II. Our Nurses were of four kinds 3
Absolute subordination to the Medical Officer as to
Medical Orders essential and practised by us 4
III. 1. Qualified subordination essential of
Superintendent-General to Director-General and
Principal Medical Officer 4–6
2. Also of Matron and Nurses to Principal Medical
Officer and Staff-Surgeons 6, 7
3. Female service can only be introduced gradually,
and introduction regulated by Director-General 7–9
IV. 1. Shall Roman Catholic Sisters be introduced? 9, 10
2. Or Anglican Sisters? 10
3. Power of Police in Civil Hospitals 11
″ ″ Military ″ 12–15
4. Pay and Rations of Nurses 15–20
On the whole it would seem best, where practicable,
to board the Nurses, not to “ration” them, nor
to let them “find themselves.” Community of
cooking implies economy of nourishment 17–20
5. Washing to be “put out” 20, 21
6. Cleaning their own Rooms 21–23
7. Nurses to keep keys of closet in Wards 23
8. Pay, dress, and duties of Matrons 24–28
More properly named Superintendents 27
Lady Volunteers had better begin by being Nurses,
not Superintendents _ex-officio_ 28
9. Sundry Regulations as to Nurses 29–31
10. Have the Patients’ Diets sent hot, and ready
divided, from kitchen 31
11. What Ward duties the Nurses should do themselves 31
And why 32, 33
Patients should not be made quasi Orderlies 34
Visitors in Military Hospitals 35
12. Regulation-Number of Orderlies--depends on the
size of wards whether sufficient 35–41
What is the regulation-attendance in Naval
Hospitals 37
What in Civil Hospitals 38
Comparative Cost of Nursing in larger and smaller
wards 39–41
13. Hospital floors 42–51
Sanitary necessities 42
Trial of Hospital floors, oiled and polished with
“_laque_” as in Berlin Hospitals, recommended on
sanitary grounds and for ease of cleaning 43–51
14. Ventilation of Wards 51–52
15. Special Wards, whether desirable or not 53–54
16. Opinion as to Superintendent-General paying
Nurses’ wages, and as to Governor’s jurisdiction
over Nurses 54–56
17. Wages and Pensions of Nurses 56–60
Three rules in raising Wages 56
Five general principles as to Wages and Pensions 58
Six applications of the foregoing principles 58, 59
Seven heads for Regulations as to Nurses’ Wages
and Pensions 59, 60
18. Proportion of Nurses to Patients 61, 62
19. Precautions in sending Nurses on Foreign Service 62
Hospital Laundries 63
ADDENDA, WITH REGARD TO FEMALE NURSING IN A MILITARY
HOSPITAL ON THE PAVILION, OR LARIBOISIÈRE PLAN 63–90
I. Four conditions to be considered in adopting the
Pavilion Plan 63
1. Economy of attendance 64
2. Facility of supervision 65
3. Desirableness of _doubling_ the Pavilion,
in a Military Hospital, in order to give to each
Nurse but one floor to serve 65
4. Nurse to sleep near her Ward 66
Importance of lighting by gas 67
II. 1. One Nurse must serve the whole Pavilion, in a
Military Hospital, if _single_ Pavilions be
adopted 68
2. Nurses’ day in such a Pavilion 68, 69
3. What the responsibility of Nurses is for
discipline of Ward or Pavilion 70, 71
4. Importance of Lifts 71
III. 1. “Casualty” Cases should be in a completely
appointed set of Wards, apart 72
And why 73
2. Restraint or non-restraint in Violent Cases 74
IV. Simplicity of Construction essential to Discipline 75
Polished impervious Walls.
Covered Exercising Place.
Reserve Wards 76