RE(;ULATlONS FOR 'l'HE MEDICAL DEPARTMENT .- AND Hospital -and i\n1bulance Corps OF TH~ r STATE OF GEORGIA. ATLANTA, GA.; Goo. W. HARRISON , ST.\TE PRINTER. The Franklin Printing and Publishing Co. 1894. STATE OF GEORGIA, ADJUTANT-GENERAL'S OFFICE, ATLANTA, November 19 , 1894. The regulations for the government of the Medical De-partment and the Hospital and Ambulance Corps of the ;S tate of Georgia, prepared by Colonel Napoleon G. Gewinner, Surgeon-General, Georgia Volunteers, are hereby approved and promulgated, .in accordance with the provisions of section XXIV of the Act of the General Assembly, approved D ecember 20, 1893, and will be strictly -observed by all concerned. By order of the Governor: J NO. MclN'rosu KELL, Adjutant-General. MILITARY LAW Pertaining to the Medical Department and Hospital and Ambulance Corps of the State of Georgia: An Act to provide for the reorganization, th e discipline and the r e!.'ulation of th e Volunteer forces of this Stnte, and for other purposes con nected therewith. SEc. II . Be it enacted by the au,ilw1ity ajo1esaid, That in tim e -of peace the aforesaid volunteer forces shall consist of not exceed ing seventy-two companies of infantry, white, and twenty com panies of infantry, colored ; twenty-four troops of cavalry, white, and one troop of cavalry, color ed; two batteries of artill e r~ , white, and one battery of artill ery, colo red; not exceeding six machine-gun platoon s, white; ct 1neclicctl depa1 t1nent, wh'ite; ct hospital nnd et1nb1tlnnce cmps, 'Wh'ite; and to e11ch reginwnt of infantry a nd cavnlry, white, which ma~r be organized as hereinafter provided , a signal corps and a band of mnsic; said Volunteer forces, fully armed and equipped, to be nllotted and npportionecl in such localiti e,; ot the Sta te as the interests of the service, in the discretion of th e Governor, may require; p1ovided, that the Gov ernor shall have power in case of war, invasion, insurrection , ri ot or im'minent cla" ger thereof, to increase the said furces and organize the sa me, as the exigencies of th e occasien may demand. ..:iEc. III. B e it enacted by the autho1ity ajonsaid, That the aforesaid Volunteer forces shall be organi zed and arranged by the Gov ern or into such regim en ts, Hnassigned battalions, una ss ign ed companies, sepa1ctte depet1't'Jnents ttncl co1ps, wit.h power to make such alterations in the organization a nd arrangement thereof, from time . to time, as he may deem necessary; p?ovided, that unassigned battali ons of in fa ntry and cavalry, white, now existing, or as may h ereafter be organized, shall be assigned to regiments whenever it is prn cticnble, in the judgment of the Gov- 4 ernor, so to do ; p 1ovided f~wther, that in tim e of peace the num ber of regim ents of infan try , white, shall not exceed six, and the number of r egim ents of cavalry, white, shall not exceed two ;; p;ovided f w the1', that in such organi zati on and arrangement th e companies composing any regim ent shall be selected from the same general geographical section of the State, to the end that the territor y in which a r eg iment is located shall be di stin ct and separate; p1ovided .t~wthe1, that for the p Lnposes of thi s A ct, HS hereinbefore set fo1th, the Gov ernor shall be auth orized to tran s ~ fer , if n ecessa ry, companies to and fro m r egim ents and battalions. as t hey are n t)W organized ; provided fU?ther , that the infantry, color ed, sh all be organized into battalion s and unassigned com-panies. SEc. XX. B e i t enacted by the autho1ity ajoTesaid, That th e medical de partm ent -herein before prov ided shall be known and designated as the Medical D epartment of t he Georl!,ia V olunteersand sh a ll co nsi st of one surgeon- general, with the rank of colone l, one assista nt surgeon-general, with th e rank of li eutenant-colonel, one m edi cal in spe ctor, with the rank of major, not . exceeding one surgeon, with the rank of captain, and one assistant surgeon , with the rank of fi!'st li eutennnt, to each regim ent,. an d not exceed in g one assistant surgeon, with the rank of fir st . lieu tenant, to each unassign ed battalion , and to each unassigned battery, which may be organi zed under the provisions of this Act; that all medical officers of the Georg ia Volunteers now holdin g co mm iss ions, and all oth er perso11s wh o may hereaft er be com- mi ssioned as medi cnl offi cers of th e G eorgia Volunteers, shall constitute a med ical stuff, uncl that th e said medical staff shall be und er th e di rection and control Lll assign to p ermanent duty wi th th e various co mmands of the GRo rg ia Volunteers th e m edical office rs connected with such commands ; that th ese officers so assigned shall co ntinue to act as part of th e sta ff of the commanding officer of the organ izati on t o which they >Lre thus assigned; that hereafte r, in case of vacan cy, .an officer co mmission ed tu fill it shall in like mann er be assig-n ed ,and shall se n 'e as a part of th e staff of th e co mmandin g office r of the comma nd to which he is assig ned; that officers of the M ed ical Department may be detached and detailed for temporary duty by the surgeon-general should the interest of the Medic al Departmen t s o demand, but the detachment shall not continue beyond a reasonable period n or to th e detriment of the commands to which .such offi cers are p er manentl y ass ig ned. SEc. XXVI. B e it enacted by the autlimity aforesaid, That th e h ospital and ambulance corp~ herein b efore provid ed shall be kn ow n and designated as th e H os pital and Ambulance Corps of th e Geo:rgia V olunteers, and sh all con sist of hospita l stewards, aeting hospital stew a rds and privutcs, and all n ece~sary sen iee in garri son, camp, or fi eld, in cluding ambulance ser vice, sh all be performed by the members thereof, who shall be r eg ulHrl y enli sted, for a period of two ye ars, under such r eg ulation s as may be prescribed by the Go vernor; that said H ospital and Ambulanc e Corps. sh all be perman ently attached to and be und er th e directi on and control of the Medical Departmen t of the Georgia Voluntee rs. SEc. XXVII. B e it enacted by the antho1ity ajonsaid, That th e s urgeon -~eneral of the Georgia Volunteers shall h ave authority to appoint as man y h ospital steward s a~ , in hi s judgment, th e se rvice may r equire, but not exeeecJing two h ospital stewa rds t o each r egiment, an d not exceedin g one hospital steward to each nn as- sign ed battalion or battery, whi ch may be organ ized as aforesa id. SEc. XX VIII. B e it enacted by the authority c\fmesaid, That n o person shall be appointed a hospital ste ward who is n ot a pract ical druggist, duly li cense d from th e State Board of Ph ar macy. SEc. XXIX. B e it enrtcted by the authority etf"mesaid, Th at th e surgeon-general of the Georgia Volunteers is h ereby empowered to en list or cause t o be en listed as many priva tes of th e h ospi t;1l and am hulance corps, each to be over eigm een years of age, as t he se rvice may r equ ire, and to limit and fi x the 11u mber, and make such regulati ons for th eir gov ernm ent ns may be r.ecessary; and any enii sted man of the Geo 1p;ia Vol unteers shall be elig ibl e for transfer to the sa id hospital a nd a mbulance corps as a priYate; that pri vates of th e h ospital and ambulance co rps shall perform duty us wardmasters, cooks, nurses, and attendants in hospitals , and as litter bearers, and ambulance atte ndants in the field , an d such other duties as may by proper authority be r eq uired of th em, and these men shall have all the rights an d privileges of enlisted m en of th e afcwesaid volunteer forces . SEc. XXX. . B e it enacted by the authority afonsaid, That p rivates of th e said hospi tal and ambulance corps may be detailed as acting hosp ital ste wards by the surgeon-gen eral when ever th e necess ities o f t he service require th e same. Actin g hospital stewards when Aducatecl in the duties of the position may be eli g ible for appointment as hospital stewards. 7 SEc. XXXI. Z:e it enacted by the autho?iiy ajo?esaid, T hat all general and special law s, and parts of such laws, in conflict with the purposes and term s of this Act be, and the same ar e, hereby re pealed. Approved December 20, 1893. , REGULATIONS F or the Govemment of the Medical D epa?t?nent and the Hospital cmd Ambttlance Corps of the State of Gemgia. SU RGEON-GENERAL. 1. The Surgeon-General is charged with t he administration of the Medical Department und er th e direction of th e Gov ern or. ASSISTANT UHGEON -GENERAL. 2. Th e A ssistant Surgeon-General shall n si t the SurgeonGeneral in th e admini tmti on of the Med ical Department, perfon11 suc h duties a ma y be a. signed him by th e Su rgeo n-G eneral , and in case of the absence, di sabil ity, resignation or deuth of th e Surgeor.-General perform the duties of hi s office during said abse nce, or disability, or in case of r e ignation or death, until hi successo r is appointed. THE MEDICAL INSPECTOR.' 3. It shall be the du ty of the Med ical Inspector, when so ordered, to inspect medical suppli es, instruments, and surgical appliances in charge of the medical offi ce rs o f th e :Medical Department of the Georgia Volunteers. 4. H e shall require medical offi cers to furni sh him with a list, statin g the quantity, quali ty , co nditi on and description of nil drugs, in strume nts, su rgicRl dressin g,; Rnd appli ances in their charge, the prope rty of the Stat!l. 5. H e shall , wh en so ordered, inspect all armories used by organizations of t he Georgia Volunteers and report a to the ir sanitary con diti on and fitn ess for th e use and drillin g of troops. 6. H e hull inspect and report on the physical conditi on and adaptation to military servi ce of t roops a far as practicable. 7. H e shall in spect th e ambulance equipm ents and barnes attached to th e ~Ied ica l Departm e nt of th e Georgi a Vo lunteers. 8. H e shall speciall y exam ine the h ospital and am bulan ce corp s us t o their proficiency in ambulance and litter drill, and the method of g iving fir t aiel to th e sick and wounded. 9 9. The Surgeon-General may order special m edical inspection s, if for th e interest of th e se rvi ce, at an y time. 10. The Medical Inspector shall make a report to the SurgeonGeneral on March 31st, Jun e 30th, September 30th and Decembe r 31st of each year, of all official duties performed by him . EXA.MINA.TION OF CAN DIDATES. 11. Candidates for the position of Surgeon or Assi stant Surgeon ar e required to be regular graduates of med icine, and must pass a satisfactory examination in accordan ce with such regul ations as may f1om time to time be required by th e Governor. 12. The written examin ation shall embrace anatomy, physiology, snrgery, hyg iene, medi cal jurisprudence, chemistry, obstetrics, and gy nn ecology, materia medi ca and thcmpeutics, and practice of medicin e. 13. Cand idates for the po~iti on of surgeon must give e vid ence of a th oroug h knowledge of all military matters that it is necessary that a medi cal offi ce r should know. 14. Th e proceed ings of all board s of exam in ation must in all cases be referred to th e Stugco n-Geneml for review. POWERS A.ND DUTIES OF MEDICAL OFFICERS. 15. A.n officer of th e l\Iedical Stuff cannot exercise command except in hi s own department; but by virtue of his commi ssion he may command _all enli sted men lil, subject t o the approval of th e commanding officer, regulations for the government of the hospital and those attached th e reto, provided that they are in conformity to the reg- ulations of th e Medical D cpa1~tment. 35. Retii ed m edical offi cers, and medical officers who are not assign ed to any particular command or duty, may be assigned to 12 special tempornry duty on the recommendation of the S urgeon - General; such se rvi ce, however, in the case of retired office r<, shu-11 be optional. THE HOSPI'.rAL AND AMBULANC.E CORPS. 36. The Hospital and Ambulance Corps shall consist of h ospital stewards, actin g hoopital stewards and privates. 37. Hospital stewards and acting hospital stewards may reenlist at the expiration of their term of service or within sixty (60) days thereafter, on the written authority of th e surgeonGeneral, and shall b e assigned to th eir former position s. 38. An enlisted man of th e line of the Georgia Volunteers desiring to be transferred to the Hospital and Ambulance .Corps, application through. the regular chann el, duly approved by the Surgeon-General, shall be rnacle to the Adjutant-General, requesting his discharge for the purpose of enlisting in the Hospital and Ambulance Corps. Said discharge being granted, he shall then be enlisted as are other members of the Hospital and Ambulance Corps for the full term of two years from the clute of hi s disclutrge from the line. In the case of applicants for th e position of hospital stewa rd or acting hospital steward, no warrant shall be issued by the SurgeonGeneral until the above regulation is co mplied with. 39. Men of intelli gence, industry, and of the best ch aracter,shoulcl alone be selected as privates in the H ospital and Ambulance Corps. 40. The senior med ical . office r in charge shall assign to the respective duties connected with hospital service, such as wardmasters, nurses, attendants, etc. , members of the Hospital and Ambulance Corps, who shrrll p erform all hospital service under th e supervisi;:m and direction of medical officers. DUTIES OF HOSPITAL STEWAl~DS AND ACTING HOSPITAL STEWARDS. 41. U ncler the direction of the melical officer, h ospital ~te w ards and acting hospital stewards sh all look after and distribute hospital stores and suppli es; shall care for hospital property; sh all compoun d and administer medicines; sha ll super vise the preparati on and administration of food to the sick; shall maintain order al1flcliscipline in hospitals; shall prepare h ospital r eports and returns; shall supervise the duties of the members of the Hospital and Ambu- 13 lan ce Corps; shall perform such other duties connected with their positions as may, b y proper authority, be required of them. 42. The senior medical officer shall select, when there are two or more hospital stewards present, the hospital steward who shall act as senior hospital ste ward, usually being governed by the dates of their warrants. Thi s, however, is not to deter the medical officer from selecting th e h osp ital steward whom he deems bes t suited for that position. 43.. The senior hospital steward is, under the medical officer in charge, responsible for the order and discipline of the patients and detachment of the hospital co rps, and the police of the bu il dings and grounds; he supervi ses the work of th e entire hospital establishment, and in the performance of his duty must exercise patience, gentleness, and at the same time firmn ess, in dealing with those und er him. 44. Be is respon sible for all public propetty pertaining to the Medical Depal'tment, and shall keep an accurate account of it, and of its place of distribution and condition. 45. He accompanies the m ed ical officer on his official round>, a nd carefully notes his in structions and orders and sees that th ey are executed. ~6. Be makes out or supe rvi sf s the making out of all reports, returns, r equi sition s, etc., and keeps or supervi ses the keeping of all books, records and correspondence pertaining to the h ospital. 47. When any case of illness 0r accident is reported at or brought t o tbe hospital, he immediately causes a medi cal officer to be informed, and pending his arrival takes such steps ns may appear to him to be necessary to meet the urgent requirements of the case. 48. When a patie nt is admitted to ho>pital or quarters, h e sees that his name, age a nd command is duly entered in the blotter !tn d that all cases excused from duty, discharged, transferred, or dead. are entered in the register of sick. 49. He inspects the wards, mess room and kitchens, at the appointed hours for meal s, and sees that the prescribed diets are se rved in a proper manner. 50. When a deatl\ occurs he reports it to the medical officer at once. Wh en men are to be discharged from the hospit>1.l ut the hour of surgeon's call, he will cause them to repurt to the medical , officer in c hhrge of that duty befo re they are turned over to the sick marchers. 14 51. He will accompany through the h ospit al any office r authorized tv visit it. 52. H e will n ot )eave th e h ospitt\l without form ally placing the n ex t senior n on -commissioned officer, or a selected private present, in eharge of his duti es. 53. He will nt of the hos pital after breakfast, a nd after th e patients h ave retired, and ascertain s th at eve rything is correct. 55. He is r esponsible for the m ethodi<>al arrangement of all d r ugs, etc., in the di spensar y, and for their economi cal use. That all drugs and medicines are prope rl y labeled, and in case of mixtures, not official , that not onl y th e name but also th e formula be placed on bottle for the g uidan ce of th e hospital stewa1d who may succeed him. 56. He is respon s1ble fo r th e sa fe tmd proper k eeping of all poisons, alcohol, whi sky, b randy or other spirituous li quo rs, und er lock and key, and he is responsible for the regularity and punctuality of all d etails in th e issue of m~Jdi cines, and th at each b ottl e or packet is C!trefully labeled with the name and command of the patient, the nature of the m edicin e, and th e directions for u se. 57. He will him self di spense. or super vise the di spen sing of all presc ription s. I f at till Y tim e h e is in doubt about a prescription, h e will , before dispen sin g it, refer to a medical officer for instructions. 58. He will di sp e nse no m edicine witho11t a prescription a nd will file all prescripti ons for inspection. 59. He is respon sibl e that th e stomach pump, hypodermi c and other syringes, and all other surgical instruments and appliances are in readin ess for in stant use. 60. All junior hospital ste ward s shall be under the com mand o( the senior hospital steward and shall assist him in the discharge of his duties. MEMBERS OF THE HOSPITAL AND AMBULANCE CORPS. 61. Members oftbe Hospital a nd Ambulan ce Corps will wear the prescribed uniform at all tim es when present at th e post ; while on fatigue, they may wear th e fatigue dress ; while on duty in 15 wards, dispensary, operating room, or kitche n, they may wear the white duck blouse. 62. Th e men will pay the utm os t attention to. personal cleanliness, each will bathe at least once weekly, his hair must be k ept short and his face shaved or beard neatly trimmed. 63. All public property in the possession of the m en must be kept in good order, and all missing or damaged articles must be accounted for. 64. l\f embers of the detachment will not at any time leave the hospital except by permission from proper authority, or in case of eri1ergency in the execution of duty. 65. J\llen on duty mu st treat patients with gentleness and consideration . 66. Th ey will at once report any breach of discipli ne on the part of a patient. 67. Ea ch non-commissioned officer and man will assist the othe r men_of th e detachment in learn ing everything pertaining to their duti es as sanitary soldi ers. 68. All non-commissioned officers and privates of the detachment will be present at all formations, unless speciall y excused. 69. No information regardin g th e condition or di sease of patients under treatment will be given to any one except those authorized , under the regul ations, to r eceive it. 70. Th" senior hospital steward will see that all men of the detachment and all patients in the hospital are always present or accounted for. 71. Officers and non~ commissioned officers are required to see that all orders and regulations are complied with. 72. A medi cal officer on activ e duty should always be attended, if in the field , by a member of the Hospital and Ambulan ce Corps, either mounted or on foot, tully equipped with all necessary instruments, drugs, and surgi cal dressings. 73. Wh en on active duty in the field, each member of the Hospital and Ambula.nce Corps shall carry on his person a canteen of water, a knife of approved pattern, and a simple package of dressin gs; every fourth man shall carry the reg ul ation handsack with its complement of surgical and medical supplies. 74. M omhers of the Hospital and Ambulan ce Corps shall be exempt fr om all military service except that connected with the Med.ical Departm ent. 75. Details from th e Hospital and Am buhm ce Corps may be 16 made, when necessary, from t"he regiment or battalion to which they are assigned, and attached to a command, at post, or camp, or in the field, and while so attached shall be under the ommandns-wave guidon in a half circle perpendicularl y above head, one time for each offi cer needed. (F) Line of battle abOLlt to fall back, and prepare for retreat, throw guidon up in th e a ir, above head, and allow to fall on the ground. 146. Signalm en mu st be constantly alert, with th eir eyesfi xed on each other and prom ptl y repeat all signals. . BOOKS OF INSTRUCTION. 147. The " Ma nual of Drill fo r the Hospital Corps, " Un ited States Army, is adopted as the " Manual of Drill " for use in the ~ledi cal De-partm ent of t he Geo rg ia Vo"hmtee rs. 148. The " H an dboo k for th e H ospi tal Corps of the U nited States Army an d State lllili tary Forces,'' by Charles Smart, Major and Surgeon U nited States Army , is reco mmend ed to the H os pital and Ambulance Corps of th e Georgia Volunteers for th eir instruction. 149. Wh ere n ot herein proyided for the regulations of the United States Army Med iC>11 Department will be r ecogn ized as authority.