L.S. 94.11 Regolamenti dwar it-Tobba ta l-Isptar għall-Mard tal-Moħħ

MEDICAL OFFICERS OF THE HOSPITAL FOR MENTAL DISEASES [ S.L.94.11 1 SUBSIDIARY LEGISLATION 94.11 MEDICAL OFFICERS OF THE HOSPITAL FOR MENTAL DISEASES REGULATIONS 9th July, 1965 LEGAL NOTICE 36 of

2. The title of these Regulations is Medical Officers of the Hospital for Mental Diseases Regulations. Title. PART I I. RESIDENT PHYSICIAN SUPERINTENDENT
3. The Resident Physician Superintendent (hereinafter referred to as "the Superintendent") shall be entrusted with the general administration and control of the hospital, and shall have in addition the direction of the care and treatment of a number of patients. The Superintendent shall see that all members of the staff of the hospital perform their duties strictly in accordance with these Regulations and shall bring without delay all instances of neglect or disobedience of orders to the notice of the Chief Government Medical Officer. The Superintendent shall be responsible for the correctness of supplies of all kinds, the regular working of all branches of the service, the cleanliness and good order of the premises, the maintenance of discipline and the due observance on the part of all officers and employees of the regulations and of all instructions given by the authorities, and shall report any deviation therefrom to the Chief Government Medical Officer. Powers and functions of resident physician Superintendent.
4. The Superintendent shall correspond with the Chief Government Medical Officer (or his representative) on all matters of management, discipline, supplies and alterations and repairs in the hospital. He is the channel of communication between the hospital and the Chief Government Medical Officer, and all correspondence, requisitions and matters connected thereto shall be transmitted by him. Channel of communication.
5. The Superintendent shall reside in the quarters provided for him in the hospital. Residence.
6. The Superintendent shall give advice in his speciality to the Government, to the Chief Government Medical Officer or to any other Government Medical Officer, with regard to any matter which these officers have to deal with in their official capacity. Advice to Government.
7. The Superintendent shall examine every newly admitted patient under his care and shall see that his instructions as to classification, diet, nursing and treatment of all such patients are properly carried out and entered by the medical officers concerned in the relative registers or case sheets. Examination of patients.
8. The Superintendent shall be responsible for every entry in the professional registers of the hospital and shall take care that all admissions, discharges and deaths be duly recorded, and that the Responsibility for entries. 2 [ S.L.94.11 MEDICAL OFFICERS OF THE HOSPITAL FOR MENTAL DISEASES prescription books, medical visits book, case sheets, diet books and all other records are regularly kept. Violent or sudden death or absence without leave of patient.
9. When any violent or sudden death or absence without leave of any patient under his care occurs the Superintendent shall see that the medical officer on duty has acted in accordance with regulation 40, and shall submit a detailed report of the case and of any investigations to the Chief Government Medical Officer. Lists of patients who are suicidal or who need particular attention.
10. The Superintendent shall cause lists to be prepared of all patients under his care who are suicidal or subject to any disease or habit requiring particular attention; such lists are to be delivered to the nurses in each ward for their guidance and are to be corrected from time to time with every change. Surprise visits.
11. The Superintendent shall pay surprise visits to the wards whenever he deems it proper both during the day and during the night. The night visits shall be entered in the officers’ night inspection book. Inspection of supplies.
12. The Superintendent shall inspect or cause to be inspected by a medical officer and by the store officers all the provisions supplied to the hospital, and shall ascertain that the food is properly cooked and distributed, and that the patients receive the diet that has been prescribed for them. Whenever the Superintendent is unable to attend personally the inspection of provisions, he shall delegate another medical officer to act in his stead. Statistical returns and financial report.
13. The Superintendent shall submit to the Chief Government Medical Officer statistical returns and financial reports, and such other reports regarding the patients and the administration of the hospital as may from time to time be required by that officer. As soon as possible after the end of each calendar year he shall transmit to the Chief Government Medical Officer a report on the professional and administrative work carried out in the hospital during the year. Prison and court cases.
14. All prison cases and cases of persons found insane and sent to hospital by order of the criminal courts shall be under the direct care and treatment of the Superintendent. II. RESIDENT DEPUTY PHYSICIAN SUPERINTENDENT Powers and functions of deputy.
15. The resident deputy physician Superintendent shall exercise such duties, powers and functions as may be delegated and assigned to him by the Superintendent. Absence of the Superintendent.
16. When the Superintendent is absent his deputy shall act in his stead and shall have the powers and functions assigned to the Superintendent. Residence.
17. The resident deputy physician Superintendent shall reside in the quarters provided for him in the hospital. Provisions relative to psychiatrists applicable to the resident deputy Superintendent.
18. The provisions of these Regulations relative to psychiatrists in so far as applicable shall apply to the resident deputy physician Superintendent. MEDICAL OFFICERS OF THE HOSPITAL FOR MENTAL DISEASES [ S.L.94.11 3 III. THE PSYCHIATRISTS
19. Psychiatrists will be directly responsible for the care and treatment of a number of patients under the overall administrative supervision of the Superintendent. The psychiatrists shall have full clinical control and responsibility for patients under their care. They shall take full personal responsibility for the investigation and/or treatment of patients without supervision. Psychiatrists’ responsibility for care and treatment of the patient.
20. Psychiatrists shall examine every newly admitted patient under their care and shall see that their instructions as to classification, diet, nursing and treatment of all patients are properly carried out and entered by the medical officers concerned in the relative registers or case sheets. Examination of newly admitted patients.
21. When any violent or sudden death or absence without leave of any patient under their care occurs the psychiatrists shall see that the medical officer on duty has taken action as in regulation 40 of these Regulations. The detailed report of the case and of any investigations shall be submitted to the Chief Government Medical Officer through the Superintendent. Cases of violent or sudden death or absence without leave of patient.
22. The psychiatrists shall cause a list to be prepared of all patients who are suicidal or subject to any disease or habit requiring particular attention; such lists are to be delivered to the nurses in each ward for their guidance, and are to be corrected from time to time with every change. Lists of patients who are suicidal or who need particular attention.
23. The psychiatrists’ responsibility for their patients applies to them all continuously. This applies to in-patients and outpatients, to urgent and non-urgent cases alike though the extent of this responsibility may vary in accordance with the classification of the patient (in-patient or out-patient) and circumstances of the case (urgent and non-urgent). Psychiatrists shall be on call at any time to give advice on their patients whenever this is needed. They will assume functions relating to admissions, discharge, leave of absence and dealings with relatives and curators of all patients under their care. Privileges and general amenities within the hospital are, however, subject to prior arrangements with the Superintendent in accordance with the facilities available. Continuous responsibility.
24. Day to day attention may be delegated to resident or other medical officers but the psychiatrists’ overall and personal responsibility for their patient continues, notwithstanding delegation. Delegation to other medical officers.
25. The psychiatrists shall immediately make out a written report to the Superintendent about any misconduct of nurses or other employees towards patients under their care. Misconduct of nurses or other employees.
26. All official communications with the exception of those referring purely to the clinical and therapeutic conditions of patients must be made through the Superintendent. Official communications through the Superintendent.
27. Any research carried out in hospital must have the prior approval of the Chief Government Medical Officer. A record of any research undertaken in connection with a particular patient or patients shall be entered at the time on the patient’s clinical record. All drugs used for research purposes shall be kept in the hospital Research in hospital. 4 [ S.L.94.11 MEDICAL OFFICERS OF THE HOSPITAL FOR MENTAL DISEASES pharmacy under the care of the apothecary. IV. RESIDENT AND OTHER MEDICAL OFFICERS Duties and functions of resident and other medical officers.
28. The resident and other medical officers shall perform such medical and administrative duties as the Superintendent may prescribe, subject to the approval of the Chief Government Medical Officer. They shall be responsible for the mental and physical treatment of patients allotted to their care under the guidance of the Superintendent or the psychiatrist. The medical register of patients.
29. The resident and other medical officers shall be entrusted with the medical registers of patients, the case sheets and the diet books and any other professional registers of the hospital as the Superintendent may direct. Residence.
30. The resident medical officers shall reside in the quarters provided for them at the hospital. Medical officers shall pay surprise visits
31. Each one of the medical officers shall pay surprise visits to the wards at night at least once a month or more frequently if the Superintendent so directs. The results of these visits shall be entered in the officers’ night inspection book, which shall be forwarded for the inspection of the Chief Government Medical Officer every quarter, or more often, as required. Attendance on new admissions.
32. All new admissions into the hospital must be attended to by the medical officer on duty without delay. The medical officer on duty shall examine the admission papers and see that they are in order. Immediately on admission the medical officer on duty shall examine the patient for any signs of injury or physical illness and make a special note of the presence or absence of such injury or illness. Report on and history of the patient.
33. As soon as possible after admission and in any case within twenty-four hours of admission, the medical officer is to draw up (a) a complete and detailed report on the physical and psychological condition of the patient on the official case sheet; (b) a history of the case as obtained in an interview with the relatives or friends of the patient. Subsequently, entries describing the course and progress of the case and recording the medical and other treatment, with the results, shall be made on the clinical record as follows: during the first month after admission, twice in every week and more often when necessary; afterwards, in recent cases, once at least in every month; in other cases, notes shall be made as frequently as necessary but at least three times a year, and one of these notes shall contain the result of a complete physical examination. All entries in the clinical record must be signed by the medical officer making them. Absence.
34. Medical officers shall not absent themselves from the hospital whilst on duty without the consent of the Superintendent. Private follow-up sessions.
35. Apart from the usual medical visits in the wards as prescribed by the Superintendent, medical officers shall hold MEDICAL OFFICERS OF THE HOSPITAL FOR MENTAL DISEASES [ S.L.94.11 5 private follow-up sessions with patients selected by the Superintendent and/or psychiatrists recording the result of these sessions on the relative case sheets.
36. One of the medical officers shall be in charge of the dispensary, surgical dressing rooms and surgical appliances, and shall see that proper inventories are kept by the assistant apothecary. He shall be responsible for the supply of all drugs and medicines prepared or issued by the assistant apothecary and shall be accountable for the medicines and other things connected thereto and under his charge. Medical officer to be in charge of dispensary, etc.
37. The following shall be the periods of duty of resident or other medical officers: Periods of duty. Winter: 8.30 a.m. to 12.00 noon 2.00 p.m. to 4.00 p.m. Summer: 8.00 a.m. to 1.00 p.m. Day and night duty from 8.00 a.m. to 8.00 a.m. of the following day. The above periods shall be allotted to the medical officers in turn according to a roster prepared by the Superintendent and subject to the approval of the Chief Government Medical Officer.
38. The ordinary ward visits by the medical officers shall take place from 9.00 a.m. to noon and from 2.00 p.m. to 4.00 p.m. in winter, or from 3.00 p.m. to 5.00 p.m. in summer. The medical officers shall supervise the conduct of nurses and others dealing with patients and immediately report any misconduct, through the psychiatrist in charge of the patient, to the Superintendent. Ward visits.
39. Any medical officer, even when off duty, may be called to the hospital at any time during the day or night if his attendance is required by the Superintendent or in the latter’s absence, by the medical officer on duty. Medical officer may be called when not on duty.
40. The attendance registers of medical officers shall be kept by the Superintendent and shall be forwarded for inspection by the Chief Government Medical Officer at the end of each quarter. Attendance registers.
41. When any violent or sudden and unexpected death or absence without leave of any patient occurs, medical officers shall notify the Superintendent or the psychiatrist in charge of the case, the relatives of the patient and the Police. Medical officers shall submit a detailed report of the case and of their investigations thereon to the Superintendent or psychiatrist for transmission to the Chief Government Medical Officer through the Superintendent. Violent or sudden and unexpected death or absence without leave of any patient. GENERAL
42. Unless otherwise provided for in these Regulations, no information concerning patients or hospital shall be given by Medical officers to any unauthorised person or to the press unless permission is obtained from the Chief Government Medical Officer. No information concerning patients to be given.