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Florence Nightingale - Subsidiary Notes as to the Introduction of Female Nursing into Military Hospitals in Peace and War

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Florence Nightingale Subsidiary Notes as to the Introduction of Female Nursing into Military Hospitals in Peace and War
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SUBSIDIARY NOTES AS TO THE INTRODUCTION OF FEMALE NURSING INTO MILITARY HOSPITALS IN PEACE AND IN WAR.
Transcribers Note
There are three parts to this book, each starting with page 1.
Footnotes have been moved to the end of each part.
Variant spelling and inconsistent hyphenation are retained, a few palpable printing errors have been corrected.
To make some tables easier to read on small screens some words have been repeated, for example each occurence of the word idem in the key of the has been replaced by the words it represents.
The key for the was originally handwritten. No changes have been made to this for missing or irregular use of accents or cedillas.
The near the end of the book were originally printed in landscape, with some sideways printing. The columns and rows have been swapped to make these tables easier to read on small screens.
Cover
SUBSIDIARY NOTES
AS TO THE
INTRODUCTION OF FEMALE NURSING
INTO
MILITARY HOSPITALS
IN PEACE AND IN WAR.

Presented by request to the Secretary of State for War.

LONDON:
PRINTED BY HARRISON AND SONS, ST. MARTINS LANE, W.C.
1858.

CONTENTS.
PAGES
Digest
Thoughts submitted by Order, concerning
I.Hospital Nurses
II.Nurses in Civil Hospitals
III.Nurses in Her Majestys Hospitals
Systems of Female Nursing in the War Hospitals of the different Nations engaged in the Crimean War
Note in regard to the Russian Nurses employed in the War Hospitals of the Crimea

Subsidiary Notes as to the Introduction of Female Nursing into Military Hospitals in Peace and in War
Addenda with regard to Female Nursing in a Military Hospital on the Pavilion or Lariboisire Plan
Addenda as to Mixed Nursing, by Nurses and Orderlies, in Military Hospitals, on the Double Pavilion or Vincennes Plan
Additional Hints as to Ventilation, Hospital Floors, and Cautions in Ward-building suggested by the Lariboisire Hospital
Note on Contagion and Infection
Note on Observations by the Principal Medical Officer of the Army in the East

Thoughts submitted as to an Eventual Nurses Provident Fund
Note as to the Number of Women employed as Nurses in Great Britain
Note as to Teaching Nursing

ILLUSTRATION.
Plan of the Lariboisire Hospital at Parisp.

DIGEST.
PAGES
THOUGHTS SUBMITTED BY ORDER
CONCERNING
I.Hospital Nurses.
II.Nurses in Civil Hospitals.
III.Nurses in Her Majestys Hospitals.
I.Hospital Nurses
Twenty Observations on how to improve Hospital Nursing.
II.Nurses in Civil Hospitals
Twenty-three Heads for Regulations as to Nursing in Civil Hospitals.
III.Nurses in Her Majestys Hospitals
Twenty-two suggestions in the event of the introduction of Female Nursing into Military Hospitals.
Various systems of Female Nursing during the Crimean War in the Military Hospitals
Of the French and Sardinians
Russians
English
Proposed Duties of Female Nurses in Military General Hospitals
The Hospital Serjeant, or Ward Master will not be supersededhe will still have too much to do for any one man properly to perform, and part of his duties must be given to another officer
Note in regard to the Russian Nurses employed in the War-Hospitals of the Crimea

SUBSIDIARY NOTES AS TO THE INTRODUCTION OF FEMALE NURSING INTO MILITARY HOSPITALS IN PEACE AND IN WAR
I.Five Conditions essential to this service
II.Our Nurses were of four kinds
Absolute subordination to the Medical Officer as to Medical Orders essential and practised by us
III.1. Qualified subordination essential of Superintendent-General to Director-General and Principal Medical Officer
2. Also of Matron and Nurses to Principal Medical Officer and Staff-Surgeons
3. Female service can only be introduced gradually, and introduction regulated by Director-General
IV.1. Shall Roman Catholic Sisters be introduced?
2. Or Anglican Sisters?
3. Power of Police in Civil Hospitals
Power of Police in Military Hospitals
4. Pay and Rations of Nurses
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
5. Washing to be put out
6. Cleaning their own Rooms
7. Nurses to keep keys of closet in Wards
8. Pay, dress, and duties of Matrons
More properly named Superintendents
Lady Volunteers had better begin by being Nurses, not Superintendents ex-officio
9. Sundry Regulations as to Nurses
10. Have the Patients Diets sent hot, and ready divided, from kitchen
11. What Ward duties the Nurses should do themselves
And why
Patients should not be made quasi Orderlies
Visitors in Military Hospitals
12. Regulation-Number of Orderliesdepends on the size of wards whether sufficient
What is the regulation-attendance in Naval Hospitals
What in Civil Hospitals
Comparative Cost of Nursing in larger and smaller wards
13. Hospital floors
Sanitary necessities
Trial of Hospital floors, oiled and polished with laque as in Berlin Hospitals, recommended on sanitary grounds and for ease of cleaning
14. Ventilation of Wards
15. Special Wards, whether desirable or not
16. Opinion as to Superintendent-General paying Nurses wages, and as to Governors jurisdiction over Nurses
17. Wages and Pensions of Nurses
Three rules in raising Wages
Five general principles as to Wages and Pensions
Six applications of the foregoing principles
Seven heads for Regulations as to Nurses Wages and Pensions
18. Proportion of Nurses to Patients
19. Precautions in sending Nurses on Foreign Service
Hospital Laundries
Addenda, with regard to Female Nursing in a Military Hospital on the Pavilion, or Lariboisire Plan
I.Four conditions to be considered in adopting the Pavilion Plan
1. Economy of attendance
2. Facility of supervision
3. Desirableness of doubling the Pavilion, in a Military Hospital, in order to give to each Nurse but one floor to serve
4. Nurse to sleep near her Ward
Importance of lighting by gas
II.1. One Nurse must serve the whole Pavilion, in a Military Hospital, if
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