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
Immediately after securing the above appropriation, the State Department
of Health began to establish dispensaries throughout the state, one or
more in each county. The staff of each dispensary consists of a chief, who
is also county medical inspector, and a corps of assistant physicians and
visiting nurses. There is a supervising nurse with one assistant at
Harrisburg, who oversee and inspect the work of the staff nurses.
The number of nurses in the dispensaries throughout the state varies from
a nurse shared by another organization or a practical nurse giving part
time, to from four to seven nurses in one dispensary. There are now more
than 115 State Department Tuberculosis Dispensaries in Pennsylvania,
Philadelphia having three.
An idea of the general plan of the work may be gained from a description
given of the State Department Dispensary No. 21, located in Philadelphia,
by Dr. Francine:
"There are at present five nurses employed at Dispensary No. 21,
two of whom give their whole time to following up the return
cases from the State Sanatoria. As soon as the case is
discharged from the sanatorium, that information, with other
data regarding the condition on discharge, etc., is sent to us
at once. At the end of a stated period, if that case has not
been returned, the nurse looks it up, and gets it to come in.
The nurses make out detailed reports on all cases discharged
from the sanatoria, at periods of six months, whether our own
patients or not. These will be and are valuable for statistical
data. Practically all the data for reports as to subsequent
results in cases discharged from the sanatoria, which have
appeared in this country at least, have been made up from
information gleaned by writing the discharged patient and having
him fill out his own report. It does not tax the imagination
unduly to conclude which is the more accurate, the answers to
questioning by a trained worker (we have selected for this work
the two nurses who have been with us longest) who in addition
takes the temperature, pulse, etc., herself, and usually
succeeds in getting the patient back to the dispensary for at
least one re-examination; or such answers as a patient may see
fit to make to a printed questionnaire.
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