The Philippine Islands, 1493–1898/Volume 8/Rules for the Manila hospital
RULES FOR THE MANILA HOSPITAL
Gomez Perez Dasmarinas, knight of the order of Santiago, governor and captain-general of these islands and districts of the West, for the king, our sovereign. Inasmuch as it is advisable, for the service of God, to reform certain matters in the royal hospital of this city that require such remedy, and to decide and establish other matters for its better government and service, for the welfare of its poor sick, and for the perpetuity of the said hospital, as it is a work of so great piety and so much needed in this community: Therefore, by this present, he ordained and ordered that the following articles be observed and kept to the letter, as permanent rules and regulations.
1. First, because sick persons are received in the said hospital, who are not of the character and station entitling them to admission, many annoyances result; for some of them are wealthy, and others are servants of certain persons from whom they receive pay and wages. By receiving these persons into the hospital, contrary to right, they occupy the places and beds which more properly should belong to his Majesty's poor soldiers, the workmen of this colony, and the other poor, for whom hospitals are chiefly established. And, that there may be system in this, and that expense to the hospital may be avoided, and so that the expense incurred be for those persons whose due it is, he ordained and ordered that, now and henceforth, the hours for receiving sick persons shall be from six in the morning until five in the afternoon; and that the head chaplain, or his substitute, and the physician or physicians who may be there, and the steward, surgeon, and nurse of the said hospital be present at the entrance and reception of patients. These he ordered and commanded not to receive any sick except workmen or paid soldiers of this colony, paid sailors, and the sick and needy poor; there is no restriction on the admission of such, whether they are servants of the king or not. In case any sick person is received without the previous order and consultation above-mentioned (unless some of the said hospital officials are lawfully prevented), or if the sick person belongs to the classes who ought not to be received, then he who shall have received him shall incur and bear the penalty of paying all the expenses incurred by the hospital for such sick person.
2. Item: It is ordained that, when a sick person is received, his name shall be taken down, with the date and hour of his entrance. He shall come confessed, or shall confess immediately; shall declare whether he is married or single, and whether he has father or mother; and an inventory shall be made of the possessions and clothes that he brings to the hospital—so that, when he comes to leave the hospital, his property and that of the said hospital may be known. And if the property should have to be used for the repose of his soul, or left to any other heir, the same consideration and account must be observed.
3. In order that this be observed with rigor and care, a book of accounts shall be kept, wherein shall be entered, by day and hour, the names of the sick who are received, and the exit of those who leave or die, since all the wealth of the hospital consists in allowances and income.
4. Likewise, in order that there may be greater neatness and order, there shall be a numbered wardrobe, in which shall be kept the clothes of the hospital, and the clean and reserve clothes, respectively—the blankets being kept in one place, the sheets and the other white clothes in another, and the bandages to be used for wounds and sores in another. Great care must be taken in this division; and it is very advisable to keep the clothes and garments of those sick with contagious diseases in a place by themselves. Likewise the clothes and garments of those who enter shall be washed and laid aside with memoranda as to the owner of each garment, so that if he recover, it may be returned to him clean and neat; or if he should die and it must be sold, either for the repose of his soul or for the hospital, that it may be in good order and condition.
5. Item: There shall be two porters who shall serve by the week. They shall take oath not to allow anything to be given to any sick person, except by permission of the doctor. The hospital door shall be locked at seven at night, without fail, and cannot be opened.
6. Item: There shall be an apothecary shop inside the said hospital, so that medicines can be furnished to the sick more easily and at less cost; and the apothecary shall not give or hand out any medicines except by order of the physician, either on his own account or that of the said hospital.
7. Item: The head chaplain or another (his substitute) shall always sleep in the hospital, in order to administer the sacraments to the sick.
8. Item: The nurse shall have two deputies for service, so that watch may be kept in turn through the quarters of the night, and attention given to the service and sudden needs of the sick. For this purpose it is ordered that the chaplain, as above stated, and the nurse, steward, apothecary, and all the servants, shall always sleep in the hospital.
9. Item: No person connected with the hospital shall keep swine or have other means of gain in the hospital.
10. Item: A book shall be kept, in which shall be set down the alms given by charitable persons to the hospital, whether in money, clothes, and food, or other things.
11. The food of the sick shall be received and placed under the head of ordinary expense of the hospital; and at mealtimes, the physician shall be present at the distribution of food to the sick, in order to see that his orders are observed; and the steward likewise, if not lawfully prevented.
12. Item: Those who are sick of contagious diseases shall be treated separately, and their service of beds and clothes and their food shall be kept separate from those of the other sick; and much care shall be taken in this.
13. Item: A book shall be kept wherein to enter the income of the hospital, whether from tributes and annual pensions, or from other sources of income or profit possessed by the hospital. Likewise there shall be a book for the entry of alms and legacies bequeathed to the hospital by the dying, as well as those collected and sent to it by charitable persons, in either money or fowls, or anything else, so that the steward in whose care they shall be placed may have them all credited in the said book, and so that there may be a full account of everything. There shall also be another book in which to enter the clothing, beds, ornaments, and other furniture acquired by the hospital; and it shall be kept by the person in whose charge they are. There shall be another book in which to enter the names of the sick, with the day, month, and year of their entrance; and the deaths and the departures, also with the date. Likewise there shall be another book of the allowances, wages, and pay spent in the hospital, both of its sick and of its officials, entering therein the tickets of admission of the sick.
[Endorsed: "Rules of the Manila hospital."]