CHARTER, 
LAWS, AND RULES 
OP THE JF 
V 
PENNSYLVANIA HOSPITAL. THE 
CHARTER, 
✓ 
LAWS, AND RULES 
OF THE Jr 
V 
PENNSYLVANIA HOSPITAL. 
PHILADELPHIA: 
COLLINS, PRINTER, 705 JAYNE STREET. 
1875. |Unnsj)ll)ania hospital. 
7 mo. 26, 1875. 
At a stated meeting of the Board of Managers, “ The 
Buies of the Hospital having been recently revised and 
re-enacted, with the amendments adopted by the Board, 
it is 
“Resolved, That the same be furnished to each of the Medical and 
Surgical Staff, and to each officer and agent charged with any duties 
in connection with the Hospital, and careful adherence to the same 
is specially enjoined.” 
BENJAMIN II. SHOEMAKER, 
Secretary. CHARTER. 
ANNO VIGESIMO QUARTO. 
GEORQII II. REGIS. 
At a General Assembly of the Province of Pennsylvania, 
begun and liolden at Philadelphia, the fourteenth day 
of October, Anno Domini 1150, and from thence con- 
tinued by adjournments to the sixth day of May, 1751. 
An Act to encourage the establishing of an Hospital for the relief 
of the sick poor of this Province, and for the reception and care 
of lunaticks. 
Whereas the saving and restoring useful and laborious 
members to a community, is a work of publick service, and 
the relief of the sick poor is not only an act of humanity 
but a religious duty; and whereas there are frequentl}*, in 
many parts of this province, poor distempered persons, 
who languish long in pain and misery under various dis- 
orders of body and mind, and being scattered abroad in 
different and very distant habitations, cannot have the 
benefit of regular advice, attendance, lodging, diet, and 
medicines, but at a great expence, and, therefore often 
suffer for want thereof; which inconveniency might be 
happily removed, by collecting the patients into one com- 
mon Provincial Hospital, properly disposed and appointed, 
where they ma}r be comfortably subsisted, and their health 
taken care of at a small charge, and by the blessing of 
God on the endeavors of skilful .physicians and surgeons, 
their diseases may be cured and removed. And whereas 
it is represented to this Assembly, that there is a charita- 
Preamble. 4 
ble disposition in divers inhabitants of this province to 
contribute largely towards so good a work, if such con- 
tributors might be incorporated with proper powers and 
privileges for carrying on and compleating the same, and 
some part of the publick money given and appropriated to 
the providing a suitable building for the purposes afore- 
said. 
Therefore, for the encouragement of so useful, pious, 
and charitable a design, we pray that it may be enacted, 
And be it enacted, by the honourable James Hamilton, 
Esquire, Lieutenant-Governor under the honourable Thomas 
Penn, and Richard Penn, Esquires, true and absolute 
proprietaries of the province of Pennsylvania, and counties 
of New Castle, Kent, and Sussex, upon Delaware, b}r and 
with the advice and consent of the representatives of the 
freemen of the said province in General Assembly met, 
and by the authority of the same, That it shall and may 
be lawful to and for all persons, each of whom shall have 
contributed or subscribed the sum of ten pounds or more, 
towards founding an Hospital, for the reception and relief 
of lunaticks, and other distempered and sick poor within 
this province, or as many of them as shall think fit to 
assemble and meet on the first day of the month called 
July next; and for all persons who shall thereafter con- 
tribute the like sum of ten pounds or more (together with 
the said first subscribers) or so many of them as shall 
think fit to assemble and meet on the second day of the 
first week, in the month called May, yearly forever, at 
some convenient place in the city of Philadelphia, then 
■and there to elect by ballot, twelve fit and suitable persons 
of their own number to be Managers of the said contribu- 
tion and Hospital, and one other person to be Treasurer 
of the same, until the next election ; and farther, to make 
such laws, rules and orders, as shall appear to them the 
said contributors met, or the major part of them, to be 
good, useful and necessary, for the well governing, order- 
ing and regulating the said Hospital, and for the regulation 
of the future elections of managers, treasurer and other 
necessary officers and ministers thereof, and for limiting 
and appointing their nuihber, trust and authority, and 
generally for the well ordering all other things concerning 
Subscribers 
empowered 
to meet. 
And to elect 
managers 
and make 
rules. 5 
the government, estate, goods, lands, revenues, as also all 
the business and affairs of the said Hospital: All which 
laws, rules, and orders, so to be made as aforesaid, shall 
be from time to time inviolably observed by all concerned 
according to the tenor and effect of them, provided they 
be not repugnant to the laws of England or this govern- 
ment, and are approved by the Chief Justice, the Speaker ] 
of the Assembly, and the Attorney-general of this province t 
for the time being, under their hands and seals. And the 
said contributors shall be, and are hereby made a body< 
corporate in law, to all intents and purposes, and shall] 
have perpetual succession, and may sue, or be sued, plead, 
or be impleaded, by the name of The Contributors to the ( 
Pennsylvania Hospital, in all courts of judicature within 
this province ; and by that name shall and may receive 
and take any lands, tenements, or hereditaments, not 
exceeding the yearly value of one thousand pounds, of the 
gift, alienation, bequest or devise of any person or persons 
whomsoever, and of any goods or chattels whatsoever; 
and the said contributors are hereby impowered to have 
and use one common seal in their affairs, and the same at 
their pleasure to change and alter. 
Provided, nevertheless, That no general meeting of the 
said contributors, nor any persons acting under them, 
shall employ any money or other estate, expressly given 
or added to the capital stock of the said Hospital, in any 
other way than by applying its annual interest or rent 
towards the entertainment and care of the sick and dis- 
tempered poor, that shall be from time to time brought and 
placed therein, for the cure of their diseases, from any part 
of this province, without partiality or preference. 
And for the further encouragement of this beneficent 
undertaking, Be it enacted by the authority aforesaid, That 
when the said contributors shall have met and chosen their 
managers and treasurer as aforesaid, and shall have raised 
by their contributions, a capital stock of two thousand 
pounds value (the yearly interest or rent of which is to be 
applied to the accommodating of the sick poor in the said 
Hospital, free of charge for diet, attendance, advice and 
medicines), and shall make the same appear to the satis- 
faction of the Speaker of the Assembly for the time being; 
Rules to be 
approved, 
&c. 
Contribu- 
tors incor- 
porated. 
Corporate 
name. 
Limitation 
of estate. 
Money, &c., 
expressly 
given to the 
capital stock 
not to be 
expended, 
but its inte- 
rest only. 
When 2000/. 
is raised by 
subscrip- 
tion, 2000/. 
more to be 
ordered ont 
of the trea- 
sury. 6 
that then it shall and maj7 he lawful for the said speaker 
of the Assembly, and he is hereby required to sign an order 
or orders on the provincial treasurer, or trustees of the 
loan-office, for the payment of two thousand pounds, in two 
3rearly payments, to the treasurer of the said Hospital, to 
be applied to the founding, building, and furnishing of the 
same. 
And be it further enacted by the authority aforesaid, That 
the accounts of the disbursements of the said two thousand 
pounds, so ordered by the Speaker of the Assembly afore- 
said, or any part thereof that shall be hereafter expended, 
as the case may be, and of the rents, products and interests 
of any real or personal estates or sums of money charitably 
given to the use of the said Hospital, together with a list 
of such donations, shall be fairly drawn out and published 
annually in the Gazette, or other newspapers: and the 
Managers of the said Hospital shall at all times, when 
required, submit the books, accounts, affairs, and oeconomy 
thereof, to the inspection and free examination of such 
visitors as may from time to time be appointed by the 
Assembly of this pi’ovince, to visit and inspect the same. 
Provided always, and it is hereby further enacted by the 
authority aforesaid, That if at any time hereafter, there 
should not be a constant succession of contributors to meet 
yearly and cliuse managers as aforesaid, then the said 
Hospital, and the estate and affairs thereof, shall be in 
the management, and under the direction of such persons 
as shall be from time to time appointed by act of General 
Assembly of this province for that purpose. 
Accounts to 
be made up 
and publish- 
ed annually. 
Visitors to 
be appoint- 
ed. 7 
ELECTIONS BY THE CONTRIBUTORS. 
A Law for regulating the Elections of the Managers 
and Treasurer of the Pennsylvania Hospital, and de- 
claring their Trust, Duty, and Authority. 
Whereas by an Act of the General Assembly of the 
Province of Pennsylvania, entitled, An act to encourage 
the establishing of an Hospital for the relief of the sick 
poor, of this province, and for the reception and cure of 
lunatieks, the contributors to the said Hospital are made 
a bod}' corporate, and impowered to meet, and to make 
such laws, rules, and orders, as shall appear to them the said 
contributors met, or the major part of them, to be good, 
useful and necessary, for the well governing and regulating 
the said Hospital, and for the regulation of the elections of 
Managers, a Treasurer, and other necessary officers and 
ministers thereof, and for limiting and appointing their 
number, trust, and authority. 
And whereas, in pursuance of the said law, the contri- 
butors have met, and have chosen twelve Managers and a 
Treasurer, which Treasurer hath received considerable sums 
of money for the use of the said Hospital, and it is now 
become necessary, for the more orderly disposition and 
application of the said moneys, and of such sums as may 
hereafter be received, and for the more sure direction of 
the Managers and Treasurer therein, to declare and appoint 
their trust, authority and duty: Therefore it is enacted 
by the contributors to the Pennsylvania Hospital in gene- 
ral meeting duly assembled, That the Managers of the said 
Hospital for the time being, shall have the power of dis- 
posing of all moneys paid to the Treasurer for the building, 
furnishing, support, use and service of the Hospital, and 
for the hiring and furnishing a house or houses for the 
reception of patients, until the said Hospital shall be built, 
under the limitations and restrictions of the before men- 
Preamble. 
Disposition 
of money 
paid to the 
Treasurer. 8 
Patients. 
tioned act of Assembly. And the said Managers shall 
likewise have the power to direct the manner and terms 
of receiving and discharging of patients; and all officers 
and servants belonging to the Hospital, other than the 
Treasurer, shall be in the choice, and under the direction 
of the Managers, who shall allow and order their respec- 
tive salaries, and may displace them, and appoint others, 
as often as they shall think fit. And the said Managers 
shall have the power of calling general meetings of the 
contributors, as often as they judge it necessary for the 
service and advantage of the Hospital; and shall cause 
due and public notice to be given of the time, place, and 
design or purpose of such occasional meeting, at least ten 
days before the same is to be held, and shall nominate 
some discreet member to preside therein, and regulate the 
debates thereof. And the said Managers shall have the 
keeping, and power of affixing, the seal of the corporation, 
which seal shall be made nearly agreeable to the form or 
draught hereunto annexed ; and they shall settle the ac- 
counts with the Treasurer from time to time, and take 
care that all laws, rules and orders made by the contri- 
butors, and legally approved, be duly and faithfully exe- 
cuted ; for all which, or any other services relating to the 
Hospital, they shall not claim, receive, or retain, any fee, 
gratuity, or reward whatsoever. 
And for the more orderly execution of their duty and 
trust, the Managers are hereby required to meet at least 
once a month at the Hospital, or some other fit place in 
the city of Philadelphia, to confer and conclude concerning 
the matters hereby committed to them ; and shall cause 
fair minutes of their proceedings to be kept by their clerk, 
in a book to be provided for the purpose : in every of which 
meetings of the Managers aforesaid, eight of their number 
met shall be a quorum, capable to consult, confer and con- 
clude of and upon all matters appertaining to their trust, 
according to the aforesaid act of Assembly, and the laws 
of this corporation; and whatsoever seven of the number 
so met shall so conclude, shall be deemed and taken for 
and as the resolution of the managers for the time, and 
accordingly entered in their minutes. To which minutes, 
and also to the Treasurer’s accounts, all persons concerned 
shall have free recourse at all seasonable times. 
Officers and 
servants. 
General 
meetings of 
the contri- 
butors. 
Corporate 
seal. 
Accounts of 
the Treasur- 
er, &c. 
Managers to 
receive no 
fee or re- 
ward. 
To meet 
monthly. 
To keep 
minutes. 
Eight mana- 
gers to be a 
quorum. 
And seven 
to agree. 9 
And it is further enacted by the contributors aforesaid, 
that every Treasurer hereafter chosen shall, before he take 
upon himself the execution of his office, enter into an ob- 
ligation, with one sufficient surety, in double the value 
that doth, or probably may come into his hands, during 
the continuance of his office, as near as can be estimated 
by the Managers, unto the Contributors to the Pensyl- 
vania Hospital; conditioned that he will, once in three 
months, or oftener if required, render his accounts to the 
Managers of the said Hospital, and well and truly account, 
adjust and settle with them when required, for and con- 
cerning all moneys that are or shall come into his hands 
belonging to the said contributors, and pay the balance 
that shall appear on such settlement to be in his hands, unto 
such person or for such service as a Board of Managers 
for the time being shall order and appoint, and not other- 
wise ; and that he will at the expiration of his office, well 
and truly deliver up and pay the balance of the monies 
then remaining in his hands, together with the books of 
accounts concerning the same, and other the papers and 
writings in his keeping belonging to the contributors, unto 
his successor in the said office; and that he will do and 
execute all other things as Treasurer to the contributors 
aforesaid according to the true sense and meaning of this 
law. And he is hereby authorized immediately upon enter- 
ing into his office, to demand and receive of the preceding 
Treasurer, his heirs, executors or administrators, the cash 
books of accounts, writings and other effects belonging to 
the corporation, giving his receipt for the same. 
And for the more regular and satisfactory conducting 
of future elections, and the preventing of disputes and 
misunderstandings among the contributors, concerning the 
same, it is hereby farther enacted, That the place and hour 
of the election shall be appointed by the Managers of the 
current year, and notified by their clerk, at least twenty 
days before the election, by printed advertisements ; and 
the said Managers shall and are hereby required and im- 
powered to nominate three discreet members of this cor- 
poration to inspect and judge of the said election, and 
declare who are the persons elected; and the Managers 
Treasurer to 
give secur- 
ity. 
to account 
gersandVay 
d°ei‘lieir or’ 
To pay inl- 
enver( 
successor, 
Elections, 
place, hour, 
aud notice 
of. 
Judges of. 10 
shall cause their clerk to enter in their book of minutes 
the names of the persons elected according to the tickets. 
And if any person elected Manager, shall refuse or neg- 
lect to act, or shall be absent from three successive monthly 
meetings of the Managers, in of the first ten months 
of the year for which he shall be elected Manager ; or if 
within the same year or term of his office, he shall be con- 
fined by sickness, or otherwise rendered incapable of exe- 
cuting the office of a Manager, according to the true mean- 
ing of this law, or shall die, the rest of the Managers, as 
often as occasion shall require, in any of the cases aforesaid, 
shall proceed in their duty and office without him ; or if 
they think fit they shall nominate another of the contri- 
butors to supply his place of a manager until the then next 
ensuing election. 
And if any person so elected Treasurer, shall absent 
himself from his said office for the space of thirty days, 
or shall be otherwise rendered incapable, or neglect his 
office or duty of Treasurer, it shall and may be lawful for 
the Managers for the time being, to displace him from the 
said office; and the Managers causing their clerk to make 
a minute for the purpose, containing their reasons for dis- 
placing him, he shall thereupon, and from thenceforth, cease 
to be the treasurer aforesaid, and shall, upon notice thereof, 
adjust and settle with the Managers, and pay and deliver 
the money, books, writings, accounts, and all other effects 
whatsoever in his hands belonging to this corporation, to 
such person or persons as the Managers shall order and 
appoint; and in that case, and so often, and also if the 
treasurer shall depart this life, the Managers shall nomi- 
nate another of the members of this corporation, but not 
of their own number, to be Treasurer until the next meeting 
for the annual election, or other general meeting of the 
contributors. 
Provided always, any thing herein contained to the con- 
trary notwithstanding, That before the Managers for the 
time being proceed to erect any building for the said Hos- 
pital, a plan of such proposed building, with an estimation 
of the expense, shall be prepared and laid before a general 
meeting of the contributors for their consideration ; and 
Managers 
may supply 
vacancies iu 
their Board. 
May dis- 
place the 
Treasurer. 
Building 
must be 
sanctioned 
by the con- 
tributors. 11 
their approbation shall be obtained before the same is car- 
ried into execution. 
Signed by order of a general meeting 
of the contributors. 
Joshua Crosby, President. 
January IT, 1752. The above bill was read 
three times at a general meeting of the 
contributors to the Pennsylvania Hospital 
and passed by a very great majority. 
B. Franklin, Clerk. 
We approve this law, 
William Allen, Chief Justice. 
Isaac Norris, Speaker of the Assembly. 
Tench Francis, Attorney-General. RULES 
OF THE 
PENNSYLVANIA HOSPITAL. 
OF THE MANAGERS. 
1. The stated meetings of the Board of Managers shall be held 
at the Hospital, on the last Second day (Monday) of every month ; 
to assemble at 3 o’clock P. M. Fine for non-attendance at any 
stated or special meeting, fifty cents; and for absence at the hour 
of meeting, twenty-five cents. 
2. The managers shall, at their first stated meeting after their 
election in the Fifth month (May) every year, choose by ballot four 
Doctors of Medicine as Physicians ; and four Doctors of Medicine 
as Surgeons; to visit and prescribe for the patients in the Hospital 
in the city ; and one Doctor of Medicine as Physician-in-Chief of the 
Hospital for the Insane, and five Doctors of Medicine as Assistant 
Physicians thereof; all of whom, except the last named, shall be 
members of this Corporation, and not less than twenty-seven years 
of age. 
They shall also at the same time choose by ballot a Steward, 
Matron, Assistant Matron, Apothecary, Clerk, and Librarian for the 
Hospital on Pine Street; and a Steward and Matron for each 
department of the Hospital for the Insane. 
In all offices or positions which under the foregoing rules are to 
be filled by election by the Board, vacancies may be supplied, by the 
appointment of the Board, for the unexpired time of the term in 
which such vacancy shall occur. 
3. The Managers shall at the stated meetings in the Second and 
Eighth months elect by ballot, one Doctor of Medicine to serve as 
Resident Physician of the Hospital in the city, for a term of eigh 
teen months from the first of the Fourth or first of the Tenth month 
next succeeding his election. 14 
4. All alterations to the By-Laws of this Institution shall be sub- 
mitted at one meeting of the Board and brought up for final action 
at the next meeting. 
The Standing Committees of the Board shall be as follows:— 
1. A Committee on Loans, who shall in conjunction with the 
Treasurer (with the approval of the Board of Managers) make sucli 
investments of money in his hands as may be thought desirable. 
2. A Committee on the Library, who shall have charge of the 
same, superintend the purchase of books, and make such rules for 
its government as they may think requisite. 
3. A Committee on the Apothecary Shop and Pathological Mu- 
seum, under whose direction purchases of drugs shall be made, and 
a general supervision of both be exercised by the Committee. 
4. A Committee on Legacies and Trusts, whose duty it shall be 
to see that a regular record is kept of all Legacies and Donations, 
to have the charge of any Real Estate belonging to the Hospital 
other than that which is occupied for its own use, and to suggest to 
the Board from time to time such disposition of the Real Estate as 
they ma}r think best calculated to promote the interests of our 
Institution. 
The President shall be ex officio a member of all Standing Com- 
mittees. 
ATTENDING MANAGERS. 
1. A Committee of two Managers, to be called the Attending 
Managers, shall be appointed monthly, whose duty it shall be to 
supervise the affairs of the Hospital, and who shall have the sole 
power to admit and discharge patients, except as hereinafter 
mentioned. 
2. They shall attend at the Hospital on Pine Street on the Fourth 
day (Wednesday) of every week from 9 to 10 o’clock A. M.; and 
shall visit the Hospital for the Insane on Seventh day (Saturday) 
of every week. 
3. They shall keep regular minutes of the admissions and dis- 
charges of patients in both Hospitals ; and shall insert thereon all 
orders given by them for the expenditure of money. 15 
OF THE HOSPITAL ON PINE STREET. 
ATTENDING PHYSICIANS AND SURGEONS. 
1. The medical practitioners chosen to serve this Hospital shall 
be classed with each other, and give their attendance at such seasons 
as shall be concluded and agreed upon by themselves with the sanc- 
tion of the Managers. 
2. The Physician and Surgeon on duty shall visit their respective 
wards daily from 9 to 12 o’clock in the forenoon; and at such other 
times as may be necessary for the faithful performance of their 
duties. 
The}' shall also on the Third,* Fourth, and Seventh da}' (Tues- 
day, Wednesday, and Saturday) of every week from 10 to 12 o’clock 
A. M., deliver clinical lectures to such students of medicine as may 
have acquired the right to attend them. 
3. The clinical lectures at the Pennsylvania Hospital shall be free 
of charge to such students of medicine as are recommended by the 
members of the Medical and Surgical Staff, and certificates of at- 
tendance shall be issued by the hospital to those students who have 
attended the lectures, upon the payment of five dollars. 
4. Except in cases of emergency, no important surgical operation 
shall be performed without a pi*evious consultation, of which all the 
surgeons shall have due notice. 
5. The physicians and surgeons shall have power to establish 
rules for the regulation of their respective wards, to be framed and 
hung up therein, subject to the approval of the Managers. 
6. No Surgeon or Physician, without the consent of the Attending 
Managers, shall be entitled to contract any debt or liability against 
or in the name of the Hospital, for any surgical, medical, or mechan- 
ical supplies for the treatment or relief of any patient. 
OF THE RESIDENT PHYSICIANS. 
1. Candidates for the office must be graduates of medicine at the 
time of their application. 
2. The Resident Physicians shall have charge alternately of the 
medical and surgical wards, for such periods, and in such manner 
as shall be agreed upon by the physicians and surgeons, and ap- 
proved by the Managers. They shall regularly visit the patients 
* The lecture on Third day (Tuesday) is for female students. 16 
under their charge every morning and evening, and to the best of 
their skill administer to their relief. They shall accompany the at- 
tending physicians and surgeons in their daily visits, report to them 
all new cases which may have been admitted in their absence, and 
regulate the practice according to their orders; and (permission of 
the friends of the decedent being first obtained) make such autopsies 
as may be desired. 
3. It shall be the duty of the Resident Surgeons to see, as soon as 
practicable, every case of accidental injury, applying for admission 
to their respective wards,and in no case to act on the representation 
of a nurse or other subordinate. And if admission is unnecessary 
or the patient refuses to remain, the Resident is expected to admin- 
ister to the immediate exigencies of the case before he dismisses it, 
and shall keep a record thereof. And when cases are sent from the 
wards of the Hospital to the Out Patient’s Department for treat- 
ment, the diagnosis shall accompany each case signed by the Resi- 
dent Physician. 
4. They shall also make written records of all circumstances attend- 
ing the cases of those admitted into the Hospital, according to the 
form prescribed by the Attending Physicians and Surgeons and 
approved by the Board, which shall be carefully preserved by the 
Hospital Clerk for future reference and additional record. And the 
same when made shall belong exclusively to this Hospital and be 
bound in proper books or files to be furnished by the Steward. 
5. They shall promptly report to the Steward, Assistant Matron, 
or Attending Managers all instances of neglect of duty. 
6. It shall be the duty of the Resident Physicians to report to 
the clerk, as soon as practicable after admission, the name, age, 
diagnosis, place of nativity, occupation, and social state (single, 
married, or widowed) of every patient admitted into their respective 
wards. 
7. It shall also be the duty of the Residents to write, legibty, the 
diagnosis of each case on the admission card suspended over the 
bed of the patient, as soon after admission as practicable. 
8. The Resident who has charge of the Lower Surgical Wards 
shall have the instruments kept in order, and be accountable there- 
for, during his term of service. He shall preserve an inventory 
of them, which, together with the instruments, he shall deliver to 
his successor. No instrument of any kind is to be loaned to 
any one without the written order of the Attending Surgeon on 
duty, and a record of such loans shall be preserved. 17 
9. The Residents shall not all be absent from this Hospital at 
the same time. 
10. No Resident shall engage in the teaching or practice of his 
profession, or in any other occupation out of the Hospital, nor 
shall he charge or receive a fee for attending patients therein, 
while acting as Resident Physician thereof. 
11. It shall be the duty of each Resident Physician to notify the 
Curator and Pathologist of every post-mortem examination. When 
the exigencies of the case do not allow of notice being sent before- 
hand, the Resident Physician must, in all cases, send such notice at 
the earliest practicable moment subsequently. 
12. It shall be the duty of each Resident Physician to preserve 
all desirable specimens, taken post-mortem, or otherwise, from the 
patients under his care, and hand them, properly labelled, to the 
Curator. 
13. It shall be the duty of the Resident Physicians to add to the 
notes of their cases, the record of the post-mortem examinations 
that has been made by the Pathologist, which must be given to the 
Resident Physicians by him in all such cases. 
14. The Physician or Surgeon on duty, as the case may be, shall 
have the power of appointing a substitute for a Resident who may 
be unable to attend to his duties from sickness or absence, subject 
to the approval of the Attending Managers; such appointment and 
approval in all cases to be entered on the minutes of the latter. 
15. At Clinical Lectures, and at other times, when important Sur- 
gical Operations are to be performed, the Operating Surgeon shall 
have command of the services of the Surgical Residents, and also, if 
necessary, of those of the Medical Resident, when his services are 
not required by the Physician on duty. 
The respective duties of the Residents at such times are to be 
regulated by the surgeon. 
16. The following shall be the method of sending for the Surgeons 
in cases of emergency :— 
A note briefly describing the nature of the case shall be sent by 
the Resident, under whose care it comes, to the Surgeon on duty. 
Three other notes, addressed respectively to the other Surgeons, 
and inclosed in envelopes with the Hospital imprint on them, shall 
be sent with the first note in order that the Surgeon may at once 
use both them and the messenger to call a consultation, if he con- 
siders it necessary to do so. At any ordinary absence of the Sur- 
geon in whose ward the case has occurred the messenger must be 
instructed to leave the notes; but if he ascertains that the absence 18 
is to be a prolonged one, the notes must go to the other Surgeon on 
duty. 
The same course must be observed towards the Physician, as to 
notes, should a case of emergency arise in the medical wards. 
17. The Residents shall not publish reports of cases, nor exhibit 
pathological specimens at meetings of societies, without previously 
obtaining the consent of the Physician or Surgeon under whose 
care the cases have been treated. 
PATHOLOGICAL MUSEUM. 
All specimens, pathological or normal, which occur in the prac- 
tice of the Hospital, both surgical and medical, from post-mortevi 
examination or otherwise, which may be deemed worthy of preser- 
vation by the Curator, shall be considered the property of the 
Hospital and be deposited in the museum. 
The Curator, with the sanction of the Committee, shall be fur- 
nished with such necessary implements, from time to time, for the 
museum, as may be required. The Steward shall be authorized to 
pa}r all bills, consequent upon the formation of the museum, which 
have been previously approved by a member of the Committee. 
The Steward shall allow an assistant to aid the Curator at sncli 
times as may be required. 
CURATOR. 
1. The Curator shall have entire charge of all the specimens, 
belonging to or deposited in the museum, and he shall be respon- 
sible for the same. 
2. He shall keep a register in which the history of all the speci- 
mens shall be kept, together with a catalogue of the same. 
3. It shall be the duty of the Curator to have mounted all the 
specimens, either as wet or as dried preparations, as the case may 
require. 
4. The Curator shall have notice given him by the Resident 
Physicians of every post-mortem examination made in the Hospital, 
so that he may be present at such examinations and judge what 
specimens may be interesting for the museum. A description and 
history of all such specimens shall be recorded as far as practicable, 
and a report of them be laid annually before the Board of Mana- 
gers by the Curator, as well as any other information connected 
with this department. 19 
OUT-PATIENTS’ DEPARTMENT. 
1. There shall be a department of Out-Patients for the treatment 
of medical and surgical cases. 
2. The medical Out-Patients’ service shall be from 11 to 12 
o’clock daily. 
The surgical Out-Patients’ service shall be from 10 to 11 o’clock 
daily. 
3. There shall be four Physicians and four Surgeons elected for 
this department, one of each being on duty. 
4. The Physicians and Surgeons shall have the charge of, and 
prescribe for, all patients applying at the Out-Patients’ department 
of the Hospital for relief, and when any such cases shall require or 
desire in-door treatment, they shall be referred to the Attending 
Physician or Surgeon on duty, at their visiting lioui’s. 
5. When the Attending Physician or Surgeon shall deem it best, 
cases shall be transferred from the wards of the Hospital to the 
charge of the Out-Patients’ department, and the Physicians and 
Surgeons of that branch of the Hospital practice shall be entirely 
responsible for the future treatment of such cases. 
6. The names of all the applicants for relief, with complete records 
of the cases, shall be kept b}r the Physicians and Surgeons in books 
prepared for that purpose; and at the close of each year the sta- 
tistics shall be incorporated in a report which shall be made to the 
Board of Managers. 
7. During the temporary absence either of the Attending Physi- 
cian or Surgeon, he may appoint one of the Out-Patient Physicians 
or Surgeons, who shall during his absence have charge of the ward 
and perform all the duties pertaining to the office of the Attending 
Physician or Surgeon, save the performing of important operations 
when the services of any of the Attending Surgeons can be ob- 
tained, except in great emergencies. When the absence is to be a 
prolonged one, the Out-Patient Physician or Surgeon so appointed 
shall be a substitute for the absentee, subject to the approval of 
the Attending Managers. 
STEWARD AND MATRONS 
1. The Steward shall have the general care of the buildings of 
this Hospital, and purchase the fuel, furniture, food, and stores of 
all kinds, subject to the direction of the Attending Managers; he 
shall keep regular accounts of receipts and expenditures, to be 20 
vouched and laid before the Board. He shall hire the gatekeeper, 
the nurses, and domestics, and discharge them should occasion 
arise therefor. 
2. The Matron shall have the general control of the domestics, 
and in conjunction with the Steward take care that the patients are 
w7ell treated, and have a general supervision of the housekeeping 
and management of the Hospital. 
3. The Assistant Matron’s duty shall be in the wards and their 
appurtenances, to superintend the dietetic arrangements for the sick 
and hurt, and have immediate supervision of those employed there- 
in, as well as to see that the proper temperature, ventilation, clean- 
liness, and good order of the bedding, clothing, and other articles 
used therein are maintained ; that the nurses are careful in the per- 
formance of their duty ; and that the sick are faithfully and promptly 
attended to in accordance with the direction of the Medical Staff. 
APOTHECARY. 
1. He shall reside in the Hospital and perform all the duties 
appertaining to his department. He shall regularly preserve every 
prescription of the physician ; and no medicine or other article shall 
be delivered by him to any person, unless prescribed in due form. 
2. He shall keep records of all medicines purchased by direction 
of the Committee. 
3. He shall keep a Meteorological record noting the measurement 
of the thermometer, barometer, and other meteorological instru- 
ments at stated times of each day. 
4. He shall not absent himself from the Hospital without noti- 
fying the Steward, and having his place supplied by one of the 
Resident Physicians, or such other person as shall be approved by 
the Committee, nor shall he permit patients or others (except officers 
of the Institution) to occupy the shop. 
CLERK AND LIBRARIAN. 
1. He shall prepare the monthly, annual, and other accounts; 
and generally perform such duties as appertain to his office, or may 
be assigned to him by the Managers. 
2. He shall have the care of the Medical Library, subject to the 
rules for the management thereof. » 
NURSES AND SERVANTS. 
1. It is the duty of the nurses faithfully to attend to the patients 
under their , charge, and to obey implicitly the directions of the 21 
Attending and Resident Physicians, Surgeons, and Assistant 
Matron in regard to them, to see that patients behave with pro- 
priety, and observe all the regulations of the Institution, and to 
report any irregularity or breach of rule to the Steward. 
2. Any nurse who shall refuse or neglect to follow the directions 
of the Physicians, Surgeons, or Assistant Matron, or who shall be 
negligent or inattentive in his or her duties generally, may be dis- 
charged by the steward on a request to that effect from the Attend- 
ing Physician, Surgeon on duty, or the Assistant Matron, as the 
case may be. 
3. All nurses are required to be in their respective wards during 
visiting hours; and no nurse or assistant shall be absent at this 
time without special permission from the Resident in charge of the 
ward. 
4. None of the nurses or domestics employed in the Hospital shall, 
at any time, absent themselves from their duties therein without 
having first obtained permission from the Steward or Matrons. And 
in all cases they are to go and return through the gate on Eighth 
Street. 
WATCHMAN AND WATCHWOMAN, OR NIGHT NURSES. 
The Watchman and Night Nurses shall commence their duty at 
fifteen minutes before ten o’clock P. M., and pass hourly through 
the wards until daylight. They are strictly enjoined to attend to 
the safety of the kitchen fires, and shall extinguish all lights in the 
wards not directed by the Physician, Steward, or Matrons. They 
shall administer such medicines as may be entrusted to them by 
the Resident Physician or surgeon, to be given in the night to 
patients. They are also required to report to the Steward all irregu- 
larities they may observe during the night. 
ADMISSION AND DISCHARGE OF PATIENTS. 
1. Persons accidentally wounded or otherwise injured, shall be 
received at all hours, subject to such rples as the Managers shall from 
time to time enact; provided always, that the accident or injury hap- 
pen in Pennsylvania, and the patient is brought to this Hospital within 
twenty-four hours after its occurrence. 
2. All patients brought to the Hospital shall be examined either 
b}r the Attending Physicians or Surgeons or the Residents, and shall 22 
be retained in the Reception Ward until the Resident having charge 
shall direct their transfer to one of the other wards. 
3. The admission in all cases to be by printed certificate of name, 
age, place of nativity, occupation, social state (single, married, or 
widowed), and the diagnosis under the signature of the doctor 
admitting ; and the Steward shall also, whenever practicable, require 
security for the clothing of the patient, and his or her removal 
when discharged. 
4. All applications for admission shall, as far as is practicable, be 
made at the Hospital in the forenoon. 
5. No person having any infectious or contagious disease shall 
be admitted into this Hospital. 
6. No patient shall be admitted on the charity of the Institution 
whose case is judged to be incurable. 
7. No person having a venereal disease or mania-a-potu shall 
be admitted as a free patient. 
8. Pay patients ma}r be admitted by the Steward on the certificate 
of a Hospital Physician at the rate of not less than one dollar per 
day, except in cases of mania-a-potu or alcoholism, the lowest charge 
for which shall be two dollars per day. 
9. All patients shall give security for the payment of their board. 
10. All patients shall be discharged as soon as they are cured ; 
and all charity patients whose cases, after a reasonable time of 
trial, shall be judged incurable, shall be discharged. 
11. All discharges, except for misconduct, which are hereinafter 
provided for, shall be made under the direction of the Attending 
Physician or Surgeon. 
12. All admissions and discharges shall be registered by the Clerk 
and reported to the Attending Managers, on their weekly visits, to 
be entered by them on their minutes. 
FREE BEDS. 
A contribution of $5000 to the permanent fund of the Hospital, 
will endow a free bed in the Pine St. Hospital, to be named, unless 
otherwise directed, after the donor. 
PATIENTS. 
1. The patients shall conduct themselves with decorum towards 
each other, the officers of the Hospital, nurses, and attendants. 
The}’ shall not smoke tobacco or play at any game of chance in the 
Hospital. 23 
2. No venereal patient shall be placed in any other ward than 
those especially appointed for that class of patients, to which they 
shall be strictly confined. 
3. No liquors, provisions, or medicines of any kind, shall be fur- 
nished to any of the patients by their friends; and no patient shall 
be permitted the use of any diet prepared in the House other than 
that which may be ordered by the proper officers. 
4. No patient shall be allowed to leave the Hospital while under 
treatment, except by special permission of the Physicians and 
Steward. 
5. Such free patients as are able shall give assistance in nursing 
or otherwise, when required to do so by a Resident Physician, the 
Steward, or Assistant Matron. 
6. If any breach occur in any of the above rules, the offender 
shall be liable to be discharged hy the Attending Managers, or, in 
their absence, by the Steward, who shall report to them. 
7. When any patient shall desire to see a minister or teacher of 
religion, the same is to be communicated to the Resident Physician 
in charge, and, if it be not deemed improper in a medical point of 
view, the Physician or Steward shall notify the individual whose 
presence is required. 
VISITORS. 
1. Visitors to patients will be admitted on every afternoon, ex- 
cept on the first day of the week, between the hours of 2 and 4 
o’clock; at other times a special order for admission from a Mana- 
ger or the Steward will be required. 
2. Those admitted to visit patients shall not be permitted to 
ramble over the house and grounds, but shall be directed to the 
apartments in which the person sought for may be found. 
3. No visitor shall lodge in the Hospital, without permission 
from the Steward. 
GATEKEEPER. 
1. The gatekeeper shall admit no person into the Hospital after 
10 o’clock P. M., except in cases of recent accident. 
2. He shall allow no patient to pass from the Hospital without 
an order from the Steward. 
3. He shall immediately report to the Steward all cases of per- 
sons attempting to bring in liquor, or coming in intoxicated, and 
all other irregularities falling under his notice. 24 
4. Tie shall allow no person to take into the Hospital any liquor, 
provisions, or medicines for any patient, nurse, or domestic therein. 
GENERAL RULES OF ORDER, 
1. The Resident Physicians, Apothecary, Clerk, and Librarian 
are enjoined to be regular at their meals. As punctuality in this 
matter is considered essential to the discipline of the Hospital, the 
Steward is required to report frequent breaches of this rule to the 
Attending Managers. 
2. All lights, except in the wards, entries, Steward’s, Matron’s, 
and Physicians’ rooms, are required to be extinguished at 10 o’clock, 
P. M. No reading in bed at night is to be allowed, by either pa- 
tients or any person connected with the establishment in any ca- 
pacity. 
RULES FOR THE MEDICAL LIBRARY. 
1. The Librarian shall see that all the books are properly labelled 
and numbered, and shall keep a complete catalogue of them in 
numerical order; also a list of all persons entitled to use the 
Library. He shall attend on every Second, Fourth, and Seventh 
day from 9 to 10 o’clock A. M., and from 3 to 4 P.M., for the pur- 
pose of lending out and receiving books; he shall examine those 
returned, and, if uninjured, immediately replace them on the shelves. 
He shall keep an account of all fines and forfeitures incurred, and 
settle with the Steward for the same quarter-yearly. 
2. The books shall only be lent to the following persons : viz., 
the Managers, Treasurer, Physicians, and Surgeons of the Hospital; 
and gentlemen avIio may have filled either of those offices for a 
period of not less than five years ; the resident officers of the In- 
stitution ; and such other persons as hold a certificate of right, or 
may hereafter acquire one. 
3. The sum to be paid for the privilege of using the Library 
during life, conformably with its rules, shall be twenty-five dollars. 
The temporary use of the Library may be obtained by the payment 
of three dollars per annum ; the right to be in no case transferable. 
4. Every person entitled to use the Libraiy shall, before taking 
out books, sign a conditional bond or obligation, as security for 25 
his due observance of the rules of the Library, and for the value 
of such books as may be lost or injured by him. A deposit of ten 
dollars shall also be required of those having but a temporary right 
to take out books. 
5. No person shall be allowed to take out more than two vol- 
umes at one time without the special permission of the Library 
Committee ; nor shall any book be kept out longer than four weeks. 
On its return the Librarian may renew the loan, if no other appli- 
cant requires the book. 
6. A fine of ten cents per week shall be paid for every book kept 
beyond the limited time, and if a book be not returned within three 
months it may be deemed lost, and the borrower shall, in addition 
to its value, pay such fine, not exceeding ten dollars, as the Library 
Committee shall direct. 
7. In case any book is returned injured, the borrower shall pay 
for the injury or replace the book. And if one or more books be- 
longing to a set be lost, the borrower shall take the remaining 
volumes and pay the value of the set in addition to such fine as 
may be determined by the Library Committee. 
8. Periodicals can only be taken out of the Library when bound. 
9. The Library Committee may permit scientific men to use the 
books of the Library for limited periods—subject to its rules—but 
to not more than six persons at one time. 
10. Rare and costly folio and quarto books with engravings are 
not to be lent out of the Library without a special written order 
of the Library Committee. 
11. In all cases of doubt in regard to the construction of these 
rules, or their violation, the judgment of the Library Committee 
shall be conclusive: provided always that in cases of gross mis- 
conduct, or refusal to comply with the rules, the Board of Managers 
reserve the power of declaring the rights of the offender forfeited, 
and prohibiting his future access to the Library. 
12. The Steward shall be authorized to pay all bills which have 
been approved by the Library Committee. OF THE H0S1MTAL FOR THE INSANE. 
The title of this branch of the Institution shall be “The Penn- 
sylvania Hospital for the Insane.” The western building shall be 
styled, “ the department for males,” the other, “ the department 
for females. 
OFFICERS. 
The officers of the Pennsylvania Hospital for the Insane, shall 
consist of a Physician in Chief for the whole establishment, and of 
one or more Assistant Physicians, a Steward and a Matron for each 
department. 
I. THE PHYSICIAN IN CHIEF. 
1. The Physician in Chief of the Hospital for the Insane, shall be 
the official head of that department; and under the instructions ot 
the Board of Managers, shall have the general superintendence 
and control thereof, and of all persons employed on the premises. 
2. He shall reside upon the premises, and devote his whole time 
to the promotion of the interests of the Institution and the welfare 
and comfort of the patients. 
3. He shall have the sole direction of the medical, moral, and 
dietetic treatment of the patients ; and his directions respecting 
them are to be implicitly obeyed by all persons about the establish- 
ment. 
4. He shall have the power to select and dismiss at his pleasure 
all the attendants and other persons employed in the care of the 
Insane, and the sole direction of their duties. With the sanction 
of the Attending Managers, he shall from time to time make such 
regulations for the government of the attendants, and all others 
engaged in any way about the Institution, as he may deem salutary. 
5. He shall have the general direction of the farm, gardens, and 28 
grounds of the Hospital ; and may make contracts with the farmer 
and others employed thereon, and with the tenants (subject to ap- 
proval by the Board of Managers). 
6. He shall obtain as far as practicable a complete history of the 
case of eveiy patient admitted into the Hospital, and shall keep or 
cause to be kept for the use of the Institution a register of the same, 
and as full a record of the subsequent treatment and results as he 
may deem likely to promote the interests of science, and tend to 
improve the treatment of the insane. 
7. He shall furnish to the Board of Managers, annually at its 
stated meeting in the First month (January) in each year, a detailed 
report of the operations of the Hospital, with tabular statements 
of the cases treated, during the preceding year, and of its actual 
condition ; with such other observations as he may deem useful or 
interesting. 
8. All correspondence respecting the patients shall be under his 
direction. 
9. He shall exercise a vigilant supervision of all expenditures, 
and as far as he can, shall indicate by some mark on all bills or 
receipts, that no purchases have been made or expenses incurred, 
without his approval, or at least without his knowledge. 
II. OF THE ASSISTANT PHYSICIANS. 
1. The Assistant Physicians shall reside in the Hospital, and 
under the direction of the Physician in Chief, shall devote their 
whole time to its service, and carry out to the best of their abilities 
all the instructions of that officer. 
2. They shall prepare and superintend the administration of all 
medicines prescribed for the patients; preserving in a book pro- 
vided for the purpose, every prescription, with the name of the 
patient, and shall keep or assist in keeping such records, and per- 
forming such other duties as may be required by the Physician in 
Chief. 
3. They shall be as much as possible among the patients, visiting 
them regularly every morning and evening, and as often as they 
can at other hours, and do all in their power to contribute to their 
comfort and welfare; they shall have a general supervision of the 
attendants, and shall promptly report to the Physician in Chief, all 
instances of neglect or of improper conduct on the part of any one 
connected with the Institution, that may come to their knowledge. 29 
4. They shall not absent themselves from the Hospital without 
the knowledge and consent of the Physician in Chief and the At- 
tending Managers. 
III. OF THE STEWARDS 
1. Under the instructions of the Physician in Chief, the Stewards 
shall have a general oversight of the buildings, grounds, and farm, 
and shall see that they are at all times kept in perfect order and 
repair, and that all persons employed about the same perform their 
duties faithfully. 
2. Under the direction of the Physician in Chief and subject to 
the instructions of the Attending Managers, they shall purchase 
furniture, fuel, clothing, stores, and all other necessary articles, and 
shall be responsible for their safe keeping and economical use. 
3. They shall collect all moneys due the Institution for board of 
patients, etc., as they become due, and shall keep plain and accurate 
accounts of the receipts and expenditures. They shall furnish 
transcripts thereof, approved by the Attending Managers, to belaid 
before the Board at each of their stated meetings. They shall also 
keep a regular register of the names and of the dates of admission 
and discharge of every patient. 
4. Subject to the authority given to the Physician in Chief, and 
under his instructions, they shall hire, pa}7, and discharge all per- 
sons employed about the premises. 
5. They shall pay particular attention to the quality of the pro- 
visions provided for the use of the Institution, and the manner in 
which they are cooked and served. They shall visit the dining- 
rooms during meals, and see that all things appertaining to them 
are disposed in a neat and becoming manner, that good order and 
perfect cleanliness are preserved in every part of the house coming 
under their notice, shall promptly report to the Physician in Chief 
all instances of neglect or improper conduct that they may observe, 
and, as far as practicable, see that the warming and ventilation of 
the buildings are properly regulated. 
IY. OF THE MATRONS. 
It shall be the duty of the matrons to have the immediate charge 
of the housekeeping. They shall observe the manner in which the 
attendants and others perform their duties, and report to the Phy- 
sician in Chief any instances of neglect or improper conduct coming 
under their notice. They shall have the general oversight and 30 
direction of the domestics, and shall superintend and direct the 
cooking and distribution of food, and in conjunction with the 
Stewards, shall see that the supply is abundant, varied, well cooked, 
and neatly served, in all the dining-rooms of the establishment, 
which they shall visit as often as possible at the hours for meals. 
They shall also see that the bedding, clothing, etc. of the patients 
are always kept clean and in good order. They are expected to 
devote their whole time to the service of the Institution, and under 
the instructions of the Physician in Chief, to spare no efforts to 
promote its prosperity. 
Y. GENERAL RULES. 
All persons engaged, in any way, about the institution, shall be 
careful to conform to the regulations made for the government of 
the Hospital, and at all times do what they can to promote its pros- 
perity. No smoking of tobacco by any thus shall be 
allowed within the enclosures, nor in the vicinity of the barns or 
other outbuildings; nor shall any persons be employed who are ad- 
dicted to the use of spirituous liquors. 
All lights, except in the wards, entries, Steward’s, Matron’s, and 
Physicians’ rooms, are required to be extinguished at ten o’clock, 
P. M. No reading in bed at night is to be allowed, either by patients 
or any person connected with the establishment in any capacity. 
YI. OF THE ADMISSION OF PATIENTS. 
1. Before any patient can be admitted into this Hospital, a request 
in writing to that effect from some near relative or friend, and a 
certificate of said patient’s insanity signed by two respectable 
graduates of medicine, shall in all cases be required, in the mode 
prescribed by the laws of Pennsylvania. 
2. Neither idiots nor persons having mania-a-potu, shall be received 
into this Hospital. 
3. A limited number of insane persons in indigent circumstances, 
wdiose cases are recent, and such as are believed to offer a fair chance 
of cure, shall be admitted as patients by the Attending Managers 
for a period not exceeding three months for each case, and shall be 
treated without any charge. If promising favorably, and on the 
recommendation of the Physician in Chief, the period may be 
extended at the discretion of the Board. Security for the removal 
of such patients when discharged, and for their clothing whilst in 31 
the Hospital, shall be required of some responsible resident of the 
city of Philadelphia, or its vicinity. The number of these patients 
shall from time to time be regulated by the Board of Managers, and 
is now fixed at 50. 
4. Patients paying board may be admitted by any member of the 
Board of Managers, under the following rules. 
5. The rate of board shall be regulated by the pecuniary ability 
of the patient, or of the friends of the patient, and the class of ac- 
commodations required. The lowest rate shall be nine dollars per 
week. They shall not be admitted for a less period than three 
months, for which time the board shall be required to be paid in 
advance at the time of admission ; and if taken away uncured 
before the expiration of that period, contrary to the advice and con- 
sent of the Physician in Chief of the Hospital, the amount as 
above paid in advance shall be considered forfeited, and no part 
thereof shall be returned. Four weeks’ board shall be retained 
in all cases. All payments shall be made quarterly in advance. 
Security of some responsible resident of the city of Philadelphia 
or its vicinity shall in all cases be obtained, for the payment of board 
and all other expenses whilst in the institution, and for the per- 
formance of the foregoing conditions. 
6. When special attendants are desired they are always to be 
provided by the Physician of the Hospital, and the charge therefor 
to be added to the board. 
REGULATIONS FOR THE ADMISSION OF VISITORS. 
The Board of Managers—recognizing the duty of shielding the 
insane from all improper exposure, and regarding their right of 
protection from the gratification of an idle curiosity on the part of 
strangers, just as great, while residents of a hospital, as in their 
own dwellings—have adopted the following regulations for the ad- 
mission of visitors:— 
1. Visitors are not to be admitted before 10 o’clock A. M., after 
sunset, nor on the First day of the week. They are not to be ad- 
mitted on the afternoon of Seventh day (Saturday) unless on spe- 
cial business with the Attending Managers, or one of the officers of 
the house. 32 
2. All parts of the Hospital not occupied by patients may be shown 
and explained during the hours for the admission of visitors. 
3. No visitor, unless in company with a Manager, can be taken 
into the wards, without permission from the Physician-in-Chief, or 
in his absence, from an Assistant Physician; and when visitors are 
allowed to enter the wards, they must always be accompanied by 
one of these officers, by the Steward or Matron, or by some person 
delegated by the Physician for the purpose. 
4. As this Hospital cannot be allowed to become a resort for idle 
curiosity, it is hoped that the friends of patients, and all others, 
will carefully avoid prolonging their visits unnecessarily. And 
those employed in the care of the patients or in the domestic de- 
partments are to avoid inviting company to the Hospital. 
5. The Pleasure Railroads and other contrivances for the amuse- 
ment of patients, are not to be used by visitors; nor are they to 
enter the museums or to pass through the pleasure grounds, except 
by special permission. 
6. It is expressly forbidden to furnish any inmate of this Hospital 
with tobacco in any form ; or to deliver to, or receive from a patient, 
any letter, parcel, or package, without the knowledge and approba- 
tion of the Physician. 
7. Funds for the use of the patients are to be placed in the hands 
of the Stewards, to be used only under the direction of the 
Physician. 
8. Under ordinary circumstances, carriages are not to enter the 
enclosures. When for any purpose they have been taken to the 
centre buildings, they are never to be left standing there; and 
drivers are always expected to remain with their vehicles outside of 
the gateway.