Medical Purveyors and Medical Storekeepers  Part 2   Directions Concerning the Duties of Medical Purveyors and Medical Storekeepers, and the Manner of Obtaining and Accounting for Medical and Hospital Supplies for the Army.   By the United States Army Medical Dept, Army Medical Dept, Surgeon-General's Office, United States Surgeon-General's Office, United States,  Published by Gov. Pub. Off., 1863 Circular No. 7. Surgeon General's Office,  ( May 7, 1863) DUTIES OF MEDICAL PURVEYORS AND MEDICAL STOREKEEPERS. 1. Medical Purveyors are charged, under the direction of the Surgeon General, with the Election and purchase of all medical and hospital supplies for the Army. In all cases of emergency they may provide such additional accommodations for the sick and wounded of the Army, and may transport such medical and hospital supplies, as circumstances mayrendernecessary. Li all cam of emergency they shall promptly issue supplies on special requisitions made directly upon them, and such special requisitions shall consist simply of a list of the articles and quantities required, and be dated and signed by the Medical Officer who makes the requisition. The nature of the emergency must be stated, other-wise the requisition will be referred to the Medical Director. 2. Except in the "cases of emergency" referred to in the preceding paragraph, Medical Purveyors and Medical Storekeepers will issue medical and hospital supplies only on the order of the Surgeon General, the Assistant Surgeon General, or a Medical Director. 3. Medical Storekeepers are charged, under the direction of the Surgeon General and Medical Purveyors, with the storing and safe-keeping of medical and hospital supplies, and with the duties of receiving, issuing, and accounting for the same, according to regulations. Medical and hospital supplies transferred to Medical Storekeepers by Medical Purveyors will be receipted for as invoiced without breaking packages, provided the number of packages correspond with the invoice, that they are in good shipping condition, and that there be no reason to suppose the contents broken or defective. 4. Medical Purveyors will be responsible for the quality of the medical and hospital supplies purchased by them, and they are directed to have all surgical instruments made in the best manner, of the best materials, and according to patterns approved by the Surgeon General. Each instrument is to be inspected, and each chain saw tested on fresh bone by them, or under their supervision, before being used. 5. Medical Purveyors and Medical Storekeepers will be held responsible that the medical and hospital supplies issued or transferred by them are well packed, that each article is designated by the name of the maker or vendor, and that each package is legibly and correctly marked with the address of the officer for whom it is intended, and with its weight and contents, whether medicines, hospital stores, Instruments, dressings, books and stationery, bedding, clothing, or furniture and appliances. 6. In issuing or transferring medical and hospital supplies, Medical Purveyors and Medical Storekeepers will furnish a packer's list and invoice to the officer who is to receive them, and transmit a duplicate of the invoice to the Surgeon General. In turning over supplies to a Quartermaster for storage or transportation, they will forward to the Surgeon General, with the invoice, the Quartermaster's receipt for the packages. 7. In issuing medical and hospital supplies. Medical Purveyors and Medical Storekeepers will, ordinarily, be governed by the Supply Table ; but when articles are required in large quantities for use in hospitals and at permanent posts, and not for reissue, or for field service, they will disregard the size of packages designated in that table, and will issue in such packages as they may deem most advantageous for the public service. 8. Medical Purveyors and all other disbursing officers will render direct to the Second Auditor of the Treasury, within ten days after the expiration of each successive month, a duly certified monthly statement of all public moneys on hand from last returns, received, disbursed, or transferred during the month, the balance remaining on hand, and where deposited, (Form 1.) A duplicate of this monthly summary statement will be forwarded at the same time to the Surgeon General, with an estimate of the funds required during the ensuing month, (Form 2.) 9. Medical Purveyors and all other medical disbursing officers will also render direct to the Second Auditor of the Treasury, within one month after the expiration of each successive quarter, a quarterly account current of moneys received, expended, &c., during the quarter, (Form 3,) with an abstract of disbursements (Form 4,) and proper vouchers (Form 5. ) A dupli- cate of the account current, and of the abstract, will be forwarded at the same time to the Surgeon General. 10. Medical Purveyors and all other medical disbursing officers will render their sum- mary statements, accounts, abstracts, and vouchers, as above directed, when they cease to disburse, from change of duty or otherwise. 11. Medical Purveyors and Medical Storekeepers will make to the Surgeon General, at the end of each fiscal quarter, returns in duplicate of medical and hospital property, (Form 6,) with an abstract of receipts and issues, (Form 7,) giving the number of the voucher and the name of the person from whom received and to whom issued. 12. Medical Purveyors and Medical Storekeepers will give bonds in such sums as the Secretary of War may require, with security to be approved by him. Medical Officers temporarily assigned to duty as Acting Medical Purveyors are not required to give bonds. MEDICAL AND HOSPITAL SUPPLIES. 13. The standard of medical and hospital supplies for the Army is the Supply Table. It is not the design of the Department to confine medical officers absolutely to that table, either in variety or quantity, but only to establish a standard for their guidance in making requisitionfor supplies, leaving individual preferences to be indulged at the discretion of the Medical Director or the Surgeon General. Neither is it supposed that the quantities of the table will always meet the necessities of unusual emergencies, as daring epidemics, or in unhealthy seasons and localities ; and medical officers who allow their supplies to be exhausted through any such contingencies, without timely notice of their approaching necessities, will be held to a strict accountability. 14. Medical Purveyors and Medical Storekeepers at depots for issue, and at field depots, and the senior medical officers of hospitals, regiments, posts, or detached commands, will make their requisitions for medical and hospital supplies upon the Medical Director under whom they may be serving. The Medical Director will approve or modify the requisitions at his discretion; and, in ordinary cases, will transmit them to the nearest Purveyor or Medical Storekeeper, with his order for the supplies. If, however, the amount required be large, and the situation and nature of the service permit, the Medical Director will transmit the requisitions, with his recommendations indorsed thereon, to the Surgeon General. 15. Requisitions for medical and hospital supplies are to be made in duplicate. In preparing them, medical officers will conform to the Standard Supply Table, both in the articles and quantities asked for, avoiding fractions in quantities. When increased quantities or additional articles are required, satisfactory reasons therefore must be assigned, or they will not be supplied. 16. Requisitions for outfits of medical and hospital supplies will be made for three months, and in the form of a letter, stating the number of men or beds to be supplied, and whether for general hospitals, permanent posts, or field service. If for permanent posts, the amount of hospital accommodations must be stated, so that, if less than one hundred beds, the allowance of bedding, hospital clothing, furniture, and appliances may be correspondingly reduced. 17. Requisitions to replenish medical and hospital supplies will always be made in detail, according to Form 8, and for those articles only that are really deficient in quantity. If the supplies are to be obtained from the principal purveying depots, these requisitions will be made quarterly ; if from department or field depots, they will be made at such times and for such periods as the Medical Director may prescribe. Special requisitions are not intended to take the place of the regular quarterly requisition. They are only permissible in cases of emergency, and the face of the requisition must state the circumstances which constitute the emergency rendering such special requisition necessary. 18. When it is necessary to obtain medical and hospital supplies, and recourse cannot be bid to a Medical Purveyor or Storekeeper, they may be purchased by a Quartermaster, on special requisition made according to Form 9 and Account Form 10. — (See Army Regulations, paragraph 1233.) A triplicate of all such special requisitions, giving: the name and station of the officer upon whom it is made, is to be transmitted, through the Medical Director, to the Surgeon General, for his information, and as a guide in auditing the account when presented. 19. Those articles of the Standard Supply Table which are printed in italics will be furnished only on special requisitions approved by the Surgeon General. 20. Articles of furniture and appliances in Class No. 2 will be issued on ''requisitions to outfits," 21. Medical officers having charge of medical and hospital supplies will make to the Surgeon General annually, on the 31st of December, and whenever relieved there from, returns in duplicate, (Form 6 ) These returns will exhibit the condition of the supplies and state to whom or from whom and when and where issued or received. 22. Hospital clothing belongs to the United States, and will only be worn by patients , during their stay in the hospital. Each article will be marked as hospital property, and with the number of the bed for which it is appropriated. 23. An officer transferring medical and hospital supplies will furnish a certified invoice and packer's list to the officer who is to receive them, and transmit a duplicate of the invoice to the Surgeon General. The receiving officer will furnish a receipt to the officer making the issue, with a report of the quality and condition of the articles, and transmit a duplicate of the receipt and report to the Surgeon General. A medical officer who turns over medical supplies to a quartermaster for storage or transportation will forward to the Surgeon General, with the invoice, the Quartermaster's receipt for the packages. 24. Medical officers will take up and account for all medical and hospital supplies of the Army that come into their possession, and report, when they know it, to whose account they are to be credited. 25. The transfer of surgical instruments issued to medical officers for their personal use is positively forbidden. Each medical officer will retain those instruments in his immediate possession so long as he remains in the Army, and will be held responsible for their complete and serviceable condition, and for their easy accessibility at all times. If the instruments be lost, destroyed, or damaged, they must be replaced or repaired as soon as possible by requisition upon the nearest Medical Purveyor, setting forth fully the causes of such loss or damage. If the loss or damage be from the unavoidable casualties of the service, the expense of replacing or repairing the instruments will be paid by the Medical Department ; if from any other causes, such expenses must be paid by the medical officer. 26. When a medical officer leaves the Army, he will deliver his instruments to the nearest Medical Purveyor, taking receipts thereforw in detail ; and if transportation be required, he will take receipts for the package containing the instruments from an officer of the Quartermaster's Department. 27. Staff Surgeons, Staff Assistant Surgeons, and medical officers in charge of general hospitals, will be furnished with additional instruments on special requisition, provided the reasons for requiring them be given and prove satisfactory to the Surgeon General. 28. The Surgeon General, Assistant Surgeon General, Medical Inspector General, and Medical Inspectors, are allowed the same instruments as Staff Surgeons. 29. These instruments will be accounted for to the Surgeon General on the 31st of December annually, in a special return, (Form 11,) in which the true condition of each must be stated ; and if any be lost or damaged, a report of the facts and circumstances attending such loss or damage must be given. 30. Amputating, trephining, exsecting, general operating, and pocket instruments that do not correspond in detail with the sets prescribed by regulations, will be accounted for as the regular property returns as amputating, trephining, exsecting, general operating  pocket sets, without designating the special instruments comprising each set, or making special return thereof. 31. Medical officers will report to the Surgeon General and to the issuing officer all defects observed in the quality, quantity, or packing of medical and hospital supplies, or in the material or construction of their surgical Instruments, giving the name of the vendor or maker, and of the officer by whom they were issued. 32. Carbolic acid, (Bower's,) sulphate of iron, nitrate of lead, chlorinated lime, permanganate of potash, or charcoal, will be furnished as antiseptics or disinfectants, when required. 33. Applications for microscopes by medical officers in charge of general hospitals will be favorably considered, provided the evidence be satisfactory that the officer will use the instrument for the benefit of science, and will report the results of his observations to the Surgeon General. 34. The dissecting case, obstetrical case, pocket case for hospitals, teeth-extracting case, medicine case, and medicine panniers, will be issued, receipted, and returned for as sets without stating their contents in detail. 35. No officer shall drop from his return any medical or hospital property as worn out or unserviceable until it has been condemned after proper inspection, and ordered to be so dropped. Articles purchased with the hospital fund will not be accounted for on the regular return of medical and hospital property. 36. Requisitions on officers of the Quartermaster's Department for hospitals, and the necessary fixtures and hospital tents, for fuel, straw, and wagons for the transportation of the sick and wounded, and of medical and hospital supplies, and will be made by the senior surgeon and approved by the commanding officer or Medical Director. Requisitions for hospitals will state the number and dimensions of the rooms required, the use to which they are severally to be applied, and the strength of the command for which they are estimated, duplicates of which will be transmitted to the Surgeon General. 37. Surgical instruments, medicine cases, panniers, and mess chests that need and are worth repairing, or that require to be refilled, will be invoiced and sent, when circumstances permit, to the nearest Medical Purveyor or Medical Storekeeper, and are not to be submitted to inspection with a view to condemnation, unless the probable expense of transportation and repair will exceed the value of the articles. 38. All empty boxes, cans, and bottles, in which medical and hospital supplies were received, are to be carefully cleansed and preserved from damage. Such as will not be required for further use in the hospital will be disposed of, at either private or public sale, at least once a year, and the net proceeds of such sales will be furned over to the nearest Medical Purveyor, and be receipted for by him as public funds pertaining to the Medical Department of the Army. At stations near a Medical Purveyor, these articles will be turned over to that officer. 39. In all official lists of medical supplies, the classification, order, and nomenclature of the Standard Supply Table will be strictly followed. The whole table need not be transcribed, but the names of those articles only which are accounted for or required. Circular No. 7. Surgeon General's Office,  ( May 7, 1863) ALLOWANCE OF SURGICAL INSTRUMENTS FOR MEDICAL OFFICERS,  FOR STAFF SURGEONS AND ASSISTANT SURGEONS. FOR CAPITAL OPERATIONS Two Amputating Knives, one long, one medium. Two Catlings, one long, one medium. Four Scalpels. One Cartilage Knife. One Capital Saw, long, bow, two blades. One Metacarpal Saw. One Chain Saw. One Hey's Saw. One Trephine, conical. One Trephine, small crown. One Bone Forceps, Liston's long, sharp, spring handle. One Bone Forceps, broad-edged, slightly curved, spring handle. One Bone Forceps, gnawing, spring handle. One Bone Forceps, sequestrum, spring handle. One Artery Forceps. One Artery Needle. One Artery Needle Key. Twelve Surgeon's Needles. One Tourniquet Screw, with pad. One Tenaculeum. One Scissors. One Chisel. One Gouge. One Mallet. Four Drills, (with one handle.) Two Retractors. One Raspatory. One Elevator. One Brush. Twelve yards Suture Wire, iron. One ounce Ligature Silk. One ounce Wax. One Mahogany Case, brass bound, slide catch. One Leather Pouch. FOR MINOR OPERATIONS. One Amputating Knife. Three Scalpels. Two Bistouries. One Hernia Knife. One Finger Knife. One Artery Forceps, One Bail Forceps. One Gullet, Forceps. One Dressing Forceps. One Dissection Forceps. One Artery Needle. One Artery Needle Key. Twelve Surgeon's Needles. One Tenaculum. Two Scissors. One Trocar and Canula. One Belloc's Canula. One Bullet Probe. One Director. One Cutting Pliers, small. Six Steel Bougies, silvered, double curve, Nos. 1 and 2, 3 and 4, 5 and 6, 7 and 8, 9 and 10, 11 and 12. Three silver Catheters, Nos. 3, 6, and 9. Six Gum-elastic Catheters, Nos. 1, 3, 5, 7, 9, and 11. Twenty-four Suture Pins, silvered. Six yards Suture Wire, iron. One quarter ounce ligature Silk. , One quarter ounce Wax. One Mahogany Case, brass-bound, slide catch. One Leather Pouch. FOR THE POCKET CASE One Scalpel. Three Bistouries. One Tenotome. One Gum Lancet. IVo Thumb Lancets. One Razor, small. One Artery Forceps. One Dressing Forceps. One Artery Needle. Six Surgeon's Needles. One Exploring Needle. One Tenaculeum. One Scissors. One Director. Three Probes. One Caustic Holder. One Silver Catheter, compound. Six yards Suture Wire, iron. One quarter ounce Ligature Silk. One quarter ounce Wax. One Russia Leather Case. One Leather Trunk for the set. FOR REGIMENTAL SURGEONS AND ASSISTANT SURGEONS. FOR THE FIELD CASE. Two Amputating Knives, one long, one medium. Two Catlins, one long, one medium. Three Scalpels. Two Bistouries. One Hernia Knife. One Finger Knife One Capital Saw, long, bow, two blades. One Metacarpal Saw. One Key's Saw. One Trephine, conical. One Bone Forceps, broad-edged, slightly curved, spring handle. One Bone Forceps, sequestrum, spring handle. One Artery Forceps. One Ball Forceps. One Dressing Forceps. One Dissection Forceps. One Artery Needle. One Artery Needle Key. Twelve Surgeon's Needles.   Pocket Case, the same as One Tourniquet, screw, with pad. One Tenaculeum. Two Scissors. Two Retractors. One Trocar and Canula. One Raspatory. One Elevator. One Brush. One Bullet Probe. One Director. Six Steel Bougies, silvered, double curve, Nos. 1 and 2, 3 and 4, 5 and 6, 7 and 8, 9 and 10, 11 and 12. Three Silver Catheters, Nos. 3, 6, 9. Six Gum-elastic Catheters, Nos. 1, 3, 5, 7, 9, 11. Twelve yards Suture Wire, iron. One quarter ounce Ligature Silk. One quarter ounce Wax. One Mahogany Case, brass bound, slide catch. One Leather Pouch. Allowed to Staff Surgeons CONTENTS OF THE SETS OF INSTRUMENTS AND APPLIANCES REFERRED TO IN THE STANDARD SUPPLY TABLE. 1. The dissecting case. One Cartilage Knife. Three Scalpels. One Tenaculeum. One Dissection Forceps. One Chain and Hooks. Two Needles and Thread. One Enterotome. One Scissors. One Blowpipe. One Chisel. Mahogany Box. 2. The obstetrical case. One Simpson's Forceps. One Vectis or Lever. One Crochet and Blunt Hook. One Perforator. Russia Leather Case. 3. The pocket case for hospitals. One sharp-pointed Bistoury. One probe-pointed Bistoury. One Scalpel. One Tenaculeum. One Abscess Lancet. One Compound Catheter. One Straight Scissors. One Angular Scissors. One Dressing Forceps. One Artery Forceps. One Spatula. One Director. Two Probes. Six Needles. Ligature Silk and Wax. Russia Leather Case. 4. The teeth extracting case. One Key with three Hooks. Two Forceps for Molars. One Forceps for Bicuspids. One Forceps for Incisors. One Gum Lancet. One Stump Elevator. Russia Leather Case.