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 1933 > Part 10
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Valuables
Money and other valuable must be deposited in the Hospital safe; otherwise no responsibility will be assumed.
Radios
Patients are allowed to have radios in rooms and wards but they must be kept quiet so as not to disturb surrounding patients. A charge of $.50 a week will be made for each radio.
Library
The Thomas Crane Public Library maintains a branch at the Quincy City Hospital. Books are obtainable from the Librarian who visits each floor between 2 and 5 P. M. on Mondays, Wednes- days and Fridays.
Suggestion
It is requested that any suggestions for improvement of service be made at the Superintendent's office before the patient leaves the Hospital.
158
CITY OF QUINCY
REPORT OF SUPERINTENDENT
To the Board of Managers, Quincy City Hospital:
With the advent of a number of CWA workers we were able to concentrate our patients in part of the hospital and give the work- ers an opportunity to renovate most of the hospital wards and furniture. A number of clerks from the CWA have given us valuable help in revising the filing system in the X-ray Depart- ment and checking up the records.
A financial investigator has been added to the hospital staff with the hope that a definite understanding may be reached with the family while a patient is still in the hospital to the end that the hospital charges may be reasonable and within the ability of those who are responsible for payments.
Rates for special duty nursing in the hospital were reduced from $42.00 to $35.00 a week. While this arrangement seems not to have materially increased the number of calls for special nurses, many of the nurses feel they have been kept at work for longer periods.
In May the duties of the hostesses were combined with those of the admitting office.
An active group of women workers at the Hospital and the Cranch School have provided us with numerous binders, children's pajamas, towels, and other items. One particularly helpful item was the new edges put on the slightly worn blankets. This was all hand work and necessarily slow.
For a portion of the year the Hospital was fortunate in obtain- ing the services of Mrs. Helen S. MacFarland through the Boston School of Occupational Therapy. Mrs. MacFarland worked with adult patients recommended by the doctors. While she was with us our funds were so limited she could not offer the patients as much variety in occupation as she wished, but various patients learned to produce useful and decorative articles which they can continue to make at home. Mrs. MacFarland's home obligations required that she give up the work after a few months. However, it is my hope that further work may be accomplished in this line next year.
Another innovation which is most helpful to all is the acquisition of volunteer teachers from the Leslie Kindergarten School in Cam- bridge. These students read to and play with our children. With some of the older school children who stayed a long time in the Hospital they have been able to do some teaching. We hope this work helped the children a little when they ultimately returned to school.
During the year 1933 the Quincy City Hospital was approved as a training field for internes. As a result the duties of the internes have been changed and a regular rotating service arranged. Three volunteer internes have given us the benefit of their services for three and five month periods.
With the resignation in May of the dietition, a reorganization of that department became imperative. The new dietitians have made marked improvements in the dietary service, particularly in the diets for diabetic patients and others requiring special menus. The babies' formulae have been transferred from the main kitchen to a special room and supervised by a nurse in charge of the nursery.
During the year numerous Quincy residents have been most gen- erous to the nurses in the matter of magazine subscriptions. Where we had duplicates the publishers have been generous in changing the subscriptions so that we have been able to provide the nurses
159
REPORT OF CITY HOSPITAL
and the visitors' waiting room with a most satisfactory list of periodicals. The Retail Merchants' Association contributed a large number of excellent toys to the children's ward at Christmas time. Throughout the year we have received smaller contributions of flowers, scrap books, bed quilts and other useful items which have been very much appreciated by the patients.
MILDRED CONSTANTINE.
Financial Statement JANUARY 1 TO DECEMBER 31, 1933
RECEIPTS
Private room
$35,730 27
Ward private
30,462 79
Regular service
13,462 01
Obstetric
30,881 54
Operating room
13,520 69
X-ray
15,000 19
Ambulance
1,619 40
Medical and surgical supplies
426 22
Physical therapy
3,614 75
Board special nurses
3,741 50
Nurses' equipment
247 28
Miscellaneous
760 53
Laboratory
6,562 55
Endowment fund income
4,284 62
Refunded to patients
409 10
Total receipts less refunds
$159,905 24
EXPENDITURES
Salaries and wages:
Administration officers and clerks
$12,456 74
Telephone operators
3,890 55
Superintendent of nurses, instructors,
charge nurses
77,239 72
Nurses
1,687 11
Physical therapy
4,236 23
Orderlies
3,245 07
X-ray
6,965 44
Ambulance
2,250 00
Housekeeping and kitchen
44,632 06
Laundry
6,428 35
Maintenance-Property and power plant
9,087 54
Care of grounds
1,239 31
Laboratory
4,879 89
Total payroll
$178,238 01
Other expenses:
General administration
$6,164 51
Medical and surgical
23,218 53
X-ray
4,702 00
$160,314 34
160
CITY OF QUINCY
Ambulance
465 23
Nurses' equipment
446 89
Housekeeping and kitchen
12,731 31
Laundry
1,212 45
Groceries
11,359 35
Butter and eggs
5,520 02
Milk and cream
9,015 77
Fruits and vegetables
7,467 18
Meats, poultry and fish
13,439 95
Coal and wood
8,550 41
Electricity and gas
7,068 31
Rent
300 00
Transportation and express
363 29
Commissions
4,253 78
Repairs to buildings and plant
2,815 54
Postage
450 00
Petty expenses
107 63
Insurance
298 36
119,950 51
Total expenditures
$298,188 52
Statistical Information
1933
Patients in hospital January 1, 1933
162
Patients admitted during the year 5,584
Total 5,746
Male patients admitted
2,208
Female patients admitted
3,376
Total
5,584
Patients admitted to medical service 842
Patients admitted to surgical service
3,089
Patients admitted to obstetrical service
843
Number of babies born
810
Total
5,584
Private patients admitted
1,146
Private ward patients admitted
2,234
Service patients admitted
2,204
Total
5,584
Paying patients admitted
4,251
Part paying patients admitted
993
Abatements, rates
45
Abatements, free
27
Free patients admitted
161
Admitted with question of ability to pay full rates
107
Total 5,584
161
REPORT OF CITY HOSPITAL
Largest number in the hospital any one day. 206
Smallest number in the hospital any one day 102
Daily average number of patients 154
Average number of patients admitted per day. 15
Total number of days' treatment. 56,206
Abatements, free 27
Operations
2,797
Out-patients
2,466
Accidents
1,080
Male patients discharged
2,216
Female patients discharged
3,379
Total
5,595
Patients discharged-medical service
818
Patients discharged-surgical service 3,109
Patients discharged-obstetrical service
850
Number of babies discharged including
818
Total
5,595
Patients discharged-well
748
Patients discharged-relieved
4,416
Patients discharged-unrelieved
149
Patients discharged-untreated
12
Deaths within 48 hours of admission
86
Stillborn
15
Remaining deaths
169
Total
5,595
Number of patients remaining in hospital Dec. 31.
151
Total
5,746
WELFARE PATIENTS TREATED AT QUINCY CITY HOSPITAL, 1933
Surgical
249
Medical
94
Obstetrical
128
Pediatric
50
Aural
218
Dental
8
Out-patients
199
Clinic-Pre-natal
25
those in hospital January, 1933.
Total 946
162
CITY OF QUINCY
CLASSIFICATION OF DISEASES, 1933
Aberrant vessels
1
Deviated septum
6
Abortion
37
Diabetes
36
Abscesses
77
Diarrhea
1
Acetonemia
1
Diphtheria
1
Acidosis
2
Dislocation
4
Adhesions
13
Diverticulitis
2
Alcoholism
12
Dysmenorrhea
3
Amputations
7
Eczema
3
Anemia
8
Empyema
10
Angina pectoris
3
Encephalitis
1
Angio-spasm
4
Endocarditis
3
Anhydremia
1
Endocervicitis
12
Anterior-poliomyelitis
5
Endometritis
25
Anxiety state
1
Enlarged thymus
1
Appendicitis
449
Epididymitis
6
Arteriosclerosis
24
Epilepsy
6
Arthritis
29
Epistaxis
1
Ascites
3
Epithelioma
1
Asphyxiation
1
Erysipelas
14
Asthma
21
Erythema
2
Atresia
3
Exhaustion
5
Adenitis
25
Exostoses
2
Balanitis
2
Extra uterine pregnancy.
1
Biliary colic
3
Embolism
1
Biliary obstruction
1
Feeding regulation.
8
Bladder neoplasm
1
Fibroid
21
Bronchitis
19
Fissure
6
Burns
10 Fistula
10
Bursitis
5
Foreign bodies
12
Calculus
3
Fractures
199
Carbuncles
30
Furunculosis
2
Circinoma
53
Ganglion
3
Cardias decompensation
6
Gastro-enteritis
24
Cataract
3
Glaucoma
1
Catarrh
2
Gonorrhea 2
22
Cerebral hemorrhage.
19
Gingivitis
1
Cerebral thrombosis
3
Hallux xalgus
1
Chalazion
1
Hammer toes
1
Cholecystitis
43
Hematoma
1
Cholelithiasis
11
Hematuria
1
Cirrhosis
2
Hemiplegia
3
Colitis
5
Hemoptysis
3
Concussion
37
Hemorrhage
7
Constipation
22 Hemorrhoids
33
Contusions
96
Hepatitis
1
Convulsions
1 Herpes Zoster
2
Coronary occlusion.
6
Hernia
73
Coryza
1 Hiccoughs
1
Cyclic vomiting
1
Hydrocele
9
Cystic ovaries
7
Hydrocephalus
2
Cystoceles
Hydronephrosis
2
Cystitis
Hyperplasia
3
Cysts
22
Hypertension
15
Debility
3
Hyperthyroidism
4
Decayed teeth
23
Hysteria
6
Deferred
49
Idiopathic edema
1
Dementia
3 Immersion
2
Dermatitis
5 Indigestion
1
1
3
Cellulitis
6
Grippe
163
REPORT OF CITY HOSPITAL
Infectious digits
22
Procidentia
1
Influenza
20
Prostatic Hypertrophy. 16
Ingrown toenail
2
Pseudo labor 24
Intestinal obstruction 20 Psychosis 1
Jaundice
2
Ptosis
1
Lacerations
90
Pulmonary congestion
1
Laryngitis
6
Purpura
1
Leukemia
1
Pyelitis
29
Leukoplakia
1
Renal calculi
14
Lipoma
7
Respiratory infection 17
Macerated fetus
4
Rheumatism 5
Malignancy
2
Rheumatic fever
1
Malnutrition
1
Retroversion
19
Manic depressive
1
Rhinitis
1
Mastitis
6 Roseala
1
Mastoiditis
41
Sacro-iliac strain
7
Melancholia
1
Salpingitis
11
Meningitis
7
Sarcoma
2
Menorrhagia
5
Scarlet fever
3
Mesenteric thrombosis
1
Scarring
1
Metrorrhagia
6 Schizophrenia
1
Migraine
31
Sciatica
1
Miscarriage
68
Scurvy
1
Myocarditis
31
Sepsis
13
Myoma
3
Septicemia
1
Myxoma
1
Serum reaction 13
Nerve shock
1
Slipped cartilage
1
Nephritis
27
Splenitis
1
Nephrosis
6
Stab wounds
2
Neuralgia
3
Starvation
2
Neurasthenia
7
Stasis
1
Neurosis
8
Stenosis
4
Neuritis
2
Stillborn
11
Nevus
1
Stomatitis
1
Newborn
763
Stone in duct.
1
No disease
7
Strain
16
No diagnosis
25
Strep. laryngitis
2
Obesity
1
Stricture
4
Obstipation
2
Supernumerary digits
1
Osteomyelitis
12
Syncope
3
Otitis media
42
Paralysis
1
Syphilis 8
999
Pelvic inflammation
5
Toxemia
7
Pemphigus
2
Tracheitis
1
Peritonitis
9
Tuberculosis
31
Pharyngitis
20
Tumors
13
Phlebitis
2
Typhoid fever
2
Phimosis
24
Uremia
2
Pilonidal sinus
1
Urinary retention
3
Pityriasis
1
Ulcer
21
Pleuritis
1
Pneumonia
145
Vaginitis
2
Poisoning
20
Polyp
10
Post-op. hemorrhage
6
Vomiting of pregnancy. 8
Pregnancy
800
Wen
2
Prematurity
25
Total
5,584
Neoplasm
2
Sinusitis 43
..
Syndrome
3
Petit mal
1
Tonsillitis
Pleurisy
8
Urticaria
2
Varicose veins 2
Volvulus
2
164
CITY OF QUINCY
LIST OF GRADUATES OF THE TRAINING SCHOOL
Name Year
Name Year
Miss Ella White 1892
Miss Alma Reed 1912
Miss Elsie White 1892
Miss Grace Wilson 1912
Miss Nellie Coolidge 1893
Miss Olive Marcille 1912
Miss Sara McIntosh 1912
Miss Mary Walsh 1912
Miss Priscilla McMartin 1894
Miss Linda Hill 1912
Miss B. E. Clarity 1894
Miss Marion Mills 1912
Miss Martha Anderson 1895
Miss Catherine Black 1912
Miss Lucy Hernan 1895
Miss Ruth Banard 1913
Miss Florence Hanscom 1911
Miss Victoria Ljungquist. 1914
Miss Marion J. Jackson 1896
Miss Alice McGlue 1914
Miss D. Viola Harrington .. 1897
Miss Hansmore Neilson 1914
Miss Annie Manning 1897
Miss Martha Morrill 1915
Miss Emma Lewis 1897
Miss Christina Shand 1915
Miss Anna L. Stewart 1897
Miss Leona Garder 1915
Miss Edith Wiley 1898
Miss Sigrid Swanson 1915
Miss Mary F. O'Brien 1898
Miss Irene Corbett 1916
Miss Catherine Carter 1899
Miss Gertrude Flaherty 1916
Miss Helen Thompson 1899
Miss Barbara Cameron 1916
Miss Ida A. Simpson 1899
Miss Winifred Hernan 1899
Miss Estelle Robinson 1900
Miss Viola Robertson 1916
Mrs. Marietta Hatch 1900
Miss Alice Billings
1917
Miss Mildred Freeman 1901
Miss Ruth Pinel
1917
Miss Margaret Walker 1901
Miss Valeria Vaszkis
1917
Miss Mary Kinney 1901
Miss Clara McCully
1917
Mrs. Barbara Patterson. 1901
Miss Sarah Cassell
1917
Miss Nellie Bulyea 1902
1903
Miss Jean Allen
1904
Miss Eva Blair
1904
Miss Helen E. Powers
1905
Miss Annabel Orr
1905
Miss Blanche H. Fair-
weather
1905
Miss Elizabeth Connors 1919
Miss Maude McNeil 1906
Miss Nettie Denton
1919
Miss Lottie Stumbles 1906
1907
Miss Agnes Richard 1919
Miss Helen Young 1907
Miss Sadie Amos 1920
Miss Maude Le Vatte 1907
Miss Mary E. Stearns 1908
Miss Lillian Hart
1908
Miss Susan Marshall 1908
Miss Alice Taylor 1920
Miss Frances Collins 1920
Miss Adeline Woodin 1909
Miss Katherine MacKay 1920
Miss Mary L. Lindsay 1910
Mrs. Helen Quimby 1920
Miss Margaret Carey 1910
Miss Helen Smith 1920
Miss Bertha Morrill 1910
Miss Rose Bussing 1921
Miss Mary Bruce 1910
Miss Pauletta Kristofferson.1921
Miss Edith Burkett 1910
Miss Pearl Buick 1921
Miss Barbara LeVatte 1910
Miss Louise Cameron 1921
Miss Florence Mason 1910
Miss Margaret F. Main. 1921
Miss Jennie Russell 1911
Miss Ellen Duggan 1921
Miss Etta Meyer 1911
Miss Gladys Irwin 1921
1918
Miss Nettidean Coombs 1918
Miss Agnes Black 1919
Miss Lillian Read 1919
Miss Sara Ross 1920
Miss Lucy Williams 1920
Miss Bertie Baxter 1920
Miss Jeanette Falconer 1908
Miss Evelyn Moriarty 1918
Miss Gertrude Russell 1918
Miss Anna Walker 1903
Miss Maggie Gray 1918
Miss Ruth F. Hinton 1918
Miss Bessie Worrell
Miss Helen M. Seiders
Miss Hazel Gordon 1919
Miss Mary Ellison
Miss Margaret Twohig 1916
Miss Estelle Babcock 1916
Miss Margaret Ross 1895
Mrs. Mary Wood 1895
Miss Anna O'Brien 1893
Miss Anna Kimball 1894
165
REPORT OF CITY HOSPITAL
Name Year
Miss Bernice Hobson 1921
Miss Frances Sampson 1921
Miss Muriel Cameron 1922
Miss Agnes Gustafson 1922
Miss Agnes Johnson 1922
Miss Lillian Coleman 1922
Miss Jessie Nicholson
1922
Miss Edna Tubman
1922
Miss Madeline Roberts
1922
Miss Katherine Krasinski ... 1923
Miss Grace Newcomb
1923
Miss Ann Thompson
1923
Miss Joanna MacHardy 1923
Miss Mary Keeley
1923
Miss Lila Cairns 1924
Miss Elizabeth Durant
1924
Miss Irene Esterbrooke
1924
Miss Irene J. Macleod 1924
Miss Marie MacPherson 1924
Miss Margaret Miller
1924
Miss Eleanor Parsons 1924
Miss Janet Setchell 1924
Miss Anne Billings 1925
Miss Esther Burns 1925
Miss Marguerite Sookin-
ham 1925
Miss Lottie Dahlberg 1925
Miss Agnes M. Fraser 1925
Miss Elsie R. Hay 1925
Miss Barbara Hobbs
1925
Miss Etta Linnehan 1925
Miss Eleanor Lorette 1925
Miss Mary Murphy 1925
Miss Charlotte Nash
1925
Miss Eileen Garrity
1926
Miss Catherine Murphy 1926
Miss Blanche M. Murphy .... 1926
Miss Martha Decoster 1926
Miss Verna Tibbetts 1926
Miss Helen Casey 1926
Miss Hazel Schools 1926
Miss Edna I. Elliot
1926
Miss Marion Connors
1927
Miss Margaret Riley 1927
Miss Ruth Horrigan
1927
Miss Ethel Fostello 1927
Miss Ida Giovannangeli 1927
Miss Philomena Campbell ... 1927
Miss Grace Sears
1927
Miss Alma Girvan 1928
Miss Helena Reed 1928
Miss Ida Taylor 1928
Miss Ceciline Nash 1928
Miss Rebecca MacDonald. 1928
Miss Lillian Pratt 1928
Miss Hazel Our 1928
Miss Edith Fostello 1928
Name Year
Miss Anna Hagelburg 1928
Miss Constance Larkin 1928
Miss Christina M. Battista.1929 Miss Freda M. Belville 1929
Miss Helen T. Cunniff 1929
Miss Georgianna Francis. 1929
Miss Grace M. Cutter
1929
Miss Rebecca M. Gilmore .. 1929
Miss Helen C. Haldane 1929
Miss Minnie E. Harron 1929
Miss Anne F. Leary. 1929
Miss Rose E. Levangie 1929
Miss Marion Leach
1929
Miss Anne H. Leonard 1929
Miss Gladys Malia 1929
Miss Florence J. Meek
1929
Miss Mabel F. MacDonald .. 1929 Miss Dorothy M. Macleod .. 1929
Miss Dorothy A. McCready.1929
Miss Anne C. McLean 1929
Miss Margaret S. Nicker-
son
1929
Miss Edna C. Ripley 1929
Miss Winifred M. Sharon ... .1929
Miss Kathleen M. Stewart .. 1929 Miss Doris S. Thompson .... 1929
Miss Ellen P. Young 1929
Miss Acsenea M. Zelenk 1929
Miss Elizabeth R. Allen 1930
Miss Jessie M. Bliss 1930
Miss F. Louise Brady 1930
Miss Alice C. Daggett 1930
Miss Ruth V. Donnellan 1930
Miss Bertha Estes
1930
Miss Bertha V. Ferron 1930
Miss Madelyn P. Flaherty .. 1930 Miss Ella M. Gillespie 1930
Miss Marie E. Haley 1930
Miss Marjorie L. Mabon .1930
Miss Bertha E. Nelson. 1930
Miss Irene P. Ostrander 1930
Miss Harriet I. Salomon 1930
Miss Adeline B. Smith 1930
Miss Aili W. Aaalto 1931
Miss Ellen M. Anderson 1931
Miss Margaret C. Bailey 1931
Miss Elizabeth M. Brown. 1931
Miss Mary M. Burris 1931
Miss Evelyn C. Desmond .... 1931 Miss Margaret M. Dewey ... 1931 Miss Alice O. Gray 1931
Miss Ingrid E. Lindfors ..... 1931
Miss Catherine L. Macleod.1931
Miss Helen M. Mosher 1931
Miss Gladys E. Oliver 1931
Miss Beryl M. Sims
1931
Miss Margaret Whittemore.1931
166
CITY OF QUINCY
Name Year
Miss Helene V. Wilander .... 1931
Marguerite May Boynton. .1932
Anna B. Eckl 1932
Elizabeth F. Fitzgerald 1932
Anna S. Franks. 1932
Velma I. McBride. 1932
Hazel A. Nelson.
1932
Ethel L. Sampson. 1932
Mae E. Bamberg 1932
Lillian H. Hussey
1932
Miss Ruth E. Craig 1933
Enni E. Leppala 1932
Agnes R. Lonergan. 1932
Auni M. Marin
1932
Jean B. McCullock.
1932
Miss Elizabeth R. Mattioli.1933
Edith B. Paige.
1932
Miss Edna C. Nicholson .1933
Ruth I. Racz. 1932
Miss Grace G. Magura. 1933
Katherine B. Walker 1932
Name Year
Katherine B. Riley 1932
Marie A. Shannon 1932
Gertrude B. Shea. 1932
Beatrice A. Wilson 1932
Miss Jean C. Mitchell 1933
Miss Mildred H. Teirila 1933
Miss Eileen A. Horgan 1933
Miss Ruth O. Wallin 1933
Miss Mary A. Sullivan 1933
Miss Lillian R. Calhoun 1933
Miss Anna M. Gillis. 1933
Miss Evelyn R. Mahoney .1933
Miss Roberta Meade 1933
167
REPORT OF CITY HOSPITAL
REPORT OF STAFF OF QUINCY CITY HOSPITAL
To the Board of Managers and Superintendent of Quincy City Hospital:
The various departments of the Quincy City Hospital, regard- less of numerous difficulties during year of 1933, have continued to function and have done their work well. The entire Staff of the Hospital have given unstintingly of their time and efforts in carry- ing on the work in these departments.
Ever mindful of the high classification of our Hospital, namely Class A, the Staff has endeavored at all times to carry on for the benefit of the citizens of Quincy and for the maintenance of this high standard. It is their earnest desire that the work done at the Quincy City Hospital will always be of the highest possible standard.
DANIEL B. REARDON, M.D .. President of Staff of Quincy City Hospital.
REPORT OF THE SCHOOL OF NURSING, QUINCY CITY HOSPITAL, 1933
To the Board of Managers and Miss Constantine:
At the present time the School of Nursing consists of fourteen third year students and five second year students. Owing to the over supply of nurses, it seemed best to comply with the re- quest of the nursing profession and omit the usual fall class of students. This measure has increased the number of floor duty nurses to the extent of employing all of our own graduates inter- ested and qualified for this type of nursing, besides employing carefully selected graduates from other hospitals of high repute.
The full curriculum of study for the nursing school has been followed implicitly throughout the year with the six months' affilia- tion in Pediatrics and Medical Diseases at Bellevue Hospital, and the three months' course in Contagious Diseases at the Charles V. Chapin Hospital in Providence.
Recently, much thought has been given to a more effective pro- gram for the third year students, aiming to develop the essential qualities of leadership and initiative. In this program is now in- cluded a month of advanced work in the Diet Kitchen; another month is spent in learning of the duties and responsibilities of charge nursing; a third month is devoted to advanced work in the Operating Room; while a program is under way which will pro- vide for advanced work in Obstetrics.
Graduation took place on June fourteenth when thirteen nurses received their diplomas. Mr. Edmund A. Whitman was the speaker of the occasion and his address reflected his keen interest in nurses. The exercises were followed by the usual banquet and dance.
This year the scholarship given by the Hospital Aid Association for a four months' course in Public Health Nursing at Simmons College was given to Miss Roberta Meade.
Without exception, the doctors have loyally supported the School of Nursing, generously giving of their time to lecturing and caring for sick nurses. I feel a debt of gratitude for their interest and cooperation. Their lectures have been chaperoned largely by our supervisors and charge nurses who have demonstrated their teach- ing ability both in the classroom and on the wards. This is a very
168
CITY OF QUINCY
progressive group and I am happy to report that three of its mem- bers are taking advanced courses in Ward Administration at Sim- mons College, two are studying at the Lincoln Preparatory School, and another member is taking a course at the Boston University. Three others have definitely enrolled for a course in Nursing Pro- cedures at Simmons College next semester, while one charge nurse and three of the floor duty nurses have been granted leaves of ab- sence for post-graduate courses.
Extra-curricular activities have embraced a monthly social eve- ning for the staff members and several dances and card parties for the students. In October the third year students held a bazaar, from which they realized a substantial profit.
The Hospital Aid Association teas have been a source of enjoy- ment to our nurses. To this organization we are also indebted for our professional magazines and the student scholarship in Public Health Nursing at Simmons College.
May my sincere appreciation reach all of those loyal friends of the nurses who have earnestly supported us during this past year.
Respectfully submitted,
DOROTHY E. DAWES, Acting Superintendent of Nurses.
LABORATORY REPORT
In rendering the annual report of the Clinical and Pathological laboratory for the past year a general review of the development of the laboratory work and facilities at the hospital during the past five years is indicated in order to give the citizens of Quincy, who may read this report, a comprehensive picture of the function of the laboratory service of their hospital.
In order to qualify as a Class A institution it is necessary that a hospital have a clinical and pathological laboratory, in keeping with the size of the institution, to do routine diagnostic tests. The rapid development in laboratory service in hospitals throughout the country has been due primarily to the recently discovered practical tests which are very important in determining the charac- ter of various diseases. Formerly the laboratory in the smaller, as in many of the larger, hospitals was confined to small, dark quarters in a remote part of the institution suggesting that the laboratory was an afterthought in construction. In the more recently con- structed institutions, however, the laboratories are recognized as very important units and, in general, are properly located and suitably equipped to do the required work.
The laboratory of the Quincy City Hospital has been brought up to date with adequate modern equipment to do the standard routine tests required of a 300 bed, Class A institution. The char- acter of the work may be divided into the following:
Chemical-which includes the determination of blood and urine and miscellaneous fluids.
Bacteriological-which includes the determination of the various types of bacteria such as are found in sputa, blood, nose and throat and fluids from various parts of the body.
Pathological-which includes post mortem examinations and the examination of tissue removed at operation.
There are employed at the hospital a part time Pathologist and two full time Technicians. The Pathologist supervises all the work,
169
REPORT OF CITY HOSPITAL
performs the autopsies, does the gross and microscopic examina- tions on the tissues removed surgically and serves as a diagnostic consultant to the Staff. The Technicians carry on all the routine work which includes, urinalyses, blood chemistry, blood counts, spinal fluid, gastric analysis, food tests and routine bacteriology together with the determination of the basal metabolic rate.
The number of specimens examined during the last few years shows a marked increase indicative of the constantly growing de- mand upon the laboratory for routine work.
It is required by the American College of Surgeons that at least 15 per cent of all deaths have a post mortem examination in order that a hospital may qualify as a Class A institution. The Quincy City Hospital has qualified in this respect and the examinations have helped materially in increasing the knownedge of the staff. The general public is beginning to realize the value of this service.
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