Making Good on Private Duty: Practical Hints to Graduate NursesLounsbery, Harriet Camp
Science
Making Good on Private Duty: Practical Hints to Graduate Nurses
Lounsbery, Harriet Camp
Private duty nursing
Bandages should always be made of soft unbleached muslin; double
is best, though I have used them of the single fold, and hemmed,
but they are firmer if double. They should be wide enough to come
down to the great trochanters, and up to a place two inches above
the umbilicus; long enough to fit the woman before she became
pregnant. She has likely some measure, or could get it from her
dress-maker. Women vary so much, it is hard to give an exact
measure in inches, but you might begin with a bandage fifty inches
long, and if the ends are too long, cut them off, and turn in the
edges of the cloth and overhand it neatly.
Obstetrical binders, or bandages are now seldom put on a
parturient woman, but in case they are to be used, I give the best
kind I know of. They are sometimes made to order, but I never knew
one of these to fit, or wash well.
The method of their application is of course taught in the
schools. The nurse should always know from the doctor, or the
prospective patient, if binders are to be worn, and instructions
given as to how to make them. Four or six will be enough.
Two or three yards of soft, unbleached muslin for breast-bandages
should be provided in case they are needed. A six-tailed bandage
is, I think, the best for this purpose. Tear down the first two
"tails" to within three inches of the others, and these passing
over the shoulders, and fastening to others, which are adjusted
over the breasts, keep the whole bandage in place.
It is not necessary to speak of the napkins or pads; these are
universally used, and readily bought, sterilized, and ready for
use. All sterilization is so thoroughly taught in the schools, I
have taken proficiency in this particular for granted.
There should always be a disinfectant or antiseptic of some sort
on hand.
Carbolic I-30, Platt's chlorides, permanganate of potash, or
something that will answer the purpose; bichloride of mercury,
etc. You must find out from the physician which he prefers, and of
what strength.
I must not forget to say that when you go to see you prospective
patient, and she shows you the room she expects to occupy, it
would be well to cast your eyes about for some rug, that you can,
if necessary, turn wrong side out and spread at the side of the
bed. Some doctors are very neat about their work, but some are--
well, perhaps I better not say it; we must not criticise the
doctors.
But sometimes it is best to have protection for the floor, it
gives the nurse a comfortable feeling quite beyond description to
know, that, no matter what may happen, the carpet will not be
ruined.
XII
AS TO WASHING THE BABY
Public-domain text, read in full here on John Shaqi.
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