IMAGE EVALUATION
TEST TARGET (MT-3)

y
^

1.0

I.I

^e IIM
? 1^ IIIIIM

1.8

1.25

1.4

6" —

PhotDgraphic

Sciences
Corporation

•>^

23 WIST MAIN STREET

WEBSTER, NY. 14580

(716) 872-4503

CIHM/ICMH

Microfiche

Series.

CIHM/ICMH
Collection de
microfiches.

Canadian Institute for Historical Microreproductions / Institut Canadian de microreproductions historiques

T«chR<cal and Bibliographic Notaa/Notaa tacliniques at bibliograpliiquas

Tha Instituta hsa attamptad to obtain tha baat
original copy avaiiabia for filming. Faaturaa of thia
copy which may ba bibiiographically uniqua,
which may altar any of tha imagas in tha
raproduction, or which may aignificantly changa
tha usual mathod of filming, ara chackad balow.

J I Colourad covars/
^ Couvartura da coulaur

I I Covara damagad/

Couvartura andommagAa

□ Covars rastorad and/or laminatad/
Couvartura rastaurte at/ou palliculAa

□ Covar titia missing/
La titra da couvartura manqua

I I Colourad maps/

Cartas gtographiquas an coulaur

Colourad ink (i.a. othar than blua or black)/
Encra da coulaur (i.a. autra qua blaua ou noira)

I I Colourad plalas and/or illustrations/

D
D

Planchas at/ou illustrations an coulaur

Bound with othar matarial/
RaliA avac d'autras documants

Tight binding may causa shadows or distortion
along intarior margin/

La raliura sarrde paut causar da I'ombra ou da la
distortion la long da la marga intAriaura

Blank laavas addad during rastoratlon may
appaar within tha taxt. Whanavar possibia, thasa
hava baan omittad from filming/
II sa paut qua cartainas pagas blanchas ajoutAas
lors d'unb rastauration apparaissant dans la taxta.
mais, lorsqua caia Atait possibia. cas pagas n'ont
pas kXh filmAas.

Additional comments:/
Commantairas supplAmantairas:

L'Institut a microfilm^ la maiilaur axamplaira
qu'il lui a *t6 poasibia da sa procurer. Las details
da cat axampiai.s qui sont paut-Atra uniquas du
point da vue bibliographiqua, qui pauvant modifier
una image reproduite, ou qui peuvent exiger une
modification dans la mAthoda normale de filmage
sont indiqute ci-dessous.

Th
to

I I Coloured pages/

This item is films'* at the reduction ratio checked below/

Ce document est t<imA au taux de reduction indiqu* ci-dessous.

Pages de couleur

Pages damaged/
Pages endommagAes

Pagas restored and/oi

Pages restauries at/ou palliculAes

Pages discoloured, stained or foxei
Pagas dAcolortes, tachetAes ou piquAes

Pages detached/
Pa^es dAtachAas

Showthroughy
Transparence

Quality of prir

Quality InAgala de I'lmpression

Includes supplementary materii
Comprend du materiel supplAmentaire

r~~1 Pages damaged/

I — I Pagas restored and/or laminated/

r~1 Pages discoloured, stained or foxed/

I I Pages detached/

r~] Showthrough/

r~~] Quality of print varies/

I I Includes supplementary material/

of
fill

Oi
ba
th
si(
ot
fir
sic
or

Only edition available/
Sauie Mition disponibia

Pages wholly or partially obscured by errata
slips, tissues, etc., have been refilmed to
ensure the best possible image/
Lea pages totalement ou partiellement
obscurcies par un feuiliet d'errata. une pelure,
etc., ont kxh fiimAes k nouveau de fagon h
obtenir la meilleure image possible.

Th
sh
Til

Ml
dil
en
be
rig
re«
mi

10X

14X

1IX

22X

?6X

30X

12X

16X

20X

24X

28X 32X

Ills

differ

jna

lage

Th« copy filmed hare has baan raproducad thanlts
to tha ganarosity of:

Library Division

Provincial Archives of British Columbia

Tha imagat appearing hare are the beat quality
poaaibia conaidaring the condition and legibility
of the original copy and in Itaeping with the
filming contract specification*.

Original copies in printed paper covers are filmed
beginning with the front cover and ending on
the last page with a printed or illustrated impres-
sion, or the back cover when appropriate. All
other original copies are filmed beginning on the
first page with a printed or illustrated impres-
sion, and ending on the last page with a printed
or illuatratad impression.

The last recorded frame on each microfiche
shall contain the symbol — ^ (meaning "CON-
TINUED"), or the symbol y (meaning "END"),
whichever applies.

L'exemplaire filmA fut reproduit grice A la
ginArositA da:

Library Division

Provincial Archives of British Columbia

Lea imagea auivantea ont At4 reproduites avac la
plus grand soin, com^te tenu de la condition at
da la nattetA de l'exemplaire film*, et en
conformity avac las conditions du contrat de
filmage.

Lea exemplairas originaux dont la couvarture en
papier est imprimAe sont filmAs en commengant
par le premier plat et en terminant soit par la
derniAre page qui comporte une empreinte
d'impression ou d'illustration, soit par la second
plat, salon le cas. Tous las aiUras exemplairea
originaux sont film6s en commen9ant par la
premiere page qui comporte une empreinte
d'impression ou d'illustration et en terminant par
la darniire page qui comporte une telle
empreinte.

Un des symboies suivants apparaitra sur la
darniire image de cheque microfiche, selon le
cas: le symboSe — ► signifie "A SUIVRE ", le
symbols V signifie "FIN".

Maps, 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:

Les cartes, planches, tableaux, etc., peuvent Atre
filmAs A des taux de rMuction diff^rents.
Lorsque le document est trop grand pour Atre
reproduit en un seul ciicha, il est film* 6 partir
de Tangle supArieur gauche, de gauche A droite,
et de haut en bas, en prenant le nombre
d'lmagas nAcessaire. Les diagrammes suivants
illustrant la mAthode.

rata

elure.

32X

PROVINCIAL

Royal Jubilee Hospital

VICTORIA, BRITISH COLUMBIA.

BYE-LAWS.

VICTORIA, BRITfSIMiOLUIIBIA, FEBRUARY, 1881.

Finally considered and approved by the Board of Directors at their regular
monthly meeting, held at the Hospital on the 2nd day of March, 1891.

H. M, YATES, Secretary.

THOMAS R. SMITH, President.

Victoria, B. C.

'THE colonist" STEAM PBlNTHfO HOUSK.
1891.

x;tfi1rU4

i^^iiiiaUiliriMHiiliirfiiliiilifaliillMiiM

liiWiiiiiliiaMliliiMlli

Provincial Roy^l Jubilee Ho8pitj|l,

VICTORIA, BBITISH COLUMBIA.

Whereas, by a Statute passed in the fifty third year of Her
Majesty's reign, entitled " An Act to Incorporate the
Provincial Royal Jubilee Hospital," it was among other
things enacted that it shall be lawful for the Board of
Directors at any time, and from time to time, to make,
repeal and alter Bye-Laws, Rules and Regulations for
governing, managing and disposing of the said hospital
and property of the said body corporate ; and Whereas
it is desirable to provide more effectively for the internal
management and regulation of the said Hospital and for
other purposes hereinafter contained ; Therefore the
Board of Directors, under and by virtue of the above-
mentioned Statute, make the following Bye-Laws.

IbrfM

tHim

■■■Ml

. BYE-LAWS.

MEMBERS OF THE CORPORATION.

1. The following persons shall be Members of the Cor-
poration of the Provincial Koyal Jubilee Hospital :

(a) All persons who have already subscribed, or who shall
after the passing of this Act subscribe, towards the
erection and completion of the said Hospital, and shall
also contribute to the support thereof the annual sum
of $5.00 and upwards ;

(b) Also Jail persons who after the completion of the said
Hospital shall contribute to the support thereof the
annual sum of $5.00, for so long and during such time
as they shall continue to be such contributors to the
support of the said institution ;

(c) Also, all persons who shall have paid, or shall after the
passing of this Act pay, the entire sum of $50.00
towards either the erection, support, or completion of
the said Hospital.

ANNUAL MEETINGS.

2. A meeting of the subscribers and donors shall be
held annually on or before the 30th of June in each year at
the Hospital or some place in the City of Victoria, due notice
of which shall be given, in pursuance of the Act of Incor-
poration. 4 Only persons named on the list prepared by the
Treasurer, as required by Clause 19, shall be entitled to vote
at such annual meetings to be held as above for the election
of Directors of the Hospital, but all subscribers or donors, in
accordance with Clause 1, shall be eligible for election as
Directors.

3. The election of Directors shall be by ballot at the
annual meeting. At every annual meeting subsequent to
that held in the year 1891, each person allowed to vote may

cast one vote for six members of the Corporation, and the six
members receiving the liighest numbers of votes shall be
elected Directors of the Hospital for the ensuing year. Clergy-
men or ministers of religion of any denomination shall not be
eligible for election as Directors. Voting by proxy shall not
be permitted.

PROCEEDINGS OF DIRECTORS.

4. The Directors shall at the first meeting of the Board
after the annual election, and before proceedini> to other busi-
ness, appoint one of their number to act us Chairnaun and one
as Vice-Chairman, who sball r'^spectively be the President and
Vice-President of the Hospital for the ensuing year. They
shall also appoint a Treasurer and Secretary.

5. Every meeting shall be presided over by the President
or Vice-President, or in their absence by one of the Directors
present, to be appointed for the occasion. Any vacancy occur-
ring on the Board can be filled by the existing members until
the next annual election.

6. The Directors shall hold a meeting at the Hospital at
least once in every month. Six members of the Board to form
a quorum.

7. These meetings shall be called by printed or written
notices, specifying the day, hour and place of meeting.
Notices shall be delivered or posted to each Director at least
twenty-four hours previous to the date and time of the
meeting called.

8. The President may at any time, or shall on the written
requisition of three Directors, call a special meeting of the
Board for the transaction of business.

9. At the time appointed for the monthly meeting, if
there shall be a quorum present, the President, or in his ab-
sence the Vice-President, or in the absence of both any other
Director present appointed for the occasion, shall take the
chair, and proceed to business in the following order :

(1) Reading of the minutes of the previous meeting, whicK
shall be signed by the Chairman and Secretary, wa^n
approved.

(2) Reading of Communications.

(3) Reading and consideration of Reports :
(a) Resident Physician's Report.

(6) Matron's Report.

{d) Visiting and Consulting Physicians' and Surgeons'
Reports (if anyV

(«?) Sub-committees' Rej.)< . ts (if any).

(/) Other Reports.

(4) Reading and coiisiderati- n ot the Treasurer's Monthly
Statement.

(5) Consideration of the Minutes (if any) made by the
Visitincf Directors for the month,

(6) Miscellaneous business.

10. The Directors shall, in monthly rotation of two or
more of their number, visit the Hospital, and shall enter their
names in a book there to be kept for that purpose, with such
observations relative to the internal management of the Hos-
pital, or to any other matter that they may think necessary.
The said book to be presented by the Secretary at the next
regular meeting of the Directors.

11. They shall cause to be deposited all moneys received
on account of the Hospital in one of the chartered banks of
the Dominion, to the credit of the Provincial Royal Jubilee
Hospital, and all cheques shall be signed by the Treasurer
and countersigned by the President.

12. They shall invest in good and sufficient securities all
moneys which may at any time come into their hands for the
use and support of the Hospital and which may not be
required for immediate expenditure.

13. They shall appoint such officers and servants, and pay
such salaries and wages as they may think right, defining the
duties of the staff, directing all arrangements for the faithful
and economical working of the Hospital, and generally order
and carry into effect such regulations, from time to time, as
they may consider necessary or desirable.

14. They shall decide as to the number of free patients

to be admitted into the Hospital, and the terms upon which
paying patients shall be received and treated.

15. They shall not allow to be retained in the Hospital as
patients any insane or lunatic persons, or any others not
actually requiring medical treatment.

16. The President, or Vice-President in his absence,
shall sign, on behalf of the Corporation, all deeds, contracts and
instruments which the Directors may authorize to be exe-
cuted, or which the Corporation may be bound to execute.

17. The Directors shall, from time to time, as they may
deem expedient, frame regulations for the carrying out of
the duties of all or any of the employes they appoint.

TREASURER.

18. The Treasurer shall receive all moneys belong-
ing to the Hospital, and deposit the same in a chartered
bank of the Dominion, in the name of the Provincial Royal
Jubilee^ Hospital, and for all payments he shall produce
vouchers. If the Board shall so require, he shall give bonds
for the faithful performa^nce of his duties; the amount of
such security to be decided by the Directors.

19. He shall keep regular and strict accounts of all finan-
cial matters relating to the Hospital, submit a statement
thereof monthly to the Board of Directors, or as often as they
may require, and make up tne Annual Statement of the finan-
cial affairs of the Hospital, to be laid before the Directors
prior to the issue of the Annual Report. He shall give a
receipt for all sums paid as subscriptions or donations, and
prepare, at least seven days prior to the annual meeting, a
correct list of all subscribers or donors, for use at the said
meeting.

20. He shall keep in some safe place to be provided for
the purpose, all books and documents the property of the
Hospital.

21. He shall keep such books and accounts as the Board
of Directors may from time to time direct, and be the cus-
todian of all moneys left by deceased patients.

SECRETARY.

22. The Secretary shall attend all meetings of the Board,

■^■""■SPSB

take minutes of the proceedings of such meetings and trans-
cribe the same in a book provided for that purpose.

23. He shall at every meeting of the Board of Directors
read the proceedings of the last meeting. Through him all
communications of whatever nature shall be made to the
Directors, and by him from the said Directors to the public
or any department of the Hospital, except in tne case of such
communications as may be more properly made or signed by
the President.

24. It shall be the duty of the Secretary, at least twenty-
four hours previous to each monthly meeting, to send a notice
of the time and place of such meeting to each Director. In
the case of special meetings, the object of such meeting shall
be stated on the notice. He shall notify sub-committees of
their appointment.

25. He shall lay on the table in the Committee Room, at
every monthly meeting of the Directors, tne Journal or Minutes
of their proceedings ; the books and documents mentioned in
Clause 9 ; and any other documents or communications re-
lating to the affairs of the Hospital which he may have
received or the Board may require. He shall collect the
accounts rendered to the several Hospital officials and hand
them to the Treasurer as .sooti as practicable before each
monthly meeting. He shall furnish the Steward with copies
of all contracts awarded to tradesmen.

PATIENTS AND VISITORS.

26. The object of admitting patients into the Hospital
being their relief from bodily ailment, the first consideration
must be to treat them medically, avoiding all needless excite-
ment as detrimental to their cure. Persons who are simply
poor, and not in need of medical treatment, shall not be ad-
mitted into the Hospital as patients.

27. Patients shall only be admitted to the Hospital upon
the production of an order signed by two Directors, and at
the discretion of the Resident Medical Officer ; and they can
only be permitted to remain in the Institution if the Visiting
Physician or Surgeon is of opinion that medical treatment is
likely to be of benefit to them. Accident and other urgent
cases shall be promptly admitted without any formality what-
ever.

28. Every patient upon admission shall state his or her
name, sex, age, religion and residence. It shall be the duty of
the resident Medical Officer to obtain these particulars, which
are to be entered upon a card, to be affixed to the head
of the bed in which the patient is placed. This record is
to be treated as conclusive unless and until the patient
voluntarily requests the Resident Medical Officer to make any
changes in the card, such request to be made in the presence
of at least one other resident official of the Hospital as a wit-
ness thereto, the record of the religion on the card to be an
invitation to clergymen of the same denomination as the
patient to attend on him or her. Officers of the. Hospital are
forbidden to permit any interference with the particulars
recorded on the card for the time being.

29. A list of the patients in the Hospital, containing
a record in accordance with the foregoing clause, is to be
daily exhibited in the Hospitr' lobby for the information of
clergymen and other visitors.

30. Except in urgent cases, visitors shall only be ad-
mitted to see patients on week days between the hours of 3
and 5 p.m.; Sundays, 2 to 5 p.m.; and whilst at. the Hospital
must attend to the orders of the Resident Medical Officer, who
will be held responsible that no conduct is permitted detri-
mental to the patients, or interfering with their proper
medical treatment, comfort or care. Visitors are to be
requested to enter their names in a book to be kept for that
purpose in the entrance hall. Religious services are only per-
mitted to be hvjld on Sundays, between the hours of 3 and 4
p. m., but private bedside services for individual patients may
take place at any time, with the consent of the Resident Medical
Officer. Such services, however, must be conducted in hs
quiet a manner a«< possible, so as not to interfere with the
other patients in the ward.

3i. Smoking is strictly prohibited in the corridors and
public wards of the Hospital, and is only allowed in the
private wards with the express consent of the Physician or
Surgeon in attendance.

CONSULTING PHYSICfANS AND SURGEONS.

32. The Board of Directors may appoint from time to
time such number of Honorary Consulting Physicians and

Surgpons, for all departments of the Hospital as they may
deem expedient.

33. The Board of Directors may appoint, from time to
time, such visitinj? Physicians and Suvgeons as they think
proper.

34. The consulting and visiting Physicians and Surgeons
shall form an advisary .committee for the purpose of consult-
ation ; shall make i-eports to the Board of Directors on the
medical affairs of the Hospital when they deem it necessary
to do so ; and shall also report on any matters referred to
them by the Directors.

35. The Board of Directors may at any time, if they
deem it to be in the interest of the Hospital to do ao, by reso-
lution, remove any consultmg or visiting Physician or Sur-
geon.

3(). A book shall be kept in which the visiting Physician
or Surgeon shall keep a record of all cases attended to by
him in his regular visits to the Hospital, giving therein such
particulars as may be useful as a record in the future.

37. In cases where a consultation is desired by the visit-
ing Physician or Surgeon, the Resident Medical Officer shall
notify all the members of the medical staff to that effect.

38 No insane or lunatic person shall be admitted into the
Hospital unless the sickness arises from delirium tremens or
other curable disease, nor .shall any incurable patient be ad-
mitted unless with the special sanction of the Directors, who
shall have every patient who proves to be incurable removed
from the Hospital, unless sUch patient is specially allowed to
I'emain. The visiting Physician or Surgeon shall report
when called upon by the Directors to do so, whether any par-
ticular patient is in his opinion curable or not.

39. The visiting Physician or Surgeon and resident
Medical Officer shall have the power of examining post mor-
tem the bodies of deceased patients, provided the relatives of
such patients do not object. Notice of such post mortems to
be sent to the entire medical staff. All specimens to be
placed in the Hospital Museum.

40. Patients are to be admitted into the private wards
only at the rates of payment authorized by the Board. They
may be attended by any duly qualified practitioner at their
personal expenses

41. The visiting Physician and Surgeon shall make
quarterly reports to the Board of Directors on the work done
during the past three months, with any suggestions that may
occur to them.

RESIDENT MEDICAL OFFICER.

42. The Board of Directors shall, if they think i^t
appoint a Resident Medical Officer, and award him such
salary and allowances as they may decide upon.

43. He shall reside m the Hospital and have charge of
all the patients, and be responsible for the carrying out of
orders in reference to their treatment. He shall give his
whole time and attention to the work of the Hospital.

44. He shall be the chief resident officer of the Hospital
and shall have full general charge of the s^ vft*; see thai the
nurses perform their duties as such properly, that the patients
are well looked after, and that the wards are kept in a clean
and satisfactory condition.

45. He shall admit patients into the Hospital subject
to the regulations laid down by the Board of Directors, and
discharge patients as directed by the visiting Physician or
Surgeon.

46.';^ He shall report through the Secretary or Trea-
surer to" the Beard of Directors on all matters under his
charge, and shall keep such books as the Directors may from
time to time order to be kept — especially a requisition book,
in which shall be entered from all departments the require-
ments from traders. Previous to issue, these requisitions,
together with the counterparts, shall be signed by him.

47. He shall be responsible for the proper care of all sur-
gical instruments, together with the property of the Hospital
generally.

48. He shall be responsible for the conduct of the
patients, and shall have power to discharge :my patient who

persists in disregarding his orders, or who by his actions or
proceedings becomes an annoyance to the others ; but in any
such instance he shall at once report his action to tiie Secre-
tary in writing.

49. He shall see to the carrying out of Bye-Law No. 37.
in regard to consultations, and issue notices when so directed
by the visiting Physician or Surgeon.

50. He shall have charge of the training school for
nurses, when such a school shall exist, and shall arrange for
such a course of instruction and lectures as shall best qualify
the pupil nurses for their calling.

51. He shall daily enter in a book to be kept for that
purpose the number of patients admitted and discharged dur-
ing the previous twenty -four hours.

52. He shall make the necessary arrangements for post
morteTn examinations.

53. He shall see that the strictest economy is practiced
throughout the Hospital in every respect.

54. He shall daily visit all patients and every part of
the Hospital..

65. He shall attend to all cases of sickness occurring in
the house staff.

56. He shall be present at all operations, and see that the
necessary preparations are made for the same.

57. He shall discharge patients only upon the order of
the visiting Physician or Surgeon, except as provided for by
Rule No. 48.

58. He snail see that a list is kept in the General Office,
showing the patients under the care of each individual mem-
ber of the active staff, and shall have the names of new
patients, with number of ward, added as soon after admission
as possible. This statement is for the information of the
visiting Physician and Surgeon in their visits through the
wards.

59. The Resident Assistants, from time to time appointed
by the Board, shall be under his direction. He shall
arrange the hours, etc., when clinical clerks and dressers are
at liberty to visit the wards.

60. He shall countersign all orders issued for Hospital
supplies, and see that no goods are purchased without a
written order being given, such written order to correspond
with the counterpart retained in the Requisition Book.

61. He shall daily countersign all stimulant cards and
rolls.

62. He shall have charge of the out-patients' department,
and shall keep such particulars of out-patients as are from
time to time ordered by the Board of Directors to be kept.

63. He shall isolate patients suffering from contagious
diseases, and shall be at liberty to change patients from one
ward to another, if such be necessary for the better working
of the B^ospital.

64. At the request of the visiting Physician oT
Surgeon, he shall call a consultation of the other members
of the medical staff' at such time as he may be requested.

65. He shall see that the regulations in reference to the
Consulting and visiting Physicians and Surgeons, as laid
down by the Board, are carried out.

66. He shall have general charge of the Hospital build-
ings and surrounding grounds, and shall be responsible for
their cleanliness and order.

67. He shall not be away from the Hospital at the same
time as the Matron, who is at all times to be in chaJge during
his absence.

68. He shall take charge of and be responsible for all cash
and valuables, the property of patients or others, left in his
care, and shall account to the Treasurer for all pay^ patients'
fees, or other moneys received by him on account of the Hos-
pital, handing the same ov,^ to the Treasurer when requested
to do io, and taking his receipt.

69. He is expressly forbidden to communicate directiy or
indirectly any information concerning the Ho8j)ital, or any
person or thing connected therewith, to tbe public press, ex-
cept by the consent of the Directors.

MATRON,

70. The Board of Directors shall, if they think fit, ap-
point a Matron, and award her such salary and allowances
as they may decide upon.

71. The Matron shall reside in the Hospital, and subject
to the general supervision of the Resident Medical Officer,
shall see that the entire Hospital is kept in a thoroughly
clean and satisfactory condition.

72. She shall see that the female servants attend to their
work, the Resident Medical Officer being responsible for the
conduct of the Nurses while on duty.

74. She shall have charge of the Laundry.

73. She shall see that the supplies ordered from time to
time by the Directors, for her department, are carefully
and economically used, and that no waste or extravagance
occurs.

75. She shall take charge of all the moveable property
of the Hospital in her Department, keeping an inventory of
everthing, together with a list showing the articles from time
to time added, and those either destroyed or which have
become useless from any cause.

76. She shall not be away from the institution without
the knowledge of the Resident Medical Officer, or during his
absence, except from sickness or other unavoidable cause.

77. She shall at all times obey the instructions of the
Resident Medical Officer.

78. She shall report to the Board of Directors once a
month, or oftener if required.

..! 'V-

HOUSE STEWARD.

79. He shall strictly obey the orders of the Resident
Medical Officer.

80. He shall have charge of the kitchen and all employed
therein, also the furnaces, and shall see that the meals are
properly cooked and regularly served as required.

81. He shall see that the supplies ordered from time to
time by the Board for the use of the Hospital, in his depart-
ment, are carefully and economically used, and that no waste
or extravagance occurs. He s^hall at once report to the
Resident Medical Officer any deficiency, either in the quantity
or quality of the goods supplied to the Hospital, on contract
or otherwise, and see that a copy of the order given accom-
panies the invuice.

82. He shall be responsible for all the moveable property
of the Hospital in his department, keeping a full and correct
inventory of the same, together with a separate list showing
the articles from time to time added, or which may have be-
come useless from any cause.

83. He shall report to the Board of Directors once a
month, or oftener if required.

SUSPENSION.

■

84. The Resident Medical Officer, as regards nurses
and male servants, and the Matron as regards female
servants, shall have powei to suspend any employe, for cause,
at once, reporting such suspension to the Secretary for the
information of the Directors ; but no dismissal shall take
place without the confirmation of the Board. New appoint-
ments shall be valid only after the appi'oval of the Directors
has been notified through the Secretary.

-""<ilal *jiL