§ 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 the
care, treatment and prevention of tuberculosis as it may from time to
time deem wise.