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Page 40 - The steward, under the direction of the superintending physician, and by his order, should make all purchases for the institution, keep the accounts, make engagements with, pay, and discharge those employed about the establishment ; have a supervision of the farm, garden, and grounds, and perform such other duties as may be assigned him.
Page 39 - Physician, he should possess the mental, physical and social qualities, to fit him for the post. He should serve during good behavior, reside on, or very near the premises, and his compensation should be so liberal, as to enable him to devote his whole time and energies to the welfare of the Hospital. He should nominate to the Board suitable persons to act as Assistant Physician, Steward and Matron ; he should have...
Page 37 - ... for its patients. At least one hundred acres should be possessed by every State hospital, or other institution for two hundred patients, to which number these propositions apply, unless otherwise mentioned.
Page 40 - In no Institution should the number of persons in immediate attendance on the patients be in a lower ratio than one attendant for every ten patients ; and a much larger proportion of attendants will commonly be desirable.
Page 39 - He should serve during good behavior, reside on, or very near the premises, and his compensation should be so liberal, as to enable him to devote his whole time and energies to the welfare of the hospital. He should nominate to the board suitable persons to act as assistant physician, steward, and matron. He should have...
Page 38 - ... submitted to some physician or physicians who have had charge of a similar establishment, or are practically acquainted with all the details of their arrangements, and received his or their full approbation. V. The highest number that can, with propriety, be treated in one building, is two hundred and fifty, while two hundred is a preferable maximum.
Page 40 - The situation and circumstances of different institutions may require a considerable number of persons to be employed in various other positions, but in every hospital, at least all those that have been referred to, are deemed not only desirable, but absolutely necessary, to give all the advantages that may be hoped for from a liberal and enlightened treatment of the insane.
Page 40 - All persons employed in the care of the Insane should be active, vigilant, cheerful, and in good health. They should be of a kind and benevolent disposition ; be educated, and in all respects trustworthy ; and their compensation should be sufficiently liberal to secure the services of individuals of this description.
Page 40 - He should have the entire control of the medical, moral and dietetic treatment of the patients, the unrestricted power of appointment and discharge of all persons engaged in their care, and should exercise a general supervision and direction of every department of the institution.
Page 38 - VII. Every hospital, having provision for two hundred or more patients, should have in it at least eight distinct wards for each sex, making sixteen classes in the entire establishment VIII.

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