Section 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.