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
=Disposal of Sputum.= The nurse has by this time prepared the way for
the prophylactic supplies, which she carries in her bag. These consist
of a tin cup, fillers, paper napkins, disinfectant, and so forth. She
must teach the patient how to use and dispose of them, as well as their
advantages—the latter reason not being always apparent to the ambulatory
case. She must teach that danger to himself and others lies in the
sputum coughed up from his sick lungs, and that the simplest way to
receive it is in the little tin cup, whose waterproof filler can easily
be burned. To the advanced case, with profuse expectoration, these
light, convenient little cups are a great improvement over the household
spittoon, which should be banished at once. Bed patients, or those too
weak to raise even this light cup to their lips, may be taught to
expectorate into the paper napkins, of which they should be given a
large supply. A simple way of disposing of these napkins is to pin to
the bedclothes a large paper bag (such as are used for groceries), into
which they may be thrown. Failing a paper bag, a cornucopia made of
newspaper will answer the purpose, the object being to let the patient
himself place this infective material in a receptacle which can be
burned in its entirety, without its contents being handled by anyone
else.
The problem of destroying sputum cups and their contents is often
difficult. The proper and only sure way is to burn them, and no other
course should be considered. Yet in summer, when many patients have no
coal fires, but merely gas or oil stoves, many difficulties arise. Under
such circumstances the patient may wrap his cup in a newspaper, place it
in a galvanized iron bucket, and then set it on fire. This is a
nuisance, as well as somewhat dangerous, and since these fillers and
their contents are hard to burn, the simpler method of throwing them in
the gutter becomes an irresistible temptation. To see that these fillers
are properly destroyed requires constant supervision and instruction and
is one of the most important of the nurse’s duties.
The patient should destroy the fillers himself—they should be handled by
no other member of the family, unless of course he is too weak and ill
to do it. Even when very ill, however, it is nearly always possible for
him to remove the filler from the cup and place it in a newspaper, which
is then rolled up by someone else and carried out to the fire. Needless
to say, the nurse must teach those who touch or handle this cup how
important it is to wash their hands thoroughly afterwards.
Public-domain text, read in full here on John Shaqi.
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