PLAN OF ORGANIZATION 
AND 
B Y-L AW S 
OP 
THE HOSPITAL OF THE UNIVERSITY OF 
PENNSYLVANIA. 
PHILADELPHIA: 
COLLINS, PRINTER, 705 JAYNE STREET. 
1874. PLAN OF ORGANIZATION 
AND 
B Y-L A¥ S 
OF 
THE HOSPITAL OF THE UNIVERSITY OF 
PENNSYLVANIA. 
PHILADELPHIA: 
COLLINS, PRINTER, 705 JAYNE STREET. 
1874. BOARD OF MANAGERS. 
PRESIDENT. 
GEORGE B.. WOOD, M.D., LL.D. 
VICE-PRESIDENT. 
ELI K. PRICE. 
SECRETARY. 
ALFRED STILLE, M.D. 
TREASURER. 
SAUNDERS LEWIS. 
MANAGERS. 
GEORGE B. WOOD, M.D., LL.D., 
J. RODMAN PAUL, M.D., 
ELI K. PRICE, 
RICHARD WOOD, 
J. HENRY TOWNE, 
JOSEPH CARSON, M.D., 
ROBERT E. ROGERS, M.D., 
JOSEPH LE1DY, M.D., 
FRANCIS G. SMITH, M.D., 
RICHARD A. F. PENROSE, M.D., 
ALFRED STILLE, M.D., 
D. HAYES AGNEW, M.D., 
H. C. WOOD, Jr., M.D., 
WILLIAM PEPPER, M.D., 
JAMES TYSON, M.D., 
SAUNDERS LEWIS, 
JOHN S. NEWBOLD, 
I. Y. WILLIAMSON. STANDING COMMITTEES. 
DR. J. R. PAUL, Chairman, 
DR. P. G. SMITH, 
DR. W. PEPPER, 
COMMITTEE ON FINANCE. 
MR. I. V. WILLIAMSON, 
MR. J. S. NEWBOLD. 
MR. R. WOOD, Chairman, 
DR. R. E. ROGERS, 
COMMITTEE ON SUPPLIES. 
DR. H. C. WOOD, Jr., 
COMMITTEE ON PROPERTY AND REPAIRS. 
MR. E. K. PRICE, Chairman, 
MR. J. H. TOWNE, 
DR. D. H. AGNEAV. 
COMMITTEE ON THE LIBRARY AND MUSEUM. 
DR. A. STILLS, Chairman, 
DR. J. CARSON, 
DR. J. TYSON. MEDICAL STAFF. 
MEMBERS EX-OFFICIO. 
ALFRED STILLE,’ M.D., Professor of the Theory and Practice of Medicine 
and of Clinical Medicine. 
D. HAYES AGNEW, M.D., Professor of Surgery. 
R. A. F. PENROSE, M.D., Professor of Obstetrics and of the Diseases of 
Women and Children. 
WILLIAM PEPPER, M.D., Clinical Professor of Medicine. 
D. HAYES AGNEW, M.D., Clinical Professor of Surgery. 
JOHN NEILL, M.D., Associate Clinical Professor of Surgery. 
WILLIAM GOODELL, M.D., Clinical Professor of Diseases of Women and 
Children. 
WILLIAM F. NORRIS, M.D., Clinical Professor of Diseases of the Eye. 
GEORGE STRAWBRIDGE, M.D., Clinical Professor of Diseases of the Ear. 
HORATIO C. WOOD, Jr., M.D., Clinical Lecturer on Nervous Diseases. 
LOUIS A. DUHRING, M.D., Clinical Lecturer on Diseases of the Skin. 
JAMES TYSON, M.D., Clinical Lecturer on Pathological Anatomy and His- 
tology. PLAN OF ORGANIZATION 
OF THE 
HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA. 
1. The Hospital shall be called “The Hospital of the 
University of Pennsylvania.” 
2. It shall be under the control of a Board of Managers 
composed— 
a. Of five (5) trustees, who shall be chosen annually 
by the Board of Trustees of the University. 
b. Of the seven (7) members of the Medical Faculty. 
c. Of three (3) of the Alumni of the Medical 
Department, to be chosen annually by the 
Executive Committee of the Society of the 
Medical Alumni. 
d. Of three (3) contributors to the Hospital Fund, 
to be elected annually at the meeting of the 
contributors, who shall be all such persons as 
shall have paid twenty-five dollars ($25) or 
more to the Hospital Fund. 
All elected members shall be subject to the 
annual approval of the Board of Trustees of 
the University. 
3. The Board of Managers shall have charge of all the 
internal concerns of the Institution, the reception and discharge of patients, and the election of all the sub- 
ordinate officers for whose appointment other pro- 
vision is not made. 
4. It shall also be the duty of the Board of Managers to 
present to the Board of Trustees an annual report of 
the operations of the Hospital. 
5. The Medical Staff of the Hospital shall consist of— 
The Professor of the Theory and Practice of 
Medicine, and of Clinical Medicine; 
The Professor of Surgery; 
The Professor of Obstetrics and of the Dis- 
eases of Women and Children ; 
A Clinical Professor of Medicine; 
A Clinical Professor of Surgery; 
An Associate Clinical Professor of Surgery ; 
A Clinical Professor of Diseases of Women and 
Children; 
A Clinical Professor of Diseases of the Dye; 
A Clinical Professor of Diseases of the Ear; 
who shall be styled Clinical Professors in 
the Hospital of the University of Penn- 
sylvania. 
And of such Clinical Lecturers as the medical 
faculty may deem desirable. 
Ex-officio. 
6. The Clinical Professors of Medicine, Surgery, Dis- 
eases of Women and Children, Diseases of the 
Eye, and Diseases of the Ear, shall be appointed 
by the Board of Trustees. 
7. The Clinical Lecturers shall be appointed by the 
Medical Faculty. 
8. The Medical Staff shall assign to its members their 
respective duties, with such limitations and modifications as may from time to time be 
required. 
9. The expenses of the Hospital shall he paid hy 
appropriations from the Hospital Fund, made 
from time to time by the Board of Trustees, and 
upon requisitions approved by the Board of 
Managers. 
10. The Board of Trustees retain the power to alter, 
modify, or repeal any clause in the preceding 
Plan of Organization. BY-LAWS 
OF THE 
BOARD OF MANAGERS. 
1. The Board of Managers shall, in accordance with the resolution 
of the Board of Trustees, he composed of the following members— 
a. Of five trustees, who shall be chosen annually by the Board of 
Trustees of the University. 
b. Of the seven members of the Medical Faculty. 
c. Of three of the Alumni of the Medical Department, to be chosen 
annually by the Executive Committee of the Society of the Medical 
Alumni. 
d. Of three Contributors to the Hospital Fund, to be elected annu- 
ally at the meeting of the Contributors. 
All elected members shall be subject to the annual approval of the 
Board of Trustees of the University. 
2. The Board of Managers shall have charge of all the internal con- 
cerns of the Institution, the reception and discharge of patients, and 
the election of all the subordinate officers for whose appointment other 
provision is not made. 
3. The Board of Managers shall hold their stated meetings regularly 
on the last Thursday of every month, at such hour and place as shall 
hereafter be determined. 
4. Special meetings may be called at any time by the Secretary upon 
the written request of the President, Yice-President, or three members 
of the Board; and the notices of such meetings shall contain an an- 
nouncement of the special business to be transacted. 
5. The order of business at the Stated Meetings shall be:— 
1st. The reading of the Minutes. 
2d. Communications, which shall be read, considered, and disposed 
of. 
3d. Report of Treasurer. 4th. Reports of Standing Committees. 
5th. Reports of Special Committees. All reports shall he in writ- 
ing; and each report shall he disposed of before proceeding to the next 
in order. 
6th. Unfinished business. 
7th. New business, introduced by resolution. 
6. For the transaction of business, not otherwise specially provided 
for, seven members shall be a quorum, and any number less than a 
quorum may make an adjournment, of which the Secretary shall give 
due notice. But for making or altering by-laws, or for contracting any 
debt beyond two hundred dollars, except for current expenses, ten 
members shall be required to form a quorum. 
7. The officers of the Board shall consist of a President, a Vice-Presi- 
dent, a Secretary, and a Treasurer, who shall be annually elected by 
ballot at the stated meeting in January. At the same time there shall 
be annually elected by ballot the following Standing Committees: 
a Committee on Finance, a Committee on Supplies, a Committee on 
Property and Repairs, and a Committee on Library and Museum. 
There shall also be annually elected at the same time, a Superinten- 
dent, a Matron, a Clerk, an Apothecary, and a Gate-keeper. 
8. At the first meeting after each annual election, the Board shall be 
distributed President or Vice-President into Visiting Commit- 
tees to serve during the ensuing j^ear. 
9. The Board shall also elect semi-annually at the stated meetings 
in March and September two Resident and two Assistant 
Resident Physicians. They shall be elected according to their grade 
and standing in an examination specially held for this purpose by the 
Medical Staff as hereinafter provided. 
10. They shall also determine from time to time the number of beds 
which shall be maintained in the Hospital, provided that at no time 
they incur an expense exceeding the current income of the Institution. 
11. They shall receive a semi-annual statement from the Treasurer 
of the Board of Trustees of the condition and amount of the invest- 
ments of the Hospital Fund. 
12. They shall receive at each monthly meeting a report from the Su- 
perintendent of his disbursements during the previous month; with 
an estimate of the expenses for the month succeeding, which shall, 
if approved by the Board of Managers, be transmitted to the Board 
of Trustees. 
18. At the stated meeting of the Board of Managers, held in Novem- 
ber of each year, a committee shall be appointed whose duty it shall be to prepare a report of the proceedings of the Board, and of the condi- 
tion of the Hospital; copies of which report shall be presented to the 
annual meeting of the contributors in January, to the Board of Trus- 
tees of the TTniversit}-, and to the city authorities. 
VISITING COMMITTEES. 
1. It shall be the duty of the Visiting Committee to visit the Hospital 
at least once a week during their period of service ; to inspect the con- 
dition of the wards and of the patients; to superintend the admission 
and discharge of patients in concert with the members of the Medical 
Staff; to examine the accounts of the Superintendent; to receive and 
act on communications from the Medical Staff relative to the ordinary 
affairs of the Hospital; to see that the rules of the Institution are duly 
observed; and to authorize the purchase of any articles necessary for 
the daily use of the Hospital, provided always that they do not 
expend or incur liability for any sum exceeding two hundred dollars 
without the previous sanction of the Board. 
FINANCE COMMITTEE. 
1. The Finance Committee shall consist of five members, who shall, 
in conjunction with the Treasurer, exercise a general supervision over 
the monetary affairs of the Institution. They shall audit the accounts 
of the Treasurer semi-annually, or oftener if they desire. 
2. The other standing committees shall consist of three members 
each, and shall have general supervision of the matters pertaining to 
their respective departments. 
PRESIDENT. 
1. The President, or, in his absence, the Vice-President or Chairman 
pro tem., shall preside at the meetings of the Board of Managers. He 
shall decide all questions of order, subject to an appeal to the Board. 
SECRETARY. 
1. The duties of the Secretary shall be to issue notices of all meet- 
ings; to keep accurate minutes of the transactions of the Board; to 
preserve all papers and records of the Hospital; and to conduct the 
official correspondence. 
2. Upon his resignation or removal from office, he shall without 
delay deliver to his successor all books, papers, and other effects 
entrusted to his care, belonging to the Institution. 12 
TREASURER. 
1. The Treasurer shall receive all sums paid towards the support of 
the Hospital, including all annual contributions and donations, and 
all sums paid for board by patients in the Hospital; and shall pay 
over all such sums at the close of each month to the Treasurer of the 
Board of Trustees. He shall pay from the monthly appropriations 
made by the Board of Trustees all bills approved by the Board of 
Managers, and endorsed by the President or Vice-President, or 
Chairman pro tem.; and all orders signed b}7 the President, Vice- 
President, or Chairman pro tem., or any Committee authorized bj7 the 
Board ; which orders shaH be vouchers for his expenditures. He shall 
keep a regular account of all receipts and expenses of the Hospital; 
and shall present a statement of the same quarterly to the Board of 
Managers. He shall also prepare an annual report of the Finances of 
the Hospital, to be submitted in December of each year, to the Board 
of Trustees of the University, to the Board of Contributors, and to 
the Board of Managers. 
SUPERINTENDENT. 
1. There shall be elected annually, by the Board of Managers, a 
Superintendent, who shall, under the direction of the Board, have the 
general control of all departments of the Hospital, of all subordinate 
officers, attendants, and domestics, and the charge of the grounds, 
buildings, and appurtenances. 
2. He shall hold his office during the pleasure of the Board ; shall 
reside in the building, in apartments to be designated by the Board 
for that purpose, shall receive a compensation of dollars per 
annum, and shall also receive his board and washing free, but shall not 
be allowed anjr other emoluments, perquisites, or fees whatsoever. 
3. He shall see that there is no waste or carelessness in any depart- 
ment, and shall report to the Board or Visiting Committee omissions 
of duty, or disorderly conduct on the part of employees. 
4. He shall, under the direction of the Board, or of the Committee 
on Supplies, purchase the provisions and stores, including liquors and 
fuel; shall have the charge thereof, and shall be responsible for their 
proper and economical use. He shall make monthly returns of the 
consumption of fuel, gas, and liquors. 
5. He shall keep regular accounts of all moneys received and dis- 
bursed by him, on behalf of the Hospital, in books provided the 
Board, with a record of all contracts, and shall submit the same to 
the Visiting Committees at each meeting. He shall, also, prepare a statement of such receipts and disbursements, for the Board of Mana- 
gers at each monthly meeting, together with a requisition of the proba- 
ble amount required for the current expenses of the ensuing month. 
6. All bills, together with the pay-rolls, shall be submitted to the 
Board at the same time. 
I. He shall make no purchase exceeding $100, or of an unusual 
nature, without the sanction of the Board of Managers, or the Com- 
mittee on Supplies. 
8. He shall take charge'of money or other valuables belonging to 
patients, and keep a record of the same; and in case any patient dies, 
leaving money or articles of value, he shall take charge of them, and 
shall report the same to the Visiting Committee, who will give him 
the necessary directions for the proper disposal of them. 
9. He shall keep an inventory of all furniture and other property 
belonging to the Hospital, and shall make a quarterly report of arti- 
cles injured, destroyed, or missing. 
10. He shall provide meals for the family of the Hospital, includ- 
ing himself, his own family, if he have any, the Matron, Clerk, Apothe- 
cary, and the Resident Medical Staff of the Hospital, at such hours 
as the Visiting Committee may direct; and meals shall not be pro- 
vided at any other hours, except in case of sickness. 
II. He shall provide the diet of the patients as may be directed by 
the Medical Staff, and for the persons employed shall furnish such 
provision as the Committee on Supplies may direct. 
12. He shall receive all money paid for the board of patients, or from 
other sources, and shall pay it over to the Treasurer of the Hospital. 
13. He shall suspend from duty any employee of the institution, wil- 
fully disregarding or breaking the rules thereof, or refusing to perform 
his proper and necessary duties ; and he shall immediately report, in 
writing, such suspension to the Visiting Committee, with the facts of 
the case. 
14. He shall appoint all nurses and attendants of the sick, upon the 
recommendation of the Medical Staff. All other employees shall be 
appointed by him, under the direction of the Visiting Committee. 
15. He shall daily visit and inspect the wards, kitchen, laundry, 
engine room, and all other departments of the Institution. 
16. He shall receive all patients admitted to the Hospital, and shall 
see that the proper entries are made concerning them by the Clerk, 
and shall then send them to the wards designated by the attending 
medical officers. 
11. He shall have charge of the correspondence of patients, and shall 
communicate to their friends information of their condition or decease. 14 
18. He shall cause the bodies of the deceased to be delivered to 
their friends, or, if not claimed by them, to the proper authorities. 
19. He shall furnish passes to patients on the order of the attending 
medical officer; and shall permit no patient to leave the Hospital 
without such special order. 
20. In any cases requiring the attendance of a Coroner at the Hos- 
pital, it shall be his duty to immediately send a notice to that effect 
to the Coroner’s office. 
21. At the stated meeting in December of each jrnar, he shall make 
an Annual Report to the Board of Managers, of all matters pertaining 
to his office. 
22. He shall perform all such other duties connected with his office 
as may from time to time be required by the Board of Managers. 
CLERK. 
1. There shall be elected annually b}7 the Board of Managers, a 
Clerk and Librarian, who shall hold his office during the pleasure of 
the Board. He shall reside in the building; and shall receive a com- 
pensation of $ , per annum, and his board and washing free; but 
shall not be allowed any other emoluments, perquisites, or fees 
whatsoever. 
2. He shall keep all the books of the establishment, including proper 
and full registers of all patients received, discharged, deceased; in- 
cluding the name, age, sex, place of nativity, residence, and malady 
of the patient; the name and residence of his nearest friend or rela- 
tive; the date of his reception and discharge or decease, with his 
condition on discharge ; and, also, an alphabetical list thereof; and 
including such other books as shall be directed by the Board of 
Managers to be kept by him. 
3. He shall immediately after the admission of each patient fill out 
his ward-card properly, and see that it is affixed near his bed in the 
ward. 
4. He shall prepare for the guidance of the attending medical officers, 
a daily statement of the vacancies in the hospital, both on the pay 
and free lists. 
5. He shall prepare for the signature of the Superintendent, and 
submit to the Yisiting Committee, weekly reports of the census of the 
Hospital. 
6. He shall receive and enter the bills or invoices of all supplies 
received at the establishment; and shall enter and keep copies of all 
requisitions of the Superintendent. 
7. When a patient dies, the Clerk shall, under the direction of the 15 
Superintendent, make a full inventory of the clothing and other 
effects left by such patient, in books to be kept by him for that 
purpose ; and he shall also enter in the same books, the final disposi- 
tion made of such articles, and by whose order the same were dis- 
posed of. 
8. He shall also have charge of all books belonging to the hospital; 
shall prepare a catalogue of the same; and shall issue them to pro- 
perly qualified persons according to the special rules determined by 
the Committee on the Library; and shall keep an accurate list of all 
books loaned, with the name of the borrower, and the date of the loan 
and return of such books. 
9 He shall perform such other duties connected with his office as 
the Board of Managers may direct. 
MATRON. 
1. There shall be annually elected by the Board of Managers a 
Matron, who shall hold her office during the pleasure of the Board. 
She shall reside in the building, in apartments designated b}7 the 
Board for that purpose, and shall recede a compensation of $ 
per annum, and her board and washing free; but shall not be allowed 
any other emoluments, perquisites, or fees whatsoever. 
2. She shall have the general direction of all female nurses and 
servants, see that the}7 perform their several duties, and report to 
the Superintendent all instances of inattention and neglect of duty. 
3. She shall visit all the wards in the Hospital every day, and shall 
be responsible for the cleanliness, neatness, and order of every part 
of the establishment. 
4. She shall superintend the kitchen and laundry, and cause to be 
kept an accurate account of bedding, clothing, and table and other 
furniture. 
5. She shall have personal charge, under the Superintendent, of all 
hospital stores, unmade linen, blanketing, clothing, the clothing of 
deceased patients, and other similar properties, and shall attend to 
their distribution. 
6. She shall perform such other duties connected with her office as 
may be required by the Board of Managers. 
APOTHECARY. 
1. There shall annually be elected by the Board of Managers, on the 
recommendation of the Medical Staff, an Apothecary, who shall hold his 
office during the pleasure of the Board. He shall reside in the 16 
building, and shall not absent himself except at such hours as may 
be authorized by the Visiting Committee. He shall receive a com- 
pensation of $ per annum, and his board and lodging free; but 
shall not be allowed any other emoluments, perquisites, or fees what- 
soever. 
2. He shall purchase all medicines, and other articles pertaining to 
his department, under the direction of the Committee on Supplies, 
and shall keep exact accounts of their quantities, qualities, and prices, 
and shall furnish duplicates of such accounts to the appropriate Com- 
mittee of the Medical Staff. 
3. He shall compound medicines and prepare all prescriptions agree- 
ably to the formulae from time to time directed by the attending 
medical officers or Resident Physicians, which shall be recorded in 
a book, to be kept in each ward for that purpose. 
4. He shall also prepare all prescriptions ordered by the medical 
officers in charge of the various departments of the Dispensary 
Service. 
5. He shall deliver no medicines which are not ordered by the attend- 
ing or resident medical officers, and which are not recorded in the 
prescription books, or properly ordered in connection with the Dispen- 
sary Service. 
6. He shall perform such other duties connected with his office as 
may from time to time be required by the Board. 
GATE-KEEPER. 
1. The Gate-keeper shall he appointed by the Board of Managers. 
He shall reside in the Porter’s lodge. 
2. He shall allow no one to enter or leave the premises through the 
Porter’s lodge unless duly authorized. 
3. He shall examine all permits, and, when so instructed, record 
the names of persons passing the gate. 
4. He shall receive all patients; shall direct those who are applicants 
for Dispensary treatment to the appropriate section, according to the 
regulations of the Medical Staff; and shall arrange those applying 
for admission to the Hospital in the appropriate rooms, to await the 
visit of the attending medical officer. BY-LAWS 
OF THE 
MEDICAL STAFF. 
1. The Medical Staff shall be composed, in accordance with the 
resolution of the Board of Trustees, of the following members :— 
The Professor of the Theory and Practice of Medicine 
and of Clinical Medicine, 
The Professor of Surgery, 
The Professor of Obstetrics and of the Diseases of 
Women and Children, 
Ex-officio; 
A Clinical Professor of Medicine ; 
A Clinical Professor of Surgery ; 
An Associate Clinical Professor of Surgery; 
A Clinical Professor of Diseases of Women and Children ; 
A Clinical Professor of Diseases of the Eye ; 
A Clinical Professor of Diseases of the Ear; 
who shall be styled Clinical Professors in the Hospital of the 
University of Pennsylvania. 
A Clinical Lecturer on Nervous Diseases; 
A Clinical Lecturer on Skin Diseases; 
A Clinical Lecturer on Pathological Anatomy and Histology. 
2. Special meetings of the Staff may be called at any time by the 
Board of Managers, or by the President of the Medical Staff. 
3. The members of the Medical Staff shall be present when requested 
by the Board of Managers, or by the Visiting Committee, to confer 
with them on the management of the Hospital. 
4. The Medical Staff shall advise the Board of Managers, through 
the Visiting Committee, in all matters pertaining to the sanitary 
arrangements of the Hospital, and to the health of the inmates. 18 
5. The Medical Staff shall hold semi-annual examinations to deter- 
mine the merits and qualifications of such graduates of the Medical 
Department of the University of Pennsylvania as may apply for the 
positions of Assistant Resident Physician in the Hospital; and shall 
report after each examination, the names of the two candidates whose 
grade is the highest, to the Board of Managers for confirmation. 
6. It shall examine carefully into the qualifications of all appli- 
cants for the position of apothecary, and shall nominate to the Board 
of Managers a suitable person for this post, whenever a vacancy exists. 
T. The members of the Medical Staff shall also nominate to the 
Superintendent the persons to be appointed by him as nurses in their 
respective departments of the Hospital. And whenever a nurse 
affords just and sufficient cause for dismissal, the Superintendent shall 
discharge him or her, on the request of the attending medical officer 
of that department. 
8. The Medical Staff shall elect annually, by ballot, two of its 
members, to serve as a Committee on the Apothecary’s Department, 
whose duty it shall be to examine frequently into the quality of the 
drugs and medicines furnished for the use of the Hospital, to maintain 
a general supervision over this department, and to report to the 
Medical Staff, as occasion may require. 
9. The Medical Staff shall regulate the diet of the patients, as well 
as their hours of eating, and the modes of cooking their food. For 
this purpose a regular diet table shall be prepared, which shall be 
revised as occasion may require, by a Committee of the Medical Staff. 
10. The Medical Staff shall also form rules, to be submitted for 
approval to the Board of Managers, for the duties of the Resident 
Physicians and Nurses; the admission and discharge of patients, and 
for their conduct while in the Institution. It shall also appoint a 
Committee of two members who shall annually revise the rules. 
11. In all cases of death in which the Attending Medical Officer 
regards an autopsy as desirable, he shall, unless the immediate rela- 
tives raise special objections, give a written order for such exami- 
nation, and shall see that it is decently performed. 
1. There shall be elected by the Board of Managers, at the opening 
of the Hospital, two Resident Physicians, graduates of the Medical 
Department of the University of Pennsylvania, wdio shall serve for 
the term of six months. Subsequently there shall be elected semi- 
annually two Resident Physicians, graduates as aforesaid, upon the 
RESIDENT PHYSICIANS. recommendation of the Medical Staff, based upon the results of a 
special examination whenever the candidates shall not have already 
served as Assistant Resident Phj-sicians. They shall serve for the 
term of six months. Each shall serve three months in the medical 
and three months'in the surgical ward. 
2. They shall reside in the Hospital, and, in addition, shall receive 
their board and washing free, but shall not be allowed any other per- 
quisites or fees. 
3. They shall serve alternately as Officer of the Day, and shall 
never both be absent from the building at the same time. 
4. Leave of absence, when requested by any of the Resident Phy- 
sicians, may be granted by a majority of the Attending Medical Offi- 
cers in charge of the wards in which he is on duty, who shall also ap- 
point a substitute to serve during his absence. 
5. They shall visit all the patients under their charge every morning 
and evening, and as much oftener as may be necessary; and, in the 
absence of the Attending Medical Officer, shall administer to their 
relief. 
6. They shall accompany the Attending Medical Officers in their 
visits, report to them all new cases, and faithfully carry out their 
directions. They shall copy all prescriptions in the ward-books kept 
for that purpose, and shall send them to the apothecary immediately 
after the visit. 
7. All diet orders, liquor, and extra orders for patients, must be 
signed either by the Attending Medical Officer or by the Resident 
Physician or Surgeon. 
8. The Resident Surgeon shall have charge of the surgical instru- 
ments, and be responsible for their being kept ready and fit for im- 
mediate use. He shall in no case loan any instruments belonging 
to the Hospital. 
9. The Resident Physician and Surgeon shall not engage in any 
other business than that of the Hospital, nor shall they practise out 
of the House. 
10. They shall further perform such duties connected with their office 
as may be directed by the Board of Managers or the Attending Med- 
ical Officers. 
ASSISTANT RESIDENT PHYSICIANS. 
1. There shall he elected by the Board of Managers at the open- 
ing of the Hospital, two Assistant Resident Physicians, gradu- 
ates of the Medical Department of the University of Pennsylvania, 
who shall serve for the term of six months. Subsequently there shall 20 
be elected semi-annually two such Assistants, on the recommendation 
of the Medical Staff, based upon the results of a special examination. 
2. They shall reside in the Hospital, and shall receive their board 
and washing free, but shall not be allowed any other perquisites or 
fees. 
3. They shall act as Assistants to the Resident Physicians under the 
direction of the Attending Medical Officers; and shall, under the direc- 
tion of the said officers, keep a full clinical record of all medical and 
surgical cases which occur in the Hospital, in books provided for that 
purpose. 
4. In case of the absence of one or both of the Resident Physicians, 
they shall act as their substitutes. 
5. Leave of absence, when requested by either of the Assistant 
Resident Physicians, may be granted by a majority of the Attending 
Medical Officers in charge of the wards in which he is on duty, and 
his substitute shall be appointed by the same power. 
0. They shall also perform such special duties in connection with the 
service of the Hospital as may be directed by the members of the 
Medical Staff. 
T. Whenever a vacancy occurs in the office of Resident or Assistant 
Resident Physician, it shall be filled by the Board of Managers upon 
the recommendation of the Medical Staff, which shall be based upon 
the results of a special examination of candidates for the vacant 
office. 
DUTIES OF NURSES. 
1. All nurses shall be appointed in accordance with the rules above 
provided. 
2. There shall be in each ward a Nurse and an Assistant Nurse. 
3. They shall attend faithfully to the patients under their charge, 
and shall obey implicitly the directions of the Attending Medical 
Officers and Resident Physicians in regard to them. 
4. The Nurses shall see that patients behave with propriety and 
observe all the regulations of the Hospital, and they shall report any 
irregularity or breach of rules to the Resident Physicians. 
5. They shall see that every sick person under their charge shall 
change his linen at least twice a week; and that the soiled bed and 
body linen be promptly delivered to the laundry, with an inventory of 
the articles. 
6. They shall give receipts to the Laundress or Matron for all bed 
linen or clothing issued to their wards, and shall be furnished with an 
acquittance for the same on returning the pieces to the laundry. 7. They shall carry the ward prescription book to the apothecary im- 
mediately after the visit of the Attending Medical Officer, and shall 
return for the same at the hour directed by the apothecary. 
8. They shall carefully attend to the administration of all medi- 
cines, and shall return to the apothecary all vials in which medicine 
has been sent. 
9. They shall pay strict attention to the diet ordered by the At- 
tending or Resident Physicians. 
10. They shall keep a list of all money and articles of value, not in 
use, belonging to patients, and shall place all such property in charge 
of the Superintendent. 
11. They shall keep an inventory of all furniture, bedding, and other 
articles, in their wards, and shall make a weekly return of the same 
to the Matron. 
12. The Nurses and Assistants shall always obtain permission from 
the Resident Physicians, or the Superintendent before leaving the 
Hospital. 
13. In no case shall the Nurse and Assistant of any ward be both 
absent at the same time. 
14. They shall perform such other duties connected with their office 
as may be required. 
ADMISSION AND DISCHARGE OF PATIENTS. 
1. All cases of recent accident, occurring in the State of Pennsyl- 
vania, which are brought to the Hospital within twenty-four hours 
after their occurrence, shall be admitted at any hour of the day or 
night. 
2. Other patients shall be admitted daily at 12 M. They must apply 
in person at the porter’s lodge, where they will be examined and ad- 
mitted by the Attending Medical Officer, or the Resident Physician. 
3. Any member of the Medical Staff may send to his own depart- 
ment of the Hospital any patient that he may see fit, with a written 
order for admission. 
4. There shall be posted in the office daily, by the clerk, the number 
of vacant beds, both free and pay, in each department of the Hospital, 
for the information of the examining physician. 
5. No patient affected with small-pox shall be admitted. 
6. Pay patients may be admitted to the extent of the capacity of the 
Hospital for that purpose, at a rate of not less than $7 per week. 
7. In cases where separate apartments, or articles not usually fur- 
nished in the Hospital, are provided, such payment shall be made 
therefor as the Visiting Committee may deem reasonable. 22 
8. No case which is not likely to recover shall be retained on the 
free list in the Hospital for more than three months. 
9. No patient having acute syphilitic disease, or mania-a-potu, shall 
be admitted as a charity patient, but shall be charged such rates for 
board as the Visiting Committee may determine. 
10. No patient shall be discharged from the Hospital, except for 
misconduct, without the written order of the Attending Medical Officer. 
AMENDMENTS TO BY-LAWS. 
No new By-law shall be made, nor any of the above By-laws 
amended or repealed, except by a two-thirds vote of those present at 
a stated meeting of the Board of Managers, the notices of which shall 
have contained an announcement of the proposed change. BY-LAWS 
OF THE 
BOARD OF CONTRIBUTORS. 
1. All persons who have subscribed and paid to the Fund of the 
Hospital $25 or more, shall be regarded as Contributors, and as such 
shall be entitled to vote at the annual election for Managers. 
2. A yearly payment of $10 or more constitutes an annual sub- 
scriber, without the privilege of voting at the annual election for 
Managers, unless the annual subscription shall amount to $25. 
3. Every contributor of $5000 shall be entitled to have one person 
constantly in the wards on his or her recommendation ; and shall be 
also entitled to designate by last will or other declaration in writing, 
the individual in whom this right shall be vested. 
4. The Board of Contributors shall meet at the Hospital Building 
on the second Thursday in January of each year. 
5. The officers of the Board of Contributors shall be, a President, 
a Secretary, and a Treasurer, who shall be elected at the annual 
meeting by ballot. 
6. There shall be appointed annually by the Presiding Officer, a 
Finance Committee, of which the Treasurer shall be, ex officio, a 
member, who shall be authorized to prosecute the work of collecting 
funds for the Hospital, and to receive contributions. The}*" shall 
transfer all contributions received to the Treasurer of the Board of 
Trustees, and shall present an annual report of their operations to 
the Board of Contributors. 
7. The following shall be the order of business at the annual meet- 
ing of the Board:— 
I. Beading of the minutes of the last annual meeting. 
II. Statement by a Committee of the Board of Managers of the 
number of patients treated and the workings of the Institution 
during the past year. TIL Statement of the finances of the Hospital b}’ the Treasurer. 
IY. Election of a Presiding Officer, a Secretary, and a Treasurer, to 
serve during the ensuing year. 
Y. Election of three (3) Managers, to serve for the ensuing year. 
YI. Appointment by the Chair of a Finance Committee. -j-TffiR| -J\RCR’r-*- 
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