RULES AND REGULATIONS 
 
 TRUSTEES AND OFFICERS 
 
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 J 11 lt\7k^rL 
 
 1 1 11 JJ. 
 
 ADOVTET) 
 
 BY 
 
 THK 
 
 xMEDICAL SOCIETY OF 
 
 1 
 SOUTH OAROLTXA. 
 
 
 ANT) 
 
 THE 
 
 TRUSTEES OF ROPER 
 
 HOSPTTAU. 1 
 
 
 
 
 
 CHARLESTON : 
 
 
 STE 
 
 AM 
 
 POWER 
 
 PRESSES OF EVANS 
 
 & C O G S W E L I, . 
 
 
 
 
 3 Broad and 103 East Bay StrePfs. 
 
 
 
 
 
 1861. 
 
 
 riMM. 
 
PERKINS LIBRARY 
 
 Uuke University 
 
 Kare Dooks 
 
RULES AND REGULATIONS 
 
 FOR THE GOVERNMENT OF THE 
 
 TRUSTEES AND OFFICERS 
 
 ROPER HOSPITAL. 
 
 ADOPTED BY THE MEDICAL SOCIETY OF SOUTH CAROLINA, 
 AND THE TRUSTEES OF ROPER HOSPITAL. 
 
 CHARLESTON . 
 
 HTKAM-l'OWKR PRESSKS OF EVANS & COGSWELL 
 No. 3 Broad and 103 East Bay Streets. 
 
 1861. 
 
*» 
 
 I 
 

 TRUSTEES. 
 
 JOHN P. CIIAZAIj, M. D., President Medical Society of 
 
 South Carolina, ex officio, Chairman 
 1. M. CAMPBELL, M. J)., Chairman pro tern. 
 E. HOPLBECK, M. D. 
 WILLIAM T. WRAGG, M. J). 
 JAMES P. JERVEY, M. D. 
 JOHN L. DAWSON, M. D. 
 THOMAS G. PRIOLEAU, M. D. 
 HENRY W. He SAUSSURE, M. D. 
 FRANCIS T. MILES, M. D. 
 
 WILLIAM T. WRAGG, M. D., Secretary and Treasurer. 
 
 PRINCIPAL OFFICERS. 
 
 J. FORD PRIOLEAU, M. D Physician. 
 
 WILLIAM C. HORLBECK, M. D Surgeon. 
 
 HENRY WINTHROP, M. D Con.'iulting Physician. 
 
 Prof. E. GEDDINGS, :M. D Consulting Surgeon. 
 
 ARTHUR FAIRLEY Steward. 
 
 MYRA R. FAIRLEY Matron. 
 
ORDER OF BUSINESS, 
 
 1. Minutes 'Read. 
 
 2. Reports of Committees. 
 
 3. Resolutions. 
 
 4. Miscellaneoi"s Business. 
 
COPY OF WILL OF LATE THOS. KOPEK. 
 
 T, Thomas Roper, of the City of Charleston, in the State of South 
 Carolina, mindful of th«» uncertainty of life, and absolute certainty of 
 death, do, whilst of disposing mind and memory, declare this, my last will 
 and testament, hereby giving, devising, and bequeathing to my only ofl- 
 spring, Kobert William lloper, his heirs, and assigns forever, each and 
 every part and parcel of my estate, real and personal, whatsoever and 
 wheresoever, with the exceptions following: 
 
 I bequeath fifteen hundred dollars of the five per cent, stock of this 
 State to the Second Independent or Congregational Church in Charleston, 
 usually denominated the Unitarian Church; being a congregation of Christ- 
 ians, who, unrestrained by Ecclesiastical or other authority, and unshackled 
 by any speculative creed, worship one Supreme being and " Him only," 
 nevertheless attach, as a condition to the bequest, that neither the said 
 fifteen hundred dollars, or any part thereof shall be expended, transferred, 
 or otherwise appropriated until the first day of January, 18<iG — anterior to 
 which day and year the interest to grow due on the said fifteen hundred 
 dollars may, if necessary, be expended as it accrues. Tnasnnich as the said 
 stock is not subject to redemjition before the first day of January, 1846,. 
 I do, from and after such period, authorize the corporation of said Second 
 Independent Congregational Church, being a fellowship of Christians for 
 the worship of "the only true (iod," to appropriate the said fifteen hundred, 
 dollars, or any component part thereof, in any way or manner they shall 
 then deem most beneficial for the future interest of the said Church. To 
 my nephew, George Williams, of the Kingdom of Great Britain, I give 
 four hundred dollars. 
 
 Item. Should my son, Robert William Roper, die witliout living or 
 posthumous issue, and such issue die under twenty-one years of age without 
 lawful issue, I, in such case, will and direct that my lands and houses In 
 Charleston be disposed of as is hereinafter s])ecificd, but I Intend not by 
 such specification to restrict my son from selling, bartering or otherwise 
 disposing of any part or parcel of suck lands and houses, contingently de- 
 vised to him, his heirs and assigns forever; on the contrary, I hereby 
 authorize and empower him whenever .he shall see fit, to make valid and 
 sufllclent titles for the sale of any and every part of the property I die pos- 
 sessed of; Provided, such sale, barter or otiicr disposition thereof be for an 
 adequate and bona fide consideration, It being my design should my son die 
 
without H\'ing or posthumous issue, op leaving issue, ^ch issue die umler 
 twenty-one years of age wiflioiit lawful issue, that my real estati^ in 
 Charleston, or the intrinsic value thereof shall vest in the mode I h*ve 
 liereinafter specified. 
 
 Item. I herein moreover further declare, that my lands in Ch;iili-Tmi 
 shall, under no condition or consideration whatever, be subject in wli 
 ]iart, to any right or claim of Dower,-(which the widow of my said son may 
 claim or (h'uiand under any prctejicc or inferal)le right whatsuever; yet, I 
 intend not to inliiliit or restrain my said son, should he die without issue, 
 from atl'urding his widow, .«o long as sne may remain such but no loiigei-, a 
 residence in my present dwelling on East Bay, «|^c ])aying the taxes and 
 annual insurances, during such her occupancy, and keeping the adjacent 
 buililings connected therewith in thorough repair. 
 
 Tiem. It is my will that the brick buildings as devised by me be kept in 
 proper repair, an<l if they be not severally insured, such of them as are 
 now covered by a Policy shall, as at present, continue to be annually in- 
 sured, either under each of the spi-cified policies, or on such otlur term-; 
 and ratable proportions as shall be deemed most advisable. 
 
 Item. Should my son, Robert William Roper, die without isstu-, or 
 leaving posthiunous issue, then, and only then, I make the following dis- 
 position of my estate: 
 
 To my nephew, George Williams, rbequeath four hundred dollars, and a 
 like sum to my friend, Robert Williams, of Kentish Town, near London, in 
 the Kingdom of (Jreat Britain. To each of my slaves, Robert and his 
 sister Peggy, I severally give an annuity of one hundred dollars, to be paid 
 to them respectively in semi-annual j)ayments. To the Chaileston Library 
 .Society I leave all such of my books excepting those in nianuscrij)t, as may 
 not have been retained by my son. The volumes of my Iblio Bible, if not 
 otherwise bestoweil by my said son, 1 give to the Unitarian library Society, 
 enjoining it on them not to pennit either volume to be taken out of the 
 Library for private perusal ; the corrected text and manuscrijit notes inter- 
 spersed throughout these volumes, were chietiy derived from the most emi- 
 nent translators and conunentators, and though nece.>isarily limited, do as 
 far as the .space there afforded would admit, jKjiiit out numerous errors in 
 the vernacular version of the Bible now in general use. 
 
 Item. Should my son die without i.ssue, or leaving posthumous issue such 
 issue die under age without lawful issue, I give ami devise to the Charles- 
 ton ]\Iedical Society all my landed estate on East Bay and Queen street, 
 consisting of the several lots and houses thereon, now known by tlie follow- 
 ing numbers, viz: on East !}ay by the nund)ers, 157, l.")I), Ifil and l<;.'5,and 
 on Queen street by the numbers 2, 4 and <!, with their and each and every 
 of their appurtenances, together with tlii-ir nuits, income and proceeds of 
 such devise from the tinu^ on which the said Society may become jiossessed 
 thereof, oi- if intei-mediately sold, then of the value of such sales, with the 
 income and interest llieuceforward to accrue tliereon, to enable the said 
 
Charleston Medical Society, after the lapse of fourteen years ownership of 
 such property, or its intrinsic value, and not at any earlier period, unless 
 ♦■arlier they be sufficiently enabled from other adequate means, to erect, 
 maintain and regulate a hospital of suth dimensions as they in their better 
 judgment may direct, for the permanent reception or occasional relief of all 
 such sick, maimed and diseased paupers as need surgical or medical aid, 
 and whom without regard to complexion, religion or nation, I would they 
 should admit therein. The site of the said Hospit^^l or Infirmary to be in 
 or near Charleston. 
 
 Item. I hereby authorize and empower the said Charleston Medical 
 Society to sell and make valid titles hv any or all such property as under 
 any contingent devise may vest the fee simple in them, they taking a mort- 
 gage for the same if sold on credit. 
 
 Item. I make chargeable the funded and baak stock, which will devolve 
 on my son, as a residuary part of my estate, with the payment of the sev- 
 eral conditional legacies and annuities lierein before specified. 
 
 Lastly, I appoint my said son my Executor, but should he depart this life 
 without living or posthumous issue, I, in such case, nominate as the Execu- 
 tor of my AVill, the President of the Charleston Medical Society for the 
 time being, and his successor or successors in the oflice of President of the 
 said Society, such Executors acting in strict subservience to the trust I 
 have speciality confided in the said Charleston Medical Society. 
 
 Whereas, on the making and executing the foregoing Will, dated the 4th 
 March in the current year, I conditionally gave and devised to the Medical 
 Society of Charleston (when it would seem no such Society exists) cer- 
 tain lands, but have subsequently discovered the said Society was incor- 
 porated by the name and style of the Medical Society of South- Carolina, 
 of which Dr. Thos. Y. Simons is at this time President ; I, therefore, under 
 such their corporate name, confirm ray said conditional donation — they con- 
 forming to the several requisitions I liave imposed. 
 
A PLAN OF ORGANIZATION 
 
 Fon THE 
 
 ROPER HOSPITAL. 
 
 Adopted by the Medical Society, Jan. 3, 1856. 
 SECTION" I. 
 
 OF THE DISTRIBUTION OF THE PATIENTS AND GENERAL APPORTION- 
 MENT OF THE DIFFERENT PARTS OF THE BUILDING. 
 
 Art. 1. The j)atients shall be distributed amoiiji; the various 
 wards in such manner that the medical and surgical cases shall 
 not be mingled together in the same wards; the sexes be kept 
 carefully and comijletcly separated, and the colored paupers be 
 received into a ward distinct from all others. 
 
 Art. 2. The large room in the centre of the building, on the 
 second floor, shall be reseiwed as a place of meeting for the 
 Trustees, a Libi-ary and Pathological Museum; the hitter to 
 be formed from specimens to be collected as hereinafter pro- 
 vided. 
 
 SECTION II. 
 
 OF THE TRUSTEES. 
 
 Art. 1. The Hospital shall be managed by a Board of Trus- 
 tees, to consist of nine members. The President of the Medi- 
 cal Society, for the time being, to be member and Chairman of 
 the Board; the eight others to bib chosen b}^ the Medical So- 
 ciety, fi-om among its members, '\m such manner that two shall 
 be elected every year at the antriversary meeting of the So- 
 ciety, to serve for four years, and who may be re-elected at the 
 end of that time. Any vacanciesHhat may occur in the Board 
 
10 
 
 during the interval, by cither death or resignation, may be filled 
 by the Board until the next anniversary meeting of the So- 
 ciety. On the first organization utthe Board, the present Trus- 
 tees shall constitute four of its members, and the Society shall 
 elect four others to serve with them. The}' shall decide by li>t 
 the order in which they are to stand, so that the two first on the 
 list shall go out of oHice at the anniversary meeting of tho 
 Medical Sor-i^fy. ii> U'lC, ilio iw" n.'xt ;ii thai of l^fiT. and 
 so on. 
 
 Art. 2. Slated nuetings of the Board of Trustees shall be 
 held at the Hospital at least once a fortnight. 
 
 AiiT. 3. The Trustees shall, at the first meeting of their 
 organization, or as soon thereafter as practicable, and after the 
 present j'car, annually, at their first meeting after the anniver- 
 sary meeting of the Medical Society', elect a Steward, Matron 
 and Treasurer, and at the first meeting of the Boai'd subsecpient 
 to the fifteentli (loth) of i\Iarch, elect two Doctors of Medicine, 
 members of the Medical Society, or advanced Students of Medi- 
 cine, as in their judgment "vvill best subserve the intei-ests of the 
 Hosj)ital as House Physicians. 
 
 Art. 4. They shall establish such rules for the regulation of 
 the house and wards as they may from time to time sec fit. 
 
 Art. 5. A Committee of two Trustees, to be called the "Visit- 
 ing Committee," shall be appointed in rotation at each meeting* 
 of the Trustees, to serve until the next meeting, whose duty it 
 shall be generally to supervise the affairs of the Hospital, to 
 admit and discharge all patients except those hereinafter men- 
 tioned, and to examine and vou£'h the Steward's petty cash 
 accounts. For these purposes they shall attend at the Hospital 
 on Mf)nday, Wednesday and Saturday of each week, at twelve 
 o'clock, M., or any other hour specified by the Board. They 
 shall see that regular minutes of all admissions and discharges 
 of patients are ke])t by the Sleward, and shall record, in a book 
 for that pur})0se, all orders given by them foi- th'- cxptMidinirt' 
 of money. 
 
 Art. (). No PliNsician ^iiall acl a> I'liL-Mn- Mtnm:; inv it-iiii 
 for which he may bo elected to servo the Hospital in a profes- 
 sional capacity. 
 
 Art. 7. The Trustees shall have all the powers now enjoyed 
 •by the present lioard, in relation to the management of th(# 
 property and funds of the Hospital and of the lioper bequest. 
 
11 
 
 The}^ shall also receive and expeml for the support of the Hos- 
 pital, all monies derived from rents, interests, dividends, etc., 
 and all appropriations which may be made by the City Council, 
 or other body, for that purpose. They shall also receive and 
 invest all legacies, donations, etc., which may from time to time 
 be given to this charity. 
 
 Art. 8. They shall, as they sec fit, make such additions or 
 alterations to these rules as the}' may deem necessary or expe- 
 dient: such alterations or additions to be submitted to the 
 Society for approval and ratification. 
 
 Art. 9. They shall annually submit to the Medical Society, 
 at its anniversary meeting, and nlso to the Legislatui-e of the 
 State at its session, a full and comprehensive statement of the 
 affairs of the Hospital, and of the state of the fund. 
 
 SECTION III. 
 
 OF THE CONSULTING PHYSICIANS. 
 
 Art. 1. There shall be elected at the same time, and in the 
 same manner as the Attending Physicians, two Consulting 
 Physicians, one for the Medical, the other for the Surgical 
 wards. The}' must be Doctors of Medicine of at least ten 
 years standing, and members of the Medical Society. 
 
 Art. 2. They shall, whenever oflficially called on by the 
 Attending Physicians, consult and advise with them on such 
 diflScult or serious cases in the Hospital as the latter may re- 
 quest. 
 
 SECTION IV. 
 
 OF THE attending PHYSICIANS. 
 
 Art. 1. The Medical Society shall, on the organization of the 
 Hospital, and after the present year, annually, at the meeting of 
 the first of Mandi, elect from among its members, two Doctors 
 of Medicine — one to have charge of the Medical, the other of the 
 Surgical wards, to be called the Attending Physicians, and 
 who shall enter upon the duties of their office on the first dayf* 
 of April. The}' may be re-elected so often as the Society 
 see lit. 
 
 Art. 2. They shall visit the Hospital at least once a day, in 
 4|he forenoon, examine and prescrijlDe for all patients, and have 
 the exclusive and entire medical direction of all those admitted 
 
12 
 
 into the Hospital, except tlie surirical cases belonginsr to the 
 Medical College, and admitted It}- agreement into the ward 
 of the colored patients, during tiie session of the Medical 
 College. 
 
 Akt. 3. On the occurrence of extraordinary cases, the}- may 
 call in the ( 'onsultinLC PIi\>i(ian nr Siii-ucon .•i'^ i In- cm-c im-i\- 1.i>, 
 to consult with. 
 
 AuT. 4. No iinpoi-tanl surgical oiteration .>hall l)e pcrlDniKd 
 without previous consultation, and llio Trustees must be noti- 
 fied by the Steward of the time of tiie pr()])Osed j)erformance of 
 such operation, except whei-e, IVoin llir extreme urgency oi the 
 case, this is impracticable. 
 
 Art. 5. They shall report to the " Visiting Committee" any 
 impropriety or neglect which they may observe in the Ilospi-. 
 tal. For gross neglect of duty they may dismiss a nurse, and 
 shall report the same to the Visiting Committee at its next 
 meeting. 
 
 Art. 6. The}' shall each keep a book in wliieli the syni])- 
 toms, diagnosis, daily ])iogress and treatment, and in case of 
 death, where practicable and desirable, the post-mortem exam- 
 ination of each case are to be recorded, as hereinafter pro- 
 vided (Section V, Art. 4). and they shall, at the end of each 
 quarter, make a recapilulalion of the same, to be laid belore 
 the Trustees, and by them before the Medical Society and the 
 City Council. 
 
 Jiesolved by the Board : (^fuarter days shall be deemed to fall 
 on the first day of February, May, August and November. 
 
 Akt. 7. They shall each, at least once a week, Irom the lirst 
 of November to the first of March, deliver, in the Amphitheatre 
 of the Hospital, a Clinical Ijccture, on such interesting medical 
 or surgical cases as may be at the lime, or ma}' recently have 
 been in the wards of the Hospital 
 
 Art. <S. They shall ilecide and report to the Visiting Com- 
 mittee when patients are to bo discharged from the Hospital. 
 
 Akt. 'J. The Physician having charge of the Surgical ward, 
 shall attend the Colored Manl and the Obstetrical eases. 
 
 Akt. lU. They shall be entitled to receive for their services 
 the sum of ten dollai's for each tieket sold to students, for Hos- 
 pital attendance, to be equally divided between them, and such 
 further compensation as the Trustees shall hereafter determin<^ 
 on, according to the state of the Jlos])ilal fund. 
 
Resolved by the Board, January 30, 1857 : That the salarj^ of 
 the Attending Phj'sicians be, for the present, at the rate of five 
 hundred dollars per annum, dating from the term of their elec- 
 tion, and that, after devoting the amount received from the sale 
 of tickets to that purpose, any deficienc}^ remaining shall be 
 made up from the funds of the Institution. 
 
 SECTION V. 
 
 OF THK HOUSE PHYSICIANS. 
 
 Art. 1. The House Phj^sicians shall reside in the Hospital, in 
 the rooms assigned then\ by the Trustees, and shall take their 
 meals with the Steward. The}' shall never both be absent from 
 the Hospital at the same time, nor leave the duties of their 
 respective posts, without permission from one of the Attending 
 Physicians. In case of the absence or sickness of either of 
 them, the Attending Physician in whose wards the vacancy 
 occurs, shall apjioint a substitute until his recovery or return, 
 subject to the appi-oval of a Visiting Committee. 
 
 Art. 2. The^^ shall have charge, alternately, in periods of 
 three months, of the Medical and Surgical wards ; they shall 
 attend and give directions for the management of all patients 
 on their admission, and until seen b^' the Attending Physicians, 
 and they shall especiall}- see that a bath is administered in all 
 cases in which it is practicable and safe, before the patient is 
 admitted into the Hospital. 
 
 Art. 3. They shall accompany' the Attending Physicians in 
 their daily visits in the morning, and shall visit the wards in 
 the afternoon ; the}- shall report to the Attending Physicians 
 all new cases which may have been admitted, and all important 
 changes which may have occurred between their visits. 
 
 Art. 4. Thej- shall keep a daily record of all the cases, under 
 the direction of the Attending Physicians, as provided in Sec- 
 tion IV, Art. 4, and, as soon as possible, enter it in the Case 
 Book of their respective departments. They shall, also, in 
 their respective wards, suspend over each bed a slate or paper, 
 with the name, date of admission and disease of each patient 
 legibly written thereon; shall conduct all post-mortem exami- 
 nations, when required to do so by the Attending Physicians, 
 and shall prepare and. deposit in the Museum of the Hospital 
 all interesting pathological specimens. 
 
11 
 
 Art. 5. They sliall see that all orders and prescriptions of the 
 Attending Phj'sicians, as regards tl^ medicine, diet, etc.. of 
 the patients, are accurately carried out; and they shall, alter- 
 nately, M'cek by week, superintend the compounding and dis- 
 pensing of all medicines ordered. They shall have general 
 superintendence of the nurses, and shall report neglect of duty 
 on their part to the Attending JMiysicians, or to the Steward. 
 
 Art. G. The House Physician, having charge of the Surgical 
 ward, shall see that the instruments are kept in order, and 
 shall not loan any of them, except on a written order of the 
 Attending Physician of the Surgical wards. lie shall also 
 prepare all patients for operations. 
 
 Art. 7. As a compensation for their services, they shall each 
 receive, in addition to their hoard and lodging, at the end of a 
 year, and for no less a jieriod, the sum of one hundred dollars, 
 or a testimcjiiiai of that value, provided their conduct has been 
 entirely satisfactoi-y to the Attending Physicians and to the 
 Trustees. 
 
 SECTION Yl. 
 
 OF THE STKWAKD AND MATRON. 
 
 Art. 1. The Steward shall have, undci- the Visiting Tommit- 
 tec. the general care and superintendence of the Hospital, the 
 Iniildings and grounds; he shall, under the direction of the 
 Board of Trustees, make all necessary purchases of fuel, pro- 
 visions, stores, etc.. for the safe-keeping and economical use of 
 which he shall be responsible; he shall keep regular accounts 
 of receipts and expenditures of money, which must be laid 
 before the Board at each meeting. He shall also, under the 
 direction of the Trustees, purchase medicines for the use of the 
 Hospital. 
 
 Art. 2. He shall collect and receive all dues from ])atients, 
 and all moneys deposited by them — the same to be placed to 
 their credit. He shall pay over to the Treasurer, at each 
 meeting of the Trustees, all moneys in hand belonging to the 
 Institution. 
 
 Art. 8. He shall, subject to the a])]))'oval of the I'rustees, 
 hire all nurses and domestics, and shall ])articularly see that 
 they arc attentive to their duties, kind to the sick, and obe- 
 dient to the directions of the Physicians. He shall i-eport aur 
 
15 
 
 improper conduct or neglect on their part to the Visiting Com- 
 mittee. 
 
 Art. 4. On the death of any jiatient, he sliall immediately 
 have the body conveyed to the room provided for the purpose ; 
 and shall forthwith report to the Visiting Committee whetlier 
 the deceased left any clothes or articles of value, and take 
 their directions relative to the same. 
 
 Art. 5. He shall see that no patient goes out of the Hospital 
 without permission ; he shall not suffer any persons to visit the 
 patients or the wards except at sueh hours as may be appointed 
 by rule of the Trustees, unless in cases of emergency, or by a 
 permit from one of the Trustees or Attending Physicians. 
 
 Art. 6. The Matron, who must, if practicable, Ijo the wife of 
 .the Steward, shall assist him in preserving cleanliness in the 
 wards and buildings. She shall have esi:)ecial care of the bed- 
 ding and clothing J and shall su])orintend the pi'c])aration of 
 the food and diet of the patients. 
 
 Art. 7. The salary of the Steward shall be five hundred dol- 
 lars per annum ; that of the Mati-on three hundred dollars per 
 annum, payable quarterly. 
 
 SECTION VII. 
 
 OP THE ADMISSION AND DISCHARGE OF PATIENTS. 
 
 Art. 1. Persons wishing to be admitted on the charity of the 
 Hospital must pi'esent themselves before the Visiting Commit- 
 tee, at the Hospital, on Monda}", Wednesda}^ and Saturday, at 
 12, M., or, if unable to do so, application may be made by 
 some friend in their behalf 
 
 Art. 2. Cases of accidental wounds and injuries, or of sudden 
 attacks, or other cases of emergency, may be admitted at any 
 time on order of the Trustees, Att(^iiding or House Physicians, 
 the Maj'or of the City, or Cominissioner of the City Poor; 
 such cases to be submitted to the Visiting Committee at its next 
 subsequent meeting. 
 
 Art. 3. Women coming into the Hospital for the purpose of 
 lying-in, shall be admitted onlj^ when parturition is imminent, 
 and shall bo discharged a fortnight after confiuement. 
 
 Art. 4. Pa}" patients may be admitted by the Trustees, ^he 
 Attending Physicians, or the 8t.cw;;rd; the rate of board ti) be 
 hereafter fixed by the Trustees. V n- the payment of this, the 
 Steward shall take proper security. 
 
16 
 
 Bate of Board : 
 For less than one week — 
 
 Public Wards at the rate of S7.00 per week. 
 
 Private Wards *' 10.00 " 
 
 Over one week — 
 
 PuMic Wards SO. 75 per day. 
 
 Private Wards 1.00 " 
 
 Art. 5. No ]>ersofl whu is afloeted with an incurable disease 
 shall be admitted on the cliarity of tlie Hospital ; but may be 
 admitted on paying such a rate of board as may be fixed by 
 the Trustees. No per.son having a contagious disease shall be 
 admitted into tlie Hospital. 
 
 Art. G. Patients are to be discharged as soon as they are 
 cured; and all charity patients whose cases, after three months 
 treatment, shall be deemed incurable by the attending Phj-si- 
 cian, shall be discharged, unless permitted to remain by a 
 special vote of the Trustees. 
 
 SECTION VIII. 
 
 OF TlIK ADMISSION OF STUDKNTS OF MEDICINE. 
 
 Art. 1. vStudents of Medicine shall be admitted to the wards 
 of the Hospital during the visits of the attending Ph3^sician8, 
 and to the Clinical Lectures and Surgical Operations, on the 
 payment of five dollars for tickets of six months, or ten dollars 
 for tickets of one year, which must be shown to the gate-keeper 
 to entitle them to admission. Tickets to run six months or 
 one year, respectively, from date. Students holding tickets 
 shall be admitted into the wards only at (he times above 
 specified. 
 
HXJT.ES 
 
 FOR THK 
 
 GOVERNMENT OF THE HOSPITAL, 
 
 ADOPTED BY THE TRUSTEES- 
 
 »ECTI()X I. 
 
 CONCERNING TIIK TRUSTEES. 
 
 Art. 1. When any five members have met, they sluvU forth- 
 with proceed to business. 
 
 Art. 2. No member shall be allowed to speak more than 
 twice on any question under debate, unless to explain or with 
 the permission of the Trustees. 
 
 Art. 8. Each member, when speaking, shall address the 
 chairman by the title of "Mr. Chairman," standing and uncov- 
 ered. When the chairman desires to be heard on any subject 
 under discussion, the members shall keep their seats while he 
 is speaking. 
 
 Art. 4. If two or more members rise to speak at the same 
 time, the chairman shall determine who was first up. 
 . Art. 5. All matters of order shall be decided by the chair- 
 man, except when any member glial! appeal to the Trustees. 
 
 Art. (). P]ach member, when si)eaking, shall adhere to the 
 question under discussion. When a member rises to speak to 
 order, tiic member interrupted shall give over the debate, until 
 the question of order is first determined. 
 
 Art. 7. When a motion is made and seconded, it shall be 
 reduced to writing, also all reports, and delivered to the cliair- 
 man. 
 
 9 
 
18 
 
 Art. S. Wlien a motion of adjournment is made and seconded, 
 there shall be no debate, nor any question taken up, until the 
 Board have decided thereon j and no motion of adjournnient 
 shall be renewed in less than a (|iiartc'r of an hour ;iftoi- llie 
 preceding has been reject cl 
 
 Art. 0. Whenever the yeas and nays shall be called for by 
 any two niembers, they shall be entered on the journals; but 
 an individual member may cntrr his protest on any decision of 
 the Trustees. 
 
 AuT. 10. If the Tj'usti'L's bo not formed within fifteen min- 
 utes after the hour appointed, no member shall bo compelled to 
 remain longer. 
 
 Art. 12. The' different committees shall be appointed by the 
 Chairnian ; exctjit when specially required by the Trustees that 
 they be elected. 
 
 Art. 13. The Trustees ♦^hall meet once a fortnight, on Friday, 
 at four o'clock, from the first of October to the first of April, 
 and at five o'clofk. from tlio first of %\y»vil to tlic first of Octo- 
 ber. 
 
 Art. 14. — The Chairman shall have power to call an extra 
 meeting, when he deems it neci'ssary or when reciuirod In' three 
 members of the Board. 
 
 Art. 15. The Trustees will annually elect tlie following offi- 
 cers : 
 
 1. A Steward and Matron. 
 
 2. Two House Physicians. 
 
 3. A Cell Keeper, at a salary of S2 10 per annum. 
 
 4. A Chairman pro tem. 
 
 5. A Secretary and Treasurer, at a salary of S400 per annum. 
 
 6. A ])erson to supply Meats, Grist, Milk, Bread and "Fuel. 
 
 7. A Book and Door-keeper, at a salar}'^ of $300 per annum. 
 '8. A Gardener, at a salary of $150 per annum. 
 
 Art. 16. The Treasurer is authorized to pay the salaries of 
 the otiicers quarterly when due — they being properly vouched. 
 
 SECTION II. 
 
 CONCERNINO 'COM MlTTKi:S. 
 
 Art. 1-. A Committee on Finance — Who shall audit and report 
 on all accounts — which accounts shall be regularly entered. 
 They shall likewise direct all investments of the funds of the 
 
19 
 
 Institution, and the Treasurer shall in no instance invest any 
 of the funds in his liands but in the manner prescribed by 
 them. They shall not let out any of the premises belonging to 
 the fund without taking personal securitj' for the same. 
 
 Art. 2. .1 Committee of Purvryunce and Supervision. — To pur- 
 chase all supplies for the Institution, as shall not otherwise be 
 obtained by contract, and rendcM' a quarterly exhibit of their 
 expenditures. They shall, moreover, see that the Steward and 
 Matron do their duty in I'elation to the supplies of fuel, bread, 
 meat, groceries, and other articles of necessity or consumption, 
 and conform to each and every of the several rules and regu- 
 lations which ai-e, or may be prescribed for their government. 
 
 Art. 3. A Committee on Retrtnehments. — To examine the state 
 of the Institution whenever the Hoard slwU require, and to re- 
 port whether any retrenchments, and to what amount, may be 
 made in the expenditures of the Institution. 
 
 Art. 4. A Committee on Lunacy. — To examine all persons 
 sent to this Institution as Lunatics, or who may at any time 
 be charged as such, and report the result of such examination, 
 and the proceedings thereon, to the Board. 
 
 Art. 5. .1 Committee on Repairs. — To examine, from time to 
 time, the condition of the house, cells and out-buildings, and 
 report to the Board such repairs as they deem necessary, and 
 also supervise the execution of such measures as may be adapt- 
 ed to remedy' the same. 
 
 Art. 6. A Committee on Furniture.— ^o make a semi-annual 
 report of all the furniture of the house, kitchen and cells, Avith 
 the beds, bedding, etc., and report such additions to the same 
 as ma}^ be needed for the Institution, and purchase the same. 
 
 Art. 7. A GommiUec on the Library. — To enter in a book pro- 
 vided for the purpose the names of all books in the Library, 
 entering therein as soon as received all new books obtained by 
 purchase or donation ; to superintend also the general arrange- 
 ment of the Libraiy and Books, and see that the latter are 
 not removed without a written permit from one of the mem- 
 bers. They shall also examine semi-annually, and from time 
 to time, as they deem propei", the Case Books of the House 
 Physicians, for the purpose of ascertaining if they are properly 
 And fully written up. 
 
20 
 
 SECTION III. 
 
 * 
 
 rONCKRNINO TllK STEWARK AND THK MATROX. 
 
 Art. 1. The Steward sluill kocit a register of all persons 
 admitted into the IIosj)ital, spocilying: first, the time of adinis- 
 si(»n ; second, their names; third, ages; fourth, plaee of nativ- 
 ity; filth, time and place of settlement or last abode; sixth, 
 trades and ooeiipations ; seventh, hy whose order sent to the 
 Ilospital ; eighth, time of death oi- dismission; ninth, ntnnlx'v 
 of days from admission to death or discharge. 
 
 Art. 2. He shall keep a registry of all tickets sold to stu- 
 dents with the date of sale, an<l the time for which they are 
 taken; ])ay over the proceeds to the Ti-easurer, ho giving a 
 recci])t for the same, and i'C|)ort llie nnmher sold at each regu- 
 lar meeting of the Board. 
 
 Art. i]. He shall be held responsible for the safe-keeping of 
 the Minutes of the Board, which shall be considered strictly 
 private. No one, except members of the Board, or some one 
 presenting a written order from a member, shall be allowed 
 at any time, or under any circumstances, to have access t<> s:ii(l 
 Minutes. 
 
 Art. 4. He shall keep, in a sjiccial book, a correct inventory 
 of all the linen, beddings, tables, chairs, bedsteads and other 
 household and kitchen furniture belonging to the house, show- 
 ing the (piantity and condition of them respective!}- ; and he 
 shall add to and alter the said inventory as new articles are 
 ])r()cured, or any of the old worn out. and he shall renew the 
 same inventory oiico in every three months, and lay the book 
 containing it before every meeting of the Trustees. And the 
 said articles shall be examined or counted semi-annually by the 
 ('ommittee on Furniture; antl also at such other limes as the 
 Trustees may think proper. 
 
 Art. 5. Ho shall make a daily memorandum of the quantity 
 of bread, meat, groceries, fuel, and other articles furnished 
 under contract, or otherwise procured for the Hospital, whicii 
 niomortindum he shall exhibit to the Trustees, or any of them, 
 when the quarterly aceoimts are examined, ami at any odier 
 tinio when required. 
 
 Art. 6. He shall report to the Trustees, quarterly, the quan- 
 tity of groceries consumed in the ll(ts]»ital dui-ing the (|naj'ter 
 preceding such report. 
 
21 
 
 Art. 7. He shall suporinteiul all within the Hospital and the 
 out-buildings, and other premises attached to it; and shall 
 take care that the rules of the Hospital, and the orders of the 
 Trustees be duly observed; and that the clothing, bedding and 
 other articles furnishej.1 be not wasted, destroyed or sold, and 
 shall, without delay, re])ort to the Trustees or the Visiting 
 Committee, every person who shall waste, destroy or sell any 
 such articles. 
 
 Art. 8. At each meeting of the Trustees, he shall report to 
 them in writing the number of patients admitted into the Hos- 
 pital since the next preceding meeting, the number discharged, 
 as recovered or relieved, the number and names of those who 
 have died, specifying the cause of death, and also the number of 
 officers, nurses, etc., in the Hospital. He shall also notify the 
 Board of all patients remaining in the Hospital over the time 
 specified in the plan of organization. He shall also take charge 
 of and pay over to the Treasurer all monej' or effects of value 
 found on the persons of patients dying in the Hospital, specify- 
 ing the same in his next regular report. He shall also report to 
 the Board all sums of money received and paid by him on 
 account of the Hospital; from whom, or to whom received or 
 paid ; for what, and the dates of the respective receipts and 
 payments. He shall also Report all matters relating to the 
 affairs of the Hospital, or occurring therein, worth}- of the con- 
 sideration of the Trustees. 
 
 Art. 9. He shall cause, at the first ringing of the city bell, 
 all lights and fires in the Hospital and premises to be carefully 
 extinguished, every evening (except such as it may be abso- 
 lutely- necessary to keep), which he shall put under proper 
 care. 
 
 Art. 10. He shall see that the door and gates of the Hospital 
 and premises are at all times well secured; and the Porter shall 
 neither admit nor let out any inmate without the permission of 
 a Trustee or Visiting Committee, or of one of the Attending or 
 House Physicians. 
 
 Art. 11. He shall carefully attend to the security and man- 
 agement of insane persons lodgdl in the Maniac cells, for 
 which purpose he shall have a Cell Keeper as his assistant, to be 
 appointed by the Trustees, and shall also have a right to take 
 to his aid any of the sub-officers of the Hospital, whose duty it 
 
!>hall lie t(» execute Iiis orders in seiiirinir and atioiuHng to tlie 
 iii.saiie, ami keejiiiiij the eells in frinnl oriler. 
 
 Anr. 12. ITe shall take care that the ijarden bo duly culti- 
 vated, and constantly jirovided with such seasonable vegeta- 
 bles and lii-rbs as are suitable for ibc kit«'hen and the useof'thc 
 sick. 
 
 Airr. 1;!. lie shall be retjuired (o ivfnse admission into the 
 lIosj)ital to Coroners, or Maifistratis acting as Coroners, for the 
 purpose of holding imjuests on the bodies of jicrsons d^Mng in the 
 Hospital, saving where such officer affirms that there exists in 
 his own mind susj)icion of guilt or negligence, or when he may 
 have been exjiressly sent lor; or no certificate of the cause of 
 death has been given by tlic A( tending oi- House Physicians. 
 
 Art. 14. The Matron shall take care that the rooms bo 
 pro]>erIy swept, and the beds made every day; that the win- 
 dows lie froqucnth' opened for airing the Hospital, under direc- 
 tion of the Physicians, and that the Hospital and windows 
 be washed as often as shall be deemed necessary, or ordered 
 bj' the Visiting Committee; thai the bed-clothes bo shifted, and 
 the bods be kej»t clean from vermin ; and that all foul linen be 
 waslied in due time, and with ])roper care. She shall bo s|)o- 
 ciall}- charged with the su])erintendttneo and care of the females 
 in the Hospital, and shall observe that the nurses and others, 
 emjdoj'ed under her direction, behave with becoming attention 
 and humanit}- to the sick, and discharge their several duties 
 with diligence and fidelity; for which services, and others 
 which may be i-equircd, the Trustees oi* Visiting Committee 
 shall select such poi'sons from among the inmates of the Hos- 
 pital as they may deem fit and sufficient to assist the Matron. 
 
 When any ])crson dies in the Hospital, the Matron shall im- 
 mediately take chai'ge of bis oi" her clothes, cause them to be 
 washed, and if necessary, amended, and deliver them to the 
 Master, who shall dej)osi( them in a jilaco of safety, and givi' 
 an account thereof to the Trustees. 
 
 Art. IT). She shall be required to make a report, in I'onnec- 
 tion with the Steward's bi-weekl}' report, in which a detailed 
 statement shall be made of the articles taken out tor washing, 
 the condition in which they are returned; also, of all break- 
 age of crockei-y. and all loss by weai- and tear of Hospital 
 furniture. 
 
23 
 
 Art. 16. The Stewai-d and Matron shall, generally, perform 
 all such duties, and execute all such orders, relative to their 
 respective offices, as are herein prescribed, or may be pi'escribed 
 to them by the Trustees. 
 
 SECTIOK IV. 
 
 CONCERXING ADMISSION INTO HOSPITAL, AND DISCIIAUGE THEREFROM. 
 
 Art. 1. All persons, upon their admission, shall be examined 
 by the House Physician, to ascertain whether the}' are free 
 from (bul distempers, and otherwise clean, and then disposed of 
 as the Attending Phj'sician may direct; and such as have any 
 contagious disorder or are unclean, shall be kept apart from 
 others until the}^ are cured and cleansed. 
 
 Art. 2. No inmate of the Hospital shall be discharged there- 
 from but by order of the Trustees, or of the Visiting Commit- 
 tee, or the Attending Phj-sicians; and any person who shall 
 have brought in any furniture or clothing, shall be permitted, 
 when discharged, to take awa}-^ the same, unless the Trustees 
 shall order otherwise. 
 
 SECTION V. 
 
 CONCERNING DIET. 
 
 Art. 1. The Trustees, with the Physicians, shall regulate the 
 diet of the Hospital, from time to time, as they may deem fit, 
 and give dii'ections, in writing, to the Steward, relative thereto, 
 which he shall pursue until he receives other directions. 
 
 Art. 2. In case of omission on the part of the Attendinar 
 Physicians, to order articles nccessaiy for the well-being of 
 patients, the House Physicians shall be authorized to order 
 them, and the Steward is hereby required to furnish the same: 
 Provided, that the House Physicians give a written order for 
 the same — the order to be confirmed by the Attending Physi- 
 cian at his next subsequent visit. 
 
 Art. o. The Matron shall take care that the food and drink 
 be properl}' and seasonably cooked and prepared, and properly 
 distributed; and also that the table linen, dishes, 2Dlates, cook- 
 ing utensils, etc., be clean and in decent order. 
 
 Art. 4. All the inmates of the Hospital, who are able to 
 attend at meals, shall, upon due notice being given, meet at 
 the time and place appointed for the same, and mess together, 
 according to the order settled by the Steward, under the direc- 
 
24 
 
 tion of the Trustees. Suoh as shall not so attend any meal, with- 
 out a sufficient reason for nonattendanec. shall lose that meal. 
 
 Art. .'). The Sic-wanl <n- Matron shall be present at every 
 meal, to preserve order and propriety of behavior. Those who 
 misbehave at the table l»y beint,' clamorous, quarrelsome, rude, or 
 otherwise unruly, shall be removed, and deprived of the next meal. 
 
 Art. G. The sick shall lie furni>he<l by the Steward with such 
 diet as the Physician ut' the Hospital shall i>re8cribc. 
 
 Uid of Sulj-O^^cers—Iiu.ster for Wee/:. 
 
 Sunday — Beef with rice and seasonable garden vegetables. 
 
 Monday — Beef and potatoes, 
 
 Tuesday — Muiton and iiolatoes. i 
 
 Wednesday — Corned beef and cabbage. 
 
 Thursday — Mutton with rice anil vegetables, as on Sunday. 
 
 Friday — Codfish and potatoes. 
 
 Saturday — Pork and beans. 
 
 At the rate of 11 lbs. meat, 2^ gills of rice, 8^ gills of pota- 
 toes, and i pint beans for each indivitlual. 4 oz. tea. 12 oz? cof- 
 fee, 1 lb. sugar, lU oz. butter, per week, for each individual. 
 
 Ordinnnj Diet for Patients. 
 
 Diet, Xo. 1 — Tea and bread, morning and evening; I ]tint of 
 gruel or of arrowroot, four times a day. 
 
 Diet, No. 2 — Hominy and milk for lireakfast; i j)int soup at 
 12, M. and 4, v. m.; tea and bread in evening. 
 
 Diet, No. 3 — A mutton-chop or beefsteak in addition to No. 2. 
 
 Diet, No. 4 — ll^use fare: hominy and molasses tor breakfast, 
 with tea and bread; 1 quart of soup, % lb. beef or mutton, with 
 potatoes or beans; pudding twice a week for dinner; tea and 
 bread in the evening. 
 
 It is at the discretion of the Physicians of the Hospital to 
 order, in addition to any one of them, or in lieu of any article 
 in either, whatever they may think necessar}- for any particu- 
 lar case. 
 
 SECTION VI. 
 
 CONCERNING THE CONDUCT OF THE INMATES OF THE HOSPITAL. 
 
 Art. 1. All inmates of the Hospital shall behave respectfully 
 toward those set over them, and civilly tOAvard each other; bo so- 
 
25 
 
 ber and orderly in their deportment ; keep themselves properly 
 washed and combed; change their linen, and attend generally 
 to the decent appearance and preservation of their clothes. 
 
 Art. 2. No inmate of the Hospital shall wilfully deface or 
 injure auy part of the Hospital or premises; or disturb the 
 Hospital by clamor or noise; or quarrel or fight with, strike, or 
 use foul or abusive language toward another; or behave dis- 
 respectfully to any of those having authority in the Hospital; 
 or bring into the hospital or drink any intoxicating liquor; or 
 steal, or use profane or indecent language, or be guilty of lying 
 or lewdness, or any other immoral conduct; or be unrul}' or 
 perverse, or disobey the reasonable commands of the Steward 
 or Matron : any inmate so offending shall he liable to confine- 
 ment in the cells for one or more days, at the discretion of the 
 Physician in whose ward the ott'ence occurs; and the Steward 
 shall write in a book the names of all disorderly patients, and 
 the offence for Avhich they are noted. 
 
 Art. 8. No inmate of the Hospital shall directh' or indirect- 
 ly beg for money, or any other thing, of any person visiting 
 the Hospital. 
 
 Art. 4. No one confined in the cells shall be visited b}- any 
 person iinless with the consent of the Visiting Committee, or 
 one of the Trustees, or of the Physician attending the Medical 
 wai'ds, or the House Physician in charge thereof. 
 
 Art. 0. No inmate of the Hospital shall go out of the prem- 
 ises without Avritten permission from one of the Trustees, or of 
 the Attemling or House Physiciiin, specifying when and hoAV 
 long he or she ma}' be absent. If any one, gf>ing out by per- 
 mission, shall be guilty of misconduct while abroad, or shall 
 return intoxicated, or shall not return at the appointed time, 
 or shall bring liquor into the Hos])ital, the name of such person 
 shall be reported. If the Porter shall suspect one going out of 
 improperly carrying away anything, or an}- one coming in of 
 bringing intoxicating liquors or stolen property into the Hos- 
 pital, he shall forthwith stop such persons, and give notice 
 thereof to the Steward. No inmate of the Hospital shall be 
 permitted to be absent from it after sunset, under the penalty 
 of being discharged. 
 
 Art. 6. If any inmate of the Hospital shall elope therefrom, 
 such person shall not be received back unless upon application 
 to the Trustees at a regular meeting. 
 
RULES AND KHGULATIONS FOR THE GOVERNMENT 
 OF THE PHYSICIANS.. 
 
 Rule 1. Jl ^iliall he their duty, when a patient lias recovered, 
 anil been discharged from the Hospital, to enter the name of 
 such person in a hook to he kept lor the purpose in the ottiee of 
 the Steward, which book shall be open for the inspection and 
 information of the Trustees and Visiting Committee. 
 
 ]{ULE '1. Thej' shall not absent themselves troni their duties 
 in the Hospital without permission of the Visiting Committee, 
 and leaving Pliysicians to ivpresent them, to be approved of by 
 the Committee. If the period of expected absence from the 
 Hospital exceeds two weeks, they must apph* to the Board of 
 Trustees in writing for permission to absent themselves, stating 
 the j)eriod during which they may be absent, and the Physician 
 who will assume their duties during their absence; such substi- 
 tute must be entirely acceptable to the Board. In no case shall 
 their absence from their duties exceed one month, without the 
 unanimous consent of the Board. 
 
 Rlle 8. It shall be their duty on every Monday to renew 
 their orders in writing (in a book to be kept for the purpose) 
 for exti'a diet, spirituous liquors, etc., and all such orders not 
 renewed shall be discontinued; l)ut they may countermand any 
 order, within the week, tliat they think ])roj)ei-. 
 
 Rule 4. It shall be their duty to enforce the regulations for 
 the government of the Nurses and Patients, and shall punish 
 refractory and disorderl}- patients in any wa}' they may tliink 
 proper, not contrary to the general regulations of the Hospital ; 
 and when the}' shall impose any punishment, the}- sliall give a 
 written order to the Steward to carry the same into effect, who 
 shall be bound to obey the same, and malve a report thereof to 
 the Visiting Committee. 
 
 Rule 5. The patients in this Institution siiall not, be attended 
 b}' any other Physicians than the regular Physicians of the In- 
 stitution, or such as shall attend for them during their absence 
 from the city, or from sickness. 
 
 Rule G. The Physicians of this Institution shall not be en- 
 titled to remuneration from any individual for attendance on 
 any person or persons admit tcfl into the Hospital. 
 
 Rule 7. Whenever the Physicians shall require for the imme- 
 diate use of their patients an}' articles of clothing or bedding, 
 they shall give a written order to the Steward, who shall fur- 
 nish the same; but if not in immediate want of the said articles, 
 
tlie Steward shall make tlie requisitions of the Physicians known 
 to the Committee 5f Purveyance, who shall furnish the same, 
 or give an order for their proeurement. 
 
 Hulk 8. The Physician shall have the power to remove a 
 maniac from one cell to another. Frovided, that under no cir- 
 cumstances shall they remove a maniac of one sex to an}' cell 
 in the department allotted to the othqr sex. * 
 
 lliJLE 0. It shall be the dutj' of the Physicians to see that 
 all their ordcr^ arc regularly carried into etfect by the Nurses 
 of the Hospital and Maniac department; that the patients are 
 well treated, their medicine regnlarl}^ given, and their diet 
 regularly furnished, and the cells be kept clean and comfortable. 
 
 KuLE 10. It shall be the duty of the Physicians to rcportto 
 the Board, quarterly-, the nun^ber of persons who have been 
 admitted into the Hospital and ^faniac department for treat- 
 ment, and the result of the eases; and shall keep a book, in 
 which the}^ shall enter their names, their diseases, the number 
 recovered and dischai-ged from the said departments, and the 
 number who have died. * 
 
 EuLE 11. The visiting hours of the Physician of the Institu- 
 tion shall be within the hours of 8, a. m., and 10, a. m. 
 
 KuLE 12. The Physician in charge of the Surgical and Obste- 
 trical wards shall have authority to make such rules on the 
 subject of admitting students of medicine into the l3nng-in wards 
 as h^may deem most appropriate. 
 
 IluLE 18. Neither of the House Physicians shall be absent 
 from the Hospital for more than one week witiiout the consent 
 and permission of the Board of Trustees. 
 
 RULES AND PvE(;ULAT10NS FOR Tlft^ GOVERNMENT 
 O? THE PATIENTS IN THE HOSPITAL. 
 
 Rule 1. Every patient, on entering the Hospital, shall be 
 washed, shifted and put to bed clean. 
 
 Rule 2. No dirty clothing shall be carried into the wards, 
 but be delivered to the Master. 
 
 Rule o. All the patients, on the Physician's entei'ing the 
 wards, shall retire to their beds, and remain there until he 
 leaves the Hospital. 
 
 Hi LE 4. No smoking, loud talking, boisterous conduct, crowd- 
 
28 
 
 ing around the stove, spitting on or (Icfacing the stove or floors, 
 shall be anowed. 
 
 IJi i-K o. No sjMritiKMis liquovs. nor articles of diet, drink, 
 medicine, or anything else whatever, shall he brought into the 
 Hospital, excej)! by special permission of the Physieiati. 
 
 JiLLi: (J. No patient shall be permitted to leave the Hospital, 
 without a written order from the IMiysician. 
 
 JUl-K 7. All convalescents shall diet with the iiimau-.- <>! ihe 
 Hos])ital, at the usual hours,*uiiless otherwise Ordered by the 
 Physician. 
 
 \{v\.K >'•. No patient shall carry victuals to hi- Im.I; hm the 
 Nurses shall attend them with nourishment. 
 
 JiULK 0. No victuals of any Uind shall be used i>y Lhc [)a- 
 tionts ex<-opt the diet of the Hospital. 
 
 Hi;lk Id. All lights to be \nil out in the wards at eight 
 o'clock in winter, and nine in summer, except such as are actu- 
 ally necessaiy. 
 
 Ill i,K 11. Any patient having been discharged from the ]Ios- 
 pital for imj)ropor conduct, and jigain obtaining admission. 
 shall be placed in the cells. 
 
 i)UTlP]S AND POWERS OF THE 8TEWA1H) IN RELA- 
 TION TO THE HOSPITAL AND MANIAC DEPART- 
 MENTS. « 
 
 RvLY. 1. It shall be the duty of the Steward, during the ab- 
 sence of the Physician, to see that the Nurses perform their 
 dutj^ as prespribed by their regulations, that the patients are 
 well attended, and that no riot or disorderly conduct be alloweil 
 in the wards. 
 
 liuiiK 2. That in case of non))erformance of the duty of the 
 Nurses, or disorderly' coiuluct, it shall be his dut}' immediately 
 to suspen<l him or hci-. and substitute ^ome person in theii- 
 place, until hetnfoi-ms the Physician of the same. 
 
 lluLE ii. In case of the disorderly conduct of any of the 
 patients, it shall be his duty to conline them (if jtracliealde) 
 until lu- gives information to tiie Physician. 
 
 Kiii.i; 4. Ministers of i-eligion desiring to visit (his Hospital, 
 shall be suffered to do so iietween the houi's ai' t\vel\e o'clock, 
 M., and six o'clock, v. m., daily, or tit any other time at which 
 they may be specially called upon, upon condition, and only 
 
 e 
 
29 
 
 upon condition of previouslj' applj'ing to the Steward, and re- 
 ceiving his consent to tlie same; and, furthermore, of confining 
 the exercise of their sacred functions exclusively to such of the 
 inmates as are of the same religious denomination with them- 
 selves, and wholly lefraining fi-om all interference or officious- 
 ncss with the rest. 
 
 Rule 5. The ChairnKin of the Board, upon report of viola- 
 tion of above rule l»eing received, shall be required to notify the 
 individual or individuals so offending of the incongruity of his 
 or their conduct with tlie laws of the Institution, i-equiring him 
 or thcn\ (o discontinue the same; and also, of the rule which 
 will compel the Board, upon its intentional repetition, of ex- 
 cluding him or them for the future from the privileges accorded 
 to the profession in general. 
 
 Rule G. Such admonition having been given, any pi-olcssion- 
 al visitor, thenceforward repeating the oft'eiice, shall be pre- 
 cluded from entering the door or doors of the Hospital, unless 
 ])roper assurance be given of intention faitVfull}' to conform to 
 these requisitions, ado])ted with a view to promote a courteous, 
 if not harmonious disciiarge of the Christian charities in the 
 visitations to the unfortunate objects of the benefice. 
 
 Rule 7. It shall be his dutj' to see that all the wards are 
 kept clean, and have all the tilth and dirt removed as soon as 
 ])ossible. 
 
 Rule 8. It shall be his duty, as soon as a dvath occurs, to 
 have the body removed to the dead-house or otherwise, and 
 have the clothes, bed, linen, etc., washed, and the straw burnt. 
 
 Rule 9. It shall be his duty to give notice to all persons 
 bringing patients into the Hospital that, in the event of the 
 death of such patients, no announcement, through the news- 
 pajiers or otherwise, of any burials from the Hospital, will be 
 permitted. The body of a patient dying in the Hospital shall 
 not be removed from th^ iiouse unless decently enclosed in a 
 proper coffin. 
 
 Rule 10. It shall be his duty to see that the Cell-keeper and 
 the Nurses in the Maniac department perform their duty well, 
 and follow strictl}'' the orders of the Physician ; and in case of 
 neglect or disorderly conduct, he shall be authorized to suspend 
 them, and report to the Physician and Visiting Committee. 
 
 Rule Jl. It shall be the duty of the Steward to remove all 
 persons, who have bee ; discharged by tlie Physician, Irom the 
 
30 
 
 Hospital, immcdiatch', and not pirinit any persons to romain 
 who arc not nndor the IMij-sician's care. 
 
 RULES FOK THE (JOVERNMEXT OF THE XURSFS IN 
 Till-: iroSPITAL AXl) M AXFAC DKPARTMENTR. 
 
 RiLK 1. Jt shall he the duty <>1' the X^urses to attend the 
 Phj'sieiaMs whenever they visit the wards, and ij;ive eveiy in- 
 formation of" the state and conduct of the patients durinj; Ids 
 absence; and the Physician of the ]los}(ital shall attend all 
 such cases except the Surgical, which shall he turned over to 
 the Surgeon. 
 
 Rule 2. It shall he lluir duty to rcj)ort to the Physician in 
 charge (or in. hia absence to the Steward), any disorderly con- 
 duct of the patients during his absence. 
 
 Rui.K 3. Jt shall be their duty to follow strictly the orders of 
 the Pliysician in charge, in ailministering medicine, nourish- 
 ment, or any othcr'orders lie shall give. • 
 
 Rule 4. It shall be tlu'ir duty to attend to the comfort ot 
 the patients, to treat- them kindly, particularly those confined 
 to their beds, and see that all tilth and nuisance are removed 
 from their beds as soon as possible. 
 
 Rule 5. It shall be the duty of the Cell-keeper and Nurses 
 in the Hospital ;ind ]\[aniac departmeni, to keep the wards in 
 clean and decent order, and gee that the bedding and persons 
 of patients are kept clean. 
 
 Rule 0. It shall be the duty of the ("ell-kecper and Nurse ot' 
 the Maniac department to attend all j)ersons placed in that 
 department, whether maniac or not, so long as tlfry remain 
 there. 
 
 Rule 7. Il shall be the duty of the Cell-keeper an<l Nurses 
 of the Maniac dcpartnu'iit to i-eside in that depai'Iment, and 
 observe particularly all tlic regulations relating to the same. 
 
 Rule 8. It shall he tlie duty of the ( V'll-k-eeper or chief 
 Nurse in the Maniac department, to search a maniac as soon 
 as admitted, and take from him or her every knife or othei- 
 weapon in his or her jjosses.sion. 
 
 Rule 'J. Jt shall be the duty of the Cell-keeper or chief 
 Nurse of the Maniac Jlospital to allow no visitor to enter the 
 department unless accomnaini'd bv the I'hvsician. Steward or 
 Matron. 
 
31 
 
 Hulk 10. The Cell-keepev or chief Knrse in the Maniac de- 
 partment shall not suflfer a knife, billet of wood, or anything 
 calculated to do harm or injury, to remain in the department, 
 under a penalty of forfeiture of one months wages. 
 
 EuLE 11. A head Nurse may be appointed when deemed 
 advisable by tlie Board, whoso duty it shall be to have general 
 supervision of all the Avards, and be directly responsible to the 
 Trustees for all oiiiissions of duty and improper conduct on the 
 part of the Nurses; he shall be allowed a salary of two hundred 
 and forty dollars (§240) per annum; if acting also as Apothe- 
 cary, he shall receive an additionul compensation of five dollars 
 (fo) per month. The salai'ies of the sub Nui'ses shall be one 
 hundred and eighty dollars ($1S0) per annum, and they shall be 
 under the direction and control of the head Nurse, when such 
 officer exists. 
 
 Rule 12. Whenever any of the sub-officers are discharged for 
 improper conduct, their wages from last pay-day shall be for- 
 feited. 
 
 KuLE 13. The Nurses shall be held responsible for, all avoid- 
 able damage to clothing, furniture, etc., in their respective 
 wards. 
 
 Rule 14. If any of the Nurses or sub-officers desire permission 
 to leave the Hospital, aj^plication must first be made to the 
 ^Steward — if there is no objection on his part, the permission 
 must be approved by one of the House Phj-sicians. 
 
 BOOK AND DOOR KEEPER. 
 
 The Board may, at their discretion, appoint an officer to be 
 called the Book and Door Keeper, whose duty it shall be to at- 
 tend the door, register the admissions, discharges, descriptions, 
 etc., of the patients, transcribe the minutes of the Board from 
 the rough to the permanent minute book, give notice to Com- 
 mittees and others concerned of any duties devolved on them 
 by the action of the Board, and to record such other matters 
 as he may from time to time be directed bj' the Trustees. As 
 a compensation for these sei'viees, he shall receive a salary of 
 three hundred dollars (^300) per annum. In the absence of 
 snch officer, the Secretary is authorized to employ some com- 
 petent person to transcribe the minutes for the sum of sixty 
 dollars ($60) per annum. 
 
1 X 1) !•: \' 
 
 PA«r. 
 Trustees aiiil I'rineijial Oflieers, ..... .'? 
 
 Order of Busiiies.s, . . . , . . .1 
 
 Adoptf'i/ hy the Mxliral Societi/. 
 
 Skc. 1. — Of tlie Distribmion of the I'atients and fJeneral Apportion- 
 ment of the different pails of tlie Huildin;;, . . 
 Skc. 2.— Of tlie Tru.stees, ..... Ihiil 
 Skc. 3. — Of the Consultin<r Phv.sieian. . . . .11 
 Skc. 4.— Of the Attending,' J'hysicians, . . . . Ihid 
 Sec. 5.— Of the Honse Physieian.s, . . . . . l.J 
 
 Sec. 6. — Of the Steward and Matron, . . . .14 
 
 '' . . . . 
 
 Skc. 7. — Of the Achnission and Discharjie of Patients, . .1.5 
 
 Skc. 8. — Of the A(hnis.««ion of Students of Medielhc, . . 16 
 
 4 
 
 Adopted by the Trustees. 
 
 Sec. 1. — Concerning tlic Trustee?, . . . . 17 
 
 Sec. 2. — Concerning Committees, . . . .18^ 
 
 Sec. 3. — Concerning the Master and the Matron, . . 20 
 
 Sec. 4. — Concerning the A(hnission into the Hospital, and Discharge 
 
 tlierefrom, . • . . . . . 23 
 
 Sec. 5. — Conceining Diet, . . . . . . Ibi<l 
 
 Sec. 6. — Concerning the Conduct of Inmates of the Hospital, . 25 
 
 Rules and Regulations for tlie (iovernnient of the Physicians, . . 20 
 Rules and Jlegiilations for the (Government of the Patients in the Hos- 
 pital, . . . . . 27 
 
 Duties and Powers of the blaster in relation to the Hospital and Maniac 
 
 Dejiartnients, . . . . . '28 
 
 Rules for the (iovernment of I lie Nurses in the Hospital and jManij^c 
 
 Departments, .... .30 
 
 Book and Door Keeper, . • . . . . .31 
 
I 
 
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