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Photographic

Sciences
Corporation

33 WEST MAIN STREET
WEBSTER, N.Y. 14S80

(756; 372-4303

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1 2 3

^OVA SCOTJ4

PROVINCE HOUSE

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FOR THE REGULATION

OP tHS

fmHuUi ikth €i% ^«J>«a^

CHAPTER L

THB comnTMas or MANioEireirf

I Shall be composed of five membersof the Board
.f ComSioners, 4. the Chaimj^n ,^^^^^^^

His Worship the Mayor, Drs. Black and ^^'^^'^

II The Commfttee of Management shall transact
the ordinary Inismees of the Hospital, and shall do to
ntmoS to^e that the several regulations heremafter
^Intataed Z duly attended to^ for which purpose they
r lTn:et"rthe kspital at least once every weeMn
I stated day and at a regular hour, such day and hour
to he fixed'at their first meeting and ** «^«^J^^;
times as they«ay think expedient ;\ ^^^^^'^^
^uty to enquire into the conduct o^ »^»^*»«'.^*^^ ^^
servant* of the Hospital, and to ^J^^ll^^'^^'^rJl
irregularities or ««ts of ^^'^^'^X^'^o^r^CoZ
reoSrs (subjedt to the approval of the Board <«J^«™
SneVs),^to audit, bspect, *nd appre^ all ^ceounts,
^■d to order payment of the same.

in. Three members of this Committee shall forma

'^^'^rT'They shall, at their meetings, ««ake minutes^

the^ pr<;^Sing. ; hic^ ^^^J^^l^jJ^^^^^
Seorel«rj to transcribe into a- boolfi, wnien m

1^ -.?..•:

shall be submitted to the Board of Commissioners aC
their regular monthly meetiogs.

V. This Committee shall have the power, and it
shall be their duty to engage and discharge all servants
of the Hospital, and fix their wages.

VI. They shall insert;- or cause to be inserted in a
book provided for the purpose, all orders to the
Steward or other oflBcer in charge of this department^
for the purchase of stores, which orders mus* be signed
by a member of the Committee.

VII. They {shall receive or reject applicants for ad-
mission as in their discretion they shall think advisable,
having regard to the existing circumstances of the
Hospital, but they shall admit no person without a
previous examination by some member of the Medical
Board, or the resident physician.

Vni. They shall also determine whether the ap-
plicant shall be received as a pauper or pay patient,
and in the latter case, they shall agree as to the price
to be paid weekly, and take such security as they may
deem requisite. They shall also direct the names of
all patients received or discharged to be entered into
a Book kept for that purpose.

IX. They shall regularly inquire of the Physicians
and Surgeons, or in their absence, the Resident Phy-
sician, whether any of the pauper patients are incurable
Or in a condition to be discharged, so that no improper
objects be permitted to remain.

X. In case the Resident Physician, or any of the
Officers of the Institution, shall neglect any of the
duties prescribed to them, or refuse to comply with
any reasonable request of the Committee of Manage-
ment, this Committee may suspend the Officer so
ofiFendiug, and report the case, with the attending factsy
to the Board of CommissionerSi^

'(■

CHAPTER II.

OF THE MEDICAL BOARD.

I. The Medical Board shall consist of the Con-
sulting and Attending Physicians and Surgeons, who
shall hold their offices during the pleasure of the Board
of Commissioners.

II. The Medical Board shall advise the Board of
Commissioners, Uirough the Committee of Management,
in all matters pertaining to the health and physical
well-being of the inmates of the Hospital.

III. The Consulting Physicians and Surgeons shall
be considered as Counsellors ) and shall be invited to
attend at all capital or important operations in the
Hospital, and in Medical oases when desired.

IV. There shall be eight attending Physicians and
Surgeons appointed by the Commissioners, who shall
make such arrangements among themselves that the
Hospital be visited once every day at least by two of
them. The visiting hour for the attending Medical
officers shall be twelve o'clock (noon) of each and every
day, Sundays excepted.

V. No person shall be eligible to the office of Con-
sulting or Attending Physician or Surgeon, who is not
a graduate of a University or a Licentiate or member
of a College of Surgeons recognized by the Profession,
and of high standing.

VI. Should any one of the Medical officers be un-
able from illness, or intended absence from the City,
to fulfil the duties of his office, he shall obtain a sub-
stitute during the period of such absence from among
his colleagues.

VII. In all important Surgical cases requiring ope-
rations, (except in emergencies where delay might be

dangerous,) and in medical cases when desired, a con-
sultation of the whole Me^Kal Board of the Ilospital
shall be summoned.

VIII. The attending Medical officers shall have the
power to adiqit and discharge patients — in cases of
•mergency the House Surgeon shall in the absence of
the Medical officers advit patients at any hour ot the
day or night.

IX. The Medical Board siiall regulate the diet of
the patients.

X. The attending Medical OflBcers shall have the
power to appoint their own dressers and clerks from
among the Students.

XI. That for the purpose of pathological investi-
gation the attending Medical officers of the Eospital
shall have the power of examining the Indies of
patients decea;3ed within it, at their discretion ; and
such examination shall only be made in the presence of,
or by the order of the same.

XII. Any attending Physician or Surgeon may,
after having acted in thr.t capacity for ten years, be-
come £^ consulting Physician or Surgeon of the
Institution.

CHAPTER III.

OF THE BOUSE SURGEON AND AFOTEECA^T.

I. The Gommiesioners ^<hall appoint to fill the
office of House Surgeon and Physician, and to perform
the duties ot Apothecary to the Institntion, a Graduate
or lyicentiate of some recognized university or College
of Surgeons, who shall not engage in private pr^tiqe
either in or out of the HospiiiL

II. This officer shall visit all the occupied wards
and other apartments and o^ces in th<Q Hospital at

least orce every^oming and evening, and oftener
when rc«iuired so to do by the attending Physicians
and Surgeons. IJo must be prepared to report to his
superior Medical Officers the state of the patients since
their lust visit.

in. In any oiiee of an urgent nature this officer
shall immediately summon the attending Physician or
Surgeon, as the case may Imj, and if he cannot be
found, he shall call upon the nearest member of the
Medical Board.

IV. He shall not absent himself from the Hospital
more than is absolutely necessary, and shall always
(except in case of illness) be present at the visiting
hour, When away from the grounds of the Hospital,
he must leave word with the next officer in charge
where he is to be found.

V. He must always be in the Hospital at a season-
able hour in the evening, and must never sleep out of
the building without first providing a substitute to be
approved of by the Committee of Management.

VI. He. shall keep a list and have charge of all the
Surgical instruments l)elonging to the Hospital, and
shall be responsible for the same, and for the order in
which they are kept.

VII. He shall also make up all the Tinctures, Pills,
and preparations required, and shall dispense all pre-
scriptions ordered for patients under treatment. It
shall be his duty to see that the requisite stock of
Medicine is always kept on hand— and all his requisi-
tions to the Committee of Management for necessary
supplies of drugs and surgical instruments must be
countersigned by two of the attending Medical officero.

VIII. He shall keep a report of all cases, Medical
and Surgical, admitted into the Hospital, and record

the treatment adopted. He shall affix the name and
other particulars connected with each patient at the
bed's head, and he shall enter in the register of patients
the name, sex, af?e, religion, country, place of residence,
disease and time of admission of every patient received
into the Hospital, also the name of the person by whom
the patient is recommended, and whether a pauper or
pay patient, and if the latter, the rate charged per
week, and the time and the manner in which every pa-
tient leaves the Hospital.

IX. It shall be his duty to notify the members of
the Medical Board when a consultation is required.

X. He shall draw up a report of the state and
number of patients admitted and discharged previously
to the meetings of the Committee of Management.

XI. He shall attend the weekly meetings of the
Committee of Management, and act as their Secretary.

XIT. It shall be his duty to certify the regular at-
tendance of the Medical students at the Hospital, and
to promptly report to the Committee of Management
any irregularity or misconduct on the part of such
students.

XITI. In all cases when it becomes necessary to
notify the Coroner of the sudden death of any individual
within the precincts of the Hospital ; it shall be the
duty of the House Surgeon to give such notice, and on
the holding of the inquest he shall be the Medical Of-
ficer referred to for information by that Functionary
and the Jury summoned by him, and shall be entitled
to the fees paid in such cases.

XIV. It shall be his duty to perform all post
mortem examinations ordered by the Attending Phy-
sicians and Surgeons for Pathological purposes, but he

sliall make no sach examination on bis own respon'
sibility.

XV. It shall see tliat the Hospital in all its depart-
ments, and everything belonging to it, is kept clean and
in proper order.

XVI. He shall, whenever a patient desires it, send
for a Clergyman of his or her denomination.

XVII. Upon the death of any patient he shall ap-
prise the friends of the deceased of the fact ; as also the
physician oi* surgeon under whose medical or surgical
care the deceased has been, and cause such death to be
registered in the office of the Deputy Registrar of
Births, Marriages and Deaths for the City of Halifax.

CHAPTER IV.

OP THE STEWARD.

I. He shall be elected by the Board of Commis-
sioners, and shall produce testimonials of character and
qualifications satisfactory to that body, and shall be
considered the second officer of the establishment, and
in the absence of his superior shall have charge of the
Hospital, and shall obey its laws, and all regulations
and rules given to him by the Committee of Manage-
ment.

n. He shall take charge of the furniture, stores,
and provisions' as they are brought to the Hospital : see
that all are of good quality, and that the latter are of
proper weight and measure.

HI. He shall keep a daily account in a book pro-
vided for that purpose of the quantity received into,
and delivered out of store. He shall also every quar-
ter take an inventory of all the above articles in his

ensCody as stares, for the information of the Committee
of Management.

rV. He shall purchase, under the direction of the
Committee of Management, provisions and all other
stores for the use of the Hospital, excer* medicines.

V. He shall keep under his key all wines, spirits,
sugar, molasses, unmade linen, blanketing, and all other
stores and necessaries.

Vr. He shall keep in a book provided for that pur-
pose a regular account of all monies received and dis-
bursed by him on behalf of the Hospital.

Vn. He shall enter in a book to be kept for that
purpose an account of all money, clothes, or other arti-
cles belonging to any patients who may wish to deposit
the same in his charge, and he shall return all such
deposits to them when discharged, or, in case of death,
to their representatives.

VHI. He shall not employ any patient without the
sanction of the Physician or Surgeon, under whose care
sucu patient is placed.

IX. He shall have the power, under the direction of
the Committee of Manj^ment, to hire and dismiss all
the nurses and servants employed in or about the
Hospital ; and should any of these employed be guilty
of profane swearing, drunkenness, bringing spirituous
liquors clandestinely into the house, or other gross
misconduct, he shall promptly, with the concurrence of
the House Surgeon, dismiss them, and report the matter
to the Committee of Manugement.

X. He shall take particular care that no wine or
spirits are used in the Hospital, except by the direc-
tions of the Physicians or Surgeons for the use of the
patients.

XL He shall personally supervise the distribution
of the milk, bread, meat, and such other articles as are
required in the wards, according to the diet book, and
shall make out from the daily return of diets, the neces-
sary calculation for the quantities of the articles re-
quired for the day's consumption, and shall fill up and
sign the orders for the daily supplies.

CHAPTER V.

THE MATRON.

The Commissioners shall appoint a Matron, who
shall reside in the Hospital, in apartments to be de-
signated by the Committee of Management, and who
shall receive a salary of per annum, but shall not

be allowed any other emoluments, perquisites or fees,
whatsoever.

HER DUTIES.

I. She shall visit all the wards in the Hospital
twice every day, and see that they are properly at-
tended by theiiurses and assistants.

H. She shall oversee the patients and servants, and
take care that the wards, bath rooms, halls, windows,
entries, and medical officers' apartments, the beds,
clothes, linen, and other things are kept clean ?j\d in
order.* All the patients, nurses, and servants, under
the direction of the Steward must obey her orders.

HI. She shall immediately report to the House
Surgeon any of the nurses or their assistants who n^-
lect to keep their wards in order, or violate any of the
rules of the Institution.

rV. She shall take care of all the household goods
and furniture placed by the Committee of Management,
House Surgeon or Steward under her charge.

CHAPTER VI.

NURSES.

I. Immediately on the admission of patients, tlie
nurses shall attend to their cleanliness, giving them a
bath, unless otherwise ordered by the attending Medical
Officer or House Surgeon, and shall deliver without
delay to the Steward their clothes after an inventory
has been taken.

n. In the event of any patient being seized with
unusual or alarming symptoms they shall give immediate
notice to the House Surgeon.

ni. They shall receive no medicines sent from the
Apothecary's shop to the ward which shall not be la-
belled and directed.

IV. They shall pay particular attention to the
cleanliness of the patients, their clothing and bed
clothing.

V. They shall on no account allow anything to be
brought into the ward or given to patients except that
which is ordered.

VI. They shall give immediate notice to the House
Surgeon or other superior officer when any patient shall
have violated any of the Bye-laws of the Hospital.

VII. They shall not unnecessarily leave their
respective wards when on duty, nor leave the Hospital
without permission of the House Surgeon. They feliall
always keep themselves clean and respectably clothed,
and render a willing obedience to all the orders of the
resident and other Medical Officers, the Steward and
Matron.

CHAPTER VII.

OP THE 3TDDENTS ATTENDING THE HOSPITAL.

I. The Students of regularly qualified practitioners
in the city, shall be admitted by ticket signed by two
naenabers of the Medical Board, to attend at the regular
visiting hour, and at no other time, except by special
permission, to witness the practice of the Hospital.

n. Every Student so admitted shall behave with
decorum and propriety.

HI. Any Student who shall infringe any of the
regulations of the Hospital, or be guilty of any improper
conduct, shall be deprived of his ticket with its attend-
ing privileges.

CHAPTER Vni.

OF THE PATIENTS.

I. No patient sliall be admitted into the Institution
until he or she shall have been examined by some mem-
ber of the Medical Board, and pronounced by such
officer to be a suitable person for Hospital treatment.

II. In any urgent case, when delay may be dan-
gerous, the House Surgeon or Physician shall have
power to admit patients, and shall immediately give
information to the Physician or Surgeon, as the case
may be, in whose ward such patient may be placed,
and if he cannot be found, to any other member of the
Hospital Medical Board.

III. No patient shall be admitted into the Hospital
whose case shall be considered incurable, or who is in-

sane, or whose case does not require the particular
benefit of an indoor practice.

ly. No woman in advanced pregnancy shall be
admitted as an indoor patient.

V. No children under six years of age, except in
cases where the greater operations are to be performed,
shall be admitted into the Hospital.

yi. Such patients as are unable to pay for their
mamtenance shall be received as paupers, such as are
able to pay shall be admitted as pay patients, and
none of these at less than per week, for the pay-
ment of which security must be given.

VII. Seamen provided for by law. Chap. 8, Sec.
V. Acts of 18 G6, shall be admitted, and shall receive
the benefits of the Hospital.

VIII. Lock ward cases, male and female, shall be
treated in separate apartments if the necessary accom-
modation can be afforded, payment to be exacted from
such patients when possible.

IX. Two beds, (one in the men's, and one in the
women's wards) shall be kept in reserve to receive sujh
patients as may from sudden accidents be in need of
immediate relief.

X. The applicants for admission shall attend at the
Receiving Koom of the Hospital at any time from II
a. m. till 1 p. m. , (Sundays excepted).

XI. No patient shall leave the house unless by per-
mission of the Resident Physician ; nor play at any
gameof hazard within the Hospital, nor introduce any
spirituous liquor." into the premises.

XII. No male patient shaJl go into the women's
apartments, wards, or grounds, nor any female {>atient
into the men's apartments.

XIII. No patient shall smoke tobacco in the wards,
corridors, or elsewhere in the house wiihout permission
of the House Surgeon.

XIV. If any patient shall not conform to the fore-
going regulationp, or such further regulations as shall
from time to time be made for their government, or
shall use profane or indecent language, or get drunk or
behave rudely or indecently, or shall wilfully w.vte or
destroy the Ho pital property, or refuse treatment,
such patient shall be reported to the House Sur^jeon,
who shall have the power to dismiss the offender if
necessary.

XV. No patient shall be out of his ward after dark,
or before breakfast in the morning without permission.

CHAPTER IX.

VISITORS.

The friends of patients shall be admitted from
11 a. m. to 12 m., every day in the week except
Sunday.

II. Fem&le visitors shall not be admitted into the
male ward*, nor male visitors into the female wards,
unless by special permission.

III. No eatables, bottles or packages of any kind
shall be taken by visitors into the wards, all such must
be left with the Steward or Matron marked with the
names of the persons for whom they are intended.

rV. The general visiting day for persons wishing to

IV^i I°«^J'"'»o° shall b3 Thursday of each week from
* lo 4 p. m.

.J- , ^? Sundays, visits to the patients shall be per-
mitted only m case of extreme sickness, and then only
with the consent of the House Surgeon.

FORM OF RECOMMENDATION.

•uT^^^•^*^^' ^'^°^ one thousand

eight hundred and sixty,

I recommend to be admitted into the General Hos-

f'*^' ^l , shall appear to you a proper oh-

ject, after having been examined by the attending medical
officer.

To the CommUtee of Management of the General Hospital.

FORM OF SECURITY FOR PAY PATIENTS.

A. B. being admitted a patient in the General Hospital
at my request, I., C. !>., residing in do hereby

promise to provide A. B. with sufficient clothing while
there, to pay Commissioners of said Hospital per

week for A. B.'s board during continuance there,

to be removed when discharged, and to pay the expenses
of burial if die there.

Witness my hand this day of 186

CD.

i*X*

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