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)

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.

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 […]

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 […]

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.

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, […]

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 […]

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)

Hey all, An Addictions/Substance Abuse Support Group is going to be held every Monday at 2pm [SLT] in the basement of Hathian General Hospital, co-led by HGH staff such as Dr Rachell Phoenix-VonD [Rachell Gibbs] and my own character, FDH Captain Dimitri ‘Trey’ Rousseau [Joubert015 Resident] and is open for all HGH and FDH   staff to get involved in as counselors, etc  since they are knowledgeable about drugs and can provide information to group attendees. The group has been set up—-on the surface—to provide the citizen’s of Hathian with ‘help’ with their addictions and substance abuse issues. In actuality, there is definitely something going to be something more sinister going  on covertly with and for the group. I don’t want to ruin any element of surprise so will let people work it out on their own. I just wanted to put this up in order to advertise the group so it will gather RP interest and to let people know it will be running soon— watch out for the posters. [And a big TY to FDH Sofia Boots/  Erika Eichel who was behind the Rock The Block Party posters  around town.]    

Known as “the Den’s largest gang,” the Hathian Police Department (HPD) is the true embodiment of the word corrupt. On one side of the coin, there is the few born with an incorruptible sense of honor and duty that gets just enough policing done to make it too much work for any sort of federal investigation. On the other more prevalent side is the dark-souled brothers and sisters of the badge who through controlled chaos and ruthless tactics keep the rival gangs at bay, preventing the city from falling into complete hell… all while keeping their pockets lined. The HPD Officer Handbook is written in an OOC format, but contains vital in-character information needed for daily role-plays. This is not a “How To” manual, but rather a guide with a few basic rules to adhere to. If you have questions, refer to your supervising officer or leave a message for your Captain, Walter Bishop. Above all else, remember to enjoy your time as a member of the HPD in your role-play. Navigate: Charter The Basics Weapons Vehicle Ranks, Roles & Responsibilities Special Duties & Designations Front Desk Duties Promotions Systems Roster Bad Cop vs Good Cop Radio Dispatch Writing Report (Arrest / Incident) Writing Citation Issue APB Warrants Case Assignment & Investigations Police Records Payment Collection (Bail / Citation Fines) Task Force Medals Application Process Onboarding & Training Communication Conducting Arrests Charter The police department is at the heart of the criminal role-play in Hathian. Since many policing role-play features […]