General Operating Rules and Regulations of Brookhaven National Laboratory Hospital and Personnel Medical Clinic

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us DOE ARCHIVES Brookhaven National Laboratory Hospital is designed t o serve dual operating (1)TCI provide patients f o r the research service t o which approximately ninety per cent of bed capacity i s assigned (2) To povide tsmporary and emergency limited hospital care for employees with medical disability. A s far as possible, employses and their dependents will be expected t o use @ysicians and medical facilities in their own localities, but under conditions described below are elegible for services provided by the Laboratory. There shall be two medical services operative i n the hoayital. One shall be the Research Medical Ssrvice; t h e other ohall be the Fe-rsonnel Medical There shall be no services for surgery and the surgical s pci al ties, obste tr ics, or psychiatry. Staff of the Hospital-I11 1. The regular medical and nursing staffs of the hoaFital will be cm peed entirely of full tine employess of Brookhaven national Lzboratorjr. 2. The Research Medica-l Sarvice staff will be comyrised of those men 3n the various scientific divisions of the Medical Departnent who kave been adequately trained for clinical medicine, whose interests lie in this field and who have been appointed to this staff by the Laboratory with the approval of the

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3 . The Persomel Med.ical Service staff w i l l be comprised of those physicians i n the Industrial Medicine Division who have been appointed t o the hospital 4. Physicians and singeans, not enployees of t h e Laboratory, may from time to time be reqwsted by members of tha hospital staff t o 88s pti ents in consultaIV Persons Eligible as Patisnts i n the Hospital Any person sufferjag from a disease state which exhibits one or more c&ditions that is i n the hospital's research progran m y be considered for admission when suck psitierit i s referred by his personal physician or clinic md cfter recei?t of a detailed history of the patierit's illness and present pIqTsica1 condition toge5'ier with a pi'oprly executed fornal application for admission. Einployees and their dependents are e lig iSle for achission as research patients 32 the Sam9 basis as any other person. t o the patients on the ReEearch Modicel Service for md ical care or hoapitalizaNo charge will be made 2. Personnal Medical Service Those employees aid their dependents e ii gi ble for msdical services i n the Persomel Medical Clinic are eligible for admission tothe hospital on the Personnel Medical Ser'vice. Admission w i l l be granted as a privilege when in the exmining physician' $3 opinion it i s adviaable and adequate facilities for care the Brookhmen Matioiial Lc.boratory Pemonnel Med Ical Clinic. Admission of patients to this service can be rade only through P & tiaLs 0x1 the Personnel Medical Seririce will be charged for 6l-l drugs and services i n accordace with the established inclusive rate plan. Colloctior,: w i l l be made from Flue Cross or other insurance agenc5es on sdaiesions covered

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Laboratory and whose disability is provided for by the New York State workmen's Compensation law will be relieved of costs toths extent povided for under the provisions of the law. In a l l other imtances t'ne patient w i l l be charged 3.O ~ Lboth services, pti ents will be admitted only for staff care. Acconmodations and seraices p-mvided for all pti ents will be determined aol ely by thc staff and are depnde:zt only on *&e needs and requkewnts of the ptient's i;lWhen a general disaotar occurs and amd ical emergeacy exists, it shall be the privilege of the hospital and staff t o extend t o t h e casuz2.tie.s of such an incident SI:& aare aa, may be necessary during t h e pri.od of t h e eruergency in accordance with genaral. humanitarian pr-hciples . Uiider -i;hase circmstances the adm%t+,ingphycician nay admit such patients as required without previously qualifying them f o r admiseion as noted above and without grior arrangement8 having been concluded for mectirig t h e costs of such services. shall be considered -to be on the Personnel Mec?ica; Saz-vice for the duration of Such pti ents N o general ambulance service vi11 be provided but normal. transportation of pti ents to and fmm ths hospital will be especially rrrznged when necessary and suita3le vehicles will be provided for same. Ld The Industrial. Kedical Service progyam i s designed t o prcvide axhulatory and limited b.?...spj.talcare of employees t o maintain emplo-pent at i t s nost efficient level. To attain this goal, it is the prerogative of the

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in charge of the psitien%: (1) To continue c mein the ambulatory clinic as necessary and as p-ovided (2) To refer ambulatory pti ents to other physicians, clinics or hospitals for special care when in his opinion such is in the patient's best ( 3 ) To recommend admission t o Brookhaven National Laboratory Hospital when it (4) To refuse hospitalization at Brookhaven National Laboratory Hospital when in h i s opinion more adequate care and treatment are available elsewhere. I1 Ambulatory Medical Clinic, (hereinafter referred t o as Clinic) There will be provided an ambulatory medical clinic tom nish facilities for medical examination of ]*rsonnel, first aid, routine a3bulatory medical care, and limited diagnostic servltces. 111 Staff of the Clinic The continuing clinic: staff shall be composed of the clinically-trained rrembers of the Industrial Medical Divis ion, a l l of whom a r e full-time Laboratory as may be necessary from time t o time t o provide the necessary regular and This basic ataff may be augmented by outside physicians and surgeons emergency services required on site. i n these specific dutiea a t the request of the Head of t h e Divicion of Industrial Such outside physicians may be employed Medicine Division after approtral by the Chairman of t h e Medical Deprtment. Compensation for all such Eitaff members of the clinic shall be pid by the Laboratory only; no fees o r other recompense w i l l be received by tha physician€ from-UI the patients treated and examined. scientific divisions of +&e Medical Department shall be available at all times The staff members of the hospital and the for consultation i n problems of the clinic.

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IV Services i n the Clinic The clinics hall provide a medical service together with such first aid services as are necessary t o treat minor injuries o r as a r e necessary to ma;J1tain the patient i n such condition that he may safely be transported t o another hospital f o r further treatment and care. medical clinic for general medical care will be provided but no surgical service or any of the surgical slpecialtiee w i l l be provided. The usual services of an industrial The clinic will be open during each regular working day for Brookhaven National Laboratory Employeea. hospisal duty doctor w i l l 1 provide necessary emergency medical care except when During nights, weekends, and holidays, the other specific arrangements have been made. Persons Eligible f o r Clinic Medical ServicesV The following groups of persons are eligible for medical services of the clinic and for the privilege of edmission through the clinic to the hospital a s provided fcr by the hospital regulations. (1)Employees of: Brookhaven Natimal Lzboratory, local Atomic Energy Commission, m d Associated Universiti e ~ , Inc. (2) Dependents of employees of: Brookhaver, National Laboratory, local Atomic Energy Conmission, and Associated Univers ities, Inc. (3) Employees of subcontractors and other living on the site and specific ally provided for. (4) Employees D f subc:ontractors for accupaticnal injuries occurring on the site (emergency treatment only).

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VI Clinic Services Provided-without Direct Charge tothe Patient Medical service without direct charge t o the pti ent will be rendered em- - ployeea of' Brookhaven Nztional Laboratory, Associated Universities, Im., and the local Atomic Energy Commission as follows: tests t o determine suitability of the candidate far hiring. (2) Employees annual exarrinat ion consisting of history, complete physical examination, chest X-ray, blood count, urinnlysis, audiogram, and sight screener examination, and electrocardiographic tracings on a l l euployees 40 para of age and cver. cardiographic tracings m y also be made on employees under 40 years of When indicated for diagnostic purpose, electro- (3) Special examirfitims by s t a f f physicians whinh are necessary for the POtection of the Laboratxy and its personnel i n the course of t h e i r work. (4) Termination examinations given t o each employee at the tine he severs his rolations with the LabDratory. These will vary depending upon the type of wgrk the empLoyee has perfomed. advisability of employee remaining a t work, being sent hms, 3r reprocedures i aclu dia g some labor at xy tests, required to keep employees at work withmt hazard t o themselves or their colleagues. (7) Examinations including a chest X-ray t o determine the wesence or absence of communicable disease f o r the general protection of Laborabry prsoa-

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(8) Care of minor in,juries sustained by employees after working hmrs during officially scheduled athletic cm tests or i n the gymnasium. (9) Care given employees covered by public liability as accepted by the in- (10) EmploFees of the United States Weather Bureau, United States Geological survey, or other contracting agents performing regular vork for th3 Laboratory will receive the sane emergency services a s those rendered t o the Laboratory employees for non-occupational injuries and diseases. other treatment they will be referred t o t h e nearest aukhorized Government physician orto the csnipany physician a s may apply. V I 1 Clinic Services for which a Chcree Will- Be Made t o the Patient (1) For a l l exmiinations and traatments not covered i n paragraphs 1-10 (2) For all laboratory tests not covered i n pragraphs 1-10 above. (3) For all X-rays except di agn stic chest plates or as prmided forin (4) For --a l l laboratory work, and tharapy carried out at t h e specif’lc request of the family physician. ( 5 ) For a l l physical exaninations for college entrance, etc., except when a transcript of the annual physical exaninat ion will suffice. (6) For m6dicatfions which roquire injection, a nominal charge a t est2-blished rate:; plus the cost of t h e drug will be mads. I f a clinic visit is charged, no charge will be made for the injection but a charge will be made for the d ng.

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Dependents, non-employees, and emergency cases will be charged for all medical services rendered, in accordance with currently established rates. Eligible persons may have prescriptions from the clinic, the hospital o r their own physician.kil.led i n the pharmacy a t approved rates on a cash basis.