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.