(a) Medical statement of the case.
(b) Order of admission to the hospital.
(c) Naval pay book
(d) Such articles of kit as may be necessary for their personal us
0849. Visits to Patients in Hospitals. The Captain or his representative shall visit the patients from his ship admitted in hospital once a week or more frequently as necessary with a view to ascertain their progress and comforts. A record of such visits is to be maintained, which is to be seen by the Captain every week.
0850. Invaliding Boards. Invaliding Boards shall be held at such places as ordered by the Administrative Authority of the officer/sailors concerned. Board papers shall be prepared on the prescribed forms (See regulation for Medical Services of the Armed Forces for detailed instructions).
0851. Operations and Administration of General Anaesthetics. (1) Whenever an operation or administration of a general anaesthetic is required, the medical officer shall obtain consent in writing if circumstances permit, from the patients or guardians for patients under the age of 18 years, or from the patient himself if 18 years of age or more. The document of consent shall be retained permanently with the medical records of the case.
(2) When an immediate operation or administration of a general anaesthetic is considered necessary to save the life of a patient under 18 year of age, or the delay that would ensure would be injurious to the patient or would involve unnecessary and prolonged retention in hospital or elsewhere, the consent of parents or guardians need not be obtained, but they must be informed at once of the reasons necessitating such action.
0852. Refusal of Medical Examination/Treatment. (1) It is the duty of the Captain and the Medical officer to safeguard the health of the ship’s company. It is a reciprocal duty of a member of the service to accept medical examination or to appear before a medical board when directed to do so by the competent authority; any refusal is to be dealt with under the appropriate section of the Navy Act, 1957.
(2) An individual cannot be forced to undergo an operation/treatment in a service hospital. The risk of consequences of refusal to undergo an operation/treatment is, however, to be explained to the individual in his own language or the language he fully understands, by the medical Officer-in-Charge of the case in the presence of an officer, preferably from his own ship/establishment, if available in the station. A certificate starting that all the consequences of the refusal of an operation/treatment have been explained to him and understood by him shall be obtained from the individual. The matter shall also be brought to the notice of the individual’s Captain.
(3) A refusal to undergo treatment or an operation may be held to be reasonable: -
(a) When in the opinion of the Medical authorities, it is improbable that such treatment/operation would cure the disability or reduce its percentage, or when such treatment or operation may be severe and dangerous to life; or
(b) When in the opinion of the individual’s Captain the operation or the treatment prescribed is opposed to religious or caste prejudices of the patient and the refusal is the bonafide outcome of such prejudices.
(4) The refusal to undergo medical treatment or an operation shall be treated as unreasonable: -
(a) When it is due to malingering; or
(b) When it is due to the desire to avoid further service or to obtain or retain a pension or to receive an enhanced pension.
0853. Medical Stores and Equipment. (1) IN ships and establishments, hospitals including wings and centres, sickbays and other medical establishments will draw stores and equipment according to prescribed scales promulgated by the Government from time to time.
(2) Demands. Medical Stores and equipment including vaccine and sera shall be demanded from the dependent Medical Stores Depots/Government institutions in accordance with instructions issued by the Director General Armed Forces Medical Services from time to time.
(3) Unpacking. All medical stores and equipment received shall be un packed and checked by the Medical officer or any other officer deputed for this purpose by the Captain as early as possible, if circumstances do not permit immediate checking.
(4)Observations regarding breakage and deficiencies shall be submitted on discrepancy report form (IAFG 985) immediately and action taken as per current instructions.
(5)Accounting. All medical stores and equipment held on charge shall be accounted for on the prescribed ledgers and expense books.
(6) Storage and Maintenance. Storage of medical stores and equipment shall be carefully planned. Special care must be taken in the storage and maintenance of items, which have a scheduled life and are of perishable nature. The instructions of the Inter Services Stores Preservation Organisations and other instructions issued by Administrative Authority from time to time shall be strictly observed with regard to maintenance of all kinds of stores.
(7) Stock Verifications. Stock verification of all medical stores and equipment shall be carried out periodically in accordance with current orders and records of stock verification shall be maintained.
(8) Local Purchase. Local purchase of medical stores and equipment shall be accounted for in the ledgers. The cost of such stores shall be debitable to the local purchases of medical stores allotment and may be effected in the uindermentioned circumstances: -
(a) In an emergency.
(b) When Price Vocabulary Medical Stores (P.V.M.S.) items required are not available from the Medical Stores Depot on which dependent against non-availability certificate from the A.F.M.S.
depot.
(c) When non P.V.M.S. items are considered absolutely essential for the treatment of the patient.
(d) When ships are at foreign ports and it is not in the interest of the patient to wait till the item could be obtained from India. Such purchases will be made byy the Commanding officer of the ship and sanction of the Administrative Medical Authority concerned shall be obtained before the bills are sent to the CDA (N) for postaudit. The reasons for making these purchases will be stated against each item when forwarding the monthly return of local purchase.
(9) Disposal. (a) When a ship is paid off or placed in reserve necessitating disposal of her medical stores and equipment, the following procedures shall be adopted: -
(i) All Outstanding demands shall be cancelled by signal.
(ii) Medical Stores and equipment shall be brought before a Board of Survey and classified and returned to the appropriate Armed Forces Medical Stores Depot.
(b) When a ship proceeds for refit and it becomes necessary to deposit her medical stores and equipment, the following procedure shall be adopted: -
(j) All outstanding demands shall be cancelled by signal.
(ii) Medical stores and equipment shall be surveyed, classified and deposited with the nearest Armed Forces Hospital/Sickbay for re-issue when the ship is ready for service.
0854. Poisons and Dangerous Drugs. (1) Poisons and dangerous drugs shall be stored in befitting containers and properly labelled.
(2) They shall be kept under lock and key apart from other medical stores.
Careful supervision to prevent improper expenditure shall be exercised in regard to the issue, dispensing and use of hypnotic, poisonous and dangerous drugs.
(3) The key of the poison cupboard shall be kept on the keyboard under a sentry’s charge and shall be issued only to the Medical officer or, with the permission of the Offficer of the Watch, to his approved representative.
(4) Dangerous drugs and scheduled poisons shall be accounted for separately;
musters of these drugs shall be carried out regularly and certified on the ledgers.
(5)Such drugs where issued to ships not carrying a Medical officer are supplied as a personal charge of the Captain and the same procedure as detailed above, will be observed in regard to their safe custody and accounting procedure.
0855. Medical Treatment of Naval Personnel. Whenever practicable medical attention and treatment is to be obtained from the authorised service sources.
The entitlement to medical treatment and the sources from which it is to be obtained is contained in Regulations for the Medical Services of them Armed Forces.
0856. Artificial Limbs, Spectacles, Hearing aids and Surgical Appliances.
The procedure in respect of supply, repair or renewal of artificial limbs, spectacles, hearing aids and surgical appliances shall be same as laid down in Regulations for the Medical Services of the Armed Forces.
CHAPTER 9 THE EDUCATION DEPARTMENT Section Regulations I Organisation 0901 II Duties and Responsibilities 0902 III Instructions to Education Officers 0903-0910 SECTION I – ORGANISATION
0901. Education Branch. (1) The Education Branch of the Navy consists of commissioned officers.
(2) The organisation is as under: -
(a) A Directorate of Naval Education at Naval Headquarters un der the Director of Naval Education who is assisted by a Joint Director, Deputy Directors and Assistant Directors.
(b) A Directorate of Naval Oceanology and Meteorology at Naval Headquarters under the Director of Oceanology and Meteorology for professional duties in the field of Oceanology and Meteorology.
(c) Command Education officers holding Staff appointments under Administrative Authorities.
(d) Command Met officers/Staff Met officers holding staff appointments under Administrative Authorities/Senior Officer.
(e) Staff Officers “Education” holding staff appointments under Fortress commander/Flag Officers Commanding Naval Areas/Senior Officers.
(f) Senior Education officers and Education officers employed in ships and establishments.
(g) Naval Institute of Education and Training Technology under a Director.
SECTION II – DUTIES AND RESPONSIBILITIES