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
(5.) In all Naval Hospitals, the Regulation number of attendants is
1 to every 7 patients, or 2 attendants for each ward containing more
than 7 patients and up to 14. These Attendants or Nurses, in sailor’s
language, have charge of the linen, bedding, and ward furniture, under
the Ward Matron, and they are responsible for the proper care of the
sick, and the due administration of the medicine, wine, and other
medical comforts. They are on duty all day and watch at night in their
turn, which is regulated by the Medical Officer in charge of the ward,
in this or similar fashion:--a group of three contiguous wards is
allotted during the night to two nurses, one begins her duty at 9 and
ends at 1 o’clock, when she is relieved by another, who watches till
6. She patrols the three wards, resting in that one where there may be
a case requiring more than ordinary attention. If there should be a
case of fever, delirium, or other sharp seizure, extra Nurses, both men
and women, are assigned to the charge of that special case, according
to the urgency of its wants. The great majority of Naval patients are
either convalescent, or suffering from trivial complaints, which do not
impair their activity. They can therefore take care of themselves, and
assist the Nurse during the day in cleaning the wards, &c.--and we know
what good housemaids seamen make. The Nurses are paid one shilling a
night for night watching. They have under the most severe circumstances
two-and-a-half nights in bed for half a night out of bed.
At Haslar Naval Hospital the system of Orderlies, as understood from
the Principal Medical Officer, is as follows:--12 Orderlies are on a
floor, to look after, say, 90 patients. These are divided for night
duty into three divisions of 4 each; of these 4--
2 are on from 9 to 2, A. M.
2 ″ ″ 2 to 8.
The Head-Quarter room or ward is the one which has the most severe
cases; this ward, then, the Watcher at night sits in, and makes the
rounds of the others every now and then to see if anything is required.
This system will of course be modified, according to the nature of the
cases in Hospital. The other attendants do not sleep in the wards. The
Nurses are male or female according to the discretion of the Principal
Medical Officer.
[Sidenote: Civil Hospitals have even 9 Attendants to 44 Patients.]
In Civil Hospitals the number is as great of attendants to patients,
and is mainly determined by the size of the ward:
_E.g._, in one Hospital, where there are quadruple wards of 44
patients, 11 in each compartment, though the average number of patients
is 48, the number of attendants is 7.
In exceptional cases extra Night-Nurses, sometimes extra Day-Nurses
serve particular patients. The labour, both of cleaning and of
night-nursing, is much increased by the wards being four, separated by
a large lobby.
In another of the large London Hospitals, where there are to each ward,
PATIENTS. ATTENDANTS.
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