Chapter 7 Medical

TOPHATTERSRONINST 3120.1 28 Sep 13

CHAPTER 7 – MEDICAL

SECTION 1 – PERSONNEL

700. Purpose. The purpose of this instruction is to provide guidance governing the leadership involved in the functioning of the medical department.

701. Medical Assistant (MA). The Medical Assistant is the primary responsibility of the medical readiness of the squadron. The MA is responsible to the XO for the duties prescribed in Chapter 1.

702. Command Duty Officer (CDO). The CDO is responsible for carrying out the orders of the MA in the MA’s absence. This includes carrying medications to command events, administration of medications, and any other instructions regarding the medical readiness/safety of the squadron. The CDO may not make medical decisions outside of the instructions of the MA, if additional decisions are required not covered by the MA’s instructions the MA will be contacted for orders. If the MA is unavailable, the XO will be the deciding authority.

703. Executive Officer (XO). The XO is the deciding authority on matters concerning the medical readiness of the squadron in the MA’s absence not defined by the MA’s orders.

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SECTION 2 – MEDICATIONS

704. Purpose. The purpose of this instruction is to provide guidance governing the administration of medications.

705. Checking In Medications. Cadets may bring prescription medications prescribed within the last year or over the counter medications with a signed note from the parent. Prescription medications MUST be in a correctly labeled container with the cadet’s name, date prescribed, and dosage instructions. Over the counter medications MUST be in a correctly labeled container with the cadet’s name, date, and be accompanied with a signed parent note with dosage instructions. Medications may NOT be mixed into a container; each container MUST contain only the medication listed on the label. Checking in any medications must be completed with an updated contact number from the parent. For cadets who drive themselves, the cadet may verify the contact number. Checking in medications must be documented on THS FORM 04B.

706. Checking Out Medications. Cadets MUST check out their medications before leaving the drill weekend. Medications and medication containers may NOT be stored in the medical locker between drill weekends. Cadets who leave without picking up their medications or medication container, even if empty, will receive a counseling chit and parental advisory letter.

707. Administration. The MA will administer medications according the dosage instructions. The CDO may administer prescription medications according to the dosage instructions in the MA’s absence. Any medications given must be documented on THS FORM 04A Drill Medical Log, located in the medical locker.

708. Stowage. Medications that have been checked in will be kept locked in the medical locker, or under the MA/CDO/XO’s custody. Cadets may NOT be allowed to have custody of any medications at any time.

SECTION 3 – SICK CALL

709. Purpose. The purpose of this section is to provide guidance governing sick call and the administration of non-medication interventions.

710. Sick Call. The MA will hold sick call directly before breakfast, and directly after dinner. Sick call may be held at other times at the MA’s discretion, but no fewer than twice daily. In the MA’s absence, sick call will be conducted by the CDO. If a medical condition presents during sick call not covered under the MA’s orders, the CDO will contact the MA. If the MA is not available, the XO will be the deciding authority.

711. Non-Medication Interventions. Non-medication interventions include any medical action taken that does not include the use of medications, such as bandages. These interventions will be performed by the MA only, or by the CDO under the MA’s orders. If any non- medication interventions are performed, it must be documented on THS FORM 04A Drill Medical Log, located within the medical locker.

712. Medical Log. A medical log must be maintained during all training evolutions. The log is completed using THS FORM 04A. The log must be kept, locked, in the medical locker.

SECTION 4 – LIMITED DUTY

713. Purpose. The purpose of this section is to provide guidance governing the utilization of limited duty.

714. Limited Duty(LIMDU). A cadet may be placed on LIMDU by the MA’s discretion. This may include but limited, or exemption from, participation in all training evolutions. The MA will notify the CDO of the LIMDU status of the cadet, who is responsible to pass the information down to his/her relief.

715. Physician’s Notes. Cadets have pre-existing injuries or illness that may require limited duty must bring physician’s orders (a “doctor’s note”) in writing to the drill weekend. This must be delivered directly to the MA during check-in. The MA may not deviate from physician’s orders.

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