Standard Operating Procedure | Pillbox Hill Medical Center

SOP Index

PLEDGE / प्रतिज्ञा

As a member of the medical profession, I solemnly pledge:

To dedicate my knowledge, skills, and compassion to the service of humanity.
To treat all patients with dignity, respect, and without discrimination.
To continuously learn and apply my knowledge to excel in my profession.
To support the well-being of my colleagues and work collaboratively for the best outcomes.
To recognize the limits of my knowledge and seek help when needed.
To care for my own health and well-being, so that I may better care for others.
To ensure ethical and professional practice by following every rule, Chain of Command, and SOP.

मैं, मेडिकल क्षेत्र का एक सदस्य होने के नाते शपथ लेता/लेती हूँ:

♦ मैं अपने ज्ञान, कौशल और करुणा को मानवता की सेवा में समर्पित करूँगा/करूँगी।

♦ मैं सभी रोगियों का सम्मान और गरिमा के साथ, बिना किसी भेदभाव से देखूंगा।

♦ मैं निरंतर सीखता/सीखती रहूँगा/रहूँगी और अपने ज्ञान को अपने पेशे के लिए उपयोग करूँगा/करूँगी।

♦ मैं अपने साथियों की मदद करूँगा/करूँगी और मिलकर अच्छे परिणाम पाने के लिए काम करूँगा/करूँगी।

♦ मैं अपने ज्ञान की सीमाओं को पहचानूँगा/पहचानूँगी और आवश्यकता पड़ने पर मदद लूँगा/लूँगी।

♦ मैं अपनी सेहत और भलाई का भी ध्यान रखूँगा/रखूँगी, ताकि दूसरों की बेहतर देखभाल कर सकूँ।

♦ मैं नैतिकता नियमों का पालन करूँगा/करूँगी और हर Rule , COC और SOP का पालन करूँगा/करूँगी।

♦ मैं अपने हर कार्य में, एक डाक्टर होने के विशेष सम्मान को बनाए रखने का प्रयास करूँगा/करूँगी।

MEDICAL DEGREES

MBBS – Bachelor of Medicine, Bachelor of Surgery

MD – Doctor of Medicine

DO – Doctor of Osteopathic Medicine

MS – Master of Surgery

BDS – Bachelor of Dental Surgery

MDS – Master of Dental Surgery

BHMS – Bachelor of Homeopathic Medicine and Surgery

BAMS – Bachelor of Ayurvedic Medicine and Surgery

ScD / DSc – Doctor of Science

DrPH – Doctor of Public Health

PHMC REGULATIONS

The main entrance of the hospital must unlocked at all times for public. Under no circumstances.
The garage and repair center are strictly for EMS vehicles. Personal vehicles are not allowed.
Must follow every rules and regulations, Terms & Conditions and policies of the Hospital.
Patient reports must be prepared upon request by the patient, their attendants or LEO.
No Code1 in Airone Unit (Medvac).

TOXIC BEHAVIOR PROTOCOL

Toxic behavior will not be tolerated. If an individual engages in toxic actions or disparages colleagues or departments, they may be removed from EMS without prior notice.

While healthy competition, open communication, and lighthearted banter among staff and departments can foster a positive environment, it must remain respectful and within acceptable limits. If it crosses the line, strict action will be taken.

Maintaining a professional and supportive workplace is our priority. Let me know if you’d like further refinements

CRIME SCENE PROTOCOL

To ensure proper analysis by the coroner and law enforcement, crime scenes must remain undisturbed. Follow these guidelines for preservation:

Avoid touching or moving weapons found at the scene.
Minimize disruption when removing the patient; avoid shifting surrounding objects.
If items must be moved, allow police officials to handle them unless directed otherwise.

Maintaining the integrity of the crime scene helps support accurate investigation and justice. Let me know if you’d like further refinements!

TRANSPORT GUIDELINES

Manage bleeding immediately: Connect the patient to a saline IV and stop bleeding using hemostatic powder or bandages. Provide appropriate pain relief—but only if they’re awake and do not have a head injury. Refer to the pain relief guidelines when needed.
Stabilize the neck: Use a cervical collar (C-collar) and secure the patient on a stretcher or backboard, especially on uneven terrain.
Ensure proper oxygen support: Apply nasal oxygen tubes or a face mask as needed.
Maintain communication: Keep talking to the patient to help them stay awake, including while in the ambulance.
Offer reassurance: Engage in light conversation, especially while treating their injuries. The situation can be frightening, and your presence should be a source of comfort.
Stay confident: If unsure about the best course of action, consult procedural guidelines for clarity.
Check for allergies: Always ask the patient if they have allergies—administering the wrong medication can have serious consequences.

🚨 CRITICAL REMINDERS:

NEVER administer pain medication to an unconscious patient.
NEVER give IV morphine to a patient with a head injury.

SUTURE CLASSIFICATION

Absorbable Sutures

These sutures gradually dissolve in the body over time, eliminating the need for removal.

Advantages: No removal needed, reduced discomfort.
Uses: Internal tissues, pediatrics, deep surgery.

Non-Absorbable Sutures

These sutures do not dissolve and must be manually removed or left permanently.

Advantages: Ideal for high-tension areas and skin.
Common Uses: Skin closures, cardiovascular, orthopedic.

VITAL SIGNS MONITORING

Heart Rate: 60 to 100 BPM (Healthy Adult). Athletes may have lower rates.

Blood Pressure: Systolic (100-130) / Diastolic (60-80).

Temperature: Normal range 98.6°F (37°C). Variations between 98°F - 99°F are normal.

Respiration & SpO2: 12-16 breaths per min. Normal Oxygen Saturation is 95%+. Below 90% is critical.

CHAIN OF COMMAND (COC)

Clear Hierarchy

Order and decisions flow systematically from top to lower levels.

Accountability

Clearly assigned responsibilities and evaluation paths.

Efficiency

Streamlined decision-making reducing confusion.

Discipline & Control

Maintaining order ensuring directives are followed.

Delegation of Duties

Management focuses on strategy while delegating routine tasks.

Communication Flow

Prevents miscommunication through systematic movement of info.

Problem Resolution

Issues addressed at the appropriate level before escalation.

TASER HANDLING GUIDELINES

DO's

Trainee and Junior ranks are Allowed to carry a Taser.
Always store the Taser and cartridges in the stash before going off duty.

DON'Ts

Do NOT use, aim, or brandish the Taser unnecessarily.
Do NOT carry or hold the Taser while off duty.
Do NOT test the Taser - it has been pre-tested.
Interns and EMTs are NOT allowed to carry Tasers.
Gun license holders do not need to carry a Taser.

⚠️ NOTE: Violation results in serious consequences (Strike/Warning/Fired).

PLASTIC SURGERY GUIDELINES

SURGICAL PROCEDURE

Thread must be opened on [Need EMS] channel.
NOC and Fitness Certificate required.
Proper Medical RP required.
Standard Charge: 50,000.
Before/After documentation is mandatory.

ALLOWED ($0 CHARGE)

New player with PED character (Ref: Admin/Crew).
Crash/Kick during creation (Main ticket ref).
Character changes due to server issues.
Surgeon appointment with proper RP.

RESTRICTED (PAID/APPOINTMENT)

Player used PED character for 1+ week.
Intentional change of facial features.