7. Adequate supply of non-professional personnel for all needs of
hospital.
8. Satisfactory fire protection for all classes of patients and
perfect fire protection for bed-ridden patients.
9. Satisfactory sanitary conditions as regards heat, light, sewage
and garbage disposal, toilets, baths, water supply, laundering,
cooking, dishwashing, refrigerating, handling and serving of food,
care of clothing and valuables, cleanliness of buildings, etc.
10. One hundred square foot of floor space for each bed and distance
between beds of 3 feet.
11. All rooms and porches to be screened against flies and mosquitoes
during the season.
12. Satisfactory record should be made of personal histories, physical
examinations, all professional treatments, all clinical,
serological, bacteriological or other Laboratory work done for
patients, also all x-ray, fluoroscopic and other special
examinations made, progress notes, working and final diagnoses,
and these records should be kept in a form permitting ready
reference.
13. There should be surgical operative facilities provided with
sufficient equipment and competent organized personnel to meet
properly all ordinary surgical emergencies and to perform all
ordinary surgical operations in a manner and with results which
meet general professional approval.
14. There should be clinical laboratory facilities or definite
arrangements for these facilities to properly carry out clinical,
bacteriological, serological, x-ray and fluoroscopic examinations.
15. Physiotherapy: provision for special treatment, such as
hydrotherapy and electrotherapy.
16. The systematic use of occupations for their therapeutic effects,
under the direction of workers specially trained for this duty.
17. Special attention to recreation and diversion with reference to
their therapeutic value.
18. Patients to be taught the elementary principles necessary to
secure co-operation in treatment.
19. No charges to be made for patients absent from hospital for more
than 24 hours.
20. No extra charges to be made the patient for thermometer, sputum
cups, reclining chairs, blankets, medicines or special diet, nor
for any other article of a similar nature furnished without charge
to a patient in Government sanatoriums.
_ADDITIONAL REQUIREMENTS FOR TUBERCULOSIS HOSPITALS_
1. Resident physicians skilled in tuberculosis—if not living actually
on the premises, to be available in five minutes or less. (Not
less than 1 for 50 patients.)
2. Outdoor sleeping facilities, or in lieu thereof, provisions for
unlimited ventilation of rooms.
3. Suitable rules prescribed for conduct and published rules
providing for a satisfactory regimen of treatment in tuberculosis
hospitals.
4. Satisfactory treatment conditions, including measures for
enforcing suitable discipline and to prevent absence without leave
and to prevent excessive exercise, whether from amusement or
otherwise.
_ADDITIONAL REQUIREMENTS FOR NEURO-PSYCHIATRIC HOSPITALS_
1. Direction of the administration of the hospital and leadership in
its medical work by physicians trained in the diagnosis and
treatment of mental diseases.
2. An adequate medical staff organized so that duties are divided in
accordance with the training of its different members and with the
requirements of the clinical work.
3. Regular and frequent conferences of the medical staff at which the
diagnosis, treatment and prognosis of each new case admitted are
considered and at which cases about to be discharged are
presented, training in psychiatry for new members of the staff
being considered as a special object.
4. The reception of all new cases in a special department or in
special wards where they may receive careful individual study and
where those with recoverable psychoses may receive continuous
individual treatment.
5. Classification of all patients with reference to their special
needs and their clinical condition, such classification being
flexible enough to permit frequent changes.
6. A system of clinical records which permits study and review of the
history of cases even after they have been discharged.
7. When possible, the maintenance of a school of nurses under the
direction of a supervisor of nurses, who should have, not only the
training in general nursing, but special training in nursing
patients with mental diseases.
8. The employment of female nurses in all reception and infirmary
wards.
9. Liberal use of parole for quiet, chronic patients who can live in
farmhouses.