deemed necessary at the request of the patient; but no surgical operation shall be undertaken without the consent of the patient; and all capital operations, endangering the life or the limb of the patient, shall be decided on by consultations with the Chief Physician and the Superintendent. In surgical cases requiring immediate treatment, the Superintendent is required to send for the Chief Surgeon, and, when unable to obtain his services, the Superintendent is authorized to call in Doctors Valentine Mott, Willard Parker, Gurdon Buck, Alfred C. Post, John Watson, or W. H. Van Buren, any of whom may perform such surgical operations as he may deem necessary.
4. All persons afflicted with diseases requiring Medical or Surgical treatment, shall be sent to their respective departments by the Examining Physician, and no patients shall be transferred from the Surgical or Medical Wards until cured of the malady for which they were admitted into it, unless subsequently attacked with a strictly pestilential disease; but no person shall be kept or retained in the Hospital Wards who does not require Medical or Surgical treatment, without the consent of the Superintendent.
5. The Chief Physician and Chief Surgeon shall appoint, with the approval of the Commissioners of Emigration, such number of Assistant Physicians and Surgeons as may be deemed necessary for the proper care, and Medical and Surgical treatment of the inmates of the Institution.
6. The Chief Physician and Chief Surgeon shall make such regulations for the sanitary treatment of the patients and inmates as may be found necessary, and prescribe and regulate the duties of the Assistant Physicians and Surgeons.
7. The Assistant Physicians and Surgeons shall be subject to the Rules and Regulations of the Institution, and shall perform all duties in the line of their profession that shall be required of them by their superiors.
8. They may be suspended by the Superintendent, Chief Physician or Chief Surgeon, and be removed from office by the Board of Commissioners of Emigration, and no assistant removed for cause shall be reappointed.
9. The Physicians and Assistant Surgeons shall make one regular daily morning visit to each patient in the wards under their charge, and shall also visit those afflicted with acute diseases as often as may be necessary. They shall report to the Superintendent, in writing, or to his Deputy, every Monday, Wednesday, and Friday, the names of all convalescent, or partially insane, who are able to work, and, in case they neglect this duty, the Superintendent may use his own judgment in setting those to work whom he may consider able. They shall make an afternoon visit to all patients received during the day. In no case shall an Assistant Physician or Surgeon absent himself from the Island, without the consent of the Chief Physician and the knowledge of the Superintendent. Non-observance of this rule will be considered equivalent to a resignation.
10. The Chief Physician and Chief Surgeon shall regulate the diet of the patients in the Hospital, as well as the hours of eating, and the mode of cooking the food; for this purpose, a regular diet table shall be prepared, which shall be revised as occasion may require, to be signed by the Superintendent.
