Subsidiary Notes as to the Introduction of Female Nursing into Military Hospitals in Peace and WarNightingale, Florence
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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
7. To each ward should be attached a scullery, small, but not too
small, which only muddles things and work, well provided with cold,
and, if possible, with warm water; and it should be law that no patient
enters the scullery unless sent there by the Nurse to help in washing
up, &c.; and, as a rule, they ought not to be sent there. Make them
useful in the ward; keep the scullery for the Nurse and Orderlies.
[Sidenote: 8. What should be done in the Scullery?]
8. From this scullery let the Nurse get the water she
requires--Orderlies ditto.
Let the Orderlies eat their meals in it, if they do not eat them away
from the ward. The food of the Orderlies is generally different from
that of most of the patients, and it answers better for them to eat
their meals not under the noses of the patients. In emergencies, of no
rare occurrence, the Orderly must watch a patient and eat his dinner at
the same time, and so must the Nurse; but, as a rule, it is undoubtedly
better that ward-servants should not eat under the observation of the
patients.
In the scullery all the cleaning must take place, which is not done in
the lavatory.
In the scullery extras are to be warmed, drinks ditto, hot-bricks
heated, water-bottles filled, &c., &c., &c., and none of these things
are to be done at the ward-fire.
[Sidenote: Poultice-making.]
On the other hand, there is no way so good of making poultices, a thing
humble but important, as for the Nurse to stand at a small table in
front of the ward-fire, to make the poultices there, spread them, and
forthwith apply them.
Sometimes in a large ward, where the Surgeon orders them extensively,
a large iron pot is filled with poultice, and then quickly spread and
applied. Sometimes the pot is filled and the poultices spread in the
scullery or kitchen, to avoid the mess in the ward. When a number of
poultices are thus spread away from the sight of the patients, even by
very clever Nurses, some arrive too large, or too small, or too broad,
or too narrow; and either the poultice has to be returned, or, as of
course usually takes place, to be put on the wound it does not fit.
I would not trust any Nurse, including myself, to make a number of
poultices of the right size, unless within sight of the patients.
Rather than do this it is better to make the poultice-pot (wood does
not hold heat, this must be of iron), in the scullery, to take it into
the ward, and there spread and apply the poultices.
But a large iron pot of linseed poultice seldom contains the article
nearly so well made, as when made in smaller consecutive quantities in
a wooden bowl. The bowl does not keep warm above a certain time. Where
the poultice is made in a mass, even by very clever Nurses, it never is
so well made as when the Nurse makes the poultices in the wooden bowl.
These must be forthwith spread, applied, and the bowl re-filled, if
more are wanted.
Public-domain text, read in full here on John Shaqi.
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