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( OFFICERS 1875. i3rcsi5cnt. MAJOR H. MILLS l»t VCejr=J3resi&ent. WILLIAM WORKMAN. 2u& V(cc=59vfsilrcnt. HUGH McLENNAX. Crea0Mrcr JAMES JACK. .SccretarM. JAMES CORISTIXE. ACT OF INCORPORATION. An Act to incorporate " The Western Hospital of Mon- treal." [Aitented to 28th January, 1874.] WHEREAS the persons hereinafter named and others, by their petition, have alleged and shown that a subscrip- tion has been set on foot to provide funds for the founding and erecting of a general hospital in the city of Montreal, and that large contributions and donations have been already subscribed in furtherance of said objects, and that others may be expected ; and whereas it appears and is shown by said petition, that it is proposed to erect said hospital in some western part of the said city of Montreal, where such an institution is urgently needed ; and whereas the said persons hereinafter named and others, have prayed that they may be incorporated for the purposes of this act ; Therefore, Ilei- Majesty, by and with tlie advice and consent of the Legislature of Quebec, enacts as follows : 1. Hiram IMills, William Workman, Henry Mulholland, IIuoli McLennan, A. W. Ogilvie, George Stacey, Wm. Mocock, Henry Jndah, A. F. Gault, William MacDonald, M.D., James Coristine, A. Cantin, C. A. Cantin, J. B. Cantin, C. W. Woodford, R. W. Forsyth, F. Wolferston Thomas, J. Molson, Thomas Cramp, Alex.' A. Stevenson, H. 1). Cowley, T. Crathern, D. H. Henderson, Henr/ Starnes, Joseph Tiffin, Henry J. Tiffin, WilHam Gardner, M.D., Horatio A. Nelson, Anthony Kerry, E. K. Greene, George Wilkins, M.D., Francis W. Campbell, M.D., WiUiam Smith, E. H. Trenholme, M.D., James Ewan, William Ewan, Joseph Hickson, Jno. L. Hardman, John C. McLaren, C. J. Brydges, Rev. Geo. H. Wells, all of the city of Montreal, esquires, and all such other persons who shall hereafter contribute to the institu- tion hereby created, by a donation respectively of at last twenty-five dollars, and who shall regularly continue to pay annually towards its support, not less than five dollars,, and their successors, are hereby created a body corporate and politic at the city of Montreal, in the province of Quebec, under the name of "The Western Hospital of Montreal." 2. The said coporation shall have perpetual succession, and may have a common seal, with power to change, alter, break, and renew tha same as often as they think proper, and the said corporation may, under the same name, contract unci bt; contracted with, sue and be sued, implead and be impleaded, prosecute and be prosecuted, in all courts and places what- ever in this province. 3. The said corporation shall have the right to take, hold and possess all real or immovable property, and all money or movable property, whicli may legally have been or may be hereafter given, granted, purchase*!, appropriated, devised, or bequeathed, in any manner whatever for, to, or in favor of the said " The Western Hospital of JMontreal," for the purposes for which the said corporation is hereby created, and upon such terms and conditions not inconsistent with the pur- poses hereof as the donor or testator thereof may impose ; subject, nevertheless to the restrictions hereinafter imposed. Provided always, that the immovable property to be held for permanent purposes by said incorporation shall not ex- ceed, in annual value, the sum of twenty thousand dollars, and provided also, that no immovable pro- perty bequeathed to the said " The Western Hospital of Montreal," and not intended to be permanently occupied or used by the said incorporation, nor to be leased by them as a source of revenue, shall be retained by the said corporation for a longer period than five years from the acquisitioi> thereof. And the said corporation shall have the power to sell and convey, let or lease, the immovable property appertaining to them and not' actually required for the purposes of said hospital, as they may deem advisable for the interests of the said corporation; provided always, that all moneys, from time to time, to be received by them on account of any real estate by them ahenated, or to be alienated, or on account of the capital of any ground rent, or otherwise than by way of contribution cot made for investment, shall be dealt with as capital only and not income, and shall be promptly invested, either in buildings or other real estate for the occupation of ! 5 the said hospital, or in the pccurities hereinafter mentioned; but no person shall be l)ound to see to the application of tlie moneys by him paid to the said corporation. 4. The intents and purposes for whicli the said corpora- tion is here])y created are declared to be : The admission, and care of sick persons, subject to sucii limitations and charges as may be hereafter determined upon and settled by the by-laws of the said corporation. The reception of sick persons as pauper patients, subject to such limitations and regulations as may be deteniiiiied by the said by-laws. The granting of relief to persons requiring the same from sudden accident. "' " The giving of medical advice, and medicines to the poor, subject to such regulations a;}'^may be determined by said by-laws. 5. The said lliram Mills, William Workman, Henry Mul- holland, Hugh McLennan, A. W. Ogilvie, George Stacey, Wm. Mocock, Henry Judah, A. F. Gault, William Mac- Donald, M.D., James Coristine, A. Cantin, C. A. Cantin, J. li. Cantin, C. W. Woodford, II. W. Forsyth, F. Wolferston Thomas, J. IMolson, Thomas Cramp, Alex. A. Stevenson, H. D. Cowley, T. Crathern, D. H. Henderson, Henry Starnes, Joseph Tiffin, Henry J. Tiffin, WiUiam Gardner, M.D., Horatio A. Nelson, Anthony Kerry, E. K. Greene, George Wilkins, M.D., Francis AV. Campell, M.D., William Smith, E. H. Trenholme, M.D., James Ewan, William Ewan, Joseph Hickson, Jno. L. Hardman, John C. McLaren, C. J. Brydges, and Reverend Geo. H. Wells, are hereby created governors for life of the said hospital, subject only to the condition of their contributing and continuing to contribute to its funds the yearly sum of ten dollars or more ; but any of them may be declared by vote of the board of governors hereinafter created to have ceased so to be, if at any time two years in arrears for such contribution; and any other persons who shall have contributed by donation to its funds one hundred dollars or more, may be constituted such life governors, by vote of the said board, subject to the like con- dition of contributing such yearly sum of ten dollars or more ; and may, in like manner, be declared by vote of the said board to have ceased so to be, if at any time two years ill arrear for such contribution. I 6 6. The 8tti(l persons, hereinbefore named life governors of Bail! institution, shall administer the atlairs of the said cor- poration, until the first n.eeting of said corporation, which nhall be colled within three months after this act has l)een duly assented to. And it shall be lawful at said lirst meet- ing to transact generally any business connected with said corporation, and to elect such nundjers of governors, not exceeding six, as may be deemed expedient, to serve for the term of one year, and until their successors shall be elect- ed j and, a like further number, to serve for the term of two years, and until their succesiors shall be elected ; and at every annual election thereafter, a like number, of not more than six elected governors shall in like manner, be chosen for the like term of ,^:yo years, and until their sn'-ces- sors shall be elected to supply the place of tiiose retiring, who, however, shall alwayK^be eligible for re-election, if otherwise qualified ; and all persons, donors of any sum inider one hundred dollars and more than twenty-five dollars, if also contributors of five dollars or more yearly to itt, funds, shall be held qualified for election as such governors. 7. In case of the death, resignation, or disqualification of any elected governor, it shall be in the discretion of the board of governors to name another qualified member of the said corporation to serve in his stead, for the unexpired re- mainder of the term for which he was elected. 8. There shall continue to be elected by the board of gov- ernors, from among themselves, as soon as conveniently may be, after each animal election of governors, a president and two vice-presidents of the said corporation, who shall have such powers and discharge such duties, as by by-law in that behalf, may be ordained, and shall serve for the term of one year and until their successors shall be elected ; and in case of the death, resignation, or disqualification of such presi- dent or either of the two vice-presidents, the said board, as soon as conveniently may be thereafter, shall elect another of themselves to serve as such for the unexpired remainder of his term of office. 9. At all meetings of the said corporation, whether the same be general or special, every member thereof, who ha» paid the current year's subscription, shall be entitled to one vote I and shall further be entitled to an additional vote for every one liuiiclred dollitrs l»y him Hiibscribed to tlio saiJ lioMpital, beyond the sum of one hundred (h)lhir8, and Huid vote or votts may be givt-n either personally or by written ]»roxie8 or assignments ; provided always, that no subscriber shall be entitled to vote on any sum or instalment for whicii he is in arrear, and that no single member shall be entitled to more than fifty votes; and all (piestions shall be deter- mined by the majority of votes given in respect thereof. 10. The said governors shall alone have power to elect and remove the medical and oth«!r ollicers, attendants and servants of every grade n.M^uired in and Mbont said cor- poration, and all such appointint-nts and removals shall be determined by a majority of the votes of the said governors, taken in the same manner and with the same restrictions as is hereinfore j»rovided by section nine of this act, for observance at the general meetings of said corporation. 11. The said governors shall have full power in all things to administer the affairs of tlie corporation, and may make, or cause to be made for the corj)oration, any description of contract which the corporation may by law enter into ; and niay from time to time, make by-laws not contrary to law^ nor to this act, to reguUiue tiie term of service of the elective directors, the ajipointment, functions, duties, and removal of all attending physiciaiis, surtreons and apothecaries, and all agents, officers, and servants of the said corporation, the security (if any) to be givc.i by them to the corporation ; the time at which and place where the annual meetings of the corporation shall be held, the calling of meetings regular and special of the board of directors and of the corporation, the quorum, the requirements as to proxies and the j>rocedure in all things, at such meetings, the management and disposition of the funds and charities, the imposition and recovery of all penalties and forfeitures admitting of regulation by by-law ; the appointment and duties of a committee of mnnagemiMit, to which they may delegate any portion of their own i)owers^ the appointment and removal of clenical lecturers, the atten- dance of students in medicine at the hospital, the government, limitations, and rules to be observed in the admission of sick persons, the granting of relief to out-door patients, and the conduct in all other particulars of the affairs of the said cor- poration ; and may, from time to time, repeal, amend, or re- enact the same ; but every such by-law, and every repeal, 8 amendment or re-enactment thereof, unless, in the meantime, confirmed at a general meeting of the corporation, duly called for thai purpose, shall only have force nntil the next annual meeting of the said corporation, and in default of con- firmation thyreat shall, at and from that time only, cease to have force ; provided^al\"ays, that ten or more of the members of said corporation, representing at least one-fourth of the whole number of votes, capable of being cast by said corpo- ration, shall have the right, at all times, to call a special meeting thereof, lor the transaction of any business specified in such written requisition and notice, as they may issue to that effect ; and such by-laws, rules, and regulations shall have the same force and effect as if they were embodied in this act, and copies thereof, under their seal, and purporting to be signed by the president and secretary of the said cor- poration, shall be received asj)r/»/A'i/l,»b? A'i. - 13 No alcoholic liquors or intoxicating fluids shall be brought in, drunk or used m said Institution except for Medicinal purposes, and then only when specially prescribed by the Physician, and in small quantities from time to time as may be needed, and any person breaking or infringing this Prohibition shall on c.onviction before ^^he Board of Directors be removed from this Institution. 0. All orders to the Steward for the purchase of stores must be inserted in i book provided for the purpose, and be signed by at least one member of the Board of Directors. 7. When a vacancy occurs in the Board of Directors the remaining members may elect from the Board of Governors a person to fill the vacancy for tiie unexpired term. 8. The Secretary of tl)e Board shall lay on the table at every ineetihg of the Directors, the book containing the minutes of their proceedings. IX. THE MEDICAL BOARD. i. The Medical Board shall consist of Consulting Physi- cians, eight Attending Physicians, and four Assistant Attend- ing Physicians. 2. The Medical Board sliall, at their first meeting after the annual meeting, appoint from among themselves a Chairman and Secretary. 3. The Attending Physicians shall so arrange among them- selves that the Hospital be visited every day by two of their number. 4. The Assistant Physicians shall so arrange that one of their immber shall attend the Hospital daily to prescribe for the out-door patients. 5. No Physician shall be eligible for office who is not a graduate of a British University, or a licentiate of a College of Physicians in the British Dominions of at least three years standing. 0. Any Attending Physician after ten years service is eligible for the office of Consulting Physician to the Institu- tion. 14 7. The visiting hour for the niedicnl officers shall be 1*2 o'clock noon each day, except Sundays, wlieu it shall be optional. 8. In all surgical cases requiring operations, except in emergencies where delay might be dangerous, and in medical cases when desired, a consultation of the whole Medical Board shall be summoned. 9. Members of the Medical Board shall have full power at all times to visit and examine the Apothecary's shop. 10. The Medical Board shall examine all candidates for the situations of House Physician, Assistant House Physician and Apothecary, and communicate to the Board of Directors, in writing, through their Secretary, their opinion of the can- didates. 11. The Attending Physicians shall have the power to admit or discharge any patient, but shall be amenable for his action to the Board of Directors, and also to select their own dressers and clerks from anions the students. X. HOUSE PHYSICIAN AND ASSISTANT HOUSE PHYSICIAN. 1. The office of House Physician or Assistant House Physi- cian shall be without salary and tenable for one year only ; neither officer shall be permitted to engage in outside practice. 2. The House Physician shall visit all the patients in the Hospital, morning and evening, or oftener if reijuired by the Attending Physician ; and shall take charge of all cases of serious disease or accident admitted after the visit of the Attending Officer until the next visit of such officer. 8. He shall report daily to the Attending Physician the state of patients since the last visit. 4. He shall in cases of an urgent 'lature summon the Attending Physician, or if such officer cannot be found, the nearest member of the in-door staff. 6. The House Physician and Assistant House Physician shall be in the Hospital during the visits of the Attending Physi- cians ; and at no time shall they be simultaneously absent. 15 6. 1 hey must always be in the Hospital at a season ible hour in the evening, and never sleep out of the building unless with the permission of one of the Attending Physicians. 7. The House Physician and Assistant House Physician shall record in the case books, to be kept for that purpose, the history, symptoms, treatment, and results of treatment, of all patients admitted to their respective wards, as well as the details of the morbid appearances revealed by the post mor- tem examination conducted by the Attending Physicians. They shall supervise the preparation of all prescriptions ordered for the patients. 8. They shall enter in the register book the names, sex, age, religion, nation ility, place of residence, occupation, dis- ease, and time of admissiou, of every patient received into the Hospital, also the name of the person by whom the patient has been recommended, and, if a, pay patient, the rate per week ; aJso the time and manner in which every patient leaves the Hospital. 9. The House Physician shall have the charge of all the surgical instruments belonging to tne Institution, and be res- ponsible for their safe keeping. 10. He shall notify the members of the Medical Board whenever a consultation is required ; also notify the Steward of the dismissal of patients. 11. He shall draw up a quarterly and an annual report of the state and number of patients admitted and discharged pre- viously to the quarterly meetings of the Governors and the annual meetings of the Corporation, 12. He shall certify to the regular attendance of Students at the Hospital, and report their number, and other matters connected therewith to the Board of Directors- 13. In all cases of sudden death where a Coroner's inquest is necessary, he shall notify the Coroner ; and on the holding of the inquest, he shall be the Medical Officer referred to for information by that functionary, and shall be entitled to the fees paid by the Coroner in such cases. 16. The Assistant House Physician shall take charge of such : i 1 1 ( ■ 1 1 16 wards as are assigned to him by tlie Attending Physician, and shall visit these at least once every morning and evening, and oftener when required ; and in the event of his observing any sudden or unfavourable change in any of the patients in his wards, he shall immediately notify the House Physician to that effect. XI. APOTHECARY. 1 . The office of Apothecary shall be tenable for one year onlv unless re-elected. 2. He shall be selected from among Sti lents who have attended at least two sessions, at a medical school, and such candidate shall furnish the Board of Directors, previous to his election, with satisfactory evidence of his having been examined and approved of by the Medical Board. 8. He shall regularly attend, and have charge of the Apothe- cary shop, keeping everything belonging thereto clean and in proper order ; he shall compound, prepare, and dispense all the medicines required for the purposes of the Institution. 4. He shall deliver to the nurses of the wards the medicines, &c., ordered for the patients, and shall see that the directions for their administration are printed, or legibly written, and affixed to each phial, box, or parcel. XII. STUDENTS. 1. The fee for a Student's annual tickec shall be SIO.OO For six months ticket 6.00 Perpetual ticket 15.00 and no Student will be permitted, under any circumstances, to attend the Hospital previous to procuring his ticket. 2. Students in attendance during the visit of the Medical Officers must behave with decorum, and avoid everything that may tend to disturb Physicians, Clerks, or Patients. 3. "When visiting the wards they must not offer any advice, or express any opinions, unless requested to do so by the Attending Physician. fc. ■--tvejr -r-iMitir -?:---:: Tir^ir^' .a^vrtiaA.\l ■^A'JJ^^aMu^laMifc. I iii m i "Mip wi i 17 4. In the Operatiiiir Theatre Students must confine them- selves to their seats, so as not to obstruct the view of others • avoid changes of seats, and all noises, as unpleasant to the operator and injurious to the patient. 5. Any Student infringing any of the above rules shall for- feit the benefit of his ti-ket, and the privilege of attending the Hospital. XIIT. ADMISSION 01- PATIEXTS. 1. Apphcants for admission shall present themselves when possible at the Hospital between the hours of 11 and 12 a.m. Severe cases shall be received at anv hour. 2. No patient can be admitted whose disease is considered incurable, or who is insane, or whose case does not require the particular benefit of in-door attendance. 3. No woman advanced in pregnancy shall be admitted as an in-door patient unless the subject of serious accident or some disease endangering her life and requiring immediate care and treatment. 4. Patients able to pay twenty-five cents or more per day may be admitted as pay patients. 5. No patient, — except immigrants and seamen, — residing outside of the city of Montreal will be admitted for less than one dollar and seventy-five cents 2)er tveek. In special cases the Board of Directors may deviate from this rule, but shall report the same to the (lovernors at tlieir first meeting. 6. Persons the subject of venereal disease shall pay at least two dollars 2)er week, and shall be called lock-ward patients — The above rule is not applicable to persons entering the pri- vate wards. 7. The person recommending any patient shall mention in the certificate if the patient be a pay patient, and in which case he shall be responsible for the amount which shall become due to the Hospital unless he declines such responsibility. 8. Two beds — one in the men's and one in the women's ward — shall be kept in reserve for those suffering from sudden accident, or in need of immediate relief. 18 XIV. PRIVATE WARDS. Private patients, suilering from ordinary diseases, and paying not less than S 10.50 j>er week, will be entitled to the usual services of the Attending Physician, but may employ any legally qualified practitioner at their own expense. XV. GRATUITIES AND REWARDS. No person connected with this Hospital in any capacity shall either give or take, directly or indirectly, — on pain of immediate expulsion, — from any tradesman, patient, or ser- vant, any fee, reward or gratuity whatever, for any services done or to be done, relative to the Hospital. XVI. ORDER OF BUSINESS. 1. The President shall take the chair and call the' meeting to order. 2. Reading the minutes of any stated or special meeting. 3. Report of the Treasurer. 4. Communications, including Reports from the Board of Directors, Visiting Governors and ]\[edical Board. 5. Reports oi Committees. 0. Miscellaneous business, including unfinished business. 7. Fining vacancies in the Board of Directors and in other offices. 8. Announcement of the Visitinjr Governors. XVII. QUORUM. Not less than 15 Governors shall constitute a quorum, for the purpose of electing officers, making By-Laws, or for hold- ing any special meeting ; but for all other purposes seven shall be a quorum. Any Governor may authorise any other Governor to vote for him by executing the following form of proxy, which shall be recorded by the Secretary and valid till revoked : — - <«*ft» M »W' ;fai ■! iiw»> i \ I i l i i i ■!■ im' € timmmmmdtii6>iiiiiit$ ind the \ty of 19 h of lioreby appoint of Govornor of the Western Hospital of Montreal, to represent me by proxy, un*j to vote and act forme at all meetings of the Governors, and in my name to do all things with regard to the business of the Hospital, in my stead tiiut I might legally do, if personally present. Witness my hand, this day of 187. XVIII. FLVANCE. A Finance Committee of seven shall be appointed by the Board of Governors every year. It shall be their duty to adopt proper means of augmenting the subscriptions and benefactions. To circulate information respecting the Hospital, collect subscriptions, hand them into the Treasury, and assist the Treasurer generally. XIX. Any Officer or Governor refusing or neglecting to perform the functions of his office by not faithfully attending to the duties thereof shall be deemed disqualified, and the said office shall become vacant by vote of Board of Governors. Further, if any Officer or Governor shall manifest opposition or hostility to the success and welfare of this Institution, he shall be deemed unworthy of his position as having forfeited all claim to the same, and on conviction his name shall be struck from the Roll of its Members. XX. AMENDING AND REPEALING BV-LAWS. These By-Laws, in conforniity with section eleven Act of Incorporation, shall not be added to, altered, nor repealed, except a special motion for such changes be made and received at one of the quarterly meetings of Governors, and passed at tht next quarterly meeting before being submitted to the annual meeting of the Corporation.