Only prescribe antibiotics for bacterial infections if: Symptoms are significant or severe There is a high risk of complications The infection is not resolving Refer to these as a general rule, some conditions are the exception to the rule. RESPIRATORY/EAR/THROAT/NOSE INFECTIONS: Amoxicillin EYE INFECTIONS: Chloramphenicol MENINGITIS: Benzylpenicillin SKIN INFECTIONS: Cephalexin Erythromycin GASTROINTESTINAL: Erythromycin Ciprofloxacin STD/URINARY: Chlamydia – Azithromycin Gonorrhoea – Ceftriaxone Vaginitis/Yeast Infections – Metronidazole PID – Ceftriaxone UTI – Trimetoprim (updated 3/2017)

Congratulations!! You have chosen to work in Hathian General Hospital. This Handbook should serve as a very good starting point for all staff members from Volunteers to Senior Physicians. It is our hope that the information contained within helps to get you acquainted with and inspires your role within HGH. Get to know the other staff members; everyone was new once and will be willing to help. Any further questions you may have can be directed to either of the current HGH Chief of Staff. Additionally, you are invited to get in touch with the current leads at your earliest convenience to discuss your goals and specialties. Doing so also ensures that you are in the system properly and added to the Municipal Network, a group that allows HPD, FDH, and HGH staff to communicate with one another. We will try to provide you with both OOC and IC information as it pertains to Medical Roleplay. Always remember, when in doubt, Google is your best friend. WebMD can also be a valuable resource for symptoms, treatments, and drug facts. Medical Admission Procedures & Patient Charts General Medical Guide Positions Available within Hathian General Hospital CODE OF CONDUCT We have tried to keep the rules simple. We don’t want to discourage any type of roleplay you partake in within HGH, instead hoping to inspire fun, but realistic, operations within a Medical Center in a very dark town. 1. Staff at all times represent HGH: This includes off duty, outside of the […]

IV Fluids Intravenous fluids, or IV fluids, are given to patients for two primary reasons, to replace fluids they have lost through illness or injury, or to provide fluids when they are unable to drink as they normally would. Normal Saline is the most common. Another would be Electrolytes. Electrolytes are compounds in the blood that can conduct an electrical charge and help the body complete essential functions, including helping the heart beat. Too many electrolytes, or too few electrolytes, can cause disruptions in the heart’s function or other serious problems. Antibiotics Antibiotics are a category of drugs used to combat bacteria that cause infection. Antibiotics can be given in pill form or through an IV. While in the hospital, antibiotics are most commonly given through an IV, but the vast majority of home antibiotics are prescribed as pills. Common Antibiotics Controlling Pain Analgesics/Pain Relievers are used to control pain before and after surgery. They are available in a wide variety of forms, and can be given as an IV, in pill form, as a lozenge, a suppository, as a liquid taken by mouth and even as an ointment where the medication is absorbed through the skin. Common Anesthetics Common Pain Medications Anti-Anxiety Drugs The most prominent of anti-anxiety drugs for the purpose of immediate relief are those known as benzodiazepines; among them are Ativan, Valium, Librium, Xanax, and Klonopin. They have drawbacks: Benzodiazepines sometimes cause drowsiness, irritability, dizziness, memory and attention problems, and physical dependence. Anti-Seizure Drugs There are […]

Hydrocodone-Acetaminophen This combination medication is used to relieve moderate to severe pain. It contains a narcotic pain reliever (hydrocodone) and a non-narcotic pain reliever (acetaminophen). Hydrocodone works in the brain to change how your body feels and responds to pain. Acetaminophen can also reduce a fever. Drugs Similar to Hydrocodone – These drugs belong to a class of drugs known as narcotic (opiate) analgesics. Narcotic analgesics are drugs that relieve pain, can cause numbness and induce a state of unconsciousness. *Fentanyl *Hydromorphone (Norco, Vicodin) *Morphine (Dilaudid) *Oxycodone ( Oxycontin, Percocet) **Patient Allergies – If your patient has a reaction to any of the above the next drug is a good substitute.** Tramadol-Acetaminophen This product is used to treat moderate to moderately severe pain. It contains 2 medications: Tramadol and acetaminophen. Tramadol is similar to narcotic analgesics. It works in the brain to change how your body feels and responds to pain. Acetaminophen is used to relieve pain, and it can also reduce a fever. Tramadol is also known as Ultram and non-narcotic. Over the Counter (OTC) Pain Relievers: Acetaminophen/Tylenol Acetaminophen is known as a non-aspirin pain reliever. It also relieves fever and headaches, and other common aches and pains. It does not relieve inflammation. NSAIDs NSAIDs relieve fever and pain. They also reduce swelling from arthritis or a muscle sprain or strain. Some NSAIDs can be bought OTC, such as aspirin, ibuprofen (Advil, Motrin), and naproxen (Aleve, Naprosyn). Other NSAIDs are prescribed by your health care provider. These include celecoxib […]

Please keep in mind that everything collected should be bagged and marked for evidence. Rape patients are victims of trauma and may need to be mildly sedated. Step 1: Collecting Clothing || Collect clothing worn during the assault: underwear and outer clothing. If the victim has changed, the original set of clothing should be put in a paper bag. If the victim has not changed, an extra set of clothing should be brought to the hospital. Step 2: Collecting Debris || Collect debris found on the victim, such as dirt, hair and other foreign objects. Step 3: Fingernails || Collect fingernail samples from the left and right hands. A wooden scraper is used to extract any residue under the nail. Clippings of the nails are also taken. Step 4: Hair Samples || Collect hair samples from the victim’s head. Four hairs each are taken from the front, back, center, right side and left side of the head. While pulled hair is preferred for evidence collection, cut hair is also acceptable if the cut is done close to the scalp. Step 5: Oral Swab || Swab the victim’s gum line and the inside of the cheek with two swabs; the swabs should not be moistened before use. These two swabs are smeared onto glass slides. The process is repeated with two more swabs, except the last two samples are not transferred to slides. Step 6: Saliva Sample || Collect a saliva sample from the victim. A filter paper disk is folded, […]

1. Make sure the bleeding has stopped. You don’t want your patient bleeding out on you before you have a chance to stitch them up. 2. Numb the wound by applying the area with gel or cream or by giving a small shot of anesthetic, so they don’t feel pain. 3. Clean the wound with sterile water, which is squirted into the cut to remove any dirt and wash away harmful germs. If needed, use tweezers to remove any debris that the water can’t flush out on its own. 4. After it is cleaned, apply a disinfectant or antiseptic (e.g. betadine) to the center and edges of the wound. This will help prevent infection. 5. Using a very tiny sterile needle, sew the cut together and the suture (like a thread) will pull the edges of the wound closer to each other. 6. Once the stitch is finished, the wound will be covered with a sterile bandage and should be kept dry for 1 to 2 days. 7. A pain medication such as percocet can be prescribed for a few days for pain, depending on the injury and the amount of stitches required.

These are Standard Physical Exam Procedures, but please feel free to edit them according to your own rp style. This is just a guideline for assistance. 1. History || This is your chance to ask the patient about any complaints or concerns about their health. You quiz them about important behaviors, like smoking, excessive alcohol use, sexual health, diet, and exercise. You can also check on their vaccination status and update their personal and family medical history. 2. Vital Signs || These are some vital signs checked: Blood pressure: less than 120 over 80 is a normal blood pressure. Doctors define high blood pressure (hypertension) as 140 over 90 or higher. Heart rate: Values between 60 and 100 are considered normal. Many healthy people have heart rates slower than 60, however. Respiration rate: Around 16 is normal. Breathing more than 20 times per minute can suggest heart or lung problems. Temperature: 98.6 degrees Fahrenheit is the average, but healthy people can have resting temperatures slightly higher or lower. 3. General Appearance || Your can gather a large amount of information about them and their health just by watching and talking to them. How is your memory and mental quickness? Does your skin appear healthy? Can you easily stand and walk? 4. Heart Exam || Listening to their heart with a stethoscope, a doctor might detect an irregular heartbeat, a heart murmur, or other clues to heart disease. 5. Lung Exam || Using a stethoscope, listen for crackles, wheezes, or decreased […]

1. It’s a good idea to IM your patient and find out exactly what their injuries are and how badly they would like for you to rp them. 2. Make sure your patient is breathing fine. If they aren’t, RP hooking them up to an oxygen mask or if not breathing a ventilator. 3. Vital signs should always be checked. These include heart rate, breathing, blood pressure and temperature. 4. If your patient has lost a lot of blood, make sure you get them a transfusion. If you don’t know their blood type O- is universal. 5. If a patient is in severe pain, order an IV drip of Morphine and Saline. This will help with the pain as well as keep them hydrated. 6. Use NPC nurses if it’s just you and the patient, and you need someone to do the footwork. 7. If you need to operate on a patient, make sure you “knock” them out first. When operating on a patient they should always be hooked up to some sort of vitals sign monitor, oxygen, blood transfusion, saline drip mixed with an anesthetic to keep them under and a pain medication.

For non-emergencies: Standard Physical Steps For emergencies: Receiving an ER Patient Both situations may call for the following: Standard Rape Kit Procedure Simple Steps to Stitching Wounds Drugs Explained (including Common Anesthetics, Common Antibiotics, & Common Pain Medications)

Medical Records are very important in Hospital Roleplay. Not only does it provide patients with CD ‘Street Cred’ and a character’s medical history, but also allows your performance to be monitored for promotions. The records are easy to locate and use (you have to be on roster to access them). PATIENT HISTORY The “Records library” where all existing records are stored is located on the ground floor in the Storage Room next to the reception desk. Note: if you are having trouble please try a Firefox or Google based web browser as the program doesn’t always like Internet Explorer. To look for an existing chart: 1. Click on the Chart Shelf and a menu pop up. “HGH Records: Type patient name on channel 20.” MUST BE AV NAME not the display or character name. This gives you 10 seconds to fill out the name. Example: /20 Nadir Taov 2. Once filled out, a new menu takes you to the webpage where the patient chart opens for you and lets you peruse all through the records. At this point, you cannot edit any of the information you are reading. But you can scroll through the entire record, page after page. CREATING A NEW PATIENT CHART For every visit to the hospital, a patient will have a new chart written up for the reasons that brought them in. Please be thorough; sometimes patients can be very particular about what they want included in their chart. Also, always remember that the next Doctor […]