387 - Board of managers; general powers and duties.

§  387.  Board  of  managers;  general powers and duties. The board of  managers 1. Shall elect from among its members, a president and  one  or  more  vice-presidents. It shall appoint a superintendent of the hospital  who shall be also the treasurer and secretary of the board, and  it  may  remove  him  for  cause stated in writing and after an opportunity to be  heard thereon after due notice; and may suspend him  from  duty  pending  the  disposition  of  such  charges.  Said superintendent shall not be a  member of  the  board  of  managers  and  shall  be  a  graduate  of  an  incorporated medical college, with an experience of at least three years  in the actual practice of his profession.    2.  Shall  determine  the  amount  of time required to be spent at the  hospital by said superintendent in the discharge of his duties.    3. Shall have the general superintendence, management and  control  of  the  said  hospital,  of  the grounds, buildings, officers and employees  thereof, of the patients therein and of  all  matters  relating  to  the  government,  discipline,  contracts  and other affairs thereof; and make  such rules and regulations as may seem to be necessary for carrying  out  the purposes of such hospital.    4.  Shall  maintain  an effective inspection of said hospital and keep  itself informed of the affairs and management thereof; shall meet at the  hospital at least once in every month, and at such other times as may be  prescribed in the by-laws; and shall hold its annual  meeting  at  least  three  weeks  prior  to the meeting of the board of supervisors at which  appropriations for the ensuing year are to be considered.    5. Shall keep in a book provided for that purpose, a proper record  of  its  proceedings  which  shall be open at all times to the inspection of  its members, to the members of the board of supervisors of  the  county,  and to duly authorized representatives of the state department of social  welfare.    6.  Shall  make to the board of supervisors of the county annually, at  such time as said supervisors shall direct, a  detailed  report  of  the  operations  of  the  hospital  during  the  year, the number of patients  received, the methods and results  of  their  treatment,  together  with  suitable recommendations and such other matters as may be required. Such  report may be printed for general distribution.    7.  Shall  notwithstanding  any other general or special law erect all  additional buildings found necessary after the hospital has been  placed  in  operation and make all necessary improvements and repairs within the  limits of the appropriations made therefor by the board of  supervisors,  provided  that the location of the buildings and the plans and such part  of the specifications as shall be required by the state commissioner  of  health  for  such  additional  buildings,  improvements or repairs shall  first be approved by the state commissioner of  health.  Any  change  in  such  location  or  plans  shall  also  be  first  approved by the state  commissioner of health and the state commissioner of health and his duly  authorized representatives shall have the power to inspect  such  county  hospitals  during  the  course  of  the  construction of such additional  building for the purpose of seeing that such plans are complied with.    8. Unless by an arrangement satisfactory to the board of managers  and  approved  by  the  state  commissioner of health such nursing service is  otherwise provided by the county, shall employ a  county  nurse,  or  an  additional  nurse  or nurses if it deems necessary, for the discovery of  tuberculosis cases and for the visitation of such cases and of  patients  discharged  from  the  hospital  and  for  such other duties as may seem  appropriate; and shall cause to be examined by the superintendent or one  of his medical staff suspected cases of tuberculosis reported to  it  by  the  county  nurse,  or  nurses,  or by physicians, teachers, employers,  heads of families or others; and it may take such other  steps  for  thecare,  treatment  and  prevention of tuberculosis as it may from time to  time deem wise.