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                  MEDICAL DIRECTOR'S OFFICE,
                          Depahtment of the Ohio,
                                 Cincinnati,  Ohio, Sept.  26, 1862.

    The following information is  published  for instruction of Sur-
geons in charge of U. S. General Hospitals in this Department:

    1. Civilians may bo employed on  contract as cooks and nurses
in General Hospitals.   They must be contracted with  for one year,
and it is desirable to relieve all soldiers now on duty in General Hos-
pitals, by  employing competent civilians.
    '2. The form of contract shall be as follows, viz:

        Contract with a civilian cook or nurse in General Hospital.

    THIS CONTRACT entered into this----day of-------186—, at
------State of------between------of the United States Army, and
A------B-----, of-----, in the State of-----, Witnesseth:
    That for the consideration hereinafter mentioned, the said A----
B------promises and agrees to perform the duties of cook [or nurse]
agreeably to the  Army Regulations,  at----------General Hospital.
And the said--------^-promises and agree.-, on behalf of the United
States, to  pay, or cause  to  be paid, to the said A------R----—the
sum of twenty and one-half dollars,  clothing, rations, and medical
attendance, for each and every month he shall continue to perform
the services above  stated, which shall be his full compensation, and
in lieu of all allowances and emoluments whatsoever.  This contract
to continue for one year, unless  sooner determined by the Medical
Director or Surgeon General.
SIGNED, SEALED AND DELIVERED ^
         IN PRESENCE OF         (---------■-------[SEAL.]
                                j      ■----—■——----[seal.]

     One  copy shall be kept by  the  employee, and  one filed  in the
records of the Hospital.
     The  Surgeon in charge of the  Hospital  shall forward  to  the
Medical Director a list of all citizens employed under these regula-
tions, with date of contract.
     3.  Regulations of the  Hospital corps are as follows:
     Civil nurses employed on contract will be paid by Medical Pur-
veyors  or Paymasters  on  monthly pay rolls, to be furnished at this
office.  Their pay will be  $20.50 per month, and they  will receive
one ration per day, and the same allowance  of clothing as a private
soldier  of infantry.  Two  dollars of  their pay, per month, will be
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retained until the expiration of the term of service; the fact of such
money having been retained being indorsed on the back of the con-
tract.                ^
    Their clothing shall be issued to them by Medical officers,  the
clothing account being kept in the manner prescribed by regulations
for the soldier.  The amount of pay and  clothing received by each
nurse, with date, will be recorded on their contract, which will be as
a Descriptive List, to go with the nurse.
    They will be under military discipline,  and subject only  to  the
orders of the Medical authorities, and will wear the undress uniform
of a private soldier, with a green half chevron on the left fore arm.
    Their duties will be either  nursing the sick and wounded of  the
Army in Hospitals, cooking, or any other duties with the sick, at the
discretion of the Medical officers.
     Thvywill be divided  into squads of eleven, one of whom will
be responsible for the efficiency of the- rest.   One squad will  be al-
ii 'Vvd to every one hundred patients.
     At the usual roll-calls, the chief of.-the  squad will answer for the
rest to the Hospital Steward, who will thus learn lV number of va-
cant beds in each ward,  and  all  other particulars concerning the
condition and wants of ;be Hospital, which he will  report to  the
Medical "Officer of tl»  Day.''   Tlic- term of service of the  Hospital
corps will be according to the necessities of the service, or during
good conduct.
     4. Compensation for mntrnivr ■unl female  nurses is fixed by reg-
ulations at forty cents per  day and subsistence.
     5. Acting Medical  Cadets will, in no instance, be mustered  and
paid as contract nurses.  The attention of  all Medical officers,  em-
ploying  Acting Medical   Cadets,  is  called to this prohibition of a
practice fraudulent in itself, and degrading to the office of the Medi-
cal Cadet.
                                       L. H. HOLDEN,
                                Surgeon  U. S. A., Medical Director.
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