ST. LUKE’S HOSPITAL, 
HOUSE REGULATIONS. 
AUTHORIZED BY THE BOARD OF MANAGERS. 
New York: 
\V. REID GOULD, STATIONER AND PRINTER, 
168 Nassau Street. 
1 8 7 7. ST. LUKE’S HOSPITAL, 
HOUSE REGULATIONS. 
AUTHORIZED BY THE BOARD OF MANAGERS. 
New Yoke: 
W. REID GOULD, STATIONER AND PRINTER, 
16S Nassau Street. 
1 8 7 7. ST. LUKE’S HOSPITAL. 
HOUSE KEGULATIOm 
CHAPTER I. 
OF THE ATTENDING PHYSICIANS AND SURGEONS. 
1. The Physicians and Surgeons shall make such ar- 
rangement among themselves that there will always be 
one of each at the service of the Hospital after the fol- 
lowing manner : 
2. The Attending Physician shall visit the medical 
wards once every day, and oftener if necessary. At such 
visits, he shall enquire whether his directions and pre- 
scriptions have been observed, and shall advise the resi- 
dent Physician of any patients who can be reported as 
fit for discharge. 
3. The Attending Surgeon shall visit the surgical 
wards at least three times a week, and oftener when nec- 
essary, and every surgical patient under his care, respect- 
ively, once a week. At such visits he shall advise the 
resident physician of any patients who can be reported as 
fit to leave the Hospital. 4 
st. lure’s hospital. 
4. The times of the Physicians’ and Surgeons’ attend- 
ance shall be so arranged by them, as not to interfere with 
each other, and so that the Resident Physician and Resi- 
dent Surgeon, may respectively accompany them in their 
visits. They shall also regard the general order and con- 
venience of the house, not making their visits at the time 
of the patients’ meals, nor during the hours of Divine 
Service on Sundays. 
5. It shall be their duty, during their respective terms 
of attendance, to prescribe and direct the treatment of 
all the patients in their division, but in cases of emergen- 
cy admitting of no delay, the Attending Physician or 
Surgeon being absent, the Resident Physician or Resi- 
dent Surgeon shall prescribe, and report to the Physician 
or Surgeon, as the case may be, at the next visit. 
6. If any physician or surgeon shall be prevented from 
attending in his turn, he shall procure one of the other 
physicians or surgeons, belonging to the Hospital, to attend 
in his stead. 
7. No capital operation, except in cases of immediate 
danger, shall be performed without the previous approba- 
tion of at least two surgeons, nor without inviting all the 
physicians and surgeons belonging to the Hospital to be 
present at the operation ; nor shall it be performed other 
than by the attending surgeon, except in cases of imme- 
diate danger, and in his absence, when the resident surgeon 
may act. As soon as any capital operation is contempla- HOUSE REGULATIONS. 
5 
ted, the Pastor and Superintendent of the Hospital shall 
be apprised thereof. 
8. The Attending Physician or Surgeon shall not be 
entitled to any fee, or pecuniary compensation, either 
from patients in the general wards, or from those occupy- 
ing private rooms who come under his care in the course 
of his ordinary attendance ; neither shall he retain the 
charge of a private patient alter his term of duty expires. 
9. W henever a private patient desires to be treated by 
one of the physicians or surgeons belonging to the Hos- 
pital, out of his regular time of attendance, the physician 
or surgeon so employed shall be entitled to receive from 
said patient such fees or pecuniary compensation as his 
services would elsewhere claim. 
CHAPTER II. 
OF THE RESIDENT PHYSICIAN AND RESIDENT SURGEON. 
1. The Resident Physician and Resident Surgeon are 
nominated by the Superintendent, and appointed by the 
Executive Committee, on recommendation of the Examin- 
ing Committee of the Medical and Surgical Board of the 
Hospital. They are ordinarily the Assistants of the pre- 
vious twelve months, but this rotation is not invariable, 
and can be set aside at the pleasure of the Executive 
Committee. 
2. They shall make their morning and evening rounds 6 
st. luke’s hospital. 
of the Wards at the hours that best comport with the es- 
tablished order of the house ; that is to say, they shall, 
respectively, begin their morning round at 8 a. m., from 
May 1st to November 1st, and 8 1-2 a. m. from Novem- 
ber 1st to May 1st ; and their evening round immediately 
after the chapel service. They shall, each in his divis- 
ion, record precisely and legibly all prescriptions and di- 
rections for their administration in the Ward hook pro- 
vided for this purpose. In the same book they shall also 
indicate the class of diet needed by the patient, whether 
ordinary, most nourishing, or otherwise, leaving the de- 
tails of the same to the Sisters of the Ward. 
3. They shall visit new patients immediately upon their 
admission to the Ward, and shall advise the Sister on 
duty concerning the necessities of the case, and the pro- 
priety of applying the usual bath. They shall further be 
ready at all times to give the Sister such instructions 
concerning the diseases under treatment as is necessary 
to the intelligent nursing of the sick. 
4. In any medical or surgical case of emergency the 
Resident Physician or Surgeon shall request the immedi- 
ate attendance of the Visiting Physician or Surgeon, and 
if he can noi be found, of any other of the Physicians or 
Surgeons of the Hospital. 
5. They shall respectively make the entries in the Ad- 
mission and Discharge books, according to the prescribed 
forms, review and correct the history of cases taken by HOUSE REGULATIONS. 
7 
their assistants, and report the same to the Attending 
Physician and Surgeon at their next visit. 
• 6. They shall not remove patients from one ward to an- 
other, without the approbation of the Superintendent. 
7 They shall respectively examine patients applying 
at the Hospital for admission, and report upon them to 
the Superintendent. 
8. They shall not discharge patients ; when any are fit 
to leave they shall report the same to the Superintendent 
or the House Mother. 
9. Together with their assistants, the Resident Physi- 
cian and Resident Surgeon shall respectively accompany 
the Attending Physicians or Surgeons in their visits to 
the wards, and shall report the state of each patient. 
10. The Resident Physician and Resident Surgeon 
shall not be absent from the Hospital more than is re- 
quired for needful recreation, i. e. of an evening, (from 5 
p.m.) not oftener than twice a week, always returning at 
a seasonable hour : and on the intervening days, not more 
than from two to three hours, at any time most convenient 
for their work. The two Residents shall never be absent 
at the same time ; nor yet a Resident and the Assistant 
of his divison. For absence from the city, they must 
obtain leave of the Superintendent. 
11. They shall not engage in any other business than 
that of the Hospital ; nor shall they practice outside of 8 
st. lukf/s hospital. 
the regular patients of the house ; neither may they re- 
ceive any fee or emolument from patients or their friends. 
12. The Resident Surgeon shall have charge of all 
medical and surgical instruments and apparatus, and 
shall be responsible for them, and for their being kept in 
good order. He shall keep an inventory of the same, in- 
serting therein any additions from time to time made, 
with a memorandum of the physician or surgeon by whom 
the purchase was suggested. 
13. They shall make no post-mortem examination with- 
out the sanction of the Superintendent, and the consent 
of the relatives of the deceased. 
14. It shall he their particular duty to see that the 
male patients of their respective divisions are properly 
bathed, and that their bath-rooms and water-closets are 
kept perfectly clean and well-aired. 
15. They shall inform the Superintendent and House 
Mother whenever an operation is decided upon ; and shall 
confer with them, from time to time, on whatever may 
concern the well-being of the patients, or the general in- 
terests of the Hospital in their departments. 
16. It is further expected of them that they will bear 
in mind the Christian character of the house ; governing 
themselves in those things which cannot be laid down in 
rules, by the spirit of the motto : “ Corpus Sanare, Ani- 
mam Salvare ; ” and always exercising towards the pa- 
tients that brotherly kindness which is its fundamental law* HOUSE REGULATIONS. 
9 
CHAPTER III. 
OF THE RESIDENT PHYSICIAN’S AND RESIDENT SURGEON’S 
ASSISTANTS. 
]. The Assistants are nominated by the Superintend- 
ent and appointed by the Executive Committee, on rec- 
ommendation of the Examining Committee of the Medical 
and Surgical board of the Hospital. They do not reside 
in the house, but attend during the day and have their 
meals there. 
2. The Assistants shall be governed by the rules laid 
down for the Resident Physician and Surgeon, so far as 
the general order of their department is concerned, and it 
shall be incumbent upon the Residents so to instruct 
them. 
3. The Assistants shall keep a record of all the cases 
which occur in their respective divisions. In the record 
shall be entered the name, age and occupation of each 
patient ; the probable cause and history of his disease : 
the remedies used before and after admission ; the name 
of the attending Physician or Surgeon ; his daily reports of 
the case ; the termination of the disease either in recov- 
ery, relief or death ; and such other circumstances as may 
tend to illustrate the case. 
4. With the sanction of the Superintendent, a two 
weeks vacation, in the course of the year, shall be ac- 
corded both to the Residents and the Assistants. 10 
st. luke’s hospital. 
CHAPTER IV. 
OF THE HOUSE-MOTHER. 
1. The House-Mother must be a Christian woman of 
capacity and experience befitting the direction of a large 
household. She is chosen by the Pastor with the approv- 
al of the Executive Committee. 
2. She shall visit the wards at least once every day, 
counseling and aiding the Sisters in their work, and pro- 
curing for them such supplies and appliances as they may 
need. 
3. She shall he responsible for the neatness and good 
order of the house, and for the right management of the 
wards, and shall exercise a mother s care, as to the wel- 
fare of the patients, and the comfort and accommodation 
of those employed in the hospital. 
4. She shall have the arrangement and oversight of the 
diet, and of all the other domestic departments ; and 
shall engage and discharge the servants and other attend- 
ants, employing so much hired assistance as, in her judg- 
ment, she deems necessary. 
5. She shall manage all the outlays and supplies of 
the House, apportioning them at her discretion, being 
thoughtfully liberal and frugal, as an almoner and stew- 
ard of the Lord. 
6. She shall receive from the Physicians and Surgeons HOUSE REGULATIONS. 
11 
such information as she may require with regard to any 
of the patients ; she shall be advised of any unexpected 
change for the worse in any of them, and shall in all such 
respects be treated with the consideration due to the 
Mother and chief care-taker of the family. 
CHAPTER V. 
OF THE ASSISTANT SUPERINTENDENT. 
1. The Assistant Superintendent is chosen by the 
Superintendent, and appointed at a salary, by the Board 
of Managers. He must be an unmarried man, residing 
in the Hospital. 
2. It shall be his duty to assist the Superintendent in 
all those parts ot his administration in which he may 
desire his aid ; and to serve as clerk to the Board of 
Managers. * 
3. On the day following a meeting of the Board, he 
shall enter in their Journal a fair copy of the minutes 
taken by the Secretary, together with such reports and 
other papers as the Board shall direct. 
4. He shall transact the business of the Office under 
the Superintendent. He shall be the Cashier of the 
House, and shall keep accurate accounts of all moneys 
received and paid out, and shall exhibit the same with 12 
st. lure’s hospital. 
the vouchers thereof to the Executive Committee month- 
ly, and to the Superintendent whenever it is desired. 
5. He shall not admit any non-paying patient without 
the approbation of the Superintendent. 
6. It shall be his duty to see that the buildings and 
grounds are in good order, and to make a round of all the 
premises at least once every day. 
7. He shall take care that the subordinate male em- 
ployees use their time well, and see that they keep good 
hours. 
8. When desiring to be absent from the Hospital he 
must obtain the permission of the Superintendent. 
CHAPTER VI. 
OF THE PATIENTS. 
1. All Patients admitted to the Hospital will be re- 
quired to conform to the Regulations of the Wards, and 
with the order of the House in general, as far as it con- 
cerns them, which they are expected to do with a kind 
and complying disposition, showing a readiness to oblige 
one another, and to assist in such becoming services in 
the Wards as their health enables them to perform, re- 
membering they have voluntarily come into a household 
of which the great law is that of mutual kindness and 
brotherly love. HOUSE REGULATIONS. 
13 
2. Profane or indecent language, irreverent behavior at 
the Services of Religion, the expression of immoral or in- 
fidel sentiments, and the like are offences for which a 
Patient is liable to forfeit his place in the Hospital. 
3. Patients are not allowed to leave the Wards to 
which they respectively belong, except for the Corridors 
attached to their Wards, and the Chapel, unless on per- 
mission. 
4. When desiring to go beyond the bounds of the Hos- 
pital, Patients must obtain a Pass, and show it at the 
office. 
5. All wines and spirituous liquors, but those pre- 
scribed and furnished by the Hospital, are strictly pro- 
hibited in the Wards. Smoking tobacco is not allowed 
in the House. 
6. Newspapers, Magazines, and all reading matter are 
subject to the inspection of the Pastor of Hospital. 
7. When a Patient desires the visit of a clergyman not in 
the House, he must signify the same to the Pastor, who 
will invite the Clergyman, with the understanding that he 
will confine his visits to the person desiring to see him. 
8. No officer or servant of the household is allowed to 
receive any gift or fee from a patient.