of cure will be forwarded at once to the Registrar 
unless the cure coincides with the patient’s discharge from hospital, in which 
case the completed Clinical Record will be sufficient. 
165. Catheterization Tray.—All wards on which a nurse is on duty will 
maintain constantly ready for use an article of equipment to be known as a 
“catheterization tray.” This equipment will consist of the following; WARD ADMINISTRATION 
article procured from 
1 Card of instruction for catheterization Medical Supply Officer 
1 Tray Medical Supply Officer 
1 Rubber Cateter No. 22 French Medical Supply Officer 
1 Rubber Catheter No. 18 French Medical Supply Officer 
1 Syringe, rubber, Young’s Medical Supply Officer 
2 Glasses, medicine • Medical Supply Officer 
1 Forceps, hemostatic, curved Medical Supply Officer 
2 Bowls, solution, E.W. Medical Supply Officer 
1 Bottle solution, green soap, 250 c.c. approximately Pharmacy 
1 Bottle 1 to 500 solution Bichloride of Mercury 
250 c.c. approximately Pharmacy 
1 Package Sterile Gauze, 4x4 Gauze preparation 
room 
Gauze preparation 
1 Package Sterile Towels room in exchange for 
2 non-sterile towels 
1 Jar lubricating jelly, 120 c.c. 
(sterilized in ward) Pharmacy 
1 Bottle (w.m.) argyrol solution 
10%, 60 c.c. approximately Pharmacy 
Gauze preparation 
1 Package rubber gloves room in exchange for 
non-sterile gloves. 
166. Floors, Rubber Tile.—a. The following method is prescribed for the 
care of rubber tile flooring and will not be deviated from except upon specific 
authority from this headquarters: 
Sweep or dry-mop with an occasional damp-mopping, using clean, cold 
water. 
Buff with an electric floor brush and Johnson Bar not less than three (3) 
times a week. 
b. The following “DON’TS” are published for the information of all con- 
cerned: 
Don’t use hot water. 
Don’t flood floors. 
Don’t use sweeping compound containing oil. 
Don’t use cleaning materials containing oil or large percentages of caus- 
tics; they soften the floor surface. 
Don’t use waxes containing turpentine or other rubber solvents; they injure 
the rubber. 
167. Serving of Diets.—a. Upon arrival of the food cart in the ward, all the 
containers will be placed in their proper receptacle in the steam table. If the 
containers do not fit, use the reducing rings. Every effort should be made to 
serve the food as hot as possible. Reheat on stove if necessary but if food is 
not hot when received, the Mess Officer should be notified in every instance. 
b. Before serving food see that the trays are properly set and place upon 
them the bread, butter, milk, salad if any, dessert, and the empty coffee cup 
which has been heated. 
56 WARD ADMINISTRATION 
c. The man on duty in the kitchen then takes the tray to the steam table 
and the nurse on duty there serves the soup in a bowl which previously has been 
heated, and the meat and vegetables on a plate which has also been heated. 
d. The tray is then taken immediately to the patient. After all the trays 
have been served, the hot coffee is then taken around and the coffee cups filled. 
e. Upon completion of the meal the trays are returned to the kitchen and 
placed in the tray rack provided for that purpose, pending the washing of the 
dishes and resetting of the trays. Under no circumstances should these trays 
be stacked upon the floor. 
PHARMACY 
168. General.—a. The management and operation of the Pharmacy at this 
hospital will be in conformity with Paragraph 18, AR 40-590, and all personnel 
assigned to this department will acquaint themselves with the provisions of that 
paragraph. 
b. During the hours when the Pharmacy is closed, requests for pharmacy 
service will be made at the Receiving Office. An attendant will be on call to fill 
emergency prescriptions. 
c. A completely equipped poison-antidote cabinet, together with a supply 
of pharmaceuticals commonly dispensed to outpatients applying to the Officer 
of the Day, is maintained at the Receiving Office. 
d. A supply of tetanus antitoxin, diphtheria antitoxin, smallpox and 
typhoid-paratyphoid vaccine for emergency requirements will be stored in the 
refrigerator of Ward L-l for use of Receiving Office. 
169. Officer in Charge.—The Chief of the Outpatient Service will have 
charge of the Pharmacy. He will maintain personal supervision over the Phar- 
macy and be directly responsible for its efficiency. He will cause the necessary 
records to be maintained in the case of alcoholic liquors and narcotics and will 
make the necessary checks and verifications required by existing regulations. 
170. Noncommisisoned Officer in Charge.—A qualified noncommissioned 
officer of the Detachment Medical Department will be assigned in immediate 
charge of the Pharmacy and will be directly responsible to the Officer in Charge 
for its proper operation. He will be furnished such assistants from the Detach- 
ment Medical Department as may be necessary. The noncommissioned officer 
in charge of the Pharmacy is responsible that the prescriptions are componded 
in accordance with the U. S. Pharmacopea, Dispensatory, and the National 
Formulary, that due care is taken in compounding, and that prescriptions in 
which the prescribed dose exceeds physiological limits be not issued without 
verifications by the prescriber, and that prescriptions are properly filed and 
labels are prepared in conformity with regulations. 
171. Prescriptions.—a. All prescriptions will be written in the metric 
system and signed by a medical officer, except those signed by officers of the 
Dental and Veterinary Services, which will be filled without reference to a 
medical officer. 
57 PHARMACY 
b. Before filling any prescriptions, the compounding pharmacist will make 
sure that: 
(1) The prescription is properly dated; is written for a definite person, 
ward, or clinic; it bears the patient’s name and ward number, 
or name of clinic or designation of ward. 
(2) It contains directions for use unless it calls for original and un- 
broken package of a drug, or a drug which constitutes part of 
the stock in the ward medicine cabinets. 
(3) The wording of the prescription is clear and unmistakable and that 
that dose of the active drug is not excessive. 
(4) The prescription is signed by a medical officer or an officer of the 
Dental or Veterinary Corps for medical supplies needed in their 
respective services, 
e. Before issuing a compounded prescription, the compounder will assure 
himself that the label shows; 
(1) The serial number of the prescription and the date compounded. 
(2) The name of the person, ward, or clinic for which intended. 
(3) The directions as written on the prescription, or in the event that 
no directions are written, the contents of the container, the name 
of the officer who wrote the prescription, the initials of the 
pharmacist who filled the prescription. 
d. Routine prescriptions from all the wards of the hospital will be turned 
in to the Pharmacy not later than 10:00 AM daily, and should be called for be- 
tween the hours of 11:00 AM and 12:00 noon. 
e. In order that the pramacist may regulate charges for prescriptions, 
Medical Officers will place immediately after the name of the individual for 
whom a prescription is written sufficient data to enable the determination of 
the military status. For example, Mrs. Smith (wife of officer); John Jones 
(civilian employee); Mr. Burns (father of officer); William Green (officer’s 
servant), etc. 
172. Alcohol and Alcoholic Liquors.—a. No alcohol or alcoholic liquors 
will be prescribed for individuals except in cases of actual sickness when a def- 
inite therapeutic reason therefor exists and then only in such amounts at one 
time as may be clearly indicated and will be necessary for the next ensuing 
forty-eight (48) hours. 
b. All prescriptions for alcohol or alcoholic liquors will be written in ink 
on the official Medical Department form, each with a notation on its face, “Not 
valid except in a military pharmacy.” 
c. All prescriptions for alcoholic liquors for individuals will show specific- 
ally the dosage and intervals between dosage. 
d. Nothing in this regulation will be interpreted to prevent the issue of 
alcohol or alcoholic liquors for ward stock. However, at no time will the com- 
bined amount of whiskey or brandy on hand in a ward exceed 500 c.c. or the 
amount of ethyl alcohol be more than 120 c.c. 
e. Bathing fluid will be issued by the Pharmacy in amounts not to exceed 
1000 c.c., and will be used for bathing and rubbing purposes in lieu of alcohibl. 
f. Ethyl alcohol will be issued to the operating room, dressing rooms, 
clinics, etc., in quantities prescribed by the Chief of Service concerned, due care 
being taken that amount on hand is not in excess of actual requirements. 
58 PHARMACY 
g. Officers will assure themselves that all ethyl alcohol for which they are 
responsible is properly safeguarded against theft and that the expenditure is so 
regulated as to preclude its use for other than medical purposes. 
173. Sales of Medicines to Civilians.—a. Medicine charges as prescribed 
by AR 40-590, will be collected from civilians not entitled to treatment at public 
expense. 
b. On the first of each month the Officer in Charge of the Pharmacy will 
deliver to the Mess Officer all money received from this service, accompanied 
by Form 322 A.W.D. (6 copies) showing: 
(1) Name of individuals prescribed for. 
(2) Dates of sales. 
(3) Prescription numbers. 
(4) Amounts collected. 
174. Stock Pharmaceutical Preparations.—a. A considerable number of 
pharmaceutical preparations are carried in stock in the Pharmacy. In order to 
reduce work in the pharmacy, officers are requested to utilize, as far as prac- 
ticable, these preparations. Prescriptions showing the composition of these 
preparations are available at the Pharmacy. 
175. Authority for Dispensing Medicines.—Except in cases of emergency, 
no drug or medicine of any kind will be dispensed from the Pharmacy except on 
a prescription signed by an officer of the Medical Corps, the Dental Corps, or 
the Veterinary Corps. No prescription will be refilled except on a written pre- 
scription calling for such refilling, the prescription number being given. 
59 OFFICER OF THE DAY 
176. Detail.—a. The Officer of the Day will be detailed daily by roster. 
The tour will be for 24 hours, extending from 9:00 AM one day until 9:00 AM 
of the following day. The officers subject to detail will be notified at least 
twent(y-four hours in advance. At the beginning of a tour the new and old 
Officers of the Day will report to the Commanding Officer or his representa- 
tive. An interchange of tours may be made for cogent reasons, only, if approved 
by the Commanding Officer in each case. Two other officers will likewise be 
detailed as First and Second Alternate Officers of the Day. The First Alternate 
Officer of the Day will perform the duties of Emergency Medical Officer. First 
and Second Alternate Officers of the Day will keep the Reciving Office informed 
af their addresses and telephone numbers. 
b. Assistants.—One Emergency Medical Intern and one Emergency 
Surgical Intern will be detailed daily as assistants to the Officer of the Day. 
c. Office. 
(1) The Receiving and Evacuation Office will be the office of the 
Officer of the Day. 
(2) The enlisted personnel assigned for duty in the Receiving and 
Evacuation Office, in addition to the duties incident to that of- 
fice, will function under the Officer of the Day in the conduct 
of his office. In this office will be maintained a file of Hospital 
Regulations, and such General and Special Orders and Memo- 
randa of this hospital as pertains to the duties of the Officer of 
the Day. 
(3) The Officer of the Dajr will remain within the limits of the hos- 
pital reservation and will sleep in the room provided for his 
use, except that an Officer of the Day residing on the Post may 
sleep in his quarters. He will keep his office constantly in- 
formed of his whereabouts. 
177. General Functions.—a. Administrative. During the absence from 
the hospital building, of the Commanding Officer, the Executive Officer, and the 
Adjutant, the Officer of the Day will be in charge of the administration of the 
hospital and will be responsible for its safety and good conduct. 
b. Professional. The Officer of the Day is charged with the professional 
care of all patients in hospital during the absence of the Ward Officers and will 
be available for professional advice and service at all times during his tour of 
duty. 
178. Administrative Duties.—a. The administrative duties of the Officer 
of the Day are of wide range and most important in character, and each officer 
so assigned will familiarize himself with his duties as prescribed in orders and 
regulations and will be responsible for their proper executon. He will be ob- 
servant and alert to prevent fire, theft, waste, misconduct, and neglect. He will 
correct any breach of orders or regulations noted by him. In case 
of fire or alarm of any kind, he will at once take steps to insure the safety of life 
and public property and to preserve order. 
b. Inspections. 
Paragraph (1) Omitted. 
(2) Hospital Guard. The Officer of the Day will inspect each relief 
of the guard at least once during their tour of duty. He will note 
60 OFFICER OF THE DAY 
at each inspection the appearance of the watchmen, their knowl- 
edge of orders, and condition of their arms and ammunition, if 
issued. See regulations on the Hospital Guard. 
(3) Motor Vehicles. The Officer of the Day will personally check 
all government owned vehicles between 6:00 PM and midnight 
and report their presence or absence on the list provided by the 
Quartermaster for that purpose. He will inspect the garage 
next to the tennis court twice during his tour of duty and will 
report by name any stall that is unlocked. 
(4) Hospital. 
(a) The Officer of the Day will inspect the entire hospital at least 
inspect the garage, power plant, barracks of the Detach- 
ment Medical Department and Quartermaster Corps, and 
the kitchen. During his inspection he will note the con- 
dition of the hospital in regard to police and sanitation 
and will correct any violations of the Hospital Regula- 
tions noted. 
twice during his tour of duty, once between 6:00 PM and 
9:00 PM, and once between midnight and 6:00 AM. On 
each inspection he will visit all wards and ascertain that 
the hospital rules as to conduct are being observed and 
that the ward personnel are present, in the prescribed 
uniform, and properly performing their duties. At the 
first inspection between 6:00 and 9:00 PM., he will check 
the patients and ward personnel in Wards S-l and S-2 
and see that all are properly accounted for. On each in- 
spection he will visit all parts of the hospital area and will 
(b) The Officer of the Day will visit the Detention Ward at 6:00 
PM daily. During this visit he will see: 
That the non-commissioned officer in charge and 
attendants on duty are thoroughly cognizant of their 
duties and responsibilities and that they have familiarized 
themselves with the Hospital Regulations on the Deten- 
tion Ward and such other instructions as have been pub- 
lished by the Ward Officer and posted on the bulletin 
board in the ward office. 
That all prisoners are locked in their ceils and that the 
provisions of Regulations and the instructions of the 
W'ard Officer referred to above, are being complied with. 
(5) Mess.—The Officer of the Day will inspect and eat two meals in 
the patient’s mess. He will be present during the serving of 
breakfast in the general mess unless some emergency prevents. 
In the case of such absence, proper explanation will be made on 
his report. He will inspect and eat one meal in the patient of- 
ficers’ mess. He will report on the quantity, quality, and varia- 
tions from the bill of fare of each meal inspected. He will au- 
thorize, when necessary on the request from a ward, the feeding 
of patients who have been admitted soon after a meal has been 
served. OFFICER OF THE DAY 
c. Fire. The Officer of the Day is an assistant to the Fire Marshal 
and, during the latter’s absence, will act in his stead. See Fire Regulations. 
d. Receiving and Evacuation. During hours other than those prescribed 
for the Receiving and Evacuation Officer, the Officer of the Da>r will assume 
charge of, and be responsible for all duties of the Receiving and Evacuation 
Office relative to the administrative conduct of that office. 
e. Funds and Valuables. See Hospital Regulations on this subject. 
f. Seriously 111 Patients. See Hospital Regulations on this subject. 
g. Deaths. 
(1) See Hospital Regulations on this .subject. 
(2) When arrangements have been made for the of the re- 
mains of deceased patients to an undertaker at an hour other 
other than those prescribed for the Registrar, the proper order 
for such delivery will be transmitted to the Officer of the Day 
by the Registrar with other necessary instructions. 
h. Visitors and Visiting Hours. The Officer of the Day will see that 
Regulations regarding Visitors and Visiting Hours in so far as they pertain to 
the Officer of the Day are strictly observed. 
i. Admission to Wards S-l & S-2.—During the absence from the hospital 
of the Receiving Officer, or the Ward Officers of Wards S-l and S-2, all patients 
admitted to these wards will be searched by the Officer of the Day in accordance 
with Par. 374e, 
j. Transfer of Patients. Transfers of patients from one ward to another 
during the absence of persons authorized to approve them, will be countersigned 
by the Officer of the Dajr. 
k. Escaped Patients or Prisoners. In the case of the escape of an insane 
patient or a prisoner, the Officer of the Da}' will promptly and thoroughly in- 
vestigate the circumstances, make every effort to apprehend the patient or 
prisoner, including notification of the civil authorities and nearby posts, and 
make a full, complete report of same on his “Officer of the Day’s Report.” 
l. Confinement of Persons in Detention Ward. The Officer of the Day 
will, when in his judgment it is necessary, confine any person who may be 
present on the post, in Ward S-2 for safekeeping until proper action can be 
taken. In the case of civilians who are not patients, he will at once communi- 
cate with the nearest police station and endeavor to turn them over to the civil 
authorities. In the case of soldiers who are not patients and who do not re- 
quire hospitalization and whose station is in the Presidio, he will notify the 
Officer of the Day of their proper station and request that a guard be sent to 
take charge of them. In all cases he will note the attendant circumstances on 
his report, and will enter on his report the pertinent data and list of witnesses 
necessary to make proper disposition of the case. 
m. When an enlisted man on duty in the Professional Service or Guard 
is absent or circumstances require that he be relieved from duty, he will, if 
necessary, be replaced by the Officer of the Day from an emergency roster 
furnished by the Commanding Officer, Detachment Medical Department and 
posted in the Officer of the Day’s office. 
179. Professional Duties.—a. At times other than the prescribed office 
hours of the Outpatient Service, the Officer of the Day will attend patients ap- 
plying thereat for treatment. 
62 OFFICER OF THE DAY 
b. Admission of Patients. During the absence of the Receiving and 
Evacuation Officer, he will examine each patient on admission, make the propel 
ward assignment and prescribe such treatment as is indicated until the proper 
Ward Officer has assumed charge. He may delegate an Emergency Intern to 
perform this duty in appropriate cases. 
c. He will personally visit all occupied wards other than wards for con- 
valescent patients at least once between the hours of 7:00 PM and 9.00 PM. 
During these visits he will confer with the nurse on duty and familiarize him- 
self with the serious cases which may require his attention during the night 
hours. He will respond to all professional calls received from the wards during 
his tour of duty, or designate one of the Emergency Interns to perform this 
duty in appropriate cases. 
d. Supervision of Emergency Interns. He will receive the report of the 
Emergency Interns, instruct them in their duties as his assistant, and delegate 
to them such professional duties as he deems advisable. In all cases, however, 
he will be responsible for the proper performance of duty by Emergency Interns. 
(See Regulations on Emergency Duty of Interns). 
180. Delegation of Duties.—In case of emergency when the Officer of the 
Day is occupied professionally or otherwise, certain duties may be delegated to 
non-commissioned officers as follows; 
a. Inspection of Professional Service Group —ToN.C. O. on duty in Re- 
ceiving and Evacuation Office. 
b. Inspection of each relief of the guard and checking of arms, ammunition 
and equipment of the guard office To N. C. O. of the Guard. 
c. Inspection of motor vehicles —To the N. C. O. of the Guard. 
d. Inspection of wards between 6:00 PM and 9:00 PM, and between mid- 
night and 6:00 AM—To the N. C. O. of Professional Service. Delegation of this 
duty will be made only in real emergency. In the event it does become neces- 
sary for the Officer of the Day to do so—the fact of delegation together with 
the emergency involved will be recorded on the O. D. Report. 
e. Inspection of hospital area, garage, power plant, barracks, etc —To the 
N. C. O. of the Guard. 
f. Inspection of Detection Ward JTo the N. C. O. on duty in Receiving 
and Evacuation Office. < 
181. Reports.—a. The report of the Officer of the Day will be rendered on 
Forms No. 69 and 88, Letterman General Hospital. As this report will be filed 
as a part of the permanent records of the hospital, all concerned are directed 
that the data entered thereon be both complete and accurate. It will be pre- 
pared under the direction of the Officer of the Day by the personnel on duty in 
the Officer of the Day’s Office, and will be typewritten. The data entered in 
all spaces of the report, with the exception of “Admissions,” “Departures,” and 
“Change of Status Patients and Duty Personnel” will cover the entire period 
of the Officer of the Day’s tour of duty. Unusual occurrences and violations of 
Hospital Regulations will be recorded under “Remarks.” This data will be 
completed and names and witnesses, offenders, and the circumstances will be 
recorded fully and accurately. “Admissions,” “Departures”, and “Changes of 
Status-Patients and Duty Personnel” will be recorded from midnight to mid- 
night so as to conform with the morning reports. 
b. The Officer of the Day will render the Guard Report as required in these 
Regulations. 
63 HOSPITAL GUARD 
182. General.—a. Organization. The watchmen system of guard as out- 
lined in Par. 60, Training Regulations 135-15, Interior Guard Duty, is prescribed 
for this hospital. The Hospital Watchmen will be organized into three reliefs 
to cover the twenty-four hour period. The first relief will be on duty from 
8:00 AM to 4:00 PM; the second relief from 4:00 PM to midnight; the third re- 
lief from midnight to 8:00 AM. Each relief will consist of sufficient Privates 
First Class or Privates of the Detachment Medical Department to cover all 
authorized posts. 
b. Control.—The Hospital Guard will be, under the direction of the Officer 
of the Day, in the immediate charge of the Sergeant of the Guard. Three non- 
commissioned officers will be assigned to this duty with hours as follows; 8:00 
AM to 4:00 PM; 4:00 PM to 12:00 M; 12:00 M to 8:00 AM. 
c. Temporary Guards. In addition to the permanent guard detail, there 
will be detailed from time to time, from the Detachment Medical Department, 
such temporary guards as may be directed by proper authority. The duties of 
such temporary guards will be prescribed at the time the detail is made. 
d. Offices. The office of the Officer of the Day is in the Hospital Receiv- 
ing Office. The Guard Office is in the basement of Ward K with entrance 
from Kennedy Avenue. 
183. Arms.—Members of the guard will be armed with a pistol. Ammuni- 
tion will ordinarily be issued only to non-commissioned officers of the guard. 
However, the Officer of the Day is authorized to issue ammunition to any mem- 
ber of the guard whenever he considers it necessary, first assuring himself that 
the person to whom the issue is to be made understands the proper use of a load- 
ed pistol 
184. Guard Duties of the Officer of the Day.—a. Supervision. The Officer 
of the Day is in charge of the Guard. He will see that all members are correctly 
instructed in their duties and that they understand and properly perform them. 
b. Orders. He will see that the special orders for each post and members 
of the guard are posted in the Guard Office and that the members are instructed 
in them. 
c. Supernumerary and Temporary Guards. When necessary the Officer 
of the Day will supplement the permanent guard by the detail of temporary 
guards. Should a member of the Guard be taken sick or for any reason leave his 
post, or fail to report for duty, the Officer of the Day will immediately detail a 
supernumerary from the roster prepared by the Commanding Officer, Detach- 
ment Medical Department, which will be posted daily in the Officer of the Day’s 
Office. 
d. Inspection of the Guard. The Officer of the Day will inspect each relief 
of the guard at least once during his tour of duty. He will note at each inspec- 
tion the appearance of the watchmen, their knowledge of orders, and condition 
of their arms and ammunition, if issued. 
e. Check. The Officer' of the Day will, at least once during his tour of 
duty, personally check the arms, ammunition and equipment of the guard de- 
tail and the property pertaining to the Guard Office, and will record the result of 
his check upon his report. 
64 HOSPITAL GUARD 
f. Reports.— 
(1) Officer of the Day. The report of the Officer of the Day will be 
prepared daily before 9:00 AM. All items on this form 
will be completed as indicated. Under the heading, 
“Changes of Status Patients and Duty Personnel,” will be 
entered all admissions to and discharges from the hospital of 
members of this command, all returns to and departures from 
the command of duty personnel, patients going on and returning 
from leave or furlough, patients going absent without leave and 
returning therefrom, all admissions and transfers to and dis- 
charges from Wards S-l and S-2. Sufficient copies of the data 
relative to change of status will be prepared for distribution with 
the Admission and Departure Sheets. The data relative to ad- 
missions, departures, births, deaths, and changes of status re- 
corded on the Officer of the Day’s Report (Revised Form 87, 
L.G.H.), will be entered from 12:00 midnight to 12:00 midnight. 
All other data will be entered to cover the period of the Officer of 
the Day’s tour of duty. 
(2) Guard. Will be prepared on Form 10, A.G.O. daily and transmit- 
ted to the Detention Ward before 8:00 AM for the notations re- 
quired by Paragraph 1 b (1) (a) and (b), AR 345-40. When 
these notations have been made, the report will be returned to 
the Officer of the Day’s Office, signed by the Officer of the Day 
and submitted by the latter to the Commanding Officer with the 
report of the Officer of the Day. 
185. Duties of the Sergeant of the Guard.—Under direction of the Officer of 
the Day, the Sergeant of the Guard will be responsible for: 
a. The instruction and discipline of the watchmen of the guard and for the 
general safety and discipline of the command. He will report to the new Officer 
of the Day for instructions at 9:00 AM daily. 
b. Receiving and obeying the orders of the Commanding Officer and the 
Officer of the Day, reporting to the Officer of the Day all orders to the Guard 
not received from him. 
c. Transmitting to his relief all instructions and information relative to his 
duties and orders of the Officer of the Day. 
d. Seeing that all watchmen of the guard are correctly instructed in their 
orders and duties, and that they understand and properly perform them. 
e. Inspecting the watchmen of the guard on their posts every hour and 
assuring himself that the men are in proper condition to perform their duties 
and that their arms and equipment are in proper condition. 
f. Remaining on the reservation during his tour of duty and keeping the 
non-commissioned officers in the Officer of the Day’s Office notified at all times 
of his whereabouts. 
g. Causing the flag to be raised at 6:30 AM and lowered at 5:00 PM, and 
to be half-staffed when notified by proper authority. He will see that the flags 
are kept in the best possible condition and that they are not handled except in 
the performance of duty, and when not in a serviceable condition he will report 
that fact to the Adjutant. 
h. Notifying the Officer of the Day at once should a member of the guard 
become disabled through illness or injury or for any reason leave his post. 
65 HOSPITAL GUARD 
i. Detaining at the Officer of the Day’s Office all suspicious persons or 
parties loitering around the hospital grounds. 
j. Entering a report of his tour of duty, together with any special orders 
for the Guard, in the Guard Report book and on completion of his tour present- 
ing it to the non-commissioned officer relieving him. The Guard Report book 
will be presented to the Officer of the Day for his inspection before 8:00 AM 
daily. 
k. Checking the property of the Guard under his charge immediately upon 
going on duty, recording the check in the Guard Report Book, and seeing that 
it is properly cared for. 
l. (1) Opening and closing routinely gates to the reservation. 
(2) In case of an alarm of fire on this hospital reservation during the 
hours when the entrance gates are closed, the non-commissioned 
officer of the Guard will cause all gates to be immediately un- 
locked and opened. To assure prompt opening of gates, watch- 
men of the Guard will carry keys to all gates on their posts. 
m. Enforcing the provisions of regulations relative to excluded persons. 
n. Causing the hospital, porches, and grounds to be vacated by visitors at 
the end of visiting hours daily, and secirg that all visitors, other than those 
having special authority to remain, have left the wards and all other parts of 
the hospital at those times. 
o. Visiting each part of the hospital area at least once each tour, and being 
constantly alert to prevent violations of hospital regulations and orders. 
p. Enforcing parking regulations. 
q. Collecting all watchmen’s clocks and turning them in to the Sergeant 
Major at 9:00 AM daily. The Sergeant Major will remove the discs therefrom 
and, after replacing them with a new disc and regulating the clock, the clocks 
will be returned to the Sergeant of the Guard. The Sergeant Major will check 
the discs to see whether or not the clocks have been properly punched by the 
guard and report any delinquency in this respect. 
r. Seeing that the Guard Office is attended at all times by a member of the 
Guard. 
186. General Orders.—The general orders for the guard detail will be those 
set forth in Paragraph 31, Training Regulations No. 155-15. Each non-commis- 
sioned officer of the guard detail and each watchman will be furnished a type- 
written copy of the above by the Commanding Officer, Detachment Medical De- 
partment, and will memorize the same. 
187. Special Orders.—Special orders for watchmen of the hospital guard 
will be as follows; 
a. To carefully guard all property on their posts. Watchmen on duty be- 
tween 5:00 PM and 7:00 PM will, on their first tour after going on post, try 
all doors of storehouses and back doors of unoccupied wards. Immediate re- 
port to the Seregant of the Guard will be made should any be found open. 
66 HOSPITAL GUARD 
b. To prevent patients or unauthorized persons from loitering in the hos- 
pital area: 
(1) In front of the hospital. 
(2) The grounds in the vicinity of the Detachment Barracks. 
(3) Back of the road extending from the Garage to the Marina Gate. 
(4) The grounds in the vicinity of the Officers’, Nurses’, and Non- 
commissioned Officers’ Quarters. 
(5) On the rear of porches of wards. 
c. To preserve order at all times. Persons found violating any hospital or 
other order, or whose conduct may in any way be found objectionable, will be 
warned to discontinue their misconduct and, in serious breaches, will be con- 
ducted to the Officer of the Day’s Office for further action in the case. 
d. To prevent unauthorized persons from loitering about the hospital or 
grounds. After 11:00 PM watchmen will question all persons found on the 
hospital reservation and ascertain the reason for their presence. They will 
arrest persons prowling about the hospital or grounds and conduct them to the 
non-commissioned officer in charge of their relief, for action by the Officer of 
the Day. 
e. To see that automobiles are parked in conformity with hospital regula- 
tions and after dark to closely observe all cars parked on the hospital reserva- 
tion. In suspicious cases, they will make immediate report to the Sergeant of 
the Guard, arresting the driver when necessary. 
f. To allow no government property to be removed from the hospital reser- 
vation without proper authority. 
g. To prevent the introduction of intoxicating liquors into the hospital 
reservation and to arrest all persons found intoxicated, and conduct them to the 
h. To watch carefully for the presence of fire. Should fire be discovered 
in the hospital area, three things should be immediately done: 
Guard Office. 
FIRST—Shout “Fire” and give the location. 
SECOND—Go to the nearest alarm box, break glass, open door, pull down 
and then release the handle inside. This gives the alarm to the Hospital Power 
House and the Presidio Fire Department. 
THIRD—CaII up the Officer of the Day’s office and report the fire and its 
location to the non-commissioned officer in charge. 
i. To see that all street and other authorized lights are burning and to 
make report to the Sergeant of the Guard of any found unlighted. 
j. To prevent the picking of flowers from either the hospital gardens or 
flower beds by unauthorized persons at any time. 
k. Watchmen of the guard arresting persons, as outlined in these regula- 
tions, will inform them that they are being placed under arrest subject to the 
action of the Officer of the Day, and will conduct them at once to the Officer of 
the Day’s office. Should persons resist being placed under arrest or while being 
taken to the Officer of the Day’s office, the guard will use such force as may be 
necessary, but no more, to cause the submission of the arrested person. Watch- 
men of the guard are authorized to call upon personnel of this hospital who may 
be neai the scene of arrest for such additional assistance as may be necessary 
to take offenders into custody, and members of. this' command, when so called 
upon, are directed to give the necessary assistance to watchmen. 
67 HOSPITAL GUARD 
l. The wachmen will be especially watchful for prowlers in the vicinity of 
any hospital storehouse. They will arrest all suspicious persons and bring them 
to the Guard Office. 
m. In case of fire during the day, watchmen on duty will prevent vehicles 
other than fire apparatus from using the roads leading to the fire. In case of fire 
between 4:00 PM and 8:00 AM, watchmen on duty will continue on post unless 
directed otherwise by proper authority. Watchmen, not on duty but present on 
the reservation, will report to the guard office for directions. 
n. Watchmen on Posts No. 1 and 2 will be especially watchful that the road 
between Ward No. 1-A and the Nurses’ Quarters, the road between the Medical 
Wards and the Officers’ Quarters, and the road in front of the Commissary, 
Laundry, Ward S-l and Ward S-2, are kept open at all times for the passage 
of fire apparatus in the event of fire. They will not permit automobiles to park 
in areas other than those specified in current hospital regulations and will be 
especially watchful that all regulations on automobile parking are being ob- 
served. 
o. Watchmen of Post No. 1, between the hours of 5:30 PM and 7:00 AM, 
will observe the Laundry Office on each round of that post, and will see that a 
light is burning there. 
p. Watchmen on Post No. 1, between the hours of 5:30 PM and 7:30 AM 
will, on each round, observe the windows of the Quartermaster Office on the 
second floor of the Administration Building and will see that a light is burning 
therein. If no light is burning, they will immediately notify the Guard Office 
and will remain thereby until the arrival of the Officer of the Day or the non- 
commissioned officer of the relief. 
q. Watchmen on Post No. 1, between the hours of 5:30 PM and 7:30 AM 
will, on each round, observe the appearance of the Post Exchange Store. Should 
any lights be extinguished Or should the store have the appearance of being dis- 
turbed they will immediately notify the Guard Office and remain nearby until 
the arrival of the Officer of the Day or the noncommissioned officer of the relief. 
r. Watchmen on Post No. 1 and 2 between the hours of 5:30 PM and 7:00 
AM, will observe the Quartermaster Commissary and warehouse on each round 
of this post, and will see that lights are burning therein. In case no lights are 
burning, the non-commissioned officer of the relief will be notified immediately. 
Particular attention will be paid to lights in the following places: 
(1) Administration Building: 
(a) Adjutant’s Office 
(b) Registrar’s Office 
(c) Quartermaster Office (second floor) 
(2) Post Exchange. 
(3) Commissary. 
(4) Mess Office. 
(5) Laundry. 
If lights are not burning or doors are found unlocked in any of these places, 
the non-commisisoned officer of the guard will be notified without delay, 
s. Watchmen on Post No. 2, between the hours of 5:30 PM and 7:00 AM, 
will observe the Medical Property Warehouse on each round of this post, and 
68 HOSPITAL GUARD 
will see that lights are burning therein. In case there is no light turned on they 
will notify the non-commissioned officer of the relief immediately. 
t. Watchmen on Post No. 2, particularly between the hours of 5:30 PM and 
7:00 AM, will see that the doors of the Officers’ Garage are locked, and that 
no unauthorized persons are permitted in or about the Auto Parking shed north 
of the Meidcal Supply Warehouse. Unauthorized persons found in or about 
the Officers’ Garage or the Auto Parking Shed will be turned over to the Officer 
of the Day. 
u. Watchmen on Post No. 2, between the hours of 5:30 PM and 7:00 AM, 
will see that lights in the Post Exchange Gasoline Filling Station are burning, 
and that the door is locked. In case no light is burning or the door is unlocked, 
the non-commissioned officer of the guard will be notified without delay. 
188. Prisoners.—a. Garrison prisoners will be conducted to the various 
clinics from Ward S-2 by a responsible enlisted attendant. General prisoners 
will be conducted from Ward S-2 to the various clinics and return by members 
of the guard who have received instructions in the use of the service pistol. The 
Sergeant of the Guard will be held responsible for the selection of these sentries, 
and will provide them with the necessary amount of ammunition, which will be 
turned in as soon as the sentries return to the Guard Office. 
b. Prisoners working under guard will be in charge of sentries familiar with 
the use of firearms, and armed with the service pistol, and supplied with the 
proper ammunition. Ammunition will be issued by the Sergeant of the Guard, 
and checked in by him when the sentries return to the Guard Office. 
c. If a sentinel is guarding prisoners and the fire alarm is sounded, the 
sentinel will conduct his prisoners at double time to Ward S-2, turning them 
over to the noncommissioned officer in charge. He will then proceed without 
delay to the scene of the fire and report to the Officer of the Day. 
d. The conduct of members of the guard, while acting as sentries, will be 
governed by the instructions laid down in Training Regulations covering the 
guard duty TR 135-15. 
189. Posts.—Watchmen assigned to the hospital guard will be posted as 
follows: 
Post No. 1: 
Extends from the Guard Office south along sidewalk to the intersection of 
Torney Avenue and Kennedy Avenue, west over Torney Avenue in front of the 
Officer of the Day’s Office, Administration Building and Post Exchange to its 
intersection with Girard Road (Key Station No. 1); north over Girard Road to 
its intersection with Edie Road (Key Station No. 2), east on Edie Road to its 
intersection with Kennedy Avenue (Key Station No. 3); thence south along 
Kennedy Avenue to the Gnard Office. 
69 HOSPITAL GUARD 
Post No. 2: 
Extends from the Guard Office south along sidewalk to the intersection of 
Torney Avenue and Kennedy Avenue (Key Station No. 4), north over Kennedy 
Avenue to its intersection with Birmingham Road (Key Station No. 5), west 
over Birmingham Road to its intersection with Medical Supply Road, south on 
Medical Supply Road to its intersection with Thornburgh Road, west over 
Thornburgh Road to southwest corner of Building No. 38 (Key Station No. 6), 
south on Girard Road to its intersection with Torney Avenue, east on Torney 
Avenue to its intersection with Kennedy Avenue, north on Kennedy Avenue to 
the Guard Office. 
Post No. 3: 
Extends from the Guard Office south along sidewalk to the intersection of 
Torney Avenue and Kennedy Avenue, east over Torney Avenue to its inter- 
section with Sternberg Avenue, south over Sternberg Avenue to its inter- 
section with Glennan Road, east over Glennan Road to southeast corner of 
Building No. T-29 (Key Station No. 7), north over Glennan Road to northwest 
corner of Building No. T-24 (Key Station No. 8), south over corridor in front 
of Buildings Nos. T-23, T-22 to T-21; east to southwest corner of Building No. 
T-28 (Key Station No. 9), south over Sternberg Avenue to its intersection with 
Torney Avenue, west over Torney Avenue to starting point. 
70 ADMISSION OF PATIENTS 
190. Admission.—The Receiving and Evacuation Officer will have charge 
of the admission to hospital and assignment to proper wards, of all patients 
between the hours of 9:00 A. M. and 4:30 P.M., except Sundays and holidays, 
when the hours will be from 9:00 A. M. to 12:00 noon. His duties will be 
assumed by the Officer of the Day during the hours other than prescribed 
above, and when the Receiving and Evacuation Officer is absent. 
191 Classes of Patients Entitled to Admission:—a. Persons eligible for 
admission to this hospital are listed in Par. 7. A-R. 40-590. 
b. Officers, Warrant Officers, Cadets of the United States Military Aca- 
demy, Members of the Army Nurse Corps, enlisted men and contract surgeons 
in the active military service of the United States, who are absent from 
other than neighboring stations and are traveling under orders, on leave of 
absence, furlough, etc., will be admitted only in case their condition is such 
that treatment could not safely be delayed until the time of arrival at their 
proper station. In the event of admission of anyone under such circumstances, 
the facts are to be reported by the Admitting Officer to the Registrar, as 
indicated below. 
c. Any emergency case regardless of status may be admitted when severe 
suffering or danger to life is evident., and delay or transportation elsewhere 
would likely aggravate either condition. In such case the status of patients 
will be adjusted after admission. In all emergency cases, military or otherwise, 
effort will be made to secure information as to friends or relatives, who will 
be notified at once if the condition of patient justifies such action. 
192 Channels of Admission; Examination of Patients on Admission,— 
a. All patients will be admitted to the hospital through the Receiving 
and Evacuation Office, where the required admission data will be made of 
record, and assignment to proper ward effected. In emergency cases the 
patient may be taken directly to the ward and necessary admission data 
obtained later. 
b. Patients other than those on the status of officers, women, children, 
emergency cases of contagious disease, who report at the Receiving and Eva- 
cuation Office for admission, will be required to deposit all personal clothing 
and baggage, in the Patients’ Baggage Room, except the articles specified in par. 
257 and shall receive in exchange for such personal clothing the following 
articles of hospital clothing; 
1 suit of pajamas 1 convalescent suit 
1 bath robe. 
Patients will then, if their condition permits, be required to bathe, when 
they will be examined by the Receiving and Evacuation Officer and assigned 
to an appropriate ward without delay. 
c. A list will be maintained in the Receiving and Evacuation Office desig- 
nating the types of cases normally admitted to each ward, to be used as a guide 
to assist the Admitting Officer in making the proper ward assignments and to 
obviate transfers of adjustment later Wards will accept without question pa- 
tients assigned thereto by the admitting officer. Any re-assignment that may 
appear necessary will be effected as prescribed in regulations. 
d. Patients admitted to hospital will be examined physically without delay 
by the Receiving and Evacuation Officer or his representative and, in his ab- 
71 ADMISSION OF PATIENTS 
sence, by the Officer of the Day or by an Emergensy Intern designated by him, 
and such orders given as may be necessary relative to the treatment, care, etc., 
unless arrangements for the patient’s admission have been made in advance. 
After assignment has been made to a ward, the patient will be conducted thereto 
by an attendant from the Receiving and Evacuation Office, who, in all cases will 
carry any baggage the patient may have. Upon delivery of the patient, this at- 
tendant will obtain from the ward a replacement in kind for the articles of hos- 
pital clothing issued in the Receiving Office. 
193. Arrival of Patients by Train or Boat.—lmmediately upon receipt of 
information as to the expected time of arrival of patients by train or boat, the 
Receiving and Evacuation Officer or, in his absence, the Officer of the Day, will 
arrange for the necessary ambulance transportation and attendants to meet 
patients. When it is known that patients who are to arrive are suffering from 
communicable diseases, separate ambulances will be provided for their transpor- 
tation. 
194. Reports Rendered When Patients Stationed at Adjacent Posts are Ad- 
mitted Direct.—a. By Admitting Officer. Whenever an officer, warrant officer, 
enlisted man, or other militarized person stationed at the Presidio of San Fran- 
cisco, Fort Winfield Scott, Fort Miley, Fort McDowell, or any other post or 
command about the bay, is admitted direct to hospital (other than by formal or 
informal transfer), the admitting officer will immediately communicate by tele- 
phone with the Adjutant, or, in his absence, the Officer of the Day of patient’s 
station, and advise as to the fact, date, and time of admission. A record of such 
action will be made and initialed by the admitting officer under the heading, 
“Source of Admission” on the clinical record brief (Form 55a, M.D.) 
b. Registrar. On the morning after admission of cases referred to in 
preceding subparagraph a, the Registrar will dispatch by mail formal notifica- 
tion of admission to patient’s Commanding Officer and Surgeon. 
195. Reports Rendered When Patients Stationed at Other Than Adjacent 
Posts Are Admitted Direct.—a. By Admitting Officer. Whenever an officer, 
warrant officer, enlisted man, or other militarized person absent from other 
than adjacent posts is admitted direct, the admitting officer will cause to be 
entered on Admission Sheet (Form 2, L.G.H.), the fact, date, and time of ad- 
mission together with a notation as to status of patient as disclosed by interro- 
gation at time of admission. Such records, orders, or other papers which can 
be furnished by the patient and which serve to explain his status will be turned 
over to the Registrar as soon as practicable. 
b. By Registrar.—On the morning after admission of cases referred to in 
the preceding sub-paragraph, the Registrar will forward by mail, formal notifi- 
cation of admission to patient’s Commanding Officer or other proper authority. 
In cases where it appears that the report should be sent by telegraph or radio, 
the facts will be reported to the Adjutant for appropriate action. 
196. Records.—a. Ihe Receiving and Evacuation Officer will be respon- 
sible for the preparation and disposition of the following records: 
(1) Clinical Records Brief (Form 55a, M.D.). To be prepared in du- 
plicate and initialed by the admitting officer. Both copies will 
be sent to the ward to which the patient is assigned. 
(2) Bed Card (Form 25, L.G.H.). To be prepared (single copy), and 
accompany the patient to the ward. 
72 ADMISSION OF PATIENTS 
(3) Admission Card (Form 78, L.G.H.). To be prepared, (single copy), 
and transmitted without delay to the Information office. 
(4) Local deposit (Form 49, L.G.H.). Patients' Funds and Valuables), 
b. The following forms will be prepared on the admission of certain cases. 
(1) In-patient record card (U.S.V.A. Form 2593). Upon the admission 
of a beneficiary of the U. S. Veterans’ Administration, an In- 
Patient record card (U.S.V.A. Form) will be prepared in tripli- 
cate so far as data is available. All copies (accompanied by the 
U.S.V.A. admission card and U.S.V.A. records presented by pa- 
tient will be transmitted to the Officer in charge of U.S.V.A. 
Patients’ Records. 
c. The following reports will be prepared daily or as otherwise directed; 
(1) Admission Sheet (Form 2, L.G.H.). To be prepared and disposed 
of in accordance with such instructions as may be issued from 
time to time. 
(2) When officers on the Emergency Officers’ Retired List are ad- 
mitted to the officers’ ward they will be taken up on the Admis- 
sion Sheet (Form No. 2, L.G.H.), as U.S.V.A. Rank 
E.0.R.L.; for example, Smith, :William H., U.S.V.A., Capt., 
E.O.R.L. A similar notation will be made in the appropriate 
place on Form 55a and all other hospital records which bear the 
patient’s name. 
(3) Departure Sheet (Form 1, L.G.H.). To be prepared in accordance 
with such instructions as may be issued from time to time. 
(4) Daily report of hospital bed status. (Form 48, L.G.H.). To be 
prepared daily from data available on Ward Morning Reports 
and disposed of as directed in such local instructions as may be 
issued from time to time. 
(5) Daily report of Ward transfers and Changes of Status (Patients 
and Duty Personnel). To be prepared on letter-size paper list- 
ing each patient transferred with the ward from which trans- 
ferred and to which transferred according to data contained in 
the transfer card (Form 20, L.G.H.) which is forwarded to the 
Receiving and Evacuation Office prior to transfer. Changes of 
Status (Patients and Duty Personnel) will be extracted from the 
Daily Report of the Administrative Officer of the Day onto the 
sheet on which Report of Ward Transfers is prepared. Distri- 
bution of these reports will be as prescribed in such instructions 
as may be issued from time to time. 
197. Procedure on Admission of Certain Types of Patients.—a. Patients 
with contagious diseases will not be permitted to leave ambulance or enter the 
Receiving and Evacuation Office, but, after having been seen by the Receiving 
and Evacuation Officer, will be sent directly to the Isolation Ward. Ambulatory 
patients for this ward will not be permitted to go through the hospital, but will 
be conducted to that ward by way of the road between the Nurses’ Quarters and 
Ward A-l. 
b. When prisoners or insane cases are admitted, their guard or attendants 
73 ADMISSION OF PATIENTS 
will escort them to the proper ward, accompanied by an orderly from the Re- 
ceiving and Evacuation Office. Insane and prisoners will be placed in Ward S-l 
and S-2 respectively. 
c. Upon the admission of emergency surgical cases where operative pro- 
cedure is indicated, during hours other than those when the operating room is 
open, the admitting officer will cause the emergency operating room personnel, 
including nurses and enlisted men, to be immediately notified in order that the 
operating room may be made ready to function. 
198. Admission of Children.—When children under the age of six years are 
admitted to Wards G-l, P-1, R-l, the mother, if she elects to act as child’s nurse 
while the child is in the hospital and there is a bed available for her, may be 
lodged and messed on the ward. When acting as child’s nurse she must conform 
to hospital and ward regulations. In such cases the hospital nursing service 
will be responsible for technical nursing and will observe child’s nursing. The 
usual diet charge of $1.25 per diem will be made for the child’s nurse subsisted 
oil the ward. 
74 DISCHARGE OF PATIENTS 
199. Supervision Over Discharge of Patients.—The Receiving and Evacu- 
ation Officer will have supervision over the final discharge of patients from this 
hospital, all of whom will pass through his office upon departure. 
200. Time of Discharge Unless Otherwise Directed.—All patients who are 
to depart from hospital will ordinarily be discharged from their wards at 1-00 
PM, except enrollees of the Civilian Conservation Corps who will routinely 
leave at 7:30 AM. In the event exceptional reasons indicate otherwise patient 
may be permitted to leave at any other appropiate time. 
201. Arrangements in Advance 01 uiscnarge.—a. nction rcgauimg me 
disposition of cases other than on separation from the service and iransiei 
to another hospital will be initiated by ward officers far enough in advance to 
permit the completion of the Clearance Form (Form No. 30, LGri), and Dis- 
position Form (Form No. 14, LGH), by 4:00 p.m. of the day prior to that on 
which the patients are to leave. 
b. Mess and Post Exchange bills of patients about to be discharged from 
hospital will normally be paid during office hours. Exception to this will 
be made only in case of emergency. In emergency the Officer of the Day 
may accept payments for the Mess and Post Exchange. Ihe Officer of the 
Day will deliver amounts thus collected to the proper office (Mess or Post 
Exchange) as soon thereafter as such offices are opened for business. 
202. Procedure to Discharge Patients from Hospital (Other than on 
Separation from Service or Transfer to Another Hospital).—When it has been 
determined that a patient is physically fit from hospital, the 
procedure outlined below will be followed: 
a. The Ward Officer will furnish the patient witff a clearance form (Form 
No. 30, LGH), and instruct him to have it initialed by the heads of the depart- 
ments concerned and return the form to the ward officer who will attach it 
to the back of his clinical record. The Ward Officer will then close the 
clinical record of the case and initiate a single copy of the disposition form, 
(Form No. 14, LGH). The clinical record, clearance form, and disposition 
form will then be sent to the Chief of the Service concerned who will initial 
the disposition form and dispose of it as directed in Paragraphs (1) and (2) 
below. The clinical record will be reviewed by the Chief of Service, necessary 
corrections made and promptly forwarded to the Registrar. 
(1) Military Patients (Active List).—In cases of military patients 
on the active list, the disposition form, after approval by the 
Chief of Service, will be sent to the Registrar for the action 
prescribed below. In all such cases, the Chief of Service 
will note on the disposition form whether further observation 
and treatment (while on a duty status) is or is not indicated. 
In case further observation or treatment is indicated, the Chief 
of Service will proceed as directed below. 
All other Patients.—ln all cases, other than military patients 
on the active list, such as beneficiaries of the Veterans’ Ad- 
ministration, retired personnel, members of officers, and enlisted 
men’s families, etc., the disposition form, after approval by the 
Chief of Service, will be returned to the Ward Officer to 
serve as final authority for the patient’s discharge. The dis- 
position form will then be disposed of as directed below. DISCHARGE OF PATIENTS 
b. The Registrar, upon receipt of the disposition form transmitted to 
him by the Chief of Service, will, after securing the data required by his office, 
careful!}" check the data thereon as to the patient’s name, rank, organization, 
and serial number, by reference to his office records and make any necessary 
corrections. He will make entry on the form as to the station to which patient 
should be returned, under the provisions of existing Army Regulations and, 
in addition, state thereon whether travel orders are required. The disposition 
form will be initialed by the Registrar or, in his absence, by the officer acting 
in his capacity, and sent with any pertinent orders or papers on file in the 
case to the Adjutant for the preparation of necessary orders, after which the 
disposition form will be filed with the retained special order in the head- 
quarters of this hospital. A copy of the special order which has been issued 
will be furnished by the Adjutant to the Ward Officer for his authority to 
discharge the patient. If travel orders are not required, proper notation 
will be made by the Registrar on the disposition form, after which it will be 
returned to the Ward Officer to serve as final authority for the patient’s 
discharge. 
203. Disposition of Patient’s Bed Card.—Each patient summoned to the 
Receiving and Evacuation office for discharge will present his bed tag to the 
Receiving and Evacuation Officer for purposes of identification. Bed tags need 
not be preserved after they have served this purpose. 
204. Notification to Soldier’s Commanding Officer and Surgeon.—On the 
day that a military patient has been discharged to duty, the Registrar will 
notify the patient’s immediate commanding officer, in writing, (Form 15, 
LGH), through the surgeon of his station or command as follows: 
a. The name of the patient. 
b. The duration of his stay in hospital. 
c. Whether or not the illness or injury was in line of duty, and 
d. Whether it was due to the patient’s own misconduct (Par. 7b (3) AR 
40-590). 
e. Whether or not further treatment will be required. 
205. Observation and Treatment after Discharge from Hospital.—When 
in the opinion of a Chief of Service, a military patient who is to be discharged 
from hospital should be continued under observation or treatment after return 
to his station, he will cause to be prepared a letter to the Surgeon of the 
patient’s proper station or command giving a brief, concise, medical history 
of the case including suggestions for further treatment and send it to the 
Registrar for transmission to the Surgeon of the Patient’s station. In the 
case of officers and warrant officers who have appeared before a “Disposition 
Board”, a copy of the Board’s proceedings will be forwarded in lieu of the 
history, a notation being made thereon of suggested treatment. 
206. Procedure when Patients are to be Separated from Service.—When 
a patient is to be separated from the service, the Registrar will notify the 
Ward Officer by informal memorandum, setting forth the reason for separ- 
ation and the date it is to take place. Upon receipt of this memorandum, the 
Ward Officer will furnish the patient with a clearance form and instruct him 
to have it initialed by the heads of the departments concerned and return the 
form to the Ward Officer who will attach it to the back of the clinical record. 
76 DISCHARGE OF PATIENTS 
The Ward Officer will then close the clinical record of the case and send it 
not later than 1:00 P.M. of the day specified in the memorandum to the Chief 
of Service. The Ward Officer will then note on the patient’s bed card the 
date and nature of disposition, sign the card, and send it on the day of depart- 
ure with the patient to the Receiving and Evacuation Officer. No disposition 
form will be used. 
207. Procedure when Patients are to be Transferred to Another Hospital.— 
When the transfer of a military patient to another hospital for observation and 
treatment is indicated, the Chief of Service will make written recommendation 
to that effect to the Commanding Officer. The approved recommendation 
will be transmitted to the Registrar who will notify the Chief of Service and 
at the proper time obtain a copy of the travel order, and transmit it to the 
Ward Officer concerned. The Ward Officer will then close the clinical record 
of the case and send it without delay to the Chief of Service, who will cause 
a copy of the clinical record to be made and transmitted to the Registrar, for 
forwarding with the patient. The Ward Officer will then note on the patient’s 
bed card the date and nature of disposition, sign the card, and send it on the 
day of departure, with the patient, to the Receiving and Evacuation Officer. 
No disposition form will be used. 
208. Record of Departure made by Receiving and Evacuation Officer; 
Departure Sheet.—Upon the receipt of the bed card, transmitted to him as 
indicated above, the Receiving and Evacuation Officer will hold such card until 
the patient actually departs, after which it will be used as data for the prepara- 
tion of the Departure Sheet (Form No. 1, LGH). 
209. Disposition of Civilian Components of the Army,—a. Members of 
the National Guard of the Reserve Officers’ Training Camp (R. O. T. C.), of 
civilian training camps (C. M. T. C.) and officers of the Organized Reserves 
who remain in hospital subsequent to completion of the period of active 
duty in which they are serving will be brought before the Disposition Board 
for recommendation as to final disposition, when hospital treatment is no 
longer deemed necessary by the Ward Officer or Chief of Service concerned 
b. The proceedings of the Disposition Board such cases will show in 
each case, (1) the diagnosis, (2) the line of duty status, (3) physical condition, 
(4) Whether or not hospitalization is required, and (5) a complete, a concise 
medical history of the case., (6) whether further medical treatment will or will 
not be required after return home and in the event that further medical treat- 
ment is required, the reasons therefor and probable duration of such treatment. 
c. Proceedings of the Board will be in triplicate. 
210. Discharged Soldiers.—a. Paragraph 7 g, A.R. 40-590 authorizes 
retention of discharged soldiers in hospital for such period as the Commanding 
Officer may consider proper and necessary. The purpose of the above men- 
tioned paragraph is to prevent the discharge from hospital of discharged 
soldiers who are too sick to leave at the time their enlistment expires or upon 
their discharge on Certificate of Disability. However, it is the intention of 
this paragraph that these patients be retained only a sufficient time to enable 
them to reach the maximum benefit from hospital treatment for the condition 
which was present at the time of their discharge from service. 
b. When practicable, the Registrar will inform the Chief of Service con- 
cerned at least two weeks in advance of the period when the enlistment of 
77 DISCHARGE OF PATIENTS 
a soldier patient on his service expires. The Chief of Service will then direct 
the Ward Officer to institute the necessary procedures to have him discharged 
on Certificate of Disability when such discharge is indicated. 
c. Discharged soldiers will not be held in hospital for a period longer 
than thirty (30) days without authority from the Commanding Officer. Requests 
for authority to retain discharged soldiers in hospital beyond the period men- 
tioned above will be addressed to the Commanding Officer through the Chief 
of Service and set forth the patient’s name, date of discharge, diagnosis, the 
necessity for remaining in hospital, and the probable length of time he should 
remain to reach the maximum benefit from hospital treatment. Such patients 
will not be accorded the benefit of elective surgical operations. 
211. Interview of Certain Patients Prior to Discharge.—a. Beneficiaries 
of the U. S. Veterans Administration and enrollees of the Civilian Conservation 
Corps will be interviewed by the Ward Officer prior to discharge from hospital 
in order that any complaints they may care to make may be investigated before 
their departure. 
b. The Ward Offi^rwn\ note over h/ssfgnature on the back of the Dis- 
position Form whether or not the patient has any complaints. If any com- 
plaint is made the patient will be sent to the Hospital Inspector for investiga- 
tion. 
c. Under no circumstances, other than discharge against medical advice, 
will the Ward Officer discharge a beneficiary of the U. S. Veterans Administra- 
tion or an enrollee of the Civilian Conservation Corps until Ihe ’Disposition 
Form shows the notation referred to above. 
78 DEATHS 
212. Administration and Clerical Jurisdiction in Connection with Deaths. 
The Registrar will exercise administrative and clerical jurisdiction over all 
details in connection with deaths which occur at this hospital. This duty will 
include the preparation and rendition of the necessary certificates, routine re- 
ports and records incident thereto, the notification to relatives of the death, 
and the neecessary arrangements with them for the prompt and satisfactory 
disposal of remains. In the performance of the aforementioned duties, the 
Registrar will be governed by the provisions of Army Regulations and such 
other pertinent official orders and instructions as may be issued to him. 
213. Notifications in Case of Approaching Death.—ln case of approaching 
death of a patient, the Ward Nurse will immediately notify the Ward Surgeon, 
if he be present, and the Officer of the Day. Upon receipt of such notification, 
the Officer of the Day will advise the nearest available Chaplain by telephone. 
214. Procedure on Death of a Patient.—lf death occurs, the body will not 
be removed from the ward until death has been pronounced by a medical officer. 
Before removal of remains from the ward a “death tag” (local form), properly 
prepared and signed by the medical officer in attendance at the time of death, 
will be securely tied to the right great toe of the body. Before the body is re- 
moved from the ward it will be thoroughly washed, eyes and nlouth properly 
closed, and all openings properly plugged to prevent discharge while handling 
from ward to the morgue. The remains will be removed with as little disturb- 
ance as possible. 
215. Rendition of Death Report.—lmmediately upon the death of a patient, 
the “death card” (local form), will be initiated and accomplished by the medical 
officer in attendance and promptly dispatched by him to the Officer of the Day, 
who will note and initial the form. The Officer of the Day will then turn it over 
to an attendant on duty in the Receiving and Evacuation Office, with instruc- 
tions to notify each office indicated on the form, and to then deliver it to the 
Registrar in person or his noncommissioned officer representative without delay. 
Should the death occur during the hours in which the Registrar’s Office is 
closed, the Officer of the Day will retain the death card in his personal pos- 
session and make the necessary notifications, including notification to relatives, 
as required by AR 600-50, and will then take the necessary action to insure the 
delivery of the form to the Registrar as practicable. After official ref- 
erence and use by the Registrar, the card” will be filed with the death 
records. 
216. Disposition of Bed Card on Death of Patient.—lmmediately upon the 
death of a patient, the bed card, properly accomplished by the medical officer 
in attendance, will be sent to the Receiving and Evacuation Office, there to be 
noted on the departure sheet, after which the card will be transmitted to the 
Registrar for file. 
217. Record of Deaths to be Entered on Guard Report.—A record showing 
the date and time of death, name, rank, organization, or other status of deceased, 
will be entered on the Guard Report for the twenty-four (24) hour period during 
which the death has occurred. 
218. Autopsies.—Autopsies will be done only by the Chief of the Labora- 
tory Service or his assistant, on the written authority of the Commanding Offi- 
cer in each case. No medical officer on the operative staff of the Surgical 
Service will actively participate in any autopsy. 
79 DEATHS 
219. Funds and Valuables of Deceased Patients.—Funds and valuables of 
deceased patients will be disposed of as prescribed in paragraph 228-233. 
220. Clothing and Baggage of Deceased Patients.—Clothing and baggage 
of deceased patients will be disposed of as prescribed in paragraph 260 d. 
221. Hospital Accounts of Deceased Pay Patients.—Upon the death of a 
pay patient, the ward surgeon will make immediate report to the Mess Officet, 
as prescribed in these regulations. 
80 PASSES, FURLOUGHS AND LEAVES FOR PATIENTS 
222. Passes; General Policy.—Patients may be granted passes when absence 
from hospital will in no way interfere with treatment. Ordinarily pass privili- 
leges will not be extended to one individual more frequently than twice each 
week- Patients in closed or isolation wards will not be permitted to leave the 
hospital. 
223. Duration of Passes.—Passes ordinarily will be granted for the period 
1:00 PM to 10:00 PM of the same day. Under exceptional circumstances passes 
may be granted for longer periods, not to exceed 72 hours. In such cases the 
Ward Officer will state briefly the circumstances involved in the space under 
the patient’s name on the pass list (Form 90, L.G.H.). All ordinary passes will 
terminate not later than 10:00 PM. 
224. Procedure for Granting Passes.—Pass lists on Form No. 90, L.G.H., 
will be prepared in duplicate by the V/ard Officer and sent to the Commanding 
Officer, Detachment of Patients, for his action by 11:00 AM of the day on which 
they are to become effective. The duplicate will be returned to the ward where 
it will be posted on the ward bulletin board. T.he original will be sent to the 
Patients’ Baggage Room where it will serve as authority for issue of the pa- 
tient’s clothing, the fact of issue being noted on the left margin of the list op- 
posite the patient’s name. 
225. Procedure for Going On and Returning from Pass.—a. Patients go- 
ing on pass will change from hospital clothing into street clothes in the dressing 
rooms provided in the Patients’ Baggage Room, turning in their hospital cloth- 
ing for storage until return from pass. The attendant in charge will inventory 
in duplicate hospital clothing thus turned in, retaining the original and giving 
the duplicate to the patient. 
b. Upon return from pass the patient will enter the hospital through the 
Receiving and Evacuation Office where he will change into hospital clothing and 
then proceed directly to the ward. 
c. The attendant in charge of the Patients’ Baggage Room will note on 
the Pass List (Form No. 90, L.G.H.), the hour and date of return of each patient 
listed thereon. 
226. Furloughs.—Furloughs will not be granted enlisted patients except 
under exceptional circumstances and for therapeutic reasons. 
227. Sick Leaves, Officers.—a. The provisions of AR 605-115 will govern. 
b. Applicants for sick leave will be forwarded through the Ward Officer 
and the Chief of Service. The Chief of Service will furnish information as fol- 
lows: 
(1) Nature, seat, and degree of the disease, wound, or disability. 
(2) The period during which the officer has suffered therefrom. 
(3) Prognosis. 
(4) Whether observation and treatment in a General Hospital are 
indicated at this time. 
(5) Whether a sick leave will better assist in restoring health. 
(6) Length of time necessary for such restoration. 
(7) Specific recommendations as to whether or not the sick leave 
should be granted. 
c. All patients departing on leave will report their departure to the Officer 
of the Day’s Office. A similar procedure will be followed upon their return. 
81 FUNDS AND VALUABLES OF PATIENTS 
228. Custodian of Patients’ Funds and Valuables; Audit of Patients’ Funds. 
—The Registrar is the Custodian of Patients’ Funds and Valuables, and is per- 
sonally responsible for safeguarding them after they have been delivered to him. 
Patients’ funds will be deposited in a local bank and disbursed in the form of 
checks by the Custodian personally. These funds will be audited as required 
under War Department instructions by a disinterested commissioned officer who 
will be appointed monthly by the Commanding Officer. 
229. Information to be Furnished Patients on Admission.—Upon admis- 
sion to hospital all patients whose physical and mental condition is such that 
they can understand will be asked by the admitting officer as to whether they 
have any funds and valuables in their possession which they desire to deposit 
with the Custodian of Patients’ Funds and Valuables for safekeeping. They 
should be urged to safeguard their funds and valuables in this manner, and in- 
formed that the hospital authorities will not be responsible for loss of either 
funds or valuables not so deposited. 
230. Accomplishment of Local Deposit Form by Patient and Admitting 
Officer.—After being informed as indicated in preceding paragraph, the follow- 
ing procedure will be followed: 
a. For patients desiring to make deposits will sign the local deposit form 
(in triplicate), acknowledging that they have been informed relative to making 
deposits and itemizing separately thereon the funds and valuables they wish to 
deposit and those they wish to retain. The admitting officer will sign all copies 
of the receipt for the articles deposited and deliver the duplicate copy to the pa- 
tient. Ihe original and triplicate copies, accompanied by the money and valua- 
bles listed thereon, will be transmitted by the admitting officer personally to the 
Custodian of Patients’ Funds and Valuables as soon as practicable, and he will 
acknowledge by signature on each copy, returning the triplicate copy to the of- 
ficer originally receiving the deposit, and file the original for future reference. 
b. For patients having no money or valuables in their possession.—Patients 
having no money or valuables in their possession will, neverthless, be required 
to sign the local deposit from acknowledging that they have been informed rela- 
tive to making deposits. Ihe word “None” will be noted under each of the ap- 
propriate headings on the form. In such cases only one copy of the form will 
be prepared, which will be submitted to the Custodian of Patients’ Funds and 
Valuables by the admitting officer not later than 9 AM the following morning. 
231. Procedure in Case of Mentally or Physically Incapable Patients.— 
A* hen patients are admitted who appear to be incapable mentally or physically 
to follow the procedure outlined in preceding paragraph, the following pro- 
cedure will be followed: 
a. Search for money and valuables by admitting officer.—A careful and 
thorough search of patient’s person and effects will be made by the admitting 
officer who will take therefrom for safekeeping any money or valuables which 
they may find. This search will ordinarily be conducted in the presence of two 
witnesses. 
b. When attendant accompanies patient.—Attendants accompanying a pa- 
tient on admission will be asked whether or not any money and valuables be- 
longing to patient are in their possession. Any articles delivered by attendants, 
together with those found on patient’s person, will be itemized (in triplicate) 
82 FUNDS AND VALUABLES OF PATIENTS 
on the local deposit form which will be signed by the attendant and receipted 
for by the admitting officer. The form may be suitably altered for the purpose 
indicated and a notation will be made thereon as to the reason for the patient 
not executing the form. In addition, notation will be made oi the name and 
status of attendants. The duplicate copy will be furnished the attendant. The 
original and triplicate copies, together with the money and valuables, will be 
sent as soon as practicable to the Custodian of Patients nunds and Valuaoles, 
who will receipt and return the triplicate copy to the officer originally receiving 
the deposit and file the original for future reference. When no funds and valu- 
ables are delivered by attendants or found on patient’s person, but one copy of 
the form will be accomplished by the admitting officer, in which case the word 
"None” will be noted under each of the appropriate headings on the form. It 
will be sent to the Custodian of Patients’ Funds and Valuables not later than 
9:00 AM the following morning. 
c. When unaccompanied by attendant.—When patients are unaccompanied 
by attendants the procedure wil be the same as prescribed in preceding sub- 
paragraph b, except the admitting officer will accomplish the form in duplicate 
only, both copies being sent to the Custodian of Patients’ Funds and Valuables 
who will receipt and return the duplicate to the officer originally receiving the 
deposit and file the original for future reference. 
232. Supplementary Deposits by Patients in Hospital.—Patients who desire 
to deposit money or valuables during their stay in hospital will, if their physical 
condition permits, make such deposits personally with the Custodian of Patients’ 
Funds and Valuables. Patients whose physical condition prevents them from 
making deposits in person may turn same over to their respective ward sur- 
geons who will accomplish the local deposit form. Deposits will be turned 
over to the Custodian of Patients’ Funds between 9:00 a.m. and 4:00 p.m. daily, 
with the exception of Saturdays, Sundays and legal holidays when the hours 
will be from 9:00 a.m. to 11:30 a. m. Money or valuables for patients may be 
withdrawn between 9:00 AM and 11:00 AM. 
233. Funds and Valuables of Deceased or Seriously 111 Patients.—Upon 
the death of a patient the ward officer or nurse will make an immediate search 
of the deceased’s person, bed, bedside table, and all effects belonging to patient 
that may be in the ward, and take therefrom for safekeeping any money or 
valuables which may be found. This search will ordinarily be made in the 
presence of two witnesses. Any money or valuables found will be itemized 
(in duplicate), and signed for by the officer or nurse making the search, on the 
local deposit form, which will be suitably altered for the purpose indicated. 
After this action the forms, together with any money and valuables found, will 
be turned over to the Officer of the Day who will dispose of them as prescribed 
in paragraph 231 c, herein. When a seriously ill patient becomes incompetent to 
safeguard any money or valuables that he may have in his possession the same 
procedure will .be followed. 
234. Financial Dealings with Patients.—No nurse, enlisted man, or civilian 
employee of this command will have any financial dealings with patients what- 
soever. Under no Circumstances will money or valuables be received or delivered 
by them. : PAY PATIENTS AND HOSPITAL ACCOUNTS 
235. Supervision Over Accounts and Records, Etc., of Subsistence and 
Medicine Charges.—The Mess Officer, in his capacity as Custodian of the Hos- 
pital Fund, will make collection of all subsistence indebtedness due the Fund by 
pay patients, and will be responsible for the proper maintenance of all accounts 
and records pertaining thereto. He will also receive, account for, and make the 
prescribed disposition of all funds paid as medicine charges by patients in hos- 
pital who are not entitled to medical care and treatment at the expense of army 
appropriations. The Mess Officer will institute the necessary steps in accord- 
ance with Army Regulations for the collection of any money due the Hospital 
Fund by pay patients for which settlement cannot be obtained locally. 
236. Charges for Pay Patients.—Subsistence and medicine charges, as pre- 
scribed in AR 40-590, will be obtained for “pay patients” of this hospital, all of 
whom will be required to make settlement of their hospital accounts with the 
Mess Officer when they report for clearance. Each patient, upon settling his 
hospital indebtedness, will be furnished an itemized, numbered and signed re- 
ceipt. 
237. Classes of Patients Not Required to Make Personal Settlement of 
Accounts.—Hospital accounts for the following classes will not be paid by the 
individual patients, but will be charged as required and collected by the Mess 
Officer in the manner prescribed by existing regulations and instructions: 
Applicants for enlistment. 
Navy and Marine Corps personnel on active duty. 
Beneficiaries, United States Veterans’ Administration. 
Civilian employees of the army who are entitled to subsistence 
at public expense. 
Discharged soldiers. 
General prisoners. 
Seamen of Transport Service. 
Destitute persons admitted to hospital under the provisions of 
Paragraph 6 b (14), AR 40-590. 
Trainees from Reserve Officers’ Training Corps and Citizens’ 
Military Camps. 
Flying Cadets. 
Officers and Warrant Officers of the National Guard and Organ- 
ized Reserves after termination of service and who are entitled 
subsistence at Government expense. 
Unlisted men of the National Guard or National Guard Reserve. 
238. Procedure on Death or Departure of Pay Patient Other Than by Dis- 
charge. When a patient dies or departs from hospital other than by formal dis- 
charge, the Ward Officer will immediately report such change of status to the 
Mess Officer by informal memorandum. 
239. Monthly Settlement of Accounts by Pay Patients Remaining in Hos- 
pital. On the first day of each month, WArd Officers will direct all pay patients, 
who have remained in hospital over the preceding month, to pay their hospital 
indebtedness to the Mess Officer without delay. The names of any of this class 
of patients who are bedridden, or wdio for some reason are unable to so report, 
will be sent to the Mess Officer by memorandum. The Mess Officer will call at 
the wards where such patients are located and obtain settlement of the accounts. 
84 PATIENTS 
240. General Procedure and Regulations Governing. The general pro- 
cedure governing clinical records of patients in hospital is as prescribed in ex- 
isting Army Regulations and such other applicable official publications and in- 
structions in force. AR 40-1025, 40-1030, 40-1035, 40-1040, 40-1045, 40- 
1050, 40-1055, 40-1060, 40-1065, 40-1070, and 40-1075. 
241. Institution of Clinical Briefs.—Upon the admission of a patient, the 
Clinical Record brief will be initiated by the Admitting Officer. As soon as 
practicable, the ward officer, assistant ward officer, or intern, will complete the 
various sheets which form the full clinical record, the data to be complete in 
every detail so far as obtainable, and to present a neat and legible appearance. 
During the period the patient is in the hospital, the ward officer will make fre- 
quent surveys of the clinical record to assure himself that current facts and find- 
ings in connection with the case are made of record. 
242. Component Parts of the Clinical Record.—The component parts of 
the clinical record are selected from the following group of blank forms; 
a. Forms 55a to 55w inclusive, which are official Medical Department 
blanks, the use and preparation of which are prescribed by the War Department. 
b. Such other forms as the chiefs of service may prescribe. 
c. The following listed local forms of the Letterman General Hospital, 
the use of which are prescribed by the Commanding Officer. 
(1) L.G.H. Form 8, (Record of and Request for Physiotherapy 
treatment). Made in duplicate by Ward Officer and both copies 
sent with clinical records to the Chief of the Physio-therapy 
Section. On completion of the case, the original will be 
returned to the ward and attached to the clinical record and 
duplicate returned with the records of the Physio-therapy 
Section. 
(2) L.G.H. Form 16, (Request for Dental Treatment). Prepared in 
duplicate by Ward Officer and sent with patient to Dental 
clinic. An appripriate check should be made on the form by the 
Ward Officer to indicate whether examination and report, 
treatment, etc., are desired. The original will be returned to 
the Ward Officer and will become a part of the patient’s clinical 
record and the duplicate filed with the records of the Dental 
Clinic. 
(3) L.G.H. Form 20 (Ward Transfer Slip). Single copy prepared 
by Ward Officer when he desires to transfer a patient from 
one ward to another. 
(4) L.G.H. Form 26 (Transfusion Record). This form is instituted 
by Ward Officer desiring the transfusion. 
(5) L.G.H. Form 57, (Examination of Ear, Nose and Throat case). 
This form is prepared by the Ward Officer in duplicate and sent 
with the patient to the Eye, Ear, Nose and Throat Clinic. The 
original of the completed report will be returned to the Ward 
Officer and will be attached to the clinical record of the patient. 
The duplicate will be filed with the records of the clinic. 
85 PATIENTS 
report will be returned to the Ward Officer and will be attached 
to the clinical record of the patient. The duplicate will be 
filed with the records of the clinic. 
/6) L.G.H. Form 59, (Report of Eye Examination). Same instructions 
for this form as for L.G.H. Form 57. 
(7) L. G. H. Form 63, (Consultation Repuest). This form 
will be prepared by the Officer desiring the consultation 
and will be sent by him, accompanied by the clinical records, 
to the Chief of Service having charge of the patient. If the 
consultation request is an inter-service one, the Chief of Service 
having jurisdiction over the patient will forward the request, 
if approved by him, to the Chief of Service from which the 
consultant is desired. The latter Chief of Service will take 
appropriate action, designate the consultant, time, date and 
place of consultation, and send the request to the officer desig- 
nated to act as consultant. The consultant will communicate 
with the Ward Officer having charge of the case and inform 
him of the time and place of consultation. Upon completion 
of the consultation the consultant will enter his opinion on the 
form. The same procedure will be followed in intra-service 
consultations except that the space for reference from the chief 
of one service to the other will not be filled out. The completed 
consultation request will be attached to the Clinical Record. 
Progress sheets will not be used for this purpose. 
(8) L. G. H. Form 80, (Disability Recommendations). —This 
form will be prepared by the Ward Officer for patients 
whom he wishes to recommend for discharge on Certificate of 
Disability. This form, accompanied by the clinical records, 
will then be sent to the chief his service for approval. If ap- 
proved by him, the papers will be forwarded to the Registrar foi 
transmittal to the Disability Board. The following special re- 
quirements will be adhered to by the Ward Officer preparing this 
form: 
(a) Diagnosis will be made in accordance with AR 40-1035. 
(b) Manifestations will be stated separately for each diagnosis. 
(c) Statements will be made showing how the disability or dis- 
abilities disqualify. 
(d) A statement will be made showing wdiether maximum hos- 
pital improvement has been attained. 
(e) A statement will be made showing whether operation or treat- 
ment was declined by the patient for relief of his dis- 
ability. 
(f) The line of duty will be specified. If “No” give reasons. In 
cases of veneral disease, if line of duty is given as “Yes”, 
state reasons. If line of duty has been changed while in 
hospital, give definite reasons therefor. In all cases in- 
86 PATIENTS 
volving injuries received in the service, report of Board of 
Officers must accompany the form. If the disability is 
held as having existed prior to enlistment, a statement 
showing the reasons for this opinion will be made. If 
the line of duty does not agree with the expressed on 
transfer from another hospital, give reasons for the 
change. 
(g) Give cause or origin of disability if determined; if not, so 
state. 
(h) State degree of disability for each diagnosis, both civil and 
military. Express as to fraction. 
(i) State whether fraud is involved. If discharge under Section 
VI or Section VIII, AR 615-360 is contemplated, state 
whether considered mentally competent for discharge 
under the section. 
(j) State whether Recruiting Officer is blamable. 
(k) The form should be typed using front sheet only. It should 
be accompanied by Form 21, A-G.0., in all cases in which 
the disability existed prior to enlistment and should have 
been discovered by the examining medical officer noted 
on Form 21, A.G.O. The case should be thoroughly 
worked up before being presented to the Disability Board 
and sufficient clinical and laboratory data should be in- 
corporated on the form to substantiate the diagnosis and 
other findings. 
(9) L. G. H. Form No. 92, Special Examination (Electrocardiogram). 
—Request for electrocardiogram will be made in duplicate by 
the officer desiring the examination and sent to the officer in 
charge of electrocardiographic laboratory, who will notify the 
officer making the request of the time the patient is to report. 
After completing the examination the officer in charge of the 
electrocardiograph will complete the forms by appropriate en- 
tries in the spaces provided therefor and by affixing to the form 
in specified places the films of such leads as best demonstrate 
the condition. One completed form will be forwarded to the 
officer requesting the examination and the other retained in the 
files of the electrocardiographic laboratory. 
(10) L. G. H. Form No. 28 (Report of Pre-operative Examination).— 
A single copy of this form will be prepared by the Ward Officer 
for every patient who is to receive a general anesthesia, spinal 
anesthesia, or any other form of anesthesia which may precede 
a major operation. This completed form will be delivered to 
the anethetist with the patient. Upon completion of the opera- 
tion, the anesthetist will initial the form and attach it to the 
operation report (Form 55k, M.D.) for file with the clinical 
record. In case of emergency when there is not sufficient time 
to complete the form in every detail, the form will be completed 
87 PATIENTS 
as far as possible and delivered as prescribed above. In every 
instance where it is impossible to complete the form, a notation 
will be made on the blank as follows: “Urgent emergency pre- 
vents completion of entries hereon.” 
(11) L. G. H. Form No. 96, (Proctoscopic Examination). A single 
copy of this form will be prepared by the Ward Officer and for- 
warded to the Chief of the Gastrointestinal Section. The latter 
will cause the proctoscopic examination to be done and the blank 
to be completed. The officer making the examination will sign 
the form and return it to the Ward Officer who originated it, 
for file with the clinical record. 
(12) L. G. H. Form No. 97, (Record of Neurological Examination).— 
A single copy of this form will be prepared for every case given 
a neurological examination, signed by the examining officer, 
and filed with patient’s clinical record. 
243. Clinical Records.—a. The following instructions will govern the 
maintenance of clinical records in the various wards: 
(1) Clinical records when not in use will be kept locked in a suitable 
receptacle. These records or any of the component parts thereof 
will not be entrusted to patients for delivery from one depart- 
ment or ward to another. Under no circumstances will patients 
be allowed to peruse their clinical records or be made familiar 
with the contents thereof. 
(2) The component part of the clinical record will be arranged in the 
following order and held together with an Acco fastener; 
Brief, M.D. Form 55a. 
Family and Personal History, M.D. Form 55b. 
History and Present Disease, M.D. Form 55c. 
Subjective Symptoms, M.D. Form 55d. 
Objective Symptoms, M.D. Form 55e. 
Objective Symptoms, continued, M.D. Form 5Sf. 
Progress Notes, M.D. Form 5Sg, “Impression” (See par. 243 b 
(3) infra). 
Temperature, etc., M.D. Form 55h. 
Treatment Notes, M.D. Form 55j. 
Consultation Report, L.G.H. Form 63. 
Operation Report, M.D. Form 55k. 
Transfusion Record, L.G.H. Form 26. 
Radiographic Report, M.D. Form 55-1. 
Report of Eye Examination, L.G.H. Form 59. 
Report of Ear, Nose and Throat examination, L.G.H. Form 
57. 
Report of Dental examination, L.G.H. Form 16. 
Report of Physiotherapy treatment, L.G.H. Form 8. 
Report of urine examination, M.D. Form 55m. 
88 PATIENTS 
Report of feces examination, M.D. Form 55n. 
Report of sputum examination, M.D. Form 550. 
Report of blood examination, M.D. Form 55p. 
Wassermann Test, M.D. Form 55q. 
Gonococcus Fixation Test, M.D. Form 55r. 
Typhoid Report, M.D. Form 555. 
Report of stomach contents, M.D. Form 55t. 
Miscellaneous laboratory reports, M.D. Form 55u. 
Pathological examination of tissue, M.D. Form 55w. 
Other records and reports not specified above, in chronological sequence. 
Ward Transfer slips, L.G.H. Form 20, will be placed immediately after the 
progress note which refers to the transfer. 
(3) In case there are several reports covering the same subject, e.g., 
sputum reports, radiographic reports, temperature charts, etc., 
they will be arranged in chronological order, with the most 
recent report nearest the back of the record. 
Current progress notes, temperature charts and treatment 
charts may be kept in the back of the record or on separate files 
until the sheet is filled when they will be placed in proper order 
in the record. 
(4) Forms 55a to 5Sh, and Form 55j, will be used in every clinical 
record. The other forms specified above will be used only when 
required. 
b. The following instructions will govern the preparation of the compo- 
nent parts of the clinical record: 
(1) Brief, M.D. Form 55a. This will show in every case the signature 
or initials of the admitting officer. Upon completion of the case, 
Ward Officers will see that full and correct notes are made under 
the heading, “Disposition” and “Final Diagnosis.” Duration of 
leave or furlough should always be stated, including data of de- 
parture. When beneficiaries of the Veterans’ Administration 
leave the hospital, this record will show whether patient left 
“Against Medical Advice,” absent with or without leave, by ac- 
tion of a Disciplinary Board, by transfer, for home treatment, 
or for attainment of maximum hospital improvement. Final 
diagnosis will be complete in that it shows all of the diagnoses 
and complications existing on completion of the case. Diagnoses 
must conform to the nomenclature of diseases as published in 
AR 40-1035. No entries should be made on Form 55a under 
“Final Diagnoses” until the completion of the case. 
(2) Forms 55b, c, d, e, and f, will be prepared by the officer who ex- 
amines the patient and each form will be initialed by him. The 
initials on Form Ssf will be placed above the heading “Diagnosis 
of Ward Surgeon,” leaving this space available for future entry. 
(3) Immediately upon completion of the examination of the patient 
and the preparation of the above mentioned components of the 
clinical record, the officer making the examination will enter 
89 PATIENTS 
upon a progress sheet, Form 55g, under the heading “Impres- 
sion” his impression as to the diagnosis of the case based on a 
study of the medical history and clinical findings, and also a 
statement as to future studies or laboratory examinations neces- 
sary to establish the diagnosis. This progress sheet will be filed 
immediately after Form 55f. The “impression” constitutes an 
important part of the clinical record and if made by an assistant 
ward officer or intern will be carefully scrutinized by the Ward 
Officer who will discuss it with his assistant, point out to him 
errors, omissions, etc., and then make a written entry on the 
same form embodying the corrective action that he has taken. 
(4) In cases of officers, warrant officers, and soldiers admitted with a 
diagnosis of alcoholism or injury, a definite statement will be 
made on Form 55e under “Condition on Admission” as to the 
state or sobriety of the patient at the time of admission to the 
ward. 
(5) Progress notes, M. D. Form 55g will be made at intervals of at 
least ten days, or as frequently as may be indicated. A progress 
note will also be made immediately prior to the disposition of 
the case; that is, duty, discharge from hospital, leave, and also 
when consultation or transfer to another ward is requested, etc. 
All progress notes will be signed or initialed by the officer pre- 
paring them. The progress notes at ten day intervals will cover 
generally the following points: Ward and date, feeling of well 
being, physical complaint of patient, maximum and minimum 
temperature, pulse and respiration, complications, intercurrent 
diseases, and changes in or additional diagnoses, reference to any 
important laboratory findings, treatment by specialists, or 
presence or absence of venereal disease as shown by examina- 
tion accomplished at time entry is made, and any other infor- 
mation that may have bearing on the case. 
The following special notations will be made on 55g when 
applicable: 
(a) In all cases where the line of duty is changed, the date of 
change and the reasons therefor in full will be specified. 
(b) In all cases of venereal disease in which the line of duty is 
as “Yes” the reasons therefor will be set forth in detail. 
(c) In other cases, not on their face due to misconduct, in which 
the line of duty is given as “No”, the reasons therefor 
will be given. 
(d) In all cases in which any operative procedure, dental work, 
or other special treatment is recommended but not carried 
out, a notation will be made showdng the reason why the 
treatment was not instituted. 
In addition, notation will be made whenever a patient is transferred from 
one ward to another. The Ward Officer making the transfer will note the 
ward to which transferred and date and cause therefor. The Ward Officer 
receiving the patient will note the ward from which received, the date, and 
90 PATIENTS 
general condition of patient. The clinical record is to be completed and 
properly arranged before it leaves the ward. 
(6) Temperature charts, M.D. Form 5Sh and Treatment Notes, 
M. D. Form 55j will be dated to show month, day, and year. 
The year may be indicated at top of chart. If the patient is not 
present when record is taken the reason will be noted; that is, 
pass, absent without leave, etc. 
(7) Operation Report, M.D. Form 55k, will bear the signature or 
initials of the operator or that of the head of the service 
concerned. 
244. Disposition of Clinical Records on Discharge of Patients From Hos- 
pital.—Clinical records will be forwarded to the Registrar through channels as 
indicated in Par. 202. The clinical record of any patient who has been absent 
without authority for twenty-four hours will be closed by the Ward Officer with 
an appropriate entry under “disposition” including date—and forwarded to the 
Registrar through the Chief of Service concerned. 
245. Procedure Upon Receipt of Clinical Records by Registrar.—Upon 
the receipt of a completed clinical record of a case, the component parts 
thereof will be examined by the Registrar to see that the are properly prepared, 
assembled, and fastened together with an Acco fastener, after which comparison 
will be made with the sick and wounded records of the case and any discrepancy 
adjusted. The clinical record will then be filed in proper numerical sequence. NON-PAY STATUS OF PATIENTS 
246. Method of Determining Non-Pay Status.—a. Every person in the 
active military service absent from duty on account of disease—as distinguished 
from injury—resulting from intemperate use of drugs or alcoholic liquor, or 
other misconduct, does not receive pay for the period of such absence in excess 
of twenty-four hours, whether or not the disease was contracted prior to or 
after the enlistment. Except in cases of venereal disease where symptoms 
justify absence from duties subsequent to more than one year after the date of 
the initial symptoms, or primary lesion, such illness frequently is due to other 
factors than the primary cause or remote sequella of veneral disease and are not 
regarded as within the purview of AR 35-1440. 
b. When a patient is admitted to the hospital for two or more disabilities 
one of which comes within the purview of A.R. 35-1440, the major disability 
will determine his pay status. In such cases if the need for hospitalization 
for the major disability ceases and the patient remains in the hospital for 
treatment of the lesser condition, the date of the cessation of treatment for 
the major condition will be date of a change in pay status of the patients, 
and will be so reported by the Ward Officer. Venereal disease contracted 
while sick in hospital does not place a patient on a non-pay status until such 
time as the original cause of his admission to hospital has reached the stage 
-where hospitalization is no longer required for the cause of admission, when 
the patient goes on a non-pay status for further hospitalization as required 
for the disease which places him on a non-pay status. 
247. Procedure When a Military Patient Is Placed on a Non-Pay Status.— 
When it has been determined that a military patient is suffering from disease 
resulting from misconduct within the purview of A.R. 35-1440, and in accord- 
ance with Paragraph 246 above, the Ward Officer will immediately notify the 
patient and advise him that he is contemplating placing him on a non-pay 
status. The patient will be informed that if he objects to such status, he may 
present his objections, and furnish therewith any evidence or facts which he 
may desire to have considered. In the event objections are presented, they 
will be forwarded, together with all medical papers in the case, through the 
Chief of the Service, and the Commanding Officer Detachment of Patients 
to the Commanding Officer, for final decision. Should objections be presented 
and forwarded, as prescribed herein, the patient will, nevertheless be placed 
on a non-pay status and reported to the Registrar, in the same manner as in- 
dicated in Paragraph 248 (a), below, pending final decision in the case. Patients 
placed on a non-pay status will acknowledge notification of such fact in a 
signed statement on the Progress Sheet of their clinical record in the following 
form: 
“I have been notified that under the provisions of AR 35-1440, 
I am being placed on a non-pay status. 
(Sgd.) John Doe (R-46217), 
Private, Co. “C”, 20th Inf.” 
248. Reports Rendered in Conection with Non-Pay Status of Military Pa- 
tients. a. By Ward Officers.—When a military patient is placed on a non-pay 
status, the Ward Officer will immediately furnish the Registrar, on Form 10, 
L.G.H., a signed report of the diagnosis, a statement that the disease is not in 
line of duty, AR 35-1440 applies, and the date the stoppage of pay became ef- 
92 NON-PAY STATUS OF PATIENTS 
fective. The Ward Officer will also make immediate report to the Registrar on 
Form 10, L.G.H., should the non-pay status of a military patient terminate, with 
the date, and whether or not the patient requires further hospitalization for a 
condition not involving pay stoppage. 
b. By the Registrar.—Upon receipt of either of the reports referred to in 
the preceding sub-paragraph and when the patient is returned to duty, the Reg- 
istrar will (except when the military records of the patient are on file locally) 
dispatch formal notification by letter to the patient’s proper commanding officer 
and surgeon, with the request that they acknowledge receipt of such notification 
by indorsement. In cases where the military records of the patient are on file 
locally, a signed notification, as indicated above, will be furnished the detach- 
ment commander concerned, by the Registrar. 
249. Procedure Upon Disagreement with Findings of Hospital from which 
Military Patients Transferred.—Should the Ward Officer have reason to doubt 
the justice of the findings determined at the post from which a patient is trans- 
ferred in a case where a patient has been received by formal transfer, he will 
forward a report of his findings and recommendation to the Commanding Of- 
ficer, through the Commanding Officer, Detachment of Patients. The Com- 
manding Officer, upon receipt of such communication, will convene a Board of 
three medical officers, as prescribed in paragraph 3 (b), AR 345-415, to investi- 
gate such facts as may be brought to notice. The findings of such Board, after 
approval bj' the Commanding Officer, shall be final in the case. 
250. Fraudulent Enlistment.—Patients which, in the opinion of the Ward 
Officer, will eventually come under the provisions of Section VI, AR 615-360 
(fraudulent enlistment), will be immediately reported to the Commanding Offi- 
cer, Detachment of Patients, for the purpose of suspending payments and credits 
until such time as their cases have been definitely determined. 
93 PATIENTS’ DIETS 
251. Classes of Diets.—The diets at this hospital will be as follows: Regu- 
lar, Light, Soft Liquid and Special. A daily menu of the first four will be pre- 
pared by the Mess Officer, who will send a copy to each ward one day in ad- 
vance. Special diets constitute such articles as maj' be ordered by the ward 
officer. They should be ordered only when regular diets will not meet the par- 
ticular requirements of a case. 
252. Procedure In Ordering Diets.—Ward Officers will order on the treat- 
ment sheet, under the heading “Remarks”, such diets as may be needed as 
Regular, Light, Soft, Liquid or Special Diets, designating in the latter case, the 
articles desired. Care will be taken that these adhere in so far as practicable 
to the Letterman Diet Manual. A Diet Slip, signed by the ward officer, con- 
solidating all diets, will be sent to the Mess Officer before 8:00 AM, daily. In 
the case of patients on liquid or semi-solid diets, the hour and amount taken 
will be recorded under the heading “Nourishment.” 
253. Supervision of Ward Officers Over Serving of Diets.—Ward Officers 
will inspect the food sent from the kitchen to the ward as to its condition, qual- 
ity, and quantity, and will see that it is properly served. They will take the 
necessary steps to insure that the food is brought from the kitchen to the wards 
at the prescribed hours, using the food-carts provided for that purpose, will 
see that such food is consumed by patients only, and will see that food-cards and 
containers are properly cleaned before being returned to the mess. 
254. Economy to be Exercised in Ordering Diets.—To prevent the Hos- 
pital Mess from incurring any unnecessary indebtedness, ward officers should 
regulate and order the diets for their respective wards to the end that the ra- 
tion allowance prescribed in Army Regulations is not exceeded except when 
absolutely necessary. In these cases they will confer with the Mess Officer, who 
will provide the diet required. 
94 CLOTHING, BAGGAGE AND LAUNDRY OF PATIENTS 
255. Disposition of Patients’ Clothing and Effects on Admission.—When 
patients are admitted to this hospital all clothing and hand baggage in their 
possession will be immediately delivered to the proper ward by a responsible 
attendant from the Receiving and Evacuation Office. All clothing and equip- 
ment of patients, including the articles comprising hand baggage, except as pro- 
vided below, will be inventoried by the head nurse, or ward master (in wards 
where members of the Army Nurse Corps are not on duty), who will carefully 
list same in duplicate on the required local form. Specific description will be 
noted in the cases of unusual items to permit of ready identification in future. 
If the condition of the patient does not preclude, he will be required to sign both 
copies of the inventory acknowledging its correctness. If unable to do so, ap- 
propriate notation will be made thereon by the person making the inventory. 
Except in cases of patients admitted to the Isolation Ward, both copies, together 
with the effects, will be sent immediately to the Patients’ Baggage Room unless 
the admission has occurred during the hours it is closed. In this case the head 
nurse or ward master will personally lock the effects in the ward storeroom until 
such time as delivery may be made. 
Under no circumstances will clothing or property of patients be kept in the 
ward linen closets. 
The noncommissioned officer in charge of the Patients’ Baggage Room will 
file the original inventory list and stamp receipt on the duplicate which will be 
returned to the ward, where it will be retained for the patient. The clothing 
of patients admitted to Isolation Ward, after being inventoried and listed, will 
be properly disinfected and immediately thereafter sent to the Patients’ Bag- 
gage Room. 
256. Baggage of Patients Admitted from Trains or Boats.—Patients ad- 
mitted from trains or boats will be asked by the admitting officer whether or not 
they have any baggage other than that which accompanies them at the time of 
admission. If so, they will be requested to deliver the baggage checks therefor, 
to the admitting officer after which a record showing the check numbers and 
full name, rank and organization of patient will be made in a book kept for the 
purpose. The patient, upon turning over the checks, will be given a receipt 
therefor. The admitting officer will be held responsible for the prompt de- 
livery of these baggage checks to the noncommissioned officer in charge of the 
Patients’ Baggage Room who will receipt for them in the book mentioned 
above. 
257. Retention of Clothing and Property by Patients.—Except as noted 
hereafter, no articles of personal clothing or property will be retained by pa- 
tients, other than officers and women, during their stay in hospital. Patients 
will be required to turn in to the Patients’ Baggage Room any such articles 
found in their possession by of the personnel on duty in the ward. Patients 
whose physical and mental condition permits them to leave the Ward may be 
granted permission by the ward surgeon to retain the following articles: 
1 pair shoes 
1 hat or cap 
2 pairs of socks 
2 suits of underclothing 
1 bath robe 
95 CLOTHING, BAGGAGE AND LAUNDRY OF PATIENTS 
Patients will be informed when such permission is granted that these ar- 
ticles are for their personal comfort and they will be responsible for any subse- 
quent loss of same. 
258. Wearing of Hospital Clothing when Present in Hospital.—Patients 
other than officers and women will wear hospital clothing issued them on ad- 
mission. While wearing such clothing they are forbidden to leave the limits 
of the hospital grounds, and to loiter in the area north or south of the main 
hospital buildings. 
259. Inspection of Clothing Worn by Patients Departing from Hospital.— 
The clothing worn by patients at the time of final departure from hospital and 
when leaving on furlough will be inspected by the Receiving and Evacuation 
Officer to insure that none leaves in improper uniform. No patient departing 
from hospital will be permitted to take with him any hospital clothing or un- 
authorized property of any nature. Patients going on pass will check in and 
out of the Patients’ Baggage Room and will be inspected by the noncommis- 
sioned officer in charge to insure that they are properly clothed. 
260. Withdrawal of Effects from Patients’ Baggage Room.—a. Clothing 
for patients may be withdrawn from the Patients’ Baggage Room from 8:00 AM 
until 4:00 PM. Patients will be permitted to have access to suitcases and other 
baggage on such days and at such hours as may be specified by the officer in 
charge of the Patients’ Baggage Room. 
b. Clothing of patients departing on pass or furlough and return therefrom. 
—The clothing of patients departing on pass or furlough may be withdrawn 
by the patient on presentation of the approved pass or furlough. Upon the re- 
turn of patients from such absence, the attendant on duty in the Patients’ Bag- 
gage Room in the Receiving and Evacuation Office will immediately take charge 
of the clothing and see that it is deposited in the Patients’ Clothing Room. 
c. Clothing of Patients on discharge from hospital.—The clothing of pa- 
tients on final discharge from hospital may be withdrawn by the patient on 
presentation of approved request. 
d. Clothing and Baggage of deceased patients.—Upon the death of a pa- 
tient all personal effects of deceased which are in the ward will be listed in 
duplicate by the Ward Surgeon, or in his absence by the Officer of the Day, and 
immediately sent to the Commanding Officer, Detachment of Patients, for fur- 
ther disposition. Clothing and baggage of deceased patients will be delivered 
from the Patients’ Baggage Room only on the written order of the Commanding 
Officer, Detachment of Patients. 
e. Clothing of patients withdrawn for purposes other than indicated above. 
Clothing of patients may be withdrawn for purposes other than indicated 
above, only on presentation of request approved by the ward officer and Com- 
manding Officer, Detachment of Patients. 
261. Patients’ Baggage Room.—The Patients’ Baggage Room functions 
under the immediate jurisdiction of the Commanding Officer, Detachment of 
Patients, who is responsible for the safeguarding, proper storage, disposition, 
and necessary records of all effects which are delivered thereto. 
262. Checking of Baggage Room Records.—The departure sheet furnished 
the Patients’ Baggage Room will be checked daily by the noncommissioned 
officer in charge thereof to ascertain if any patient has departed leaving his 
96 CLOTHING, BAGGAGE AND LAUNDRY OF PATIENTS 
baggage behind. When baggage of this nature is found, report will be imme- 
diately furnished the Commanding Officer, Detachment of Patients, for his ap- 
propriate action. 
263. Care of Government Property by Patients.—Patients are required to 
take extreme care in preserving the articles of hospital clothing and other 
property issued to them. They are forbidden to sell, barter, exchange, pledge, 
loan, or give away to any person, any article of Government clothing or equip- 
ment furnished them. 
264. Laundry of Enlisted Patients.—Soiled clothing of enlisted patients in 
this hospital will be laundered gratuitously, as authorized by the Surgeon Gen- 
eral on Form 21, Medical Department. Patients will not be permitted to de- 
liver or call for their laundry under any circumstances whatsoever, nor will they 
be permitted to wash their own clothing. PATIENTS—SERIOUSLY ILL 
265. Rendition of Report in a Seriously 111 Case by Ward Officer.—ln 
every case when recovery from illness or operation is not expected or is con- 
sidered doubtful, the Ward Officer in charge of the case will enter the patient’s 
name on the list of seriously ill (Form 22, L.G.H.), as prescribed in Paragraph 
269 c below, and then prepare and sign a “Report of a Seriously 111 Case” (Form 
12, L.G.PL), the data thereon to be complete in every detail, as indicated on the 
form. Particular attention will be given to that portion of the form wffiich has 
reference to the name, relationship, and address of the person to be notified in 
case of emergency. Upon accomplishment of the form, it will be transmitted im- 
mediately to the Officer of the Day for the action indicated in Paragraph 266 
below. When the person to be notified in case of emergency or nearest relative 
of a seriously ill patient arrives on the ward, the local address and telephone 
number will be secured and immediately transmitted to the Officer of the Day 
with information as to the name of the patient concerned. Upon receipt of this 
report, the Officer of the Day will enter the information on the list of seriously 
ill maintained in his office after which he will immediately deliver it to the 
Registrar. As soon as possible after a patent’s name is placed on the seriously 
ill list, the Ward Officer will make an attempt to induce him to turn over his 
money and valuables for safekeeping to his relatives, if they be present, or to 
the Registrar. Tact will be used in handling this matter so as not to unduly 
alarm the patient. In the event that the patient declines to turn over his money 
and valuables to relatives or to the Registrar, the Ward Officer will make it 
clear to him and to his relatives that the hospital will not assume responsibility 
for an}' loss sustained. If the patient be semi-coraatose or unconscious, the 
Ward Officer will collect money and valuables in possession of the patient and 
turn them in to the Registrar for safekeeping. In the absence of the Ward 
Officer the above procedure will be carried out by the Officer of the Day or 
any other medical officer who may be called in attendance. 
266. Action by Officer of the Day Upon Receipt of a Report of a Seriously 
111 Case.—Upon receipt of a report of a seriously ill case, the Officer of the Day 
will enter the patient’s name on the list of seriously ill maintained in his office, 
after which he will immediately deliver it to the Registrar for the action indi- 
cated below. He will then advise the nearest available Chaplain of the patient’s 
condition. In the event the Officer of the Day receives the report of a seriously 
ill case at a time other than the regular office hours of the hospital, he will take 
such steps towards notifying the relatives or friends and placing the patient’s 
name on the seriously ill list in the Information Office as are prescribed for the 
Registrar below. 
267. Action by Registrar Upon Receipt of Report of a Seriously 111 Case.— 
Upon receipt of a report of a seriously ill case, the Registrar will immediately 
place the patient s name on the list of seriously ill cases maintained in his office, 
notify the Information Office and see that the patient’s name is placed on the 
list oi seriously ill maintained in that office. He will then take such action to- 
ward notify the relatives or friends as may be indicated, after which the form, 
accompanied by a copy of the telegram or letter of notification, will be retained 
in a live file until final disposition of the case has been made. In the event of 
a patient s death, the form will be appended to the death records of the case. 
98 PATIENTS—SERIOUSLY ILL 
268. Procedure When Seriously 111 Condition of Patient Ceases.—When a 
patient who has been reported seriously ill is considered out of danger, the Ward 
Officer in charge of the case will remove his name from the list of seriously ill 
maintained in the ward office and will then prepare and sign a “Report of Re- 
moval from Seriously 111 List” (Form 118, L.G.H.) and forward the report to 
the Officer of the Day. Upon receipt of this report the Officer of the Day will 
immediately remove the name of the patient from the list of seriously ill main- 
tained in his office and forward the report to the Registrar. Upon receipt of the 
form, the Registrar will immediately remove the name of the patient from the 
seriously ill list maintained in his office, take the necessary steps to see that the 
name is removed from the list maintained in the Information Office, and take 
such action towards notifying the relatives or friends of the patient as may 
be indicated. 
269. Lists of Seriously ill; Where Maintained.—a. A list ot seriously h! 
will be maintained in the following offices: 
Office of the Officer of the Day 
Registrar’s Office 
Information Office 
Each Ward Office 
b. The lists maintained in the office of the Officer of the Day, Registrar’s 
Office, and Information Office will carry the name of all patients who have been 
reported seriously ill until such time as “Report of Removal from Seriously 111 
List” is received. 
c. Ward Officers will keep a list of all patients in their wards who have 
been reported seriously ill in conformity with Paragraph 265, above. The list 
will be prepared on Form 22, L.G.H., and will be conspicuously displayed at all 
times on the nurse’s desk and checked daily by the Ward Officer to see that it 
is kept up to date and that the names of those patients who are no longer seri- 
ously ill have been removed from the list and that they have been reported as 
prescribed in Paragraph 268, above. 
270. Procedure When a Seriously 111 Patient Is Transferred to Another 
Ward.—When a patient carried on the seriously ill list is transferred to another 
ward, the transferring officer will remove his name from the list maintained in 
his ward and make the following notation in a conspicuous place on the face of 
the Ward Transfer Card, Form 20, L.G.H., which accompanies the patient: 
“Patient on seriously ill list.” The Ward Officer of the ward to which the pa- 
tient is transferred will place the patient’s name on the seriously ill list of that 
ward as soon as possible after the transfer is completed. 
99 VISITORS AND VISITING HOURS 
271. Visiting Hours, General.—Visiting hours in this hospital will be from 
2:00 PM to 4 PM and from 6:30 PM to 8:00 PM daily except as noted below: 
272. Visiting Hours, Emergency.—Visitors may be permitted to see pa- 
tients at this hospital other than during the hours indicated above when it seems 
inadvisable to postpone the visit until the next general visiting hours; for ex- 
ample, to see seriously ill patients, or when visitors from distant places come 
to see patients, or for any other good reason. In such cases, permission will first 
be obtained from the Adjutant or, in his absence, the Officer of the Day. Passes 
of this nature will state clearly the name of the visitor, and if the visitor is ac- 
companied by other persons, number of other persons in the group will be stated 
also. 
273. Visiting Hours, Officers’, Women’s, and Obstetrical Wards.—Visiting 
in the Officers’ Ward, the Women’s Ward, and the Obstetrical Ward will ordi- 
narily be limited to the regular hospital visiting hours. Except in cases of seri- 
ous illness or under other circumstances of a very exceptional nature, no visiting 
will be permitted on these wards before 10:00 AM or after 8:00 PM. Visitors 
will not be permitted to enter these wards at other than regular visiting hours 
without a pass signed by the Ward Officer, the Adjutant, or the Officer of the 
Day. The ward officer of these wards is authorized to issue passes to members 
of the patient’s immediate family for periods not to exceed ten days at any 
one time. Except in cases of serious illness or under exceptional circumstances, 
children under 15 years of age will not be permitted to visit any patient in the 
obstetrical ward. 
274. Visitors to Venereal Wards.—Patients in the venereal wards will not 
be permitted to receive visitors in the wards. 
275. Visitors to Closed Mental Wards (Ward S-l).—Visitors will be per- 
mitted to see patients in the closed mental wards of this hospital if permission 
is granted by the chief of the Neuropsychiatric Section or the Ward Officer. 
In the absence of the above officers, this permission may be granted the 
Officer of the Day after the latter has ascertained that the condidion of the pat- 
ient is such as to permit visitors. Ordinarily only relatives or close friends will 
be permitted to visit patients in closed mental wards and only in exceptional 
cases will visitors be permitted to see mental patients except during regular 
visiting hours. 
276. Visitors to Prison Wards.—Passes to visit patients in the Prison Ward 
will be limited to near relatives and persons having necessary business with pa- 
tients therein. Such passes will be obtained from the Adjutant or, in his absence, 
the Officer of the Day, who will first assure himself of the relationship or busi- 
ness necessity for such visit. Visitors unable to furnish the required proof of 
their identit}' will be denied passes. During the stay of visitors in the Prison 
Ward, an attendant will be present constantly and will notify visitors that the 
time limit for visits is fifteen minutes. He will prevent the passage of any pack- 
age or bundle between patient and visitor and, if necessary, will confiscate such 
package and turn it over to the Ward Officer. 
277. Visitors to Isolation Wards.—Ward Officers of Isolation Wards will 
require to be kept on the nurse’s desk a list showing the names of those patients 
who may have visitors and, in each instance, the length of the visit wEich will be 
permitted. No visitors will be admitted to these wards without a written pass 
100 VISITORS AND VISITING HOURS 
signed by the Adjutant or the Officer of the Day specifying the date and hour 
and designating the visitor by name. No such passes will be issued unless the 
patient’s name appears on the list referred to above except upon specific au- 
thority of the Ward Officer or Chief of Service. Except under exceptional cir- 
cumstances passes to Isolation Wards will be limited to near relatives or per 
sons with urgent business who may be permitted to see such patients as arc 
considered by the Ward Officer to be physically able to have visitors and when 
the character of the disease is such that quarantine of the visitor will not be re- 
quired. This does not include children who under no circumstances will be per- 
mitted to visit patients. Visitors to these wards will be required to conform 
to such precautionary measures as may be required of them by the Ward Officer. 
278. Disposition of Special Visitors’ Passes.—The nurse in charge of each 
ward will collect special visitors’ passes from all visitors upon their entering the 
ward, at which time she will assure herself that they have been issued by the 
proper authority. These passes will be destroyed immediately upon the depar- 
ture of the visitor. 
279. Excluded Persons.—Solicitors, peddlers, or persons suspected of 
carrying liquor or narcotics to patients or personnel on duty in this hospital will 
be denied admission. Nurses, wardmasters and attendants on duty in wards are 
enjoined to be constant!}' on the alert to prevent the admission of such per- 
sons. Should such persons be noticed or should a visitor’s conduct in any way 
be open to question, it will be reported Immediately to either the Ward Officer, 
his assistant, or the Officer of the Day. 
280. Miscellaneous.—Nurses, wardmasters and attendants on duty in wards 
are charged with notifying visitors in their wards when visiting hours are termin- 
ated for the day. They will courteously request them to leave, explaining the 
necessity for such departure if necessary. The Officer of the Day will cause 
the hospital, porches, and grounds to be vacated by visitors at the close of regu- 
visiting hours daily and will see that all visitors, other than those having spe- 
cial authority to remain, have left the wards and all other parts of the hospital 
at that hour. 
101 TRANSFER OF PATIENTS WITHIN THE HOSPITAL 
281. Ward Transfer Slip; When Instituted; by Whom.—Should aWard 
Officer deem advisable the transfer of a patient from his ward to some other 
ward, he will cause a Ward Transfer Slip (Form 20, L.G.H.) to be prepared in 
his ward and forwarded to the Chief of Service for approval. The name of the 
patient will be printed or typed on all Ward "Transfer Slips. 
282. Procedure on Transfer Within Service.—lf no inter-service transfer 
is involved, the approval of the Chief of Service to whom the Transfer Slip is 
submitted will be sufficient authority for the change. 
283. Procedure on Inter-Service Transfer.—If a change of Service is in- 
volved when a patient is transferred, the Transfer Slip will be forwarded, after 
approval of the Chief of Service under whose jurisdiction the patient is being 
treated, to the Chief of the new Service for approval. After approval by the 
latter, the slip will be returned to the Ward Officr, and the transfer accom- 
plished. 
284. Procedure on Transfer to and from Detention Ward.—Should a 
transfer to the detention ward be deemed advisable or necessary for the restraint 
of a patient, the above procedure will be discharged and the Ward Officer, or 
other officers having knowledge of the circumstances, will report the facts to 
the Officer of the Day. If in his opinion it be necessary, the latter will direct the 
transfer and note his action on the Officer of the Day’s Report. In emergency 
any officer may direct the transfer of a patient to the detention ward, reporting 
his action to the Officer of the Day upon its accomplishment. Transfers or re- 
leases from the detention ward will be accomplished only upon receipt of writ- 
ten instructions, signed by the Adjutant. 
285. Disposition of Transfer Slip After Approval of Chief of Service.— 
After approval of the Chief of Service the transfer slip and the complete clinical 
record of the case will be sent, in charge of an enlisted attendant, with the pa- 
tient to the new ward and delivered to the nurse, or, in her absence, the attendant 
on duty. The nurse or attendant on duty in the ward to which the patient is be- 
ing transfered will note on the transfer slip the hour and date the patient was 
received and then return the slip to the attendant who brought the patient. This 
attendant will deliver the transfer slip immediately to the office of the Receiving 
and Evacuation Officer for the action indicated below. 
286. Disposition of Transfer Slip by Receiving and Evacuation Officer.— 
Upon receipt of a Ward Transfer Slip, the Receiving and Evacuation Officer 
will note the transfer in the “Daily Report of Ward Transfers, etc.”, for that 
day and return the Ward Transfer Slip to the new ward for file with the pa- 
tient’s clinical record. 
287. Transfer Between Wards Where a Change of Diagnosis is Involved.— 
If, upon cure of one condition, a patient is transferred to another ward for treat- 
ment for an additional ailment, the Ward Officer of the ward from which the 
patient is transferred will render a report of cure of the original condition, with 
the date, to the Registrar. The Ward Officer of the ward to which the patient 
is transferred will submit a report to the Registrar of subsequent diagnosis. 
102 TRANSFER OF PATIENTS WITHIN THE HOSPITAL 
288. Records to Be Completed Before Transfer; Procedure in Doubtful 
Cases.—Transfer between wards will not be made until the clinical history has 
been brought up to date and all laboratory reports associated with the diagnosis 
have been attached, unless the transfer is being made to correct an obvious 
errior by the Receiving and Evacuation Office in the patient’s ward assignment 
and then ony upon the approval of the Chiefs of Service concerned. In doubtful 
cases, transfer will not be made until after consultation. 
103 CONDUCT OF PATIENTS 
289. Policy Governing Conduct.—Upon admission to this hospital, patients 
are under the complete jurisdiction of the hospital for administrative and dis- 
ciplinary purposes. In all matters effecting duty, pay, clothing, passes or fur- 
loughs, or disciplinary action, they are under the control of the Commanding 
Officer, Detachment of Patients. In all matters affecting treatment, they are 
under the control of the ward officer and the Chief of Service. 
290. Compliance with Orders from Proper Authorities Required.—Strict 
compliance with all orders from ward officers, members of the Army Nurse 
Corps, wardmasters and all other persons to whom proper authority has been 
delegated is required. 
291. Absence from Wards and Hospital.—a. All patients will be present 
for morning rounds of the ward officer and at such other times as may be re- 
quired, unless excused. Patients will not leave the main hospital pavilion with- 
out permission of the ward officer or the nurse in charge of the ward, and will 
not leave the hospital reservation without a pass. 
b. Patients garbed in robes or convalescent suits are forbidden to leave 
the limits of the hospital grounds or to loiter in the folloydug areas: 
1. In front of the hospital. 
t2. The grounds in the vicinity of the Detachment Barracks. 
’3. Back of the road extending from the Garage to the Marina Gate. 
'4. The grounds in the vicinity of the Officers’, Nurses’, and Non- 
commissioned Officers’ Quarters. 
5. On the rear porches of wards. 
at this hospital. 
Patients will not visit the barracks of any of the Detachments on duty 
292. Quietness in Wards to Be Maintanied. Patients will at all times 
maintain quietness in wards. Boisterous, loud or obscene talking is forbidden. 
293. Lights Out in Wards—Lights in wards will be extinguished promptly 
at 9:00 PM and in ward recreation rooms at 10:00 PM. When ward lights are 
extinguished, absolute quietness is required. Patients returning from post en- 
tertainments or from pass will be quiet in entering the ward. 
294. Smoking in Wards.—Smoking in wards is prohibited except when 
especially authorized by the ward officer. This will apply equally to lavatories, 
diet kitchens or linen rooms but smoking will be permitted in recreation rooms. 
295. Gambling.—Patients are prohibited from gambling with each other 
or with hospital personnel in wards or any other part of the hospital. 
296. Use and Introduction of Liquors or Habit-Forming Drugs.—The use 
or introduction, or possession of beer, wine, or alcoholic liquors, or habit- 
forming drugs without proper specific authority is prohibited. 
297. Financial Dealings with Hospital Personnel.—Patients will not have 
financial dealings with nurses, enlisted men or civilian employees on duty at this 
hospital. 
298. Conduct at Meals.—Patients authorized to eat in the General Mess 
will not congregate about the doors of the Mess Hall earlier than five minutes 
before the specified meal hours. They will be quiet and orderly at all times 
during the serving of meals, and upon finishing will leave the Mess Hall and 
vicinity immediately. Meal hours for patients subsisted from the hospital Mess 
will be as prescribed from time to time. 
104 CONDUCT OF PATIENTS 
299. Wearing of Hospital Clothing.—a. Patients other than officers and 
women will wear hospital clothing while in hospital except that convalescents 
may wear such underwear, shoes, and socks as they were permitted to retain 
upon their admission. 
b. Patients are forbidden to wear any article of hospital clothing, such as 
pajamas, convalescent suits, etc., in place of underwear or otherwise, while on 
pass. 
c. With the exception of the articles listed in Par. 257, patients other than 
officers and women are forbidden to retain any articles of personal clothing dur- 
ing their stay in hospital. Clothing to be worn on pass will be obtained from 
Baggage Room, and upon return from pass will be returned immediately to the 
Baggage Room, except that patients returning from pass during hours when 
the Baggage Room is closed will have their clothing locked in the ward store- 
room by the nurse in charge or wardmaster for delivery to the Baggage Room 
the next morning. 
300. Throwing of Trash on Walks or Porches, Etc., Prohibited.—Cigarette 
butts, burnt matches, old paper and other trash will not be thrown on porches, 
walks or other parts of the hospital. Trash containers have been provided in 
all parts of the hospital and will be used for their intended purpose at all times. 
301. Convalescent Patients Available for Light Duty at All Times.—Con- 
valescent patients, except those admitted via the United States Veterans’ Ad- 
ministration, may be employed for light police duty in and about the hospital 
when such duty will prove of therapeutic value and they may be assigned to 
such by ward officers or other competent authority,- 
302. Conduct of Patients in Isolation Wards.—Upon admission to isola- 
tion wards of this hospital, patients will be assigned to the proper room by the 
ward officer and thereafter will remain in the room or, when permitted, on the 
porch immediately in front of it. Ward officers in charge of isolation wards 
will personally instruct each patient, on admission, to this effect. 
303. Complaints.—Patients having complaints will be granted a hearing by 
the ward officer, who will institute such action as he may consider appropriate 
or refer the matter to the appropriate authority. 
304. Enforcement of These Regulations.—All officers, nurses, noncom- 
missioned officers, wardmasters and other personnel having jurisdiction over 
patients in hospital will be held strictly accountable for the enforcement of these 
regulations. 
305. Regulations to Be Made Known to Patients.—A copy of these regu- 
lations will be placed on all ward bulletin boards or other conspicuous place in 
each ward and all patients upon admission to a ward will be instructed to read 
them so that they may be fully informed in regard to their provision. 
105 DISABILITY DISCHARGES 
306. Supervision Over Clerical Work in Connection With Disability Dis- 
charges.—The Registrar will be charged with the preparation of all papers in 
connection with disability discharges and will be responsible that the facts re- 
corded therein are correct. 
307. Data to Be Obtained in Connection with Disability Cases.—ln cases 
where it is probable that tke disability existed prior to enlistment and where 
additional information is requisite for proper action of a disability board, the 
ward surgeon will advise the Registrar by informal memorandum. The latter, 
upon receipt of such memorandum, will prepare a letter to the War Depart- 
ment, stating the disability and requesting that any pertinent data noted on the 
record of physical examination at enlistment be furnished for use by the board. 
Where it appears probable that the disability is incident to a wound or injury 
incurred subsequent to entry into the service, the Registrar will take the neces- 
sary steps to obtain evidence of the circumstances attending the incurrence of 
the wound or injury. Upon receipt of such evidence, it will be filed with the 
medical records of the case for the consideration of the disability board. 
308. Procedure to Present Case of Disability Board.—When a ward sur- 
geon desires to present a case to the disability board for consideration, he will 
submit the clinical record and local disability form, properly accomplished, to 
the Chief of his Service, for approval. The latter, in the event of his approval. 
The latter, in the event of his approval, will forward them to the Registrar not 
less than twenty-four hours previous to the date on which the disability board 
meets. In addition, ward surgeons will secure from the clinical filing office, all 
previous clinical records pertaining to the case. These will be appended to the 
current record for the information of the disability board. 
309. Action by Registrar Upon Receipt of Papers in a Contemplated Dis- 
ability Case.—Upon receipt of the clinical records referred to in the preceding 
paragraph, the Registrar will notify the head nurses of the wards in which such 
patients are located and issue instructions as to the time and place where such 
patients will report to the board. After action by the disability board, the Regis- 
trar will return to the proper wards, all current and previous clinical records of 
cases acted upon by the board. 
310. Contemplated Disability Cases Occuring Among Enlisted Members of 
the Permanent Command.—When the discharge of an enlisted member of the 
permanent command on Certificate of Disability is contemplated, his Detach- 
ment Commander will indorse the soldier’s service record, as prescribed in ex- 
isting regulations, to the Commanding Officer, Detachment of Patients, and 
will at the same time send all personal effects which have been in storage under 
his custody to the Patients’ Baggage Room. The Commanding Officer, Detach- 
ment of Patients will dispose of the case and prepare all required papers rela- 
tive to such disposition in the same manner as though the patient had been trans- 
ferred to this hospital from another station. 
311. Action to Be Expedited.—Prompt action is directed on the part of all 
concerned in the disposal of disability cases. 
312. Record Office of Veterans Administration Patients.—The Record 
Office of Veterans Administration patients will be under the immediate super- 
vision of the Registrar. VETERANS ADMINISTRATION PATIENTS 
a. He will be responsible for the preparation of all reports, forms, com- 
munications, and other papers relating to beneficiaries of the Veterans Adminis- 
tration in this hospital. 
b. He will have charge of all matters relative to Veterans. Administration 
patients and the United States Veterans Administration. 
c. He will maintain a complete file of regulations pertaining to the Vet- 
erans Administration and will familiarize himself therewith. 
d. He will be a member of all boards convening at this hospital concerning 
United States Veterans Administration patients. 
313. Admission to Hospital.—a. Beneficiaries of the Veterans Adminis- 
tration will be admitted to this hospital upon presentation of Veterans Adminis- 
tration admission card (Form No. 2557, U.S.V.A.), properly accomplished. In an 
emergency they may be admitted on telephonic or oral request of the U. S. Vet- 
erans Administration Facility, Ft. Miley, San Francisco, California, pending re- 
ceipt of the admission card. 
b. Immediately on admission of a Veterans Administration patient the Re- 
ceiving and Evacuation Office will prepare three (3) copies of U.S.V.A. In- 
Patient Card (Form No. 2593, U.S.V.A.), showing the case as “remaining in 
hospital.” These copies will be transmitted to the Registrar who will sign and 
forward the original (white) to the Director, U. S. Veterans Administration, 
Washington, D.C. The first carbon copy (pink) to the U. S. Veterans Adminis- 
tration Facility, Ft. Miley, San Francisco, California, and the second carbon 
copy (green) will be retained at this hospital for file. 
c. The Receiving and Evacuation Office will transmit to the Registrar, with 
a copy of “admission sheet” for the previous day, U.S.V.A. admission card 
(Form No. 2557, U.S.V.A.), for each Veterans Administration patient shown 
on the “admission sheet.” The admitting diagnosis shown on Form No. 2557, 
U.S.V.A., will be copied on the reverse side of Form 55-A, M.D., for the infor- 
mation of the Ward Surgeon. If a patient has been admitted in an emergency 
and U.S.V.A. card (Form No. 2557 U.S.V.A.) has not been received, notation to 
that effect will be entered on “admission sheet” and the Registrar will take the 
necessary steps to obtain it from the U. S. Veterans Administration Facility, 
Ft. Miley, San Francisco, California. 
314. Records.'—a. A daily typed list of admissions and, discharges will be 
transmitted to the U. S. Veterans Administration, Ft. Miley, San Francisco, 
California, in addition to the hospital In-Patient Card (Form No, 2593, 
U.S.V.A.), that is forwarded in each case. 
b. Form No. 2601, U.S.V.A., will be completed by the Registrar prior to the 
fifth of each month, in triplicate. The original report will be forwarded to the 
Budget Officer and Chief of Statistics, U. S. Veterans Administration, Washing- 
ton, D.C., by air mail. The duplicate will be forwarded to the U. S. Veterans 
Administration Facility, Ft.‘Miley, San Francisco, 'California. The third copy 
will be retained at this hospital. 
c. 7 Report of physical examination (Form No. 2545, U.SWA.), will be made 
out by the Registrar om each patient immediately upon completion of each ca.se 
from the data in the clinical record. The driginai will be forwarded to the U. S. 
Veterans Administratioti Facility, Ft. Miley, San Francisco, California. The 
duplicate will be retained at this hospital. VETERANS ADMINISTRATION PATIENTS 
d. Final report will be made of each patient on Form No. 2593, U.S.V.A., 
when he leaves hospital showing the case as having been completed. The Regis- 
trar will prepare and sign this form in triplicate. The original (white) will be 
sent to the Director, U. S. Veterans Administration, Washington, D.C. The 
second copy (pink) will be sent to the U. S. Veterans Administration Facility, 
Ft. Miley, San Francisco, California. The third copy (green) will be retained. 
315. Diagnoses.—Ward officers will determine the cause for admission of 
U. S. Veterans Administration patients. Entries on clinical record should con- 
cur with admission diagnosis or show plainly that condition for which patient 
is hospitalized is of a definite nature or not found. The clinical record must 
clearly support the diagnosis made by the ward officer. When maximum hos- 
pital improvement has been attained for cause of admission and it becomes 
necessary to further hospitalize patient under a new diagnosis, the new diagnosis 
wull be transmitted to the Registrar. The latter will, upon receipt of a new 
diagnosis, obtain from the U. S. Veterans Administration Facility, Ft. Miley, 
San Francisco, California, authorization for continued hospitalization under 
new diagnosis. 
316. Absences Without Leave.— a. Should a Veterans Administration 
patient absent himself from the hospital without authority for more than 
twenty-four (24) hours, he will be discharged as absent without leave and his 
name will be dropped from the hospital rolls. 
317. Dental Work.—The only dental work that is authorized by the U. S. 
Veterans Administration is that of an emergency nature such as extracting 
abscessed teeth or symptomatic treatment of aching teeth. No permanent fill- 
ings or replacements can be authorized. 
318. Seriously 111 Patients.—When a Veterans Administration patient be- 
comes seriously ill a telegram worded as follows will be sent to the nearest rela- 
tive: “Regret to inform you that (relative, name), is seriously ill Letterman 
General Hospital with (general diagnosis).” 
319. Deaths.—a. In addition to reports required upon death of other pa- 
t ents, in the event of a Veterans Administration patient dying reports called 
for upon discharge will be submitted in accordance with paragraphs 314 c and d 
above. 
b. Should an autopsy be desired on a deceased Veterans Administration 
patient the ward officer will so inform the Registrar who will take the necessary 
steps to obtain permission from the patient’s relatives. No autopsy will be per- 
formed on this class of patients without permission having been obtained in 
writing. 
c. Ihe Registrar, in the event of death of a Veterans Administration pa- 
tient, will immediately notify the U. S. Veterans Administration Facility, Ft. 
Miley, San Francisco, California, and then proceed as directed in Hospital 
Regulations governing other classes of patients in so far as they may be ap- 
plicable. 
d. The local Veterans Administration Facility has a contract with two 
local funeral directors for the burial of Veterans. This contract applies to 
Veterans who die in this hospital when hospitalization has been authorized 
through the U. S. Veterans Administration, Ft. Miley, San Francisco, Cali- 
fornia. 
108 VETERANS ADMINISTRATION PATIENTS 
e. At the time of death a telegram worded as follows is sent to the nearest 
relative of individual named by the deceased on admission to hospital; “Deeply 
regret to inform you that (relative, name of deceased) died (date and hour). 
Local burial National Cemetery, Presidio of San Francisco, California, avail- 
able without expense to you. For benefit of medical science request your per- 
mission for scientific examination of the body without disfigurement. Wire 
reply collect.” 
f. Effects of deceased veterans will be listed and sent to the Registrar who 
will in turn send them to the U. S. Veterans Administration Facility, Ft. Miley, 
San Francisco, California. 
320. Transportation.—ln order to secure the necessary transportation for 
veterans being discharged from the hospital the Registrar’s office should be 
notified at least four days in advance of the estimated date for discharge. If 
no transportation is required advance notification of discharge is not necessary. 
109 POST OFFICE 
321. Status.—The Post Office at this hospital is classed as a Contract 
Office. It will be conducted in accordance with rules and regulations prescribed 
by the Post Office Department. 
322. Postmaster.—A competent noncommissioned officer of the Medical 
Department will be detailed as Postmaster. Before entering upon his duties 
he will report to the Postmaster, Main Post Office, San Francisco, California, 
for examination as to his qualifications and ability. If accepted for the position, 
he will be sworn and required to furnish bond for the proper conduct of his 
office. The Postmaster will be in direct charge of the Post Office and will be 
responsible for its conduct, funds, records, and mail matter pertaining thereto. 
Such assistants as may be necessary will be furnished by the Commanding 
Officer, Detachment Medical Department. Before entering upon their duties, 
the assistants will be sworn and required to furnish bond. 
323. Hours.—The Post Office will be open for the transaction of all 
postal business during the following hours; 
Daily, except Saturdays, Sundays, and holidays: 
9:00 AM to 4:30 PM 
Saturdays: 9:30 AM to 12:30 PM 
Sundays and holidays: Closed. 
324. Receipt and Dispatch of Mail.—The Postmaster will keep conspicu- 
ously posted at the Post Office and other points where mail may be deposited 
for collection the time of arrival and departure of the mail. 
325. Delivery of Mail.—a. Official mail, except registered, insured, special 
delivery, and C.0.D.: 
(1) A mail orderly will be designated by the Commanding Officer to 
receive from the Postmaster at his office all mail addressed to 
the Commanding Officer and for the departments of the hospital 
not specifically mentioned below. The Postmaster will be noti- 
fied of the name of the person so authorized. 
(2) A mail orderly will be designated by the Quartermaster, the 
Medical Supply Officer, and Chief of Laboratory Service, to 
receive from the Postmaster at his office mail addressed to their 
respective departments. The Chief Nurse will designate a re- 
sponsible person to receive from the Postmaster at his office 
mail addressed to her department. The Postmaster will be noti- 
fied of the names of the persons so designated. 
(3) Post Office boxes will be provided for the Post Exchange, Dis- 
infecting and Sterilizing Plant, and Recreation Officer, and all 
mail addressed to those departments will be placed therein. Keys 
for the same will be turned over to the respective officers in 
charge of those departments, who will be responsible for the 
custody of these keys and may designate a responsible person 
receive the mail for their departments. 
b. Personal mail, except registered, insured, special delivery and C.0.D.; 
Officers, nurses, and civilian employees of this command are privileged to call 
for their mail in person at the Post Office, and those who desire will notify the 
Postmaster to that effect. In the absence of instructions, the Postmaster will 
dispose of mail addressed to the personnel of this command as follows: POST OFFICE 
(1) For officers of this command and civilian employees not men- 
tioned below: 
To be delivered at the Post Office to the mail orderly desig- 
nated to receive mail addressed to the Commanding Officer. 
(2) For families of officers living on the post: 
To be delivered at their quarters by the Postmaster or his 
assistant. 
(3) For nurses and civilians living in nurses’ quarters and civilian em- 
ployees assigned to duty in nurses’ quarters and wards: 
To be delivered at the Post Office to the person designated 
by the Chief Nurse. 
(4) For civilian employees of the Quartermaster Corps, Post Ex- 
change, and Disinfecting and Sterilizing Plant: 
To be delivered at the Post Office to the persons designated 
by the officers in charge of the respective departments to re- 
ceive official mail. 
(5) For enlisted men on duty at this hospital: 
To be delivered in person at the Post Office to the addressee. 
(6) For patients: 
To be delivered by the Postmaster or his assistant at the ward 
to the nurse or person in charge of the ward to which patient is 
assigned. 
c. Registered, insured, special delivery, and C.O.D. mail: 
(1) Official mail addressed to the Commanding Officer will be de- 
livered by the Postmaster to the Adjutant or the Assistant Ad- 
jutant, who will receipt for same. 
(2) Official mail addressed to a department or member of this com- 
mand will be delivered by the Postmaster or his assistant to 
the officer in charge of the department or to the addressee. 
(3) Personal mail will be delivered by the Postmaster or his assistant 
to the addressee, ordinarily at the Post Office, except that mail 
for bed patients will be delivered to them at their bedsides. 
326. Register of Packages.—The Postmaster will keep a record of all in- 
coming packages in an appropriate book. Upon delivery by the Postmaster, 
the person receiving the package will receipt therefor in this book. 
327. Time of Delivery of Mail.—All classes of mail will be delivered as 
soon as possible after receipt by the Postmaster. Official mail will be given pre- 
cedence over personal mail. Mail for patients will be delivered to the wards at 
9:00 AM and 2:00 PM daily, except Saturdays, Sundays, and holidays. On 
Saturdays there will be only one delivery of mail which will be at 10:00 AM. 
No delivery will be made on Sundays and holidays. 
328. Mail for Prisoners and Insane Patients.—Before delivery of any mail 
to prisoners, insane patients, and suspected drug addicts, the Ward Officer will 
be consulted and if he deems necessary, such mail will be opened in his presence 
by the addressee. This precaution should be especially exercised in the case of 
packages. If the addressee objects to this procedure, the mail will be turned 
over the Custodian of Patients’ Funds and Valuables for safekeeping until the 
addressee is released, or other disposition is made. POST OFFICE 
329. Roster of Personnel.—The Postmaster will maintain a roster of all 
persons, including officers, nurses, enlisted men, civilian employees, patients, 
and families of officers and enlisted men residing on the post. To this end, 
heads of departments will furnish to the Postmaster the names of all personnel 
under their jurisdiction and will notify him whenever a change occurs. The 
Postmaster will be given a copy of the admission, departure, and ward transfer 
sheets daily. He will check his roster monthly with the personnel records of 
the various departments in order that the roster may be complete and accurate. 
330. Care in Handling of Mail.—All persons charged with the delivery of 
mail are cautioned against tardiness, carelessness, and neglect in handling of 
mail. Care will be taken that all mail is promptly delivered to the proper person 
or forwarded to his new address. Theft or tampering with registered, C.0.D., 
parcel post, or other mail is a serious offense, punishable under the Federal 
Postal Laws and the Articles of War. While the Postmaster is primarily re- 
sponsible for the safe delivery of all mail matter, those persons designated in 
these regulations to receive mail for others are warned that they will be held 
liable for any loss of mail after it has been delivered into their custody. After 
mail has been received in a ward, the charge nurse or wardmaster will see that it 
is immediately delivered to the addressee. If the patient to whom mail is ad- 
dressed has been transferred from the ward or otherwise disposed of, the mail 
will be returned immediately to the Post Office with proper notation. 
112 FIRE REGULATIONS 
331. General Provisions.—Fire protection for the hospital area is depend- 
ent upon the services of the Presidio Fire Department and, when necessary, 
the Fire Department from the City of San Francisco. However, it is the duty 
of all personnel to utilize local means as prescribed below for extinguishing 
fire and continue such means, under the supervision of the Fire Marshal, until 
the arrival of the Presidio Fire Department, when the work will be taken over 
by the Chief of that Department. When this occurs the Hospital Fire Marshal 
will devote his energies in complying with any requests for assistance from the 
Presidio Fire Chief, the evacuation of sick, and the salvaging of property. 
332. Fire Marshal.—a. The Fire Marshal will be designated in orders. 
The Officer of the Day is designated as Assistant Fire Marshal. During the 
absence of the Fire Marshal, the Officer of the Day will act as Fire Marshal. 
b. The Fire Marshal shall have charge of all personnel and equipment 
used in fire prevention work and his orders during fires and fire drill shall be 
respected by all classes. Fie shall make periodic inspections of all fire fighting 
equipment and shall be responsible for its readiness for use at all times. He 
shall inspect each building from time to time and make such recommendations 
to the Commanding Officer as are necessary, looking to the elimination of fire 
hazards. He shall, from time to time, give instructions to the personnel of this 
station in the means of fire prevention and conduct the fire drills prescribed 
in Paragraph 337. 
333. Organization.—a. For the purpose of fire fighting and control there 
will be organized from among the enlisted personnel of the Detachment Medical 
Department the following sections, each in charge of a noncommissioned officer 
with one or more noncommissioned officer alternates or assistants, and to con- 
sist of the number of men indicated: 
(1) Fire Fighting Section 10 men 
(2) Police Section 10 men 
(3) Evacuation and Salvage Section 20 men 
b. The assignment of personnel to these sections will be made by the 
Commanding Officer of the Detachment Medical Department, who will cause 
a Detachment Order covering the assignments to be posted and kept up to date 
at all times. A copy of this order and all subsequent changes therein will be 
furnished the Fire Marshal in order that he may be fully informed at all times 
as to the status of these assignments. 
c. Duties of Chiefs of Sections.—Each Chief of Section is responsible that 
all men are thoroughly instructed and are familiar with the duties of their re- 
spective sections. He will inspect at frequent intervals the equipment pertain- 
ing to his section and will be responsible that it is properly policed and in good 
condition at all times, that hose is drained and allowed to dry before reassem- 
bling and that any defect found is reported to the Fire Marshal. 
334. Location of Local Fire Fighting Apparatus.—a. Stationary hose lo- 
cated as follows: 
(1) In quadrangle west of Operating Pavilion. 
(2) In quadrangle east of Patients’ Mess Hall. 
(3) At the north-west corner of Laundry. 
113 FIRE REGULATIONS 
b. (1) Fire extinguishers, ladders, stand pipes (equipped with 50 feet 
lengths of hose and nozzle), and fire axes are distributed 
throughout the hospital. Attention is particularly called to the 
fact that a standpipe equipped with hose and nozzle is located 
inside of every ward. 
(2) A rack containing twelve (12) litters is located in the corridor 
near the Operating Pavilion. 
(3) A wheeled litter is located in each ward containing bed patients 
with exception of Wards S-l and S-2 where folding litters are 
available in the following quantities: Ward S-l—6 litters; Ward 
S-2—6 litters. 
(4) Fire alarm boxes are located as follows: 
One on Lincoln Blvd., at the corner of Nurses’ Recreation 
House, No. 212. 
One on Edie Road at southeast corner of Power Plant, No, 213. 
One on veranda at the main entrance to the rear of the Ad- 
ministration Building, No. 214. 
One at the intersection of Torney Ave. and O’Reilly Ave. in 
front of the Commanding Officer’s quarters, No. 215. 
One at the front of the Detachment Medical Department Sup- 
ply Room in the Field Area, No. 216. 
The location of these boxes is indicated at night by a red light. 
(5) Fire plugs are located at various positions in the hospital grounds 
as shown on map posted in the Fire Marshal’s Office. 
335. Procedure When Fire is Discovered.—a. When a fire is discovered 
in the hospital area, three things should be done immediately: 
(1) Shout fire and give location. 
(2) Go to the nearest alarm box other than the one across the street 
from Post Exchange, break glass, open door and then release 
the handle inside. This gives the alarm to the hospital Power 
House and the Presidio Fire Department. (The box across 
the street from Post Exchange calls the City Fire Department 
and in no case will be pulled except by authority of the Com- 
manding Officer or Fire Marshal). 
(3) Call up the Officer of the Day’s office and notify the noncommis- 
sioned officer on duty of the fire and its location, 
b. Ihe noncommissioned officer on duty in the Officer of the Day’s Office, 
upon receipt of the notice mentioned above, will immediately send a man to 
stand by the box across the street from the Post Exchange and prevent any 
alarm being turned in to the City Fire Department except by authority of the 
Commanding Officer or the Fire Marshal. He will then notify by telephone 
the Officer of the Day’s Office, the Commanding Officer, the Fire Marshal and 
the Adjutant in turn. 
336. Fire Alarms.—a. Upon receipt of an alarm of fire, the engineer on 
duty in the Power Plant will give the alarm by sounding one long blast on the 
siren. The exact location of the fire will then be indicated by sounding the 
number of short blasts indicated below: 
114 FIRE REGULATIONS 
1 short—Surgical Side, along Girard Road, from Ward A-l to Com- 
missary (Box 212). 
2 short—Rear of Hospital, along Edie Road, from Commissary to 
Laboratory (Box 213). 
3 short—Front of Hospital along Torney Ave., from Kennedy Ave., 
to Girard Road (Box 214). 
4 short—Medical Side, along Kennedy Ave., from “K” Wards to Lab- 
oratory. 
5 short—Officers’ Quarters, along O’Reilly Ave., from Commanding 
Officer’s Qtrs. to Edie Road (Box 215). 
6 short—Field Buildings (Box 216), assembling at Det. Med. Dept. 
Supply Room. 
b. Should the Fire Marshal determine that additional personnel is required 
for the purpose of fighting the fire he will cause the original fire alarm to be re- 
peated. In the event of a repeated alarm, all enlisted personnel of the command, 
other than those specifically excepted below, will immediately proceed to the 
scene of fire and report to the senior noncommissioned officer present, who, 
under orders of the Officer of the Day, will hold them in groups and make such 
assignments to the various sections as directed by the Fire Marshal. 
337. Duties of Personnel When Fire Alarm is Sounded.—a. When a fire 
alarm is sounded those enlisted men of the command assigned to the fire sec- 
tions provided for in paragraph 333 a, above will immediately repair to the loca- 
tion of the fire and will there be assembled and report to the Fire Marshal by 
the Chief of Section. 
b. The Chief of the Fire Fighting Section will be responsible under the or- 
ders of the Fire Marshal, for the actual fighting of the fire, including the use of 
the fire extinguishers, hose and other equipment provided for this purpose. 
c. The Chief of the Police Section will be responsible that streets and 
roadways are kept open at all times so as not to obstruct the passage of the fire 
departments; that all patients are returned to the wards, and that visitors and 
other persons who are not a part of the fire fighting personnel are kept off the 
roadways and away from the vicinity of the fire. 
d. The Chief of the Evacuation and Salvage Section will be responsible 
that the necessary litters are available at the actual scene of the fire, and that 
the personnel of his section are prepared to act as litter bearers or to perform 
such other duties as may be directed by the Fire Marshal. When bed patients 
are to be evacuated from a ward, a noncommissioned officer and a number of 
men, as assigned by the Chief of-Section, will go to the nearest litter rack and 
proceed under charge of the noncommissioned officer to the scene of the fire. 
Bed patients will be removed from the ward as expeditiously as possible either 
in arms, by litter or on their mattresses. When a litter is Used the following 
method, will be observed: The litter having been placed on the floor beside 
the bed, the mattress with patient on it will be lifted from the bed and 
placed on the litter. . ' - ' " ■' ' ’■' ■ 
338. Procedure of Personnel Not Assignedto Fire Fighting in Case of 
Officers. The Fire Marshal and Assistant Fire Marshal, \y.ill proceed 
at once to the-scene of the fire. All other officers of the command will proceed FIRE REGULATIONS 
immediately to their respective places of duty and remain there until otherwise 
instructed or recall is sounded. 
b. Nurses. Nurses will proceed immediately to their respective places of 
duty. 
c. Enlisted personnel. All enlisted personnel, other than those assigned 
to the fire fighting and control sections, will proceed to their respective places 
of duty and remain thereat until a second alarm or recall is sounded. In the 
event of a second alarm all enlisted personnel, other than those specifically ex- 
cepted by paragraph 339 of these regulations, will immediately repair to the 
scene of the fire for assignment to the various sections as directed by the Fire 
Marshal. 
d. Patients. Patients will return immediately to their wards and remain 
seated at the foot of their beds until ordered elsewhere by the Ward Officer or 
Fire Marshal. 
339. Personnel Who Do Not Respond to Fire Alarms.—The following per- 
sonnel will not respond to a fire alarm but will remain at their respective places 
of duty: 
Sergeant Major 
The noncommissioned officer and orderlies in the O.D. Office. 
Cooks on dut\? in the Main Kitchen and Special Diet Kitchen. 
One cook on duty in the kitchen of Officers’ Mess. 
All men on duty in -wards. 
Attendants on special cases. 
Commanding Officer’s Orderly. 
One man in Post Exchange, Operating Room, Information Office, 
Pharmacy, X-Ray Section, Medical Supply Office, Post Office, all 
men in Garage and all members of Quartermaster Detachment. 
340. Fire Drills.—Fire drills will be held at least once a month under the 
direction of the Fire Marshal. 
341. Fire Prevention.—a. Warehouse crowded; merchandise obstructing 
aisles or main floors.—Aisles should be five (5) feet wide and should not have 
blind ends. A space of eighteen (18) inches must be preserved between stored 
materials and all walls and ceilings. 
b. Floor wax will not be heated over a stove but may be placed in a pan of 
hot water in order to soften if necessary. 
c. Storage of volatiles in or within 60 feet of buildings used for other 
purposes is forbidden. 
d. Defective wiring. No wiring carrying street current will be permitted 
to come in contact with structural work, but will be raised on porcelain insula- 
tors or pass through insulating tubes. Twisting or knotting of light cords is 
forbidden. Installation of light or power extensions by persons other than the 
authorized electrician is forbidden. 
e. Fuses bridged. The practice of replacing burnt out fuses with coins, 
wire or other metal substance is forbidden. When a fuse blows out or any de- 
fect is noted in electric fixtures or wiring, it will be immediately reported to the 
engineer at the Power Plant. 
f. Paper decorations on lights or light wiring. Improvised shades of paper 
or other inflammable material are forbidden; shades made of paper, silk, etc., 
116 FIRE REGULATIONS 
must be provided with metal frames which assure non-ignition of the material 
composing the shade. The practice of stringing fly paper or paper decorations 
or hanging other inflammable material or electric light wires is forbidden. 
g. Fire hydrants. Threads of working parts of fire hydrants will be lub- 
ricated at least once each three (3) months and working parts will be tested 
at the time of lubrication; each hydrant will be equipped with a plug wrench. 
h. Fire hose will be tested to 150 pounds pressure once each year. 
117 MESSES 
342. Organization.—All messes at this hospital will he under the imme 
cliate supervision of an officer designated by the Commanding Officer. He will 
be known as the Mess Officer. The Commanding Officer, Detachment Medical 
Department, is charged with the assignment to the Mess Department of such 
enlisted personnel as may be necessary for its operation. All personnel assigned 
for duty to the Mess Department will be detailed to their specified duties by the 
Mess Officer. 
343. Mess Officer, Duties in General.—a. The Mess Officer will have 
charge of and be responsible for the general administration of all messes In the 
hospital. 
b. He is the custodian of the Hospital Fund, and as such is responsible 
that is expended only in accordance with existing regulations. 
c. He is charged with the responsibility for the selection, purchase, care, 
issue, preparation and serving of all food supplies, except for the nurses mess, 
which functions under the immediate supervision of the Chief Nurse. 
d. Fie will see that the equipment for the handling and serving of food is 
sufficient, clean, and properly cared for. 
344. Records.—The following records will be maintained by the Mess 
Officer: 
a. Stockcards. For all articles in stock, cards will be prepared and pur- 
chases and issues will be noted thereon. 
b. Inventory Book. The Inventory book will contain a completely item- 
ized list of all articles remaining on hand in the storeroom at the end of the 
month, together with the money value and total cost of the same. 
c. Monthly Statement of Cost. In this book will be recorded the cost of 
each mess, the total number fed during the month, and the cost per capita of 
each. 
d. Bills of Fare. Bills of fare will be prepared daily. Copies will be fur- 
nished the Commanding Officer, wards, kitchens, and dining rooms. 
e. Hospital Fund Statement. The hospital fund statement will be pre- 
pared monthly in accordance with AR 210-50. The retained copies of the state- 
ment of the hospital fund and the pertinent vouchers will be filed by the Mess 
Officer with the records of the Mess. List of outstanding bills will be filed with 
each returned hospital fund statement. 
f. Mess Account (Form 74, MD). A consolidated statement will be kept 
showing the daily financial standing of the hospital mess. 
g. Cash Book. The cash book will be kept by the Mess Officer. It will 
show the course of all cash receipts and the disposition of them. 
h. File of Receipts. Will comprise duplicate receipts furnished all pay pa- 
tients upon payment of their accounts. 
i. Record of Pay Patients. A card will be kept for each pay patient in hos- 
pital, showing name, status, date of admission, date of discharge, rate of charges 
per day, dates payment for subsistence or medicine charges were made, the 
amount of subsistence of medicines separately, and the name of the person mak- 
ing the collection. This record will be maintained in two files; first, a file to 
consist of patients in hospital and unpaid accounts; second, to consist of those 
discharged from the hospital and paid accounts. MESSES 
j. Record of Durable Property. All durable property belonging to the 
hospital fund will be entered in a book kept for that purpose showing the cost 
and the department to which issued. A memorandum receipt will be prepared 
by the Custodian of the Hospital Fund and signed by the person holding such 
property and filed with the Durable Property Account Book. Transfers of re- 
sponsibility will be made whenever custody of the property changes. 
k. Bank account. Will comprise deposit books, cancelled checks, retained 
stubs, and bank statements. 
345. Subsistence and Medicine Charges.—The Mess Officer will make col- 
lection of all subsistence indebtedness due the Hospital Fund by pay patients, 
and will be responsible for the proper maintenance of all accounts and records 
pertaining thereto. Fie will also receive, account for, and make the prescribed 
disposal of all funds paid as medicine charges by patients in hospital who are 
not entitled to care and treatment at the expense of the army appropriation. 
He will render each pay patient on the last day of each month a statement show- 
ing the patient’s indebtedness and will furnish an itemized numbered and signed 
receipt upon All patients remaining in hospital on the last day of the 
month are required to pay their indebtedness in full on the first day of the fol- 
lowing month to the Mess Officer at the Mess Office, except those whose con- 
dition is such that they cannot leave the wards, in which case the Ward Officer 
will furnish the Mess Officer with a list showing the name of each patient unable 
to leave the ward. Upon receipt of this list, the Mess Officer will call at the 
ward and obtain settlement. Pay patients discharged from hospital will pay 
their indebtedness at the Mess Office on the date of discharge. The Mess Officer 
will institute the necessary steps in accordance with Army Regulations for the 
collection of any money due the Hospital Fund by pay patients for which settle- 
ment cannot be obtained locally. 
346. Purchase of Food Supplies.—The Mess Officer will personally check 
and sign all orders for purchases of food supplies required for all messes at this 
hospital, except for the Nurses’ Mess. He will assure himself that the supplies 
charged to the Hospital Fund are actually received, safely stored, and issued 
for proper use. He will maintain an accurate record of supplies received and 
of those issued to the various messes. All components of the ration will be pur- 
chased from the Quartermaster when available. 
347. Night Cook.—The Mess Officer will detail a night cook from the per- 
sonnel assigned to him. The night cook will be on duty from 6:00 PM to 4:30 
AM, when he will be relieved by the cook on duty in the morning. He will 
remain awake and will not leave the main mess building during his tour of duty. 
He will prepare the night meal for the men on night duty. He will not allow 
any persons in the kitchen building except the Officer of the Day. The night 
men, including the Hospital Guard will be served in the mess room designated 
for that purpose but will not enter the kitchen. The night lunch will be served 
from 10:30 PM to 12:30 AM. No persons other than those actually on night 
duty will be served. The night cook will allow no property supplies or subsist- 
ence stores to be taken from the mess building during his tour of duty and will 
report any unusual occurrence to the Officer of the Day and the Mess Officer. 
119 MESSES 
348. Payment for Supplies.—The Mess Officer will make payment by check 
for all supplies purchased and obtain a signed receipt. Under no circumstances 
will he disburse cash. 
349. Bank Deposits.—The Mess Officer will deposit in the authorized bank, 
to the credit of the “Hospital Fund, Letterman General Hospital,” all monies 
received, except that he is authorized to keep on hand $20.00 in cash to make 
change for pay patients in the settlement of their hospital indebtedness. 
350. Meals and Meal Hours.—a. Meals will be served promptly at the 
prescribed hours. No one will be served at other hours unless they are on an 
authorized duty which makes it impossible for them to be served at the regular 
time. 
b. The hours of serving meals in the various messes of the hospital will 
be those prescribed in Paragraph 43. 
351. Responsibility for Food Handlers’ Examinations.—The Mess Officer 
will be responsible for the observance of the provisins of Paragraph 12, AR 
40-205, governing the examination of permanent food handlers. 
352. Inventory of Food Supplies.—The Mess Officer will, on the last day 
of the month, make a physical inventory of all supplies on hand and enter the 
quantity of each item, unit cost, value of each item, and the total value, in the 
inventory book. 
353. Property Responsibility.—The Mess Officer will cause a physical 
check to be made of all property for which he is responsible on the last day of 
each month. He will report the result to the accountable officer on comple- 
tion. Shortages which cannot be adjusted will be surveyed without delay, in 
accordance with regulations.. 
354. Serving of Meals in Mess Hall.—All patients on table diet whose 
physical condition permits will be served at the cafeteria. Those whose phys- 
ical condition precludes cafeteria service will be served at table upon presenta- 
tion of a metal disc. Ward Officers will issue to patients who require table 
service a metal disc which will retained by the patient until, in the opinion of 
the Ward Officer, the need for table service for the patient no longer exists. 
Patients will be informed that the disc is not transferable and that it must be 
turned in upon discharge from hospital. Ward Officers will exercise constant 
supervision over the group of patients requiring table service with a view of 
eliminating therefrom any patient who may become able to care for himself in 
the cafeteria. A list of such patients who require table service will be kept 
posted in the ward at all times. 
355. Nurses’ Mess.—The Nurses’ Mess will function under the immediate 
supervision of the Chief Nurse, who will be responsible for the selection, care, 
preparation, and serving of food for the mess. A member of the Army Nurse 
Corps may be detailed from among the nurses, who will be directly in charge 
of the mess. This nurse will personally make all purchases of supplies required 
for the mess, will be responsible for their economical use, will direct the work 
of the employees in the kitchen and dining room, and will check the daily bills. 
At the end of each month, or when departing from the hospital by reason of 
transfer, leave of absence, etc., members of the Army Nurse Corps, Reconstruc- 
tion Aides, Dietitians, or such other persons whose subsistence is authorized 
120 MESSES 
in the Nurses’ Mess, will pay into the Hospital Fund, through the Chief Nurse, 
the amount prescribed by Army Regulations, for each day they have been fur- 
nished meals. A statement showing clearly the amounts collected from the 
above groups, giving the number of days, per diem rates, and the amount of 
credit allowed for Mess Attendants subsisted at the Nurses’ Mess, will be sub- 
mitted to the Mess Officer by the Chief Nurse at the end of each month, to- 
gether with vouchers to be paid by him. The total amount of these vouchers 
will not exceed the amount collected for subsistence and the amount of credit 
allowed for Mess Attendants’ subsistence. The meal hours at the Nurses’ Mess 
will be as prescribed by the Chief Nurse. 
356. Duty Officers’ Mess.—A mess for officers on duty at the hospital will 
be maintained in connection with the general hospital mess. A charge of $1.25 
per day or 42c each for separate meals will be made. Officers will sign for each 
meal partaken, on a slip provided by the Mess Officer. Payment for meals 
will be made on the last day of each month on bills presented by the Mess 
Officer. 
357. The Hospital Council.—The Hospital Council will consist of: 
The Commanding Officer, Detachment Medical Department. 
The Commanding Officer, Detachment Quartermaster Corps. 
The Commanding Officer, Detachment of Patients. 
The Mess Officer. 
The Council will be governed by the provisions of Paragraph 18, AR 
210-50. 
121 POST EXCHANGE 
358. Exchange Council.—The Exchange Council will consist of the Com- 
manding Officer, Detachment Medical Department; the Commanding Officer, 
Detachment Quartermaster Corps; the Commanding Officer, Detachment Pa- 
tients, the Exchange Officer, and such other officers as may be detailed by the 
Commanding Officer. The Council will meet as prescribed in Army Regu- 
lations at the call of the President and b}' the direction of the Commanding Of- 
ficer. The Council will be governed by instructions contained in Army Regu- 
lations and other instructions issued by proper authority. 
359. Business Hours.—The Exchange Store, Restaurant, and Concessions, 
will be open at such times as may be directed by the Commanding Officer. 
360. Authorized Night Lights.—The following lights will be left burning 
when the Exchange is closed: 
a. One light in the office of the Exchange. 
b. One light in the center of the Exchange store. 
c. One light at each main entrance of the Exchange store. LAUNDRY 
361. Function.—The laundry will function as a Medical Department laun- 
dry for this hospital and such posts and Army Transports as may be specified 
by The Surgeon General. 
362. Officer in Charge.—The Medical Supply Officer will be in charge of 
all operations of the laundry. The Superintendent will be placed in full charge 
of all departments under the Medical Supply Officer, to whom he will be directly 
responsible for results. 
363. Operations and Hours.—The laundry will be in operation daily from 
7:00 AM to 4:00 PM except Saturdays, Sundays and holidays. The hours on 
Saturdays will be from 7:00 AM 11:30 AM, or until such time thereafter as may 
be required. 
364. General Classifcation and Activities.—Services will be furnished to: 
a. Ail departments of this hospital—for hospital bed and table linen. 
b. All station hospital and army transport hospital linen as authorized by 
the Surgeon General. (For list see M.D. Form 21). 
c. Patients’ clothing as authorized by regulations. (Par. 14, AR 40-590). 
(For list see M.D. Form 21). 
d. Nurses’, and aides’ white uniforms and such other articles of wearing 
apparel as are authorized by regulations. (Fort list see MD Form 21). 
e. Interns’ and enlisted attendants’ white uniforms, etc. (For list see 
MD Form 21). 
f. No service will be rendered for any person for which a charge may be 
made. 
365. Hospital Bed and Table Linen.—Soiled hospital bed and table linen 
will be exchanged daily, except Sundays and holidays, between the hours of 
7:00 and 8:30 AM. A second exchange of linen will be made on Fridays prior 
to 2:00 PM. The linen will be delivered to the laundry by the wardmaster or 
other responsible department representative, properly listed on Form No. 5, 
L.G.H. It will be counted and checked by a laundry employee in the presence 
of the wardmaster, and an equal number of pieces of serviceable clean linen 
issued in exchange, for which the Laundry will be given a receipted clearance. 
366. Clothing of Patients.—When necessary authorized articles of patients’ 
clothing will be delivered to the laundry by the wardmaster, properly listed on 
authorized form (Form 47, L.G.H.), giving patient’s full name, ward number, 
etc., on Mondays and Thursdays and called for on Wednesdays and Saturdays. 
367. Nurses and Aides.—Nurses’ white uniforms, etc., properly listed on 
authorized forms, will be delivered to the laundry on Tuesdays and may be 
called for on Wednesdays. Authorized articles of household linen will be ex- 
changed daily at the usual hours as noted in Paragraph 365. 
368. Enlisted Attendants.—White uniforms of enlisted attendants will be 
exchanged daily between the hours of 7:30 and 9:30 AM. Eight white uniforms 
will be issued to each man authorized to wear white clothing, five of which will 
be held at the laundry for exchange. 
369. Disinfecting and Sterilizing Plant.—The disinfecting and sterilizing 
plant is operated in conjunction with the laundry. All hospital linen, bedding, 
wearing apparel from infectious sources will be disinfected at this plant. Wash- 
able articles requiring disinfecting will be delivered directly to the sterilizing 
room where they will be sterilized before being laundered. Except in emerg- LAUNDRY 
ency, articles will be brought to the sterilizing plant between the hours of 7:30 
AM and 1:00 PM. Delivery will be made the following day after 8:00 AM. 
370. Records and Reports.—The superintendent will keep an accurate rec- 
ord of all transactions. An itemized list of all articles processed will be kept. 
A complete record of supplies used, costs of repairs to equipment and upkeep 
of building, the amount of power (steam and electricity) used and the cost there- 
of, time and wages of employees, cost per piece for each article laundered and 
the per patient day cost for laundry service. All records and reports will be 
submitted to the officer in charge. 
124 RECEIVING AND EVACUATION OFFICE 
371. Function.—The Receiving and Evacuation Office at this hospital will 
be under the immediate supervision of an officer of the Medical Corps desig- 
nated as the Receiving and Evacuation Officer. During his absence from office, 
his duties will be assumed by the Officer of the Day. The admission and dis- 
charge of all patients to and from the hospital will be accomplished through the 
Receiving and Evacuation Office. The ambulance service at this hospital will 
be regulated by the Receiving and Evacuation Office. 
372. Receiving and Evacuation Office.—The Receiving and Evacuation 
Officer will be responsible for: 
a. The admission of all patients to hospital. 
b. The final discharge of patients from hospital. 
c. Regulation of ambulance service provided by this hospital. 
d. The preparation and rendition of prescribed reports and forms pertain- 
ing to his office. 
e. The strict observance of regulations governing funds, money and valu- 
ables of patients, upon their admission to hospital. Par 8-c 1, AR 40-590. 
f. The proper care and medical treatment of patients from the time of their 
arrival at this office until a Ward Officer has assumed charge of the case. 
g. The admission of only those patients to this hospital who are entitled 
to treatment in accordance with Army Regulations. Only in extreme necessity 
will persons not entitled to admission to army hospitals be admitted, (Par. 6, 
AR 40-590). 
373. Office Hours.—The Receiving and Evacuation Office will be open the 
entire twenty-four hours of each day. The hours of duty for the Receiving and 
Evacuation Officer will be from 9:00 AM to 4:00 PM daily, except Saturdays, 
Sundays and holidays, and on the latter days, from 9:00 AM to 12:00 noon. 
374. Admission of Patients.—a. All patients will be admitted to hospital 
through the Receiving and Evacuation Office, where the required admission data 
will be made of record and assignment to a proper ward effected. In emergency 
cases the patient may be taken directly to the ward and the necessary admission 
data obtained later. 
b. Patients reporting for admission will be examined and placed in a ward 
without delay. 
c. Patients with contagious diseases will not be permitted to leave the am- 
bulance or enter the Receiving and Evacuation Office, but, after having been 
seen by the Receiving and Evacuation Officer, will be sent directly to the Isola- 
tion Ward. Ambulatory patients for this ward will not be permitted to go 
through the hospital, but will be conducted to that ward by way of the road 
between the Nurses’ Quarters and Ward A-l. 
d. The Receiving and Evacuation Officer, will, in the case of each patient 
admitted to hospital, see that patients are admitted to hospital, see that patients 
are admitted to the proper ward for treatment. 
e. When prisoners or insane cases are admitted, their guard or attendants 
will escort them to the proper ward, accompanied by an orderly from the Re- 
ceiving and Evacuation Office. Insane and prisoners will be placed in Ward 
S-l and S-2 respectively. These patients will be searched by an officer in the 
Receiving Office and all effects which might prove dangerous to themselves 
125 RECEIVING AND EVACUATION OFFICE 
or to others, taken. Prisoners who are not mental patients may be allowed to 
retain their safety razors. 
f. Patients admitted to this hospital will be conducted to the proper ward 
by an orderly who will, in all cases, carry any baggage the patient may have. 
375. Baggage of Patients.—Patients admitted from trains or boats will be 
asked by the Receiving and Evacuation Officer whether or not they have bag- 
gage other than that which accompanied them at the time of admission. If so, 
they will be requested to deliver the checks therefor to the Receiving and Evacu- 
ation Officer, after which a record showing the check numbers and full name, 
rank, and organization of patient will be made in a book kept for the purpose. 
The patient, upon turning over the checks, will be given a receipt therefor. The 
Receiving and Evacuation Officer will be held responsible for the prompt de- 
livery of these baggage checks to the noncommissioned officer in charge of the 
Patients’ Baggage Room, who will receipt for them in the book mentioned 
above. When patients arrive at this hospital via an ambulance or other convey- 
ance, the orderlies will unload all baggage and have the patients identify their 
own. 
376. Admission of Patients Arriving via Boat or Rail.—The Receiving and 
Evacuation Officer will provide the necessary ambulance service and attendants 
for patients arriving, by boat or rail. When he is advised that a number of pa- 
tients are to arrive he will make preparation in advance for their reception and 
admission to wards. When patients are scheduled to arrive at hours other than 
those prescribed for the Receiving and Evacuation Officer, the latter will ar- 
range for necessary transportation and attendants, and will advise the Officer 
of the Day accordingly. The Receiving and Evacuation Officer will take steps 
to assure that separate ambulances are provided for infectious cases. 
377. . Discharge of Patients.—a. The final discharge from the hospital of 
patients will be accomplished by the Receiving and Evacuation Office. 
b. Pajr Patients will be required by the Receiving and Evacuation Officer 
to show their receipt for payment of their hospital account before they are per- 
mitted to leave the hospital on final discharge. 
c. A record of all discharges from the hospital will be entered by the Re- 
ceiving and Evacuation Officer on the Departure Sheet, the data therefor being 
obtained from the bed cards of discharged patients. After entry has been made 
on the Departure Sheet, the bed card will be transmitted to the Registrar for 
permanent file. 
378. Evacuation of Patients Leaving via Boat or Rail.—The Receiving and 
Evacuation Officer will be responsible for the proper evacuation to train or boat 
of all patients transferred to other hospitals, their homes, or elsewhere. He will 
familiarize himself with the details of the evacuation and be responsible for its 
conduct until the patients and attendants are actually upon the train or boat. 
Attendants designated to accompany patients will report to the Receiving and 
Evacuation Officer in advance of their departure for instruction regarding their 
specific duties. Patients to be transferred without attendants will report to him 
for instructions. In either event he will.provide the necessary local transporta- 
tion., In the case of evacuations scheduled for hours other than those prescribed 
for. the. Receiving and Evacuation Officer, he .will advise the Administrative 
Officer.o,f the Day and inform him of the details of th£ evacuation. RECEIVING AND EVACUATION OFFICE 
379. Inspection of Enlisted Men Returned to Duty.—The Receiving and 
Evacuation Officer will inspect all enlisted men returned to duty from this hos- 
pital and will see that none are permitted to leave in improper uniform. Par- 
ticular care will be taken that no patients are permitted to leave for a colder 
climate without adequate clothing. 
380. Personnel.—a. Commissioned: Such commissioned assistants to the 
Receiving and Evacuation Officer as may be necessary will be assigned to him 
by the Commanding Officer. The former will assign them to their specific 
duties, and will be responsible for the proper performance of their duties. 
b. Enlisted: The Commanding Officer, Detachment Medical Department, 
will detail three (3) noncommissioned officers, and such number of Privates 
First Class or Privates as may be necessary and available for the proper con- 
duct of the office. The Receiving and Evacuation Officer will detail these en- 
listed men to their respective duties, and will arrange that a noncommissioned 
officer is on duty at all times in the Receiving and Evacuation Office. 
381. Special Duties of Noncommissioned Officers.—a. The noncommis- 
sioned officer on duty at the time of arrival of a person for admission to hos- 
pital, will immediately notify the Receiving and Evacuation Officer, or, in his 
absence, the Officer of the Day. 
b. In addition to the duties incident to the Receiving and Evacuation Of- 
fice, noncommissioned officers on duty in that office will function under the 
Officer of the Day in all matters relating to the conduct of the Officer of the 
Day’s Office. They will keep themselves constantly informed of the where- 
abouts of the Officer of the Day, and will notify him whenever he is needed at 
any place in the hospital. They will receive and transmit telephone calls inci- 
dent to the operation of the Officer of the Day’s Office. They will inform 
Chaplains of cases of seriously ill patients requesting chaplains. They will pre- 
pare the daily report of the Officer of the Day, the Guard Report, and perform 
all clerical work pertaining to the Officer of the Day’s Office. They will keep 
themselves informed of the whereabouts of the Sergeant of the Guard and 
transmit to him messages and orders. They will familiarize themselves with, 
and instruct enlisted personnel serving under him, in reference to all orders and 
regulations of this hospital, especially those pertaining to the Officer of the Day, 
Receiving and Evacuation Office, Fire Regulations, and the Hospital Guard. 
382. Ambulance Service.—Ambulance service at this hospital will be fur- 
nished under the direction of the Receiving and Evacuation Officer, or in his 
absence, the Officer of the Day, who will conform to the provisions of AR 40- 
75 in their conduct of this service. Ambulances will not be ordered out by non- 
commissioned officers on duty in the Receiving and Evacuation office without 
authority of the Receiving and Evacuation Officer, or, in the latter’s absence, 
of the Officer of the Day, unless the emergency be so great that the delay in 
obtaining such authority is inadvisable. In such cases, report will be made 
to the proper officer at the earliest opportunity. In his action toward providing 
ambulance service for patients arriving by train or boat, the Receiving and 
Evacuation Officer will be guided by regulations. RECEIVING AND EVACUATION OFFICE 
383. Records.—The Receiving and Evacuation Officer will be responsible 
for the preparation and disposition of the records enumerated in regulations. 
384. Absence of the Receiving and Evacuation Officer. During hours 
other than those prescribed for the Receiving and Evacuation Officer, the Officer 
of the Day will assume charge of, and be responsible for all duties of the Re- 
ceiving and Evacuation Officer relative to the administrative conduct of that 
office, and the Officer of the Day will assume charge of, and be responsible for 
those of a professional nature. 
128 MEDICAL SUPPLY 
385. Organization.—As set forth in regulations, the Medical Supply De- 
partment is a part of the Administrative Division of this hospital and will be 
under the immediate supervision of an officer designated by the Commanding 
Officer. He will be known as the Medical Supply Officer and will be directly 
responsible for the efficient conduct of the department. 
386. General Duties.—a. Procurement, storage, issue and accountability 
for all medical supplies, equipment and blank forms of the Medical Department, 
Adjutant General’s Department and such local blank forms as may be author- 
ized by the Commanding Officer. 
b. The maintenance and operation of such utilities as may be authorized 
for the repair and upkeep of Medical Department property. 
c. The expenditure of all allotments for the purchase and upkeep of medical 
supplies. 
d. Preparation and maintenance of such memorandum receipts, inventories, 
property reports, returns and stock record system as are prescribed by proper 
authority. 
e. The general supervision over and care of the Medical Library and the 
maintenance of such library records as are prescribed by proper authority. 
387. Supplies, Expendable, Requisition for. —a. Except in emergency, 
requisitions for expendable medical supplies will be made on M.D. Form 16a 
(one copy). Requisitions will be prepared on the typewriter whenever prac- 
ticable, using the nomenclature, item number and unit as listed in Medical De- 
partment Supply Catalogue. They will be carefully checked and signed by offi- 
cers in charge of departments, wards, etc., and forwarded to the Medical Supply 
Officer not later than 12:00 noon of Monday of each week. 
b. In an emergency in which the need could not have been foreseen, requi- 
sitions may be submitted at any time. Such a requisition will be prepared as 
directed above and marked “Emergency." 
388. Supplies, Non-Expendable, Requisition for.—Requisitions for non- 
expendable medical property will be made in the manner prescribed in para- 
graph 387 a above, except they will be prepared in duplicate on M.D. Form 16b. 
The original copies of the requisition will be retained by the Medical Supply 
and the duplicate returned to the Responsible Officer for file as a voucher to 
Memorandum Receipt for Non-expendable Property. 
389. Supplies, Issue of.—a. The Medical Supply Officer will audit ail 
requisitions and reduce excessive amounts requisitioned to meet the allowances 
prescribed by the Surgeon General. 
b. Regular issues will be made at the Medical Supply Department on 
Thursday of each week between 8:00 and 11:30 AM. Supplies not called for 
within the specified hours wil be returned to stock. 
c. Issues of drugs will be made to the Pharmacy and dispensed by that de- 
partment on prescriptions. Exceptions to this rule will be made only in the case 
of articles stored for use of a specified service. 
d. Articles entering into the composition of surgical dressings will be 
issued in bulk to the Anesthesia and Operating Section. Such dressings will be 
prepared and sterilized in the preparation room pertaining to that section and 
issued to wards, departments, etc., as required. MEDICAL SUPPLY 
390. Alcohol, Narcotics, and Habit-Forming Drugs.—a. The Medical Sup- 
ply Officer is directly charged with the safekeeping of all stores of ethyl alcohol, 
absolute alcohol, alcoholic liquors, narcotics and habit forming drugs until they 
are issued to the Pharmacy or other Departments authorized to issue them. He 
will receive and issue these supplies in person. All reserve supply of these 
articles will be kept locked in safes in the room especially provided for that 
purpose in the Medical Storeroom. All keys and safe combinations will be kept 
at all times by the Medical Supply Officer personally. He will keep a detailed 
account of his issues on M.D. Form 17a, keeping as vouchers requisition Form 
16a upon which issues were made. 
b. Issues of absolute and ethyl alcohol will be made only to the Officer in 
Charge of the Pharmacy and the Chief of the Laboratory Service upon requisi- 
tion signed by them. 
c. Issues of alcoholic liquors, narcotics and habit-forming drugs will be 
made only to the Officer in Charge of the Pharmacy upon requisition signed by 
him. 
d. All alcohols, alcoholic liquors, narcotics and habit-forming drugs in the 
possession of the Medical Supply Officer will be checked once each month by 
an officer designated by the Commanding Officer. Written report of the find- 
ings will be made to the Commanding Officer immediately thereafter. 
391. Property Responsibility.—The Medical Supply Officer will maintain 
the Account of Property on Memorandum Receipt as prescribed in AR 35-6520. 
These receipts will be prepared in duplicate, renewed semi-annually or when 
property responsibility is transferred. Memorandum receipts presented to Re- 
sponsible Officers will be immediately checked by them and the original signed 
and returned to the Medical Supply Officer within forty-eight (48) hours, the 
duplicate to be filed in the ward or department. All notations of the Responsible 
Officer will be made on the duplicate. In no case will original copies be changed 
or notations made by other than the Accountable Officer. Transfers made for 
convenience during short leaves of absence or within a short time subsequent 
to issue of a new memorandum receipt will be made by receipt of new officer 
on reverse of old receipt. 
392. Exchange and Replacement of Property. —a. Unserviceable non- 
expendable property for exchange will be turned in to the Medical Supply Offi- 
cer on Monday of each week, between the hours of 8:00 AM and 11:30 AM. 
Property will be listed on M.D. Form 16 c (1 copy) and be certified by the Re- 
sponsible Officer that the article or articles became worn out through fair wear 
and tear in the public service. Medical property becoming unserviceable 
through other than the above conditions will be acted on in accordance with 
provisions of AR 35-6640. Similar action will be taken when property is lost. 
b. Surgical instruments, scientific instruments and appliances, X-Ray 
tubes, dental instruments and physio and elctrotherapy machines which have 
become unserviceable through fair wear and tear in the public service will be 
accompanied with a certificate in quadruplicate signed by the Responsible Offi- 
cer, covering the unserviceability. 
c. Duplicate copies of Form M.D. 18-b will be furnished by the Officer in 
Charge, Dental Service, covering monthly expenditure of dental gold. 
d. Non-expendable property no longer required for current use will be 
turned in to the Medical Supply Officer on Monday of each week, between the 
130 MEDICAL SUPPLY 
hours of 8:00 AM and 11:30 AM. This property will be listed on M.D. Form 
16 d, (in duplicate), signed by the Responsible Officer and submitted with the 
property to the Medical Supply Officer for approval and credit. The Medical 
Supply Officer will sign duplicate copy of Form 16 d and return it to the Re- 
sponsible Officer for file with his Memorandum Receipts. 
393. Property Check, Monthly.—a. Officers having property on Memo- 
randum Receipt will check all property for which they are responsible on the 
first day of each month. Report of such check, prepared in duplicate, listing all 
overages and shortages found, will be made, the original forwarded to the 
Medical Supply Officer not later than 12:00 noon the following day, duplicate 
to be retained by Responsible Officer. 
b. The Medical Supply Officer will consolidate the lists of overages and 
shortages as prepared by Responsible Officers, make such adjustments as are 
possible and report his action to the Commanding Officer. 
c. Under existing regulations Accountable Officers are required to take 
up as “Found at Post” all property in excess of that listed on his stock record 
account. To avoid duplication of accountability, Responsible Officers are di- 
rected to report all articles in excess of their responsibility in order that adjust- 
ment may be made of shortages found in other departments. In event that ad- 
justments cannot be made of property lost, the Responsible Officer will be di- 
rected to proceed as set forth in AR 35-6640. 
d. The Medical Supply Officer will, from time to time, check wards and de- 
partments to determine the accuracy of check reported by such ward or depart- 
ment. The officer in charge of ward or department will accompany the Medical 
Supply Officer while check is being made and will render such assistance as may 
be required to secure an accurate check. The results of this check will be con- 
sidered as final and will be reported to the Commanding Officer by the Medical 
Supply Officer. 
394. Inventories and Reports.—a. The annual inventory of medical sup- 
plies as required by current orders. War Department, as well as special inven- 
tories and reports of property required from time, will be prepared and signed 
by the Medical Supply Officer and forwarded by him through the Commanding 
Officer to the Surgeon General of the Army. 
b. The Medical Supply Officer will prepare and submit to the Command- 
ing Officer, a semi-annual statement of cost of Medical Services, as prescribed 
in AR 40-1705, covering six month periods, ending June 30th and December 
31st of each year. This report will be submitted on the 10th days of July and 
January of each year, covering the periods just preceding, or as soon thereafter 
as complete information can be furnished. 
395. Repair and Renovation, of Medical Department Equipment Including 
Instruments.—-Whenever the responsible officer desires repair or renovation of 
any article or articles of Medical Department equipment, he will,.cause the 
article to be turned in.to the Medical Supply Officer at the-Medical Department 
with a, statement, of work desired, . The Medical Supply. Officer, 
upon receipt of such article, will either exchange it for a. serviceable article of 
the same character or cause the necessary repairs to be made. No. article of 
Medical equipment will be sent to a repair shop t»y any person other 
than the Medical Supply Officer. MEDICAL SUPPLY 
b. Typewriters. The Medical Supply Office is charged with the cleaning, 
repairing, the changing of ribbons and general maintenance of all Medical De- 
partment typewriters. All individuals, other than those designated by the 
Medical Supply Officer, are prohibited from cleaning or repairing of typewriters 
or changing the ribbons. Issues of typewriter ribbons to departments will not 
be made. Typewriters will be taken each month to the Medical Supply Machine 
Shop at a convenient time, during the period designated by the Medical Supply 
Officer, for inspection, cleaning, and such other servicing as is deemed neces- 
sary. A suitable tag will be affixed by the Medical Supply Officer to each type- 
writer upon completion of servicing and inspection. This will not be removed. 
396. Purchase of Materials in Open Market.—a. Requests for purchase of 
nonstandard drugs or supplies by Services will be made on Form 94, L.G.H. to 
the Medical Supply Officer by the Chief of Service concerned. Except in case 
of emergency, the Medical Supply Officer will obtain the approval of the Com- 
manding Officer or his representative before purchases are made. 
b. Purchases of supplies from Medical Department Appropriation will not 
be made by any one other than the Med:cal Supply Officer. Purchases made 
other than in the authorized manner, or orders given in anticipation of future 
deliveries will be charged to the account of the person or persons giving such 
orders. 
c. Monthly report of expenditures against proper appropriation titles will 
be made by the Medical Supply Officer, signed by him as to their correctness 
and submitted to the Commanding Officer by noon the sth day of the month 
next succeeding, or as soon thereafter as complete report can be furnished. This 
report will be as of the last day of the previous month. 
d. Report of Medical and Hospital Department Allotments expended by 
the Medical Supply Officer will be reported quarterly. This report, supported 
by accompanying vouchers, will be forwarded through the Commanding Officer, 
by the sth day of the succeeding month, or as soon thereafter as complete in- 
formation can be furnished. Similar reports will be made at the end of each 
fiscal year as soon as accompanying vouchers can be secured. 
397. Transfers of Property Between Responsible Officers.—a. When 
property responsibility in a ward or department is ordered transferred from one 
officer to another, the Responsibile Officer, accompanied by his successor, will 
personally check all property on Memorandum Receipt. Report of such check, 
with overages and shortages, will be made to the Medical Supply Officer who 
will make such adjustments as possible from his stock and prepare a new Memo- 
randum Receipt for the new Responsible Officer. 
b. Upon receipt of orders for change of station or upon change of duties 
which require transfer of accountability, the Medical Supply Officer will request 
the Finance Officer, 9th Corps Area, for an audit of his accountability. In event 
that his authorized relief has not reported prior to the departure of the Medical 
Supply Officer, an officer of the Medical Department will be temporarily ap- 
pointed to assume medical accountability, receipt being taken as required in 
paragraph 1, AR 35-6680. 
c. When the Accountable Officer is relieved of his accountability by reason 
of leave, illness, special duty from station, or other authorized temporary ab- 
132 MEDICAL SUPPLY 
sence, in which it is not deemed necessary to make complete change of account- 
ability, he will make such certificates as are specified in paragraph 1. AR 35- 
6680. 
398. Requisitions by Medical Supply Officer.—a. The Medical Supply 
Officer is charged with the timely requisitioning for such amounts of medical 
supplies as are needed for the requirements of this hospital. He will request 
such data from the services as he may deem necessary and Chiefs of Services 
will give such assistance as he may require in the preparation of these requisi- 
tions. 
b. Non-standard requisitions for non-standard drugs, instruments, special 
appliances and equipment will be submitted by the Medical Supply Officer 
quarterly for such supplies as are necessary for the upkeep of the hospital. He 
will call on Chiefs of Services for an estimate of the supplies needed, consoli- 
date these requests and submit his requisition through the Commanding Officer 
to the Medical Section, San Francisco General Depot. Chiefs of Services are 
directed to reduce their requests for non-standard articles to minimum required 
by absolute necessity. Requests for proprietary medicines, instruments and 
appliances for which a suitable substitute is listed on the Medical Supply Table 
are prohibited. 
133 POST QUARTERMASTER 
399. Duties in General.—ln general, the duties of Post Quartermaster, in 
so far as they concern the different activities of the Quartermaster Corps and 
Signal Corps at this hospital, will be as follows: 
a. (1) The administrative and disciplinary control over all personnel, 
both civilian and enlisted, of the Quartermaster Corps, on duty 
at this hospital. 
(2) The procurement, storage, issue of, and accounting for, all supplies 
and equipment necessary to the command and maintenance and 
operation of the hospital, with the exception of those supplies 
and equipment properly procured, stored, issued and accounted 
for by the Medical Supply Officer. 
(3) The maintenance and operation of utilities. 
(4) The maintenance and repair of buildings, roads, walks, grounds 
and lighting, heating, water and sewer systems. 
(5) The maintenance, repair and operation of all motor transportation. 
For this purpose he will have administrative control over such 
enlisted men of the Medical Department as may be assigned to 
duty in connection with the operation of transportation. 
(6) The collection and disposition of all salvage and waste materials. 
(7) The Commanding Officer of the Detachment Quartermaster 
Corps. 
(8) The administration, maintenance and operation of the printing 
plant. 
(9) Such other duties as may be specifically assigned him from time 
to time by the Commanding Officer. 
b. (1) The general administration of the telephone and telegraph systems 
of the hospital. 
(2) The settlement of all accounts for official telephone and telegraph 
service. 
400. Handling of Supplies.—The following instructions will govern in the 
handling of supplies: 
a. The Quartermaster is charged with the procurement of such supplies 
and equipment of the Quartermaster Corps as are required for the proper sup- 
ply and equipment of the Detachments Medical Department, Quartermaster 
Corps, and Patients; and for the maintenance and operation of all activities 
of the Quartermaster Corps, such general Quartermaster supplies as are re- 
quired for the hospital proper being procured, stored, issued and accounted for 
by the Medical Supply Supply Officer. 
b. The following will govern all issues of supplies and equipment by the 
Quartermaster; 
(1) Clothing chargeable to the clothing allowance of enlisted men 
will be issued on requisition submitted by the organization com- 
mander on QMC Form 409 for bulk issues and AGO Form 35 
for individual issues. These requisitions will be prepared in 
duplicate and, in the case of bulk issues, will be submitted to the 
Commanding Officer of the hospital for approval prior to issue POST QUARTERMASTER 
of clothing thereon. After issues have been effected the forms 
will be completed by the Quartermaster and the duplicate copy 
returned to the organization comamnder for file with his rec- 
ords for the action of the Inspector, the original after signature 
by the organization commander being retained by the Quarter- 
master as a credit voucher to his accounts. 
(2) Non-expendable supplies and equipment other than clothing need 
not be covered by formal requisition but will be issued on infor- 
mal request. Issues will be made on QMC Form 487, which 
will be prepared in duplicate, the original being signed by the 
person to whom issues are made and retained by the Quarter- 
master, and the duplicate delivered to the responsible person. 
(3) All issues of expendable supplies and equipment will be made on 
requisitions submitted in duplicate and approved by the Com- 
manding Officer of the hospital as follows: 
(a) Issues of cleaning materials, stationery, etc., will be made 
quarterly on requisitions submitted in duplicate on QMC 
Forms 411, 412, 413 and 414, and approved by the Com- 
manding Officer of the hospital. Requisitions for these 
supplies will be based on allowances announced from time 
to time in Memorandum Orders and Tables of Allowances. 
The original of these requisitions, after issues have been 
affected and receipts obtained, will be used by the Quar- 
termaster as a credit voucher to his accounts, the duplicate 
being returned to the requisitioning officer for the records 
of his office. 
(b) All other issues of expendable articles will be made on QMC 
Form 400, submitted as occasion demands. These requisi- 
tions will be approved by the Commanding Officer and 
disposed of as provided for in (a) above, 
c. The following instructions will govern the receiving of supplies and 
equipment by the Quartermaster from organizations and individuals: 
(1) When it is desired to turn in serviceable non-expendable property, 
it will be presented to the Quartermaster who will credit the 
responsible person therefor on QMC Form 487. When un- 
serviceable non-expendable property is to be turned in, it will 
be accompanied by a certificate or affidavit of the responsible 
person setting forth the circumstances by which it was rendered 
unserviceable and upon which the responsible person will rely 
to relieve himself of the responsibility for the unserviceable 
condition of the property. 
(2) All expendable property will, when no longer required, be turned 
in to the Quartermaster for salvage accompanied by a list of 
such property and, in the case of clothing which has been 
charged against the clothing allowance of enlisted men and 
dropped from accountability, the list will contain the name and 
organization of the enlisted man to whom the clothing per- 
135 POST QUARTERMASTER 
tained. One copy of this list will be authenticated by the Quar- 
master and returned to the organization commander for file with 
the records of enlisted man for the action of the Inspector. 
(3) All supplies received by the Quartermaster by transfer from other 
stations and by local procurement will be received and handled 
in accordance with existing regulations and the following in- 
structions; 
(a) All articles received will, immediately upon receipt, be care- 
fully examined as to quality and serviceability and checked 
as to quantity. 
(b) Upon compliance with (a) above, the person receiving the 
supplies will acknowledge receipt by entering his signature 
on the prescribed Tally-In (QMC Form 489) covering the 
shipment in the case of supplies purchased by this office; 
or initialing the Shipping Ticket covering shipment of sup- 
plies received from the Depot. In the case of supplies 
purchased, the Tally-In must be attached to the Receiving 
Report when it is submitted to the Quartermaster for sig- 
nature. No supplies will, in future, be signed for by the 
Quartermaster until the above instructions have been fully 
complied with. 
(c) The necessary Tally-In covering supplies or equipment pur- 
chased will be prepared by the clerk or storekeeper receiv- 
ing the supplies. 
(d) The person receiving and signing for supplies should bear in 
mind that the Quartermaster assumes acountability for the 
supplies on the strength of his receipt and that responsi- 
bility for the proper examination and accurate check de- 
volves upon the person signing the Tally-In, Shipping 
Ticket or Receiving Report. Shipments should therefore 
be carefully checked to insure receipt of the supplies 
signed for and a proper notation made on the Tally-In, 
Shipping Ticket, etc., of any shortages, damaged goods, 
etc. 
(e) The following persons only are authorized to receipt for 
property of their respective departments as indicated: 
The Noncommissioned Officer in Charge of Storeroom 
or the Noncommissioned Officer in charge of property for 
all supplies received from the Depot or transferred from 
other Posts and such supplies as are purchased by this 
office, with the exception of subsistence stores. 
The Noncommissioned Officer in Charge of Commissary 
for all subsistence stores. 
d. (1) The Quartermaster will maintain at all times in the Post Com- 
missary, or Quartermaster Sales Stores, such quantities of au- 
thorized sales articles as are required to meet the demands of 
of the personnel of the command. 
136 POST QUARTERMASTER 
(2) Sales will be made only to those authorized by regulations to make 
purchases. 
(3) The hours for sales will be 8:00 AM to 11:45 AM. 
(4) Deliveries will be made to personnel on duty at the hospital only. 
Orders for delivery must be placed not later than 9:30 AM. 
(5) No sales will be made to patients except on the order of the Ward 
Surgeon. 
(6) The bakery of the hospital will be operated under the provisions 
of Army Regulations 30-2260 and as an adjunct of the sales and 
issue commissary. The noncommissioned officer in charge of 
the commissary will be held responsible for its proper operation, 
police, etc. The chief baker will be responsible to the noncom- 
missioned officer in charge of the commissary for the proper 
use and accounting of all supplies issued the bakery for the 
manufacture of bread and for the maintenance of proper records 
of baking, etc. Only such quantities of bread as are required 
for current consumption will be baked at any time. No sales 
or issues of bread, other than issues to the general mess, will 
be made from the bakery. All such sales and issues will be 
made from the commissary. 
401. Collection and Disposition of Salvage and Waste Materials.—The fol- 
lowing instructions will govern the collection and disposition of salvage and 
waste materials at this station: 
a. The Quartermaster, acting in the capacity of Salvage Officer, is charged 
with the collection and disposition of all salvage, waste materials and unservice- 
able supplies accumulating at this station and will be guided in the performance 
of these duties by current War Department regulations and orders governing 
the collection and disposition of this class of supplies. 
b. Existing regulations governing this class of supplies reqiure that all un- 
serviceable articles of public property, both expendable and non-expendable, be 
collected and turned over to the local Salvage Officer for disposition. Strict 
observance of such regulations and the following will be had to insure that all 
such property is properly collected and disposed of: 
(1) Non-expendable property stored and issued b}r the Quartermaster 
Corps, when unserviceable, will be turned over to the Quar- 
termaster accompanied by a certificate or affidavit of the re- 
sponsible officer or person (in quadruplicate) setting forth the 
circumstances by which the property was rendered unserviceable 
and upon which the responsible officer or person will rely to 
relieve themselves of the responsibility therefor. Property of 
this class stored and issued by the Medical Department will 
be turned over to the local Medical Supply Officer in accord- 
ance with existing regulations. 
(2) All expendable articles of public property, when unserviceable or 
no longer required, and all collections of waste materials will 
be turned over to the Salvage Officer accompanied by a list of 
such, showing the quantity of each article delivered. 
137 POST QUARTERMASTER 
(3) (a) All salvage and waste materials received by the Salvage 
Officer will be disposed of in accordance with existing 
regulations and to best interest of the service. Special 
vigilance will be had to insure that the interest of the serv- 
ice is safeguarded in disposing of such public property as 
may come into his hands through the salvage activities, 
(b) The waste or garbage from the messes operated at this hos- 
pital will be disposed of by the Salvage Officer by sale to 
a contractor, as is the present practice, so long as such is 
the most advantageous method to the Government. 
402. Maintenance and Repair of Buildings and Equipment.—The Quarter- 
master is responsible for the proper maintenance and repair of all buildings, 
roads, grounds; also the water, sewer, heating and lighting sj'stems of the hos- 
pital; and for the timely submission of estimates for adequate funds for this 
purpose in accordance with existing regulations, which require that annual esti- 
mates be submitted to the Quartermaster General through the Surgeon Gen- 
eral as soon as possible after December 31st of each year. The following in- 
structions will govern the maintenance and repair of buildings and equipment 
at this hospital: 
a. Inasmuch as the Quartermaster is responsible for the proper mainte- 
nance and repair of all buildings, roads, grounds, the water and sewer system, 
heating system, lighting system, and such equipment as is stored and issued 
by the Quartermaster Corps, all requests for repairs to such will be made to 
the Quartermaster, as follows: 
(1) Ordinary or routine repairs will be requested by the entry of the 
desired repairs in the repair book provided for this purpose in 
the Staff Rom. Requests entered in this book will receive 
prompt attention. The Quartermaster will cause a designated 
representative of his office to extract all requests from this book 
twice daily and will be responsible that such requests receive 
proper attention. 
(2) All requests for emergency repairs during regular office hours 
will be made verbally in person, or by use of the telephone, to 
Utilities Clerk, Telephone Local 89, or to the foreman of the 
shop to which the work pertains, and the circumstances will be 
fully explained in order that expeditions and intelligent action 
may be taken to assure immediate accomplishment of same. No 
request that does not actually constitute an emergency 
will be treated as such in order to gain precedence over 
other necessary repairs, as this practice will result in the delay 
of more important repairs. 
(3) Any unusual repairs that may become necessary after office hours 
will be referred to the Quartermaster at his home, or if unable 
to communicate with him, to the Chief Clerk at his home. 
b. The Quartermaster will arrange a priority on all requests received for 
repairs. Such priority will be in accordance with the wishes of the Command- 
ing Officer and the best interest of the hospital as a whole. 
138 POST QUARTERMASTER 
c. The Quartermaster being responsible for repairs to equipment stored 
and issued by the Quartermaster Corps Only, all requests for repairs to equip- 
ment supplied by the Medical Department, such as sterilizers, X-ray machines, 
etc., will be submitted to the Medical Supply Officer who is accountable for 
this class of equipment and who is required to furnish such repair parts and 
supplies as are necessary for the repair and maintenance of such equipment. 
d. If within a reasonable length of time requests for repairs do not receive 
proper attention, or the repairs made are unsatisfactory, a report of such fact 
will be made to the Quartermaster. 
e. No changes in any of the heating, lighting or plumbing fixtures in any 
building of the hospital will be undertaken without the prior authority of the 
Commanding Officer or Quartermaster. The use of adhesive tape by ward per- 
sonnel in endeavoring to repair electrical wiring and equipment is strictly pro- 
hibited and any infraction of these regulations will be promptly reported to the 
Commanding Officer by the Quartermaster. 
f. No painting in any building of the hospital will be done without prior 
consultation with the Quartermaster. 
g. No cleaning solution, such as lye, etc., or other than the usual floor 
polish, will be used in cleaning and polishing floors of the buildings of the hos- 
pital without prior consultation with the Quartermaster. 
403. Maintenance and Operation of Utilities.—The Quartermaster is re- 
sponsible for the proper maintenance and operation of utilities pertaining to the 
Quartermaster Corps at this hospital and for the timely submission of adequate 
estimates of funds required for this purpose in accordance with existing regu- 
lations; also the submission of the necessary requisitions for fuel and other 
supplies required for their maintenance and operation. The utilities for which 
the Quartermaster is responsible consist of the power plant, the carpentry, paint- 
ing, plumbing, electrical and steamfitting repair shops, and the following in- 
structions govern in their maintenance and operation: 
a. The power plant will be maintained and operated under the direct su- 
pervision of the Chief Engineer, acting under the supervision and orders of the 
Quartermaster, and he will be guided in the performance of his duties by the 
following: 
(1) Such civilian and enlisted personnel as is necessary for the opera- 
tion and maintenance of the equipment of the plant and its 
auxiliaries, such as the ice plant, etc., will be assigned by the 
Quartermaster and the Chief Engineer will be responsible for 
their proper assignment to specific duties and the efficient per- 
formance of their duties. Any inefficiency or laxity in the per- 
formance of duties will be promptly reported to the Quarter- 
master. For information regarding regulations governing ci- 
vilian employees of the Quartermaster Corps see Circular 1-15, 
Office of The Quartermaster General. 
(2) The Chief Engineer v/ill be, held strictly responsible for the proper 
care and police of the plant and all equipment in operation there- 
• ' ‘ v. in.s'- The'ehtire plant will at all times receive such attention as 
'• is necessary to insure rs efficient and economical operation. POST QUARTERMASTER 
(3) A log will be carefully and diligently maintained in the power 
plant which will contain the daily records of operation as en- 
tered by the plant operators. It will show the amounts of fuel 
and other supplies received, expended and on hand at the plant, 
the equipment that is being operated, the repairs that were made, 
the personnel on duty and the readings of draft gauges, pressure 
gauges, vacuum gauges, etc., and all such operating data as is 
necessary for the proper rendition of intelligent and accurate 
reports on operation and maintenance. These records will be 
maintained in such manner as to provide all necessary data for 
the submission of estimates for funds, requisitions for supplies, 
etc., whenever required by the Quartermaster. 
(4) Such inspections are necessary to enable the Chief Engineer to 
keep himself fully informed of the condition of the equipment 
of the plant and the efficiency of the personnel working under 
his supervision will be made by him. The Quartermaster will 
conduct a weekly inspection, to be made on Saturday morning, 
and such additional inspections as are considered necessary to 
keep himself informed of the condition of the plant and its 
equipment. The Administrative Officer of the Day will make at 
least two inspections of the plant, once between 6:00 PM and 
9:00 PM, and once between midnight and 6:00 AM to insure 
that the personnel on duty at the plant are awake and properly 
performing their duties. 
(5) The Engineer on watch will be held responsible that no unauthor- 
ized persons are permitted to loaf or loiter in the plant and will 
direct any such loafer or loiterer to leave the premises. In the 
event of the failure or refusal of a loafer or loiterer to leave as 
instructed, the office of the Officer of the Day will be promptly 
notified. 
(6) The whistle of the power plant will be blown as follows only: 
(a) Fire call will be sounded by one long blast of the whistle 
(10 seconds). This warning signal will be followed by 
short blasts (3 seconds each) to designate the location of 
the fire. 
1 Short—Surgical Side, along Girard Road, from Ward 
A-l to Commissary. (Box 212). 
2 Short—Rear of Hospital, along Edie Road, from Com- 
missary to Laboratory (Box 213). 
3 Short—Front of Hospital, along Torney Ave., from 
Kennedy Ave., to Girard Road (Box 214). 
4 Short—Medical Side, along Kennedy Ave., from “K” 
Wards to Laboratory. 
5 Short—Officers’ Quarters, along O’Reilly Ave., from 
Commanding Officer’s Quarters to Edie Road 
(Box 215). 
6 Short—Field Buildings (Box 216), assembly at Detach- 
ment Medical Department Supply Room. 
140 POST QUARTERMASTER 
(b) To indicate cessation of work: 
1 short blast at 12:00 M. 
1 short blast at 4:15 PM. 
(c) To indicate time to resume work: 
1 short blast at 12:30 PM. 
(7) The issue of ice from the plant will be made to the wards 
and other departments of the hospital as follows: Mondays, 
Wednesdays, Fridays and Saturdays from 7:00 to 7:30 AM and 
on Tuesdays and Thursdays from 7:30 to 8:00 AM. The de- 
livery to the personnel occupying public quarters on the post 
will be made at such time during the morning hours as trans- 
portation may be available and is most convenient for the 
Quartermaster. No deliveries of ice will be made to the per- 
sonnel of the hospital other than those occupying public quar- 
ters. 
b. The various workshops operated under the supervision of the Quarter- 
master will be governed by the following instructions: 
(1) The foreman of the Plumbing Shop, Steamfitter’s Shop, Elec- 
trician’s Shop, Carpenter Shop, and Paint Shop are responsible 
for the proper functioning of their respective shops and for the 
conservation and use of all materials and supplies furnished 
them for the performance of their duties. 
404. Transportation.—The Quartermaster is responsible for the mainte- 
nance and operation of all motor transportation at this station, consisting of 
ambulances, passenger vehicles, trucks, etc., and for the issuance of such re- 
quests for rail transportation as are required for the travel on competent orders 
of personnel of the hospital, including patients returning to duty, etc.; also for 
the preperation and arrangement of shipment of all freight or express shipments, 
including public and personal property, the shipment of which is authorized 
by regulations. 
a. The following instructions will govern the issuance of rail transporta- 
tion to personnel departing the hospital and the preparation and shipment of 
household goods and other property from the hospital. 
(1) (a) The Quartermaster will, upon receipt of competent orders, 
issue transportation requests to cover such rail transporta- 
tion and sleeping car accomodations required for personnel 
departing the hospital. He will be guided in the issuance 
of such transportation by instructions contained in Army 
Regulations 30-905, 30-910, 30-920 and 30-925. 
(b) All individuals contemplating travel on an official status 
should acquaint themselves with instructions contained 
in the Army Regulations quoted. 
(c) The Quartermaster will in addition to the issuance of trans- 
portation requests for travel and sleeping car accomoda- 
tions, including dependents where authorized, make all 
necessary reservations whenever requested to do so by the 
traveler. 
141 POST QUARTERMASTER 
(d) The Quartermaster will, in the case of movement of tubercu- 
lar, insane and other patients, prepare itineraries, secure 
through reservations and make such arrangements with 
the carriers as are necessary to insure the utmost comfort 
for the travelers. 
(2) (a) Whenever the shipment of remains with an attendant is au- 
thorized the Quartermaster will issue the necessary trans- 
portation requests to cover the transportation of the re- 
mains and attendant as provided in Army Regulations 
30-920, 30-955 and 35-1420. 
(b) Whenever the shipment of remains by express is directed the 
Quartermaster will make the necessary arrangements with 
the Port Quartermaster, San Francisco Port of Embarka- 
tion, Fort Mason, for shipment, as the issuance of bills 
of lading by the Quartermaster, this hospital, is unauthor- 
ized. 
(c) The Undertaker employed under contract by the Quarter- 
master will be held responsible under his contract that all 
remains for shipment are prepared in accordance with ex- 
isting laws. 
(3) (a) Upon receipt of orders for permanent change of station by 
personnel of the hospital possessing household goods and 
other personal property requiring packing and crating 
prior to shipment, application will at once be made to the 
Quartermaster for the necessary packing and crating. 
Such application should be made at the earliest possible 
date after receipt by individual of orders, accompanied by 
five copies of orders for change of station, in order that 
arrangements may be made for the packing and crating, 
thereby avoiding unnecessary delay. 
(b) Upon receipt of application for packing and crating the Quar- 
termaster will immediately prepare a request on the Quar- 
termaster, Ninth Corps Area, for sufficient funds to cover 
the cost of packing and crating. This request should be 
based on allowances prescribed in Army Regulations 30- 
960. Upon receipt of goods to be shipped they will be 
packed and crated with all possible dispatch. 
(c) All packing and crating of public property for shipment will 
be accomplished under the supervision of the Quarter- 
master. 
(4) (a) All public property for shipment from this hospital will be 
turned over to the Quartermaster for shipment, accom- 
panied by reqtlest for shipment, containing the proper ad- 
, - dress of consignee and such other information as is 
• necessary for him to take intelligent action and insure 
shipment. i. ■■ ; POST QUARTERMASTER 
(b) Upon completion of the packing and crating of household 
goods and other personal property of personnel changing 
station, such goods will be immediately marked with the 
proper address of the consignee and to show the weights 
and cubic measurements of packages; these will be listed 
on Shipping Ticket (Form No. 434 QMC), which will be 
prepared in triplicate by the Quartermaster and forwarded 
in duplicate to the Port Quartermaster, San Francisco 
Port of Embarkation, Fort Mason, accompanied by Cer- 
tificate of Personal Property Shipped (Form No. 219 
QMC) in duplicate. A complete file covering all shipments 
made by the Quartermaster will be maintained in his office. 
(c) The Quartermaster will be governed in handling the shipment 
of personal property by instructions contained in Army 
Regulations 30-960. 
405. Printing.—The Quartermaster is charged with the operation and 
maintenance of the printing plant at this hospital and the accomplishment of 
all authorized printing for all stations of the Ninth Corps Area. He will be 
governed in the operation and administration of the plant by instructions con- 
tained in Regulations of the Joint Committee on Printing, Congress of the 
United States, Army Regulations 30-2120 and such instructions as may be issued 
from time to time by The Quartermaster General. 
a. The Medical Supply Officer is charged with the furnishing of all stock 
and materials necessary for the accomplishment of printing required for medical 
purposes at the hospital. Therefore all requests for such printing will be made 
to the Medical Supply Officer, who will arrange with the Quartermaster for the 
accomplishment of the desired printing. 
b. The printing of standard forms is prohibited by regulations and re- 
quests for the printing therefor will not be honored. 
c. No requests for printing will be made direct to the Printer as all work 
accomplished by him must receive the prior approval of the Quartermaster. 
406. Ordnance Officer.—All such supplies and equipment of the Ordnance 
Department as are required at the hospital will be obtained from the Post 
Ordnance Officer, Presidio of San Francisco, California, on properly approved 
requisitions. 
ORDNANCE 
407. Handling Supplies and Equipment.—lnasmuch as no accountability 
is carried at the hospital for property of the Ordnance Department, such non- 
expendable property as may be required will be obtained on Memorandum Re- 
ceipt and signed for by a designated officer of the command who will be re- 
sponsible to the Post Ordnance Officer, Presidio of San Francisco, California, 
therefor. 
408. Care to Be Exercised in the Storage and Issue of Firearms and Am- 
munition.—Utmost care will be exercised by the personnel of the command 
responsible for firearms and ammunition to insure that they are properly safe- 
guarded to prevent their theft or falling into the hands of unauthorized persons. 
To this end the officer signing Memorandum Receipt therefor will be held 
strictly responsible that all firearms and ammunition in his possession are kept 
locked in armchests provided for the purpose when not in actual use. 
143 SIGNAL CORPS 
409. Post Signal Officer.—The Post Quartermaster at this hospital will be 
the Post Signal Officer. 
410. Duties in General.—He is charged with the general administration of 
the post telephone and telegraph systems and the settlement of all accounts 
for telephone, telegraph and time service at this hospital. He will be guided in 
the performance of such duties by such general instructions as are applicable 
and instructions issued from time to time from the office of the Chief Signal 
Officer of the Army and the Signal Officer of the Ninth Corps Area. 
411. Telephone System Complaints and Requests for Repairs or Installa- 
tions.—All complaints of service and requests for repairs and for new installa- 
tions will be made to the Post Signal Officer. All requests for new installations 
of telephones will be made in writing and will fully state the necessity for such 
installation. All repairs, alterations, installations, etc., to the post telephone 
system are made by the Signal Officer, Presidio of San Francisco, on request of 
the Post Signal Officer. All requests for alterations of installation will be for- 
warded by the Post Signal Officer, through the Commanding Officer of the hos- 
pital, to the Signal Officer, Ninth Corps Area, for action. 
412. Classes of Telephone Service.—a. There will be four classes of tele- 
service authorized at this hospital, designated as follows: 
Class “A”—Telephones authorized for the transaction of official gov- 
ernment business only, and which are permitted access to 
to city trunk lines for such business. 
Class “B”—Telephones over which personal service is authorized and 
which are allowed access to city trunk lines for such 
service. 
Class “C”—Telephones restricted to general service within the post; 
no access to trunks for incoming or outgoing calls. 
Class “D”—Telephones restricted not only to post service, but to spe- 
cial classes of service such as fire alarm, guard alarm, 
watchman service, etc. 
b. Each telephone in the hospital will be placed in one of the foregoing 
classes, such designations to be made from time to time in Memorandum 
Orders of the Commanding Officer. 
c. All city business transacted over the telephones in Class “A” will be 
considered official. However, if it is desired to put personal calls through to 
the city, the following procedure will be followed: 
(1) An officer quartered on the post will request the operator to 
charge the call to the local telephone of his quarters. 
(2) An officer who is not quartered on the post will make a record 
of the call and forward the cost thereof to the Signal Officer, 
Presidio of San Francisco, at the close of each month. 
(3) An officer, for whose telephone a city connection is not author- 
ized, may secure same for personal calls by making himself 
known to the operator and requesting that the cost of the call 
be charged to his account. 
413. Transmittal of Official Telegraph and Radio Messages.—Official Tele- 
graph and Radio Messages will be transmitted when approved by the Adjutant, 
or in his absence, by the officer of the Day, 
144 FINANCE 
414. Finance Officer.—All such duties of the Finance Department as are 
necessary at this station are performed by the Finance Officer, U. S. Army, Fort 
Mason, San Francisco, California, or his Agent Officer designated by the Fi- 
nance Officer, Ninth Corps Area, Presidio of San Francisco, California. 
415. Accounts Paid by the Finance Officer at Fort Mason.—All accounts 
of officers, civilian employees and nurses, including pay, mileage, etc., and all 
commercial accounts for supplies furnished or services rendered are paid by the 
Finance Officer at Fort Mason, San Francisco, California. The papers neces- 
sary for the settlement of these accounts will be forwarded to that office in 
accordance with existing regulations. 
416. Accounts Paid by Agent Finance Officer, Corps Area Finance Office.— 
The enlisted personnel of the command are paid by the Agent Finance Officer, 
Ninth Corps Area Finance Office, who also makes payment of the monetary 
allowances in lieu of ration to enlisted men on a travel status, and the payment 
of commutation of rations to enlisted men returning from furlough; also pay- 
ment of the $5.00 donation to enlisted men sick in hospital not in line of duty. 
417. Disposition of Funds Required to Be Deposited to the Credit of the 
Treasurer of the United States.—All funds coming into the possession of any 
officer of the command, from whatever source, required to be deposited to the 
credit of the Treasurer of the United States, will be turned over to the Agent 
Finance Officer, Ninth Corps Area Finance Office, accompanied by the necessary 
forms or other papers required by existing regulations. 
418. Computation of Payrolls.—The payrolls of civilian personnel of the 
command will be computed, properly authenticated, and forwarded to the Fi- 
nance Officer, Fort Mason. The payrolls of enlisted personnel will be prepared 
and forwarded to the Finance Officer, U. S. Army, Fort Mason, San Francisco, 
California, at the prescribed time for computation of transmission to the 
Agent Officer, by whom physical payment will be effected. 
419. Time and Place of Payment (Payrolls).—Upon receipt of advice from 
the Agent Finance Officer as to when payment is to be effected, orders will be 
issued from this headquarters designating the place, time and order of payment. 
420. Police and Sanitation Responsibility of Chiefs of Services and Heads 
of Departments.—Chiefs of Professional Services and Heads of Administrative 
Departments are responsible for the police and sanitation of all activities per- 
taining to their services and departments. They will institute such measures 
as may be necessary to maintain all departments and services of the hospital 
in a condition constantly ready for inspection. 
INSPECTIONS MILITARY 
421. Inspection by Ward Officers, etc.—Chiefs of Professional Services will 
hold Chiefs of Sections and Ward Officers responsible for the police and sani- 
tation of their clinic rooms and wards. With this object in view, Chiefs of 
Services will require them to make at least two (2) daily inspections of their 
wards, clinics, etc., and to take immediate action to correct the irregularities 
discovered. One inspection will be made in the forenoon and another in the 
afternoon, except on Saturdays, Sundays, and holidays when the afternoon 
inspection may be omitted. 
422. Inspections by Chiefs of Services and Heads of Departments.—Chiefs 
of Professional Services and Heads of Administrative Departments, will make 
inspections at sufficiently frequent intervals to assure themselves that the ac- 
tivities under their jurisdiction are constantly maintained in an orderly, cleanly, 
and sanitary manner. RECREATION 
423. Moving Pictures, etc.—a. Moving pictures will be shown and other 
entertainments provided for duty personnel and patients at the Post Theatre 
as announced in bulletins from time to time. 
b- For the purpose of identifying members of officers’ and soldiers’ fam- 
ilies, identification cards will be procured from the Recreational Officer. These 
must be shown at the door. 
c. Guests of officers and soldiers of this command will be admitted upon 
presentation of guest cards which may be obtained from the Recreational 
Officer. 
d. Uniform or civilian clothing may be worn by duty personnel. Patients 
will wear the prescribed hospital clothing. Smoking during picture shows is 
prohibited. 
425. Tennis Courts.—a. There are three tennis courts available for use of 
this command: the officers’ court, the nurses’ court, and the enlisted men’s 
court. These are reserved as follows: 
(1) The officers’ tennis court—for the officer personnel, their fami- 
lies and guests. 
(2) The nurses’ tennis court—for nurses, aides, dietitians, and their 
guests. 
(3) The enlisted men’s tennis court—for enlisted men and their 
guests. 
c. In the event of guests using courts, inviting host must be present ex- 
cepting in the case of house guests of officers. 
c. Players will retire after one set in the event others are waiting to use the 
court. Doubles will have priority over singles. 
d. When a team is playing and a new team appears or is waiting, the play- 
ing team will yield the court after it has played one set. Doubles will have pri- 
ority over singles. 
426. Service Club,—a. The Service Club is for the use of the enlisted per- 
sonnel on duty at this hospital. It will be open from 7:00 AM until 10:30 PAI 
daily. 
146 RECREATION 
b. Drinking, gambling, loud or boisterous talking, rowdyism, and quarrel- 
ing will not be permitted. 
c. Only one form of music will be played at one time. When the radio is 
playing, other forms of music will not be permitted. 
d. Care will be exercised that matches, ashes, cigarette butts, etc., are 
placed in the proper receptacles. 
e. Books, magazines and periodicals will not be removed from the club. 
f. Service or white uniforms will be worn while in the Service Club. 
427. Organization Day.—Organization Day of the Letterman General Hos- 
pital is December 18. Appropriate ceremonies and recreational events will be 
held in celebration of this day. 
147 BLANK FORMS 
428. General.—For convenience of administration and for uniformity, the 
following list of local blank forms is authorized for this hospital. Additional 
forms or changes in the forms now authorized will only be made upon the ap- 
proval of the Commanding Officer. Obsolete forms will be turned in to the 
Medical Supply Officer for salvage. The Medical Supply Officer is charged with 
the procurement, storage, and issue of all local forms. These will be issued 
to the various departments and wards upon requisition submitted on the first 
issue day of each month. Economy will be practiced in the use of all forms and 
in no instance will they be used for any purpose other than that for which the 
form was intended. 
429. List of Local Blank Forms.— 
1— 
2 
3 Numerical Report 
4 Appointment Card 
5 Door Card 
6 
7 
8— Request for Physiotherapy 
9 
10— Diagnosis Card 
11— 
12— Report of Seriously 111 Cases 
13— Record of Admission 
14— Patients Disposition 
15— Hospital Status Notification 
16— Request for Dental Treatment 
17— Death Report 
18— Death Toe Card 
19— X-ray Record Card 
20— Ward Transfer Card 
21— D. Detail 
22— List of Seriously 111 
23 Operation List 
24 Visitor’s Pass 
25 Bed Card 
26— Transfusion Record 
27 
28— Report of Pre-operative Examina- 
tion 
29 Reference Slip 
30— Patient’s Clearance 
31— 
32 
33— N. C. O. Report, Ward S-l 
34 
35 Bill of Fare 
36— Diet Card 
148 BLANK FORMS 
37 Additional Articles Diet 
38— 
39 Nurses Time on Duty 
40— Pass 
41— Nurse’s Report (Evening) 
42 Mess Issue Slip 
43— Letterhead, Commanding Officer 
(Ist and 2nd sheets) 
44 Letterhead, General 
(Ist and 2nd sheets) 
45 Mess Stock Card 
46 
47 
48— List of Vacant Beds 
49 List of Money and Valuables 
Deposited 
50— Diabetic Record 
51— Patients Fund Card 
(Record of financial transactions 
with patients) 
52 
53 Ward Directory Card 
54 Wash List, Bed and Table Linen 
55 Pay Roll Slip 
56 Venereal Report 
57 Ear, Nose and Throat Report 
58— Laboratory Report Spinal Fluid 
59 Examination Slip 
60— Dental Laboratory Slip 
61— 
62 
63 Consultation Request 
64 Monthly Report of Patients in 
Wards 
65 Individual List, Disposition of 
Clothing and Equipage 
66 Wash List, Army Nurse Corps 
67— Laundry List, Enlisted Patients 
68— Post Exchange Indebtedness 
69 Report of Administrative O. D. 
& Guard Report 
70— Ration Report 
71— Skin Temperature and Vasso- 
Motor Index 
72 Subsistence Card 
73 
74 
75— Patients to be Discharged 
76 Narcotic Register BLANK FORMS 
77 
78— —Admission Card 
79 Nurse’s Medication List 
80— Discharge Recommendation, 
Disability 
81— 
82— Doctor’s Order Sheet 
83— Treatment Record Nurse’s Report 
Sheet 
84— Temperature, Pulse & Respiration 
Sheet 
85— Prenatal Clinic 
86— Labor Record 
87— Report of Birth 
88— Report of Professional O. D, 
89— Report of Communicable Diseases 
90— Pass List, Regular 
91— 
92— Electrocardiographic Report 
93 
94 Request for Purchase of Non- 
Standard Medical Supplies 
95 Monthly Overage and Shortage 
Report 
96 Proctoscopic Examination 
97 Record of Neurological Examina- 
tion 
98— Proceedings of Disposition Board 
(Ist and 2nd sheets) 
99— Statement of Hospital Charges 
100— The Hospital Fund Receipt 
101— Home Visit Card Outpatient 
Service 
102— Subsistence Special Nurses 
103— Application for Treatment of 
Dependents 
104— Certificate of Dependency 
105— Library Notification Card 
106— Library Loan Card 
107— Laboratory Requests and Special 
Examinations 
108— Outpatient Clinic Reference 
109— Anesthesia Record 
110— Animal Inoculation Card 
111— 
112— Patient’s Baggage Room Clothing 
Check 
113— Outpatient Service Work Sheet 
114— r-r. 
150 BLANK FORMS 
115— 
116— Clearance Card 
117— 
118— Report of Removal from Seriously 
Seriously 111 List 
119— Special Privilege Card 
120— Pharmacy Labels 
121— Special Orders 
322—Civilian Employee’s Record 
123— Notification, Admission of Pa- 
tients 
124— Notification, Discharge of Pa- 
tients 
125 Data for Statistical Report of 
Communicable Diseases 
126 Request for Purchases for N. P. 
Patients 
127 
128— Affidavit 
129— Guard Report 
130— Salvage List 
131— Nurse’s Record 
132 Laboratory Report (Stomach 
Contents) 
133— Clinical Record, Neurological 
Examination 
134— Laboratory Report, Glucose 
Tolerance Test 
135 E. E. N. &T. Vestibular Tests 
136 E. E. N. &T. Caloric Test 
137 Nurse’s Delivery Room Record 
138— Instruction for Post-operative 
Nose and Throat Cases 
339—Notice, Patients’ Money and 
Valuables 
140— Radiogram 
141— Subsistence Card 
142 Instructions, Basal Metabolic 
Test 
143 Diet, Convalescent Ulcer Cases 
144 Record of Seriously 111 Cases 
145— Medical Supply Price Inquiry 
Sheet 
146 Food Chart 
147 Form Letter, Clothing Discharged 
Soldier 
148— Abstract of Individual Clothing 
Slips 
149— Bin Card 
151 BLANK FORMS 
150— Work Order 
151— Issue Ticket 
152 Rules for Patients 
153 Record for New Born 
154 Water Balance Chart 
155 
156 
157 
158— Diabetes Mellitus,lnstructions for 
159 Report of X-ray & Radium 
Therapy LIBRARY 
430. Composition—The Library at this station consists of all medical, 
reference, fiction and other books issued or furnished to this station, together 
with such journals, magazines, periodicals, or newspapers as may be alloted, 
purchased from authorized funds or procured in other lawful manner. It 
includes, in addition to all books in the main Library, those volumes issued 
to the various services and departments of the command. 
431. Officer in Charge—The Library will operate under the supervision 
of a commissioned officer of the Medical Department detailed by the Com- 
manding Officer and designated as the Librarian. He will assume the property 
accountability for all books, the proper conduct of the Library, and the proper 
performances of duty by personnel detailed therein. He will be responsible that 
the provisions of AR 35-6800 are complied with. 
432. Hours.—The Library will be open from 9:00 AM to PM daily. 
Saturdays, Sundays and holidays from 9:00 AM to 4:00 PM. 
433. Circulation of Books.—Medical books and periodicals may be with- 
drawn for personal use by officers of the command, members of the Army 
Nurse Corps, and interns. Enlisted men of the command may withdraw medical 
books and periodicals upon written approval of the officer in charge of their de- 
partment. Medical Officers on duty at other posts may withdraw medical books 
and periodicals after obtaining authority therefor from the Librarian. 
b. Only members of the command, including members of their immediate 
families, and patients, are authorized to borrow books from the Library except 
as indicated above. Not to exceed three (3) books will be loaned any individual 
at a time. 
c. All books may be loaned for a period of fourteen days, with a privilege 
of renewal, except that loans of new and frequently used books will be limited 
to seven days with no renewal privilege. 
d. Library service will be extended to all bed patients at least once each 
week and oftener if personnel and facilities are available. Special service will 
be rendered to bed patients upon request of the ward nurse. 
434. Inventories.—All books will be inventoried at least twice each year. 
435. Conduct in Reading Room.—Persons using the library room will 
maintain at all times strict quietness and will in no way by their actions or con- 
duct make themselves objectionable to other readers. Books and periodicals 
will be handled with care and every effort made to keep them in good condition. 
Wilful tearing, mutilating or otherwise damaging books, periodicals or news- 
papers will be cause for disciplinary action. No smoking will be permitted in 
the library. 
436. A Dictionary Catalogue of Books.—A card catalogue will also be 
maintained in which each book will be listed according to author, title and sub- 
ject, all cards filed according to standard library practice. 
153 MISCELLANEOUS 
437. Police.—a. The police officer is responsible for: 
(1) Police of roads, walks and areas not otherwise provided for; 
(2) Corridors; 
(3) Cutting and watering of lawns; 
(4) Removal of trash and refuse; 
(5) Cleaning of garbage and trash cans. 
b. The officer in charge of the garden is responsible for: 
(1) Operation of greenhouses, flower garden, trimming and care of 
hedges, trees and shrubbery; 
(2) Care of flower beds; 
(3) General landscaping; 
(4) Propagation and watering of flowers, and potted plants; 
(5) Cutting of flowers. 
c. Officers in charge of wards and other buildings will be responsible for 
monitoring police of corridors, walks and grounds in the immediate vicinity of 
their wards and buildings. 
438. Disposal of 'Wastes.—a. Definition. WET garbage is defined as that 
waste material which may be used as feed for hogs. ALL OTHER material 
is classed as GENERAL DRY waste material and is divided into two groups: 
DRY wastes and SOLID DRESSINGS. Proper receptacles are available at 
appropriate places for the reception of waste material. 
b. WET garbage of the hospital is sold under contract by the Government 
for use as hog feed, and it is necessary that it be kept free of all material not 
fit for use as hog feed, such as: 
(1) Coffee grounds; 
(2) Tea leaves; 
(3) Egg shells; 
(4) Citron, orange, lemon and grapefruit rinds; 
(5) Banana peels and stalks; 
(6) Fish heads and scales; 
(7) Broken glass; 
(8) Unbroken glass bottles, jars, etc.; 
(9) Tin cans; 
(10) Waste paper; 
(11) Ashes. 
c. The paper or other material with which garbage containers in quarters 
are usually lined to keep the containers clean must be separated from the gar- 
bage before it is placed in the “wet” garbage cans for collection. 
d. DRY wastes except Soiled dressings will be placed in cans marked 
“DRY.” SOILED DRESSINGS will be placed in cans marked, “DRESSINGS 
ONLY.” 
e. Those in charge of the various messes will require that all cans to be 
discarded are mashed flat (incapable of holding fluids) before being placed in 
containers, marked “CANS ONLY.” 
f. The Police Officer will report to headquarters instances of failure to 
comply with the foregoing instructions. 
439. Radio Antennae.—All radio antennae will be equipped with lighting 
arrestors and will be inspected by the Quartermaster to insure that no fire 
hazard is caused by such installation. 
154 MISCELLANEOUS 
440. Pets.—All stray cats found on the reservation will be disposed of. 
a. Owners of cats on the post will see that each such pet wears a bell on its 
neck when out of quarters. This procedure will prevent pets being picked up 
as stray animals. 
b. Dogs.—Owners of dogs maintained on the Letterman grounds will here- 
after keep them indoors during hours of darkness. During daylight hours, dogs 
will not be permitted outside unless kept on a leash or under immediate sur- 
veillance of the owner. 
441. Distribution of Literature.—The distribution of literature throughout 
the wards of this hospital will be accomplished only by the Chaplain. All visitors 
having such literature in their possession will be referred to the Adjutant. 
441 Red Cross.—The American National Red Cross provides a welfare 
service at this hospital—which functions in accordance with Army Regulations 
and instructions issued from time to time by the Commanding Officer. 
155 MOTOR VEHICLES AND TRAFFIC REGULATIONS 
442. General.—Road rules, traffic signals and speed limits prescribed for 
the city of San Francisco and California, except as modified by official road 
signs will be observed on this Post. The provisions of AR 30-1075 will be 
strictly observed at all times in the operation of motor vehicles. 
443. Licenses.—a. Privately owned automob;les will not be operated on 
the Letterman Reservation unless they be legally registered and licensed accord- 
ing to the laws of California. 
b. No membt' of this command will be permitieo. '.o drive a privately 
owned motor vehicle on the Letterman General Hospita. Reservation without 
having in his or her possession a valid motor vehicle operator’s license issued 
to the individual concerned. 
c. Except as indicated in d below, all privately owned automobiles and 
motorcycles maintained by residents of the Letterman General Hospital, or 
operated on the reservation by personnel on duty thereat, will be equipped with 
Letterman General Hospital license tags. These will be displayed above—and 
attached to—each license tag of the vehicle. These tags will be renewed annu- 
ally. They may be obtained at the Post Exchange. Lost tags will be replaced 
by new ones. 
d. Personnel on duty at Letterman General Hospital and residing at the 
Presidio of San Francisco or Fort Winfield Scott will equip their privately 
owned automobiles with Letterman tags or tags prescribed by the post of resi- 
dence. 
444. Operation of Official Automobiles.—The following instructions will 
govern the use and operation of the motor transportation of this hospital; 
a. No motor transportation will be furnished for other than official busi- 
ness and for such recreational purposes as ma}r be approved by the Commanding 
Officer, and will be furnished on the orders of the following only: 
(1) Any or all by the Commanding Officer, Executive Officer, Adju- 
tant, or in his absence by the Sergeant Major or Officer of the 
Day. 
(2) Ambulances by an officer of the Out Patient Service or the Offi- 
cer of the Day. 
(3) The passenger vehicles assigned to the Outpatient Service by an 
officer of that service. 
(4) The trucks by the Quartermaster or Chief Clerk acting for the 
Quartermaster. 
b. For the purpose of proper operation and maintenance of the motor 
transportation, the Quartermaster will utilize to the best of advantage such en- 
listed personnel of the Quartermaster Corps as may be available and the en- 
listed personnel of the Medical Department assigned to duty in connection 
therewith. A suitable noncommissioned officer will be assigned to duty as 
assistant to the Quartermaster and noncommissioned officer in charge, whose 
duty it will be to see that all duties of the personnel assigned to this service are 
properly and efficiently performed, reporting immediately any irregularity or 
inattention to duty to the Quartermaster. This noncommissioned officer will 
also be held responsible for the assignment to specific duties of all such per- 
sonnel and the care and proper use of such equipment and supplies as are issued 
for the maintenance and operation of the motor transportation. 
156 MOTOR VEHICLES AND TRAFFIC REGULATIONS 
c. All supplies and equipment required in connection with the operation 
of the motor transportation will be personally obtained from the storeroom by 
the noncommissioned officer in charge of transportation. No issues of this 
class of equipment or supplies will be made to any other person. All tires 
issued will be issued and signed for by serial number. The noncommissioned 
officer in charge of the Quartermaster storeroom will maintain a record showing 
the make and serial number of all tires issued to and turned in by the noncom- 
missioned officer in charge of transportation. 
d. Such dispatches and drivers as are necessary to insure that all emerg- 
ency calls for ambulances and the cars of the Outpatient Service may be prompt- 
ly responded to will be on duty at all times, including the night hours. 
e. Ail operators of motor vehicles will be instructed in their operation, and 
will be required to have a thorough, knowledge of the rules of the road and speed 
limitations as set forth in Training Regulations No. 75-85. Speed limits pre- 
scribed locally, even though less than those prescribed in the Training Regula- 
tions referred to will not in any case be exceeded and any violation of regula- 
tions governing the use or operation of motor vehicles will be promptly reported 
to the Quartermaster who will take proper action to secure the punishment of 
the offender and to prevent a possible recurrence. 
£. No baggage or other freight will be transported in ambulances. There 
is a service provided for the transfer of baggage, etc., to and from the hospital. 
The truck used for this purpose makes trips to the city leaving the hospital at 
1:00 PM daily (Saturdays, Sundays and holidays excepted) and all small lots of 
baggage, etc., will be handled on this truck. All requests for handling of bag- 
gage should be in the office of the Quartermaster by 12:00 M. in order that the 
baggage may be handled on date of request. No special trips will be made for 
this purpose except in case of emergency or where the amount of baggage to be 
transported is too great to be properly handled by this truck. 
g. On the 10th and 25th of each month, except when these days fall on a 
Sunday or holiday (in which case the inspection will be made on the day follow- 
ing), the Quartermaster will make a thorough inspection of all motor vehicles 
in operation, as required by paragraph 1, Army Regulations 30-1075, to deter- 
mine the mechanical deficiencies, appearance, lubrication, adjustment and care- 
lessness and indifference in operation of each vehicle. For this purpose all such 
personnel and vehicles as are not out on emergency calls will be turned out and 
parked in the area just in front of the garage. The noncommissioned officer in 
charge of the garage will be present to assist in making the inspection and will 
keep himself thoroughly familiar with the condition of the vehicles in order to 
furnish such information as may be desired by the Quartermaster when making 
the inspection; he will also maintain a record of all cases of carelessness or indif- 
ference shown by drivers in the operation of vehicles in order that such infor- 
mation may be included in reports of inspection and that necessary corrective 
action may be taken. The noncommissioned officer in charge of the transpor- 
tation will prepare the necessary reports immediately after each inspection and 
submit same to the Quartermaster for signature and transmittal to the Com- 
manding Officer. 
157 MOTOR VEHICLES AND TRAFFIC REGULATIONS 
h. The noncommissioned officer in charge of the garage will be held re- 
sponsible that all drivers of motor vehicles have in their possession at all times 
when on duty at least one Standard Form No. 26, Driver’s Report of Accident, 
on which report will be prepared by driver and submitted to the Quartermaster 
immediately after each accident, no matter how trivial. Care will be taken to 
insure that all information called for on this form, including the name and 
address of owner and driver of other vehicle in case of collision, also the names 
and addresses of witnesses, are legibly entered thereon and that the form is 
completely accomplished. Upon receipt of the Drivers Report of Accident the 
Quartermaster will immediately make a thorough investigation of the accident 
and submit a report of accident to the Commanding Officer for action as re- 
quired by paragraph 14 b, Army Regulations 30-1075. For action in connection 
with claim for damage to private property see Army Regulations 35-7040. 
i. All enlisted men assigned to duty as drivers of motor vehicles will be sent 
to the local office of the Division of Motor Vehicles, San Francisco, California, 
for the prescribed state examination, and issuance of the State Operators Per- 
mit, after which they will be issued a Government Operators Permit on Q.M.C. 
Form 228, which which will be retained in their personal possession at all times 
when engaged in the operation of motor vehicles. The Quartermaster will be 
held responsible for the proper examination of all enlisted men assigned to duty 
as drivers, and the issuance to them of the Prescribed Government Operators 
Permit. When a driver is permanently relieved from duty requiring him to have 
in his possession such permit, the same will be turned in to the Quartermaster. 
j. The noncommissioned officer in charge of the garage will be held re- 
sponsible that all motor vehicles are properly equipped with non-skid chains 
and that they are placed on all vehicles prior to departure from the garage when- 
ever the roads are at all wet and slippery, and he will carefully instruct all 
drivers that when away from the garage and the roads become slippery they are 
to stop immediately and place chains on prior to proceeding further on their 
trip. 
445. Parking.—a. Classes of persons authorized parking space.—Subject 
to the provisions of these regulations, the following classes of persons are per- 
mitted to keep motor vehicles at this hospital: 
Class I—Duty Officers and Nurses. 
Class 2—Enlisted Men (Duty) and Civilian Employees, 
b. Assignment of Parking Space.—(l) Permanent parking space will be 
assigned the classes of personnel named above, by the Quarter- 
master, upon receipt of written application. The name of the 
owner, rank, branch of service, type and make of car, and license 
number will be stated in the application. 
(2) The Quartermaster will keep a list of the assignment together 
with the numbers and descriptive data of the cars. 
(3) A change of license number will be promptly reported to the 
Quartermaster by the owner of the car. 
f. Enforcement of parking Regulations.— Under the direction of the 
Officer of the Day, noncommissioned Officers and watchmen of the Guard are 
charged with the enforcement of parking regulations. Watchmen of the Guard 
will be constantly on the alert to prevent parking in unauthorized areas. The> 
158 MOTOR VEHICLES AND TRAFFIC REGULATIONS 
will note the time of parking, and see that the provisions of this regulation, at 
applies to the length of time cars may be parked, are observed. They will im- 
mediately notify the Sergeant of the Guard of cars not properly parked and 
whose drivers are not in the vicinity. The Sergeant of the Guard will, upon loca- 
tion of the driver, direct prompt compliance with these regulations. The 
Sergeant of the Guard, on each tour of the hospital, will note the compliance 
of these regulations. 
446. Operation of Private Automobiles.—a. Accidents. Any person in the 
military service or any civilian employed at this station, who is a party to an ac- 
cident on the reservation, will submit a detailed report thereof to the Adjutant 
within twenty-four hours. Members of the command who witness an accident 
anywhere, involving either personal injury or damage to property of the gov- 
ernment or of hospital personnel will submit a similar report. The report will 
include: 
(1) Names and addresses of all persons and witnesses involved. 
(2) Time of Accident. 
(3) Registration numbers of cars. 
(4) Names and addresses of insurance companies concerned. 
(5) Action taken immediately after the accident. 
b. Registration. Motor vehicles owned by the personnel referred to above 
will be registered with the Adjutant. Changes in ownership of motor vehicles 
will be reported promptly. Owners will re-register motor vehicles immediately 
after the issuance of new license plates and not later than February 15 of each 
year. Registration blanks may be obtained at the office of the Adjutant, and 
upon registration, Post Tags will be issued to the owner which will be placed 
above State License plates. When a Post Tag is lost the owner will obtain 
another. Upon transfer of title of a motor vehicle, the Post Tag will be removed 
from the vehicle and returned to the Adjutant. 
c. All motor vehicles owned by persons actually residing at Letterman 
General Hospital, and operated on this reservation, will be covered by Personal 
Injury and Property Damage Liability Insurance and such coverage will be a 
prerequisite to registration. 
d. Minimum Requirements. Owners referred to in c above, will obtain 
from an insurance carrier legally conducting business within the State of Cali- 
fornia, a policy or policies covering personal injury and property damage. Such 
policy or policies will carry, as a minimum: (1) Ability to respond in damages 
arising by reason of personal injury to, or death of, any person or persons, of 
at least Five Thousand Dollars, and (2) Ability to respond in damages to prop- 
erty of at least One Thousand Dollars resulting from any one accident. 
e. The operation on this reservation of any motor vehicle owned by the 
personnel referred to in c above, or owned by dependent members of families 
of such personnel, is prohibited, unless the provisions of this regulation gov- 
erning registration and insurance are complied with. 
159 SALESMEN AND COLLECTORS 
447. Salesmen and Collectors.—ln order that reputable business firms may 
conduct non-government business with members of this command without in- 
terfering with the official duties of such members, the following measures will 
be strictly observed by all concerned: 
a. In so far as practicable only reliable representatives of reputable busi- 
ness concerns will be permitted to solicit business on the Letterman General 
Hospital reservation. However, reliability of agents, salesmen, companies, and 
merchandise cannot be vouched for. 
b. Canvassers, salesmen,"and collectors for civilian firms will not be per- 
mitted to interview members of this command on this reservation except by 
definite appointment. 
c. Personal interviews between salesmen or agents and members of this 
command can be held only when the members of the command are off duty 
and only in the following places: 
(1) For Officers: Staff room in Administration Building. 
(2) For Nurses: Chief Nurse’s Office, Nurses’ Quarters. 
(3) For enlisted men: The Detachment Office. 
(4) For patients: Post Exchange. 
d. Such advertising material as commercial firms may care to distribute to 
members of this command will be sent through the mail or delivered to the 
Adjutant and distribution effected from that office. 
e. Salesmen, agents, and collectors will not be permitted to solicit business, 
make collections, etc., in squadrooms or any other places on the reservation 
other than those indicated above. 
f. All merchandise, insurance policies, etc., purchased by members of this 
command, must be delivered to individuals through the mails, or to the persons 
concerned at the places indicated in c at such tiine as the purchaser is off duty. 
g. Newsboys authorized by the Adjutant to sell papers on the reservation 
are excepted from the above provisions. 
160 INTERNS 
448. General.—a. The period of instruction is from July 1 to June 30, 
inclusive. 
b. The mission of the course of instruction is to give to the graduate in 
medicine the practical professional training necessary to fit him for general med- 
ical and surgical practice. 
c. Regular duty hours are from 8:30 A.M. to 5:00 P.M., except on Satur- 
days, Sundays and holidays. Regular duty will usually end at noon on the ex- 
cepted days. Whenever necessarv to comolete work assigned, additional time 
will be devoted to duties, 
449. Status.—lnterns are civilian employees, but unofficially and as far 
as consistent, they will be recognized and treated as if they were present on the 
status of commissioned officers. In all profesional matters they will be held 
responsible for the patients under their charge subject to the immediate direc- 
tion of the Ward Officer, and the general direction of the Chief of Service. In- 
terns will avoid direct participation in the maintenance of dicipline in and about 
the hospital, but will be encouraged and supported in bringing to the attention 
of the proper authorities for such action as may be deemed necessary any in- 
fractions of dicipline that may fall under their immediate observation. Each 
intern will be under constant observation to determine his moral, professional 
and physical fitness and aptitude for a commission in the Medical Corps, Regu- 
lar Army. 
450. Discipline.—lnterns are expected to read current hospital rules and 
regulations carefully and to conform to them. 
451. Uniform.—Uniform worn while on duty will consist of white duck 
coat with brassard on left arm, and trousers, white shirt and black tie, and white 
shoes with rubber heels. A supply of these articles will be purchased by each 
intern. Uniforms will be laundered at the hosoital laundrv without cost to the 
interns. 
452. Quarters.—Rooms are providid in the hospital for interns. The 
necessary bed linen and towels will be provided by the hospital and will be 
laundered as a part of the hospital linen- Recreation rooms and libraries 
provided for officers on duty are accessible to interns. 
453. Meals.—Subsistence will be provided in the hospital mess without 
cost to the interns. Interns will eat in the Officers’ Mess at the prescribed 
hours. 
454. Program of Instruction.— 
a. Medical Service.—5 months. 
To include; 
General Medicine 
Pediatrics 
Gastro-Intestinal Diseases 
Cardio renal Diseases 
Communicable diseases 
Neuropsychiatry 
161 INTERNS 
b. Surgical Service.—5 months. 
To include: 
General Surgery 
Orthopedic surgery 
Eye, ear, nose and throat 
Gynecology 
Obstetrics (Attendance at 6 confinements by each intern will be re- 
quired as a minimum) 
Genito urinary 
X-ray 
Anesthetics (the administration of 20 anesthetics by each intern will 
be required as a minimum) 
c. Laboratory service.—2 months. 
To include: 
Clinical microscopy 
Bacteriology 
Pathological histology 
Serology 
Prophylactic and therapeutic procedures 
Autopsies (the performance of 2 autopsies by each intern with prepa- 
ration of tissues for microscopical examination will be required as 
a minimum) 
Physiological chemistry 
455. Record of Progress and Efficiency.—The Training Officer will keep 
a record of progress and efficiency of interns. Each intern will be graded at 
the end of each month under the following headings: Physical ability, physical 
endurance, bearing and neatness, attention to duty, tact, initiative, integrity, 
force, judgment, professional ability, adaptability, and dependability. The grade 
awarded will be the result of personal observation by the Training Officer, the 
Chief of Service, and the officer with whom the intern worked during the month. 
456. Emergency Duty.—a. Two interns will be placed on emergency duty 
each day. 
b. The Emergency Medical Intern and the Emergency Surgical Intern 
will act as assistants to the Officer of the Day to whom they will report at the 
beginning of their tour. The tour of duty for the Emergency Interns will be- 
gin at 9:00 AM and continue for twenty-four (24) hours. The Officer of the 
Day will prescribe duties of interns on emergency duty. Unless designated to 
make an ambulance call, interns on emergency duty will remain within the 
limits of the hospital reservation and sleep in the room provided for that pur- 
pose. They will keep the Officer of the Day’s Office informed of their where- 
abouts at all times during their tour of duty. They will accompany ambulances 
on emergency calls when designated to do so by the Receiving and Evacuation 
Officer or the Officer of the Day. The duties of the Emergency Intern desig- 
nated to accompany ambulances will be as follows: 
(1) He will report without delay to the Officer of the Day’s Office for 
the prescribed emergency medical kit which he will take with 
him on the ambulance. 
162 INTERNS 
(2) In case of uncertainty as to the patient’s being entitled to medical 
attendance, he will be governed more by the needs of the patient 
for emergency hospital treatment than by the question of his 
military status, and the patient’s life should not be placed in 
jeopardy by any delay in making an investigation of this point. 
Where it is clearly necessary for admission to hospital to save 
life or prevent extreme suffering, the admission of civilians is 
authorized by A.R. 40-590. 
(3) He will conduct sufficient examination of the patient to enable him 
to determine his condition, will institute appropriate first aid 
treatment where indicated, will determine the question of ad- 
visability of moving the patient and will be responsible for the 
safety and well being of the patient during his transfer to the 
hospital. 
163 GUIDE TO INDEX 
All subject matter is indexed under four main headings: ADMINIS- 
TRATIVE DIVISION, PROFESSIONAL DIVISION,ADMINISTRATIVE 
PROCEDURE, and DUTY PERSONNEL. All matter pertaining to any spe- 
cific department, service or section will be found under either the Administrative 
or Professional divisions. All general matter pertaining to more than one de- 
partment, service or section will be found under Administrative Procedure; (i.e., 
Conduct of Patients is indexed under Administrative Procedure, Medical Supply 
under Administrative Division, and Laboratory under Professional Division.) 
All matter pertaining to duty personnel will be found under that heading. Cross 
indexing has been employed where necessary. 
164 Index 
ADMINISTRATIVE DIVISION 
ADMINISTRATIVE STAFF, GENERAL DUTIES— 
(See also Inspections, Military, under Adm. Pro.) 
Adjutant 6 
Chaplain 7 
Chief Nurse 8 
Commanding Officer, Detachment Medical Department.... 9 
Executive Officer 5 
Fire Marshal 10 
Hospital Inspector 11 
Medical Supply Officer 12 
Mess Officer 13 
Police Officer 14 
Post Exchange Officer IS 
Professional Division 22 
Quartermaster 16 
Recreational Officer 17 
Recruiting Officer 18 
Registrar 19 
Summary Court Officer 20 
Training Officer 21 
BAGGAGE ROOM— 
(See Clothing, Etc., under Adm. Pro.) 
DETENTION WARD— 
(See under Prof. Div.) 
FINANCE— 
(See under Adm. Pro.) 
GUARD, HOSPITAL— 
(See also Ordnance) 
Arms 183 
General 182 
Officer of the Day 184 
Orders, General 186 
Orders, Special 187 
Posts 189 
Prisoners 188 
Sergeant of the Guard 185 
LAUNDRY— 
Aides 367 
Clothing, Patients 366 
Disinfecting Plant 369 
Enlisted Personnel 368 
Function 351 
General 354 
165 ADMINISTRATIVE DIVISION 
(Continued) 
LAUNDRY—Cont’d. 
Hours 363 
Linen, Bed and Table 365 
Nurses 3(^ 
Officer in Charge 362 
Records and Reports - 370 
Sterilizing Plant 369 
LIBRARY— 
Catalogue 436 
Circulation 433 
Composition of 430 
Conduct 435 
Hours 432 
Inventories 434 
Officer in Charge 431 
MEDICAL SUPPLY— 
(See also Blank Forms under Adm. Pro.) 
Alcohol 390 
Drugs 390 
Exchanges 392 
General 386 
Inventories 394 
Issues - 389 
Narcotics 390 
Organization 385 
Property Check, Monthly 393 
Property Responsibility 391 
Property Transfers 397 
Purchase, Open Market 396 
Renovation of Equipment 395 
Repairs - 395 
Replacements 392 
Reports 394 
Requisitions, Expendable Items 387 
Requisitions, Medical Supply Officer 398 
Requisitions, Non-Expendable Items 388 
MESSES— 
(See also Diets—Adm. Pro.) 
(See also Pay Patients—Adm. Pro.) 
Charges, Subsistence and Medicine - 345 
Cook, Night 347 
Deposits, Bank 349 
Food Handlers, Examination of 351 
Hospital Council 357 
Hours for Meals 350 
Inventory, Supplies 352 
Meals, General 350 
166 ADMINISTRATIVE DIVISION 
(Continued) 
MESSES—Cont’d. 
Meals, Serving of 354 
Mess Officer 343 
Nurses’ Mess 355 
Officers’ Mess (Duty) 356 
Organization 342 
Property 353 
Purchases 346 
Records 344 
Supplies, Payment for 348 
OFFICER OF THE DAY— 
(See under Adm. Pro.) 
OFFICERS’ SECTION— 
(See under Prof. Div.) 
ORDNANCE— 
Firearms and Ammunition 408 
Ordnance Officer 406 
Supplies and Equipment 407 
OUTPATIENT SERVICE— 
(See under Prof. Div.) 
POST EXCHANGE— 
Exchange Council 358 
Hours 359 
Lights 360 
POST OFFICE— 
Care in Handling 330 
Delivery Time 327 
General 321 
Hours 323 
Mail, Delivery of 325 
Mail, Prisoners and Insane Patients 328 
Mail, Receipt and Dispatch of 324 
Packages, Register of 326 
Postmaster 322 
Roster 329 
QUARTERMASTER, POST- 
General 399 
Maintenance, Buildings 402 
Printing 40S 
Repair, Equipment 402 
Salvage 401 
Supplies, General 400 
Transportation 404 
Utilities 403 
Waste Material 401 
167 ADMINISTRATIVE DIVISION 
(Continued) 
RECREATION— 
Moving Pictures 423 
Organization Day 427 
Service Club 426 
Tennis Courts 425 
RECEIVING AND EVACUATION OFFICER— 
(See under Prof. Div.) 
SIGNAL CORPS— 
Messages, Radio and Telegraph 413 
Signal Officer, Duties 410 
Signal Officer, General 409 
Telephones, Classification of 412 
Telephones, General 411 
VETERANS ADMINISTRATION PATIENTS— 
(See under Adm. Pro.) 
ADMINISTRATIVE PROCEDURE 
GENERAL 
ACCOUNTS, HOSPITAL— 
(See under Pay Patients) 
ADMINISTRATIVE STAFF, GENERAL DUTIES 
(See under Adm. Div.) 
ADMISSION OF PATIENTS— 
Arrival, Train or Boat 193 
Channels for 192 
Children 198 
Classes for 191 
Direct Admission, Reports 195 
Examinations for 192 
Officer in Charge 190 
Records 196 
Special Cases, General 197 
BAGGAGE— 
(See under Clothing, Etc.) 
BLANK FORMS— 
General 428 
Local List of 429 
BOOKS— 
(See under Library, Adm. Div.) 
168 ADMINISTRATIVE PROCEDURE 
GENERAL—(Cont’d) 
CLINICAL RECORDS— 
Clinical Briefs 241 
Clinical Record, Disposition 244 
Clinical Records, Preparation and Filing 243 
Clinical Records, Proceedings, Registrar 245 
Clinical Record, Component Parts- 242 
General 240 
COMMISSARY— 
(See Par. 400 d under Quartermaster, Post.) 
CLOTHING, BAGGAGE AND LAUNDRY 
OF PATIENTS— 
Baggage Room, General 261 
Baggage Room, Records 262 
Baggage Room, Withdrawal from 260 
Baggage, Train or Boat 256 
Clothing, Hospital 258 
Clothing, Inspection, on Departure 259 
Disposition on Admission 255 
Laundry, Enlisted Patients 264 
Property, Government Care of 263 
Retention by Patients 257 
CONDUCT OF PATIENTS— 
Absence 291 
Clothing, Hospital 299 
Complaints 303 
Convalescent Patients, Light Duty 301 
Drugs 296 
Financial Dealings 297 
Gambling 295 
General - 289 
Isolation Wards 302 
Lights 293 
Liquors - 296 
Meals 298 
Orders, Compliance with 290 
Quietness 292 
Regulations, Enforcement of 304 
Regulations, Instruction in 305 
Smoking 294 
Trash 300 
DEATHS— 
Accounts, Hospital 221 
Autopsies * 218 
Baggage 220 
Bed Card 216 
Clothing 220 
169 ADMINISTRATIVE PROCEDURE 
GENERAL—(Cont’d) 
DEATHS—Cont’d. 
Death Report 215 
Funds 219 
Guard Report, Entry 217 
Notifications 213 
Post Mortems 218 
Procedure After 214 
Registrar 212 
Valuables 219 
DETENTION WARD— 
(See under Prof. Div.) 
DIETS, PATIENTS— 
(See also Messes—Adm. Div.) 
Classes 251 
Economy 254 
Ordering 252 
Supervision of 253 
DISABILITY DISCHARGES— 
Clerical Work, Supervision 306 
Data Required 307 
Expedition 311 
Permanent Command, Cases 310 
Presentation of Case 308 
Registrar, Action by 309 
DISCHARGE OF PATIENTS, GENERAL— 
Arrangements in Advance 201 
P>ed Cards 203 
Civilian Components of Army 209 
Departure Sheet 208 
Discharged Soldiers 210 
Disposition Form 203 
Interviews 211 
Notifications '. 204 
Observation After 205 
Procedure, General 202 
Separation from Service 206 
Supervision of 199 
Time 200 
Transfer of 207 
Treatment After 205 
FINANCE— 
Accounts, Corps Area Finance Officer 416 
Accounts, Fort Mason 415 
Finance Officer 414 
Funds for US Treasurer 417 
Payrolls, Computation 418 
Payrolls, Payment of 419 
170 ADMINISTRATIVE PROCEDURE 
GENERAL—(Cont’d) 
FIRE REGULATIONS— 
(See also Fire Marshal under Adm. Staff, Adm. Div.) 
Alarms, Duties on Sounding 337 
Alarms, General 336 
Apparatus, Location of 334 
Drills 340 
Fire, Discovery of 335 
Fire Marshal 332 
General 331 
Organization 333 
Personnel, Not Responding to Alarm 339 
Personnel, Unassigned 338 
Prevention, Fire 341 
FUNDS AND VALUABLES OF PATIENTS— 
Audit of 228 
Custodian of 228 
Deceased 233 
Deposit Forms 230 
Deposits, Supplementary 232 
Financial Dealings 234 
Information on Admission 229 
Mentally Incapable 231 
Physically Incapable 231 
Seriously 111 233 
FURLOUGHS OF PATIENTS— 
(See under Passes, Etc.) 
GUARD— 
(See under Adm. Div.) 
INSPECTIONS, MILITARY— 
Chiefs of Services 422 
Heads of Departments 422 
Responsibility for 420 
Ward Officers 421 
LAUNDRY— 
(See under Adm. Div.) 
MAIL— 
(See under Post Office, Adm. Div.) 
MESSING— 
(See Messes under Adm. Div.) 
MISCELLANEOUS— 
Animals 440 
Literature, Distribution of 441 
Pets 440 
Police 437 
171 ADMINISTRATIVE PROCEDURE 
GENERAL— (Cont’d) 
MISCELLANEOUS—Cont’d- 
Radio Antennae 439 
Red Cross 441^2 
Salesmen and Collectors.. - 447 
Waste, Disposition of 438 
MOTOR VEHICLES AND TRAFFIC 
REGULATIONS— 
Automobiles, Official 444 
Automobiles, Private - —— 446 
General 442 
Licenses 443 
Parking 445 
NON-PAY STATUS OF PATIENTS— 
Determination of 246 
Disagreement, Procedure 0n..........’ - 249 
Fraudulent Enlistment - 250 
Procedure, General 247 
Reports, Military Patients 248 
OFFICER OF THE DAY— 
Detail 176 
Duties, Administrative 178 
Duties, Delegation of 180 
Duties, Professional 179 
Functions, General 177 
Reports - 181 
OFFICERS’ SECTION— 
(See under Prof. Div.) 
ORGANIZATION, HOSPITAL— 
Administrative Division 3 
Basis of 1 
Major Divisions 2 
Professional Division 4 
PARKING REGULATIONS— 
(See under Motor Vehicles, Etc.) 
PASSES, FURLOUGHS AND LEAVES 
FOR PATIENTS— 
Furloughs 226 
Passes, Duration of 223 
Passes, General 222 
Passes, Going and Returning 225 
Passes, Granting of 224 
Sick Leaves, Officers 227 
PATIENTS, CONDUCT OF— 
(See Conduct, Etc.) 
172 ADMINISTRATIVE PROCEDURE 
GENERAL—(Cont’d) 
PATIENTS, SERIOUSLY ILL— 
Lists, Where Maintained 269 
Officer of the Day 266 
Registrar 267 
Removal from List 268 
Reports, Ward Officer 265 
Transfer from Ward 270 
PAY PATIENTS AND HOSPITAL ACCOUNTS— 
Accounts, Monthly Settlement 239 
Accounts, Settlement Not Required 237 
Charges, Pay Patients 236 
Death 238 
Departure, Other Than Discharge 238 
Medicine, Accounts and Records 235 
Subsistence, Accounts and Records 235 
PAY ROLLS— 
(See under Finance) 
PAY STATUS (NON) OF PATIENTS— 
(See under Non-Pay Status, Etc.) 
POST EXCHANGE— 
(See under Adm. Div.) 
PROPERTY— 
(See Medical Supply under Adm. Div.) 
(See Quartermaster under Adm. Div.) 
QUARTERMASTER, POST— 
(See under Adm. Div.) 
RADIO— 
(See Signal Corps under Adm. Div.) 
RECORDS, CLINICAL— 
(See under Clinical Records) 
RECREATION— 
(See under Adm. Div.) 
REQUISITIONING— 
(See under Medical Supply, Adm. Div.) 
SALESMEN AND COLLECTORS— 
(See under Miscellaneous) 
SERIOUSLY ILL— 
(See Patients, Seriously 111) 
SIGNAL CORPS— 
(See under Adm. Div.) 
173 ADMINISTRATIVE PROCEDURE 
GENERAL—(Cont’d) 
SUPPLIES— 
(See Medical Supply under Adm. Div.) 
(See Quartermaster under Adm. Div.) 
TELEPHONES— 
(See Signal Corps under Adm. Div.) 
TRANSFER OF PATIENTS WITHIN 
THE PIOSPITAL— 
Detention Ward 284 
Diagnosis, Change of 287 
Inter-Service 283 
Records, Completion of 288 
Transfer Slip, Disposition 285 
Transfer Slip, Disposition 286 
Transfer Slip, General 281 
Transfer, Within Service 282 
VALUABLES OF PATIENTS— 
(See under Funds, Etc.) 
VETERANS ADMINISTRATION PATIENTS— 
Absence Without Leave 316 
Admissions 313 
Deaths 319 
Dental Work 317 
Diagnoses 315 
Record Office 312 
Records, General 314 
Seriously 111 318 
Transportation 320 
VISITORS AND VISITING HOURS— 
Emergency 272 
Exclusion of Individuals 279 
General 271 
Isolation Wards 277 
Mental Wards, Closed 275 
Miscellaneous 280 
Obstetrical Wards 273 
Officers Wards 273 
Passes, Special 278 
Prison Wards 276 
Venereal Wards 274 
Womens Wards, General 273 
WARD ADMINISTRATION— 
Alcohol 155 
Attendants 158 
Board, Directory 164 
Bulletin Boards 157 
Catheterization Tray 165 
174 ADMINISTRATIVE PROCEDURE 
GENERAL—(Cont’d) 
WARD ADMINISTRATION—Cont’d. 
Complaints 152 
Diagnosis, Report of 163 
Diets 167 
Floors 166 
Medical Treatment 154 
Medicines 154 
Narcotics 155 
Patients, Control of 151 
Patients, Privacy of 153 
Patients, Seriously 111 160 
PProperty 159 
Records 161 
Reports 161 
Requisitions 159 
Seriously 111 Patients 160 
Supplies 159 
Visitors 156 
Ward Management 150 
Ward Officers 149, 162 
DUTY PERSONNEL 
ADMINISTRATIVE STAFF, GENERAL DUTIES— 
(See under Adm. Div.) 
CIVILIAN EMPLOYEES— 
Absence from Duty, Reports 57 
Absent Sick 54 
General 52 
Hours 53 
Injuries 55 
Leaves of Absence 56 
Relief from Duty 59 
Resignation 58 
COMMISSIONED PERSONNEL— 
Address 24 
Assemblies . 28 
Bulletin Board 26 
Duty Hours and Groups 23 
Family . 24 
Leave of Absence 25 
Relief from Duty 27 
Telephone 24 
DISABILITY DISCHARGES— 
(See under Adm. Pro.) 
175 DUTY PERSONNEL 
(Continued) 
ENLISTED PERSONNEL— 
,, 43 
s ■; 44 
Clothing, Issue of 
Conduct - 
Duty Assignment 46 
49 
Emergency Roster 
Furloughs 
Laundry Service 
Lights 40 
Medical Detachment, Organization 37 
NCO in Charge of Quarters 48 
_ 
Passes 
Promotions 46 
Property, Government 47 
Ratings 46 
Sleeping Out of Quarters 41 
Training - 
Uniform 42 
Venereal Prophylaxis 31 
GUARD— 
(See Guard under Adm. Div.) 
INTERNS— 
Discipline 450 
Emergency Duty 456 
General 448 
Instruction 4a4 
Meals 453 
Progress and Efficiency Reports 455 
Quarters 452 
Status 449 
Uniform 451 
LIBRARY— 
(See under Adm. Div.) 
MESSES— 
(See under Adm. Div.) 
NURSE CORPS— 
Arrival 30 
Head Nurses 33 
Hours 32 
Nurses 33 
Relief from Duty 35 
Relieving Nurse in Charge 34 
Reports 33 
Status 31 
Supervision 31 
Supervisors 33 
176 DUTY PERSONNEL 
(Continued) 
OFFICER OF THE DAY— 
(See under Adm. Pro.) 
PAYROLLS— 
(See Finance under Adm. Pro.) 
QUARTERMASTER, POST— 
(See under Adm. Div.) 
RECREATION— 
(See under Adm. Div.) 
PROFESSIONAL DIVISION 
ANESTHESIA AND OPERATING SECTION— 
Chief of 5ecti0n.,....,.—, - - 105 
Emergency Operating Staff 106 
Flours 107 
DENTAL SERVICE— 
Appointments 94 
Chief of Service 89 
Emergency Officer 93 
Examination, Patients in Hospital 91 
Fractures of Jaw 95 
Organization 88 
Patients, Dental 95, 96 
Reports , ~ 97 
Special Cases 95 
Treatment of Out-Patients,...., 92 
Treatment of Patients in Hospital 91 
Treatment, Priority in 90 
DETENTION WARD— 
Absence of Patients and Prisoners 138 
Admission . ... ...., 136 
Attendants, Enlisted 134 
Attendant, Entrance •. 135 
Complaints, 144 
Disturbances and Riots 143 
General 131 
Guard Report 145 
Inspection 137 
Mail 147 
Meals 140 
Medicine, Administration 0f.,,...,... 139 
Mistreatment, Patients and Prisoners..... 142 
NCO in Charge.,, 133 PROFESSIONAL DIVISION 
(Continued) 
DETENTION WARD—Cont’d. 
Recreation 141 
Visitors 146 
Ward Officer 132 
ELECTROCARDIOGRAPHY— 
General 14® 
EYE, EAR, NOSE AND THROAT SERVICE— 
General 
Operations 80 
Outpatients 79 
Patients, Hospital 78 
Records 82 
Reports 81 
GENITO-URINARY SECTION— 
Records, Syphilitics 103 
Treatment, Syphilitics 103 
INFECTIOUS DISEASES SECTION— 
Clothing 113 
Deaths 118 
Dishes 113 
General 112 
Laundry 114 
Personal Hygiene 113 
Personnel, Ward 113 
Regulations, Posting of 120 
Reports 119 
Tableware 115 
Visitors . 117 
Waste Disposal 116 
LABORATORY SERVICE— 
Autopsies 73 
Blood Transfusion 75 
Bodies, Disposition of 76 
Chief of Service 68 
Containers * 72 
Emergency Detail . 69 
Examination, Records of 70 
Examinations, Request for 71 
General 67 
Speciments, Labeling of 72 
Speciments, Preservation of 74 
NEURO-PSYCHIATRIC SECTION— 
Absence from Ward 130 
Admission of Patients .. 124 
Attendants, Entrance 123 
178 PROFESSIONAL DIVISION 
(Continued) 
NEURO-PSYCHIATRIC SECTION—Cont’d. 
Basement, Security of 
Closed Wards, Responsibility for 121 
Complaints 
Enlisted Attendants, Assignment of 122 
Hydrotherapy, Security of ■•••• l2^ 
Inspections 
Keys and Tools, Check of 125 
Meals 128 
Medicines, Administration of 127 
Patients, Check of 125 
Patients, Treatment 129 
Policy, General 122 
OFFICER OF THE DAY— 
(See under Adm. Pro.) 
OFFICERS’ SECTION— 
(See also Sick Leaves, Officers, under Passes, 
etc., Adm. Pro.) 
Charges, Hospital HO 
General 108 
Sick Leave HI 
Treatment in Quarters 109 
OPERATING SECTION— 
(See Anesthesia, Etc.) 
ORTHOPEDIC SECTION— 
Records 104 
Treatment 104 
OUT PATIENT SERVICE— 
Chief of Service - 99 
Emergency Medical Officer 100 
Functions - 98 
Records 101 
Reports 101 
PHARMACY— 
Alcohol 172 
Alcoholic Liquors 172 
General 168 
Medicines, Dispensing 175 
Medicines, Sales 173 
NCO in Charge 170 
Officer in Charge 169 
NCO in Charge 170 
Stock Preparations 174 
179 PROFESSIONAL DIVISION 
(Continued) 
PHYSIOTHERAPY— 
Procedure . 102 
Records 102 
PROFESSIONAL DIVISION (GENERAL) 
(See also Inspections, Military under Adm. Pro.) 
Chief of Service....-...—.—...—— 61 
Chiefs of Sections 63 
Disposition Board 65 
Executive 62 
General 60 
Reports 66 
Staff Meetings 64 
RADIOLOGICAL SERVICE 
Examinations 83 
Radium Therapy 87 
Records, File of 85 
Reports 84 
Roentgen Therapy 86 
Roentgenograms, File of 85 
RECEIVING AND EVACUATION OFFICER 
Absence, R & E Officer 384 
Admissions, General . 374 
Admissions, via Boat or Rail 376 
Ambulance Service 382 
Baggage 375 
Discharges 377 
Evacuation, via Boat or Rail 378 
Function , ...... , 371 
General .. .... 372 
Hours 373 
Inspections, Enlisted Patients 379 
NCO’S Special Duties . 381 
Personnel 380 
Records, r 383 
WARD ADMINISTRATION 
(See under Adm. Pro.) 
180