124

THE NEW ZEALAND GAZETTE.

8. The Head Attendant shall be subject to the
   general control and direction of the Medical Officer,
   Keeper, and Matron. In the Keeper's absence he
   shall, with the Matron, have the control of the
   Asylum. He shall have charge of, and issue stores,
   as the Medical Officer or Keeper may direct.

9. An Appearance Book or Books shall be kept at
   the Asylum, in which all absences from the grounds
   of any Attendants or Resident Officers during their
   hours of duty shall be noted, and the time of their
   return.

10. Patients. The male and female patients shall
    be kept in separate wards. No male attendant, ser-
    vant, or patient shall be allowed to enter the female
    wards, nor shall any female enter the male wards,
    except when the Medical Officer and the Keeper shall
    appoint a female to attend as nurse.

11. At least one room in the male, and one in the
    female department, shall be set apart as an infirmary.

12. During the day, patients shall be employed as
    much as possible, especially out of doors—the men
    in gardening and husbandry, the women in occupa-
    tions suited to their ability.

13. As a principle in treatment, patients should be
    induced to take constant open-air exercise. Efforts
    should be continually made to occupy their minds,
    and to promote cheerfulness and happiness amongst
    them.

14. The patients shall, if necessary, be instructed
    to wash, dress, and keep their persons clean, and in
    good order; and generally they shall be induced to
    exercise self-control.

15. Artisans and others shall be encouraged to
    follow their particular callings. Needlework and
    other suitable employment shall be provided for
    women.

16. Various means of amusement shall be placed
    at the disposal of the patients, who shall be encour-
    aged to have frequent recourse thereto, and every
    effort must be made to employ and amuse the patients.

17. The airing-grounds of the several wards shall
    be generally accessible to the patients every day
    when the weather is favourable.

18. At least one or more Attendants shall sleep in
    or adjoining every dormitory, and so as to overlook
    it. A light shall be kept burning throughout the
    night, or the means of immediately obtaining one
    shall be at hand.

19. One or more Attendants shall be appointed to
    act as Night Nurses, and to take general charge
    throughout the night.

20. No dormitory for males (excepting rooms for
    single patients) shall contain less than three beds.
    All males shall sleep in separate beds.

21. No patient shall be subjected to any bath,
    except for the purpose of cleanliness, unless by the
    Medical Officer, or the Keeper's authority.

22. All patients under "mechanical restraint," or
    secluded, shall be reported at once to the Keeper,
    and by him to the Medical Officer on his first visit
    thereafter.

23. The Attendants shall treat all patients with
    kindness, gentleness, and forbearance, and shall be
    responsible for their safety, cleanliness, and general
    condition, and for the ventilation, proper warmth,
    and good order of the respective wards. They will
    require patients to observe as nearly as may be the
    customs and decencies of life which sane persons are
    expected to observe.

24. Patients, in such number and at such times as
    the Medical Officer or Keeper may think fit, shall be
    allowed, under proper care, to take walks or excur-
    sions beyond the Asylum grounds.

25. Patients shall invariably be searched imme-
    diately on admission. All knives, or other dangerous
    nstruments, money, papers, or valuables found upon
    them, shall be handed to the Keeper, who shall there-
    upon write out and sign a list of such articles, and
    shall be answerable for their safe custody. The
    Attendants in charge of the ward in which patients
    are placed on admission, shall have them bathed as
    soon as possible, and shall thoroughly examine their
    condition. Should any serious bruise or injury be
    observed then, or at any time thereafter, the Attend-
    ants shall make particular note thereof in their daily
    report.

26. Attendants are held strictly responsible that
    no light be improperly used or exposed in any ward
    or dormitory, and that no lantern be used which shall
    not have the Keeper's sanction. In an Asylum for
    the Insane, it is a matter of the most urgent duty to
    adopt every possible precaution against fire and its
    terrible consequences.

27. No razor or dangerous weapon shall be kept in
    any ward under any pretext. No patient shall be
    shaved, unless by direction of the Medical Officer and
    Keeper; and then, at least two Attendants must be
    present during the operation.

28. Whenever any female patient, whether on
    admission or afterwards, is known or supposed to be
    pregnant, a special entry shall be made accordingly
    in the Register of Admissions (in column 17, under
    the heading "Bodily Condition.")

29. Every such patient shall sleep at night near to
    or within easy hearing or call of an Attendant; and
    provision shall be made in good time for her confine-
    ment, suddenly or unexpectedly.

30. If any child be born of such patient, special
    entry of the birth shall be made in the Register of
    Admissions, and in its place in order of date.

31. The Inspector shall have his attention specially
    called to the entry, on his first visit after it has been
    made.

32. If such patient be unmarried, the Keeper
    shall at once report the circumstance to the Govern-
    ment, supplying at the same time all evidence he may
    be able to discover as likely to be useful in compelling
    any relation to relieve the public chest of the cost of
    the child's maintenance.

33. The Keeper will take care that every such birth
    be duly notified according to law to the District
    Registrar of Births, &c.

II.—GENERAL RULES FOR THE GUIDANCE OF
ATTENDANTS.

34. A copy of the "Lunatics Act" in force in the
    colony, together with a copy of these rules, shall, by
    the Keeper, be given in charge to each Attendant,
    who shall thereupon sign a receipt for the same.

35. The Attendant in charge of any ward is respon-
    sible to the Keeper for the safe custody of each
    patient in the ward, and for the due observance of
    order and regularity therein.

36. The other Attendants attached to the ward,
    are subject to the Attendant in charge in matters
    lating to the patients.

37. Under no pretext whatever will the Attendant
    in charge leave the ward, without handing over his
    charge to another Attendant, and no ward shall be
    left on any occasion without at least one Attendant
    therein. Insane patients cannot with safety be left
    without supervision even for the shortest time.

38. The Attendant in charge of the ward has the
    care of the brooms, pails, and such implements. The
    greatest watchfulness is required to prevent a suicidal
    patient from obtaining possession of some dangerous
    weapon.

39. When patients are out at exercise, the Attend-
    ants will be careful that they walk about sufficiently.
    A convalescent patient will often be of much service
    in aiding the Attendants in this and similar duties.