Hospital housekeepingAikens, Charlotte A. (Charlotte Albina)
Science
Hospital housekeeping
Aikens, Charlotte A. (Charlotte Albina)
Hospitals
It ought not to be necessary to mention the necessity of plenty of
tools and the right kind of tools for ward work—plenty of basins, and
syringes, and dressing pans, and instruments, and drinking-cups, and
medicine glasses, and the thousand and one little things that go to
make up the complete furnishings of the hospital ward. But, as a matter
of fact, many nurses go through their course of training hampered by a
lack of facilities for proper work. One set of instruments for dressing
is provided, where several are needed at the same time; insufficient
linen to keep the beds and their occupants clean is the rule, and so on
indefinitely.
[Sidenote: Destruction of Appliances]
On the other hand, head nurses and hospital housekeepers lament over
the carelessness of nurses and the constant destruction of hospital
appliances. Just what course to pursue with the girl who every few
days puts a rubber catheter or rectal tube or nozzle on to boil, and
lets it burn up; who pours boiling drinks into glass tumblers, and
thereby keeps up a constant breakage; who leaves hypodermic needles
without wires, and finds them useless when needed again; who breaks
medicine glasses and fails to report the accident, till the head nurse
finds her measuring medicine with a spoon; who puts the thermometer
into the mouths of delirious patients or children, and goes away and
forgets it; who lets the sterilizer boil dry; who puts glass syringes
and appliances in unsafe places, and returns to find them broken—just
what course to pursue to correct these destructive tendencies is an
ever-recurring problem to the hospital housekeeper. Nurses who are most
careful and conscientious in carrying out the doctor’s orders, and
in their duties to the patients, frequently lack that fine sense of
honor regarding their duty to the hospital and the care of materials.
A deposit for breakage is now demanded in some hospitals when a nurse
enters for training. If this is not done the nurse should be made to
replace articles destroyed and to pay for repairs that are rendered
necessary by her carelessness.
Proper economy in the use of hospital goods is an important lesson
for nurses to learn early in their career, and one which will demand
frequent emphasis throughout their course. Gas stoves are left burning
when not in use, and help to swell the gas bill. Milk is left out of
the ice-box, and quickly becomes unfit for use. Materials of various
kinds that could be utilized are thrown away. The destruction or waste
of one article seems a very trivial affair, but in the aggregate such
trivial affairs amount to hundreds of dollars in the course of a year.
The cost of rubber sheets alone is an important item in ward expenses.
The best will soon crack if folded when not in use. If loops of tape
are fastened to the corners and the sheets hung against a closet wall
when not in use, they will be found to last twice as long.
[Sidenote: Screens]
Public-domain text, read in full here on John Shaqi.
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