HOSPITALS. 



The managers, the physicians, the sur- 

 geons, and the contributors, serve the in- 

 stitution gratuitously. Persons, however, 

 who are able to de it, are at liberty to 

 remunerate the attending physicians and 

 surgeons as they would in private houses. 



Every private patient has the liberty of 

 choosing any one of the physicians of the 

 hospital to attend him, whom he prefers. 



The amputation of a limb cannot be 

 performed, without a consultation and 

 agreement of the three surgeons of the 

 house ; and in no case without the con- 

 sent of the patient. 



No medical man can be elected a phy- 

 sician or swrgeon of the hospital, who is 

 under twenty-seven years of age. 



The sitting managers meet on Wednes- 

 day and Saturday mornings of every week, 

 to admit and discharge patients. 



Between these periods, the patient de- 

 siring admittance must apply to the at- 

 tending physician or surgeon, and obtain 

 his certificate that he is a proper subject 

 for admission. This is carried to one of 

 the sitting managers, who takes the usual 

 security, and orders his admission. 



Overseers from the country, who bring 

 apatient for admission, are obliged to have 

 a certificate, signed by two magistrates, 

 signifying that they are in office, and that 

 the pauper belongs to their district. 



Persons, with infectious diseases, are 

 not admitted. Incurables are not admit- 

 ted, except lunatics. All cases of sudden 

 accident are admitted without form or 

 charge, if brought within 24 hours after 

 they have happened. 



The capital stock of this hospital 

 amounts to 124.854 dollars. The real 

 estate consists of vacant lots surrounding 

 the hospital area, &c. 8cc. 



The officers of the institution are as 

 follow : 



12 Managers, who serve gratis. 



3 Physicians, who also give their attend- 

 ance gratis. 



3 Surgeons, ditto. 



A physician to the lying-in department, 

 ditto. 



A physician to the out-patients, 



p.-r annum - . 300.00 



A resident physician, who serves 

 grat-.s. 



Adresssr, and an apothecary, 

 (pupiisnf the house, whoserve 

 5 years) ditto. 



A steward, and a matron - - 600.00 



Deputy-steward, or superinten- 

 dant of the west building, and 

 deputy-matron of the, same 350.00 



A gardener jg216.00 



An assistant ditto - - - 144.00 

 Four cell-keepers, each, - - 144.00 



A, carter 144.00 



A labourer - - _ . 144.00 

 A watchman . .- - . . 14400 



A baker 144.00 



A porter - - - 9600 



Four nurses, each 1 .33 per week, 276.64 

 Five assistants ditto, each g>1.25 



per week, - ... 325-00 

 Cook, gl.30 per week, - 69.16 

 Four chambermaids, each gl.25 



per week, .... 320.00 

 Three laundresses, hired 5 or 6 

 days in each week, at 62 cents 

 per day, .... 487.50 

 A sufficient number of women are 

 hired every spring, to white- 

 wash and thoroughly clean 

 every part of the house. Their 

 wages and materials employed 

 amount to - i . 167.50 



Hints and Propositions suggests d to the Man- 

 agers of that Institution, for the better 

 ventilation of the Wards, and improring 

 some of the internal arrangements. 



Ably conducted as is this institution, 

 systematic as is its internal police, and 

 salutary as are its general regulations, 

 there is, nevertheless, room for amend- 

 ment and reform. It may not be amiss 

 to suggest a few improvements, which I 

 think would render this hospital more 

 complete. I would propose, 



1st. That all the wards in the east and 

 west wings (I mean the buildings which 

 front east and west) should be ventilated 

 by means of air-ducts in some one cor- 

 ner of each ward, communicating exter- 

 nally. These wards have no contrivance 

 for ventilation. 



2d. That the long wards of the build- 

 ing that joins the centre to the east wing 

 should be furnished with four or six ven- 

 tilators in the window sashes, to render 

 the ventilation of those wards more per- 

 fect. 



3d That an air-duct should be intro- 

 duced into the entry of each story of the 

 west building, that contains the cells for 

 lunatics, which air-ducts should be ten 

 or twelve feet in length, so as to pass 

 through the corner cells of each story, 

 and communicate with the external air^ 

 these air-ducts should be introduced al- 

 ternately in the north and south walls, 

 from the lower story. 



4th. That a communication should be 

 made between the lower entry and that 



