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قراءة كتاب Rules and Regulations of the Insane Asylum of California Prescribed by the Resident Physician, August 1, 1861
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Rules and Regulations of the Insane Asylum of California Prescribed by the Resident Physician, August 1, 1861
connection, the condition of the patient, as found by the Superintendent or Assistant Physician, at the time of admission.
SUPERVISORS.
1. The Supervisors shall have a general oversight of the duties of the Attendants; they shall spend their time chiefly in the wards, and they shall see that the rules prescribing the duties of the Attendants, towards the patients, are faithfully observed, that the patients are well treated, and in all respects properly cared for; they shall, in an especial manner, have the oversight of the sick, and see that watchers are detailed for such as require it.
2. They shall have the care of the clothing of the patients, and the bedding, table linen, towels, etc., of their respective divisions. On the arrival of a patient at the Institution, whatever clothing is brought shall be committed immediately to the Supervisor of the division to which the patient is sent. A clothing account shall be opened for each patient, in a book provided for the purpose, in which shall be entered every article brought to the Institution, including what may be on the patient’s person, and, also, whatever may afterwards be received or purchased for the patient’s use.
3. Money, jewelry, or other valuables, shall be brought to the office for safe keeping—except where their retention by the patient is expressly permitted by the Superintendent or Assistant Physician. On the discharge, or removal, of a patient, the clothing in his or her possession, shall be carefully compared with the clothing account of said patient, that any losses may be discovered or accounted for.
4. The clothing belonging to the patients, in each division, shall be deposited in a room, set apart for the purpose, the key of which shall be in custody of the Supervisor, and, at some particular hour of the day, the Supervisors shall be in attendance in their respective clothing rooms, to exchange, or supply, such clothing as the wants of patients may require, and Attendants are enjoined, not to call on the Supervisors, for that purpose, at any other times, if avoidable. Clothing required for daily use, shall be kept in the ward closets.
5. The Supervisors shall have charge of the sewing rooms, and when any patient is in want of new clothing the fact shall be reported to the Supervisors, who will receive instructions from the Superintendent in regard to its supply. No clothing shall be purchased out of the Asylum, if it can be manufactured in the sewing rooms.
6. The Supervisors shall be careful that the clothing of patients is adapted to the season, and especially to see that patients are not suffered to go out, either for exercise or labor, without a careful inspection of what is worn.
7. All articles belonging to patients, shall be legibly marked, and the Supervisors are expected to see that the clothing of each patient is devoted to his or her use, and to the use of no other.
8. The Supervisors shall see that each patient is supplied with a full change of under clothing once a week, and that their outer clothing, and all bed clothing, is changed as often as their strict cleanliness shall require.
ATTENDANTS.
1. Those employed in the wards in the care of the patients, as their Attendants, should remember that their first duty is to treat them with unvarying kindness, respect and attention. Feelings of mutual good will, can, with few exceptions, be successfully cultivated between Attendants and those under their immediate care, and doubts may be justly entertained of an Attendant’s fitness, when these are wanting.
2. The first effort on the part of an Attendant, on receiving a patient, should be to win his or her confidence, however insensible the patient may be to kindly advances. Patients generally enter the wards with the thorough conviction that evil is intended them, and the first show of harshness or force, however slight, will confirm that impression, while kind assurances, and manifestations of sympathy, quickly disarm them of their false impressions, and the first great step in the way of cure is begun. The Attendant should regard the patient as an honored guest, who comes, tarries for a short time, and goes on his way, to give to the world a good or evil report of his entertainer.
3. When a patient manifests opposition to the will of the Attendant, the point should never give rise to protracted discussion, as opposition may be only increased thereby. Patients will usually yield when mildly and kindly informed that they are only asked to comply with a rule binding on all, and that the request is not merely arbitrary. Whenever continued resistance is anticipated, it is better to yield the point to the patient, if the request made is one of no great importance, and report the case to the Superintendent or Assistant Physician.
4. The muffs, sleeves, wristbands, or other means of confinement, are never to be used unless by order of the Superintendent or Assistant Physician; and the Attendant shall never, under any circumstances, use greater force than is sufficient to secure the patient, himself, or others, from the efforts of his or her violence, and after the patient is secured in his or her room, the Superintendent or Assistant Physician shall be informed of what has occurred.
5. During the evening, after patients have retired, one Attendant or Assistant, shall always be present in each ward, to discover any disturbance, and administer to any necessity that may arise, and no Attendant shall ever leave the ward in which he or she is engaged, without informing an Assistant of his or her intended absence. During the day Attendants are expected to make the patients, and the patient’s clothing, and sleeping apartments, the objects of their most careful attention.
6. On rising in the morning, Attendants shall see that the patients are properly dressed, washed, hair combed, and otherwise in good condition to appear at breakfast. The beds shall be made, rooms, halls, dining rooms, water closets and stair-ways put in good order by 9 o’clock, from April to September inclusively, and by 10 o’clock from October to March inclusively. All soiled clothing, bedding, etc., shall be taken from the building, at the earliest possible hour, before the air of the wards becomes contaminated thereby. A straw bed once soiled or wet, shall be immediately emptied and the tick sent to the laundry. The wards and stair-ways shall be washed and swept as often as necessary to secure perfect cleanliness. Attendants will be assisted by the patients in the discharge of these duties, but are themselves alone responsible for their prompt and faithful performance; when Attendants or Assistants are engaged with their patients in any kind of outside labor, they shall keep a correct account of the time of the patient employed, and report the same at the office at the close of every week.
7. Attendants, in this Institution, are considered the companions, not “keepers,” of the patients, and, regarding themselves as such, they shall strive to keep every one, whose physical health will admit of it, engaged in some kind of amusement or employment in labor, as designated, from time to time, by the Superintendent, or Assistant Physician. The cultivation of fruits and flowers, the use of the library, reading room, gymnasium, bowling alleys, and other means for mental, moral and physical training, should be in every way encouraged.
8. The Attendants should see that the patients indulge in no pernicious practices; those given to solitary habits must receive special attention, and, as far as possible, induced to participate in the pursuits and amusements of others. Indolent patients should be led about the wards and yards, and

