NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
SPECIAL HOSPITALS.
[SECT. XVI,
Officer. Assistant Surgeons doing duty at the General Hospital, being his
juniors are placed under his orders.
14. Assistant Surgeons doing duty at the General Hospital .—
Certain Assistant Surgeons on their admission to the service will be posted
to the General Hospital in order that they may have the opportunity of
studying the diseases of India, of becoming familiar with the arrangements of
Indian Hospitals, and of making themselves acquainted with the, manner of
drawing up official returns, &c.
(a.)Assistant Surgeons doing duty will each have a certain number of
patients entrusted to their care at the discretion of the Medical Officers. The
cases of such patients are to be carefully recorded for the information of the
Deputy Inspector General, who will select a certain number to be transcribed
in the form used for sick officers appearing before a Medical Board, for
eventual submission to the head of the Department.
(b.)Assistant Surgeons doing duty at the General Hospital will attend
at the Eye-Infirmary on the days set apart for operations. The details of
duty will be indicated by the Senior Medical Officer.
15. Apothecary.—(a.) The Senior Apothecary is on duty every day
till 2 P.M., at which hour, he will be relieved by the Assistant Apothecary
coming on duty.
(b .) The Senior Apothecary assists the Resident Medical Officer in the
out-patients department, superintends the preparation of the periodical
returns, and has sole responsible charge of the medical stores. In his case
as in that of the other subordinates attached to the General Hospital, details
of duty are laid down in the Hospital Regulations.
16. Assistant Apothecaries .—(a .) The Assistant Apothecaries will
come on duty in rotation, commencing with the senior, from 2 P.M. till after the
ordinary visit and issue of medicines, &c. next morning. The Assistant
Apothecary going off duty will be relieved by the Senior Apothecary.
(b .) The Assistant Apothecaries accompany the Medical Officers during
the morning visit, exercise a vigilant supervision over the clinical students,
record all prescriptions and instructions, and personally carry out, or see
carried out, all directions issued by the Medical Officer. They will also be
present at the evening visit.
(c.) An Assistant Apothecary will come on duty daily by rotation at
2 P.M., relieving the Senior Apothecary, and will remain on duty till after the
ordinary visit next morning.
17. Hospital Assistants .—The Hospital Assistants are in immediate
charge of the Dispensary and Compounding Department.
SECT. XVI.]
SPECIAL HOSPITALS.
57
All students on duty in the Dispensary are under the immediate
orders of the Hospital Assistants. The Hospital Assistants are held respon
- s i b l e f o r o r d e r a n d m e t h o d i n t h e D i s p e n s a r y , f o r t h e a c c u r a t e p r e p a r a t i o n o f
all prescriptions, for the safe custody of all poisons, and for the careful entry,
in their own hand-writing, of all issues in the Prescription Books.
18. Steward .—The Steward has charge of the furniture, linen, wine,
spirits, and provisions of the hospital, and also of the hospital accounts.
He is responsible that the regulations regarding the custody of linen, &c. in
stock, of linen, &c. in use, and of linen, &c. used by patients suffering from
contagious diseases are strictly carried out. He is also required to see to the
issues of bed and body linen to the patients, and to the due cooking and
issue of the diets.
Details of duty are indicated in the Regulations of the Hospital.
19. Assistant Steward.—(a.) The Assistant Steward assists the
Steward in keeping the hospital accounts and in carrying out the duties
entrusted to him by the Steward.
(b.) He is present when the clothing is changed in the wards twice a
week, and is responsible that this duty is properly performed.
20. Writer.—The duties of the Writer are those pertaining to his office,
which include the preparation of all returns and correspondence except those
connected with the Stewards' department.
21. Hospital Serjeant.—The Hospital Serjeant is entrusted with th
e general control of the servants of the hospital and is responsible that the
duties assigned to each are rigidly carried out. He is responsible for the
cleanli-ness of the wards, verandahs, latrines, and lavatories, for the cleanli
-ness of the contagious shed, for the cleanliness and ventilation of the dead
room, for the order and cleanliness of the hospital grounds and garden. H
e has al so entrusted to hi m the supervi si on of the mi l k suppl y, the care of the
library, and the general police of the institution.
22. B atswain .—The Boatswain, or senior first class cooly, has the
immediate superintendence of the toties, lascars, and sweepers and is respon
-sible that the duties entrusted to them are performed. He is himself under
the orders of the Hospi tal Serj eant.
23. Cooks.—The cooks, in addition to their special duty in connection
with the diets, are also responsible for the safe custody of all kitchen utensils
between gunfire in the morning and gunfire at night.
24. Lasears.— The duties of the Lascars are to sweep, rub, and wash
the verandahs and wards, and to keep clean the grounds immediately oin-
ing the building. They are under the orders of the Hospital Serjeant.
VOL. II. H
58
SPECIAL HOSPITALS.
[ SECT. XVI.
25.
Ward Coolies .—The ward coolies perform the service of the
wards generally; bed ridden and helpless patients have special attendants;
the ward coolies are responsible for the cleanliness and neatness of the wards,
for the safety of the moveables in the wards, and for the conveyance of the
diets from the Steward's room to the several patients. No ward cooly is
allowed to dress sores or blisters, or to assist patients in dressing their own
sores.
26.
Bearers.—The bearers carry out the sick in the hospital doolies;
they also assist in cleaning the hospital doors and windows, and they have
charge, under the orders of the Hospital Serjeant, of the blinds in the
verandahs.
27.
Gardeners.—The Gardeners have the care of the garden and
its walks. They are to see that tho hospital rules are strictly enforced
which require that no filth be deposited in the grounds, whether by patients
or by hospital servants. They are under the control of the hospital serjeant.
28.
Patients .—Every patient is required to obey all the rules of
the hospital in so far as they are applicable to him. On admission to hospi
-tal he is required to hand over his clothing to the Hospital Serjeant, and his
valuables to the Steward. If a civil patient he may wear his own clothes,
but the Medical Officer may cancel this permission should he find it necessary
to do so. Patients are responsible for any injury they may do to the clothing,
books, or other property of the hospital. They are prohibited from getting
food or drink from without, and from giving of their meals to other patients,
or to visitors; Complaints of every kind are to be made personally to the
Medical Officer.
29. The following are the hours for the issue of meals :—
Tea
...
...
...
... at 6 A.M.
Breakfast
...
...
... „ 9-30 A.M.
Dinner ...
...
.2 P.M.
Tea
...
...
...
... „ 5-30 P.m,
SECT. XVI.]
SPECIAL HOSPITALS.
59
30. DIET TABLE.—The following are the diets sanctioned by Govern
-
ment for the use of the General Hospital :—
SPOON DIET.
Breakfast.
Dinner.
Supper.
Tea
. . .
... 1 pint. Sago in Jelly
... 2 oz.
As Breakfast.
Sugar
...
...
¾ o z .
Sugar
...
. . . ¾ „
Milk
. . .
... 3 „
TEA DIET.
Breakfast.
D i n n e r .
Supper.
Tea
. . .
... 1 pint. Tea
. . .
... 1 pint. Tea
. . .
... 1 pint.
Bread
...
... 3 oz. Bread
. . .
... 3 oz.
Bread
. . .
... 2 oz.
Sugar
...
... 1 „
Sugar
. . .
. . . 1 „
Sugar
. . .
... 1 „
Milk
. . .
... 3 „
Milk
...
... 3 „
Milk
. . .
... 3 „
Arrowroot
... 4 „
B E E F T E A D I E T .
Breakfast.
Dinner.
Supper.
Tea
...
... 1 pint. Beef Tea ...
... 12 oz.
As Breakfast.
Bread
...
... 4 oz. Bread
...
... 8 „
Sugar
...
. . .
¾ „
Milk
...
... 3 „
MILK DIET.
Breakfast.
Dinner.
Supper.
Tea
...
... 1 pint. Rice
. . .
... 2 oz.
Tea
. . .
... 1 pint
Milk
...
... 1 „
Milk
. . .
... 1 pint. Bread
...
.. 4 oz.
Bread
...
... 4 oz.
Bread
...
... 4 oz.
Butter
. . .
. . . ½ „
Sugar
...
. . .
¾ „
Sugar
...
. .¾ „
Soojee 4 oz. In lieu of Rice.
CHICKEN DIET.
Breakfast.
Dinner.
S u p p e r .
Tea
...
... 1 pint. Chicken ...
... 8 oz.
As Breakfast.
Bread
. . .
... 2 oz.
Bread
...
. . .
8 oz.
Butter
...
. . .
½ „
Custard Pudding.
LOW WITH PUDDING.
Breakfast.
Dinner.
Supper.
Tea
...
... 1 pint. Mutton Broth
... 1 pint. Tea
. . .
... 1 pint.
Bread
...
... 3 oz.
Bread
...
... 6 oz.
Bread
. . .
... 3 oz.
Butter ...
. . .¼ „
Rice Pudding.
Butter
. . .
. . . ¼ „
LOW DIET.
Breakfast.
Dinner.
Supper.
Tea
...
... 1 pint. Mutton Broth
... 1 pint. As Breakfast.
Bread
. . .
... 4 oz.
Bread
...
. . . 8 oz.
Butter
. . .
. . . ½ „
60
SPECIAL HOSPITALS.
[SECT. XVI.
HALF DIET.
Breakfast.
Dinner .
Supper.
Tea
•••
... 1 pint. Mutton Broth
•-• 1 pint. As Breakfast.
Bread
...
...
Butter
„„
...
6
2
oz.
;)
Or meat roasted or
fried
...
...10 oz.
Bread
•••
... 4
Potatoes
...
••• 8 ,,
FISH DIET.
Breakfast.
Dinner.
Supper.
Tea
...
... 1 pint. Fish
•••
... 8 oz.
reakfast.
Bread
...
... 6 oz.
Bread
...
... 4 „
Butter
...
...
Potatoes
...
... 8 ,,
Butter
•.•
••• 1
MIXED DIET.
Breakfast.
Dinner.
Supper.
Coffee
••
... 1 pint. Rice
...... 8 oz.
Coffee
... 1 pint.
Hoppers ...
... 6 No. Mutton for curry ... 8 „
Bread
... 6 oz.
Butter
...
... ½- oz.
Vegetable
... 4 „
Butter
...
... -1- „
Bread
•••
••• 2 ,,,
FULL DIET.
Breakfast.
Dinner.
Supper.
Tea... ...
1 pint. Broth or Soup
... 1 pint. Tea
...
... 1 pint
Bread
...
... 6 oz,
or meat roasted ... 12 oz. Bread
...
... 6 oz.
Butter
...
••• ½ , ,
Bread
.
...
Potatoes ...
4
... 12
,,
„
Butter
DIET FOR INFANTS.
At the discretion of the Surgeons.
31. Out-Patients.— Out-patients are seen daily from 7 to 9 A.M., by
the Resident Medical Officer.
32. Visitors.—The visits of friends of the patients are restricted to
the hours of from 10 A.M. to 1 P.M., and from 3 P.M to 6 P.M. No visitor
will be permitted to be present at the time of breakfast or dinner. No
friend is permitted to remain with a patient during the night except with
the sanction of the Medical Officer. Visitors found conveying articles of
food or of drink to the patients, or from the hospital, will be handed over to
the Police. Pupils of the Gun Carriage Manufactory, Ordnance Artificers
and men attached to the Arsenal are permitted to visit their friends between
the hours of 5 and 7 P.M.
33. Students.—The rules for students are laid down from time to
time by the senior Medical Officer. The roll is called daily at 6¼ A.M. by the
SECT. XVI.]
SPECIAL HOSPITALS.
61
senior Apothecary. From 6-15 to 7 A.M., the students take the new cases
and generally attend to the state of those patients committed to their care.
The morning visit begins at 7 A.M. precisely, and the evening visit at 5-15 P.M.
At 9-30 A.M., the clinical bell is rung and students are then, but not till then,
permitted to leave hospital.
The following is the Establishment of the General Hospital as sanctioned in Pro
- c e e d i n g s o f G o v e r n m e n t , P u b l i c D e p a r t m e n t , N o.
1 0 1 6 ,
d a t e d
2 8
t h S e p t e m b e r
1865 and subsequent orders .
No.
European Wards.
No.
Native Wards.
RS. A. P.
RS. A. P.
*1 Clerk ...
...
35 0 0
1 Peon ...
...
7 0 0
1 Steward
... 120 0 0
1 Cook ...
...
8
0 0
1 Assistant Steward...
30 0 0
1 1st Class Cooly ...
6
0 0
1 Cooly Maistry
...
10 0 0
4 2nd Class Coolies, at
1 Peon ...
...
7 0 0
Rs. 5-8
... 22
0 0
2 Tailors, at Rs. 8
each ...
...
16 0 0
1
1
Bheasty
...
Sweeper
...
7
3
0
0
0
0
1 Head Cook
...
14 0 0
1 Washerman
...
8
0 0
1 Cook's Mate
...
5 0 0
2 Toties, at Rs. 6 ... 12
0 0
3 1st Class Coolies, at
Rs. 7 1/4 each . . . 21 12 0
8 2nd Class Coolies,
at Rs. 7
...
56 0 0
3 Sweepers, at Rs. 4..
12 0 0
2 Watermen, at Rs: 7 14 0 0 ,
4 Toties, at Rs. 6 ...
24 0 0
2
Do.
„ 5 ...
10 0 0
2 Washermen, at Rs. 8 16 0 0
†4 Lascars, at Rs. 6 ...
24 0 0
•
2 Gardeners, at Rs. 5
10 0 0
Total Rs. 424 12 0
Total Rs.
73 0 0
P. G. P. D. No. 252, dated 13th March 1866.
† P. G. M. D. No. 3043, dated 15th August 1867. P. G. P. D. No. 1237, dated 8th
October 1867.
‡ P. G. P. D. No. 36, dated 10th January 1867.
The service of a Lascar, sanctioned in the above G. O., was dispensed with from 1st
October 1867; and that of a Nurse and Toty woman from 1st November 1868, in conse
- q u e n c e o f t h e t r a n s f e r o f s i c k w o m e n a n d c h i l d r e n t o t h e V e p e r y D i s p e n s a r y .
I I — E y e - I n f i r m a r y .
3 4 . T h e f o l l o w i n g r u l e s a r e e s t a b l i s h e d f o r c o n d u c t i n g t h e d u t i e s o f
the Eye-Infirmary.
3 5 . U N D E R . G O V E R N M E N T O C U L I S T . — T h e m e d i c a l c h a r g e o f t h e E y e -
infirmary is entrusted to the Government Oculist, who is also professor of
[SECT
' 4
IAL HOSPITALS.
. XVI.
N ,,
Cw: `',
ophthalmic Surgery and Physiology in the Medical College. The duties of
"' ,
, • .
't P
A
the Infirmary are conducted under the general supervision of the Deputy
'
Inspector General of Hospitals, Presidency Circle, and of the Inspector Gene-
,e4':. ;,,,..4,
ral, Indian Medical Department.
V L' .4
:5§'
36. OPEN TO THE PROFESSION.—The Eye Infirmary is open to the visits
.,::
4' A`•
4 ,
of all professional men, who may wish to avail themselves of the opportunity
,,-
,, ,
of observing diseases of the eye. The oculist will keep regular journals of
, r , ' t
the cases of the patients treated by him in the Infirmary. Journals shall be
, ,
1 4: 41:. ' , ; 141
open to the inspection of professional visitors. It is the duty of the oculist
to afford every facility to those who may seek information at the Infirmary.
37. OCULIST TO GIVE ADVICE TO ANY PUBLIC INSTITUTION.—The oculist will
give his advice and assistance in any public or charitable institution at the
.
Presidency, when applied to by the Officers in charge, or when instructed to
do so by his departmental superior.
J ,;
, ke
38. PROBATIONARY ASSISTANT SURGEONS TO ATTEND PRACTICE.—Assistant
Surgeons recently arrived from Europe, who, during their probationary
4-W
N
course may be stationed at the Presidency, are ordered to-pay every possible
4 '
attention to the practice of the Eye Infirmary They are to attend frequently,
1
and especially on the days fixed for the performance of operations.
39. Probationary Assistant Surgeons will take notes of such cases as 4
may be pointed out to them by the oculist, who will carefully examine and
remark upon the case journals before they are forwarded to the Deputy, 4
Inspector General.
40. ENCOURAGEMENT To NATIVE PRACTITIONERS.—The oculist will consider
41
0
it an important part of his duty to encourage native practitioners to attend
4
him, for the purpose of acquiring a knowledge of diseases of the eye, and of the
best modes of treating them, and he will-carefully explain to them the principles
' *
on which he acts, as far as they may be capable of comprehending them.
ir
41. NO OFFICER TO BE SENT TO EUROPE FOR EYE DISEASE WITHOUT SANCTION
OF OCULIST.—No Commissioned officer, whether of the British or Indian Service,
VA
is to be sent to Europe on account of ocular disease until his case shall have
been reported upon by the oculist.
42. INVALIDING OF SOLDIERS FOR OPHTHALMIC DISEASE.—It will be the
special duty of Invaliding Committees, or Boards to recommend for transfer
to the care of the oculist all men brought before them on account of disease
41,V
of the eye, respecting whose cases there may be any doubt. The Committee
M
in such instances will dispose of the case conditionally, stating in a remark
" subject to the result of examination and treatment by the oculist." The
6e
oculisthen equire, is to attend at general nvaliding committees t
r
Poonamallee, and Fort St. George, to give his opinion on any ophthalmic
cases which may be referred to him by the Committee. It is particularly
SECT. XVI.]
SPECIAL HOSPITALS.
63
enjoined that a very full account of the medical treatment of each case of
ophthalmic disease coming before an Invaliding Committtee, or recommended
to be sent to the Eye Infirmary, shall accompany the individual for the informa
-tion of the Committee, and eventually of the oculist.
43. TRANSFER OF MILITARY PATIENTS.—It is of much importance that
European and native soldiers afflicted with diseases of the eye, which have
resisted the curative means employed by medical officers, and who may
consequently be deemed proper objects for treatment in an Eye Infirmary,
should be transferred to the institution in proper time. While they should
first obtain all the benefits to be expected from active treatment in their own
hospitals, at the commencement of the disease, their transfer should not be
delayed too long, lest the disease become altogether incurable. Medical officers
will be guided by their own judgment in this respect, and will accordingly
be most careful to bring to the notice of their respective Commanding
Officers every case of disease of the eye amongst the men under their
charge, which they may consider to require the aid of a professed oculist.
Commanding Officers are authorized and enjoined to adopt immediate measures
for the safe transport of the patient, from the station where he may be, to the
Eye Infirmary or General Hospital at the Presidency.
44. All such patients are accordingly to be transferred to the Presidency
after being a moderate time under the care of their respective surgeons; who
are required to furnish a copy of their cases to the oculist and superintendent
of the Eye Infirmary direct, to whom all communications respecting this class
of patients are to be made.*
45. Medicines, instruments, and all suitable appliances for the treat
-ment of ophthalmic disease are provided at the Government expense, for the
use of the Eye Infirmary.
46. RECORDS AND RETURNS.—The oculist will keep the prescribed regis-
ters and other hospital books, and furnish monthly returns to the Deputy
Inspector General, Presidency Circle, and an annual report and return of
sick, with a statement of expenses, for submission to Government.
47.
Out-patients.—The Oculist will be in attendance at the infirmary
every morning at seven o'clock, for the purpose of giving his aid and advice to
out-patients affected with diseases of the eye.
48. ATTENDANCE OF STUDENTS.—The senior students attending the Medical
College will attend the Eye Infirmary, as required by the regulations of the Col
-lege, for the purpose of acquiring a practical knowledge of diseases of the eye.
*NOTE.— In cases of native soldiers at out-stations, where complete destruction of
the right eye has taken place, or where so much disorganization of both eyes has occurred,
as t o r ender t he l i kel i hood of a per manent r est or at i on of usef ul vi si on i mpr obabl e, t he
individual should be brought before a local committee, who will determine as to the
necessity or otherwise of sending the soldier to the Eye Infirmary at Madras or, of
disposing of the case locally,
64
SPECIAL HOSPITALS.
[SECT. XVI.
49. APOTHECARY.—A medical subordinate of the Apothecary grade is
attached to the Eye Infirmary. He is required to be in regular attendance
at the institution.
50. EYE INFIRMARY OPEN TO CERTAIN CLASSES OF PATIENTS.—The Eye
Infirmary is open for the reception of native soldiers, of European and East
Indian females, and for natives, male and female, of all classes. European male
patients, military and civil, are treated in the ophthalmic wards of the General
Hospital, but under the sole and exclusive charge of the Government Oculist.
Military patients, European and native, will be admissible on the requisitions
of their Commanding Officers, founded on medical certificates. Hospital
stoppages will be recovered from Military patients, seamen and persons of
ascertained income, as in the General Hospital.
51. Each European and East Indian female patient in hospital shall be
furnished with an hospital cot, bedding and clothing, according to the practice
of European hospitals; and they will be dieted in like manner. The native
soldier will be furnished with a cot, mat, and pillow; but he will clothe and
diet himself. The civil native patients in hospital will each have a cot,
blanket, and a small pillow; and will be dieted according to the sanctioned
scale of native diets.
Establishment.
The following is the Establishment for the Eye Infirmary as sanctioned in Pro
- c e e d i n g s o f G o v e r n m e n t , P u b l i c D e p a r t m e n t , N o.
1 0 1 6 ,
d a t e d
2 8
t h S e p t e m b e r
1865 and subsequent orders.
No.
RS.
A. P.
*1 Writer and Steward
.
.
. . . .
. . . 35
0
0
1
Cook
...
...
...
. –
0 . L
8
0
0
1
1st Class Cooly ...
...
...
...
7
0
0
2
2nd Class Coolies, at Rs. 5-8
...
...
11
0
0
2 Toties, at Rs. 6 ...
. . .
. . .
. . . 12
0
0
1
Waterman
...
. . .
. . .
. . .
5
0
0
1 Native Nurse
. . .
. . .
. . .
. . .
6
0
0
t2 Toty women, at Rs. 3-8
...
...
....
7
0
0
1
Sweeper
...
...
. . .
. . .
4
0
0
For European Ward.
1
2nd Class Cooly ...
...
. . .
. . .
5
1
Cook-
...
...
...
...
. .
8
1
Nurse ...
. . .
. . .
. . .
. . .
6
0
0
1
Dhoby ...
...
...
...
...
8
0
0
Total Rs. 122
8
0
P. 1'. No. 146U, dated 27th November 1868.
t G. D. No. 129, dated 4th February 1868.
P. G. P. D. No. 628, dated 14th May 1869.
II P. G. P, D. No. 645, dated 18th May 1869.
66
SPECIAL HOSPITALS.
[SECT. XVI.
60. FEMALE STUDENTS.—A limited number of European, East Indian, and
native female pupils are permitted to reside in the hospital, for the purpose of
acquiring a practical knowledge of midwifery, under the direction of the
superintendent.
61. The class consists of ordinary and " extra" pupils. The former
receive Rupees 7 monthly as ration money, and the latter, though not in
receipt of any allowance, possess in all other respects the same advantages,
and are subject to the same discipline as the ordinary pupils.
62. Candidates for admission as pupils must furnish testimonials of
character, and previous experience, with such other information regarding
their present and previous condition as may be required.
63. A certificate of qualification will be given by the medical officer,
when the attainments of any individual of these classes are considered to be
such as to enable her to practice midwifery. Female pupils must in all
respects conform to the rules laid down by the superintendent for their
guidance. Breaches of discipline render them liable to expulsion.
64. CHARGES FOR DIET, &c.—The following is the scale of charges to cover
the cost of diet, servants, &c., of other classes than those who usually apply
for the benefits of the institution, graduated according to the income of the
person, whose wife or daughter may be admitted:—
Monthly Salary, or Income.
Daily Stoppages.
RS. A. P.
Below 25 Rs. ...
...
...
...
. . .
Free
2 o 50... ,,
50...
. . .
. . .
. . .
0 . 4
0
100 „ 150
..
. . .
. . .
. . .
. . .
0
8
0
150 „ 200
...
...
...
...
. . .
1
0
0
200 „ 300 97 ...
...
...
. . .
. . .
2
0
0
300 and. upwards ...
. . .
. . .
. . .
. . .
5
0
0
1.
65. Ten days' payment is required in advance on admission, and the
same must be repeated. every tenth day. Should. there be any sum remaining
to the credit of the patient on the date of her discharge, it will be reimbursed
to her. Native women of any class in life are not liable to the above scale
of charges.
2.
66. The Superintendent of the Lying-in Hospital will furnish to his
immediate departmental superior, such professional returns and. reports as
may from time to time be required of him, in illustration of the working of
the in.stitution.