to be engaged, all necessary cooks, nurses, and such other employés as may be required for the proper attendance and comfort of the inmates, and will have power to discharge for cause; but the approval of the committee on expenditures is requisite before the employment of laborers or workmen on the buildings or grounds. 2. He shall visit every patient in the hospital at least once every day. 3. No capital operation shall be performed, except in cases of urgent necessity, without the approbation of a majority of the consulting board present after due notification, nor shall any operation be performed other than by the surgeon in charge, unless with his and their approval and consent. Unless in cases of emergency, no medical examination of patients shall be made, except by the surgeon in charge, or by his express direction in each case, and with such of the consulting board as he may select to assist him. But no private patient shall be visited, examined, or prescribed for by other than the surgeon in charge, unless by special request of such patient, and in consultation with the surgeon in charge. 4. In order to render the hospital, so far as may not conflict with the welfare of the patients, conducive to the advancement of medical science, the surgeon in charge is authorized to give clinical instruction to the students admitted to see the practice of the house, and will make and enforce such rules and regulations as will effectually guard against any examinations of patients by pupils, except under his own inspection, and all acts calculated to alarm or injure the patients. 5. The resident physician and surgeon in charge will reside in the hospital, and receive his board and lodging free, and such salary as the board of directors may determine. He will keep an exact record of each patient, devoting all his time to the interests of the inmates, so that the hospital shall never be without a competent medical attendant. 6. He shall receipt for all surgical and medical property required by the hospital for its use, and no voucher for any such articles shall be paid unless indorsed by him as received for the use of the hospital; and at the annual meeting of the board he shall make a report of all books, surgical instruments, medical stores, &c., in his possession; and no such book, medical or surgical appliance, or other property of the hospital shall be removed therefrom without his written order, upon which shall be indorsed the receipt and security for their return, in proper order, by the party desiring their temporary use. CHAPTER VIII.—Consulting physicians and surgeons. 1. The consulting physicians and surgeons shall be considered coun selors of the surgeon in charge, and shall be invited to attend at all capital operations, &c., and no capital operation shall be performed against the advice of a majority of such board present, except as specified in chapter 7, section 3. They shall give their counsel in all cases when called upon by the surgeon in charge. 2. Each consulting physician and surgeon shall have the privilege of introducing students to see the practice of the house on the days and at the bours appointed by the surgeon in charge, with his consent. 3. One-fourth of the board shall be on duty for three months each year; during their term of service they shall inspect the hospital in company with the surgeon in charge and resident physician once during each week, and on each visit they will report in writing, in a book to be kept for that purpose, the condition of the patients and building. They will also present at each annual and semi-annual meeting, to the board of directors, a report of the medical and surgical service of the hospital. 4. At the request of the surgeon in charge, the visiting physician and surgeon may visit any particular patient as often as he (the surgeon-in charge) may desire; but in no case shall the surgeon in charge elect other than the visiting physician and surgeon to make such visits, except by request of the patient, and with the approbation of such visiting physician and surgeon. All consultations shall be confined to members of the consulting board, except as above provided; and no surgical operation shall be performed except by the surgeon in charge, or, at his request, by some member of the consulting board, or other fully recog nized member of the profession, and with the approbation of the members of the consulting board present. 5. The consulting physicians and surgeons shall elect one of their number, who shall be an ex-officio member of the board of directors, but not entitled to a vote, and shall be present at all meetings of the board for the purpose of consultation. CHAPTER IX.-The matron. 1. The matron is the housekeeper of the establishment, under the general direction of the surgeon in charge. She shall have the immediate oversight and direction of its domestic management, and shall superintend and direct the cooking and distribution of food; shall see that the supply is sufficient and of good quality, and in all cases precisely in accordance with the orders of the surgeon in charge. 2. She shall visit all patients in the institution at least once every day; and if any complaints are made by the patients of incivility, want of proper attention, or improper conduct by the nurses, she shall report the same immediately to the resident physician and surgeon in charge on his next morning visit. 3. She shall have charge of, and be responsible for, all the furniture of the establishment, including bed-linen, &c., and shall report through the surgeon in charge at each annual meeting all such furniture received by her for the use of the hospital during the year, also all that has been worn out and disabled; and no voucher for any such articles shall be paid unless indorsed by her as so received for the use of the hospital. 4. The matron will receive visitors, wait upon them through such parts of the building as the surgeon in charge may direct, and perform any other in-door service he may require. 5. She shall keep a correct account of the reception and discharge of patients and the terms of their admission; make out the bills for their board, and receive payment for the same; and all moneys received by her belonging to the hospital shall be paid to the treasurer at the end of each month, or as much oftener as he may direct. CHAPTER X.-Nurses and employés. 1. The nurses shall treat the patients with uniform kindness and respect, evince good-will, interest, and sympathy, and never address a patient coarsely or with rudeness. 2. Any complaints made to the nurses by the patients shall be immediately reported to the matron. 3. Under no circumstances will a nurse or other employé be allowed to inform any visitor of the nature of the disease from which a patient may be suffering, nor will they be allowed to speak with disrespect of any officer of this institution, under pain of immediate dismissal. 4. Employés will not be permitted to absent themselves from the institution without first obtaining the consent of the surgeon in charge, or, in his absence, of his representative; and in all cases they will be subject to such regulations as he may find necessary to establish. CHAPTER XI.-Patients. 1. Patients will be admitted to private rooms in the institution on the payment of not less than $6 per week, the amount to vary with the room occupied and the attendance required. Board payable weekly in advance. This includes medicines, medical and surgical attendance. 2. Patients will be admitted to the free beds of the institution by an order from the Secretary of the Interior or the Surgeon-General of the United States Army. 3. No patient will be admitted without being first examined by the surgeon in charge and receiving his approval. 4. Patients will be discharged by order of the surgeon in charge only. 5. No patient will be admitted who may be suffering from a contagious or permanently incurable disease. 5. No patient shall, against her will, or without her consent, be taken to the lecture-room as a subject for clinical instruction. CHAPTER XII.-Visitors. 1. Visitors may be admitted between the hours of 10 a. m. and 4 p. m. on Tuesdays and Fridays of each week, or at other times by special permission of the surgeon in charge. 2. No visitors will be allowed to carry articles of diet to patients unless by permission of the surgeon in charge and resident physician. 3. Patients will receive visitors in the parlor unless confined to their rooms. 57 I CHARLES H. NICHOLS, A. M., M. D., Superintendent and ex-officio Secretary of the Board of Visitors WILLIAM H. MORRELL, M. D., First Assistant Physician. ROBERT H. CHASE, M. D., Second Assistant Physician. A. H. WITMER, M. D., Third Assistant Physician. MAURICE J. STACK, M. D., Fourth Assistant Physician. |