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
The Military Head-Nurse’s Assistants are Orderlies, _i. e._ men and
soldiers, who, with the patients, are under military discipline. Of
this military discipline, the military power from the Commandant down
to the Non-Commissioned Officers acting as Ward-Masters, &c., is in
charge; the duty of the Military Nurse is, I apprehend, in case of
any insubordination which she cannot put down at once, to call in the
Ward-Master or equivalent, before calling in the superior Military or
the Surgical Officer; it being, however, well understood on all sides,
that she has the right of direct appeal to the superior Military or
the Surgical Officer, if the Ward-Master does not do his duty, or
in the event of a grave irregularity, if he is not at hand, besides
its being her duty to report such to the Matron, if the case admits
of being deferred till that can be done. It is impossible to settle
details until the regulations as to the new Hospital Corps are fixed;
and whatever regulations, whether for Nurses or for Orderlies are
made, some difficulty, and much discretion will be inevitable and
necessary in working them. But it is necessary to bear in mind that
whereas in the Civil Hospital the Head Nurse, under the control of, and
responsible to, the Officers, including the Matron of the Hospital,
is solely in charge of both the nursing and the discipline of her
ward, both as to patients and as to Assistant Nurses; in the Military
Hospital, she is in charge of the nursing, and the Ward-Master of the
discipline, both of patients and Orderlies. To be in charge of the
nursing, implies to have power to enforce discipline, but this is
rather, in ordinary cases, to call in the military power, beginning
from the lowest or Ward-Master’s grade and reporting this to the
Matron, than to invoke herself the military superiors. Therefore it
would be well worth while trying how far it would answer to serve the
three wards by one Nurse, who, in each ward where she successively is,
is bound, on perceiving any irregularity, to call in the Ward-Master,
and, in contingencies, to appeal directly to the Surgeon and the
Captain of Orderlies, and to make the discipline of the three wards
the charge of the Ward-Master, who is bound to go through the wards
when the Nurse is not in them. The Ward-Master, in order to fulfil his
charge, must enter all the wards, while the Nurse is in one of them; so
that the patients of one ward, who may know that they are safe from the
Nurse for half an hour or more, as she is in another ward, know that
they are not safe from the Ward-Master.
In a military Hospital we must bear in mind that it is essential that
the discipline over patients and orderlies should be exercised by men,
and that the Ward-Masters must be the lowest and immediate deposits of
this power of discipline.
All these things must be settled with the concurrence of the
Director-General.
Public-domain text, read in full here on John Shaqi.
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