USA > Massachusetts > Norfolk County > Quincy > Inaugural address of the mayor, with the annual report of the officers of the city of Quincy for the year 1924 > Part 19
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On the old laundry building-I believe it is unsafe. Building In- spector should be notified.
Concrete walks should be installed to building entrances.
Inside
Ceilings need whitening and walls need painting. Several places need plaster repairs.
The wood work should be varnished.
New shades are needed at some of the windows.
Electric Lighting
Extension cords are poor. Insulation worn off and short cir- cuits are frequent.
Pilot light receptacles should be installed where flat irons are used.
Plumbing
In Ward E sewer drains give a great deal of trouble.
In Ward A and in basement underneath, drains are small and give trouble.
Provision should be made to prevent drains from freezing in the Superintendent's apartment.
Practically all hot and cold water faucets should be reseated, as nearly all leak, caused by jamming of valve seats. A self closing valve will prevent this fault and save water and heat units.
Heating Old Building
This is entirely unsatisfactory and can be re-arranged to give good results. The returns from the Faxon and Rice buildings should not be lost. The water hammer which causes distress among pa- tients can be entirely eliminated by installing a vacuum system, and this would pay for itself in less than two winter seasons. It is a question of waste and discomfort on one hand, or the saving of coal, satisfactory service and comfort among patients on the other. This should be attended to in the summer months.
Fire Protection
Practically speaking there is NONE.
We have at present 17 Badger and 2 Pyrene fire extinguishers. The Badgers at present are not suitably installed. They must be hung in open sight and I would suggest purchasing enough more so that each open ward would have two, one on each side of the ward. The hallways should have one at each end, and each store room should have one. The kitchens, on account of the hot fat, should have Foamite. Would suggest that suitable fire towers be installed for each ward and hallway, together with an electrical call alarm, an annunciator to be placed in the new service building. Fire door should be installed in basement at entrance to service building.
City Water Pressure
This is extremely low and it is necessary that the volume of water be increased. I find that in operating the new boiler plant
285
REPORT OF CITY HOSPITAL
that to open and fill two boilers through one inch pipe, that there is not enough pressure left to operate the damper regulator. This is very bad, and arranements must be made so that the condenser of the CO2 Ice Machine will always get its supply. At no time must water be stopped at this condenser, owing to the high pres- sure of the condensing gases. Working pressures vary from 700 to 900 lbs. to the square inch, therefore to stop pressure entirely, a rapid increase of pressure is bound to occur and that means a complete loss of gas and possible injury to the Ice Machine. This machine is not automatically controlled.
Remedy: Installation of an automatically controlled pumping system, large enough to give the desired pressure to all parts of the building, including the fire system.
It is my understanding, that during summer months there are times when water will not flow to the upper floor of the hospital building.
Approximate Cost of Buildings
Painting, two coats
$1,250 00
Roof shingled over nurses' dining room. 125 00
Fire escape, paint
75 00
New steps at entrance
250 00
Repair steps, old entrance
250 00
Piazza repairs
50 00
Windows and frames, carpenter
150 00
Gutter, Ward D
100 00
Re-set Platform run, Ward C.
300 00
Inside Buildings
Renew electric portables
75 00
Supt.'s bathroom, insulated to prevent freezing. 50 00
Fire Protection
To install piping and valves
1,000 00
Foamite extinguishers, 8 at $25.00
200 00
Signal system
450 00
Booster in increase City Water pressure
1,350 00
Oil burners for boilers.
6,000 00
Vegetable room, insulate for cold storage.
775 00
Vacuum system for heating plant (steam)
5,000 00
Constructing granolothic walks and roadway
2,550 00
A total of $20,000 00.
The Mayor insisted that he would approve only such work as could be done under the special hospital loan act. City Auditor Fairbanks went carefully over the report with the result that upon his recommendation an appropriation was made for-Vacuum Sys- tem, The Booster and Oil Burning, amounting to $12,000.00. Bids were called for and contracts awarded to the lowest bidders :-
Vacuum System-T. A. Ridder Co. $4,393
Booster, F. V. Hadley Co ... $1,385
The contract for the Oil Burning System never was awarded, but was referred to the next board. It may be well to add that all the work could have been done within the appropriation besides leaving a balance of about $150.00.
Other suggestions in the report to the amount of $550.00 were made from the general appropriation.
286
CITY OF QUINCY
A general rearrangement of the offices of the hospital has added to its efficiency and the convenience of all.
The new service building was opened in May, 1924, with a recep- tion to city officials and the entire medical fraternity of the city. On two other dates in May the building was thrown open to the general public for their inspection, and a goodly number availed themselves of this opportunity.
The need of a maternity pavilion has been much in evidence for many years, and at the request of the board the city council au- thorized the securing of plans. Messrs. Stevens & Lee were con- sulted and prepared plans for the same. The plans also provided for an addition to the operating room, quarters for the internes, a suitable autopsy room, together with the connecting corridors, all in harmony with a well studied plan of future development of the hospital. These plans were laid over until 1925.
The continued success and popularity of the hospital, under the efficient management of Miss Etta M. Bagley, shows that the board of managers made no mistake in electing her as their execu- tive officer under the title of superintendent. She has been in full charge and has at all times had the hearty co-operation of the board.
The board of managers wish to extend their thanks to the several Hospital Aid Associations of the city for their generous gifts and assistance, and to all others who have in any way aided in the care and comfort of those who received treatment at the Hospital.
Respectfully submitted,
FREDERICK F. GREEN, Chairman. Board of Managers.
287
REPORT OF CITY HOSPITAL
REPORT OF THE SUPERINTENDENT
To the Board of Managers, Quincy City Hospital.
GENTLEMEN :- Herewith is the report of the work done at the Quincy City Hospital, for the year ending December 31, 1924:,
Statistical Information
Patients in hospital January 1, 1924
49
Patients admitted during the year
Male
Female
Patients admitted to Medical Service.
195
Patients admitted to Surgical Service
1,656
Patients admitted to Obstetrical Service
414
Private
303
Private ward
1,335
Service
627
Paying
2,177
Part
60
Free
28
Patients discharged during the year.
Well
189
Relieved
1,897
Unrelieved
36
Untreated
2
Deaths
122
Within 48 hours
50
Stillborn
11
Operations
390
Minor
1,084
Accidents
627
Children, 12 years and under
548
Infants born
209
Patients remaining in hospital December 31.
68
BIRTHPLACES
Austria
7
Azores
1
Belgium
1
Canada
131
England
49
Finland
47
France
2
Germany
3
Greece
4
Holland
2
Ireland
41
Italy
134
Jamaica
1
Japan
1
Daily average number of patients
59.3
Total number of days treatment.
21,705
1,474
Major
2,246
2,265
1,046
1,219
288
CITY OF QUINCY
Lithuania
2
Newfoundland
8
Norway
3
Poland
1
Russia
21
Scotland
64
South America
1
Sweden
55
Syria
1
Quincy
816
Massachusetts
576
United States
232
Unknown
61
Total
2,265
Financial Statement JANUARY 1 TO DECEMBER 31, 1924
RECEIPTS
Private room
$15,720 50
Wards private
17,704 05
Regular service
9,000 49
Obstetric
7,904 75
Operating room
8,569 50
X-ray
6,828 20
Ambulance
1,012 00
Medical and surgical supplies
148 15
Nurses' equipment
385 88
Board of special nurses
1,556 50
Miscellaneous
360 75
Income from endowment funds
4,759 87
$73,950 64
Refunded to patients
309 25
Total receipts less refunds
$73,641 39
EXPENDITURES
Salaries and wages:
Administration officers and clerks
$7,379 57
Telephone operators
1,514 00
Superintendent of nurses, instructors and charge nurses
8,558 51
Pupil nurses
2,508 30
Orderlies
2,159 00
X-ray operators
2,567 48
Ambulance
1,686 70
Housekeeping and kitchen
17,629 58
Laundry
3,476 68
Maintenance, property and power
plant
7,206 90
Care of grounds
1,260 00
Total payroll
$55,946 72
289
REPORT OF CITY HOSPITAL
Other expenses :
General administration
$2,181 92
Medical and surgical
8,389 97
X-ray
1,805 20
Ambulance
329 25
Nurses' equipment
670 40
Housekeeping and kitchen.
5,185 97
Laundry
1,101 45
Groceries
8,490 36
Butter and eggs
3,131 56
Milk and cream
4,489 61
Fruits and vegetables
1,890 13
Meats, poultry and fish.
6,760 26
Ice
99 30
Coal and wood
7,922 33
Electricity and gas
3,814 24
Rent
2,194 00
Transportation and express.
260 33
Repairs to buildings and plant.
5,280 36
Insurance
442 16
Petty expenses
450 00
Commission
194 05
$65,082 85
Total expenditures.
$121,029 57
SUMMARY
Balance from receipts of 1923
$4,304 05
Appropriation by city
43,328 00
Patients
65,418 24
Miscellaneous
3,463 28
Endowment, income
4,759 87
Expenditures
121,029 57
Unexpended balance
$243 87
Training School Training School Staff, December 31, 1924.
Superintendent of nurses
1
Assistant superintendent of nurses ..
1
Instructor
1
Night supervisor
1
Operating room supervisor
1
Graduate nurses
4
Dietition
1
Class of 1924
8
Class of 1925
12
Class of 1926
9
Class of 1924, graduated
8
Number of pupil nurses in school Jan. 1, 1924.
32
Number of pupil nurses in school Dec. 31, 1924.
34
Probationers: 19 entered during the year and 13 were accepted into the school.
39
$121,273 44
290
CITY OF QUINCY
Our supervisor of nurses, Miss Lillian Sutton, left September 1st, and the vacancy is being filled by Miss Leona Somers, a gradu- ate of the Cambridge Hospital.
The curriculum of the school has changed very little during the year. Nine months of the senior year is spent outside of the hospital. This includes three months at the Boston City Hos- pital in the contagious department. We have increased the time at the Massachusetts General Hospital from two to four months, giving two months straight medical duty and the other two months for experience in the various departments. We are still continuing the two months district work in the city of Quincy.
The graduating exercises of the Training School were held June 11, 1924. The address was given by Miss Sally Johnson, superin- tendent of nurses at the Massachusetts General Hospital. The diplomas were presented to the graduates by the Chairman of the Board of Managers, Mr. Frederick F. Green. The class pins were given by the Hospital Aid Association, and were presented to the class by the president of the association, Mrs. Charles L. Homer. A reception followed the exercises.
CLASS OF 1924
Eleanor B. Parsons
Marie MacPherson
Irene E. Esterbrooke
Elizabeth Durant
Lila C. Cairns
Irene J. Macleod
Margaret Miller
Janet R. Setchell
The following lectures and demonstrations were given during the year:
PRELIMINARY COURSE-THREE MONTHS
Hours
Principles of nursing, Instructor
74
History of nursing, Instructor
12
Ethics, Instructor
10
Drugs and solutions, Instructor.
30
Hygiene and sanitation, Instructor
12
Bandaging, Instructor
10
Demonstrations, Instructor
64
Social Diseases, Instructor
3
Urinalysis, Instructor
3
JUNIORS
Hours
Anatomy and Physiology, Miss Helen Redfern
48
Chemistry, Miss Helen Redfern
18
Bacteriology, Miss Helen Redfern
16
Dietetics, Dietitian
14
INTERMEDIATES
Hours
Obstetrics, Dr. D. B. Reardon
10
Pathology, Dr. F. R. Burke.
6
Skin, Dr. F. R. Burke.
2
Orthopedics, Dr. N. S. Hunting
5
Pediatrics, Dr. W. L. Sargent.
7
Gynecology, Dr. W. G. Curtis
5
Essentials of surgery, Dr. W. R. Hurley.
10
Essentials of medicine, Dr. E. F. Smith.
10
Ear, nose and throat, Dr. E. R. Johnson.
3
Massage, Miss Elizabeth Hatlow
14
291
REPORT OF CITY HOSPITAL
Obstetric nursing,: Instructor
10
Surgical nursing, Instructor
10
Medical nursing, Instructor
10
Diet in disease, Dietitian
10
Materia Medica, Instructor
20
X-ray photography and therapy, Dr. F. E. Wheatley. 1
SENIORS
Public sanitation, Dr. W. J. McCausland 5
Venereal diseases, Dr. N. S. Hunting. 3
Mental and nervous disease, Instructor. 10
Special diseases of the eye, Dr. G. H. Ryder
2
Much has been done for our Training School this year by the Hospital Aids. They have made it possible for us to send two nurses to Simmons College for the four months' course in public health work.
An unfinished room in the Nurses' Home has been finished and made into a recreation room, which has been greatly enjoyed and appreciated.
The Association has also given books and magazines-and with all this, their very helpful friendship that we feel so sure of at all times.
To the members of the attending staff, without which there could be neither hospital nor training school, we wish to express our gratitude.
Respectfully submitted,
ETTA M. BAGLEY, Superintendent.
INFORMATION RELATIVE TO ADMISSION OF PATIENTS, RATES, ETC.
Application for the admission of patients to the hospital should be made to the superintendent. Patients desiring admission should be referred by a physician.
Accidents are admitted at any time.
The hospital maintains an ambulance for transportation of pa- tients within the city limits. The ambulance may be obtained for special service by application to the superintendent.
Single rooms, $4.50 to $5.00 per day.
Ward bed (private), $3.00 per day.
Ward bed (service), $3.00 per day.
Additional Charges
Operating room, $5.00 to $10.00.
Delivery room, $5.00.
Etherizing fee, $5.00.
Laboratory fee, $5.00.
Plaster casts or special dressings, $3.00 to $5.00.
Ambulance, $3.00.
Board of special nurse, $1.00 per day.
Proprietary drugs or unusual or expensive preparations, mineral waters, liquors, etc., will also be charged extra.
Radiographs will be taken every day by appointment, with the exception of Sunday, Wednesday afternoon and holidays.
Appointment for radiograph of the gastro-intestinal tract should be made for either Monday, Tuesday, Thursday, or Friday.
292
CITY OF QUINCY
REPORT OF THE MEDICAL STAFF OF THE HOSPITAL
The Staff of the Hospital has held regular monthly meetings in accordance with the ruling of the American College of Surgeons. These meetings have been well attended. Special attention has been given to the discussion of fatal cases and those of unusual and interesting character.
New methods and advancement of science, both medical and surgical, have been a source of material for discussion and the meetings have proved interesting and beneficial.
The recommendation was made to the Board of Managers that the vacancy caused by the resignation of Dr. Harold Diehl be filled by Dr. Roscoe Hanigan from the Medical Service and his vacancy be filled by Dr. John Ash. This recommendation was approved.
WILLIAM R. HURLEY, M.D.,
Secretary.
To the Superintendent and Board of Managers, Quincy City Hospital:
I herewith submit my report of the X-Ray Department for the year 1924.
This year has witnessed a steady increase in the number of cases X-rayed and, in spite of the inadequate space and apparatus, we have handled the work without an unusual degree of confusion. Certain changes in our technique, with the co-operation of our technicians, Mrs. Imray and Miss Wales, have resulted in a better quality of work being done. We are still in need of new quarters and additional apparatus as outlined in my previous reports.
Due to the increase in the amount of work done and the ex- pressed wishes of the staff that the Roentgenologist have certain hours for service at the hospital. I find that I am unable, because of my other work, to meet this demand. I am therefore retiring from the position of Roentgenologist to the hospital and I take this opportunity to express my thanks to the staff and administra- tion for their cordial co-operation during the last five years.
Respectfully submitted,
FRANK E. WHEATLEY.
STATISTICAL REPORT OF THE X-RAY DEPARTMENT
House patients
536
Lower Extremities 368
Out patients
924
Head
178
Total 1,460
Chest 155
Fluroscopics 160
Hip
30
Gastro-Intestinal Tract
132
Pelvis
25
Genito-Urinary
62
Shoulder
44
Gall Bladder
53
Teeth 54
Upper Extremities
332
Treatments-(Pertussis) .. 20
293
REPORT OF CITY HOSPITAL
REPORT OF THE QUINCY HOSPITAL AID ASSOCIATION
OFFICERS
President. MRS. CHARLES L. HOMER
Vice-President. MRS. PAUL R. BLACKMUR
Secretary ... MRS. CARLE R. HAYWARD
Treasurer MRS. J. BROOKS KEYES
Auditor MRS. CLARENCE BURGIN
During the past year the Hospital Aid Association has held its regular meetings each month in the Community Rooms at Adams Academy, a privilege sincerely appreciated. The routine sewing, which has added materially to the storeroom shelves in the new Service Building, has been augmented by various other organiza- tions of women. To each of them we extend our thanks for work well done.
Outside this very necessary part of our work, we have given two senior nurses the opportunity for further study at Simmons Col- lege. To the Training School as a whole, we have given some ref- erence books, subscriptions to three current magazines, and we have also added to the sum of money given by the Teachers' As- sociation last year. in order that a recreation room might be made possible for the girls in the basement of Faxon Home. We have established a loan fund of one hundred dollars for the benefit of student nurses who need help financially in educating themselves. The senior nurses at their graduation in June were given their pins by this association.
Because its work was so closely allied with ours, a gift of fifty dollars was made toward the work of the Visiting Nurse Associa- tion in the city during the last drive for funds.
Each month one of our members has visited the hospital and at Christmas small gifts were taken to all ward patients.
This association stands for service to our hospital and hopes, in the near future, to open the eyes of the community to the need of another unit in the hospital group-a new building which shall have a maternity ward and additional rooms for private patients.
MARY G. C. HOMER,
President.
Officers of the Wollaston Branch
President. MRS. WILLIAM A. ROBB
Vice-President. MRS. GILBERT M. Fox
Secretary .. MRS. HELEN A. RECORD
Treasurer MRS. WILLIAM O. SIMMONS
Auditor
MRS. ELLA M. BROWN
MRS. FRANCIS J. GERMAIN
Directors
MRS. ARTHUR PAYSON
MRS. GEORGE D. ROBERTS
During the year all-day sewing meetings have been held the first Thursday of each month, with the exception of July and Au- gust, and 1,157 pieces of sewing have been completed and 2,674 dressings have been made.
294
CITY OF QUINCY
The association has been able, through its membership and a gen - erous gift from the Wollaston Woman's Club, to contribute to a fund to be used by the superintendent in the Training School for Nurses, to assist in preparing a living room in the nurses' home; also to provide a Journal of Nursing for their use. Books, maga- zines and jelly have been contributed by members.
During the holiday season the association did what it could for those unfortunate enough to be ill, by placing potted plants in the wards at Thanksgiving, and evergreen baskets at Christmas, dec- orating a tree in each ward the day before Christmas and provid- ing for every patient an old-fashioned tarleton bag filled with candy, given by the Wollaston druggists and candy makers.
At each meeting there is a report from a member who has vis- ited the hospital during the month.
In November, after occupying vacant stores for a year and a half, the association moved to its permanent home in the warm, light and pleasant community room of the branch library, where the ever faithful women spend happy, busy days.
EDWINNA M. ROBB,
President.
SYNOPSIS OF THE COURSE OF INSTRUCTION
The theoretical and practical courses of instruction conform closely to the standard curriculum prepared by the Educational Committee of the National League of Nursing Education. The time allotted to the subjects will be divided between lectures, dem- onstrations, classes, quizzes and laboratory work.
The course includes:
First Year
Nursing principles and demonstrations
Anatomy and physiology Bacteriology
History of nursing
Applied chemistry
Personal hygiene
Drugs and solutions
Elementary cooking Bandaging
Second Year
Materia medica and therapeutics Massage
Operating room technic
Nursing in medical and surgical diseases
Nursing in diseases of infants and children Orthopedic nursing
295
REPORT OF CITY HOSPITAL
Third Year
Obstetric nursing.
Special lectures:
Eye, ear, nose and throat Mental and nervous diseases Anaesthesia Hygiene and sanitation Occupational, venereal and skin diseases.
Contagious nursing:
A course of three months is given at the Boston City Hospital. Visiting nursing:
Experience in visiting nursing is given under the supervision of the Quincy Visiting Nurse Association. If qualified, the pupil also has an opportunity to act as head nurse and assist in housekeep- ing, which will give her some executive experience.
Medical nursing:
A course of four months will be given at the Massachusetts General Hospital.
Students entering the preliminary term must come provided with the following:
Three dresses.
Ten aprons.
Six collars.
One cape.
Four sets of plain underclothing, including two colored petticoats of wash material.
Two pairs of comfortable black shoes with broad soles and rubber heels. (Suede, cloth and patent leather not allowed.)
Rain coat and rubbers.
Kimona and slippers.
One napkin ring with owner's name.
Watch with second hand. (Lady's size Ingersoll is inexpensive and preferable to a gold watch for duty.)
Fountain pen.
Laundry bag.
Directions for uniform and information concerning cape, etc., will be sent with the acceptance slip.
OUTLINE OF DEMONSTRATIONS GIVEN PROBATIONERS
Identification and use of ward linen, care and economy of hospital supplies and utensils.
Methods of preparing surgical dressings, gauze sponges, abdomi- nal and perineal pads, cotton-balls, etc., for sterlization.
Methods of making and stripping beds, closed and open.
Ambulance bed-receiving and caring for patient admitted from ambulance.
Ether bed-methods of warming, reception and after care of surgi- cal patient. Gynecological position.
Occupied bed-turning and lifting of helpless patient, changing or turning of mattress with patient in bed.
296
CITY OF QUINCY
Sitting patient up in bed, use of back rest, Fowler's position, pillow slings, placing of small pillows for comfort of patient.
Care of convalescent patient. Getting patient out of bed for the first time.
Sitting in chair, arrangement of pillows, blankets, footrest, etc.
Admission of new patients, first bath, inspection for pediculosis and treatment.
Care of clothing and valuables.
Discharge of patient; instruction in general rules to be observed by the nurse who discharges the patient.
General morning and evening care, special care of back, hair and teeth. Methods of insuring comfort.
Care of bed and bedding of normal patient.
Bathing-bed and tub, cleasing bath, cool sponge for reducing ten- perature, alcohol rub.
Other therapeutic treatments-cold pack, hot pack, wet and dry, cold and hot applications, irrigations, fomentations.
Fracture bed-preparation of appliances, methods of moving pa- tients; cause, detection, and prevention and treatment of pres- sure sores.
Special precautions used in care of infectious cases, pneumonia, typhoid fever and meningitis; bathing, diet, special care of mouth and back.
Care of bed and bedding of patient with infectious disease; cleans- ing and sterilization after discharge of patient.
Treatments for medical and surgical patients; enemata, cleansing, purgative, carminative and nutritive. Enteroclysis, douches, catheterization, bladder irrigation. Collecting of specimen for laboratory.
Methods of preparing and applying counter-irritants, poultices, stoups, and fomentations.
Serving of trays, feeding helpless patients.
Theory and practice of asepsis and anti-sepsis; asepsis and disin- fection of nurses' hands.
Preparation of patient for operation-local and general care; care after operation.
Emergency care in cases of shock, collapse or hemorrhage. Use of shock-blocks, shock enema-stimulation.
Surgical dressings, sterilization and care of instruments, etc. Care of perineal stitches. Bandaging-fundamental bandages, special application of binders and slings.
Temperature, pulse and respiration; methods of ascertaining and recording. Care of thermometers.
Charting-daily, four hourly-notes.
Medicines-methods of preparing and administering, by mouth, hypodermic, inhalation, proctoclysis.
Care of dying patient; attitude towards friends, special care after death. Care of clothing and valuables.
Demonstration of equipment and procedure of paracentesis of chest and abdomen; lumbar puncture, sub-pectoral and intra- venous infusions, gavage and lavage.
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