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
Each nurse should have a filing box or drawer in which to keep these
charts; they should be arranged in alphabetical order, and kept at the
central office, where the superintendent may have ready access to them.
These charts are the property of the association, and under no
circumstances are to be removed from the central office. The nurse may
make her entries upon them either at the end of the day’s work, or
before she goes on duty the next morning.
=Closing the Chart.= Patients are removed from the visiting list when
they die, or when they are discharged. They are discharged only for one
of three reasons—either they leave the city, or they move and their
address is lost, or they prove not to be tuberculous. When a patient
dies or is discharged, a suitable entry is made on his chart, which is
then turned in to the superintendent of nurses, or to whomever is
responsible for the records. If there is only one nurse, it is of course
her duty to file these closed histories. These records should be rich
mines of sociological information, and should contain valuable material
for those who have access to them, such as municipal authorities,
physicians, and social workers. Except for the access allowed to these,
the files should be confidential.
=The Card Index.= All offices should contain a card index, giving the
name and address of each patient under supervision. Change of address
should always be noted, since it is only by means of this card index
that the particular chart desired can be referred to. For example: the
card index contains the names of some 3000 cases, all under supervision,
and each one having its own chart. The charts themselves, however, are
distributed among the filing boxes of several nurses. If particulars are
wanted concerning John Doe, it would be necessary to turn first to the
card index, find his address and the district in which he lives, and
then turn to the filing box of that district and take out the chart. If
it were not for the card index, it would be necessary to search through
all the filing boxes before finding the desired chart.
[Illustration: Card, three by five inches, used in Card Index]
As the discharged charts are handed in, the corresponding card in the
index is withdrawn and filed away in a drawer containing either the dead
or the discharged cases according to circumstances. This is a very
simple way of keeping records, and of balancing from day to day the
number of patients on the visiting list. This balance may be made every
week or every month, as desired, for it is a simple method and reduces
to a minimum the opportunities for mistakes in addition and subtraction.
Needless to say, no one but the superintendent or her secretary should
have access to, or touch these files in any way.
Public-domain text, read in full here on John Shaqi.
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