Subsidiary Notes as to the Introduction of Female Nursing into Military Hospitals in Peace and War — John Shaqi
Subsidiary Notes as to the Introduction of Female Nursing into Military Hospitals in Peace and WarNightingale, Florence
History
Subsidiary Notes as to the Introduction of Female Nursing into Military Hospitals in Peace and War
Nightingale, Florence
Military hospitals -- Great Britain; Nurses -- Great Britain
Nor, without such concurrence, can the duties of the Nurses be
assigned. At this moment there are extant two sets of Regulations--the
old Army Hospital Regulations, and those of 1855 made for the late
Medical Staff Corps. In these Regulations, both the former and the
latter, every duty a Nurse can discharge is assigned to different
men. The responsibility of the ward, the administration of diets
and medicines, the application of poultices, fomentations, leeches,
enemas, and minor dressings, are all in so many words assigned as the
duties of Assistant-Surgeons, of Hospital-Serjeants, and Orderlies; and
of Assistant-Surgeons, of Ward-Masters and Orderlies of the Medical
Staff Corps. The Regulations in general are being revised;--so much
the better. But the new body of Orderlies, announced in the “Gazette”
as the Hospital Corps, will, of course, receive rules from the
Director-General; and if these things are not settled with him, there
will be contradictory rules in operation, which will most materially
thwart the working of the Female Service.
We have ourselves experienced this, as to the administration of
medicines, which one Principal Medical Officer took away from the
Nurses, saying that it was the duty of the Assistant-Surgeons, in which
he was borne out by an existing Regulation. And it would really seem as
if this were the intention of the said Regulation, for it is there laid
down that the medicines are to be administered twice-a-day, as if this
were a property of medicine.
The existence of these Regulations proved also a great stumbling-block
in the Castle Hospital, after the war-pressure was over.
Unless the Director-General, and in war and abroad, the Principal
Medical Officer, are brought into regular communication with the
Superintendent-General of Nurses, by the Rules, they will, at every
inspection of Hospitals, revert to the procedure of giving orders
and making alterations, which in fact amount to reprimands on the
Superintendent-General, and on her Matrons, through the medium of some
Clerk or Orderly. There should be, therefore, a distinct channel of
communication laid down between the Director-General, and in war and
abroad, the Principal Medical Officer and the Superintendent-General of
Nurses.
[Sidenote: 2. Also between Principal Medical Officer and Matron,
Staff-Surgeons and Matron, Staff-Surgeons and Nurses, and the qualified
subordination of the Matron and Nurses.]
2. Also, and in the same way, there should be distinct rules for direct
communication between the Principal Medical Officer of each Hospital,
and the Matron, and between the Staff (or equivalent) Surgeons of the
Hospital, and the Matron; if not also between these latter and the
Nurses.
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