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RULES AND REGULATIONS
FOR
PUBLIC GENERAL HOSPITALS
IN
JAMAIC -A..
            JAMAICA:
GOVEBNMENT PRINTING ESTABLISHMENT, 79, DUKE STREET, KINGSTON.

             1882.
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UNITED STATES OF AMERICA
WASHINGTON, D.C.


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RULES AND REGULATIONS
FOR
PUBLIC GENERAL HOSPITALS
IN
JAMAICA.
♦ ♦♦'<?-
             JAMAICA:
G0VEKN3SENT PRINTING ESTABLISHMENT, 79, DUKE STREET^KINGSTON.
1882, 
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ARMED FORCES MEDICAL LIBRARV
     WASHINGTON, D. C.
/CV//v yruu   jf^***  ^ 
        RULES AND REGULATIONS
                          FOR

PUBLIC  GENERAL  HOSPITALS

                           IN

                    JAMAICA.
                       Medical Officer.
  1.  The Medical Officer of the District in which the Public General
Hospital is situated shall have charge of the Hospital,  and shall be
responsible for its management, and for the treatment of all the
Patients therein.
  2.  He shall attend at the Hospital daily at the hour of Q a.m., and
shall admit as In-door Patients such  applicants  as he  may consider
fit and proper subjects for admission.
  3.  He shall daily visit, inspect, and, when necessary,  prescribe, for
all the Patients in  Hospital;  he shall visit more frequently than
once during the day, if necessary, and occasionally, if practicable,  at
uncertain  hours of the night.
  4. When it  shall appear to  the Medical Officer that  the  person
applying for admission is not entitled to claim gratuitous  medical aid
as an In-door Patient, he may refuse to admit such person  until a
guarantee is given  in  writing for payment of Hospital Dues and
Funeral Expenses in case of death.
   5.  He shall have power to refuse admission to  any person  suffer-
ing from any contagious or infectious or otherwise loathsome disease,
should he consider that  means for the proper segregation of such
person do not  exist.
   6.  It shall be optional with the  Medical  Officer to  refuse admis-
sion to any applicant: the reason for such rejection shall be entered
in a Book to be kept  for the purpose,  shewing Date, Name, Sex,
Age,  Whence Came, By Whom Recommended, Alleged Disease,
Cause of Rejection, and Remarks.
   7.  Should any  severe or dangerous accident case be brought to
the' Hospital  it shall  be the duty of  the Medical Officer to attend to
the case as soon as possible. 
4
  8. He shall satisfy himself, by personal  observation, that  clean-
liness, order and  discipline  are maintained in the Hospital, and shall
have the power of inflicting  any of the punishments hereinafter speci-
fied, or of  expelling any Inmate from the Institution.  Every such
expulsion shall be immediately reported by him, with his reasons, to
the Superintending Medical Officer.
  9. He shall keep  a Journal of the principal events which may
occur at the Hospital, and shall enter therein such orders as he may
think necessary for the  guidance of the Dispenser  or Matron, and all
cases  of misconduct on  the part of the Patients or Servants, as well
as all punishments inflicted by him.  He shall record in such Journal
the dates, hours and duration of each visit to the Hospital.
  10.  He shall  keep a  Register of all Patients according to the
form  prescribed in a Book provided for the purpose.
  11.  He  shall record daily,  or cause to be written up by the Dis-
penser at his dictation and in  his presence, the history and treatment
of every case on a  Ticket provided for the  purpose,  which shall be
kept hung up at the bed head of the  Patient,  and, on the discharge of
a Patient, the Ticket shall, on  completion, be duly signed by him and
filed in the office.
  12.  He  shall satisfy himself  that  the Patients receive the diets,
extras and stimulants ordered for them, and that the Servants exhibit
diligence and kindness in the  discharge of their duties.
   13.  He  shall keep such  statistical  and other notes and tables as
may be determined  upon by the Superintending Medical Officer, and
shall prepare the Annual Report and Returns up to the  30th Sep-
tember of eacii year.  He shall be responsible for  the correct render-
ing of all Financial Returns and Accounts.
   14.  He  shall transmit to  the  Protector  or Inspector  of  Immi-
grants a Monthly Return of the  mortality amongst the Immigrants
in the Hospital under his charge according to the following Form : —
Return shelving the Deaths that occurred in  the Public  General Hospital
          during the month of                       28
No.	Name.	M.	}X. F.	6 <	Estate.	Ship.	Date of Arrival.	Date of Death.	Cause of Death.
									
 
5
  10. He shall satisfy himself that the Servants receive their wages
weekly.
  16. He shall inspect the Stores (and note their quality), Latrines,
Lavatories, Out-buildings and Wash-houses at least once a week.
  17. He shall inspect the diets frequently and  ascertain that they
are properly cooked and served, in accordance with the quality  speci-
fied in the approved diet scale, and that the Kitchen and utensils  are
kept clean and in good order,
  18. He shall be  responsible that the Contractors fulfil their con-
tracts properly.
  19. He shall frequently examine the quality of the water and note
if the quantity is  sufficient  for drinking and ablution purposes; the
means for filtration should receive his  attention.
  20. The sanitary condition of the^Vards,  subsidiary buildings  and
grounds, should be carefully noted by him, and any defects imme-
diately rectified or reported to  the Superintending Medical Officer.
  21. He shall perform  Post  Mortem Examinations when the in-
formation obtained  thereby is  likely to prove important or interest-
ing, and shall enter a record thereof  in the Ward  Journal of the
Institution.
                           Dispenser.
  22. The Dispenser shall reside in  the apartments provided for him
at the Hospital, and shall not  absent  himself from the  Institution
without the sanction of the Medical Officer.
  23. He shall have charge of, and  be responsible  for, all medicines
and stimulants, and shall, in the  absence of a Matron, issue from the
Store daily all articles of diet and stimulants ordered by the  Medical
Officer.
  24. He shall have charge of, and keep in perfect order, the Surgi-
cal Instruments and apparatus of the Hospital.
  20, He shall be held responsible for the proper  compounding  and
preparation of medicines at all hours of the day and night, according
to the written prescriptions or  orders of the Medical Officer;  he shall
not issue any  drug  or medicine  from the  Dispensary without first
making a proper  entry thereof in the Prescription  Bock, to  be kept
in the Dispensary for that purpose.
  20. He shall keep all poisonous drugs locked up safely and shall
have the key under his immediate charge at all times.
  27. He shall accompany  the Medical Officer on his visits  round
tke Wards, also any Inspectors or Official Visitors.
  28. He shall, morning and evening, attend  to the dressing  of all
cases throughout the Hospital, and as often during the day as may be 
G
deemed necessary, and shall report at once to the Medical Officer any
unfavorable change which he may observe in any case.
  29. He shall  take  care  that bandages, lint or rags are distributed
for dressing purposes ; that they are kept constantly  clean ; and that
there is no waste.
  30. On the occasion of his  first  and  last visit each day to the
Wards  he shall record in the Attendance Book the hour such visits
are made.
  31. He shall   supervise  the general routine  of  the Hospital and
shall be held responsible that the Wards  and  subsidiary buildings,
Tanks,  Urinals, Drains, Lavatories, Wash-houses, and Grounds are
kept clean and orderly ; that the Earth Closets  are regularly cleaned
and emptied ; that a plentiful supply of dry earth is  always at hand;
and, where Soil  Pits are in use, he shall ascertain, by personal inspec-
tion, that their contents have been covered with  earth.
  32. He  shall  receive daily  and  inspect all  articles delivered by
the Contractors, and shall satisfy himself that they are of good  quali-
ty and  in  accordance  with the quantities requisitioned  for.   In the
event of any article  being  of short weight  or measure he  will at
once  communicate with the  Contractor  and require him to  make
good the  deficiency,  and  in the  event of  any  article being  in
his  opinion  unfit for  issue  he wall at once report the circumstance
to the Medical Officer in charge of the Hospital.
  33. He  shall  have  the general  superintendence of  the Under
Nurses, Cooks, and Labourers of the Hospital, and shall see that they
are attentive to their duties and respectful in their behaviour towards
every one connected with the Institution ; that  they  enter upon their
respective  duties at 6  o'clock a.m.,  and  do not leave  the  premises
under any pretence before the hour of 6 o'clock p.m., unless sent out
on business or permitted to be absent on leave.
  34. In the absence  of the  Medical Officer  he shall receive any
serious  case of accident or illness at any time during the day or  night,
and  shall avail himself of the earliest opportunity for reporting the
circumstance to the Medical Officer.
  35.  He  shall take precautions to prevent  the introduction of any
forbidden or improper articles and  shall see  that public property is
not removed from the Hospital.
   36.  He  shall  maintain order and  decorum amongst the  Servants
and  Patients.
   37. He shall  keep the following Books—
     (a) Receipt and Issue Book, in which an account shall be kept of
        all Stores received and issued, to be written up daily. 
7
     (b) Register of Patients, in which shall be recorded, in separate
       columns, the Number, Date of Admission, Name, Age, Color,
       Whence  Came, Occupation,  Country and Religion, Disease,
       Result, Discharge—date of, Death—date of, By  Whom Re-
       commended, Number of Days in Hospital, Remarks.
     (c) Journal, in which  shall be  recorded any  infraction of the
       Rules of the Institution, misconduct or neglect of duty of the
       Nurses  and Servants or any of the  Patients;  and any  other
       occurrence relating to the interior economy of the Hospital.
     (d) Stock  Book, in which shall be recorded  all  medicines re-
       ceived and issued in bulk.
     (e) Prescription Book, in which shall be entered all prescriptions
       made up at the Dispensary for Public Patients not Inmates
       of the Hospital.
     (f) Cash Book, in which shall be shewn all cash received bv the
       Medical Officer and disbursed on account of the  Hospital/each
       receipt and payment to be entered according to the date thereof.
     (g) Letter  Book, in which are  to be copied  all letters and re^
       ceipts written by the Medical Officer on matters  relating to the
       affairs of the Hospital or District.
     (h) Patients'  Property Book, in which shall be  entered the nature
       of  property brought into Hospital by Patients admitted for
       treatment.
  38. The  Dispenser shall  perform  all  the clerical  duties  of the
Establishment as may be required by the Medical Officer in Charge.
                    Matron or Head Nurse,
  39.  The Matron or  Head Nurse  shall  reside in the apartments
provided for her at the Hospital; she  shall have charge of the clo-
thing and bed linen, etc., of the Institution, as well as the Inmates'
private clothing and other  property, and will be held responsible for
the loss of any such property in  her charge.
  40.  She  shall  keep a record of all  articles  in  her charge  in  a
Book or Books supplied for that purpose, and shall prepare the monthly
return of clothing.
  41. She  shall  change the clothing and bed linen  at  least  twice
weekly, or more frequently when necessary, with the exception of the
coverlet or blanket, allowing one pair of sheets,  one pillow slip and
one coverlet or blanket, if ordered by  the Medical Officer, to  each
Patient.
g [42 She shall receive  from the Under Nurses all dirty bedding and
clothing, and shall see that  the same are properly accounted for, and
shall deliver them  early every Monday morning for the purpose  of 
8
being washed, giving a list of the things so delivered, on the face of
which list she shall certify the receipt of the clothing, etc., when  re-
turned to her possession after being washed.
  43. Upon  the admission  of Female  Patients  into  the Hospital
she shall be  responsible that  they  are  washed by the Under Nurses
before they are sent up to the Wards, unless otherwise ordered by the
Medical Officer.
  44. She  shall cause a  list  to be  made of the  clothing of  newly-
admitted Patients and then send it  to the wash, and,  on its return to
her custody, it shall be her duty to affix a separate ticket to each par-
cel  with the name of the owner and description  of  articles  legibly
written  thereon.   She shall  see  that  the Wards are cleaned every
morning, that the Nurses are clean and tidy in their persons, attentive
to their duties and kind to the Inmates.
  45. She shall see  that the Kitchen  and cooking utensils are kept
clean and that a plentiful supply of fuel wood is  always at hand for
use.
  46. She  shall  see that the nourishments and diets ordered by the
Medical Officer are properly cooked, and that they are  served to the
Patients in a clean and palatable state at such intervals as ordered ;
also that each Patient receives the particular diet prescribed, and that
no waste or exchange of diet be allowed to take place.
  47. She shall issue from the Store daily  wines or other liquors
as ordered, and shall administer them with her own hand  to the Pa-
tients, as may be directed in  writing on the  Record  Ticket  of the
Patient by the Medical Officer ; and she shall keep the liquors  always
carefully locked up.
  48. She shall prepare the requisition for  dietary required for  the
following day /shall issue the diets and  shall not  allow any Person,
Servant or otherwise, to enter the Store  except on business and when
she is present.
  49. She shall inform the Medical Officer whenever any  articles  of
clothing or bedding are going out of wear.
  50. She shall inform the Dispenser whenever a Patient expresses
a desire to see a Minister of Religion.
                        Under Nurses.
  51. Under  Nurses shall commence  their  respective duties  at 6
o'clock am. precisely and terminate them at  6 o'clock p.m.   They
shall first attend to those Patients who may be unable  to leave their
beds, empty the chamber  utensils  and clean the  slop  pails; and
shall bring to the notice of the Matron any  clothing  or bedding  of
the Patients that may be soiled. 
9
  52. They shall be kind and civil to the Patients and faithful in
the discharge of their duties; they shall report  to  the Dispenser or
Matron all  irregularities they  may observe in the Dormitories or
within the premises of the Institution.
  53. They shall assist in apportioning the diets.  They shall also
assist in the mending of all articles of clothing, bedding, &c, which
may require repairs.
   54.  The Night Nurses shall  commence their duties  at 6 o'clock
p.m. daily, and shall not go off duty until relieved at 6 o'clock a.m.
                              Cook.
   55.  The Cook shall attend from 6 o'clock  a.m.  to  6  o'clock  p.m.
and must observe scrupulous cleanliness in all cooking arrangements.
   56.  The Cook shall obey the directions of the Matron in preparing
and cooking all diets and nourishment for the Patients, and shall not
leave in the  evening  until such utensils as have been in use are
cleaned and put away on the shelves.
   57. The diets, extras, &c, must be cooked and ready  for distribu-
tion at such hours as may be ordered from time to time by the Medi-
 cal Officer in  Charge of the Hospital.
   58. The  Cook must always have hot water at hand.
   59. The Cook shall  see  that wood is kept properly stocked in the
 shed provided for  that purpose,  and  shall put out all  fires  in the
 Kitchen before leaving, unless otherwise instructed by  the Matron.
                   Labourers atsd Messengers.
    60. The Labourers and Messengers shall  commence their respec-
 tive duties  at 6 o'clock a.m. precisely, and, unless engaged to sleep on
 the premises  for night duty, shall terminate them at  6  o'clock p.m.
    61. They shall obey all the orders  of their  Superior  Officers and
 shall perform any duty assigned to them.
    62 They shall not leave the Hospital premises under any pretence
 whatever during  duty hours without the sanction of  the Medical
 Officer or Dispenser.                          ,
    63  They  shall assist in keeping  the premises clean,  and  shall
 water the  grounds,  plants and shrubs  as may  be  directed by the
 Medical  Officer.                         .
    64  The Labourer selected by  the Medical  Officer  for  such pur-
 pose shall keep the Earth Closets clean; he shall empty the tubs as
 often as  required during  the day, and shall  place a layer of  two
 inches of dry earth  on the bottom of the tubs before they are  used;
 he shall  take care that there is always a good supply ot  dry sifted
 earth ready for use, and that  the deposits  in the tubs  are properly
 covered  with  drv earth; and shall report to the Dispenser  any 
10
omission on the part of the Contractor to remove the  contents  of
the Earth Closets or to supply dry earth.
  65. The  Labourers shall assist in the removal of dead  bodies from
the Wards to the Mortuary; they shall also, when required,  assist
in the preparation of the dead for burial.
                           Patients.
  66. All  applicants  for  admission (except  in  case of  emergency)
shall be seen at the Hospital by the Medical Officer between the hours
of 9 and 11 a.m.  In the  case  of  Immigrants they will be received
daily up to 6 p.m.
  67. All Articled Seamen, Apprenticed Servants, and other persons
not destitute of means, applying for admission into the Hospital will
be required to give, in writing, a guarantee, signed by some responsi-
ble person, for the payment of Hospital Dues at the rate of Is. 6d. for
each day, or fractional  part thereof, that such Patient is in Hospital;
and, in the event of death, for the Funeral Expenses, to the extent of
£2. In the case of Articled Seamen the Consignee of the Vessel to which
they belong should guarantee the payment of the above expenses.
   68.  In the  absence of  a guarantee, as above stated, or of the lodg-
ment with the Medical  Officer of a sum of  £15,  no person as afore-
said will be admitted into the Hospital  for treatment.
   69.  All Immigrants who have not  completed a  continuous resi-
dence  of ten years in this Island shall be treated, when sick, in such
Public General Hospitals  as may be lawfully available for them free
of Hospital Dues and other charges.
   70.  All Constables admitted for sickness contracted in the execu-
tion of their duty, or which has not been induced by their own fault,
shall be treated in Public General Hospitals free of Hospital  Dues ;
but in case of disease  contracted by their  own  vice or  imprudence,
they shall be required  to pay  for their medical  care and treatment
Hospital Dues at the rate of Is. 6d. per diem.
   71.  Applicants  for admission who  are  on the  Parochial Pauper
Roll shall he admitted free o£ all charges, provided the Medical Offi-
cer considers them fit subjects for Hospital treatment.
   72.  Other applicants, not on the Parochial Pauper  Roll, but who
are unable to  contribute  towards their maintenance,  shall  be ad-
mitted into Hospital  free  of all charges on the written  recommenda-
tion of the Custos or Chairman of Parochial Boards, or the Almoner
or Clerk of Municipal Board, or of any Member of Board of Official
Visitors of the Hospital, provided, on examination, they are found fit
subjects for admission, and that there is accommodation available.
   73.  Creole and Coolie Labourers on Sugar Plantations shall  be  ad- 
11
mitted free of all  charges,  provided  that, on examination, they are
considered  by the Medical Officer suitable  cases for Hospital  treat-
ment, and that there is accommodation available for them.
  74. All  cases  of accident  or  serious illness  will  be admitted at
any hour of the day or night.
  75. If Patients at the time of  admission be posesssed of money or
other property the same shall be taken possession of by the Dispenser,
and full particulars thereof shall be entered in a Book to be kept  by
him  called the "Patients' Property Book," and such property shall
be returned to the Patients on discharge from Hospital.
  76. Any money or other property (exclusive of clothes)  brought
in by a Pay Patient will be liable  for Hospital Dues and may be sold,
if necessary.  Any surplus money or remaining  property will  be
handed over to the  Patient upon discharge, or in case  of  death, to the
parties legally entitled  thereto, upon their application.    When any
money or other property, which should have been handed to the Dis-
penser on  the admission of a Patient, is found  concealed about the
bed or person of a Patient it shall be taken away by the Nurse on duty
and handed to the Dispenser, in the presence of the Patient concerned.
  77. A Patient on being admitted for treatment within the Wards
shall be  bathed in warm or cold water as may be  directed by  the
Medical Officer, and (if a Male Patient)  his hair shall be trimmed be-
fore being sent to  the Ward, if considered necessary on sanitary
grounds by the Medical Officer.  His own clothes will be sent  to  the
wash and kept in safe custody until he is discharged and he will be
dressed in  a clean suit of the Institution clothing.
  78. The Patients are expected  to conduct themselves with civility
towards each  other as well as towards the Officers, Nurses and  other
Servants.   On no account  will abusive  or improper language, loud
talking or disobedience of orders be permitted.
  79. Patients shall not be allowed to smoke tobacco or  other weeds
within the Wards unless permitted to do so by the written order of the
Medical Officer.  Pipes  and tobacco will be issued by the Dispenser
only on the written instructions of the Medical Officer.
   80. No Patient shall be allowed to go out on  leave except with the
written sanction of the Medical Officer, and any Patient exceeding his
leave or returning  drunk may, at  the discretion of the Medical Officer,
be refused re-admission into Hospital.
   81. At 6 o'clock p.m. the Patients shall go to their Wards,  and at
8 o'clock p.m. they shall  retire to bed  for the night, during which
time no talking or  walking  from one Ward to  another or about the
Piazzas will be permitted. 
12
  82. The Night Nurse will report in the morning  to the  Dispenser
any one so transgressing.
  83. All lights will be put out at 8 o'clock p.m., except in  such
Wards as may be ordered by the Medical Officer to be lighted during
the night.
  84. The windows in  the Wards  shall not be closed without the ex-
press order of the Medical Officer.
  85. At 6 o'clock a.m. Convalescent Patients are expected to  rise
from their beds and to leave the Wards, unless otherwise directed by
the  Medical Officer ; and such Patients are on no account to lounge
about the Wards or Piazzas whilst the Servants are cleaning them.
  86. Convalescent Patients who have no conscientious  objection to
the form of service to be observed are expected to be present at Divine
Service when held.
  87. Patients shall not enter the  Kitchen, Dispensary, Store Rooms,
Officer's  Quarters, or any other Ward than that which  is assigned to
them.
  88. The meal  hours for Patients are stated on the approved Dietary
Scale, a copy of  which shall be  placed in each Ward.
  89. Such of the Patients as may be considered equal to the occupa-
tion of needle work, or other light employment, may have their  time
so utilized, but will not be permitted in any way to employ their time
for  their own benefit.
  90. When Husband and Wife are Inmates  of the Hospital at the
same time they  are not  to be permitted to visit each  other in  their
respective Wards, except between meal hours, and  then only with the
special sanction  of the  Medical  Officer.
  91. Patients will be permitted  to  receive Visitors on Wednesdays
and. Sundays between the hours of 10 and 11  o'clock a.m. and 4  and
6 o'clock p.m.   But not more than one Visitor will be permitted to
see a Patient at  any one time  unless otherwise specially  sanctioned
by the Medical Officer.
  92. Patients  under urgent  circumstances  will be allowed to  see
their friends on  all days of the  week  at  such hours as  the  Medical
Officer may determine.
  93. Patients'  friends will not be permitted to take within  the pre-
cincts of the Institution any  spirituous or  other liquors, or other
contraband articles.
  94. Patients will be permitted to receive visits  from  Ministers of
Religion and persons accredited by them, of  their own faith, at all
times, unless the Medical Officer should consider such visits likely to
prove injurious to the Patient, 
13
  95. Patients dissatisfied with their treatment, or with the behaviour
 of the Nurses or other persons, or with the quality of their food,  are
expected to represent their grievance to the Medical Officer on  the
first opportunity;  they may  also report the  matter to the Super-
intending Medical Officer. In the case of Constables they may report
to the Inspector of Police of the Parish;  and, in the case of Immi-
grants they may report to the Protector or Inspector of Immigrants.
  96. Patients refusing to submit to such operation or medical treat-
ment as may be  determined upon  by the Medical Officer  shall be
considered to have infringed these Rules and may be  subject to  the
punishment hereinafter described.
  97. Patients who are guilty of any misconduct or infraction  of
 these Rules shall be subject te the following punishments : —
     (a)  Alteration of diet for such time as the Medical Officer may
       order, Immigrants excepted.
     (b)  Exclusion from seeing their friends.
     (c)  Deprivation of tobacco and other  indulgences.
     (d)  Summary dismissal from  Hospital as may be determined
       by the Medical Officer.
  98. In the case of Constables additional punishment may be im-
posed in such manner as the Inspector-General of Police may  direct,
on the Patient  being ultimately discharged from Hospital.
  99. In the case of Immigrants additional punishment may be im-
posed in such maner as the Protector or Inspector  may direct,  in
accordance with the power  invested  in such Officers by Law 1  of
1881, on complaint made by the Medical Officer.
                        General Rules.

  100. No Officer or Servant shall  receive fee, gratuity,  or  reward,
directly or indirectly, from any Contractor or  other  person dealing
with the Hospital, or from any Patient, under pain of immediate dis-
missal.
  101. No Officer or Servant shall be permitted  to  bring  into  the
Hospital any fire, matches, pipes, tobacco,  wines, fermented  liquors,
articles of diet, or other contraband, for the use of any Patient, under
pain of instant  dismissal.
  102. All Attendants and Servants shall subscribe to the following
obligation on their employment permanently  in the Hospital, name-
ly :—
       " I have read (or have heard  read) the Rules of  the Public
     " General Hospitals.   I have had delivered to me a Copy of  the
     " Rules specially laid down for my guidance as 
14
       " I hereby promise strictly to obey all such Rules ; to avoid gos-
     " sipping about the affairs of the Hospital or of its  Inmates ;  to
     " be careful of its property ; to promote, as far as I  am able, its
     " objects; and to endeavour, by my own good conduct and de-
     " meanour, to sustain the respectability of its Staff.   If  anything
     " improper is done in my presence,  or to my  knowledge,  in the
     " Institution, I pledge myself to report it at once to  the Medical
     " Officer,  Dispenser, or Matron.   I  agree to give two weeks' no-
     " tice should I wish to give up my  situation ; but I acknowledge
     " the right of the Medical Officer to suspend me, or to discharge
     " me, without  any previuos  notice, for  acts  of  unkindness  to
     " Patient*?, intemperance, transgressions of the Rules, or disobe- '
     " dience of orders, and I agree to my Wages, or such portion  of
     " them as the Medical Officer  may  direct, being forfeited, if my
     " conduct is disrespectful  to any of my Superior  Officers,  or  in
     "any way compromises the character of the Institution."
                       Official  Visitors.
  103. The Board shall consist of the Custos of the Parish and one
or more Magistrates  to be appointed by  the  Governor,  and shall
visit the Hospital as often as they may think necessary.
  104. The Board shall inspect the Wards and other  premises.
  105. The Board shall examine the Books and Stores, and note  in
the Visitors' Book their opinion as  to  the condition  of the Hospital
generally, with any suggestions they may desire to make.

                               CHAS.  B. MOSSE, S.M.O.
22nd March, 1881. 
 
 
 
 
 
 
 

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