Medical Department Handbook

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Briefing Recipients

Minimum Security Clearance

Level 0 (For Official Use Only)


All Medical Department personnel are required to maintain a copy of this handbook and remain oriented regarding its contents.


Our Foundation is composed of human beings - living, breathing, amalgams of flesh, bone, and sinew. The human body is one of the most complex machines known to man - the intricacies of the human central nervous system alone is a miracle to behold.

The human body, in all its complexity, is wreaked with physically distressing diseases and illnesses - and it is your job to heal them. You have come from a background of medicine, paramedical, and other practices - your service to your previous communities will now be needed once more in the ranks of the Foundation. This guide outlines everything you have learned in your training.

-Regional Director of Medical Department, North America


This handbook provides easy access to information necessary for SCP Foundation health practitioners.


The Medical Department is responsible for keeping employees of the SCP Foundation in good health.

Command Structure

Each employee is issued a pay grade consistent with their position in the organization. Ranks are assigned in accordance with their pay grades. Promotions are to be given via necessity or upon recognition of exceptional performance. Activities recognized under such a category include volunteerism or completion of tasks without unnecessary oversight.


Site Staff Ranks

S-1 - AST. - Assistant - Assistants undergoing seasoning for their new department. Are to be promoted immediately following in-processing and completion of on-the-job department orientation.


S-2 - STF. - Staff - Responsible for mid-level work within their department. Staff are permitted to be issued higher security clearance levels for work purposes. (L1 - Confidential)


S-3 - TCH. - Technician - Technicians are personnel promoted due to their knowledge of specialized skills in their field, and are granted minor supervisional authority over lower ranks. (L2 - Restricted)


S-4 - AMG. - Assistant Manager - Assistant Managers are personnel with profound knowledge of their field, and are afforded a high amount of supervisory authority over lower ranks.


S-5 - MGR. - Manager - Managers are personnel with profound knowledge of their field, and are afforded a high amount of supervisory authority over lower ranks. They are also eligible for higher security clearance levels for command purposes. (L3 - Secret)


S-6 - DPH. - Department Head - Department Heads are highly seasoned and knowledgeable personnel within their field, and are responsible for the upkeep and operation of their department. Department Heads issue all marching orders of a department at a given time, and report only to the Senior Staff of the Administration Department.


Senior Staff Ranks

SS-1 - AD. - Assistant Director - Assistant Directors are responsible for the oversight of multiple departments at once, but often hail from a specific department. Out of necessity, Assistant Directors, and all affiliated Senior Staff are granted a Top Secret security clearance for presence in command decisions. (L4 - Top Secret)


SS-2 - HMCL. - HMCL Supervisor - The HMCL (Hazardous Materials Containment Liaison) Supervisor is a role that encapsulate the management of all departments associated with the non-militant handling and containment of hazardous materials typically sought by the SCP Foundation. HMCL Supervisors maintain full control of the Engineering, Research, Supply, and Medical departments. The HMCL Supervisor becomes Acting Site Director in the event that the Site Director and the Chief of Security are unable to fulfill their duties.


SS-3 - COS. - Chief of Security - Although technically inhabiting a personnel slot in both the Security Department and the Administration Department, the Chief of Security upholds the vital position of being first in the line of succession in the event that the Site Director is rendered unable to fulfill his duties.


SS-4 - SD. - Site Director - The Site Director is responsible for ensuring that the entire site operates effectively, in part reliant on his oversight of administrative personnel such as the HMCL Supervisor and the Chief of Security. Site Directors maintain contact with SCP Foundation regional command at all times, and receive express memos by the Overwatch Council. As such, they operate on the highest level of security clearance. (L5 - Thaumiel)


SS-5 - ARD. - Assistant Regional Director - Assistant Regional Directors function as the middlemen between regional and site commands. Assistant Regional Directors, as well as the ranks above, inhabit regional command posts rather than localized sites.


SS-6 - RD. - Regional Director - Regional Directors maintain command authority over their assigned continental region, and are responsible for issuing commands to Assistant Regional Directors and Site Directors. Regional Directors report directly to the Overwatch Council.


SS-7- O5-X. - Overseer - Overseers are individuals who inhabit the primary decision-making body of the SCP Foundation, the Overwatch Council.



The following outlines reception, patient hospitality, physical examinations, emergency response, mental health, and medical equipment and use.


When the medical department is open, it is mandatory that all newly-arrived members of the site are to be given a full physical examination, not matter the department. Details on physical examinations are covered in the accompanying section.

Patient Hospitality

As a member of the Medical Department, you have a vested interest in the present and future personal lives of all employees that you work with. You are instructed to be as hospitable as possible to satisfy the requests of patients. All complaints should receive full attention, no matter how minor - this is to avoid the prospect of undetected deteriorating health among Foundation members. All medical information is confidential and should never be shared with unaffiliated parties.

Physical Examinations

Physical examinations are to be given to all newly staff, as well as patients that report suspected illness or injury. Traditional multi-point physical examinations can be whittled down to the categories of ailment that the patient appears to be describing. When physical examinations reveal some form of ailment, you are to immediately prescribe the necessary treatment options in accordance with the injury.

Medical Equipment & Use

Physical examinations are to be given to all newly staff, as well as patients that report suspected illness or injury. Traditional multi-point physical examinations can be whittled down to the categories of ailment that the patient appears to be describing. When physical examinations reveal some form of ailment, you are to immediately prescribe the necessary treatment options in accordance with the injury.


Personal Aid Kits
Description: A personal aid kit is standard-issue for all Foundation personnel on duty. All Foundation members are trained in usage of these kits, and subsequently do not require help with administering treatment.

Suture Kit
Description: Suture kits include tweezers and specialized sutures used to sew open wounds closed in order to facilitate healing, or to stop potentially deadly bleeding. Standard Foundation training does not progress beyond basic wound-packing; as such, patients will require assistance by trained personnel when utilizing the suture kit.

Burn Kit
Description: Burn kits utilize gauze and debridement equipment to remove burned tissue to prevent severe complications. Debridement is an extremely vigorous and oftentimes painful for the patient in which the procedure is being attempted upon - as such, patients will require assistance by trained personnel when utilizing the burn kit.

Valved Chest Seal
Description: When patients are shot, stabbed, or otherwise punctured through the chest cavity, it creates a collapsed lung due to the release of air pressure via the open wound. Patients are extremely susceptible to bleeding and suffocation; the valved chest seal solves this problem by plugging the open wound while simultaneously preventing bleeding. Patients will require assistance by trained personnel when utilizing the valved chest seal.

Malleable Splints
Description: Malleable splints are easy-to-use supports for immobilizing fractured limbs. Patients do not require assistance by trained personnel, however, advisory is strongly recommended.

Malleable Brace
Description: Like the malleable splint, the malleable brace is designed for immobilizing the head and spine in the event of spinal fracture. Patients will require assistance when affixing the malleable brace.

Saline Bag
Description: A bag containing saline solution, used for stabilizing patients who are bleeding or in shock.

Blood Transfusion Kit
Description: A kit containing blood bags of multiple blood types, used for stabilizing patients who are bleeding or in shock. Blood transfusion is preferable to saline as a a countermeasure against blood loss, however, production of these kits is expensive and is distributed at a lower rate to saline.

Instant Heat Pack
Description: Used for treating frostbite.

Surgical Hit
Description: A kit containing supplies used for highly severe surgical procedures.

Pralidoxime Bag
Description: A bag containing Pralidoxime. It can be intravenously fed to patients to treat organic poisons.



Below is a list of medicine that can be prescribed to patients with minor ailments.


Description: Ibuprofen is an anti-inflammatory pain reliever. Prescribe for headaches or pain from injuries, such as concussions.

Description: Pseudoephedrine is a nasal decongestant and cough reliever. Prescribe for colds.

Description: Pepto-bismol is a stomach reliever. Prescribe for cases of stomach flu (gastroenteritis).



Mental health should not be an understated practice of medicine - due to the inherent nature of the Foundation's mission objective, its members will often be forced to come to terms with psychologically disturbing situations - whether it be onset mental illness from the realization of the existence of the paranormal, to post-traumatic stress disorder (PTSD) that arises as a result of confrontation with psychologically distressing anomalous entities. Mental health services are to be offerred to all members on an optional basis, unless forcefully mandated by Special Containment Procedures. All psychological evaluators are responsible for reporting instances of homocidal or suicidal ideation to the patient's chain of command - psychiatric watch status should be placed on all patients who express these thoughts, which entails isolation with all dangerous objects - such as firearms, blades, long clothing, strings, and sheets removed from the area.

Emergency Response

All medical personnel are considered members of the emergency response team, and are instructed to delay evacuation in the event that injured individuals remain in the site. These individuals are to be stabilized and evacuated if possible - presence of medical personnel as emergency response measures can be overrided by the Security Department in the event that continued Foundation presence within the site is believed to lead to excessive casualties.

Proper procedure for situations in which large amounts of wounded are present are as follows:

1. Secure the area - wounded must be moved to safety as soon as possible before they are treated - treating wounded personnel in hazardous or combative environments poses an extreme danger to both you and your patient, as the process of administering treatment leaves all involved parties vulnerable.

2. Diagnose all wounded - determine the severity of all injured parties - ascertain which individuals should be prioritized in accordance with the severity of their injuries.

3. Stabilize all wounded - administer IV saline bags/blood transfusions to keep personnel stabilized for longer - doing so will stop excessive bleeding and allow more time to fully treat injuries.

4. Fully treat all injuries - administer treatment for all wounds in a timely manner so that wounded personnel can be evacuated.


Personnel Deaths

All personnel who die on duty are to have their cadavers secured. Autopsies are to be performed to confirm cause of death - cadavers are to be held on-site in inconspicuous coffins until regional Supply personnel can apprehend and return the bodies to surviving family members after being screened for anomalous activity. Cover stories will be provided to the surviving family in a way that is both plausible and reflects positively upon the dead individual.

Casualty reports are to be filed on the intSCPFN. Statuses, date/time of death, and autopsy results are to be included within the report. Statuses include:

Natural Casualty - Personnel who die of natural causes while on-duty.

Medical Casualty - Personnel who die on account of injuries sustained while on-duty unrelated to combat or anomalous activity.

Killed in Action - Personnel who die on account of injuries sustained by hostile combatants or anomalous entities.

Missing in Action - Personnel who have gone missing - possibilities include desertation, or they may have been killed, wounded, or captured.



Training Curriculum


  • Reception
  • Physical Examinations
  • Medical Equipment
  • Pharmaceuticals


Dress Code

The following outlines the current Medical Department dress code based on new regulations.

Cosmetic Articles - Jewelry, piercings, and non-natural hair dyes are prohibited.

Grooming Standard - Highly expressive hairstyles are prohibited.

Headwear - All professional, neutral-coloured headwear is authorized. Sunglasses or facial articles for outdoor work are authorized.

Upper Body - The standard medical department uniform consists of scrubs or laboratory clothing.