THE 
g, .c- m 
Rational |]mno.'ojrathif ]|os|titiil 
OF 
WASHINGTON, D C. 
Hospital Located corner N and Second Streets. 
INCORPORATED JUNE lO, 1881. 
“ SIM ILIA SIM I LI BUS CURANTUR.” 
WASHINGTON, U. C. : 
Thomas McGill & Co., Printers, 1107 K street. 
1886. 0FPieERS 0P THE 0SS0SIATI0N 
FOR 18 86, 
President of the Association: 
M. R. WAITE, Chief Justice Supreme Court U. S. 
Vice-President for the District of Columbia: 
A. S. PRATT, Washington, D. C. 
Vice-Presidents from every State and Territory. 
Secretary: GEORGE LEE, M. D. 
BOARD OF TRUSTEES HOMEOPATHIC HOSPITAL. 
C. P. Culver. 
H. S. Cummings. 
Mrs. I. M. Bittinger. 
Mrs. C. V. Pope. 
Elias S. Hutchinson, President. 
Mrs. Chas. Nordhoff, ist Vice Pres't. 
Alonzo Bell, 2d Vice President. 
G. H. Wilcox, Secretary. 
Lewis Clephane, Treasurer. 
House Physician: B. F. GIBBS, M. D. 
HOSPITAL COMMITTEE, 
Elias S. Hutchinson, Chairman. 
Lewis Clephane. 
Charles P. Culver. 
Mrs. A. F. Childs, Secretary. 
Mrs. T. H. Martin. 
Mrs. G. H. Wilcox. 
Mrs. N. B. Walker. BY-LAWS 
OP' THE 
NATIONAL HOMEOPATHIC HOSPITAL ASSOCIATION 
OF 
WASHINGTON, D. C. 
I. 
Membership. 
Any person may become a sustaining member of this Association by the 
payment of a fee of not less than five dollars per annum, payable quar- 
terly, in advance, on the first days of January, April, July, and October. 
Any person may become an associate member by the payment of not less 
than one dollar per annum. 
The fiscal year of this Association shall begin on the 1st day of Jan- 
uary of each year. 
No member in arrears for dues shall be entitled to vote in the Asso- 
ciation. 
II. 
Meetings of the Association. 
The annual meeting of the Association after 1885 shall be held on the 
third Monday in January of each year, in the city of Washington, in the 
District of Columbia, the hour and place to be designated by the Presi- 
dent. At these meetings the officers hereinafter to be enumerated shall be 
elected by ballot, to hold office for the ensuing year or until their successors 
shall be appointed ; and such other business shall be transacted as may 
properly come before it not inconsistent with these By-laws. Fifteen 
members of the Association shall constitute a quorum for the transaction 
of business, but a less number may adjourn from time to time until a 
quorum can be obtained. Public notice of the time and place of holding 
the annual meetings shall be published at least one week prior thereto in 
a newspaper of the said city of Washington. 
III. 
Special meetings of the Association may be called at any time by the 
Secretary, at the direction of the President, or upon the written application 
of seven members, and the call shall specify the business to be acted upon. 
Special Meetings. 4 
TV. 
Officers of the Association. 
The officers of the Association shall consist of a President, one Vice- 
President from each State and Territory and the District of Columbia, 
a Secretary, who shall be a resident of the District of Columbia, and a 
Board of Trustees, to be composed of nine members, six men and three 
women. 
V. 
Duties of the President and Secretary. 
The President shall preside at all meetings of the Association. In the 
absence of the President, one of the Vice-Presidents or a President pro 
tempore shall perform the duties of the President. The Secretary shall 
keep full and correct minutes of the proceedings of all meetings of the 
Association, shall notify the officers of their election, and conduct the 
general correspondence of the Association. 
VI. 
The Board of Trustees shall, on the Wednesday following the annual 
election of said Board, organize by the election of the following officers, 
to wit: A President, two Vice-Presidents, a Secretary, and a Treasurer, to 
hold office during the term of said Board ‘ and vacancies in said Board, 
occurring by death or otherwise, may be filled by the Board at any regular 
meeting thereof. The Trustees may at any monthly meeting declare the 
trusteeship of any Trustee vacant when such Trustee shall have been 
absent from three consecutive monthly meetings : Provided, That at least 
one week’s previous notice of the proposed election of a new Trustee be 
sent to the address of each of the Trustees. 
Organization of the Board of Trustees. 
VII. 
Duties of the President and Vice-Presidents—Board of Trustees. 
The President of the Board of Trustees shall preside at all the meetings 
of the Board, sign all orders for money drawn upon the Treasurer and 
attested by the Secretary of said Board, appoint committees, and perform 
all other duties properly belonging to his office ; and in his absence one of 
the Vice-Presidents shall perform the duties of the President; and in the 
absence of the President and both the Vice-Presidents the Trustees shall 
appoint one of their number to preside pro tempore, who shall possess all 
the powers of the President. 5 
VIII. 
Duties of the Secretary—Board of Trustees. 
The Secretary of the Board of Trustees shall give notice of all meetings 
of the Board of Trustees, and shall keep an accurate record of the doings 
of each meeting, and attend to all the correspondence of the Board. 
IX. 
Duties of the Treasurer—Board of Trustees. 
The Treasurer shall give bonds, with sureties, to the satisfaction of the 
Board of Trustees, conditioned for the faithful discharge of his duties. 
He shall receive and have the custody of all moneys, bonds, notes, deeds, 
and other securities belonging to the Association, which he shall keep and 
manage, under the direction and control of the Board of Trustees. He 
shall pay no money but by order of the Board of Trustees or the Hospital 
Committee, attested by the President and Secretary of the Board of Trus- 
tees. He shall render an account of the state of his books and of the 
funds and property in his custody quarterly and when called for by the 
Trustees or Association ; and he shall make up the accounts to the last day 
of December in each year, which accounts, properly audited, shall be laid 
before the Association at their annual meeting. 
X. 
Duties of the Board of Trustees. 
The Trustees shall constitute a Board for the management of all the 
property and concerns of the Institution. They shall make such by-laws, 
rules, and regulations to govern their actions as they may deem expedi- 
ent, not inconsistent with the Charter and By-laws of the Association. Five 
members shall constitute a quorum for the transaction of business, and all 
questions which come before the Board shall be determined by a majority 
vote of those present. 
The meetings of this Board shall be on the first Wednesday of each 
month, at such hour and place as may be designated by the President. 
They shall appoint annually, or otherwise, all proper and necessary physi- 
cians, surgeons, officers, and assistants for the care and direction of the 
respective departments, with such salaries and allowances as they may 
from time to time fix and determine; to make such rules and regulations 
for the government of the said physicians, surgeons, officers, and attend- 
ants, and for the admission of patients and the well ordering and conduct- 
ing of the respective departments of the Institution, as to them may seem 
proper and expedient. They shall cause a fair record of all their doings 
to be k§pt, which shall be laid before the Association at any annual meet- 6 
ing thereof; and shall make a written report on the Treasurer’s accounts 
and on the general state of the Institution, comprising an account of the 
receipts and expenditures of the Association, a statement of the number 
of patients admitted and discharged during the year in each department, 
and all such other matters as may be of importance and interest to the 
Association; and for this purpose they shall, at some previous meeting, 
appoint a Committee of the Board. 
XI. 
Organization of “The Ladies' Aid Association." 
There may be created from among the active lady subscribing members 
of the National Homoeopathic Hospital Association an organization to be 
styled “ The Ladies’ Aid Association of the National Homoeopathic Hospital 
Association,” which shall have power to make its own rules, regulations, 
or by-laws. This Association shall be represented by three members on 
the Board of Trustees and four on the Hospital Board. It shall be the 
duty of said Association to tender all possible assistance by every means 
within its power in maintaining the Hospital and Dispensary. 
The funds arising from all local fairs or entertainments given under its 
control or management may be retained in its Treasury, and used in such 
manner for the benefit of the Hospital as in its judgment may seem best 
and not objectionable to the Board of Trustees. No one shall be a mem- 
ber of this Association who is not an enrolled contributing member of the 
National Homoeopathic Hospital Association. 
All donations of money made to or through this Association shall be 
immediately paid over to the Treasurer of the National Homoeopathic 
Hospital Association. 
XII. 
Committee of Audit. 
The President of the Board of Trustees shall appoint from the Associa- 
tion an Auditing Committee, consisting of three members, who shall exam- 
ine the accounts of the Treasurer and report the condition of the same to 
the Board quarterly. It shall also audit all said accounts, and report upon 
the same to the Board of Trustees at the regular meeting next preceding 
the annual meeting of the Association. 
XIII. 
Hospital Committee. 
The Board of Trustees shall appoint annually a Hospital Committee, 
consisting of seven members—three from the Board of Trustees, of which 7 
the President of the Board shall be one, and four from the Ladies’ Aid 
Association. Said Hospital Committee, subject to the approval of the 
Trustees, shall have charge of the Hospital, the appointment of the Matron, 
the furnishing of supplies, and a general oversight of its affairs; and 
shall meet at the Hospital at least once a week, and, on special occasions, 
at the request of the Staff of Physicians. 
It shall also determine the necessary number and the wages of the 
employes of the Hospital, fix the prices per week for the care and treat- 
ment of patients, and report to the Board of Trustees at the end of each 
month the number of the pay and free patients in the Hospital for- each 
day during said month, the amount of money received from the pay 
patients, and all expenditures at the Hospital for the month. 
It shall further be the duty of said Committee to see that no special 
sectarian religious influences are allowed among the patients within the 
Hospital, and that all patients have the privilege of calling in such spirit- 
ual advisers as they may prefer. 
XIV. 
Medical Staff. 
The Medical Staff shall be elected by the Trustees annually at their 
regular meeting in February; and every Physician and Surgeon hereafter 
elected shall hold his office during the pleasure of the Board. 
The Secretary of the Board of Trustees shall notify the members of the 
Staff of their election, and appoint a time for them to meet, at which 
meeting they shall organize as a Medical Board, provided two-thirds of 
the members are present; otherwise they shall adjourn from time to time 
until two-thirds are present. 
They shall elect from their number a President and a Secretary, and 
such other officers as they may deem advisable. The President shall 
attend the meetings of the Trustees when requested, and be the medium 
of communication between them and the Staff while on duty; and shall 
purchase necessary medical supplies, under the approval of the Hospital 
Committee. He shall act as umpire in all cases of differences arising 
between members of the Staff, subject to an appeal to the Board of 
Trustees. He shall be charged with the general supervision and direction 
of all matters relating to regimen and hygiene. 
The Secretary shall record the proceedings of the Board in a book 
provided for the purpose. 
The Staff shall hold such meetings as they may determine upon ; and 
the proceedings shall be recorded by the Secretary of said Staff and open 
to the inspection of the Trustees. 
They shall make such regulations as to attendance and the medical and 
surgical conduct of the Hospital as they may deem best, not inconsistent 
with the Charter and By-laws of the Association. 8 
XV. 
Privileges of Contributors. 
Any person, persons, or society contributing at any one time the sum 
of one thousand dollars to the funds of the Hospital shall be entitled 
during a period of three years to nominate a patient or patients to occupy 
a bed in one of the wards, subject to the approval of the Trustees. 
Any person, persons, or society contributing at any one time the sum of 
three hundred and fifty dollars to the funds of the Hospital shall be 
entitled during one year following to nominate a patient or patients to 
occupy a bed, subject to the approval of the Trustees. In either case, the 
contributors shall have the right to affix a name to such bed. 
XVI. 
Honorary membership may be conferred by a two-thirds vote of the 
Board of Trustees. 
Honorary Membership: 
XVII. 
Life Membership. 
Any one may become a life member by the payment of a sum of not 
less than five hundred dollars. 
XVIII. 
Alteration of By-laws. 
These By-laws may be altered at any regular meeting by a vote of two- 
thirds of the Trustees present, notice of the proposed change having been 
given at least one month previous. 
XIX. 
Order of Business. 
The .following shall be the Order of Business at all regular meetings of 
the Association and Board of Trustees: 
1. Calling the roll. 
2. Reading of the minutes. 
3. Payment of dues and subscriptions. 
4. Treasurer’s report. 
5. Reports of committees. 
6. Unfinished business. 
7. Communications. 
8. Elections. 
9. New business. 
In all proceedings of the Association and Hoard of Trustees parlia- 
mentary rules shall be observed. Certificate of Incorporation, By-Laws, Rules and Regulations of the 
National Homoeopathic Hospital Association of Washington, D. C. 
CERTIFICATE OF INCORPORATION. 
The undersigned, citizens of the United States, a majority of whom are 
citizens of the District of Columbia, of full age, desiring to organize a So- 
ciety under section 545 of the Revised Statutes relating to the District of 
Columbia, hereby certify: 
First. That the name by which this Society shall be known in law is “The 
National Homoeopathic Hospital Association of Washington, District of 
Columbia.” 
Second. The organization shall continue for a period of twenty years. 
Third. The business and object of the Society shall be to establish and 
maintain a Homoeopathic Hospital in the city of Washington, in which the 
medical staff shall be composed of Homoeopathic physicians only, but into 
which any physician may take his private patients on complying with the 
regulations which shall be established by the Board of Trustees; in which 
proper care and treatment may be given to lying-in women who may wish 
to be under Homoeopathic treatment; to which persons temporarily resid- 
ing in the city may resort in case of sickness; to which accident cases, or 
persons suddenly taken sick in the street, may be carried for temporary 
treatment; in which nurses may be instructed, and clinical instruction 
given to students of medicine ; in connection with which there may be 
a Dispensary for the treatment of the poor homceopathically. And to do 
such other things as may be legitimate and necessary to the efficient exe- 
cution of the above-named purposes. 
Fourth. The number of Trustees for the first year shall be thirteen, as 
follows: 
Montgomery Blair, John J. Halsted, Edward W. Whitaker, Charles B. 
Bailey, Richard W. Tyler, Charles P. Culver, John S. Poler, Edward C. 
Dean, William S. Roose, Edward Weston, George E. Baker, Lewis Cle- 
phane, and William L. Van Derlip. 
In testimony whereof, we have hereunto set our hands and seals at the 
city of Washington, District of Columbia, this 10th day of June, A. D. 1881. 
MONTGOMERY BLAIR. [seal.] 
C. P. CULVER. [seal.] 
RICHARD W. TYLER. [seal.] 
JOHN S. POLER. [seal.] 
WILLIAM S. ROOSE. [seal.] 
EDWARD W. WHITAKER, [seal.] 
EDWARD C. DEAN. [seal.] 
LEWIS CLEPHANE. [seal.] 10 
District of Columbia, 
County of Washington, 
ss: 
Before me, George W. Balloch, a notary public in and for the District 
aforesaid, this 10th day of June, A. D. 1881, personally appeared Mont- 
gomery Blair, C. P. Culver, Richard W. Tyler, John S. Poler, William S. 
Roose, Edward W. Whitaker, Edward C. Dean, and Lewis Clephane, to me 
well known as the individuals whose names are signed to the foregoing 
certificate of incorporation, and severally acknowledged that they signed 
the same for the purposes therein mentioned. 
Witness my hand and official seal at Washington city, District of Co- 
lumbia, this 10th day of June, A. D. 1881. 
[seal.] GEO. W. BALLOCH, 
Notary Public. RULES AND REGULATIONS 
FOR THE GOVERNMENT OF THE 
NATIONAL HOMEOPATHIC HOSPITAL 
WASHINGTON, D. C. 
I. All applications, either by letter or otherwise, for admission to the 
Hospital, shall be made to the House attending physician or surgeon, who 
will ascertain whether the case is suitable; and if so, will procure and 
furnish to the patient the necessary papers for admission. 
II. The patient, on admission, shall give security, if a pay patient, sat- 
isfactory to the Hospital Committee for the payment of expenses in the 
Hospital. 
III. In case of accident or extreme emergency, the patient will be 
admitted without delay, and provided for as well as circumstances will 
permit. 
IV. No contagious diseases will be admitted to the Hospital; and no 
incurables, syphilis, or inebriate patients will be received into the Hospi- 
tal without special arrangements made with the House Physician and 
sanctioned by the Hospital Committee. 
V. No patient will be allowed to remain longer than twelve weeks, 
except by the special consent of the Hospital Committee. 
VI. All patients will be admitted and discharged upon the certificate 
of the attending or House physician or surgeon, either of whom shall 
have discretionary power in the dismission of patients, or they may refer 
doubtful cases to the Medical Staff. 
Patients may be discharged by the attending physician or surgeon at 
any time when, in his opinion, the interests of the patient or of the Hos- 
pital demand it. 
VII. Whenever a patient is removed from the Hospital without the 
consent of the attending physician or House surgeon, the matron shall 
require from the person assuming the responsibility of the removal a 
written statement to that effect. 
ADMISSION AND DISCHARGE OF PATIENTS. 12 
VIII. The House physician or surgeon shall not deliver to any one the 
body of any person having died at the Hospital, without a written receipt 
from the parties taking the same. 
IX. In case of the decease of any patient, the friends shall be ap- 
prised thereof by the matron, and the attending physician or surgeon 
shall sign a certificate of death, and shall furnish the City Registrar with 
a copy of the same. He shall also state the time and cause of death, the 
disposition made of the body, whether delivered to friends or buried from 
the Hospital. In the last case, he shall mention the place of interment; 
all of which shall be recorded in a book kept for the purpose. 
RULES FOR PATIENTS. 
I. Patients must be in their proper places in the wards during the daily 
medical and surgical visits, between 11 and 12 A m., and always by 8 P. M., 
unless specially exempted by the House physician or surgeon. 
II. Patients shall not visit other wards without the consent of the 
matron. 
III. Free patients who are able are expected to assist in nursing, and in 
such other services as may be reasonably required of them. 
IV. No patient shall purchase, or cause any member of the household 
to purchase for him any article of food or drink whatsoever, or any other 
article, without the consent of the matron. 
V. Profane or obscene language, noisy or loud talking, and incivility, 
are prohibited. 
VI. The use of tobacco, wine, and intoxicating liquors is prohibited 
within the Hospital, unless prescribed by the physician. 
VII. Patients may be visited by a clergyman of their own selection, 
and the wish for the performance of any particular religious rite shall be 
indulged when practicable. 
VIII. The rules of the Hospital must be implicitly obeyed by the pa- 
tients. Should any patient willfully and persistently disregard these rules, 
the friends will be notified to take him or her away ; or, failing to do so, 
he or she will be discharged. 
IX. Complaints, for whatever cause, may be made to the matron or 
Hospital Committee, and, when reasonable, shall be obviated, or reported 
by them to the Trustees. 
See By-Laws, section 13. 
HOSPITAL COMMITTEE. 
I. The Medical Staff shall consist of the physicians and surgeons ap- 
pointed by the Board of Trustees, and shall continue in office until their 
successors are appointed. 
THE HOSPITAL STAFF. la 
II. They shall make such rules and regulations as they may deem 
best for their control and government not inconsistent with the by-laws, 
rules, and regulations of the Hospital, as established by the Board of 
Trustees. 
III. Any violation of the rules and regulations of the Hospital Staff 
shall be reported to the Hospital Committee. 
I. The Hospital shall be under the care of the matron, who shall live 
in the building, and shall not leave it, except on necessary occasions. 
She shall not be absent for more than three hours at any one time, nor 
after 10 p. M., without the leave of the Hospital Committee or House 
Physician. She shall have the assistance of such nurses and servants as 
the Hospital Committee may think proper, and shall hire, and when nec- 
essary, discharge the servants. The nurses shall be appointed and dis- 
charged by the Hospital Committee. 
II. The matron shall have the immediate superintendence of the nurses, 
servants, and all inmates of the Hospital, and shall enforce personal 
cleanliness, neatness, and obedience to orders on their part. In case of 
any refusal to conform to these rules and regulations she shall report the 
same to the Hospital Committee. 
III. The matron shall make the entire round of the Hospital at least 
once a day that she may be assured of the neatness and order of each 
department, and may become acquainted with the patients, their necessi- 
ties and wants, and see that they have every comfort. 
IV. She shall have charge and superintendence of all furniture, bed- 
ding, linen, provisions, table and household supplies, and see that none 
are unnecessarily wasted or destroyed. She shall keep in a book, de- 
signed for this purpose, an exact inventory of all goods belonging to and 
in the Hospital, and also memoranda of breakages or losses occasioned 
by the patients or otherwise, and shall require payment for any article 
carelessly injured or broken, and make a report each week to the Hos- 
pital Committee at their regular weekly meetings. 
V. It is the duty of the matron to receive all visitors, exercising discre- 
tion in showing to all suitable persons the Hospital and such wards as they 
may desire to see. 
VI. The matron shall assign rooms or beds to patients on their entrance, 
according to the price agreed upon, and shall collect weekly in advance, 
the bills of all those who are not free patients, and account for the same 
to the Treasurer of the Board of Trustees. 
VII. The matron is requested to exclude from conversation at her table, 
and in every other place in the Hospital, all topics of a personal nature 
about any patient, such as anecdotes of patients, complaints, etc. Any 
nurse or servant violating this rule shall be discharged. 
MATKON- 14 
VIII. The matron shall require punctuality at meals on the part all of 
connected with the Hospital, the matron to regulate the hours of meals. 
IX. No one shall be privileged to take meals in the Hospital without 
paying for them other than the House Physician, patients, and the 
employees. 
X. The matron shall insist upon economy in all the departments of the 
Hospital. 
XI. All supplies received by the Hospital, either by gift or purchase, 
shall be entered in a book called the “ Supply-Book,” which shall be reg- 
ularly laid before the Hospital Committee at its weekly meetings. 
XII. A record shall be kept by the matron of every important occur- 
rence in the Hospital. 
XIII. No gift or remuneration shall be received by the matron, nurses, 
or servants for anything done or to be done in virtue of their situation, 
unless by consent of the Hospital Committee, upon pain of peremptory 
dismissal. 
I. The House Physician shall reside at the Hospital if so desired. 
II. He shall make a careful record of the cases, the treatment, and the 
prescribed diet, prepare the medicine, and deliver the same, together with 
necessary orders, to the nurses, directly after the morning visit. 
III. He shall also have charge of the medical and surgical apparatus 
and the library of the Hospital. 
IV. He shall attend to patients on their admission, and give the 
necessary directions for their comfort. He shall make morning visits with 
the attending physician and surgeon, and a daily evening visit to each 
patient between the hours of 7 and 10 f. m., and at such other times as he 
may be requested to do so by the matron or nurse. 
Y. He shall see all persons who apply for admission, as hereinbefore 
provided for. He shall make a record of all important facts in the case 
in books kept for the purpose. If the case is obviously unsuitable for 
admission, under the rules of the Hospital, he shall so record it; if other- 
wise, he shall report the case as soon as possible to the attending physician 
or surgeon, and obtain from him and transmit to the patient the necessary 
papers for admission. He shall conduct such correspondence in relation 
to the admission of patients as may be directed by the attending physician 
or surgeon. 
VI. When there are more than one House physician or House surgeon, 
their duties shall be as nearly equally divided as may be expedient and 
practicable in the opinion of the staff. 
VII. All communications of a personal nature made to a House phy- 
sician or surgeon by a patient, or by the attending physician or surgeon 
concerning a patent, shall be considered as strictly confidential. 
HOUSE PHYSICIANS. 15 
RULES FOR NURSES. 
I. The nurses shall be responsible to the House physician or surgeon, 
as the case may be, for the regular administration of medicines and the 
care of patients, in accordance with the directions of the attending phy- 
sician or surgeon, and shall not give, or allow to be given, to the patients 
any article of food or drink, except such as the physician or surgeon may 
permit. 
II. When articles of food are brought by visitors, the nurse will receive 
and take them to the matron, until permission be given for their being 
eaten. 
III. The linen of medical wards shall be changed twice weekly, and 
in the surgical wards according to special instructions in each case. In 
the confinement wards at least one clean sheet shall be given each day ; 
the pillow-cases shall be changed twice weekly ; the personal clothing 
every two days, unless otherwise ordered by the attending physician. 
IY. The soiled clothes from confinement and surgical wards shall be 
removed from the room at once. No clothes soiled in washing patients, 
medical and surgical furniture or apparatus, such as bed-pans, syringes, 
&c., shall be used twice, or put in a closet after use, until thoroughly 
cleaned. 
V. Each morning, nurses shall procure from the matron the required 
clean bed iinen and towels for their wards, and send the soiled linen to 
the laundry. 
VI. The face and hands of all patients shall be bathed and their bed 
linen changed before breakfast, unless in special cases, when instruction 
will be given by the attending physician or surgeon. 
VII. The patients in the medical wards, unless too ill, may generally 
bathe themselves; in the surgical wards the bathing will be according to 
special instructions in each case. 
VIII. Nurses are required to be extremely careful at all times, and 
especially in bathing the patients, dressing wounds, giving enemas, etc., 
that there be the least possible exposure of the patient. 
IX. Nurses shall follow the visits of the physician or surgeon, and 
shall, in all cases, hold themselves in readiness after the visit to receive 
orders from the House physician or surgeon. Concerning everything which 
may occur between the visits, the nurse may consult either House physician 
or surgeon, as the case may be. 
X. A strict watch of each patient and of every symptom shall be kept 
by the nurse, and reported to the physician or surgeon at his visits, and 
the nurse should be able to give exact information of the quantity and 
quality of all discharges, etc. 
XI. The nurse shall see that the medicine-glasses of her ward are 
kept replenished, fresh medicine prepared daily, and the empty glasses 
thoroughly cleansed. 16 
XII. The bed-pans, syringes, etc., shall be cleansed immediately after 
use, and kept in a designated place for inspection at the morning visit of 
the matron. 
XIII. Articles belonging to each ward shall be kept for that ward 
only. 
XIV. The nurses shall frequently wash the utensils, as well as their 
own hands, in a weak solution of some disinfectant. 
XV. Nurses will see that all is quiet in their wards during the night, 
and that the patients are not wakened before 6 A. m. Between the hours 
of 9 P. M. and 6 A. m., all noise, such as the turning on of water, unneces- 
sary opening and shutting of doors, etc., shall be completely avoided. 
XVI. The nurse in the surgical department shall see that the patients 
are kept perfectly quiet twenty-four hours at least after any important 
surgical operations, and. that no person shall see them during this time, 
without the permission of the surgeon. 
XVII. No visitors are allowed to patients in the maternity wards until 
five days after confinement, unless by permission of the attending phy- 
sician. 
XVIII. The nurses are required to see that visitors do not come into 
their wards without permission, nor remain longer than the time pre- 
scribed. 
XIX. Each nurse, when on duty, shall wear a soft cotton dress, white 
apron, and soft shoes without heels. -She shall particularly care for her 
personal cleanliness, neatness, and simplicity in attire. 
XX. Underclothes should be perfectly plain ; no elaborately trimmed 
garments can be sent to the Hospital laundry, and the number each week 
shall not exceed eighteen pieces for each person, 
XXI. The nurses shall take a half-hour’s exercise daily in the open 
air, at such time as the matron shall designate. When the nurse requires 
to be out a longer time, she must obtain special permission from the 
matron. 
XXII. It is strictly forbidden that nurses spend their time in each other's 
wards or rooms. 
XXIII. All lights are to be put out in the wards at 10 o'clock, except 
in special cases of sickness. 
XXIV. The nurses are, in a great degree, responsible in their wards for 
the happiness and comfort of their patients, and will, in any difficulty or 
need, apply to the attending physician, house physician, surgeon, or matron, 
as the case may be, in securing these. 
XXV. The nurses should immediately report to the matron any infringe- 
ment of the rules and regulations of the Hospital by the patients. 
XXVI. The nurses are requested not to waste gas or water, and to read 
over these rules every week. 17 
JANITOR. 
The janitor shall have charge of and be responsible for all the fires and 
steam heaters in the Hospital, and shall keep the wards and halls at a 
temperature of 70°, or as near thereto as possible. He shall also see 
that the gas and water are properly regulated, and not wasted or unneces- 
sarily used, and that the Hospital grounds are suitably cared for. 
He shall assist in the moving and care of the patients, and attend to 
such other matters about the Hospital as the matron may require. He 
shall not leave the Hospital grounds without the knowledge and consent 
of the matron. He shall see that all the windows and doors are secured 
and the gas in the halls turned down at 10 p. m. 
SERVANTS. 
I. The servants will receive their orders from the matron, or some one 
designated by her, and will be held accountable by the matron for their 
proper performance. 
II. The work must be done promptly, and as early as possible, in the 
morning. 
III. All employees must be in their respective places during their 
hours of duty. The doors of the Hospital will be closed at 10 p. m., at 
which time all are expected to be quiet, and those not on duty in their 
own rooms. 
I. Patients will be permitted to receive visits from their friends on 
Tuesday, Thursday, Saturday and Sunday of each week, from 2 to 5 P. M., 
and at no other time, without a special permit from the physician or 
matron. 
In all cases, however, the House attending physician or surgeon may 
exercise discretionary powers as to excluding or admitting visitors. All 
visitors must leave at the expiration of the visiting hours. 
II. Visitors will not be permitted to pass the night in the Hospital with- 
out the permission of the House physician or Matron. 
III. No visitor will be allowed to give any article of food or drink to a 
patient, unless by permission of the attending physician or surgeon, and 
all articles sent to the patient shall be left with the matron or nurse. 
VISITORS. 
LADY VISITORS. 
I. The Ladies’ Aid Association shall assign two or more of their num- 
ber to visit the Hospital twice a week, or oftener if necessary. They 
shall, upon entering the Hospital, call for the house physician, matron, or 
head nurse, who will show them through the building. They will visit all 
the patients in their rooms, ascertain their wants, inspect their beds, and 
see that proper cleanliness is observed. They shall inspect all the closets, 18 
bath-rooms, kitchen, and pantries, and shall make a report of their inspec- 
tion at each visit, together with instructions and suggestions, placed in a 
sealed envelope, addressed to the “ Hospital Committee,” and left at the 
Hospital for their consideration and action. 
II. The members of the committee shall serve for a period of one 
week, or until their successors are appointed and enter upon their duties. 
Rules of the Medical Staff, Homoeopathic Hospital. 
Par. 1. The Medical Staff" of the National Homoeopathic Hospital con- 
sists, by authority of the Board of Trustees, of thirteen physicians, nine of 
whom are the regular staff of attending physicians, and four are known 
as the consulting physicians, who shall be appointed by the Board of 
Trustees. 
Par. 2. It shall be the duty of the Medical Staff to appoint from the 
staff one or more physicians, who shall have special charge of the 
respective classified cases, namely: Diseases of Children; Diseases of 
Females ; Eye and Ear; General and Nervous Diseases; Obstetrics ; Respir- 
atory Organs and Heart; Surgery; Venereal and Skin Diseases, &c. 
Par. 3. It shall be the duty of the attending physicians during their 
term to prescribe for each patient in the Hospital, (except private ones,) 
and to order, in addition to medicine, such diet and hygienic measures as 
they deem proper in each case; and such directions shall be authoritative, 
and shall not be interfered with by other persons. 
Par. 4. It shall be the duty of the consulting physicians to respond 
promptly to calls for consultation from the attending physicians. 
Par. 5. The Medical Staff shall meet on the first Wednesday of each 
month at eight p. M., at the Hospital, to transact such business relating to 
the Hospital as may be required. 
Par. 6. It shall be the duty of the House physician, or, in his absence, 
that of the matron, to receive and temporarily locate patients. He shall 
register the name, sex, age, color, religious denomination, nativity, social 
relation, and name of disease of each patient. He shall keep a record in a 
case-book of the name, age, and sex of the patient, the history of the dis- 
ease, the condition at the time of admission, and of such prescriptions, 
medicinal and dietetic, as may be made from day to day. 
Par. 7. A surgeon to the Hospital shall be appointed by the Board of 
Trustees, recommended by the staff, whose term of office shall be at the 
pleasure of the Board of Trustees. 
Par. 8. It shall be the duty of the surgeon to perform all operations 
in response to the requirements of the attending physicians. 
Par. 9. Requisitions for the current requirements of medicines, medi- 
cal accessories, instruments, apparatus, and all other things needed for the 
proper treatment of the patients, shall be made upon the Hospital Com- 19 
mittee, who shall see to it that they are promptly supplied. In case of 
emergencies the House Physician may order needed medical supplies at 
once from the Pharmacy. 
Par. 10. All medicines for the use of the Hospital or Dispensary shall 
be purchased of a Homoeopahtic Pharmacy. 
Par. 11. These rules and regulations may be altered or amended by a 
vote of a majority of the Trustees at a regular meeting of the Board, one 
month’s notice first being given.