The Tuberculosis Nurse: Her Function and Her Qualifications: A Handbook for Practical Workers in the Tuberculosis Campaign — John Shaqi
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
=Disinfectant.= The most expensive of the supplies is the disinfectant,
which is also probably the least valuable. That used in Baltimore is a
special preparation, consisting largely of creolin; it is put up in pint
bottles by one of the large wholesale drug houses. For use, it is
diluted in water, a tablespoonful to a pint, and used in wiping up
floors, furniture, and so forth. It is of necessity too dilute to have
much germicidal action, and the patients place far too much reliance
upon its odor—which, to the ignorant mind, is of prime importance.
Although we use this disinfectant, we prefer to teach our patients that
better results may be obtained by the lavish use of hot water, brown
soap, and a scrubbing brush, and that thorough cleaning of this kind is
of more value than the most malodorous drug ever dispensed. Disinfectant
to be of real use must be strong and powerful, and it is dangerous to
distribute such powerful drugs promiscuously. Several of our patients
have tried to commit suicide by drinking even the weak preparation that
we gave them. On the whole, we believe that an anti-tuberculosis society
would lose nothing by omitting disinfectant from its list of
prophylactic supplies, and better results could be obtained by
substituting a thorough grounding as to the value of soap and water.
=Waterproof Pockets.= These are little calico bags, dipped in paraffin,
or some similar preparation which makes them fairly waterproof. These
are pinned inside the coat pocket, and the patient uses them as a
receptacle for his soiled napkins, when he is out on the street, or in
other places where he cannot carry his sputum cup. The napkins are
burned upon his return.
=Books of Instruction.= These little books are more or less valuable,
but are by no means intended to take the place of the verbal instruction
which it is the nurse’s duty to give. They serve merely to refresh the
memory after she has gone. They can be procured at small cost through
the various anti-tuberculosis organizations, and most Boards of Health
print them for their own distribution. The best of them are inadequate.
=Stocking the Bag and Distributing Supplies.= When the nurse starts
forth on her morning rounds, her bag should contain enough supplies for
the patients she proposes to call on. Each should be given enough to
last until her next arrival. It is sometimes possible to direct either
the patient himself, or some member of his family, to come to the office
and get a fresh stock whenever necessary. By putting this slight
responsibility on the family, it is made to realize how necessary are
these supplies, but it should not relieve the nurse of her obligation to
visit such a household, and keep it under as close observation as any
other case. If a nurse thus trains a certain number of patients to come
themselves for the supplies, she will be able to reserve the contents of
her satchel for those patients who cannot call for them, or who are too
indifferent to do so.
Public-domain text, read in full here on John Shaqi.
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