The Tuberculosis Nurse: Her Function and Her Qualifications: A Handbook for Practical Workers in the Tuberculosis CampaignLa Motte, Ellen N. (Ellen Newbold)
History
The Tuberculosis Nurse: Her Function and Her Qualifications: A Handbook for Practical Workers in the Tuberculosis Campaign
La Motte, Ellen N. (Ellen Newbold)
Tuberculosis -- Nursing; Tuberculosis -- Nursing -- United States -- History
On the other hand, some nurses pay far too few visits because they have
no head for planning their work, but linger, past all necessity, over
unimportant details. To judge if a district is being properly visited,
the superintendent should know the district, and she should also know
her nurse’s capacity. To estimate the value of the day’s work by the
number of visits alone, is like those societies who reckon their value
by the number of pieces of literature they distribute, totally
regardless as to whether any of it bears fruit.
Roughly speaking, each patient should be visited once a week; failing
this, once every ten days or two weeks. In a few exceptional instances,
this time between visits may be still further extended, but this should
happen only when the patient is doing extremely well, following all the
rules, and giving efficient and intelligent co-operation. There are not
many patients in this class—for the average, supervision to be adequate
must be frequent.
Very ill patients, however, must be seen two or three times a week—every
day would not be too often, did the work permit. Unfortunately, if the
visiting list is large, these sick patients can be visited only at the
expense of other cases better able to take care of themselves. For this
reason, the visits to ambulatory patients may become as infrequent as
once every three weeks. If the visiting list grows so large that these
infrequent visits are all that the nurse can give, then her instruction
is laid on so thin as to be nearly worthless, a condition of affairs
which calls for another nurse.
=The Nurse’s Office.= An office is a necessity for the nurse as a place
where she may keep her nursing and prophylactic supplies, and at which
she will report at certain hours of the day, say at 9 A.M., at lunch
time, and possibly again in the afternoon before going off duty. At
certain specified hours, therefore, it will be possible to reach her,
either in person or by telephone, and her office hours should be known
to doctors, social workers, patients, or to any who have need to call
upon her. In a small town or country district, there will of course be
only one office, but in a city it will be necessary to have several
branch offices, accessible to the nurses of the different districts.
These branch offices should be situated on the border lines of two or
three adjoining districts, so that one office may be used in common by
several nurses. In a city there is also the central office, from which
the superintendent directs the work, and where the staff nurses report
daily.
Public-domain text, read in full here on John Shaqi.
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