THE NEW ZEALAND GAZETTE. 125

The insane have a habit of lying on the ground,
and crouching up into corners, which must be dis-
countenanced.

40. The Attendants in charge of wards shall each
    of them, immediately before going off duty for the
    day, make up a daily report according to the form
    supplied to them by the Clerk or the Keeper, and
    shall deposit the same in the box kept for that pur-
    pose. They shall also mark upon a slate to be kept
    in the Attendants' room, all special instructions re-
    ceived by them throughout the day which require
    the attention of the Night Attendants.

41. Whenever the Attendants in charge of wards
    shall notice any change for the better, or the con-
    trary, in either the mental or the bodily condition of
    a patient, they shall make special note thereof in
    their daily reports.

42. If the Attendant think that any patient is so
    far improved that he would derive benefit from being
    placed in a superior ward where more freedom is
    allowed, or from being sent out on trial to any friend,
    he shall report accordingly in writing to the Keeper,

43. The file of day and night reports shall be laid
    before the Inspector when he visits the Asylum.

44. On any sudden display of violence, the At-
    tendants may, for the protection of others, place the
    patient in the padded room or place of seclusion,
    reporting the fact at once to the Keeper, Matron, or
    Head Attendant.

45. A competent Attendant will soon gain the con-
    fidence of his patient, and he will find that he can
    thus, with kind words, cheerfulness, and a thorough
    command of temper, guide him almost at will.
    Whatever discipline may be necessary must be car-
    ried out under the direction and with the authority
    only of the Medical Officer or Keeper.

46. No attendant, servant, or other officer may
    strike, push, or pull about, or wilfully neglect any
    patient; any one who violates this rule shall instantly
    be suspended by the Keeper, and reported to the
    Government, and dealt with according to the pro-
    visions of the Lunacy Act in force for the time
    being.

III.—THE RULES FOR NIGHT ATTENDANTS.

47. The Night Attendants shall invariably reside at
    the Asylum. The Keeper shall daily inform himself
    that they take such proper rest in the daytime
    as will insure their thorough wakefulness while on
    night duty. The care of the insane demands con-
    stant thought and attention at every hour of the
    day and night. The night duty commences at 9 p.m.

48. Night Clocks will be provided for checking the
    visits required; their state shall be carefully noted
    by the Keeper each morning. The dial peg shall be
    depressed from time to time as may be directed in
    writing by the Keeper.

49. The Night Attendant's first duty shall be to
    ascertain, both verbally and from the remarks entered
    upon the Attendant's room slate, the names of the
    patients who require at night particular attention in
    the administering of medicine or other comforts for
    the sick, and of those disposed to suicide.

50. All such patients, as well as epileptic patients,
    must be visited frequently during the night. All
    patients shall be visited from 9 to 10 p.m., and their
    condition noted.

51. The several wards shall be visited at least
    four times during the night, and at such other hours
    as the Keeper may direct.

52. At each of these visits particular attention
    shall be paid to the epileptic and paralytic patients.

53. It shall be the Night Attendant's duty to see
    that all privileged patients retire to their respective
    rooms not later than 10 p.m.
    The Night Duty to Wet and Dirty Patients.

54. It shall be the duty of the Night Attendants
    to become acquainted with the patients who habitu-
    ally wet their beds, and at each of the prescribed
    visits to awake them if necessary, and call upon them
    to attend the calls of nature. Such systematic call
    at midnight will suffice with some patients, while
    others will require to be called oftener.

55. Except with epileptic patients in a fit, these
    precautions should entirely prevent all wetting of
    beds in the ordinary cases of chronic disease.

56. Enforced habits of cleanliness by night will
    result in cleanly habits by day.

57. The Restless Patients also require attention.
    A glass of cold water and a quiet "Good night" will
    often secure the quiet sleep which otherwise would
    end in a noisy restless night, with fever and excite-
    ment next day.

58. The Timid Patients are often reassured by the
    friendly visit of the Night Attendant, and sleep
    securely with the knowledge that he is near at hand.

Accidents or Unusual Circumstances.

59. In the event of any accident, or of his having
    the slightest misgiving as to a patient, it will be the
    duty of the Night Attendant at once to inform the
    Keeper. If in need of assistance he shall call
    the Attendant in charge of the ward to which the
    patient may belong.

60. The Night Attendants shall see that all attend-
    ants are in their rooms and all lights extinguished at
    11 p.m., except those specially allowed; also that all
    unnecessary noise about the building be carefully
    avoided. They shall specially report any infraction
    of this rule.

61. At the appointed time in the morning, the
    Night Attendants shall ring the bell, call the Day
    Attendants, and see that they rise, and report to
    them the state of their patients.

Night Reports.

62. The Night Attendants shall be careful to
    record in their report each morning, before going off
    duty, the name of each patient who has required
    particular attention throughout the night, and also
    the reason for such attention.

63. They shall also enter upon the slate such
    remarks as may be desirable for the day.

64. They shall also specially note, for the Keeper's
    early information, any extraordinary and unusual
    occurrence of the night.

65. Night Attendants will patrol the whole of the
    interior, as pointed out to them by the Keeper, and
    the exterior every half-hour.

66. In the event of Fire, a Night Attendant will
    first ascertain if he can readily extinguish it; if he
    cannot, he will arouse the Attendant of the ward,
    give a general alarm to other Attendants, and call the
    Keeper.

IV.—HOURS TO BE OBSERVED IN THE WARDS, MALE
AND FEMALE.

67. The Day Attendants shall rise when the morn-
    ing bell rings, open the doors of the patients' bed-
    rooms, and all the windows (weather permitting).

68. They shall superintend the patients in washing
    and dressing, and see that the beds are exposed to
    the air.

69. Any patient who appears ill in the slightest
    degree shall be allowed to remain in bed till the
    Medical Officer, Keeper, or Matron come round.

70. Exercise.—The hours of exercise will be regu-
    lated by the Keeper, who shall confer thereon with
    the Medical Officer from time to time.