ACT OF THE LEGISLATURE 
AND • 
ORDINANCES OF THE CITY COUNCIL 
RELATING TO 
THE CITY HOSPITAL; 
WITH 
THE RULES AND ORDERS OF THE TRUSTEES, AND THE RULES 
AND REGULATIONS OF THE HOSPITAL; 
TRUSTEES, COMMITTEES, &c. 
BOSTON: 
J. E. FARWELL AND COMPANY, PRINTERS TO THE CITY, 
37 Congress Street. 
1864. TRUSTEES FOR 1863-4. 
Aldermen-THOMAS C. AMORY, Jr., President. 
OTIS NORCROSS. 
Councilmen -JOSEPH BUCKLEY, 
LUCIUS A. CUTLER, 
DAVID H. COOLIDGE, Secretary. 
At Large - THERON METCALF,* for three years. 
SUMNER CROSBY, for two years. 
WILLIAM R. LAWRENCE, for one year. 
TRUSTEES FOR 1864-5. 
Aldermen - OTIS NORCROSS, President. 
GEORGE W. WARREN. 
Councilmen -WILLIAM CUMSTON, 
JOHN T. BRADLEE, 
DAVID H. COOLIDGE, Secretary. 
At Large -THERON METCALF, 
SUMNER CROSBY, 
WILLIAM R. LAWRENCE, for three years. 
* Mr. Metcalf was elected in place of Andrew Carney, Esq., who declined to serve. COMMITTEES OF THE TEUSTEES. 
• On the Rules and Regulations. 
Messrs. BRADLEE AND COOLIDGE. 
On the Supplies and Furniture. 
Messrs. CROSBY AND BRADLEE. 
On Finance. 
* 
Messrs. NORCROSS AND LAWRENCE. 
On the Medical Department. 
Messrs. LAWRENCE AND METCALF. 
On the Service. 
Messrs. COOLIDGE AND CUMSTON. 
On the Grounds and Buildings, Heating and Ventilation. 
Messrs. WARREN AND CROSBY. 
On Accounts. 
Messrs. QUMSTON AND WARREN. 
On Admissions and Discharges. 
Messrs. METCALF AND NORCROSS. 
Superintendent. 
LUCIUS A. CUTLER. CONSULTING PHYSICIANS AND SURGEONS. 
EDWARD REYNOLDS, M.D. 
JOHN JEFFRIES, M.D. 
WINSLOW LEWIS, M.D. 
S. D. TOWNSEND, M.D. 
A. A. GOULD, M.D. 
S. DURKEE, M.D. 
Visiting Physicians. 
JOHN HOMANS, M.D. 
WILLIAM W. MORLAND, M.D. 
F. E. OLIVER, M.D. 
J. BAXTER UPHAM, M.D. 
J. N. BORLAND, M.D. 
J. G. BLAKE, M.D. 
CHARLES H. STEDMAN, M.D. 
CHARLES E. BUCKINGHAM, M.D. 
D. McB. THAXTER, M.D. 
CHARLES D. HOMANS, M.D. 
ALGERNON COOLIDGE, M.D. 
DAVID W. CHEEVER, M.D. 
Visiting Surgeons. 
HENRY W. WILLIAMS, M.D. 
Ophthalmic Surgeon. AN ACT OF THE LEGISLATURE, 
AUTHORIZING THE ESTABLISHMENT OF THE CITY HOSPITAL. 
Section 1. The City of Boston is hereby authorized to 
erect, establish, and maintain a Hospital for the reception of 
persons who by misfortune or poverty may require relief during 
temporary sickness. 
Sect. 2. The City Council of said city shall have power to 
make such ordinances, rules, and regulations as they may deem 
expedient for the appointment of trustees and all other necessary 
officers, agents, and servants, for managing the said Hospital. 
Sect. 3. Said Hospital shall not be erected or located within 
three hundred feet of any schoolhouse or church now built. 
Sect. 4. This act shall take effect from and after its pas- 
sage. ORDINANCES. 
AN ORDINANCE RELATING TO THE CITY HOSPITAL. 
Be it ordained by the Board of Aidermen and Common Council 
of the City of Boston, in City Council assembled, as follows: - 
Section 1. In the month of January, 1863, the City 
Council shall proceed to elect by concurrent vote eight suitable 
persons to be a Board of Trustees of the City Hospital, of 
whom three shall be chosen from the citizens at large, two shall 
be members of the Board of Aidermen, and three members of 
the Common Council. The persons elected at large shall hold 
their offices one for one year, one for two years, and the third 
for three years, and the members chosen from the City Council 
for one year, from the first day of said January and until others 
are chosen respectively in their places. And after the first 
election annually in the month of January, or as soon there- 
after as may be, there shall be elected in the same manner to be 
Trustees of said City Hospital, two members of the Board of 
Aidermen and three members of the Common Council, to hold 
their offices for one year, and one citizen at large, to hold 
his office for three years, and until others are chosen respec- 
tively in their places. But each of said Trustees shall at all 
times be subject to removal from office by the City Council for 
cause. Whenever any vacancy shall occur in said Board of 
Trustees by death, resignation, or otherwise, such vacancy shall 
be reported by the said Board to the City Council, and they 
shall proceed to fill the same by the choice of another Trustee, 8 
in the manner aforesaid, who shall hold his office for the residue 
of the term for which such member so deceased, resigned, or 
removed would have held the same. The said Board of Trus- 
tees, constituted as aforesaid after each annual election, shall 
choose a President and a Secretary from their own number, and 
a majority shall constitute a quorum for business. 
Sect. 2. The said Board of Trustees may appoint such 
consulting and visiting physicians and surgeons as they shall 
deem expedient; and they may also appoint such subordinate 
agents, assistants, and domestics as they may consider neces- 
sary. They shall prepare all needful rules and regulations for 
the government and management of said Hospital, and submit 
the same to the City Council, for adoption, and with the ap- 
proval of said City Council, fix the compensation of the persons 
employed by them. 
Sect. 3. The said Board of Trustees shall elect, annually, 
in the month of February, and whenever a vacancy may occur, 
some suitable person as Superintendent of the said Hospital, 
who shall constantly reside at the institution. He shall be re- 
movable at their pleasure, and shall receive such compensation 
as the City Council may from time to time determine. 
Sect. 4. The Superintendent, under the direction of the 
Board of Trustees, shall have the control of all departments of 
the Hospital, of all subordinate officers, attendants, and domes- 
tics, of the patients, and the charge of the grounds, buildings, 
and appurtenances. 
Sect. 5. The said Trustees shall also have charge of any 
building which is or may be established within the city limits, 
by the City Council, for the admission of patients having the 
smallpox, or any other infectious disease. And they shall 
make such rules and regulations for its management and 
government as they shall deem proper and necessary, subject, 
however, to the approval of the City Council. And the said 
Trustees shall carefully guard against the introduction of any 
infectious cases of diseases into any other building under their 9 
charge than "the one appropriated for the purpose by the City 
Council.- ' < 
Sect. 6. The said Board, may make all necessary repairs 
and alterations' in the several buildings, under their charge, 
and improvements, in the land and* grounds connected with the 
institution,'provided that the expenses thereof'shall not exceed 
• the amount previously appropriated therefor by the City coun- 
cil. But they shall not make any. change in the occupancy of 
sakl buildings, without first' obtaining the 'approval of. the City 
Council. . . . 
Sect. 7. The City Hospital is established for the reception 
of those only who require-temporary relief during sickness, and. 
who, bn their restoration, will be able to support themselves. 
The Trustees may, hotvever, admit other .persons to'the insti- 
tution, temporarily, when necessity requires butBsuch persons 
shall b^ removed to other appropriate public institutions, as 
soon as their condition will permit. They may afford separate • 
. apartments and more comfortable . accommodations than that 
which is ..custonjary, • whpn compensation therefor is made. 
Such .extra compensation shall be credited to .the Appropriation 
for the Hospital. . .. ' , . ; 
Sect. Annually*,, in the month of January, the said 
Board.shall submit to.the City Council an estimate", in detail, 
of the Expenses of maintaining and conducting the' Hospital 
under their charge, for the year next ensuing ; and the said 
Board shall expend no greater sum than shall be appropriated 
or "authorized by the City Council. And the said" estimate shall 
be accompanied by a report, from the Superintendent, "upon 
such matters as, they may direct, in reference to the general 
state of the institution, the number of its inmates, the number 
of. admissions'thereto, discharges therefrom,, des ths and births 
therein, during the year, and such other information pertaining 
to the said institution as they shall judge to be of public interest- 
Sect. 9. This ordinance shall take effect on and.after its 
passage.' . y • ' : 10 
AN ORDINANCE CONCERNIN' THE FUNDS BELONGING TO THE (^TY HOSPITAL. 
Be it ordained,- ^c., as follows - 
Section 1. All moneys which have been or shall hereafter 
be received, directly or indirectly, by gift or bequest, for the 
benefit of the City Hospital, /shall, unless conditions are con- 
nected with the gift o.r bequest inconsistent therewith, be 
received by the Board of Trustees of the said Hospital, and be 
by them deposited in thS city treasury; and city scrip shall 
be issued therefor, bearing interest at the rate of six per c8nt 
per annum, payable semi-annually, which said script shall be 
deposited with the Auditor, who shall receive the interest as the 
•same shall become due thereon, and add it to the moneys which 
shall, have been appropriated for the use of the Hospital. And 
all real estate and other property not converted into money by 
sale, and all evidences of title thereto, shall be received by the 
said Board; and all such real estate and other property shall 
be leased,' let, or otherwise improved by the said board of* 
Trustees, and the rent and income thereof added in like manner 
to the moneys appropriated as aforesaid to the use of the Hos- 
pital. All evidences of title thereto shall be deposited with the 
Auditor. ' • • 
Sect. 2. All moneys, property, and estate, given or be- 
queathed to the City, for the use of the Hospital, unless the 
donors thereof shall have otherwise directed, shall constitute a 
permanent fund, the principal of which shall not be diminished, 
and the income of which shall be devoted to the uses of* the 
Hospital. • 
Sect. 3. It shall be the duty of the Board of Trustees of 
the City Hospital to exercise a careful supervision of all prop- 
erty, funds, and estate given or bequeathed for the use of the 
Hospital, so as to-prevent any loss or diminution of the value 
thereof; and in the expenditure of the interest and income 
thereof, they shall in all cases in which conditions or directions 
have been attached to the gift or bequest, strictly observe and ■ 
conform to such conditions'or directions. RULES AND ORDERS DF THE TRUSTEES. 
Stated meetings of the Trustees shall be held at the Hospital 
each Tuesday, at four o'clock, P. M., unless otherwise ordered, 
and special meetings shall be called by the President at the re- 
quest of two of tlie Trustees. 
At their first meeting aft^r the annual election of Trustees by 
the City Council, Jhey shall elect a President and Secretary from 
'their own members. A majority of 'the Board shall constitute 
a quorum. 
They shall be governed in their action as a board by, the fol- 
lowing rules and orders : - 
The President shall preside at all meetings of the Board, and 
in his absence the Board shall elect a President pro tem. 
All motions shall h$ make in writing .when requested by the 
President or a majority of those present. 
On all questions and nations whatsoever, the souse of the 
Board shall be taken by yeas and nays, if any member re- 
quirejt. 
Questions of order shall be decided by the presiding officer, 
subject to appeal to the Board. 
Questions shall be propounded in the order in which they are 
moved, unless the subsequent motion be previous in its nature, 
except that in naming sums and fixing times, the largest sum 
and longest time shall be put first. • ♦ 
When a question is under debate no motion shall be received 
but to adjourn, to lay on the table, for the previous question, 
to postpone to a day certain, to commit, to amend, or to po$t- 12 
porie indefinitely, which several motions shall have precedence 
in the .or.der in which they stand arrangedthe motibn to 
adjourn, to lay on the table, or to take.up from the table, or to. 
take1 the .previous question, shall be decided without debate. 
The motion for the previous question shall not be put, if any 
member request to be heard Upon the subject under discussion, 
until, he shall haVe had five minutes allowed* him for that 
purpose. . % * 
No motion or proposition of a subject different from that 
under consideration shall be admitted under color of an amend- 
ment. • • . ■ . 
• When a vote has passed it shall be in ordep for any member 
'to move a reconsideration thereof at the same or the succeeding 
meeting. • ' : * : 
•The order of business shall be as follows : ■■ . ' 
' 1.. Reading of the records. * • ' ■ 
2. Examinations of admissions andi discharges, purchases 
and expenditures, books of the. superintendent, physician, nurses1, 
apothecary, and engineer: ' • • 
3. Admissions and discharges. . • . ' 
-4. Requisitions and approval of bills and'orders for supplies! 
5, Choice*of officer^ and employes. • • 1 ' 
6. Reports of committees. ' ' . . • . 
7. Un^nished* business. • • • 
8. Motions and resolutions. 
There shall be appointed1 by * the. President, after the first 
organization of the Board, the following standing"committees, 
to consist of two members yeach : '- 
1- On the Rules and Regulations. . • 1 
2? On the supplies and furniture. 
3. On finance. **•• 
4*. On the medical department. 
5. On the service. ■ . 
6. On the grounds and buildings, heating and ventilation. 
"• 7. On account^. 11. 
8. -On admissions and discharges. 13 
The Trustees shall be arranged, in visiting* committees of 
two members, one going out .and one being added each month, 
to advise with the physicians, superintendent, and medical at-, 
tendants, determine all matters of minor administration J see that 
all'duties are properly performed, afld report to .the Board at 
its 'weekly meeting; and members visiting shfjjl record their 
names in books kept for th,at purpose, with the date of each 
visit, and any remarks they may desire to add. 
Committees shall be appointed by the President. 
All bills contracted by any committee of the Board of Trus- 
tee? or'by persons connected with the Hospital, shall be ap- 
proved by the Board. . •. 
Motions or outers involving the expenditure of money to an 
amount exceeding one hundred dollars, for the alteration of any 
stated rule or order, or for the removal or election of. any per- 
son employed, shall be laid over one week unless all the .Trus- 
tees are presents . • ,e • 
• Reports of committees shall be in writing. 
» These rules may be suspended by a vote of five members of 
the Board of Trustees^ . 
Any alteration or amendment of the^e rules may be made by 
a,vote of three fourths of the .members of the Board, notice of 
the same having been given, one week before action on the 
same. RULES AND REGULATIONS OF THE HOSPITAL.. 
* The Board of Trustees, under the Statutes, Ordinances, and 
these Rules and Regulations, shall have the charge, manage- 
ment, and custody of the Hospital, as well as the control and 
direction of its employes and inmates. 
A Meeting of the Board shall be held at least once- iii each 
month at . the Hospital, and records of their proceedings shall 
be kept, which shall always* be open to the, inspection of the 
City Council. . . 
Annually, as soon after the organizatityi of the Board as shall 
be Convenient, there shall be chosen by ballot three consulting 
physicians, three consulting surgeons, six visiting physicians, six 
visiting surgeons, one ophthalmic surgeon, four -resident grad- 
uates, an apothecary, librarian, matron, and such other officers 
as they may think necessary, whose term of service shall expire 
in one year from the first Monday of the following April, or as 
soon after as their successors shall be chosen. A Superintend- 
ent shall be elected annually in the month of February, and 
whenever a vacancy may occur. 
They may remove any officer so chosen at their pleasure; 
and shall fill vacancies, from whatever cause, for the residue of 
the term. 
They shall appoint and discharge all subordinate officers, 
attendants, and domestics, and shall fix the compensation of all 
persons employed, excepting that of the Superintendent. 15 
Annually in the month of January, the Board shall- make a < 
report of their proceedings to the City Council, and shall fur- 
nish statistics of the*Hospital, embodying in such blaSaks as may 
■be adopted, details concerning the operations of the year. They 
shall also furnish a statement of the various items of expense, 
with estimates of the amount of appropriations necessary for the 
coming year. • ' • 
The Board of Trustees shall keep a book containing an ac- 
'cOunt of all donations and bequests to the Hospital, and shall 
manage such property m accordance with Sections 1, 2, and 3 
of the City Ordinance relating to that object. 
The Trustees shall be authorized to establish from time to 
time such n^inor rules for the government of persons on the 
premises, for the regulation of the internal police of the wards, 
and other parts of the Hospital, the appointment of hours, and 
the arrangement of diet tables, as may to them seem expedient. 
They .shall designate each ward in the hospital by a.letter, or 
by the name of some benefactor, and shall number the beds in 
order. 
SUPERINTENDENT. 
The Superintendent, under the direction of the Board of 
Trustees, shall have the ■ general control of all departments of 
the Hospital; of all subordinate officers,' attendants, and do- 
mestics ; of the patients, and the charge of the grounds, build- 
ings, and appurtenances. 
He shall see that there is no waste or carelessness in any 
department,- and shall report to the Trustees omissions of duty, 
or disorderly conduct on the part of employes. 
He shall, under the direction of the Trustees, purchase the 
provisions, stores, and fuel, shall have the charge thereof, and 
shall be responsible for their proper and economical use. He 
shall make monthly returns of the consumption of fuel and gas. 
He shall keep regular accounts of all moneys received and 
disbursed by him, on behalf of the Hospital, in books provided 16 
by the Trustees, with a record of all contracts, and shall submit 
the same to the Board at their monthly meetings.. 
He shall, when required, collect all sums'due to the Hospital, 
and shall take charge of money or other property not in use 
belonging to patients, and keep a record of the same.. 
He shall keep an inventory of all furniture, and other prop- 
erty. belonging to the Hospital, and shall make a quarterly 
report of articles injured, destroyed, or missing. 
He shall provide the diet of patients, as may be directed by 
the physicians' and surgeons, and for the persons employed shall 
furnish such provisions as the Trustees'may direct. 
He shall examine all articles purchased as to their quality, 
quantity, and price. r » •. . * 
He shall make no purchase exceeding one hundred dollars, 
or of an unusual nature, without the sanction of the Trustees'or 
of the Committee on supplies. 
All bills, together with' the pay-rolls, shall be .submitted to 
the.Board on the third Tuesday of each month. 
He shall daily visit and inspect the wards, kitchen, laundry, 
engine room, and all other, departments-of the Institution.■ 
It sfiall be his duty to ascertain the settlement or residence of 
patients^ and when belonging' to other places than Boston, to 
correspond with the authorities of such places, and make the 
necessary arrangements for the reimbursement of expenses in- 
curred. He shal] have charge -of the correspondence of pa- 
tients, and shall communicate to their friends information of their 
condition or decease. He shall see that autopsies are decently 
made, but shall allow no such autopsy, if objected to by the 
immediate relative^ of the deceased. , He shall cause the bodies 
of the deceased to'be delivered to their friends, or, if not claimed 
*by them; to tlie proper authorities. • . 
. He shall keep for the inspection of the Trustees a record'of 
the names of all patients, with their age, residence, employ- 
ment, date of admission, discharge, elopement', or death, and 
result of treatment. * ' • 17 
He shall assign a bed to each patient on admission, subject 
to the approval of the physician or surgeon in attendance. 
PHYSICIANS AND SURGEONS. 
As soon after their election as possible, the Physicians and 
Surgeons shall be notified by the Trustees to meet for the pur- 
pose of arranging their term and order of service, which 
arrangement shall be * made subject to the approval of the 
Trustees. 
They shall weekly, or oftener, report the names of such 
patients as they think should be discharged, and shall make any 
suggestions or remarks which may tend to promote the interests 
of the Hospital or its inmates. 
They shall keep or shall cause to be kept by the resident 
graduates in permanent volumes, in such form as may be pro- 
vided by the Trustees, full records of the cases and treatment 
of all patients in both medical and surgical departments. No 
volume of such records shall be taken from the premises, and 
no extracts shall be made from them by persons not connected 
with the Hospital. 
If any Physician or Surgeon shall be prevented from attend- 
ing in his term, he shall procure one of the other Physicians 
or Surgeons to attend in his stead. The regular morning visit 
to patients shall be made between the hours of eight and eleven^. 
Except in case of emergency, no capital or important opera- 
tion shall be performed without a previous consultation,- of 
which all the Surgeons shall have due notice. 
Students and other persons shall be admitted to the wards 
and the amphitheatre of the Hospital, in such numbers and 
with such restrictions as the Trustees may from time to time 
deem expedient. 
STUDENTS. 18 
RESIDENT GRADUATES. 
The Resident Graduates shall be chosen on the nomination 
of the Board of Visiting Physicians .and Surgeons, whose duty 
it shall be to report such nomination to the Trustees on or 
before the first day of April in each year. The names thus 
reported shall be those of the four persons who, in the opinion 
of the said Board, after a rigid examination in the various 
branches of medicine and surgery, shall seem most competent 
to fulfil the duties required of them. , 
Two of the Resident Graduates shall reside constantly at the 
Hospital, and shall not absent themselves without the consent 
of the Superintendent, and in no case shall both be absent from 
their posts at the same time. The year shall be divided among 
them as shall be agreed upon by themselves, subject to the 
approval of the Trustees. 
Their duties shall be assigned them by the visiting physicians 
and surgeons, who shall, in the case of absence of either of 
them by sickness or other causes, appoint a temporary substi- 
tute, subject to the approval of the Visiting Committee. 
If more than four Resident Graduates be required, the Trus- 
tees may appoint the same and permit them to reside on the 
premises or elsewhere. 
They shall in no case make an exchange of their respective 
departments without the consent of the visiting physician or 
surgeon under whom they serve, and the sanction of the Visit- 
ins' Committee. 
They shall accompany their superiors in their daily visits, 
shall make the necessary record of treatment and diet of patients, 
and shall see that their directions are complied with. They 
shall, when requested by the physician or surgeon, make autop- 
sies and other pathological examinations; and the Resident 
Graduate in the Surgical Department shall take charge of the 
instruments and apparatus, none of which shall be taken from 
the Hospital without the consent of the Superintendent. 19 
The Resident Graduates shall not engage in private practice 
during their term of service. 
They shall, when requested by the Superintendent or Visiting 
Committee, investigate the claims of applicants for admission, 
whether made at the Hospital or from the City. 
They shall attend to patients on their admission, and give the 
necessary directions for their comfort, before they are seen by 
their regular medical attendant, and shall make a daily evening 
visit to each patient. 
LIBRARIAN. 
The Librarian shall have the charge of all books belonging 
o o O 
to the Hospital, and of the casts, models, anatomical prepara- 
tions, and prints, under such regulations as may be prescribed 
by the Trustees. 
APOTHECARY. 
The Apothecary shall reside on the premises, and shall not 
absent himself except at such hours as may be authorized by 
the Superintendent. He shall purchase all medicines under 
the direction of the Committee on the Medical Department, 
and shall keep exact accounts of quantities, qualities, and prices. 
He shall compound medicines, prepare prescriptions, perform 
chemical analyses, and such other duties as may be prescribed 
by the Trustees or the Superintendent. 
DISPENSARY. 
The Trustees may establish a dispensary department for out- 
door patients who are unable to pay fees for medical attendance 
at their houses, with such restrictions and under such regula- 
tions as they may from time to time deem expedient. 20 
MATRON. 
The Matron shall have the general direction of all female 
nurses and servants, see that they perform their several duties, 
and report all instances qf inattention and neglect of duty. She 
shall be responsible for the neatness and order of every part of 
the establishment; shall superintend the kitchen and laundry, 
and cause to be kept an accurate account of bedding, clothing, x 
table, and other furniture. She shall perform such other duties 
as may be required. 
NURSES. 
The Chief Nurse of each ward, under the direction of the 
Matron, shall have charge of the same, with the convalescents 
room attached thereto. She shall keep a ward book containing 
a list of patients, and an inventory of furniture, bedding, and 
other articles, and on each Tuesday shall make a return to the 
matron of all occupants of the ward during the week. She 
shall keep, in a suitable book,-a list of all parcels or property 
belonging to patients in her ward not in use, which property 
shall be deposited in a suitable room, under the charge of the 
Superintendent. She shall also keep a list of all articles sent to 
the laundry, and if not returned in good condition report the 
same to the matron. • She shall perform such other duties as 
may be required. 
The Gate Keeper shall allow no one to enter or leave the 
premises, unless duly authorized. 
He shall examine all permits, and, when so instructed, 
record the names of persons passing the gate. He shall keep 
in good order the grounds, walks, and borders surrounding the 
Hospital, shall take care of horses and vehicles in the sheds, 
and shall perform such other duties as may be required of him. 
GATE KEEPER. 21 
ADMISSIONS AND DISCHARGES. 
Applications for admission of patients shall be made at the 
Hospital on each day of the week, at such hours as the Trus- 
tees may appoint. • 
Whenever able, the patient should apply in person. When 
not able to appear in person, application maybe made by a 
friend, and the patient shall be visited by one of the resident 
graduates, or by some physician designated by the Trustees. 
Any Trustee or either of the physicians or surgeons in attend- 
ance may, in case of emergency, send a patient in the first 
instance to the Hospital by written permit, and the Visiting 
Committee shall, on the certificate of one of the medical officers 
designated for the purpose, decide as soon as may be afterwards 
whether such patient shall remain. 
Persons accidentally wounded or otherwise disabled or in- 
jured, shall be received at all hours, subject to such rules as the 
Trustees may from time to time enact. 
Permits for admission shall be subject to the approval of the 
Visiting Committee for the time hems', or, in their absence, to 
o O7 7 7 
that of the Superintendent. 
The Visiting Committee, however, shall have the power at 
any time to require the Superintendent to report to them the 
names of applicants before admitting them, and may dismiss any 
patient whom they think improperly admitted. 
Patients discharged on the recommendation of the Physicians 
or Surgeons, shall be provided with a certificate stating their 
condition at the time of discharge, whether cured, relieved or not 
relieved, which certificate shall be signed by the Superintendent. 
In case of the decease of any patient, the Superintendent 
shall sign a certificate to that effect, and shall furnish the City 
Registrar with a copy of the same. He shall also state the time 
and cause of death, the disposition made of body, whether de- 
livered to friends or buried from the Hospital. In the last case 
he shall mention the place of interment. 22 
Patients may be admitted by the Trustees to the privileges 
of the Hospital, at such rates of board as they may from time 
to time determine; such board being secured by their friends, or 
by the authorities of the place to which they belong. 
, In all cases where in the opinion of the Trustees the circum- 
stances of the patient will warrant it, the whole or a part of 
the board shall be paid. If separate apartments or articles not 
usually furnished at the Hospital are provided, such payment 
shall be made' therefor as the Trustees shall deem reasonable. 
DISBURSEMENTS. 
On or before the twentieth day of each month, the Superin- 
tendent shall submit to the Trustees the order and bill book, 
and all bills approved by any of the Committees, with a sched- 
ule of the same, and also the pay-roll for salaries and wages, 
containing the names of the persons entitled to payment, with 
the amounts due to them respectively; and if approved by the 
Board, said schedule shall be signed by the President, and with 
the pay-roll and bills shall be sent, on or before the twentieth 
day of each month, to the Auditor of Accounts for payment by 
the Treasurer. HOUSE RULES. 
Patients must be in their proper places in the wards during 
the visit of the Physicians and Surgeons, and always by 9, p. 
m., unless specially exempted by the Superintendent. 
Those free patients who are able, are expected to assist in 
nursing, and in such othei' services as may be reasonably re- 
quired of them. 
Patients shall not leave the Hospital Grounds without a pass 
from the Superintendent, nor their respective wards without the 
consent of the nurse in attendance. 
No patient shall purchase, or cause any member of the house- 
hold to purchase for him, any article of food whatsoever, nor 
any other article, without the consent of the Superintendent. 
Nor shall any officer or servant of the Hospital, receive a gift 
or fee from a patient. 
Profane or obscene language, loud talking, and incivility, are 
prohibited. 
No person shall be admitted to the Hospital whose case is 
judged to be incurable, unless there be urgent symptoms which 
in the opinion of the Physician or Surgeon are capable of being 
relieved. Nor shall any one be admitted having an infectious 
or contagious disease. 
No patient having acute syphilitic disease, or mania-a-potu, 
shall be admitted as a charity patient, or at a lower rate than 
twenty-five dollars a week for the former, and fifteen dollars 
for the latter. 
Patients may be visited by clergymen of their own selection, 24 
and where there is a wish for the performance of any particular 
religious rite, it shall be indulged when practicable. 
It is expected that patients will implicitly obey the rules of 
the Hospital. Complaints, for whatever cause, may be made to 
the Superintendent or Visiting Committee, and when reasonable 
shall be by them reported to the Trustees. 
VISITORS. 
No person shall visit any part of the premises, except on 
business, or at such times as may be fixed for the reception of 
visitors, without the permission of the Superintendent, or of 
some one of the Trustees. 
On each day of the week, Sundays excepted, from two to 
four o'clock P. M., friends may be permitted to visit patients, 
though no patient shall receive more than one visitor at the 
same time. In all cases, however, the Trustees or Superin- 
tendent may exercise discretionary powers as to excluding or 
admitting visitors. 
No visitor will be permitted to take any meal in the Hospital, 
or pass the night therein, without permission from the Superin- 
tendent. 
No visitor shall be allowed to give any article of food or 
drink to a patient, unless by permission of the nurse; and any 
article sent to the patients shall be left with the Superintendent. 
NURSES. 
Nurses are required to be in their several wards each morning 
ready for duty, before the night watchers leave the same. 
Nurses are to decide what clothing or other articles patients 
are to retain in the ward. 
All employes must be in their respective places during 
RULES. 25 
their hours of duty. The doors and gates of the Hospital will 
be closed at p. m., at which time all are expected to be 
quiet, and those not on duty, in their own rooms. 
* The smoking of tobacco is prohibited within the Hospital, 
also the use of wine and intoxicating liquors unless prescribed 
by a physician. 
The Matron, Resident Graduates, and Apothecary shall take 
their meals with the Superintendent; all other employes in the 
dining-room provided for them. 
STUDENTS. 
The Trustees may grant any practitioner or student of med- 
icine of one year's standing, on the joint recommendation of the 
Physician and Surgeon in attendance, a ticket of admission to 
follow the practice of the Hospital for not more than one year. 
Before receiving this ticket, the applicant shall sign an obli- 
gation to obey in all respects the By-Laws and Regulations of 
the Hospital. The privilege thus granted may be modified or 
revoked. 
No student shall be entitled to admission except at the regular 
hours for visiting, operation, or lecture. 
Every student when requested shall show his ticket to the 
porter at the gate, and shall conduct himself with decorum and 
propriety. It shall be the duty of the Superintendent to report 
any infringement of the rules to the Visiting Committee. 
FORM OF APPLICATION. 
The form of application for admission shall be as follows. 
BOSTON CITY HOSPITAL. 
The undersigned, inhabitant of for the last 
and now residino; at Born in beinsj. 
years of age, by employment a married and ill of 
requests to be admitted to the City Hospital. 
Boston, , 186 26 
CERTIFICATE OF ADMITTING PHYSICIAN. 
Having examined the condition of the said applicant, I find 
it a suitable case for admission to the City Hospital. 
, M. D. 
TO BE SIGNED BY SUPERINTENDENT. 
Admit to the Hospital. 
Said • is assigned to ward bed 
Extra payment, $ Transferred to ward bed 
Said is discharged, 186 
, Superintendent.