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
At the furthest end of the ward should be a water-closet, with not
less than one soil-pan to each eight beds: and white earthen or
porcelain urinals in the same proportion. In the London Civil Hospitals
water-closets are now in general use throughout the wards, but not in
all of the great Hospitals. In all the Civil Hospitals, it is usual
that the patients’ water-closets have no inside bolt or lock, and
that there is only accommodation for one inside. In some London Civil
Hospitals the male patients, able to take exercise, are expected to
make use of urinals out of doors. These matters one, two, or three
experienced army surgeons had better pronounce upon; other things are
to be considered than the recommendations of architect, plumber, or
even sanitarian.
[Sidenote: Sink.]
There is in a Berlin Hospital a very useful piece of prosaic
apparatus--adjoining the water-closet, a sink, with a high, large,
deep, round, pierced basin of stone, above a _large_ hole, into which
the contents of a bed-pan can be at once emptied, and from which the
bed-pan is at once effectually cleansed. Adjoining this is a sink into
which all other slops are emptied. In mentioning this pierced basin or
sink solely for emptying and cleansing bed-pans, &c., which is used at
the Bethanien Hospital at Berlin, and is far better than emptying the
said vessels into the often-occupied water-closet, and then cleansing
them in an awkward fashion between the water-closet and the sink, it is
necessary to add that the cock ought to extend far enough over the sink
for the bed-pan, &c., to be thoroughly cleansed by a stream of water
falling directly into it. The Nurse stands at the sink, empties the
pail, &c., in it, without fear of splashing, and rinses and fills it,
without stirring from the place. Now this absence of splashing water
and of moving about from sink to pump, or cock, saves mess and time.
The oblong sink, usual in England, has by no means the same advantages.
(The partition containing the sink would be an appropriate receptacle
for the bed-pans to hang by hooks or nails on the wall pending their
use.)
[Sidenote: Baths.]
In Civil Hospitals, two baths, in an airy closet at the end of the
ward, to be locked at all times when not in actual use, are a very
great advantage. Bringing a bath into a ward, which in many urgent
cases must be done when the baths are distant, is a messing discomfort.
Still it had better be left to surgeons to say whether, in Military
Hospitals, it would not be preferable to have, in each ward, only a
portable bath, on wheels, covered with india-rubber, to be brought
into the ward for any urgent case; and to take all the men able to
walk, or safely to be carried, to the Hospital baths. Of these, some
trustworthy, or intended and supposed to be trustworthy, man, who
ought to rank as a non-commissioned officer, should have charge. An
intelligent and respectable-looking man, a serjeant, has charge of the
baths in the Garrison Hospital at Vienna.
Public-domain text, read in full here on John Shaqi.
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