Hospital housekeepingAikens, Charlotte A. (Charlotte Albina)
Science
Hospital housekeeping
Aikens, Charlotte A. (Charlotte Albina)
Hospitals
In the setting of a tray there is a right and wrong method, as in
everything else. It is not sufficient to have the dishes and the tray
cloth spotlessly clean, but the method of arranging the various dishes
should have in view the patient getting the food with the greatest
ease. A moderate size tray is preferable. The very large trays are
cumbersome and awkward and it is difficult to arrange the small trays
to advantage. In the center of the side of the tray that will be placed
nearest to the patient should be the plate, with the knife, fork and
spoons, arranged in their proper places on either side. At the right
hand should be placed the teacup and saucer, and on the left the bread
and butter plate, or the individual butter dish. Back of the teacup is
placed the small tea or coffee pot. Thoughtless nurses often reverse
the position of the teapot and teacup, making it necessary for the
patient to reach over the teapot to the back of the tray every time he
wants a drink. In the center of the back part of the tray, or the part
farthest from the patient, the little sugar and cream vessels should
be arranged, and in the left-hand corner of the same side the dessert.
The pepper and salt bottles and other small articles may be arranged
as space will permit. It is well to have a regular custom established
of emptying the sugar vessels and washing them after each meal. Crumbs
are dropped in or they become smeared with a wet spoon, and unless
the regular emptying and washing after each meal is insisted on, the
housekeeper can never be sure they are properly clean. Salt and pepper
bottles should be examined daily, and the outside washed after each
meal also. It is so easy to overlook this small matter and send empty
salt bottles on the tray. The food may be served hot and really be
appetizing, save that it needs more salt to suit the patient’s taste.
If a bell has to be rung, and a nurse summoned to get the salt, the
meal may have cooled and the appetite for it have waned, before it
arrives. These may seem small things to dilate upon, but in reality
they are the real test of the quality of management. A chain is no
stronger than its weakest link, and real success in a hospital demands
attention to these apparently trivial details. These trivial details
are large to the patient and have much to do with keeping him happy and
comfortable. It is not sufficient to provide good food and prepare it
carefully. It is only what the patient really eats and assimilates that
is a factor in his recovery, and the best meal may be spoiled by lack
of attention to the details of serving. The idiosyncracies of patients
are nowhere more in evidence than where their food is concerned,
and while they are sick, these idiosyncracies and tastes should be
considered as far as possible with their highest interest in view.
Public-domain text, read in full here on John Shaqi.
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