Housekeepers must be avoided, and every woman must have a distinct and sufficient share of work, and each be distinctly and equally under the Matron. Still it would be advantageous if we could from the first include in the staff of Nurses for the larger Hospitals, one or two places which could be filled by efficient persons who yet were unfitted for the ward work, which calling will be, and ought to be, laborious and wearing enough. Many a woman would never do to look after a Pavilion and seventy-five men; who yet, in charge of linen or stores, would be most valuable, and influence most beneficially the Nurses, whom yet she might be unfit to govern. The system of the Sœurs de St. Vincent, who, in theory and fact, subject entirely to the will of the Superiors in general practice, are yet selected and trained for spécialités, who remain long in these spécialités, which spécialités include such requiring more or less of physical strength, seems to be one giving many useful hints for us. ADDENDA AS TO MIXED NURSING BY NURSES AND ORDERLIES IN MILITARY HOSPITALS ON THE DOUBLE PAVILION PLAN. I. After much anxious thought, re-consideration of all things, and pondering, I submit-- 1. That three Orderlies will efficiently serve a ward of from 28 to 30 patients, including night-duty. 2. That each of two wards of 30 each, should there be two such under the same Head Nurse, on the same flat, ought to be entirely separate in all other respects. 3. That if night-duty be required, each such ward should have an Orderly on night-duty. 4. That each such ward should have a scullery. With regard to these questions, I further submit-- 1. Economy of hands, combined with efficiency of service, is an urgent thing in all Hospitals; most of all in Military Hospitals, On the score of expense; On that of efficiency of inspection; From the nature of Military Hospitals, where the aim should be throughout to combine great simplicity with thorough efficiency; From the importance of training the staff, male and female, of Military Hospitals, for service in War Hospitals, where every man or woman who can be spared is better away. 2. Yet economy of hands, carried too far, becomes, like all other such economies, penny wise and pound foolish. 3. Without doubt, large wards can be efficiently served by fewer hands than small or moderate wards. But, as sanitary considerations limit the size of wards to from 24 to 30 patients, let us make this the basis of all calculation. 4. The more it is considered, the more essential it appears, to train Nurses, from the first, to do efficiently a great deal of work. A small staff of respectable, laborious, and thoroughly efficient women seems the thing to be aimed at; whether considering Military Hospitals by themselves, or as a training-school for Hospital war-service. 5. It would be better to give each Nurse one great ward; but wards above a certain size are inadmissible for sanitary reasons.