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 induced to join in exercises; those, on the

contrary, who are weak, and restless, should be induced to take repose.



9. Attendants are forbidden to make walking out with their patients a

pretext for doing errands, or making calls for themselves, and they must

not go to town with the patients, when the state of the roads and fields

allow exercises in other directions, and they must be especially

vigilant that patients, when out, do not obtain possession of any

dangerous implements, matches, or other articles improper for them to

have, and strict search must be made for such immediately on their

return to the Asylum, and before they shall have time to secrete them in

the wards.



10. On the morning of Wednesday and Saturday of every week, each patient

shall receive a tepid bath, unless by reason of sickness or otherwise,

exceptions shall be made by the Superintendent, or Assistant Physician;

the male patients shall be shaven, and an inspection shall be made that

their hair and nails may be suitably trimmed, and the person generally

in cleanly condition. In trimming the hair, no more should be taken off

than necessary to secure a better appearance of the patient--the

practice, of cutting the hair of the insane close to the head, being

positively forbidden, unless, for some special reason, it shall be so

ordered by the Superintendent or Assistant Physician.



11. On Mondays and Thursdays the Attendants shall collect all clothing

designed for the wash, and deliver the same, with lists thereof, to the

Supervisors, at the assorting rooms, and on Wednesdays and Saturdays

they will assist the Overseers of the laundry to assort the clothing,

and place the articles of each ward to themselves for the inspection of

the Supervisors, who will compare them with the washing lists and make

their return thereon.





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