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 1942 > Part 8
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At this time, I wish to express my appreciation for the continued co-operation of the Board of Managers.
We wish to express our thanks to the Quincy Patriot Ledger for its continued interest and help in conveying our story to the citi- zens of Quincy.
For the patients and the hospital personnel, we express our ap- preciation and thanks to our many friends, Campfire Girls, Girl Scouts, Needlework Guild, civic clubs, and other organizations for their kind generosity in sending magazines, clothing, toys, scrap- books, and flowers to the hospital.
To the Mayor, the City Council, and all City Departments, we wish to say "Thank You" for the response and help given us when called upon on the many occasions during the year.
To my faithful and loyal assistants and employees, I am duly grateful for the support given me for the year just ended.
Respectfully submitted,
JOSEPH P. LEONE, M D., Superintendent.
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
Admissions
5,584
5,889
5,874
6,247
6,281
6,298
6,665
7,444
8,308
9,126
Births
818
839
819
832
883
925
915
1,079
1,268
1,561
Daily Average.
154
158
168.3
179.3
181
183
196
221.2
236.5
253.2
Lowest Census
102
107
126
126
131
130
161
167
178
194
Highest Census
206
198
211
224
224
235
236
276
284
295
Laboratory Tests
16,151
16,681
18,066
23,697
20,835
23,350
29,840
34,520
37,477
39,163
X-Ray Exams
3,631
3,192
3,502
3,736
4,038
4,431
4,895
6,066
5,939
5,454
Accidents
1,080
1,359
1,434
1,809
1,630
1,702
1,938
1,851
2,272
2,436
Physiotherapy
5,880
6,171
7,137
9,432
8,914
9,563
9,804
9,412
9,932
8,815
Out-Patients
2,466
2,464
3,407
4,912
4,982
6,910
6,709
5,666
6,374
6,146
Operations
2,797
4,366
4,538
4,329
4,076
4,511
5,009
4,928
5,470
5,916
Patient Days
56,206
57,823
61,283
65,610
66,007
66,798
71,131
80,968
86,356
92,458
Deaths
270
253
254
254
268
262
278
289
287
326
8-hr. day
Receipts
$159,905 $180,834 $172,553 $194,913 $236,715 $221,308 $265,495 $302,581 $380,404 $465,972
Pay Roll
$178,238 $187,701 $202,782 $218,895 $235,088
$248,596 $258,610 $272,476 $292,467 $327,067
Expenses
$119,950 $143,651 $146,989 $146,888 $155,999
$153,018 $177,114 $181,437 $204,407
$215,615
Total Expenses
$298,188 $332,931 $351,777 $365,784 $391,087
$401,615 $435,724 $453,913 $496,874 $542,682
Net Deficit to City
$136,282 $152,097 $117,219 $170,870 $154,371
$180,306 $170,229 $151,332 $116,460
$76,710
Per-Diem Cost
$5.30
$5.92
$6.08
$5.58
$5.92
$6.00
$6.00
$5.60
$5.72
$5.87
1.
2.
Pre-
New
Natal
Adm.
Clinic.
Bldg.
3. Tumor Clinic 4. Nurses' Home
136
CITY OF QUINCY
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.
137
REPORT OF CITY HOSPITAL
REPORT OF THE SCHOOL OF NURSING AND THE HOSPITAL NURSING SERVICE
To the Board of Managers of the Quincy City Hospital:
Gentlemen:
The effect of military activities upon the nursing service in civilian hospitals has been felt throughout the country. In an attempt to meet the rapidly changing needs, our efforts have been concerned with the following significant activities:
1. Replacing the gradually depleting number of graduate staff nurses, many of whom have resigned to enter the Army and Navy Nurse Corps.
2. Increasing the enrollment of student nurses. These young women assist materially in the care of patients during their period of education.
3. Locating the inactive and married graduate nurses who can work on a part-time or hourly basis. This group helps replace the permanent graduate staff nurses who have resigned.
4. Assigning Volunteer Red Cross Nurses' Aides to all wards. These women have completed the standard 80-hour course taught at the hospital.
5. Offering a refresher course at the hospital to those graduate, registered nurses who are able and willing to assist during the present emergency. Nineteen nurses have completed an 86-hour course. As many more would avail themselves of the same oppor- tunity, if there was a nursery school located conveniently to the hospital where small children could be placed.
6. Adopting "the replacement system" whereby the graduate, registered private duty nurses, who are regularly employed at the hospital, replace or fill the vacancy of a staff nurse for one month each year.
7. Employing high school students during the vacation period in the capacity of nurses' aides.
The continued loss of full-time members from the staff and the orientation of many new people to the particular routines of this hospital has had its repercussions despite a sincere effort to con- trol the situation by means of class room instruction and ward supervision for the various groups.
The latest statistics show that twenty to twenty-five thousand graduate nurses are now serving with the armed forces, and it is estimated that the enrollment of three thousand additional nurses per month must be maintained to meet the future needs.
Graduates from this school are serving in military hospitals in various parts of the world. We can anticipate that just so long as war continues, nurses who are eligible for military service will answer the call of their country.
138
CITY OF QUINCY
Schools of nursing are being constantly reminded of their in- dividual responsibility to help meet the urgent need for more nurses. Appeals come periodically from the offices of the organi- zations concerned with the recruitment of nurses for military service. Among three of the responsibilities placed upon schools are :
1. Stimulate and maintain capacity student enrollment.
2. Offer refresher courses for the inactive graduate nurses who wish to return to nursing for the duration of the war.
3. Offer succeeding courses for the training of Volunteer Red Cross Nurses' Aides.
A Curriculum Committee has been organized during the year with the membership made up of two appointed members from the Medical Staff, the President of the Medical Staff, ex officio, the Chairman of the Advisory Committee to the School of Nursing, the Superintendent of the Hospital, the Principal of the School of Nursing and the Instructor of Sciences. This committee has given valuable assistance to the school faculty. It has been especially helpful to have their advice at a time when we have suffered a heavy loss of regular lecturers from the medical staff.
The Advisory Committee of the School has met regularly each month to consider and advise upon the activities concerned with the educational trends in nursing, and problems dealing with the administrative policies of the school. Attendance at all meetings has been most gratifying, which indicates the sincere interest of the members in the conduct of the school.
We announce with regret the resignation of Miss Rita Kelleher, instructor of sciences for more than four years, who leaves us early in January for a similar position in a larger school. Miss Dorothy M. Smith, a graduate from this school in the Class of 1936 and from Teachers' College, Columbia University, in 1941, has been appointed to fill the vacancy.
Graduation exercises for a class of 18 students was held on June 18th in the auditorium of the senior high school. Reverend Victor V. Sawyer gave the commencement address.
The graduating class this June will number thirty-four students. From the available records on file we believe it will be the largest class that has ever graduated from the school. The total number of enrolled students on December 31, 1942 is 112, and this seems to be the highest student census on record.
It seems consistent and also very fortunate that the enrollment of students increased at a time of national emergency and when the hospital reports the highest daily average number of patients in its history.
For the purpose of record, the following statistics are given:
Superintendent of Nurses and Principal of the School of Nursing 1 Assistant Superintendent of Nurses and Principal of
the School of Nursing 1
139
REPORT OF CITY HOSPITAL
Instructor of Sciences
Instructor of Nursing Arts
1
Ward Instructors
2
Day Supervisors
2
Night Supervisor
1
Assistant Night Supervisors 2
14
Head Nurse (Night)
1
Graduate Staff Nurses (Full-time)
55
Graduate Staff Nurses (Part-time)
6
Student Nurses
Senior Students 35
Intermediate Students
57
Junior Students
20
Respectfully submitted,
112
HELEN O. POTTER, R.N., Superintendent of Nurses and Principal of the School of Nursing
1
Head Nurses and Assistants
140
CITY OF QUINCY
REPORT OF THE SOCIAL SERVICE DEPARTMENT
To the Board of Managers of the Quincy City Hospital:
Gentlemen:
The increased financial prosperity of the community is still re- flected in the decrease in the number of persons coming to the hospital on service, especially for obstetrical care and tonsillecto- mies. In these instances, particularly, every effort is made by our department to refer all patients who can possibly arrange for private care to their family physicians. We do not feel, however, that employment in a war industry should categorically bar a per- son from service care, but we try to apply the principles of social casework to each case, judging it on its individual merits and cir- cumstances. We realize that not every man at the shipyard, for instance, is earning the high wages commanded by skilled crafts- men. Many of those now employed there are but a few months removed from welfare and W. P. A. assistance and are using a large part of their weekly earnings to pay debts accumulated dur- ing the lean years.
I. Case Load
Total cases investigated 1,708
Service patients 1,487
Accident cases 158
Old accounts
63
Action taken on financial investigations of service cases:
Free
132
Part-pay
75
Referred to Welfare or Health Departments 195
Pay
848
Other types of service cases:
Welfare
88
Old Age Assistance
118
Aid to Dependent Children
31
Number of home calls made 685
Referrals:
To other clinics and hospitals 37
To City Home
5
To Convalescent Home for Children 2
To Visiting Nurse Association 18
Home nursing 12
Nutritionist's service
6
To foster homes (children)
6
To Red Cross 9
Home Service 5
Motor Corps 4
To other social agencies 30
We find that the decrease in the quantity of cases has enabled us to improve the quality of our casework. While the problems of financial dependence are not so prevalent, we have noted an in-
To private convalescent homes 42
141
REPORT OF CITY HOSPITAL
crease in marital and domestic difficulties, in the need for board- ing homes for children, and especially in the problems relating to chronic illness and nursing care for the aged.
II. Prenatal Clinic
As mentioned before, every effort is made to bar from Prenatal Clinic any patient whom we feel should have a private doctor. Con- sequently our clinics have become much smaller, and even the addition of service-men's wives has not served to bring our total number of new patients over 100. These patients made 545 visits to clinic.
Because of the wartime restrictions on travel, the Visiting Nurse Association has discontinued routine home visits to prenatal patient, but a nurse and a nutritionist attend every clinic meeting and give lectures and demonstrations and answer the patients' questions.
III. Tumor Clinic
Because of the apparent lack of interest on the part of the com- munity as a whole, due in part to our proximity to Boston with its old-established and specialized clinic facilities, the Executive Com- mittee of the Quincy Tumor Diagnostc Clinic noted to discontinue the Clinic, as of August 15, 1942.
IV. Occupational Therapy
We still feel that there is a definite need for occupational the- rapy, or at least diversion for the patients in our hospital and re- gretted sincerely that the economies of the war program prevented the establishment of a full-time occupational therapy department. When this fact became apparent, Miss Elizabeth Marston, who had given generously of her time on a semi-volunteer basis, was ad- vised to resign. The work is being carried on to a lesser degree by Mrs. William Shine, a volunteer, who comes each week and helps those patients whose stay in the hospital is longer than average to make use of their spare time.
V Social Service Committee
In December, 1941, Mrs. Malcolm C. Sargent, who had served graciously and efficiently as chairman of the Social Service Com- mittee for five years, indicated her desire to resign, and in January, 1942, Miss Helen Gavin was elected chairman. Miss Ruth Darr resigned as secretary of the committee, retaining her post as treasurer, and Mrs. Harold P. Newell was elected secretary.
The Sixth Annual Charity Ball was held on April 17, 1942, at the Neighborhood Club, and netted $905.78 for the Social Service Fund. Mr. Myron N. Lane was chairman, and the size of the profits of such a venture in wartime is no small tribute to his personality and perseverance.
The Fourth Annual Charity Bridge party was held on November 13, 1942, at The Gordon House, and the net profits were $68.29.
In keeping with its custom of presenting to the hospital a permanent piece of equipment, or a large gift to help purchase new equipment, the Committee gave $350 in 1942 to be used in the establishment of the Blood Bank for civilian defense.
142
CITY OF QUINCY
We sincerely appreciate the time and effort of members of the Committee, not only in connection with our two large money- making projects, but in their whole-hearted response whenever the hospital has needed their help. At the present time, there are three members of the Committee who are volunteer clerical assistants in the wards of the hospital.
VI. Acknowledgements
While the outward aspects of our work continue unchanged-the financial investigation of each service admission and determination of ability to pay, with adjustment of bills or referral to other agencies for reimbursement, the investigation of automobile acci- dents, with the financial status of the patient taken into consid- eration, and insurance companies and lawyers contacted, the ad- ministration of Prenatal Clinic, and the arranging for service ton- sillectomies-during the past two years we have been able to de- vote more time to the individual patient, and by studying him in all phases of his illness, we have been better able to help him ad- just to the handicaps imposed by his illness, or to so improve his environmental and personal situation that he may become an in- dependent member of society.
To this end it has been necessary to seek the aid of other social agencies, both here and in Boston, and it has been given in a full cooperative spirit. We also wish to acknowledge the help given by members of the hospital administrative, medical, and nursing staffs, which is sincerely appreciated by our department.
Respectfully submitted,
DUTH DARR, Director Department of Social Service
143
REPORT OF CITY HOSPITAL
REPORT OF THE X-RAY DEPARTMENT
To the Board of Managers of the Quincy City Hospital:
Gentlemen:
The following is a report of the work done in the X-ray Depart- ment during the year 1942.
Personnel
Constance Larkin is the only one of the technical staff left from the 1941 group. Mildred Mack replaced Virginia Spaulding who resigned. Hilda Lundberg, R.N., replaced Mitchell Maloof, who resigned to enter the armed forces. Marie Cooney replaced Mary Popowitz, who resigned to enter the employ of the Bethlehem Steel Corporation.
New Equipment Desired
We need a new automatic thermostat in the dark room, in order to keep the solutions at a definite temperature, regardless of the temperature of the room. We need a new rotating anode x-ray tube for finer detail.
Room for Low Voltage Therapy
We still need a change in the location of the low voltage therapy room on account of the difficulty of getting bed-ridden patients up four steps for treatment.
The following is a statistical report of the work done during the year 1942:
Diagnostic patients 5,132
Therapy patients
307
Radium therapy patients 31
Total 5,470
We desire to express to the Administration and the Staff our appreciation of their continued cooperation.
Respectfully submitted,
CHARLES WHELAN, M.D. Roentgenologist.
REPORT OF THE LABORATORY DEPARTMENT
To the Superintendent and Board of Managers of the Quincy City Hospital, the report of the Clinical and Pathological Laboratory is hereby submitted.
Gentlemen:
The year 1942 showed a further increase in laboratory tests. During the year the technical force of the Laboratory took over
144
CITY OF QUINCY
work that was formerly done by the house officers. This included intravenous therapy, clyses, and blood letting.
The Blood Plasma Bank was started in May, and one of our technicians was assigned to this work. Later, Miss Marion Coady took over the technical work as a full time technician. The Blood Bank now has 145 units, and our objective of 240 units should be reached within the next few months.
There have been a few changes in the personnel of the depart- ment. Miss Elinor Rich, who has been connected with the Labora- tory for a period of about ten years, is on a leave of absence, hav- ing enlisted in the service of the United States Government (the WAVES). Miss Rich has been outstanding as a technician, and has already progressed in her government work, and now holds a position of great responsibility. Miss Claire Malone was added to the technical force in February, 1942, and Miss Dorothy Kelley assumed the duties of clerk in the department in March, 1942.
The postmortem examinations during the year were somewhat reduced, although the percentage meets the requirements of the American Medical Association. This reduction in postmorten ex- aminations is partly due to the shortage of house officers.
The equipment in the Blood Bank was principally furnished by the hospital, with an initial grant from the Federal Government.
We wish to thank the Superintendent and the Board of Managers for their continued support in supplying personnel and equipment to the departmeet.
The following is a condensed, classified report of the examina- tions made during the year:
State Laboratory Reports
Hintons 1,707
Wassermanns, blood
2
Kahn, blood
1
Wassermanns, spinal fluid
39
Davies-Hinton, spinal fluid
41
Spinal fluid, Gold Sol.
29
Spinal Fluid, Total Protein
56
Spinal fluid, Choride
15
Widal
38
Culture, Typhoid, Feces
158
Culture, Typhoid, Blood
9
Culture, Typhoid, Urine
4
Culture, Typhoid, Gall-bladder
1
Culture, Dysentery, Feces
9
Agglutination test for Undulant Fever
22
Weil Felix reaction
1
Heterophile antibody test
4
Sputa, Pneumonia
2
Sputa, T. B.
5
Serum bromide
1
Serum calcium
2
Throat culture
2
Miscellaneous culture
4
Blood culture
2
Kidney stone
3
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REPORT OF CITY HOSPITAL
Quincy City Hospital Laboratory Reports 1
Urinary examination
10,086
Bacteriology 1,483
Bio-Chemistry 1,576
Body Fluids and Excreta 320
Hematology
16,274
Blood typing, matchings and Rh.
2,424
Serology
537
Basal metabolism
331
E-K-G
371
Animal inoculation and Aschheim-Zondek
426
Surgical Specimens
1,242
Autopsies
55
Miscellaneous examinations 106
Intra-venous therapy, clyses and blood lettings Grand total
39,062
Very truly yours,
FRANCIS P. MCCARTHY, M.D.,
Pathologist.
REPORT OF THE PHYSICAL THERAPY DEPARTMENT
To the Superintendent and Board of Managers of the Quincy City Hospital the report of the Physical Therapy Department is hereby submitted.
Gentlemen:
Examinations
15
Auto Condensation
87
Diathermy L. W.
1,438
Elec. Saturation
175
Fulgeration
15
Galvanism
8
S. W. Diathermy
902
Sinusoidal
334
Suction Pressure
232
Infra Red
144
Radiant Light
2,433
Ultra Violet A. C.
551
Ultra Violet W. C.
272
Cabinet
6
Scotch Douche
24
Colonic Irrigation
4
Sitz Bath
32
Shower
23
Whirlpool
58
Exercises
171
Manipulation
497
Massage
1,383
Total Modalities
8,813
Patients
Male
2,419
3,831
146
CITY OF QUINCY
Female 2,706
Total Patients 5,125
The above constitutes a report of the work done in the Physical Therapy Department during the year 1942.
Respectfully submitted,
C. L. PAYZANT, M.D.
REPORT OF THE MAINTENANCE DEPARTMENT
To the Board of Managers of the Quincy City Hospital:
Gentlemen :
The following is a report of the major work performed dur- ing 1942:
1. Installing black-out curtains and heavy wire mesh screens. Panelling off and taping windows. Installing platforms over Elevators, machine-rooms and skylights.
2. The installation of more than 17,000 feet of wire to supply more than 300 emergency lights throughout the hospital and homes.
3. The wiring for lights and signals and the heating in- stallation of the Hunting Porches.
4. The wiring for and installation of Germicidal Lamps in the Nursery and Formula Room.
5. Rebuilding a discarded dressing sterilizer to a baby form- ula sterilizer and altering old basin sterilizers to comply with State Plumbing 'Code. The appliance used for this purpose also thermostatically controls the use of steam for sterilizing, accom- plishing the saving of steam and preventing the deterioration of walls surrounding sterilizer from excessive evaporation.
6. The rearrangement of and repiping serving counter in cafeteria.
7. The partitioning and rearrangement of the Admitting Office.
8. Partitioning Rice Building from the Main Corridor.
9. Repairs to the M&S Building roof and to roof of connect- ing corridor between the Administration and Rice Buildings and the plumbing and installation of fixtures in the Blood Bank and the new Formula Room performed by outside help.
Several employees that have been with us for many years, have, during the past year, left us to go to work in Defense Plants. Due to the difficulty to obtain material and the Government's re- quest to curtail all but necessary maintenance work, their places have not been filled. This has, in some instances, been the cause of unavoidable delay.
147
REPORT OF CITY HOSPITAL
There has been, during the year, one Clerk-Stenographer added to the Maintenance Department to keep records of the de- partment and, when time permits, assist in mimeographing forms used by various departments of the hospital.
The Heating Plant has, during the year, produced 40,691,356 lbs. of Steam. To produce this amount of steam, 346,903 gallons of No. 6 oil has been used at a cost of $14,638.79, making the mean cost of steam 35.95c per 1,000 lbs. of steam. The mean temperature as recorded at the hospital throughout the year, has been 49.68° Fahr. as compared with 51.29° in 1941.
The Refrigeration Plant has, besides the refrigeration of the Cold Storage Rooms, produced 371,600 lbs. of ice.
Respectfully submitted, CARL E. ERIKSSON Chief Engineer
REPORT OF THE AURAL SERVICE
To the Board of Managers of the Quincy City Hospital: Gentlemen :
The Aural Service of 1942 was very efficiently served by Dr. Robert O. Gilmore, Dr. James M. Ward, and Dr. Walter L. Mc- Clintock, each one having served four months during the year.
During 1942 there were 9 Bronchoscopies, 1152 Tonsils and Adenoid, 9 Mastoidectomies, and 83 Sinus Operations performed.
I wish to express my sincere appreciation of the excellent cooperation from the Aural Service Members, Staff Members, Nursing and Hospital Staffs.
Walter L. McClintock, Capt. M.C.U.S.A. is now on active duty with the armed forces.
Respectfully submitted,
WILLIAM J. HARKINS, M.D. Chief of Service
REPORT OF THE PEDIATRIC SERVICE
To the Board of Managers of the Quincy City Hospital:
Gentlemen :
The following is my report of the Pediatric Service for 1942:
I believe that during the year no quarantine of the ward was necessary for contagious disease.
148
CITY OF QUINCY
During the year, five Americanaire Air Sterilizers have been installed in the Nursery. This is of proven value in cutting down respiratory disease. Also, one lamp has been installed in the babies' ward of Hunting-3. Two large humidifiers have been purchased, which are of great value in treatment of certain conditions where a moist atmosphere is required.
The next important change which was made was the in- stallation of a new formula room, inasmuch as the old formula room was extremely crowded and inadequate.
The piazza at the end of Hunting-3 has been closed in, giving us many extra beds.
It is to be hoped that more sterilizer lamps can be installed in the rest of the Children's Wards, because experimental work shows that the number of air-borne bacteria are cut down to approximately one-fifth of the usual number before the installation of the lamps.
Respectfully submitted, EDMUND B. FITZGERALD, Chief of Service.
REPORT OF THE HOSPITAL LIBRARY
To the Board of Managers of the Quincy City Hospital:
Gentlemen :
We are extremely gratified to report that there has been a marked increase in reading done by patients during the year of 1942. In 1941 the circulation of books and magazines in the hospital library was 16,587, while in 1942 the circulation jumped to 20,767. This is an all-high record for our years of library service in the Quincy City Hospital. The increase is entirely within the adult circulation, however, because, we find, the circu- lation of children books and magazines has fallen off sharply. This may be a direct result of the discontinuation of story-telling in the children's wards. We feel that the three major factors causing this total circulation increase for the year are, (1) the increase in the hospital census, (2) the much larger circulation of magazines which we have experienced since the cessation of the sale of magazines within the hospital and (3) the discon- tinuance of the services of the occupational therapist.
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