Hospital housekeepingAikens, Charlotte A. (Charlotte Albina)
Science
Hospital housekeeping
Aikens, Charlotte A. (Charlotte Albina)
Hospitals
The secret of success in the kitchen is the same as in other
departments of the institution, and, indeed, of life in general. It
can be spelled in one word—s-y-s-t-e-m; and be it understood here and
now, that system and red tape are not synonymous terms. Just as in a
large department store, every yard of ribbon sold has its relation
to the whole establishment, or in a great railway system every train
dispatched influences the running of every other train, and system is
necessary to insure the success of the business or the safety of human
lives, so in a hospital every part is vitally related to the great
whole. Some mind must plan the details, first of the whole and then
the minutæ of the different parts as they contribute to its harmony
and success. And yet, while this truth is generally admitted, and its
importance is evident, how little training does the average nurse of
the present day receive to fit her for the responsibilities of hospital
housekeeping—that on which much of the comfort and well-being of the
whole institution depends. Most graduate nurses can nurse, they can
care for a patient afflicted with an ordinary disease in a satisfactory
manner, but how much have they learned regarding the management of
the household? How much have they been taught regarding the purchase
of supplies, the care of food, the management of the linen room, the
laundry and kitchen, the supervision of servants, and other matters of
vital importance to every hospital? Is there not much still lacking in
our present system of training? If a railway company sent an engineer
to conduct a train to its destination as ignorant of, and inexperienced
in, the working of the whole train system as some graduate nurses are,
who have the responsibility of a hospital, small or large, placed
upon them, the public would raise its hands in horror, and brand the
railway officials with criminal carelessness. While present methods
continue, the success or failure of the nurse as an executive officer
and housekeeper depends largely on the thoroughness of the domestic
training she received from her mother, her own native ability, and her
intuitions as to how things should be done—not on the training received
in the average hospital. When the nurses’ course includes practical
instruction in the management of every department of the hospital, the
purchase of supplies of all kinds and simple accounting, the public,
with the nurses, will reap the benefit. In large institutions stewards
may be employed, or it may be possible to secure a trained housekeeper
from some institute of domestic science. But in the small hospital the
superintendent must be her own housekeeper; such superintendents must
almost of necessity be nurses, and there ought to be time in a three
years’ course to give them some insight into, and experience in, the
details of hospital housekeeping.
[Sidenote: The Diet Kitchen]
Public-domain text, read in full here on John Shaqi.
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