Hospital housekeepingAikens, Charlotte A. (Charlotte Albina)
Science
Hospital housekeeping
Aikens, Charlotte A. (Charlotte Albina)
Hospitals
_Disinfection_—Infected clothing from wards should be immediately
placed in a vessel containing sufficient disinfecting fluid to cover
it, and should be kept in it till disinfection is accomplished.
The length of time varies with different disinfectants. By actual
experiment, the length of time to destroy bacteria should be learned.
Too much so-called disinfection is on the shot-gun plan, and no
attempt is made to find out whether it produces the desired results.
Most disinfectants are more powerful if used hot. Other conditions
that modify the power of disinfectants are the kind and number of
bacteria to be destroyed, the quality of associated material, as well
as the strength and temperature of the solution. Bichloride of mercury
destroys all forms of pathogenic micro-organisms and spores. For the
latter a solution of 1 in 500 is needed, the exposure to be not less
than one hour. It should not be used for the disinfection of excreta,
because of its property of precipitating albuminous matter. This forms
a coating around the bacteria, which prevents the penetration of the
solution. This solution may be used in disinfecting clothing or rooms,
but should never be used on metal substances.
A solution that is highly recommended for clothing contains the
following:
Carbolic acid 3 parts
Common soft soap 1½ parts
Water 100 parts
Common laundry soap is first dissolved in water, the carbolic acid is
added and the mixture is vigorously stirred. Experiments with this
solution show that non-spore forming bacteria are destroyed in an
exposure of one-half hour. Commercial carbolic acid may be used, which
is somewhat less expensive than the purified product.
For the disinfection of excreta, a solution known as the American
Standard is officially prescribed in the United States Army, it being
specially stated that the chloride of lime should be of good quality,
and not have undergone decomposition. It is made by dissolving six
ounces of chloride of lime in a gallon of water.
For the disinfection of mattresses, live steam should be used whenever
possible. When no facilities exist for steam disinfection of mattresses
and pillows, a fumigation can will be found very valuable.
_Fumigation Can_—This can is made of galvanized iron, with a
tight-fitting cover. It needs to be about four and a half feet high,
and at least two feet and a half in diameter. A slat shelf, with iron
or wire hooks that fasten over the top of the can, will be useful in
sterilizing small articles. This contrivance is superior to any closet,
as it confines the formaldehyde in small space, and can be made almost
entirely air tight. It should always be remembered that formaldehyde
has almost no power of penetration, and therefore special care is
needed to expose all possible surfaces to the fumes.
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