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Un des symboles suivants apparaftra sur la derniire image de cheque microfiche, selon le cas: le symbols —^ signifie "A SUIVRE". le symbols V signifie "FIN". Maps, plates, charts, etc.. mey be filmed at different reduction ratios. Those too lerge to be entirely included in one exposure are filmed beginning in th^ upper left hand corner, left to right and top to bottom, as many frames as required. The following diegrams illustrate the method: Les cartes, planches, tableaux, etc.. peuvent Atre fiimAs A des taux de reduction diffArents. Lorsque le document est trop grand pour Atre reproduit en un seul clichA. il est filmA A partir de Tangle supArieur gauche, de gauche A droite. et de haut en bas. en prenant le nombre d'images nAcesssire. Les diagrammes suivants illustrent la mAthode. 1 2 3 1 2 3 4 6 6 T I I i // ^ y^//Crr^ RULES AND REfiULATIONS JJJWK «»• Tfii: ^ duhq H, Stratford Hospila MECLAttED OPKir TO } TUB I^'TJ ON liY His HoDor the Lt-EoYernor of Ontario. JOHN H. STF^ATFORD, Pf^ESIDEJ^JT. \ > /-K (Uc/^, I '/• ■ > PRIKTKl) AT 1IIK Exi^SITOR BoOK AND JoB OFFICE, 1885. ^-■■■p *■* .■ ">1 €-■> RULES AND REGULATIONS OF THB Jolm H. Stratford Hospital DBCLABBD OPSN TO TUB FXJBIjIO oir ©FueAilcjjy , tfle iOtft 5?e6ruar^, !JSSS sv His Honor tlie Lt-SoTdn)or of OQtario. JOH^I H. STF^ATFORD, PRESIDENT. PiniTieD AT TBI KXPOBITOB BoOK AND JOB OfTIOB, 1885. r f C8) >y/?^ Tir^ OFFtCERS. ,;^:^ JOHN H. 8TR4TP0BD, - DEL, J. W, DIGBT, ALDSBMAN L, F. HBTD, ALLBN OLBOHOBN, - Vicb-Pbmiobmt. SacauTiBT. OOVEBNORS. John H. Stiatfobd, Bnq. Jambs W. Diobt, Biq., M. D. W. J. SoABVB, Biq., Ifayor, William T. Haibis, B«q., K. D., Ald«niuui. Louis F. Hitd, Mtq., AlcUmiMi. Thoi. Llotd-Jomu, Btq., Wudaa Go. Bnat. MISS A. SBTMOUB PBB88B, MEDIOAL STAFF. lUoiHALD Hbmwood, If. D., BonTo* OurFiw, M. D., 0. M. iJMMB W. DioBY, M. D., 0. M. Wm. 0. OoBSoii, M. D. D. LB8LIB Fhiuf, M. D. H. J. OOLB, M. D. William T. Habiii, If. D., 0. 11. W. B. WniaxBLL, M.' D. A. J. Hbrwood, M. D., 0. M. B. TMoaPtoir, M. D. L. Sboobd, M. D. PREAMBLE. Whereas the John II. Stratford Honpital, erected at the sole expense of John H. Stratford, Esq., '^f the City of Brant- for^, was presented by him to the Corporation of the City of Brantford, as a free gift, on Toeeday, me lOth day of Febra- ary, 1886» sabject to the terms and conditions as contained in bis deed of the same, as follows : Clausbs fbom Dbbd of Oift. To be nsed as an Hospital only npon the following conditions : 1. That the management of the Hospital shall be strictly non-seotarian in its character and the Institntion be open to all citizens of the City of Brantford, sabject of course to the roles that may be laia down hereafter for its conduct. That no dergymen, priest or member of any religions sect, secret or other society shall hold religions or other sendees within the walls or groonds, except in the case of a patient who should request the attendance of such, and then only for that patient's personal benefit. 2. That the said lands, tenements and hereditaments, buildings or grounds, shall never be encunbered or mortgaged by any lien whatever, and if so encumbered or mortgaged shall be forfeited at the option of the said John H. Stratford or bis heirs, and shall then become the property of the said John H. Stratford, or of his heirs, devisees or appointees, if dead. 8. That the supervision of the affairs of the Hospital shall b^n the hands of Fivs Gov^mon^ the said John H. Stratford 6 being one for life, he haying the right to nominate yearly another, the Mayor of the day of the City of Brantford, betng the third, and the Gonncil to elect yearly from their own body the other two. At the decease of the said John H. Stratford, shoold his brother Joseph sarvive him he is to take his place on the Board of Governmg. And the i^arnvors of either of them, the said John H. Stratford and Joseph Strat- ford to have the piivilege of nominating by Will one Life Governor only to act with foar others selected b^ the City Council, and at the death of the survivor's appointee, or in default of such appointment under the Will of the survivor, the appointment of all the Governors shall rest forever with the Mayor and Aldermen of the City. 4. That no emolument of any kind shall attash to the office of Governor. 5. That the Buildings shall always be insured for a suffi- cient sum to replace them in case of their destruction by fire. 6. The County of Brant to have the privileges of the Institu- tion, if the County Council see fit to contribute towards its maintainance a sum sufficient yearly as shall in the opinion of the Governors warrant the enjoyment by the said County of such privileges. 7. The Hospital to be called for all time the John H. Stratford Hospital. 8. That the said John H. Stratford may contribute towards the maiutiuance of the said Hospital a yearly sum of Four Hundred Dollars payable quarterly in advance, such payments to commence at its opening and to continue for so long a time as lie may elect. The said party of the second part, Sara Stratford, wife of the said party of the first part, hereby bars her Dower in said lands. The said Hospital having been formally declared open to the public by His Honour, The Lieut.- Governor of Ontario, on the 10th February, 1885. There being five Governors provided by deed of conveyance, (see clause S of Conditions), and the Warden of the County of Brant to have a seat at the Board, but without vote. ^ And as it is expedient and necessary that Rales and Regu- lations shoold be adopted, so as to regalate the proceedings of the Governors, as to their meetings from time to time, as well as touching the management and disposition of the prop* erty, estate and effects of said Hospital, as well as the duties of its officers, medical staff, clerks and servants, their ap- pointment, wages and salaries ; and also such other matters and things as shall appertain to the efficient and proper work- ing of the Hospital. Therefore it is resolved that the following Roles and Regu- lations be adopted. I. The Board of Qovernors shall at their first meeting choose a President and Vice-President from amongwt their number, and thereafter year by year on the first Tuesday in February. The President shall preside at all meetings of the Board of Governors, or in his absence the Vice-President shall preside, but if both are absent, then the Governors present may elect a Chairman pro tern from amongst themselves. II. The regular Board meetings to be held at the Board Room in the Hospital, upon the first and third Tuesday of each month, three Governors present to form a quorum for the transaction of businens. ni. Special meetings to be called by the President, or in his absence by the Vice-President, or at the request of any two of the Governors, which meetings may be held wherever ap- pointed. IV. — VISITING aOVERNOB. Each Governor shall by rotation visit the Hospital at least twice every week for two weeks ; it shall be bis duty to go over the Hospital, make an examination of the same, hear oomplaints, if any, from the staff and patients, and generally oonler with the Matron and Secretary, makiag an entry in the Visiting Qoyemor a Record Book of said visit, together with snch oommeQts as he may think necessary, and if nnable from absence or any cause to attend in his tarn, to proonre some other of the Governors to act in his place. V. — TEEASURKB. He shall be appointed annually by the Board of Governors, whose duties shall be to open an account in the uame of the John H. Stratford Hospital, with the Bank of Commerce in the Oity of Brantford, where all monies received by him shall be deposited, and only to be withdrawn by issue of his cheque, upon reoeivinj^ the Secretary's order for payment, said order to be based upon resolution of the Board of Gover- nors, and that he be authorized to endorse' all financial documents, VI.— SBOBITABT. He shall be appointed annually by the Board of 6k>vernors, attend all meetings of the Board, keep a record of all minutes, notify the Governors of meetings, and the Medical Of&cers and Governors of their rotation, keep all the accounts and books in proper order, attend to all correspondence, make all entries in the Admission and Dismission Books. Make out all returns and keep all records required by the Ontario Gov- ernment, and shall do such other duties as may be required of him from time to time by the Board of Governors ; ana to sign orders upon the Treasurer for pavments of accounts or other payments passed by the Board of Governors. VII. — MATBOM. To be appointed by the Board of Governors ; her duties shall be t^ nave the care of all the furniture, beds, bedding and stores ; to look after the general supplies, including food and such other articles as are required for the daily use of Uie Hospital. She shall order all supplies of provisions» Itc., have pass books with each contractor, or see that invoices accompany the delivery of all supplies, and shall certify the joes toe MM boolu Micl iiiToioM eidi mmtll, or oftoner if so nqvdMl. She shall keep under look mad key all ,iiiM, Imsc, msM eiiier spiritnous Uqaore, each Uqoors sol to be favnlriied fby Mteoti exo^t under order of ihe medioal altendaiii. Sbm emJl kai^ a record in a book ol all donatiotia of j^roriilQiii or otiw ar^dee for oonaamntion or nee in the Hoepita). When she is plaoea in charge oi Che Hospital she shall sign a receipt in a book containing an inTentory of tiie fnniitn]^ and all other plant of the Hospital, and shall ke^ a record in the same book of all f atnre additions thereto. She shall haire charge and sapervision of the nnrses* and doniestic senrants, whom she shall hftTO power to hire and discharge, in either case reporting same to tlM VlsHing Goremor. . She shall also report to the Attending Physician and to Uie Visiting Governor, any miscondnot, irregularity, or anything which may oocnr in her department which requires regnla- tiott in connection with nnrsiog and attendance. ▼in. — SVGIMBBnAHO OAEDBirBm. To be appointed annually by the Board of OoTemors, and the duties of gardener and engineer to be performed hf one man. In the summer season he will have charge of the gar- den and grounds, and shall keep the same in good orderrand perform all necessary work expected of a first class gardener. And in the winter season he shall take charge of &e furnace and sfceam boiler, and receive from the Matron instructions as to the deflree of heat ^ be maintained from time to time in the Hospital ; he shall i^ reside in the Hospital 6r in sbme building on the grounds. * IX. — POSTIB. The Porter shall be appointed by the Board of Governors and he shall see that a proper supply of water is kept in the tanks, act ss messenger, assist the nurses when required to do so, and perform all hoosehold work required of him bv the Matron ; he shall also assist the gardener when not required in the Hospital. 10 X.— WUBSBt. Their daty shall be to take charge of the patients day and uif^t. They shall be under the orders of the attending phy- noian.bnt more immediately responsible to the Matron daring the absence of snch physician. It being understood that the nurses most be kind, attentive and orderly » and when on daty they shi^l wear the Hospital Nnrse Uniform ; their general conduct must haye the particular attention of the Matron. XI. • No oflH)er or person connected with the John H. Stratford Hospital shall at any time, under any pretenco whatever, on pain of dismissal, give to, or take from, any tradesman, pabent, or servant, or any other person, any fee, reward or gratuity of any kind whatsoever, directly or indirectly, for any services done, or to be done, or proposed to be done, on account of or relative to said Hospital, except in the case of physicians attending private pay patients in the pay wards of the Hospital. XII.— BEOULATIONS FOB THB ADMISSION OF PATIBNT8. Glass of patients which may be admitted : 1. No incurables, chronic or insane cases, shall, under any circumbtances, be eligible for admission into the Hospital unless as provided by clause 10 of Medical Staff Bales. 2. All cases of serious surgicsJ injaries are eligible for admission. 3. All cases of acute diseases are eligible for admission. 4. Any patient desirous of admission, and possessing the means, shall be required to pay to the funds of the Hospital 12.80 (two dollars and eighty cents) in advance per week for his care and treatment while therein. 6. Patients occujpying a private ward may employ their own physician (said physician not being a member of ihe Hospital Staff), on obtaining the consent of the Board of Gov- ernors, and shall pay a fee for care and treatment (expensive wines and fruit extra) to the funds of the HospitiJ of seven 11 any )ital for the ^ital for leir dollars per week, and snch pntient can be admitted by appli- cation at the fiospital, and with the approval of the attend- ing physician. 6. All patients admitted into this Hospital shall be onder the care of the physi -^'an who admitted him or her, as long as they are under medical treatment. 7. In bpecial cases, a patient on admission expressing a re- quest to be under the care of his own physician (said physi- cian being a member of the Hospital otim), may hare Booh request complied with. 8. All patients requesting admission, not possessing the means to pay for hospital care and treatment, must present an order from the Mayor, Warden or Reeve of the Municipal- ity from which he comes, making said municipality respon- ttible for the Hospital charges in respect of such care and treatment. [See clause 11 and 12.] 9. The admitting hour shall be at one o'clock p.m. through - out the year, and the Attending Physician shall be in attend- ance for c hour from that time, but in case of accident or emerge* ^ vhe patient can be admitted at any time. 10. The attending physicia n shall judge if the applicant's case is a proper one for admission to the Hospital. 11. Indigent patients requiring admission to the Hospital must have a certificate (blank forms furnished by the hospitel) from the city, signed by the Mayor, from the County signed by the Warden or any Reeve of the Townships, and the steff are required not to admit any indigent patient without such certificate except in case of accident or emerf;|ency — the cer- tificate to be obtained, signed as soon as possible thereafter. 12. Forms of Oerbificato can be obtained from the Mayor of the City of Brantford, the Warden of the County of Brant, the Reeve of each Township, or upon application to the Secretary at the Hospital. VOBM FOB CITY PATIENT. 18. /o the M'i^ron John H. Stratford Hotpital, Brant/ord: Admit Mr Brantford, as apationt to the Hospital, from the Oorporation of the City of Brantford. Date. N. B.— Chronic cases, insane persons, or incurables not admitted. FORM OF CERTIFICATE IC& COUNTY PATIENTS. lo the Matron John H. St 'Afford Hospital^ Brantford : Admit ..as a patient, and the Municipality of will be responsible for payment. Siga Dated N. B.~>Ohronio oases, insane persons, or inoorables not admitted. It XIV. — DISMISSAL OF INDIUBNT PATIENTS. No indigent patient shall be dismissed by the Matron, or allowed to discharge himself or herself (except otherwise provided) until the Medical Officer of the day shall order or permit saoh discharge, when the Matron of the hospital shall at once by telephone, messenger, or personally notify the Visiting Ghoveroor, and he, if necessary, shall advise, with such information he considers called for, the Mayor, Warden or lleeve upon whose certificate the patient had been ad- mitted, that the patient is about to leave the hospital, or the Visiting Governor may at once concur in the discharge. XV. When a patient dies in the Hospital, the Matron shall im- media.tely give notice in writing to the relatives of the deceas- ed, or io case of no known relatives, to the party whd signed the certificate of admission. In all cases where an in- terment necessarily takes place at the iLstance of the hospital authorities, the expenses thereof shall be borne by the rela- tives, or the municipality concerned in sending the patient to the hospital. • XVI. — RULBS FOB BXTEBN PATI&NTS. Out patients must attend the hospital at 1 o'clock p. m. daily, except Sundays, and remain in the visiting room until prescribed for ; such patients must f arnish their bottles and gallipots, and see that they are kept clear. RULES FOR PATIENTS. 1. Patients on admission to the Hospital mast have a batli, unless orders to the contrary are giTen by the attending physician. 2. Patients haTirg friends in or near Brantford must bring sufficient changes of night shirts or night dresses, which their friends will supply them clean on visiting days. 8. Patients having money or articles of jewelry must leave them in charge of the matron before going to the Ward. 4. Not more than two visitors will be admitted at once to see any patient. 5. Patient must bo in their proper places in the Wards at * meal times and during the visits of the physicians and sur- geons, and always at 8 o'clock at night ; and no patient shall leave the hospital grouads at any time, or be sbbsent at the hour of morning visit without special leave from the Matron. 6 Patients must be quiet and exemplary in their behaviour, and conform strictly to the rules and regulations of the hos- pital, and carry out all orders and prescriptions of the various officers of the establishment. No indecent or immoral con- duct will be tolerated. The use of tobacco in any form is (except under medical authority) strictly prohibited. Loud talking or unnecessary noise of any kind in wards or corridors 18 forbidden. 7. Patients are not allowed in any way to interfere with or remove their diet cards or charts from the wards. Patients must not take away bottles, labels, or appliances when leaving hospital. 16 8. After 8 o'clock p. m. perfect qaiet mast be observed in the wards. 9. Saoh patients as are able in the opinion of the physi- cians and surgeons shall assist in nnrsing others, or in such services as the Matron may require. 10. No patient shall enter into the basement story, lanndry, ox>erating theatre, or any of the 'officers or attendants' rooms, except by permission of an officer of the hospital. No male patient shall enter the Women's Ward, or any female patient the Men's Ward. 11. Patieuts in private wards may be visited by their friends at any suitable hours in the day time. Friends only remain with patient over night by special permission of at- tending physician, who may in all cases and at all times exercise discretionary powers as to excluding or admitting visitors. 12. No eatables or liquors of any kind shall be taken into wards by visitors, but if brought by them must be left with the head nurse marked with the name of the patient for whom they are intended, to be examined by the medical officer, who will allow or refuse their use as he may think proper. 18. Any patient brining spirituous liquor into hospital or grounds, or found intoxicated will be discharged. 14. Whenever patients misbehave or violate any of the standing rules of the hospital, the attending physician may remove or discharge them as provided by clauses 8 and 9 of Rules for Medical Staff. 16 RULES FOR VISITORS. 5 i 1. Viiitors admitted on V^edaeedays and Sandays from 2 to 4 p. m. only. 2. The first condition of the foundation of this hospital is, the management of the hospital shall be strictly non-sectarian in its character — that no dergyman, priest or member or any reUgioas sect, secret or other society, shall hold reli|(ioQs or other services within its walls or grounds, except a patient shonld request the attendance of snob, and then only for that patient's personal benefit. 8. For reasons that are obvious, visitOTS are requested to see the nurse before entering any ward. 4. Visitors are strictly proiiibited from giving any article of food, fruit, or luxuries, to any patient. Any luxuries intended for particular patients can be left with the Matrcm, who will be glad to distribute them under the direction of the attending Physician. o. Visitors are requested not to interfere with «he discipline of the hospital by giving ord^ to nurses or patients. 6. Visitorti are requested not to converse with patients con- cerning their medical or surgical treatment, and particularly regardmg their individual diseases. 7. At the entrance of any of the medical men into a ward, visitors will retire if necessary. % 8. Visitors are requested to leave the wards promptly at 4 o'clock 9. Visitors desiring to make any complaints will kindly communicate with the Matron. l(X Statomenta made by a patient tK> a clergymen cnr other visitor are not to be made public, unless at the request of the Satient, and with the consent of the Visiting Oovemor,or in evi- ence before a proper tribunaL rom 2 is, the ian in it any 008 or atient irthat to see ideof ended > wUl inding ipline icon- alarly ward, at 4 indty cyther tfthe oevi- 17 MEDICAL STAFF. 1. The following practitioDera shall oonstitote the staff of the John H. Strau(»d Hospital : Reginald Henwood, M. D. Egerton Griffin, If. D. Jamea W. Digby, M. D., G. M. Wm. 0. Oorson. M. D. D. Leslie Philip^ M. D. H. J. Cole, M. D. William T. Hanis, M. D., C. ]|i. W. £. Winskel, M. D. A. J. Henwood, M. D«, 0. M. R. Thompson, M. D, L. Becord, M. D. 2. Their attendance in rotation shall be as above recited, which is in aooordanoe with the seniwity of residence in Uie City of Brantford, and they shall attend for one montli each. 8. When by death, resignation, removal from the dty, or any other canse, the nomber of medical men shall be rednoed to eight, that number shall thereafter constitnte the foil board