BY-LAWS 
OF THE 
Board of j f^ustees 
OF THE 
ladle 
iwm m « 2 
IN- 
WASHINGTON TERRITORY. 
SEATTLE: 
HANFORD & McCLAIRE PRINTERS. 
1880. 'Wi.tlz tlze compltmeTits of 
JOHN TV. Tfil ZJO HON, M. <D., 
Sizpe,rtnteTLd.eTLt. 
OF THE 
pOARD OF F^USTEES 
OF THE 
-IN- 
WASHINGTON TERRITORY. 
SEATTLE: * 
HANFORD & McCLAIRE PRINTERS. 
1880. By - j_^AWS 
CHAPTER I. 
Section 1. The Board of Trustees shall hold regu- 
lar meetings at their office on the Hospital grounds 
every month, commencing on the fifteenth day of the 
month; Provided, that should the fifteenth day of any 
month come on Saturday or Sunday, then the meeting 
to be on the following Monday. 
Sec. 2. Special meetings of the Board may be 
called at any time by the President, and he shall call 
such meetings at any time on the written request of 
two members of the Board: Provided, that no special 
meeting shall be called without ample notice being 
given to every member of the Board to enable them 
to attend the same. 
Sec. 3. A quorum shall consist of two members of 
the Board, and no business shall be transacted at any 
regular or special meeting without a quorum is pres- 4 
ent: Provided, that when only a quorum is present 
no business shall be transacted without the unanimous 
consent of all present. 
Sec. 4. In case of the absence of the President or 
Secretary at any regular or special meeting of the 
Board, the members present shall appoint one of their 
number to fill such vacancy pro tempore 
Sec. 5. At each regular meeting of the Board, 
the Trustees shall make a thorough examination of 
the several departments of the Hospital, and the min- 
utes of each meeting shall show that such examina- 
tion was made. 
Sec. 6. All Hospital supplies shall be purchased 
by the Board as provided by law, on the quarterly 
requisition of the the accountant. Either of the 
Trustees may purchase any necessary article required 
for immediate use which may have been omitted from 
said requisition. The Superintendent may also pur- 
chase any article he may think necessary for immedi- 
ate use at the Hospital. 
CHAPTER LI. 
OFFICERS AND ATTENDANTS OF THE HOSPITAL. 
Section 7. The Superintendent by, and with the 
consent or approval of the Board of Trustees, may 
employ the regular officers and such assistants as he 
may deem necessary for the effectual and economical 5 
management of the Institution, and the salaries of the 
regular officers shall be as follows: 
Sup ?rintendent $2 200 per annum 
Accountant 4 1 300 “ 
Head Warden 650 “ 
Assistant Wardens 550 “ 
Head Matron 525 “ 
Assistant Matron 475 “ 
Head Cook .. 600 “ “ 
Asst. Cook, who shall be a Baker. . 500 “ “ 
Teamster 400 u 
Laborer 400 “ 
Carpenter (when required) 650 “ “ 
Each of the above employees may receive subsis- 
tence, quarters, light and fuel for one, with quarters 
for a family in excess of salary. 
Sec. 8 The Superintendent and Accountant be- 
fore entering upon the discharge of their respective 
duties, shall each execute a bond to the Board of 
Trustees of the Hospital for the Insane of Washington 
Territory, in the penal sum of Five Thousand Dollars, 
to be approved by the Board, for the faithful perform- 
ance of their respective duties, which bond shall be 
tiled with the Secretary of the Board, and in case of 
resignation shall give the Board at least one month 
previous notice thereof. 
Sec. 9. The Superintendent and Accountant shall 
not be absent from the Hospital grounds at the same 
time, and the Superintendent shall not be absent 
more than twenty-four hours without furnishing a 
competent substitute who shall be accepted by the 6 
Secretary of the Board , to fill his place. If the Super- 
intendent desires at any time to be absent for a longer 
time than three days, he must aive the Trustees notice 
of the same with the name of the Physician who will 
fill his place during his absence; such substitute to 
be acceptable to the Board. So Physician being ac- 
ceptable without he agrees to remain on the grounds 
over night. The Superintendent and Accountant 
must give each other notice when they desire to be 
absent. 
CHAPTER III. 
DUTIES AND POWEE OF THE SUPERINTENDENT. 
Section 10. The Superintendent shall be the chief 
executive officer of the Hospital, and shall have 
charge of the buildings, grounds and appurtenances, 
and the direction and control of the patients, and of 
all persons employed in the Institution, subject to 
such regulations as may from time to time be estab- 
lished by the Board of Trustees. 
Sec. 11. He shall see all the patients personally 
at least once every day, and oftener if necessary, and 
shall prescribe such medical, moral and dietetic treat- 
ment as he may deem best adapted for their relief. 
And it shall be his duty to accompany any legally 
authorized inspector during his inspection of the 
Hospital. Sec. 12. % He shall keep a record showing the name, 
sex, age. residence and profession or occupation of 
each patient. Also the time of admission and dis- 
charge; by whom committed; whether cured or re- 
lieved; and if dead, from what cause. Also, as far as 
can be ascertained, the dates, cause and history of 
each patients disease. 
Sec. 13. He shall also keep a medical record of 
each case, and in case of death in the Hospital, shall 
immediately report the same in writing to the friends 
of the diseased and to the Board of Trustees, stating 
at the same time the probable cause thereof. 
Sec. 14. At each quarterly meeting of the Board, 
the Superintendent shall submit in writing a brief 
report respecting the general condition of the Hos- 
pital, specifying each case admitted, discharged and 
deceased during the quarter, with such other details 
as may be necessary to make it perfectly acquainted 
with the condition and requirements of the patients. 
Sec. 15. At each annual meeting of the Board, he 
shall present a tabular view of the Institution, com- 
prising all the important particulars from the records, 
accompanying it with such suggestions as he may 
deem important to its future welfare. 
Sec. 16. The Superintendent shall see that all 
persons under him perform faithfully all the duties 
required of them, and is hereby authorized to suspend 
any of them from service and temporarily fill the 
vacancy, whenever he ceases to be satisfied in respect 8 
to the performance of their duties, and shall immedi- 
ately notify the Secretary of the Board of his action, 
and shall also direct the Accountant to make the 
proper entries in his books of account with such sus- 
pended employee. 
Sec. IT. Any person suspended by the Superin- 
tendent shall be entitled to a hearing before the 
Hoard in his behalf, and the Board shall determine the 
justice or injustice of such suspension, and shall dis- 
charge or reinstate, as it may think proper. 
' Sec. 18. He shall not practice as a Physician, ex- 
cept on the Hospital Grounds, and for the benefit of 
the patients or attendants, except in case of extreme 
necessity, where it is impossible to secure another 
physician 
Sec. 19. He may from time to time prescribe such 
temporary regulations for the government of subordi- 
nate officers, attendants and patients as the good 
order of the institution may require; subject to the 
approval of the Board. 
DUTIES OF THE ACCOUNTANT. 
Sec. 20. The Accountant shall have charge of all 
stores and supplies furnished for the use of the Hos- 
pital, shall distribute the same, and make a quarterly 
statement to the Board of the distribution of all sup- 
plies, with balance on hand. 
Sec. 21. He shall keep an accurate itemized ac- 
count of all supplies, store or merchandise of any de- 9 
scription received by him, the date of reception, by 
whom delivered, and shall see that all articles corres- 
pond with file contract for the same. 
Sec. 22 At each quarterly meeting of the Board 
or at any other time when called upon by the Board, 
the Accountant shall submit in writing a carefully pre- 
pared estimate of all Hospital supplies necessary for 
the currant quar ter. 
Sec. 23. All communication relating to the busi- 
ness concerns of the Hospital under the direction of' 
the Accountant, shall be addressed to. and answered 
by him; the other correspondence of the Hospital 
shall be in the name of the Superintendent, and there 
shall be a record kept of all the correspondence. 
Sec. 24. He shall keep clear, methodical and exact 
accounts of all expenditures in behalf of the Hospital, 
and all charges against patients. He shall certify all 
bills of articles received at the Hospital, and shall 
present the same to the Board of Trustees at its regu- 
lar monthly meetings, and shall be responsible for a 
proper, judicious and economical use of all such sup- 
plies received at the Hospital. 
Sec. 25. In addition to his other duties, he shall 
have charge of the farm, garden, teams and all other 
appurtenances belonging thereto. He shall see that 
grounds are properly cultivated, and that fuel is pro- 
cured for the use of the Hospital. 
Sec. 26. It shall be his duty to see that suitable 
work is provided for all patients assisting in outside 10 
work, and shall direct the attendants in charge of such 
patients to see that are prevented and that 
improper implements are kept from such as are 
dangerous or careless. 
Sec. 27. He shall keep an account current with 
the officers and employees in aud about the Hospital, 
and submit the same for inspection to the Board at its 
regular quarterly meetings; and shall perform such 
other service as may be required of him in maintain- 
ing the good order and discipline of the Institution. 
Sec. 28 He shall keep an inventory of all property 
belonging to the Hospital, and shall make an annual 
report to the Board of the amounts received, expend- 
ed and on hand. He shall also keep the records and 
make out the tabular forms for the Superintendent, if 
the Superintendent shall so desire. 
Sec. 29. In addition to his other duties he shall 
make daily inspections of the Wards, as to their clean- 
liness and sanitary condition, and shall observe as 
much as possible the conduct of all attendants and 
employees, and see that each perform their respective 
duties as prescribed in the By-Laws, and as directed 
by the Superintendent. He shall also make frequent 
visits to the work shop, stables, bakery and kitchen, 
and see that economy is used in all the departments. 
Sec. 30. In all his directions to subordinates in 
executing the details of the Superintendent’s plans 
and directions, and in enforcing the rules and regula- 
tions, and assisting in maintaining the discipline of 11 
the Institution, the Accountant shall be considered 
as carrying the authority of the Superintendent. 
Sec. 31. The Accountant shall not be absent from 
the Hospital grounds for a longer period than 36 
hours, without permission from the Board, and shall 
invariably give notice to the Superintendent of his in- 
tended absence. 
Sec. 32. The Accountant shall take charge of and 
be responsible for all money or other valuables be- 
longing to patients which may be delivered to him 
either by the Head Warden or Matron, and shall de- 
liver the same to the proper owner thereof, when dis- 
charged, or dispose of the same as may from time to 
time be directed by the Board. 
HEAD WARDEN. 
Sf.c. 33. The Head Warden shall spend his whole 
time not apportioned to other duties, in the imme- 
diate oversight of the male patients. He shall con- 
tinually visit the several halls and dormitories in his 
department, and see that the directions of the Super- 
tendent are faithfully carried out, and that the wards 
are never left without some one in charge, and shail 
perform such other duties as may be required of him. 
Sec. 34. He shall be present at the admission and 
discharge of all male patients, and shall take charge of 
their clothing and other effects, and enter in a book, 
kept for that purpose, a list of all articles brought to 
the Hospital by or for them, and shall see that all 12 
clothing is properly marked and preserved, and that 
the same is restored to the owner thereof at the time 
of his discharge, unless the same lias been worn out 
by said owner, in which case he must' make an entry- 
in said book to that effect. He must turn over all 
money and valubles to the Accountant, taking said of- 
ficer’s receipt for the same, which receipt shall show 
the name of the person to whom said money or valua- 
bles belong, and said Warden shall file and carefully 
preserve said receipt, and deliver the same to the Ac- 
countant whenever said officer shall properly deliver 
or dispose of said money or valuables as directed by 
tlie Board. 
Sec. 35 He shall give particular attention to the 
sick, and shall see that they are properly cared for 
and kindly treated bv the attendants, administering 
the medicine prescribed for them, when requested to 
do so by the Superintendent, and shall have charge of 
the preparation of the dead for burial. 
He shall report promptly to the Superintendent or 
Accountant any want of faithfulness on the part of any 
attendant, and also as to any deficiency in the food 
sent to the tables or the different departments, or in 
the washing sent to the wash-room; and in general 
he shall be responsible for the deportment of the at- 
tendants, to whom he shall be a guide and example. 
ASSISTANT WARDENS. 
Sec. 36. The Assistant Wardens shall devote their 
whole time to their appropriate duties in the Hospital, 13 
and shall sleep and take their meals in the places as- 
signed them by the Superintendent, and shall remain 
constantly in sight of the patients in their respective 
wards during their hours of duty, and must be particu- 
larly vigilant in guarding against fire. 
Sec. 37. Upon rising in the morning they shall see 
that each patient entrusted to their care is properly 
washed and attired for the day in season for break- 
fast. 
Constant attention must also be given through the 
day to the person and dress of each individual, and 
any disorder or want of cleanliness remedied with as 
little delay as possible. The beds are to be properly 
aired and made in the morning, the dormitories and 
halls swept and arranged, and the floors, stairs and 
windows washed as often as necessary. 
The rule that no part of the Hospital is to be con- 
sidered clean if it can be made cleaner, is to be adopt- 
ed and acted upon. 
Sec. 38. Violent hands must never be laid on a 
patient under any provocation, except in self defence, 
or to prevent them from injuring themselves or others. 
The attendant should never allow himself to try 
strength with a patient if it can possibly be avoided, 
but should call for aid rather than engage in a strug- 
gle. 
Patients must never be pushed, struck or roughly 
handled, but when gentle or persuasive measures fail 
information must be given to the Superintendent or 14 
other appropriate officer. 
Sec. 39. No restraining apparatus shall be applied 
(or where applied shall be removed) except by the 
order of the Superintendent. 
HEAD MATRON. 
Sec. 40. The Head Matron shall spend her time in 
the immediate vicinity of the female department, and 
her duties shall be the same in all respects in her de- 
partment as those of the Head Warden in his, and in 
addition to such duties, she shall, with the Assistant 
Matron, perform such cutting of cloth, sewing and 
mending for the patients of the Institution as may be 
required. 
ASSISTANT MATRON. 
Sec. 41. The Assistant Matron shall be under the 
direction of the Head Matron, and act in her stead 
when she is absent. 
laborer. 
Sec. 42. The Laborer shall attend to the cultiva- 
tion of the farm, garden, orchard, etc., and when not 
employed in the above work shall perform such other 
duties as may be required of him. 
TEAMSTER. 
Sec, 43. The Teamster shall have the care of the 
horses and stables; it shall be his duty to drive the 
team when directed, clean and take care of the horses, 
harness, stables, carriages and wagons. Pages 15-16 missing pENERAL pULES. 
CHAPTER IV. 
Sec. 52. No employee of the Hospital must be ab- 
sent without leave, and leave of absence must in all 
instances be had of the Superintendent. Any em- 
ployee absent from his or her post of duty will be 
charged with the time absent and the same deducted 
from his or her pay. 
Sec. 53. No portion of these By-laws shall be al- 
tered, amended or repealed except by a two-thirds 
vote of the Board. 
Sec. 54. These By-laws shall be in force from and 
after the 16th day of January, 1880. 
Sec. 55. No company must be admitted to the halls 
occupied by the patients except by the express per- 
mission of the Superintendent or Accountant. Other 
parts of the Hospital may be shown by the subordin- 
ate officers under such restrictions as the Superintend- 
ent may impose. 18 
Sec. 56. No person connected with the Hospital 
must convey letters or parcels to or from the patients 
without the knowledge of the Superintendent except 
as provided by law. 
Sec. 57. Each person employed at the Hospital 
must give thirty days notice of his or her intention to 
leave, and it is hereby understood in all contracts for 
services with subordinate officers and employees that 
they may be discharged upon one week’s notice, or 
shorter notice if occasion requires it, and' their ser- 
vices and wages will be computed accordingly. 
Sec. 58. Any employee having a friend or friends 
visiting him or her and dining at the wardens’ table, 
must invariably notify the Accountant of the number 
of meals eaten by such person or persons, and the Ac- 
countant must charge such employees with the num- 
ber of meals reported to him at the rate of thirty 
cents a meal, and at the end of each quarter report the 
same to the Trustees for settlement. 
No employees except the Accountant and Superin- 
tendent will be permitted to entertain their friends 
over night on the Hospital grounds without permis- 
sion of the Superintendent. 
Sec. 59. No intoxicating liquors must be used in 
the Hospital or upon the grounds except as prescribed 
by the Superintendent. 
Sec. 60. No person addicted to gambling or in- 
temperate habits, or of immoral character must be em- 
ployed in the Institution.