.%. ^n%. 
 
 
 IMAGE EVALUATION 
 TEST TARGET (MT-3) 
 
 
 1.0 
 
 I.I 
 
 11.25 
 
 laia 12.5 
 
 |5o ""^■' mWM 
 
 2 ,„„2^2 
 
 1^1 
 
 us IM 
 
 ^ IIIIIJ4 
 
 Photographic 
 
 Sciences 
 Corporation 
 
 <v 
 
 ^\^ 
 
 •\ 
 
 t 
 
 :\ 
 
 \ 
 
 «^^ 
 
 
 
 23 WEST MAIN STREET 
 
 WEBSTER, N.Y. 14580 
 
 (716) 872-4503 
 
 
.^. 
 
 
 f/. 
 
 .<$> 
 
 CIHM/ICMH 
 
 Microfiche 
 
 Series. 
 
 CIHM/ICIVIH 
 Collection de 
 microfiches. 
 
 Canadian Institute for Historical Microreproductions / Institut Canadian de microreproductions historiques 
 
Technical and Bibliographic Notes/Notes techniques et bibliographiques 
 
 The Inst!; irp has attempted to obtain the best 
 original copy available for filming. Features of this 
 copy which may be bibliographically unique, 
 which may alter any of the images in the 
 reproduct:on. or which may significantly change 
 the usual method of filming, are checked below. 
 
 □ Coloured covers/ 
 Couverture de couleur 
 
 I I Covers damaged/ 
 
 D 
 
 D 
 
 D 
 D 
 
 D 
 
 D 
 
 Couverture endommagie 
 
 Covers restored and/or laminated/ 
 Couverture restaurie et/ou pelliculie 
 
 I 1 Cover title missing/ 
 
 Le titre de couverture manqte 
 
 r— I Coloured maps/ 
 
 Cartes gdographiques en couleur 
 
 Coloured ink (i.e. other than blue or black)/ 
 Encre de couleur (i.e. autre que bleue ou noire) 
 
 r~~1 Coloured plates and/or illustrations/ 
 
 Planches et/ou illustrations en couleur 
 
 Bound with other material/ 
 Relii avec d'autres documents 
 
 Tight binding may cause shadows or distortion 
 along interior margin/ 
 
 La re liure serrAe peut causer de I'ombre ou de la 
 distortion le long de la marge int^rieure 
 
 Blank leaves added during restoration may 
 appear within the text. Whenever possible, these 
 have been omitted from filming/ 
 II se peut que certaines pages blanches ajout6es 
 lors d'une restauration apparaissent dans le texte, 
 mais, lorsque cela itait possible, cos pages n'ont 
 pas M filr*<ies. 
 
 Additional comments:/ 
 Commentaires supplimentaires; 
 
 L'Institut a microfilm^ le meilleur exemplaire 
 qu'il lui i> M possible de se procurer. Les details 
 de cet extmplaire qui sont peut-Atre uniques du 
 point de VMe bibliographique, qui peuvent modifier 
 une image reprod*.'^ ta, ou qui peuvent exiger une 
 modification dans la m^thode normale de filmage 
 sont indiquis ci-dessous. 
 
 Coloured pages/ 
 Pages de couleur 
 
 □ Pages damaged/ 
 Pages endommagies 
 
 □ Pages restored and/or laminated/ 
 Pages restauries et/ou pelliculdes 
 
 ry] Pages discoloured, stained or foxed/ 
 
 D 
 
 Pages d6color6es, tachetdes ou piqudes 
 
 Pages detached/ 
 Pages d6tach6es 
 
 Showthrough/ 
 Transparence 
 
 Quality of prir 
 
 Qualiti inigale de I'impression 
 
 Includes supplementary materii 
 Comprend du materiel suppldmentaire 
 
 Only edition available/ 
 Seule Edition disponible 
 
 I I Pages detached/ 
 
 rri Showthrough/ 
 
 r~pi Quality of print varies/ 
 
 I I Includes supplementary material/ 
 
 I I Only edition available/ 
 
 The I 
 toth 
 
 The 
 poss 
 ofth 
 fiimi 
 
 Origi 
 
 begii 
 
 the 
 
 sion, 
 
 othe 
 
 first 
 
 sion, 
 
 or ill 
 
 Pages wholly or partially obscured by errata 
 slips, tissues, etc., have been refilmed to 
 ensure the best possible image/ 
 Les pages totalement ou partiellement 
 obscurcies par un feuillet d'errata, une peiure, 
 etc., ont 6t^ filmdes i nouveau de fapon d 
 obtonir la meilleure image possible. 
 
 The I 
 shall 
 TiNU 
 whic 
 
 Mapi 
 diffei 
 entirt 
 begin 
 right 
 requi 
 meth 
 
 This item is filmed at the reduction ratio checked below/ 
 
 Ce document est film6 au taux de reduction indiqu6 ci-dessous 
 
 10X 1411 18X 22X 
 
 
 
 
 26X 
 
 
 
 
 30X 
 
 
 
 1 
 
 
 
 
 
 
 
 
 
 s/ 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 '"■ 
 
 
 12X 
 
 
 
 
 16X 
 
 
 
 
 20X 
 
 
 
 
 24X 
 
 
 
 
 28X 
 
 
 
 
 32X 
 
 • 
 
 
tails 
 I du 
 odifier 
 une 
 mage 
 
 rrata 
 o 
 
 3elure, 
 1 d 
 
 32X 
 
 The copy filmed here hat been reproduced thanka 
 to the generoaity of: 
 
 Library of the Pubiic 
 Archives of Canada 
 
 The imagea appearing here are the best quality 
 poasible considering the condition and legibility 
 of the original copy and in iceeping with the 
 filming contract specifications. 
 
 Original copies in printed paper covers are filmed 
 beginning with the front cover and ending on 
 the last page with a printed or iiiuatrated Imprea- 
 sion, or the back cover when appropriate. All 
 other original copies ere filmed beginning on the 
 first page with a printed or illustrated imprea- 
 sion, and ending on the lest page with a printed 
 or illustrated impression. 
 
 The last recorded frame on each microfiche 
 shall contain the symbol — »• (meaning "CON- 
 TINUED "), or the symbol V (meaning "END"), 
 whichever applies. 
 
 l\/laps, plates, charts, etc., may be filmed at 
 different reduction ratios. Those too large to be 
 entirely included in one exposure are filmed 
 beginning in the upper left hand corner, left to 
 right and top to bottom, as many frames as 
 required. The following diagrams illustrate the 
 method: 
 
 1 2 3 
 
 L'exemplaire film* fut reproduit grAce A la 
 gAniroaitA da: 
 
 La bibiiothique des Archives 
 publiques du Csnada 
 
 Las imagea suivantes ont At* reproduites avec le 
 plus grand soin, compte tenu de la condition at 
 de la nettetA de rexemplaire film*, et en 
 conformity avec les conditions du contrat de 
 filmage. 
 
 Les exemplaires originaux dont la couverture en 
 pepler eet imprimie sont filmAs en commenpant 
 par le premier plat at en terminant soit par la 
 darnlAre page Qui compoTte une empreinte 
 d'impression ou d'iilustration, soit par le second 
 plat, salon ie cas. Tous les sutres exempleires 
 originaux sont f ilmte en commenpent per ia 
 premiere pege qui comporte une empreinte 
 d'impression ou d'iilustration et en terminant par 
 la dernlAre page qui comporte une telle 
 empreinte. 
 
 Un des symboles suivants apparaftra sur la 
 dernlAre image de cheque microfiche, selon ie 
 cas: le symbols — ► signifie "A SUIVRE", le 
 symbole ▼ signifie "FIN". 
 
 Les certes, pisnches, tableaux, etc., peuvent Atre 
 filmAs A das taux de rAduction diff Arents. 
 Lorsque le document est trop grand pour Atre 
 reproduit en un seul clichA, 11 est filmA A partir 
 de I'engle supArieur gauche, de gauche A droite, 
 et de haut en bas, en pronent ie nombre 
 d'images nAcessaire. Les diagrammes suivants 
 illustrent la mAthode. 
 
 : , 1 ' : 
 
 |.- . i-. •; 
 
 : • 
 
 ^ « : 
 
 -■ ■^. 
 
 6 
 
RlJLteS AND REGULATIONS 
 
 or THK 
 
 
 TORONTO GENERAL HOSPITAL; 
 
 ADOPTED BY THE TRUSTRKS. 
 
 ^•**^^^^^4 
 
 TORONTO : 
 
 PniSTEP AT THK LEAPEH Jb TiTSIOT UOOK A JOB STKAM-PKKsjS, TOUOSiO. 
 
 1855. 
 
 j1 
 
y7fmf.fi:ff)[ (F//, 5>:f!"'ii 
 
 f4) 
 
 r 
 
 I 1 
 
 It 
 
 
 I *-■'!/ i.A 
 
 •^MT ,:. 'i:'!T'|o.-i/ 
 
 '.Ht 
 
raiLKS AND REGULATIONS 
 
 THE TORONTO HOSPITAL- 
 
 ■^■- OF Tim TUl STKi:^. 
 
 It A Meeting of t>lie Trustees' shall be 
 held ^\»eekly, for the despatch. of business 
 connected with the Trust. 
 
 ^2. The Trustees shall, in weekly rotation, 
 visit the Hospital dailj^, and shall enter their 
 names in a book provided for that purpose, 
 with such observations- relative to the Insti- 
 tution as they shair think necessary. ''^■'^^^^^ 
 
 1 1 
 
 3i They shall insert, 6r cause to beinsert- 
 ed in a Book to be provided for tlie purpose, 
 all orders to the Steward for the purchase 
 01 stores. , , , , 
 
 4. All Moneys received on account of the 
 Hospital, shall be deposited in one of the 
 Chartered Banks of the Province, and no 
 
TOKONTO HOSPITAL. 
 
 money shall be withdrawn therefrom except 
 by clioque, sighed by the Chau*mau. 
 
 , 'N'V.'* /« *> ^. ' 
 
 •V, -. -■ -X -s,,^ 
 
 II. 
 
 ,i,tj! A li i 
 
 or TlIK SECKEIARY. 
 
 1. The Secretary shall attend all meetings 
 of the Trustees and Committers of the 
 Board, take minutes of the proceedings of 
 each meeting, and transcribe the same into 
 
 a book. 
 I, 
 
 ^2^ He ghall, Jlt eacli meetiiigof the Trus- 
 tees, read the prcceeeings of the last fleet- 
 ing* 
 
 II* Thmugli diim all communications, of 
 
 whatever nature, shall be made to the Trus- 
 tees, and by him from the said Trustees to 
 the public or mf department of the Hos- 
 pital : ^ :it^n;' ^ ■■ ■ '■.■\ 
 
 4. One day previous to each and every 
 meeting of die Trustees, it shall be his duty 
 to send notice of the time and place of meet- 
 ing to each Trustee, and on extraordir ary 
 occasions to state the pm^pose of the meeting. 
 
 '.4 
 
I: 
 
 ; 
 
 T6Ro3<rro Ho^piTxrJ 
 
 ti 
 
 5. He shall keep the necessary hook* for 
 entering all trai)s^c^i(^iis of the TVustees. 
 
 0. He shall keep a regular and a strict 
 aicebunt Of the Income and Expenditilre of 
 the Institution, balance the r same monthly^ 
 and lay the same upon the table 'at the 
 mtteting of the Trustees next enduing. 
 
 7. He shall at the first regular meeting 
 of the Trustees in eacli iHoDtli,' report the 
 ^ate of the Hospital, and alsothe state and' 
 riuinber of Patients admitted iMad.clificharged 
 during the, preceding, month. |f()|., * 
 
 'tt 
 
 ' 8. He shall keep a Stock Book, in which^ 
 shall be entered in detai}, all the furniture, • 
 I bedding, liijen, utensils of ftU descriptions, 
 I and pei*8onal property of the Hospital ; all 
 j of which shall be considered as in his charge 
 i and under /hi& supervision, and the same 
 ! shall be examined and reported upon by 
 j him to the Trustees twice in every year. 
 
 9. It shall be his duty to|w.y. the servants' 
 wages when ordered by th^ IVustees. 
 
6 
 
 .'tfMi*!" 
 
 TORONTO HOSPITAL. 
 
 iir, 
 
 OF Tim STir\VAHl>. 
 
 M III 
 
 1. The Steward shall purchase or receive, 
 nndei: the direction of the Trustees, fuel, 
 pmyisiofls and all other stores for the use 
 of the Ho^Hal, except medicines and Inedi- 
 cal stores, and shall be accountable fur the 
 
 same. 
 
 S!. He shall keep in Books, provided for 
 
 the purpose, an account of all stores brought 
 
 into the Hospital, and shall dispense the 
 same under the direction of the attending 
 
 Medical Officers, and shall keep a Wine Card, 
 which shall be constantly on the surgery 
 table, exhibiting nie qujj;ntity of Syine order- 
 €fd daily by tli6' attending Piiysicians, arid 
 the name, witK^ the disease oif' tie ^ patient 
 foi* wboui it is ordered. ;? h^m if^t.'- 
 
 3, .He shall feeep Pa^^ Books, into which 
 shall be entered all articles purchased from 
 those tradesmen with whom accounts may 
 be opened, and for all other articles he shall 
 obtain bills of jmrcels ; all of which he shall 
 lay before the Trustees once every month 
 
TORONTO HOSPITAL. 
 
 i i 
 
 ; . 4. He shall keep an account of the moneys 
 due by the pay patients, and collect and 
 account for the same. 
 
 '' '5i He shall render all his accounts to the 
 Secretary monthly, in tin^j* to have the 
 same entered and prepared for audit by the 
 
 XrUSteeS^. .J|l^,:^^[,;r^({^^^.ij^|?^<|U:-di ',fl .■ 
 
 I: ' ,->»-'■' 4..: ■ ..;..fi ,!'....„. rr, .... ..,■•. 
 
 0. He shall give timely notice to. the 
 
 Trustees, when any of the stores are. nearly 
 
 * " ';• ;■]/ M n ffi fft'Ml} •/•^^>[ hnn : tm? 5 
 
 7, He shall immediately on the admis- 
 
 don of a patient^ take an inventory in a 
 
 book to be kept for that purpose, of his or 
 
 her ch^thes and other effects, shall order ^he 
 
 ' clothes to be purified if necessary, and shall 
 
 i be accountable for tlie sate delivery of the 
 
 I same to the patient on leaving the Hospital ; 
 
 i or in case of death, to any pei'soja whom the 
 
 I Trustees shall authorise to receive the same ; 
 
 ; pi^vided, that if the clothes of any patient 
 
 be in such a state aS to render it necessary 
 
 that they shpuld be burned, it shall be done 
 
 if sanetipned by the atteiKling Medical 
 
 Officer. ' :■.: ■,,.;■■> ;^f:., .j,,.-; 
 
 I 
 
 ^ 
 
 P 
 
8 
 
 TOUONTO HOSPITAL. 
 
 , 8. He shall keep, in a book for the pur- 
 pose, an account of the servants' time and 
 wages. ' 
 
 ^.|9, It shall be his duty to take! care that 
 every p^rt o;f the premises, in and out of the 
 
 Hospital, be kept in proper order. ,^i^« 
 
 ' 1 1 
 
 10. He shall' keep the keys of the outer 
 doors and gates, and lock them at 10 p'clock, 
 P.M., and open th^m^^ at 9 A. M., from the 
 first day of May to the lirst day of Novem- 
 ber ; and lock them at 6 P. M., and opetf at 
 7 A. M. during therest of the year^ unless 
 ordered otherwise by thie Trustees, or in case 
 of einergoncy, for the service of the patients* 
 
 ^{ 11.^ He shall report to the visitmg Irus- 
 iee iSr the week any misconduct or irregu- 
 larity that may occur under his notice. 
 
 12. He shall'hADgi»up in the hall of the 
 Hospital, and publish in such of the public 
 prints of the eityas will inseit the same, the 
 name of the weekly visiting Trastoii and 
 Medical Officer, and shall, on the Saturday 
 ' pie<;eding his week, give each notice thereof 
 by letter. He shall also enter in the book 
 
TORONTO lOSPITAfi. 
 
 9 
 
 3 pur- 
 ,e and 
 
 •e that 
 
 router 
 'clock, 
 »m the 
 ovem- 
 pen at 
 unless 
 in case 
 »tientS' 
 
 : Tru8- 
 
 rregu- 
 
 >J9 
 
 >f the 
 public 
 ae, the 
 Hi and 
 jurday 
 hereof 
 ) book 
 
 t 
 
 provided for the purpose, the name of every 
 Medical Officer visiting the Hospital each 
 day, with the hour of such visit. ^^ ^^ ,. 
 
 18. As soon as the body of a patien 
 dying in the Hospital, is laid out in the dead 
 bouse, it shall be the duty ot the Steward 
 to see that the body be safely kept there 
 until delivered for interment ; and if un- 
 claimed, give notice to the Clergyman of the 
 Congregation to which he belonged, and 
 shall be responsible for the faithful Execu- 
 tion of this duty i , r'Mi 
 
 14. He shall not absent hiinself from the 
 Hospital except on duty, without communi- 
 cating with the House Physician and Sur- 
 geon. 
 
 ,.j4,.r: iff* /^t'lf. j\?utf ilf^iibriB*^^ 
 
 OF THE MEDICAL OFFICE l.S. 
 
 1. The number of Medical Officers of the 
 Hospital shall be eight, who are expected 
 to visit the Hospital evej-y day should the 
 state of their patients re(pilre it, and shall 
 
 A- 
 
 i 
 

 % 
 
 W7^\ 
 
 10 
 
 TOROICTO HOSPITAL. 
 
 weekly, in rotatiou, reqeive tli© patieiiS|''re*-; 
 
 
 : r . . .V , 
 
 Oil 
 
 quiring admifiiBioii; 
 
 2. At eacK' visit the Medical Officer in 
 
 i attendance shall write such* prescriplAons 
 
 and give such directions as- ■^^ ihay de-eai 
 
 necessary to the resident Medieval Offii^i^^ 
 
 Steward^ Matron^ ortNnifees.iH^t jt^ff* o4« bt 
 
 i ,, ,|?i.^,|Jfich Mf dical Oj65cer i»ay appuiiji?? a 
 \ Clinical Clerks or Dresseiv who shall keep n 
 : Case Boojc,. fio^ the purpose oft entering notfs 
 of such ^cases- as may be deeaxed^WQilJiy, of^ 
 i record. ^ 
 
 \ i, , "Ihe wigjiing hpur o£ tteadrattting 
 ijj^ical Officer shall be atnoontbiMSkUgte^t 
 I the v^an .nnyo 
 
 5. If any Medical Officer be prevented 
 from attending^ in bi8-t|urn to the duties of 
 his office, he shalliprocuresome other Medi- 
 cal Officer of tlie Hospitid tx) perform the 
 duty in his stead. ■; , ,, 
 
 6. No capital operation shall be perfonlii- 
 ed, except in cases where delay liiiglit M 
 dangerous, without giving' notice tliei*eoft?d^ 
 
tieii%'re^; 
 
 Officer m 
 Kjripl^ons 
 lay ddpmr 
 
 
 ing not^ 
 
 revented 
 iuties of 
 er Medi- 
 ■orm the 
 
 
 )e¥foriii^ 
 light he 
 ier( 
 
 I' 
 
 'i'oBOKTo mmnAh. 
 
 11 
 
 aU tke Mediqal Officers beloDging tcr the 
 Ifospitala, nor shall siich operfttlbn be; per- 
 formed against the clearly expressed opin- 
 ibn of the inaioiity <of ttose present. ' 
 
 J. Licenced Practitioajersway have aoceas 
 to jfhe Hospital on the inxyita^ion of/tke 
 Medical Officers, may visit mA.r exwainfe 
 patients on .the invitatio;a of the Medical 
 Officer under whose charge sach patients 
 
 my: j ^. f n d may flf.ti^tnd ftn^^vRfa^r^tit 
 
 I Hi 
 
 L^.\ 
 
 V 
 
 /7- 
 
 
 "ifai^v^ 
 
 -I'-r^Tiyt^^'i 
 
 
 V 
 
 vjiiiO 
 
 1. Ko person shall be eligible to itjiis 
 office, unless he shall lay before the Trustees 
 satisfactory teijtimonials of his moral char- 
 
10 
 
 T'-zROirrO HOSPITAL. 
 
 veekly^, in rotation, receivfj fct© patieifcfe*-! 
 (fUinng admii^JBion. >?^?!!% iMi^^^ ^rl> ■ 
 
 2, At eacK' visit the Medical' Officer in 
 attendf^nce shall write such* ppescHptions 
 aiid^ive such dir^ctioins as' fie^iiiay deeiri 
 necessary to tlie resident Medical Offieet^^ 
 Steward, Matron^ or Nniises:'^^*^^^^^^ '^^ <^^ 
 
 I , |3f^ Jlach Mi^dical Officer way appoinfc; a 
 ; Clinical Clerk or Dresser^, wbo shall keep ^ 
 : Case Book,- for the purpose oC entering not^i 
 of such cases- as may be deemed' w^l^iy. pf 
 ^record. 
 
 \ r.^r^Tkhe visiting hgur of tbe'admsttang 
 i Jl^edical Officer shnll jy>g, at neon tbwgl^^pt 
 itiie v^aiv 
 
 5. If any Medicml Officer be prevented 
 from attendingiin his^tJurn to the duties of 
 his office, he sh alii procure some other Medi- 
 cal Officer of the Hospital to per^fbrm the 
 duty in his stead. 
 
 ?fl!"< 
 
 6. No capital operation shall be pei*fopiiit 
 ed, except in cases tvheire delay might be 
 dangerous, without giving notice thereof tb 
 
 al 
 H 
 
 fo 
 
 ib 
 
icer in 
 ptions 
 
 Leep af 
 
 ;l 
 
 
 eated 
 ies of 
 Medi- 
 Q the 
 
 
 'rOBOKTO 11081 HAT.. 
 
 11 
 
 all tke Mediqal Officers belongiiig to tb« 
 Hospitals, nor shall such operation be; per- 
 formed against ike clearly expressed opin- 
 ion of the majority (of ttose present 
 
 V ,|r>;I«ic!ensfed PractitiQaaers^ntay have aoceas 
 le Hoamtfll niL-tKix. iTiiii^««A: , ^ ..i 
 
 "T" — T^ 
 
 8, Medical Officers shall hiavie po^v'er to 
 dipmiss any patieitof their own whp shall 
 gp out without leave, be guilty .of drunkenr 
 ness or profane swearing, or who shall 
 otherwise violate any of the By-laws of the 
 
 HoSpitalj^^,^^., ,: ;,,^^,,,,,,^^^,: , :,, 
 
 ■ ■■■' v., ^ ■ ' ■• 
 
 OF THE RESIDENT MEDICALOFFIGER* 
 
 . v4"""" ■■""firrri-. - , • • • ■ ' ■ * 
 
 1. Ko p^l'son shall be eligible to this 
 office, unless he shall lay before the Trustees 
 satisfactory tastimonials of his moral char- 
 
 If 
 
 1 1 
 
 '■i ■ 
 
 ■, 5 
 
n 
 
 TORONTO IJOSPIT^L. 
 
 acter, and shall be a licensecj practitioftpi: of 
 .the province.; ;.;^; .■.,.^. •[Bila^^ioff.;#^kifi0tl ; 
 
 ' 2. The resident Medical OmcerlhaU y^sit 
 the respective wards every morning, and at 
 all times wh^n he may think it necessary, 
 aiid *be prepared to repc^rt to the attending 
 Medical Officer , the state of the patiei^i^ 
 since hiis last ^^isit, and it shiill be> Ms dMy 
 to see that the prescriptions and directions 
 of thrMedical Officers, be regularly attend*- 
 ed to, the medicinCgTcdministered caf gftilfty 
 and without d^lay. 
 
 ]tm'j :^i^i-JilkUifi. .^> 
 
 lij g No Operation shall be' perft)thred By 
 the resident Medical Officei* withbtit th<d 
 special direction of the attetiding Medickl 
 Officer, to whom such cases, wheti' th^ey 
 occur, shall be immediately reported^^H'^^^ 
 
 4. In any case of a dangerous nature, the 
 resident Medical Officer shall give immedi- 
 ate notice to the proper Medical Officer, 
 and if he cannot be found, to any of the 
 cither Medical Officere of the Ho pit^l. ^ 
 
 5. He shall allow fio patient to bf^ i!e- 
 
ioft^ilijf 
 
 and at 
 
 jessary, 
 endlB^ 
 
 IS dMy 
 ectiong 
 iiitQiid*' 
 
 it tU 
 edickl 
 
 e, the 
 medi- 
 fficer, 
 f the 
 
 >^ l!e^: 
 
 TOBOarrO fiOBI»ITAC; 
 
 13 
 
 fWoved frofe bne^^ to another, 
 
 Without the order or permission of the at- 
 t^ndiii Mie^lcal Qfficpr. ^ ' u < 
 
 hereafter provided) nor sMU kel i di9«<ihai^ 
 Miy patient, nnless for grd&s infracfetoh of the 
 rdles <i)^ the Hospital; the ifeiJe^^ df these 
 ppwei's. being the exclusivjB prerogative of 
 iJie Medical (j>i^^ 
 
 '^'?/ He shall not be absent diirhig the 
 ' rtgitkr visiting hours of the attending Medi- 
 cal Officers, and when at any otfier litne he 
 h^ occasion tp leav^ the HQspitaly he shall 
 leavp.word where he ife to be. found. He 
 ^hall never sleep out jrnf the ihouse without 
 the permission of the visiting Trustee. 
 
 ; 0. JPfe sh^l^cpnipound and nwie up all 
 
 tlti^^.meieli^ipapp ^reqijired^^^^ %)m IJospitaV^j 
 cordwig to the formulj© from timei to time 
 prescribed by the Medical Oflpwers. 
 
 9. He shall delHver no mediciSes which 
 are not ordered by the Medical Officers at- 
 tending ; nor shall he permit any medicines 
 
 i 
 
 
 I i 
 
u 
 
 TORONTO HOSPITAL. 
 
 to be taken out of the Hospital except by 
 out-patients. h| v-- ■,-^'^^^^f<'-,,h-fm'''ry: 
 
 10. He shall make up the different medi- 
 cines for the irard&, aiid annex to them 
 labels containing the names of the patient®, 
 and the dirsections for taking them ; and 
 shall send the medicines to the different 
 wards by the respective nurses. 
 
 11. He shall keep the shop,, and every 
 thing appertaining thereto, clean, and ' in 
 
 propei; prder, and shajl ^]so observe sti^ct 
 economy ip every thing relating to this de- 
 partment. , ,. is tf^ylw. iHi , . oilio t 
 
 12. He 
 
 transiaet no 
 
 ^i^X 
 
 than that of the Hospital, without special \ 
 permission from! the IVustees. 
 
 13. He shalf have charge of all the sui 
 gical instrunients, medicines ' and materials 
 belonging to the Hospital^ shall be respon- 
 sible for the same, and for their good order, 
 and he bhall never suffer them to be lent 
 or taken out of the Hospital without per- 
 iplssion of a Trustee. 
 
 11. He f^hall insert in the Kegister under 
 
ept by 
 
 ^■/ 
 
 b medi- ' 
 rthem 
 itients, 
 ;^ and 
 
 every 
 nd in 
 
 strict 
 
 lis de- 
 
 ismiess 
 pecial 
 
 e sur- 
 ;erials 
 !spon- 
 
 lent 
 per- 
 
 inder 
 
 aX)BONTO HOSPITAL. 
 
 15 
 
 ihis charge an account of all the operations 
 ! performed in the Hospital, by whom per- 
 i formed, and the result of such operations. 
 
 i 15. He shall Boti^y the Stevratd of all 
 patients dismissed, of- all directioaa as to 
 diet and extras^ f{t ^rrfHriit^r 
 
 16. He shall keep.aBootor Register of 
 
 ' all patients admitted into the Hospital, in 
 
 I which shall be insertecl their names, ages, 
 
 I country, religion, disease, time of admission, 
 
 name of Medical Officer adtoittiiig, whether 
 
 pay patient >€)ir pauper, tim>e of discharge,! 
 
 whethier cntt'ed, relieved, ii'regulai 6r ilead^ 
 
 and shall draw up a^ weekly report of the 
 
 states and number of the |)atients admitte I 
 
 and discharged, and cause of the isame, with 
 
 the book or register, to be l^id before the 
 
 Trustees at their regular meeting. 
 
 ■'■■ i.x^i*'r.^4';:^ >i>is • '' ' ■ ' 
 
 W. it shall be his duty to* pierforih a 11 
 vaccinations &jp hexeinafter re<juired. 
 
 18. The re^dentMediooll Officer shall be 
 permitted to take a pupil to assist him in 
 the peiformancc; of his duties. 
 
16 
 
 TORONTO HOSPITAL. 
 
 OF TftK STDDENlS ATTEMXIK6 
 
 ■i\ 
 
 ir< 
 
 "Klti 
 
 1. Students 'of Sledibiii^^r Smrgery of 
 unobjectionable character >nd conduct nojay , 
 receive tickets entitling them to sittend the 
 practice of the HwpitaL — for six tliontjit 
 on payment of *:£2, for twelve liiohth^ oh j 
 pavment of ^^2 lOs^ and perpeluj^lly, on i 
 payment Of £^ ': '^^^J' "^r' ^4 -" * p 
 
 •■•■'. " -■■''■ , ' 
 
 2. The Stq^ents shall be allowed to be ^ 
 present dariiig the visit: of the attending 
 Medical Officer^ and rewi^in iii the Wai»d& 
 during such visit to see the practice, aiid 
 
 * shall then leave the Hospital, unless th^re 
 be s^n?e opayatiou. .toti>bfi ]^^^ 
 ithe vi^ts. • • ^MC^i^i^l^k^iiof-iv^-^r^'W 
 
 :i. No Student shall go -tipf any part of , ,. 
 
 the house bwt the Wa^ds yH%^ > by tjie 
 
 attending Medical Officer, the ropia for 
 
 seeing out-patients, and the operating theatre 
 
 I which places StMentS' shall leave' When ie- 
 
 I quired to do sa by any Medical Officer 
 
 I doing duty at the time. ' 
 
 M 
 
 .nii;;^- tAj ,.jV'-5c'. 
 
H 
 
 TORO>*TO IiaSPI'l A Ui 
 
 IT 
 
 4. Clinical Clerks and Dressers sliall luive 
 acce s at appointed times io the Wards of 
 the Hospital foi^the purpoie of attending 
 to the patients of tlieir respective Physicians 
 and Surgeons, and also to enaUe theni to 
 obtain an accurate account of tLe state of the 
 pi^tients, for the benefit and gnklaiice pf the 
 i^leEUiing Physician or Sui^op.^ f nh.Tot>f 
 
 5.. ]^A Student shall be j>ef niitt^d to act 
 as Dresser or Cpinical Clerk uBtil be has 
 couip] ete(i bis secQ^d ■ yao^v^ pf , ^tud v. ., , j ^'To 
 Students of this standing, and appointed to 
 aiOt as Clinical Clerks or Di^essers,.: tickets 
 tiliall be issued on payment, by caeb Clerk or 
 li)i>e8^er, of Jj2 10s/t»^, the, fandf-of .the. Hos- 
 pital, the period, of Clerlfship.or pres-wship 
 being continued to twelve months if the 
 Stud'ierit should so^de^ir6'(5R^ovided lie per- 
 forms the dtfine^ tb' th^ ' fciti^ctibh of the 
 Medi<^al Officer appoititing him. ~ ' 
 
 6. They shall behave with respect and 
 deeoruni ^n l3i^ Hospi^ and any one of 
 tfi^ni violating- 'liWV of ^ the rules or teg nla- 
 tiofi'sV shall be subject to the penalty of ex- 
 pulsion, at the discretion of the Trustees. 
 
18 
 
 TORONTO HOSPITAL. 
 
 ' f' ^. 
 
 •;{f' "rf^.V.fl^f MV ' 
 
 vn. 
 
 OF Tlti iiATROT^. 
 
 1it*»rt.n'f 'ri- 
 
 ' 1 . She sball make repeated visits to the 
 
 Wai'ds daring the day, aad occasicmally at 
 
 night, to see that the Wards are; properly 
 attended by the »urses, and that alt the 
 
 patients are in their respective Wards ; and 
 
 repbft tpthe House Physician 'and Surgeon 
 
 the iiatnes of isltich patients as arcf^ aJbseiit 
 
 without lem4 flrom tbeir respective Wai^ils. 
 
 2. She shall oversee the conduct of the 
 patients and servants; and take care that 
 the wards, aparttnents, tbeds, clothes, linen, 
 <fec., are kfept dtean, and in good orddr j/i t % 
 
 3. She shall have charge of all the fur- 
 niture, beds, bedding, and dr-essesbeloi^glng 
 to the Hospitalj issued by the Sten^ard* as 
 far as regai'ds &r department. 
 
 4. She shall report to the resident Medi- 
 cal Officer, and to the visiting Trustee, any 
 misconduct of the patients or servants, or 
 any other irregularity occuring in the hoi^e. 
 
to the 
 ally at 
 opcrly 
 
 3 ; and 
 irgeon 
 albseiit 
 
 tf tlie 
 3 ^hat 
 linen, 
 
 e fiiP- 
 rd» as 
 
 Medi- 
 3, any 
 ts, or 
 louae. 
 
 XanOlTFO HOSPITAL. 
 
 19 
 
 5. She i^idll prevent any tking being taken 
 into the Wards, except that which is or* 
 dered. 
 
 6. She shall not pennit any person or 
 persons to see any patient. or patients ex- 
 cept at the hours apf ointed by the Trustees 
 
 of the Hospital. > i: 
 
 *•■ , 
 
 7. ^She shall superintend the pereparing 
 ojf the diet of the patients, and be particular 
 that the said diet, in the quantity, and at 
 the time presbrilaed, be given and nothing 
 
 'elBeiittad;i&ii'^'v^''-*'^'>^^'i^'*^ 
 
 ,3* Wii{eji a death pcpuis^ the.Mati^ou shall 
 immediately report the same to, the resident 
 Medical Officer. 
 
 9. /When a patient is seized with violent 
 or alarming symptoms, she shall immediate- 
 ly report the same to the Medical Officer in 
 attendance, or in his absence to thetesideut 
 Medical Officer. 
 
 
 10. Immediately af|ber the death of any 
 
 «i 
 
80 
 
 TO-KONtO IIOSPITAIi. 
 
 ried to the Bead House, and there thrashed 
 
 and decently laid ovlLjAj r-'n. ?^ i*\iJ otnr 
 
 .1)0*1 of) 
 11. Sheslukll not absent herself from the 
 
 Hospital, without the lea^e of the resident 
 
 Medical Otficer.. 
 
 ti'j'Uv'Cli. 
 
 VIII 
 
 
 ■•''■;'■ i ^OF THENUBSBS.'^ •■..'■ / ,■ 
 : • -I '^^ ^'^'^' ^Umtiu] *.u\yh> h)lh 'ill) |o 
 
 tt % When a patient k! admitted irito^the 
 Hcf^pital^ the Nttrse of the Ward *o ithicih 
 8«ch patient may be ordered, shall imm^dfe' 
 ately wash his or her face and hands,. neck 
 and arms, ffeet and legs, with tepid' Wfrter ; 
 shall gfViehtiii' oJ'h^r (if he or she' have^odei) 
 an Hospital shirt and night cH^y ^^"^^ ^^^fi 
 deliver withoift': delay his or her clothes, 
 after an inveiDtofy of feheni liaa been talcen, 
 to the Steward. ' ^ ?. . r 
 
 ^^ %. The Nurse sballv at the hfest vid^^^talbe 
 to the attending Medical Office^,' s^h' ctf- 
 ciimstance or circumstances as may tead to 
 thr'ow light on the ca^e, ana shall be ready 
 
 to do the same at each succeeding VlsiS^." ' 
 
 81 
 
 tl 
 
 li 
 
y 
 
 rashed 
 
 ►m the 
 9ident 
 
 iff) 
 
 KytKe 
 
 neck 
 
 nrter; 
 lotie) 
 
 tbes, 
 
 Jcen. 
 
 »■<< ■ ■ 
 
 rtftte 
 
 d to 
 ady 
 
 TOKOTTIO HOSPITAL 
 
 21 
 
 3. In the event at any patient being 
 seized with violent or alatmiDg symptoms, 
 she Qfaall give immediate notice thereof to, 
 this Tesiden* Medlfml Officer./ /* ''<' ^> i 
 
 •m:1 " • • ■., ,. : .'"•• ■ ::; /<: ■, . 
 
 4. The J^iii^es, When ordered by the 
 Matron, shall change the patients' linen, bed 
 linen, and b«ddiitg» «*i t>Miiij^-^ 7^iii .Oi 
 
 5. She shall receive no medicines sent 
 from the Apothecriyy's shop to th^ Ward, 
 
 ,' ■ ■ . , • r r ^ - 
 
 G* Whfeh A death occiir^, tfee Nnke of the 
 Ay^ard^h^U immediately give notice^ therf o^ 
 to ^he katron. ^, :i)U^,n An ^ - i^ 
 
 1 Thefsliaipicja^ 
 brush p:foyid^d fov ib^ poipo^fe, the r^spec^ 
 ttve Tf arcfe, 'atf ^ o'cloefe^ A, M, eVery day iii 
 the year, and shall atfen^i to. the vessels or 
 ut^][isils in the Wards as often as n^essary. 
 
 8 TfteNuysesshall be diligent in comply- 
 ing Wilii ;th0 o>rder& of the Mediqal Officers, 
 Steward and Matrpn;, andsjiall behave with 
 tenderness aii4 propriety t^wahfe the pa- 
 tients. /-..,' ^- n.r *:i^'-- ■^•n■■.''P''■''' 
 
I 1 
 
 2^: 
 
 TOR,9|?139.,,:HO§PP'AL, 
 
 tlie patienitB, sujj^lyiftg themiwith tlie drmk 
 prescribed* as often as necessary, |>lacing the 
 vessel or vessel^ iQp^taintng it eOmmodiously) 
 within their reach, and in all cases assisting 
 them, when iinaUe to a^sis^'theioiselTes. 
 
 10. They shall see that t&6 patients take- 
 their medicines las prescribed. 
 
 ' 11. They shall on no acdunt alidw any 
 thing to be bi?ought int(> the wurds, or giv^tt* 
 to^^tients, e^t tf^;^Jiic^ j^ pi^^yed. 
 
 12. They shffl ghr^lilfegmMl^^ 
 the attending Medical Officer, or in *hisab^ 
 senc^to th(e,re|ipent ijedical Q^Qeff or to 
 tlj^f) Matrojj^ ^fe^P . a«ny patient ojp. patients ; 
 shall hay^ yioli^jfced any f^ the By^aw^v of 
 the Hospital. . ^ 
 
 "^¥Sf They sMl take' ffil^'li^rlS'^^ 
 appointed room& ; they shall not- uanieces- 
 sarily leave th§Jr respective wards when on; 
 (iuty^ nor.nhall they leave the Hospital witbv 
 oi^t permis^ioi^ from the resident Medical. 
 Officer. . . ;* 
 
 » ■ : }. * r r 
 
jioa to 
 dFmk 
 Qgthe 
 
 sisting 
 
 res. 
 
 .J.li..t«^ 
 
 's take 
 
 k M.. 
 
 w any • 
 
 iicetb^ 
 
 or to 
 ^tieixts; 
 
 iw^\af ^ 
 
 ■ * ■;■■■ 
 ■ .: i ♦ V ■ 
 
 in tid 
 
 pecies- 
 
 len on; 
 
 witbv 
 
 edioalj 
 
 IxyRONTO H09PITA1LJ 
 
 vv 
 
 ^% 
 
 14; They shall alway^ ke^J) thiettisdveis 
 clean and decently clothed^^^ ^^^^*>*^^"^^*^^^^ 
 
 
 
 Mij^i^i'^^ -THE AD1HISSION OF PATIENTS. 
 
 1. It ohall be the exclusivie prerogative of 
 the attending Medical Officer to judge if the 
 person or persons applying be laboring un- 
 der sucb disease as is admissible into the 
 Hospital according to the Rules and Regu- 
 lations thereof g •nl't h<» 
 
 2; In any nrgent case, wheii d^lay may 
 be dangerous, .the resident Medical Officer 
 shall havo power to admit th« patient, and 
 shall immediately giv<^ information of the 
 same to the attending Medical Officer ; or 
 if he cannot be found, to any other of thi^ 
 Medical Officers of the Hospital. ^ ' 
 
 3. No patient laboring under Insanity, or 
 unider any disease which does not admit of 
 cure or j)alliation, shall be admitted into | 
 the Hospital, noi' shall any one be admitted i 
 
 i' 
 
 V 
 
} ; 
 
 c 
 
 H 
 
 TOi9Q3»TQ 3?(^P|TA?t, 
 
 whoaa case and eirdumstanees 4o tiot pqesi- 
 tively require i%.,j|^:^^[.,^f^j5^, 
 
 4. Such patients aa are unable to pay for 
 their maintenance, shall be received as pau- 
 pers ; such as are atife to pay, shall be ad- 
 mitted into thei Hospital i\s paj^ pittients,and 
 none of these at less than one billing and 
 six jence^^ per day. ■'':'. ^ ' ^>M . o< [ l^mi^H. . , 1 , ■ 
 
 . OF. :fl^K PAtlKNTS. 
 
 . ; |4 . • Jf patient 'shall smoke in the house 
 or on the galleries; make use of anyjobscene 
 or profane language ; nor leave the Hospital 
 withotit'the permissidii of the resident Med- 
 ical OfBcer^ nor the ward in which he or she 
 shall have been placed, w^iidiout permission 
 from the attending Medical Officer. 
 
 2. The patients shall not play at cards, 
 dice, or any other ^JU^g. 
 
 3. They rhall conduct themselves with due 
 respect to the Officers and Attendants of 
 the Hospital^ 
 
 4. No maJe patient shall, lindk* any ])re- 
 
it'! 
 
 h'v ■ '■■ ■'■■ 
 
 bo pay for 
 ed as pau- 
 lall be ad- 
 itients^and 
 illing and 
 \d^- :' . ' 
 
 the house 
 lyjobscetie 
 3 Hospital 
 leM Med- 
 
 i he or she 
 )erffiission 
 r. 
 
 at cards, 
 
 =i with due 
 g^(^ants ot* 
 
 any ]>re- 
 
 TORONTO HOSPITAL. 
 
 9 Pi 
 
 JiO 
 
 tence whatever, enter the apartments or \ 
 wards for females, nor shall a female pa- i 
 tient enter the apartments or wardsifor 
 
 males. 
 
 '5.' 'rfe -patient shall lise, nor allow their 
 friends tb brin^ theni/ ^jiythiig whate'ter, 
 #itho^t perinissioii from the- attlendirig 
 Medical Oxficerf^"^-^'^^ " '->'' ■' • ";■■■ 
 
 6. Hvery patient shall retire to bed at 
 P. M., froin 1st of May, to 1st November, 
 and at a RM., from November to May; 
 and those that are able, shallji^ie at ^ A. M., 
 in summer, and at 7 A. M., in winter, , 
 
 T. Such patients a^ shall be considered 
 able, shall assist tbe nurses and other ser- 
 vanta of the Hospital, in nuj;singthe patients 
 making the beds, cleaning the wards, ,and 
 doing such other i work as resident Medical 
 Officer may direct : . . nv ; ^ 
 
 1 
 
 8. All patients who shall not have been 
 pre viouc4y vaccinated^ or have had Small 
 Pox, shall on admission, be fortliwith vac- 
 cinated, unless it be forbidden by some 
 sufficient can^e. 
 
 ;' r 
 
 1:1 
 
 it 
 l:i 
 
 
26 
 
 TORONTO HOSPITAL. 
 
 6. Any patient not conforming to the 
 Rules and llegulations of th^ei Institution,, 
 shall incur the penalty of expulsion. 
 
 10. JTie body of aiiy patient, dying in the 
 Hospitf^l, shall not be removed for interment 
 until twenty-four haul's in summer^ and 
 thirty-six hours in winter, stall hav^ elapeed^ 
 without a written permission from either 
 the attending or resident Medical Officer. 
 
 11. Visitors may be admitted from S to. 
 5 o'clock, daily, except on Saturdays and 
 Sundays. ,. ' '/uyXuiiJ^.^c^-^ - ; •;■ 
 
 1. Advite and Medicines will be givenj 
 gratis at the Hospital to the pooi*, at the 
 regular daily visit of the attending Medical 
 Officer. 
 
 2 No out pati^.nt or patients shall loiter 
 about the Hospital gate, or premises adj oin*- 
 ing ; they shall come diirectly to the place 
 appointed to receive them, and as soon as 
 
TOBONTO HOSPITAL. 
 
 27 
 
 they shall have received the advice and 
 medicines considered necessary for them, 
 leave the HoepitaL :, 
 
 3. Any out patient or patients, who shall 
 violate any of the Rul'es or Regulations of 
 the Hospital,, shall cease to receive the 
 benefit of thje Inetitutnon* - 
 
 
 ■ i\ 
 
 III 
 
 a