Nurses' Papers on Tuberculosis :: read before the Nurses' Study Circle of the Dispensary Department, Chicago Municipal Tuberculosis SanitariumChicago (Ill.). Municipal Tuberculosis Sanitarium. Dispensary Department
Science
Nurses' Papers on Tuberculosis :: read before the Nurses' Study Circle of the Dispensary Department, Chicago Municipal Tuberculosis Sanitarium
Chicago (Ill.). Municipal Tuberculosis Sanitarium. Dispensary Department
Tuberculosis
The organization of the work of the new Health Department tuberculosis
nurses has been based upon the district system in force among the
Associated Clinics. In each clinic district a staff of Health Department
nurses is maintained, charged with the sanitary supervision of cases of
pulmonary tuberculosis in that district. They visit at least once a month
all "at home" cases; that is, cases not regularly attending clinics, not
in an institution, or not under a private physician's care. These nurses
report daily at the tuberculosis clinic, which is used as a district
headquarters, and there receive assignments. One nurse is detailed as
Captain, or supervising nurse of the district, and acts as official
intermediary between the clinic and the Department of Health. Each morning
the nurse telephones to the Department of Health the daily report of her
staff and of the clinic, and obtains information received at the
Department regarding cases in the district. In case of death or removal of
tuberculous patients from a home the district nurses order disinfection of
the premises and bedding; they make arrangements for admission of patients
to hospitals or sanatoria, investigate complaints made by citizens, see
that regulations of the Department of Health regarding expectoration are
observed, and use their authority to induce delinquent cases to resume
attendance at the proper clinic. They also visit families of patients in
hospitals at intervals. Each nurse keeps a complete index of all cases of
pulmonary tuberculosis in her district, which is at all times accessible
to nurses and physicians at the clinic.
In the Department of Health clinics, the plan is as follows: a supervising
nurse who does no district work, and several field nurses, each assigned
to special duties on clinic days, such as registration room, throat room,
examining rooms, etc. Field nurses are also responsible for the care of
patients in their sub-districts, each nurse carrying an average of about
125 patients on her visiting list at one time.
BOSTON
A staff of twenty-five nurses, working from the Out-patient Department of
the Boston Consumptives' Hospital, has the supervision of all tuberculosis
cases in their homes, and the follow-up work on all discharged sanatorium
and hospital cases in the city of Boston.
All cases of tuberculosis reported to the Health Department, whether under
the care of a private physician or not, are visited at least once by a
nurse from this staff, to see that they are carrying out a proper plan of
isolation.
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