other dispensary in the city, has had a large staff of nurses placed at its disposal. Both the dispensaries and the community gain through this co-operation. CHAPTER XV The Nurse in Relation to the Institution—Reports Made to the Institution—Procuring Patients for it—The Value of the Sanatorium—Sanatorium Outfit—Return from the Sanatorium—Work for the Arrested Case—Light Work—Outdoor Work. =The Nurse in Relation to the Institution.= As the nurse is the go-between from patient to physician, and from patient to dispensary, so also does her service link together patient and institution. This, of course, is only possible if she is a public health nurse—not if she is the agent for one institution alone, or if she is employed to serve one set of people instead of the community as a whole. Just as she should be at the service of every physician, dispensary, and layman who chooses to call upon her, so in like manner should she serve both hospital and sanatorium. She will act as beater-up in the matter of sending patients into these institutions; will arrange all details connected with their admission, and finally, upon their discharge, will take them again under her supervision and care. By this co-operation, the patient himself profits, likewise the community, while the institutions are enabled to keep in touch with their discharged cases, learn of their condition, and, through the nurse’s reports, add to their histories and records from time to time in a way which will greatly enhance their value. There is complete co-operation between the various institutions of Baltimore and the nurses of the Health Department. Of the five institutions near the city, four admit both early and late cases, while one is for advanced cases only. Whenever a patient is admitted to or discharged from one of these institutions, either hospital or sanatorium, the Health Department is at once notified of the fact. Following admission, the nurse visits the home and arranges for the fumigation. Two thirds of the patients admitted are already known and under supervision, but whether known or unknown, the visit is made and fumigation arranged for in the usual manner. In homes where the patient is unknown, the nurse often finds suspicious cases, which she sends for examination and diagnosis. By means of this sharp look-out the visiting list is considerably augmented.