,transcrib]'s ,notes3 ,und]scores 80 be=e & aft] a ^w or phrase indicate italics 9 ! orig9al text4 ,equal signs 80 be=e & aft] a ^w or phrase indicate bold 9 ! orig9al text4 ,small capitals h be5 conv]t$ to ,,solid capitals4 ,illu/rations h be5 mov$ s !y d n break up p>agraphs4 ,old spell+s h be5 pres]v$4 ,typographical & punctuation errors h be5 sil5tly correct$4 ,,hospital ,,h\sekeep+ ,by ,,*>lotte ,a4 ,,aik5s ,late ,director ,sibley ,memorial ,hospital1 ,wa%+ton1 ,d4 ,c42 ,late ,sup]9t5d5t ( ,i[a ,me?odi/ ,hospital1 ,des ,mo9es2 ,sup]9t5d5t ( ,columbia ,hospital1 ,pittsburg2 ,=m] ,associate ,editor ,! ,national ,hospital ,record ,,second ,,edition ,detroit1 ,mi*4 ,,del ,t4 ,,sutton #aiaj ,copyright #aijf by ,,del ,t4 ,,sutton ,,preface ,9 ! prep>ation ( ?is volume1 ?ree classes ( read]s h be5 9 m9d3 ! tra9$ nurse :o1 )\t practical exp]i5ce 9 hospital managem5t1 f9ds h]self 9 *>ge ( a hospital1 small or l>ge2 ! practical woman :o1 hav+ _h no opportunity = special tra9+1 has ^u h] ! responsibility ( ! direction ( ! dome/ic affairs ( an in/itution2 & ! lady memb] ( ! hospital bo>d ( manag]s :o1 9 ! dis*>ge ( ! duties ( h] position1 becomes responsible to ! public = ! prop] gov]nm5t ( in/itutional affairs4 ,x 0 ?\ght t ! latt]1 especially1 might1 ?r\gh ! use ( ?is volume1 secure a bett] grasp ( ! details ( hospital h\sekeep+ z a :ole ?an is possible )\t "s su* aid4 ,! ability to see all ar\nd a situation1 to view ! in/itution z a :ole1 is ess5tial to good managem5t4 ,z a rule1 su* ability comes only by exp]i5ce4 ,especial pa9s h be5 tak5 to make ! volume ?or\ghly practical1 & to pres5t cle>ly & concisely lessons le>n$ 9 actual deal+ )1 & close /udy (1 ! que/ions discuss$4 ,! great] portion ( ! cont5ts ( ! volume h already se5 ! light ( day 9 ! columns ( ! ,national ,hospital ,record4 ,s9ce _! appe>ance 9 t j\rnal1 ! pap]s h be5 c>efully revis$1 & mu* new & important matt] add$4 ,= assi/ance 9 prep>ation1 ! au?or has be5 "u great obligation to a numb] ( hospital sup]9t5d5ts1 :o h furni%$ in=mation z to me?ods1 & to contempor>y writ]s1 especially on ! subject ( dietetics4 ,special m5tion %\ld be made ( ! works ( ,w4 ,gilman ,?ompson1 ,m4 ,d41 ,mrs4 ,ell5 ,h4 ,ri*>ds1 ,i4 ,burney ,yeo1 ,m4 ,d41 ,sir ,h5ry ,burdett1 & ( ! lit]ature ( ! ,unit$ ,/ates ,dep>tm5t ( ,agriculture4 ,to ,miss ,emma ,lyn*1 :o1 z hospital matron1 has be5 = sev]al ye>s associat$ ) ! au?or 9 in/itutional "w1 special ?anks are due = valuable assi/ance4 ,_m practical sugge/ions h be5 glean$ f ! pap]s giv5 at ! annual conv5tions ( ! ,association ( ,hospital ,sup]9t5d5ts4 ,to ! writ]s ( ^! pap]s ! au?or expresses grateful appreciation4 ,_m ( ! electrotypes us$ = illu/ration h be5 k9dly furni%$ by c\rtesy ( ! bus9ess firms ^: names accompany !m4 ,^! h be5 introduc$ because !y 7 deem$ ess5tial to a cle> und]/&+ ( ! subject on ! "p ( su* read]s z may n be famili> ) ! use ( su* appliances4 ,s f> z ! au?or is aw>e1 no attempt has previ\sly be5 made to discuss ! subject ( hospital h\sekeep+ z a :ole4 ,z a pione] 9 ! field1 ! book d\btless has _m defects4 ,if x proves ( practical value to ev5 a small numb] ( ^? = ^: assi/ance x 0 prep>$1 x w h ju/ifi$ its exi/5ce4 ,,*>lotte ,a4 ,,aik5s4 ,,table ,,( ,,cont5ts4 ,,preface #g-h ,,*apt] ,i--,! ,hospital ,h\sekeep]2 ,! ,h\sekeep]'s ,prov9ce2 ,bookkeep+2 ,hospital ,inv5tory #ac-ai ,,*apt] ,,ii--,! ,ma9 ,entrance2 ,! ,port]2 ,! ,private ,rooms2 ,hospital ,c\*es2 ,fumigation2 ,! ,daily ,clean+2 ,du/+2 ,ba? ,rooms #bj-bi ,,*apt] ,,iii--,! ,hospital ,w>d2 ,soil$ ,clo?+2 ,buy+ ,b$s2 ,b$ ,mak+2 ,w>d ,lock]s2 ,c>e ( ,pati5ts' ,clo?+2 ,w>d ,m$ic9es & ,records2 ,adjuncts to ! ,hospital ,w>d2 ,quiet ,room2 ,matt]s ,miscellane\s2 ,de/ruction ( ,appliances2 ,scre5s2 ,a ,tw5ty-,b$ ,w>d ,equipm5t #cj-db ,,*apt] ,,iv--,! ,l95 ,room2 ,b$ ,l952 ,! ,room2 ,l95 ,acc\nt+2 ,disc>d$ ,l952 ,em]g5cy ,supply2 ,remov+ ,/a9s2 ,new ,l952 ,%elf ,managem5t2 ,laundry ,bags #dc-ej ,,*apt] ,v--,! ,hospital ,laundry2 ,manag]'s ,duties2 ,laundry ,work]s2 ,/>*+2 ,blue+2 ,dry+2 ,iron+2 ,r\t9e ( ,"w2 ,! ,laundry ,plant #ea-ei ,,*apt] ,,vi--,! ,hospital ,kit*52 ,g5]al ,con/ruction2 ,kit*5 ,cab9et2 ,plan ( a ,model ,kit*52 ,cold ,/orage2 ,! ,/or]oom2 ,di%wa%+2 ,di%clo?s & ,t[els2 ,! ,*ief ,kit*5 ,employees2 ,tra9+ ,ne$$2 ,! ,diet ,kit*5 #fj-gj ,,*apt] ,,vii--,! ,pur*ase & ,c>e ( ,food ,supplies2 ,judg+ ,food ,values2 ,bread2 ,milk2 ,c>e ( ,milk2 ,*eese2 ,eggs2 ,economy & ,c>e2 ,meat2 ,beef2 ,veal & ,mutton2 ,*ick5s2 ,fi%2 ,pork2 ,butt]2 ,fre% ,vegetables2 ,approximate ,e/imate ( ,quantities ( ,food = a ,tw5ty-five ,b$1 a ,fifty-,b$ & a ,"o ,hundr$-,b$ ,hospital #ga-hg ,,*apt] ,,viii--,prep>ation ( ,food2 ,object ( ,cook+2 ,classes ( ,diets2 ,bro?s2 ,s\ps2 ,cook+ ,meats2 ,cook+ ,vegetables2 ,"t ( ,meals #hh-ig ,,*apt] ,,ix--,diet ,li/s & ,blanks2 ,s]v+ ( ,food2 ,tray ,sett+2 ,bills ( ,f>e2 ,di%es2 ,h9ts on ,s]v+ #ih-aaj ,,*apt] ,x--,hospital ,diet>ies2 ,supplies = ,"o ,hundr$ ,p]sons = ,?irty ,days2 ,m5us = ,nitrog5\s ,diet #aaj-aai ,,*apt] ,,xi--,hospital ,hygi5e2 ,prev5tion ( ,disease2 ,sanit>y ,kit*5s2 ,pure ,food2 ,filt]s & ,wat]2 ,air2 ,cleanl9ess2 ,flies2 ,g>bage2 ,g>bage ,crematories #abj-aca ,,*apt] ,,xii--,! ,help ,"q2 ,numb] ( ,s]vants2 ,contracts2 ,m]it ,sy/em2 ,s*$ule ( ,"w2 ,rules2 ,s]vants' ,d9+ ,rooms2 ,sleep+ ,rooms2 ,attire2 ,h\sekeep]'s ,relation to ,s]vants #acb-adc ,,*apt] ,,xiii--,! ,problem ( ,wa/e2 ,ma9 ,causes2 ,fir/ ,/eps2 ,surgical ,dep>tm5t2 ,utiliz+ ,hospital ,wa/e2 ,soap mak+2 ,drugs2 ,wa/eful ,physicians2 ,tea* ,economy2 ,abuse ( ,appliances2 ,c>eful ,acc\nt+2 ,wat*+ ! ,exp5ditures2 ,dietetic ,dep>tm5t2 ,sy/em #add-aeh ,,app5dix--,dis9fection2 ,fumigation ,c2 ,ext]m9ation( ,v]m92 ,c>e ( ,floors #aei-afb ,,hospital ,,h\sekeep+ ,,*apt] ,i4 ,sid5ote3 ,! ,hospital ,h\sekeep] ,hospital h\sekeep+ is int5sely practical bus9ess4 ,if x is to be successfully & satisfactorily conduct$1 x dem&s t ! h\sekeep] be a woman ( no inf]ior or unc]ta9 atta9m5ts4 ,all ! elem5ts t make = success 9 home h\sekeep+1 & _m m1 are ne$$ 9 a hospital4 ,!re mu/ be bread? ( vision1 ! qualities ( an organiz]1 ! ability to deal ) l>ge problems1 a ke5 s5se ( ju/ice1 & ! executive =ce ne$$ to manage1 )\t fe>1 fuss or favor1 ! v>i\s classes ( p t t\* ! h\sekeep]'s realm4 ,_m a man :o is a success 9 manag+ a village /ore w\ld utt]ly fail :5 plac$ 9 *>ge ( ev5 "o section ( a great dep>tm5t /ore4 ,& ! same may be said ( ! av]age woman 9 hospital h\sekeep+4 ,ap>t f ! special k ( ! bus9ess1 t comes only by dilig5t /udy1 accurate obs]vation & exp]i5ce--nev] by accid5t--! h\sekeep] ne$s special qualities ( m9d & he>t4 ,inde$1 special qualifications are ne$$ by e "o ^: life "w is to be wr\ght out 9 an in/itution4 ,a hospital or any in/itution t has to deal ) infirm1 ag$ or un=tunate memb]s ( society1 is no place = a p]son ( /rong racial antipa?ies4 ,x is no place = ! tale-be>] or ! gossip1 nor = ! p]son :o has a grudge aga9/ fate & feels %e has nev] receiv$ ju/ice4 ,x is no place = ! p]son :o is disc\rag$1 or :o assumes ! air ( a m>tyr1 & leads a cru%$ life1 bemoan+ ! fact t h] highe/ motives & be/ ef=ts are nev] appreciat$4 ,^? :o w\ld live happily 9 an in/itution mu/ be prep>$ to be misund]/ood1 & =tifi$ aga9/ disc\ragem5t f t s\rce4 ,sympa?y ) ! aims ( ! in/itution is a prim>y qualification4 ,no "o %\ld ent] an in/itution z a work]1 & especially z head ( a dep>tm5t1 :o is n prep>$ to h h] int]e/s c5t]$ 9 ! p = ^: b5efit ! in/itution 0 br\ght into exi/5ce4 ,ability to see ?+s f m ?an "o /&po9t1 to "w com=tably ) diff]5t classes ( p1 an inf9ite capacity = detail1 & sy/ematic bus9ess habits--^! are a few ( ! qualities t %\ld *>act]ize ! woman :o und]takes to manage ! dome/ic affairs ( a hospital4 ,x ne$ h>dly be m5tion$ t %e ne$s a heal?y body & a /rong con/itution4 ,! hospital h\sekeep] ne$s1 if anyone ne$s x1 reliability ( judgm5t1 & poise ( s\l4 ,if %e is to control o!rs1 %e mu/ "k h[ to control h]self4 ,! ability to reprim& )\t ar\s+ antagonism mu/ be h]s4 ,%e %\ld endeavor to cultivate ! feel+ ( p]sonal responsibility 9 all ov] :om %e has au?ority1 & to make !m und]/& t ! success ( an in/itution dep5ds n on p]fection ( equipm5t1 nor 9 numb]s1 b 9 ?or\gh co-ord9ation ( ! "w 9 all ! dep>tm5ts1 & fai?ful s]vice on ! "p ( all4 ,!y %\ld "k t a lack ( punctuality or c>elessness 9 "o dep>tm5t di/urbs ! work+ ( ! entire sy/em4 ,! influ5ce ( ! kit*5 & laundry is felt ?r\gh\t ! entire in/itution4 ,skillful managem5t consi/s n alone 9 ! ability to att5d to ! app>5tly important affairs ) ease1 b 9 nev] los+ sight ( ! m9or details4 ,no?+ is s l>ge z to be ( p>am\nt importance1 no?+ s small z to be consid]$ immat]ial1 :]e human lives are conc]n$4 ,sid5ote3 ,! ,h\sekeep]'s ,prov9ce ,to def9e ! exact limits ( ! h\sekeep]'s prov9ce is impossible1 z in/itutions v>y s greatly 9 size & 9 ! numb] ( (fic]s4 ,local conditions always influ5ce ! situation4 ,"o lone woman may h to manage ! dome/ic affairs ( an in/itution1 sup]9t5d its entire bus9ess1 includ+ its nurs+1 manage its bookkeep+1 d ! "w ( an int]ne 9 em]g5cies1 & act 9 v>i\s o!r capacities1 t readily sugge/ !mselves to ^? :o are acqua9t$ ) life 9 a small hospital4 ,9 ano!r in/itution h] prov9ce may be limit$ entirely to ! purely dome/ic affairs1 ! pur*ase & prep>ation ( food1 c>e ( l951 ! clean+1 & ! managem5t ( ^? :o "w 9 ^! dep>tm5ts4 ,9 ei!r in/ance1 ! responsibility is great4 ,to meet ?is responsibility )\t be+ oppress$ by its weight1 requires t ! work+ =ce be completely organiz$1 ! "w def9itely divid$ & assign$4 ,!re %\ld n be a squ>e in* ( ! build+ = :i* someone is n directly responsible = its good ord] & cleanl9ess4 ,real success 9 managem5t1 h[ev]1 does n alone consi/ 9 ! "w go+ on z x %\ld :ile ! h\sekeep] is !re to direct & sup]vise4 ,h] own heal? & effici5cy dem& t %e h recreation & re/1 &1 z a matt] ( fact1 dep5d on h] n be+ always !re4 ,h] skill & g5]al%ip ( ! situation w be %[n 9 ! fact t1 :e!r pres5t or abs5t1 ! r\t9e ( ! "w is n noticeably int]rupt$4 ,9 e in/itution !re %\ld be "s individual :o is suffici5tly acqua9t$ ) h] me?ods to assume control & c>ry on ! sy/em 9 h] abs5ce4 ,sid5ote3 ,bookkeep+ ,9 addition to ! ma/]y ( ! details ( ! practical "w1 ! hospital h\sekeep] mu/ "k h[ to give an acc\nt ( h] /ew>d%ip to ^? :o h a "r to dem& x4 ,! bus9ess side ( hospital "w1 t :i* has to d ) doll>s & c5ts1 is "o ( h] _m duties t has special importance4 ,x is "o ( ! corn]-/ones 9 ! hospital f\ndation1 & h[ev] mu* ! h\sekeep] may dislike ! t$i\s "w ( add+ & subtract+1 & reckon+1 & itemiz+1 if %e is a fai?ful /ew>d ( tru/ funds1 %e w give x due att5tion4 ,! weak po9t 9 a great _m hospitals is ! loos5ess ( me?ods ( acc\nt+4 ,frequ5tly ! bo>d ( manag]s are n suffici5tly impress$ ) _! responsibility to plan & dem& a sy/em ( bookkeep+ t w furni% pla9 facts 9 a %ape t w be easily grasp$2 & x is n to be wond]$ at t ! h\sekeep] is1 if n c>eless1 !n n suffici5tly c>eful = h] books to be ( any value z in/itutional records4 ,! busy h\sekeep] ne$s a simple me?od ( acc\nt+ t is at once compreh5sive & easy to h&le4 ,a simple1 conv5i5t =m = a g5]al exp5se book is "h %[n4 ,"o page c be devot$ to ea* week's or mon?'s exp5ditures & ! use ( su* me?od makes ! annual f9ancial /atem5t an easy matt] to arrange4 ,x is n claim$ t ?is is ! be/ me?od = a g5]al exp5se acc\nt2 x is "o me?od--a simple1 workable me?od4 ,9 addition to ?is ! use ( a small day book w be necess>y1 :i* w %[ on ! left-h& page ! money receiv$ & on ! o!r side ! disbursem5ts = ! day4 ,= ?is an ord9>y blank book t has spaces rul$ = dates1 items1 doll>s & c5ts1 w be suffici5t4 ,9 ?is ea* day w be record$ ! article pur*as$1 ! date & ! co/4 ,p]iodically ?is itemiz$ acc\nt is gone ov]1 ! articles gr\p$ "u ! sev]al heads & copi$ 9 ! g5]al exp5se book4 ,,g5]al ,,hospital ,receipts & ,exp5ditures f to ---------------------------------------- ---- ,,receipts ,balance on h& 4444 #a/1 #aij444 ,receiv$ f 444444444444444444 ,receiv$ f 444444444444444444 ,receiv$ f 444444444444444444 ,receiv$ f o!r s\rces 4444 ---------------------------------------- ---- ,,exp5ditures ,meat ,fi% ,butt] ,fl\r1 bread & meal ,milk ,wat] supply ,ice ,potatoes & vegetables ,groc]ies & provisions n above enum]at$ ,soap & clean+ appliances ,fuel ,gas1 oil & light ,b$d+ & g5]al h\se furni%+s ,nurses' uni=ms ,o!r tra9+ s*ool exp5ses ,adv]tis+1 pr9t+1 /ation]y1 po/age ,repairs ,/ation>y furni%+s ,cont+5cies ---------------------------------------- ---- ,an 8ord] book0 %\ld conta9 an acc\nt ( all ord]s giv51 ! quantity1 co/1 date ord]$1 date receiv$4 ,an ord9>y blank-book may be rul$ ) columns = ea* ( ^! entries1 & ! mon? & ye>4 ,?is furni%es in=mation t is valuable f sev]al /&po9ts4 ,if ! h\sekeep] is sudd5ly call$ away1 x is easy to turn to = a li/ ( ! firms patroniz$1 or to f9d ! usual am\nts ord]$1 & is valuable = comp>ison & ref]5ce f mon? to mon? & ye> to ye>4 ,all deal]s' *ecks s5t ) goods %\ld be pres]v$1 = comp>ison ) ! itemiz$ mon?ly acc\nt1 be=e indors+ x = paym5t4 ,sid5ote3 ,hospital ,inv5tory ,9 ! matt] ( ! hospital inv5tory1 v>i\s =ms may be adopt$1 accord+ to ! purposes = :i* ! inv5tory is int5d$4 ,x may be a simple li/ ( ! furni%+s ( ! hospital1 made up )\t any special plan1 & ) or )\t ! value or co/ ( ! article atta*$4 ,9 case ( loss by fire1 ?is inv5tory might h special value z an insurance record4 ,su* books %\ld ( c\rse be kept 9 ! safe1 ) o!r docum5ts & articles ( value4 ,z conv5i5t z any way ( keep+ a hospital inv5tory1 is to h ! cont5ts ( ! build+ arrang$ "u ! heads ( ! rooms = :i* ! articles 7 pur*as$4 ,! kit*51 /or]ooms1 diet kit*5s1 (fices1 reception rooms1 w>ds1 private rooms1 etc41 all h /ation>y furniture especially = !m1 & = purposes ( ref]5ce x w be mo/ conv5i5t to li/ ?is 9 connection ) ! room conta9+ x4 ,if ! value ( ea* article is atta*$ a recapitulation w %[ at a glance ! total value ( ! hospital furni%+s4 ,once ea* ye>1 at lea/1 ! h\sekeep] %\ld make a bus9ess ( f9d+ out ! av]age co/ p] day ( fe$+ h] hospital family1 & ! av]age co/ ( fe$+ "o pati5t4 ,?is k is valuable n alone = /ati/ics1 b = h] own satisfaction4 ,x %\ld give confid5ce 9 h] adm9i/ration1 or %[ :e!r !re is a weakness t might be correct$4 ,,*apt] ,,ii4 ,sid5ote3 ,! ,ma9 ,entrance 8,!re is no?+ 9 a hospital small en\gh to be c>eless ab\t10 is a rem>k frequ5tly he>d 9 hospital corridors4 ,x is important = ! h\sekeep] to be> 9 m9d t1 al?\gh (t quot$1 ?is /atem5t happ5s to be true4 ,p]haps no "o ?+ w produce a m la/+ impression on a casual visitor ?an ! mann] 9 :i* he is receiv$ at ! front entrance4 ,two tra9$ nurses :o sp5t a c\ple ( days 9 visit+ hospitals 9 an ea/]n city relat$ ! foll[+ exp]i5ce3 ,at hospital numb] "o ! door 0 op5$ by a v untidy-look+1 irrepressible color$ boy1 :o seem$ to feel x 8 duty to d ! gallant ?+ accord+ to 8 ideas ( gallantry4 ,aft] an entirely unnecess>y spee*1 8 conclud+ rem>ks 7 t he w\ld j love to g ?r\gh ! hospital ) !m1 b he 8a9't got no "t10 & he guess$ he'd h to ask ,dr4 ---- to g ) !m4 ,at hospital numb] two1 no "o specially seem$ to be 9 *>ge ( ! door1 &1 aft] repeat$ r+s1 a resid5t physician1 :o1 judg+ f 8 hair & g5]al appe>ance1 _h be5 napp+1 came ru%+ ?r\gh ! hall--! door 0 op5--gett+ into 8 coat by ! "t he rea*$ ! door4 ,! climax 0 rea*$ at hospital numb] ?ree1 :i* 0 a mat]nity hospital1 an adjunct ( a l>ge city hospital4 ,"h ! door 0 op5$ by a color$ woman 9 ! la/ /ages ( pregnancy4 ,at hospital numb] f\r a p]t maid1 none too tidy1 0 on duty at ! front entrance4 ,h] di/+ui%+ feature seem$ to be t %e 8didn't "k40 ,at hospitals five & six1 ! p]sons 9 *>ge knew :at 0 expect$1 & did ! prop] ?+1 b ! v>i$ exp]i5ces s]v$ to %[ ! laxity t exi/s 9 t "o p>ticul>4 ,sid5ote3 ,! ,port] ,! c>eful hospital h\sekeep] w see to x t ! p]son 9 *>ge ( ! ma9 entrance kn[s 8 bus9ess & is reliable & c\rte\s4 ,he ne$ n "k all ! bus9ess ( ! in/itution1 b he %\ld "k en\gh to answ] que/ions prop]ly & :5 to be sil5t4 ,if no special uni=m is provid$1 he %\ld be neatly & quietly attir$4 ,p>cels1 telegrams1 messages1 are con/antly be+ deliv]$ = ! inmates1 & he %\ld be responsible = !m until !y are deliv]$ to ! nurse 9 *>ge4 ,lett]s %\ld be plac$ 9 a lock$ box1 ! key to be held by "s reliable p]son :o w see to _! di/ribution4 ,mail = ! pati5ts %\ld n be giv5 to ! inmates direct1 b to ! nurse 9 *>ge1 & "s nurse %\ld always be 9 *>ge4 ,c>elessness at ?is po9t may result 9 an important lett] or message n be+ deliv]$1 or deliv]$ at a "t :5 x is specially important t ! pati5t's m9d be free f di/urbance or intrusion ( any k9d4 ,compla9ts are frequ5tly made1 ( l>ge hospitals especially1 t boxes ( fl[]s s5t to pati5ts h be5 ?r[n c>elessly into a p>cel room1 & n deliv]$ at all1 or deliv]$ aft] _! beauty & fragrance _h gone4 ,if ! p]son at ! door is c>eless ab\t matt]s ( t k9d1 he w be j z likely to be c>eless ab\t m s]i\s ?+s4 ,a tempor>y sub/itute at ! door %\ld always be arrang$ = :5 ! port] is oblig$ to be abs5t1 ev5 = a few m9utes4 ,sid5ote3 ,! ,private ,rooms ,9 all ap>tm5ts int5d$ = ! use ( pati5ts "s degree ( uni=mity %\ld be obs]v$ 9 ! furni%+s1 ?\gh ?is may easily be c>ri$ to extremes4 ,^! rooms v>y 9 size & price1 b ! ess5tials = all are ! same4 ,! *ief ?\ght %\ld be to h ! furni%+s suitable1 s5sible & re/ful4 ,da9ty :ite enamel$ furniture = hospital rooms is rapidly replac+ t ( d>k] hue & adds greatly to ! attractiv5ess ( ! hospital4 ,= ! av]age room a comb9ation dress] & wa%/& is pref]able to cumb]+ ! room ) two sep>ate pieces ( furniture4 ,^! h ! ess5tial features ( ! dress]1 9 t !y provide a mirror & draw]s1 & ( ! wa%/& by hav+ a t[el rack & cupbo>d4 ,9 any case1 small dress]s are pref]able to l>ge ones4 ,e private room %\ld h its own wa% b[l & pit*]1 soap di%1 mug1 receptacle = toilet bru%1 wat] bottle & dr9k+ glass4 ,! b$ %\ld be plac$ s t ! nurse c h access to x on ?ree sides4 ,! wov5-wire spr+s %\ld be w>rant$ n to sag 9 ! middle4 ,illu/ration3 ,comb9ation ,dress] & ,wa%/& ,blankets1 on acc\nt ( ! frequ5t wa%+s1 %\ld n be all wool1 nor too heavy4 ,= w>m? x is bett] to dep5d on light blankets ?an on any =m ( 8com=t]40 ,rugs may be z bright & h&some z ! hospital c pur*ase4 ,! *eap wool rugs t are ev]y:]e display$ = sale are a poor inve/m5t4 ,! mo/ satisfactory rugs are ^? made to ord] ( tape/ry ,brussels1 or :5 x c be af=d$1 ! m exp5sive grade ( ,brussels or velvet4 ,= small rooms ?ree wid?s are usually suffici5t & ^! made )\t bord] are n an exp5sive rug4 ,= l>g] rooms a bord] is pref]able1 b 9 any case su* rugs are economical & s]viceable4 ,long lace curta9s %\ld h no place 9 a hospital4 ,!y are always gett+ 9 ! way & be+ torn1 always collect+ du/ & always an ob/acle to ! view & to v5tilation4 ,at be/ !y are a nuisance1 an unnecess>y exp5se & s]ve no useful purpose4 ,s(t1 pla9 :ite sa% curta9s are ! only suitable curta9s = ! hospital w9d[4 ,provision %\ld be made = loop+ !m back if ! pati5t desires x1 & mo/ pati5ts h a long+ desire to see out ( doors4 ,a com=table1 roomy rock]1 ) arms & )\t any 8squeaks10 is indisp5sable 9 ! private room4 ,sid5ote3 ,hospital ,c\*es ,if l>ge en\gh1 ! room %\ld also h a c\*4 ,x makes an agreeable *ange f ! b$ dur+ convalesc5ce4 ,! common c\*es ) elevat$ head are mo/ unsatisfactory4 ,no pati5t c lie on an incl9$ plane = any l5g? ( "t 9 com=t4 ,:5 x becomes necess>y = a nurse to sleep 9 ! pati5t's room :5 on 8special duty0 ^! c\*es are an abom9ation4 ,no nurse c\ld ev] get up feel+ really re/$1 aft] try+ to sleep on su* a c\*4 ,! be/ hospital c\* is t /yl$ sometimes 8! d5 c\*40 ,! b$ is flat1 a full six feet by two1 & ! headbo>d be+ at "r angles1 effectually prev5ts ! pill[s f slipp+ (f4 ,su* a c\* c be made z com=table z a b$1 comb9+ bo? beauty & utility4 ,!y c be made to ord] by any firm t manufactures c\*es or b$s4 ,:5 cov]$ ) ! be/ grade ( pantasote ^! c\*es co/ usually f fifte5 doll>s upw>d & :5 cov]$ ) lea!r f ?irty doll>s upw>d4 ,!y are ! only k9d ( hospital c\*es x pays to inve/ 94 ,illu/ration3 ,,hospital ,,c\* ,illu/ration3 ,,invalid ,,table ,sid5ote3 ,o!r ,accessories ,a /raight-back *air1 a w>drobe = ! pati5t's clo?+1 a movable scre5 & a small table or two1 complete ! ess5tials 9 ! mod]n sick room4 ,! newe/ hospital tables are ( iron & glass & may be _h 9 diff]5t sizes4 ,an invalid's table t w ext5d ov] ! b$ is a luxury mu* appreciat$ by ! pati5t1 especially dur+ convalesc5ce4 ,pl5ty ( pill[s is ano!r luxury t w add to ! pati5t's com=t4 ,a small pill[ or two to tuck ar\nd ! pati5t1 9 places :]e a little w>m? or support is desir$1 is a s5sible addition to ! ord9>y furni%+ ( ! sick room4 ,half a doz5 w be none too _m4 ,! be/ f9i% = ! walls ( ! private room is a coat ( oil pa9t4 ,!y c !n be subject$ to p]iodical clean+ )\t be+ defac$4 ,! %ades %\ld be s(t & delicate & re/ful4 ,a pretty %ade ( gre5i% blue is a delight to mo/ eyes4 ,on ! wisdom ( pictures 9 a sick room1 op9ion is divid$4 ,"s w\ld bani% !m z unnecess>y1 & because !y af=d a lodg+ place = du/ & disease g]ms4 ,o!rs w\ld introduce !m to bani% ! monotony & relieve ! walls ( ! b>e effect4 ,if us$ at all1 pictures %\ld be c>efully select$1 & h pla9 wood5 frames1 t w n be injur$ by dis9fectants4 ,to _m pati5ts ! illum9at$ scripture texts on ! walls are a com=t1 & few1 ev5 ( ^? :o 9 heal? h no use = su* ?+s1 object to !m :5 sick4 ,! cu/om ( mak+ memorial rooms1 picture gall]ies or museums :]e ! memory ( b5efactors is en%r9$1 is to be condemn$4 ,a simple plate on ! wall or on ! door is suffici5t4 ,m ?an ?is is unwise & 9 bad ta/e4 ,! craze = memorials has rea*$ a po9t t is emb>rass+ 9 _m hospitals1 & ! "t mu/ surely come :5 doctors & hospital (fic]s w int]f]e1 & prote/ aga9/ hav+ ! pati5t =ev] gaz+ into ! c\nt5ance ( "s memb] ( ! family ( ! b5efactor ( ! in/itution4 ,z soon z possible aft] a pati5t has left ! room1 x %\ld und]go a ?or\gh clean+4 ,e article b ! /ation>y furni%+s %\ld be remov$4 ,c>elessness ab\t ?is matt] sometimes proves v emb>rass+4 ,draw]s1 cupbo>ds1 & w>drobes %\ld be wa%$ ) a solution ( bi*loride ( m]cury4 ,! w9d[s %\ld be clean$ & fre% sa% curta9s put on4 ,! walls %\ld be bru%$1 ! floor clean$1 ! mattress dis9fect$1 ! b$ clo?+ wa%$ & all ut5sils ?or\ghly air$4 ,if ! la/ occupant 0 afflict$ ) a communicable disease1 ! mattress %\ld be subject$ to /eam /]ilization4 ,sid5ote3 ,fumigation ,fumigation ( ! rooms p]iodically is necess>y to ensure ! safety ( ! com+ pati5ts4 ,=maldehyde = fumigation purposes has l>gely sup]s$$ sulphur4 ,:5 ! room is ready = fumigation1 ! w9d[s %\ld be clos$1 ! draw]s ( ! furniture op5$1 all *9ks /opp$1 ! keyhole /opp$ ) cotton1 & ! room left clos$ = tw5ty-f\r h\rs4 ,x may !n be op5$1 &1 :5 ?or\ghly air$1 is aga9 ready = occupancy4 ,! %eet me?od ( fumigation1 us+ a p9t ( =maldehyde to e #a1jjj cubic feet ( air-space1 has be5 ?or\ghly te/$ & prov5 reliable4 ,! drug is simply p\r$ on ! %eet1 :i* is hung ov] a l9e 9 ! room to be dis9fect$1 :i* has be5 prep>$ z above direct$4 ,x %\ld be rememb]$ t =maldehyde has little or no p[] ( p5etration1 & = ?is reason all possible surfaces ( mat]ials to be dis9fect$ %\ld be expos$4 ,sid5ote3 ,! ,daily ,clean+ ,9 ! daily clean+1 ! "w %\ld be s divid$ ?r\gh\t ! entire hospital t ! regul> morn+ clean+ c be accompli%$ 9 a comp>atively %ort "t1 leav+ special clean+ to be complet$ lat] 9 ! day4 ,9 ord] to accompli% ?is1 x may be necess>y to employ special clean]s by ! h\r4 ,?is does away ) ! necessity ( provid+ meals & lodg+ = a l>ge =ce ( clean]s4 ,by n9e o'clock 9 ! morn+ ! halls & /airs %\ld be 9 ord]1 front /eps & walks clean$1 w>ds swept & du/$ & ! :ole int]ior pres5t+ a neat appe>ance4 8,du/ 9 a hospital is n only du/1 b dang]40 ,dome/ic cleanl9ess & hospital cleanl9ess are q diff]5t t]ms4 ,! hospital h\sekeep] owes x to ! public & to ! sick :om %e s]ves to keep ! w>ds & rooms 9 ! be/ condition = ! promotion ( heal?4 ,on ! h>dwood floors a s(t hair bru% w raise less du/ ?an ! ord9>y broom4 ,wet tea leaves %\ld be spr9kl$ :5ev] obta9able4 ,! du/ %\ld be tak5 up frequ5tly4 ,! w>d floors1 unless poli%$1 %\ld be wa%$ e day4 ,x is well to *ange ! wat] (t5 & n use x too freely4 ,special att5tion ne$s to be giv5 to corn]s4 ,aft] ea* meal x w be necess>y to bru% up ! crumbs4 ,sid5ote3 ,du/+ ,! du/+ is ev5 m important ?an ! sweep+1 & mu/ be done ) great ?or\ghness & c>e4 ,ea* pati5t 9 ! hospital is help+ to make ! atmosph]e impure by ?r[+ (f disease g]ms4 ,dri$ p>ticles ( pus1 blood & excreta1 l9t f blankets & b$d+1 scales ( epi!lium & o!r matt]1 m or less dang]\s1 are fly+ ab\t 9 ! air & be+ deposit$ on l$ges1 skirt+ bo>ds1 w9d[ sills1 b$/ead rails & ! v>i\s p>ts ( furniture4 ,to br+ 9 a fea!r du/] or a dry clo? & attempt to du/1 is simply to flap ! du/ f "o place only to h x settle 9 ano!r4 ,x results 9 a m equal di/ribution ( ! du/1 b x is n du/+4 ,du/+ is remov+ du/1 & ! only way t c be done effectually is by ! use ( a damp clo?1 to :i* ! p>ticles w adh]e4 ,furniture t w be injur$ by t k9d ( du/+ is out ( place 9 a hospital4 ,special att5tion ne$s to be giv5 to du/+ "u radiators & 9 obscure nooks :]e du/ w accumulate if n look$ into daily4 ,sid5ote3 ,ba? ,rooms ,! ba? rooms1 toilet rooms & lavatories also ne$ con/ant sup]vision1 & ought to be z c>efully clean$ & v5tilat$ z any "p ( ! hospital4 ,inde$1 special pa9s are ne$$ if !y are to be free f bad odors4 ,dis9fectants %\ld be us$ freely 9 ^! places at lea/ once a week1 & any evid5ce ( imp]fect dra9age promptly report$ & att5d$ to4 ,a good dis9fectant = ?is purpose is ! "o kn[n z ! 8,am]ican ,/&>d10 made by dissolv+ six ounces ( *loride ( lime 9 a gallon ( wat]4 ,= clean+ ba? tubs k]os5e is recomm5d$4 ,x is a wise precaution to con/antly keep po/$ ov] closets & s9ks a notice prohibit+ ! ?r[+ ( mat*es1 hair & insoluble mat]ial into !m4 ,m ?an "o plumb]'s bill has be5 caus$ by a c>eless maid empty+ h] b> ( soap f h] scrubb+ pail into ! closet4 ,9 fact1 s common is t occurr5ce t a c>eful h\sekeep] has inv5t$ a device = hold+ ! soap1 ?us prev5t+ su* accid5ts1 & also ! wa/e caus$ by leav+ ! soap 9 ! wat]4 ,?is device is a t9 box ab\t eight in*es long by f\r in*es wide & f\r in*es deep 9 front & six at ! back4 ,on ! back are two pieces ( wire b5t ov] to fa/5 ! box to ! outside ( ! scrubb+ pail4 ,^! c be made by any t9smi? at a v small co/1 & w hold a cake ( soap & a cake ( sapolio4 ,!y w save _m times _! co/ 9 a ye>4 ,,*apt] ,,iii4 ,sid5ote3 ,! ,hospital ,w>d ,x is 9 ! hospital w>d t ! major portion ( r\t9e hospital "w is accompli%$1 & :]e ! nurses :o w h mu* ( ! responsibility ( ! hospital "w ( ! future w be tra9$ 9 habits ( accuracy & neatness1 9 prop] sy/ems ( w>d "w & good hospital h\sekeep+4 ,inasmu* z ! numb] ( hospital (fic]s v>ies ) ! size & dem&s ( ! hospital1 x %\ld be und]/ood t = ! purposes ( ^! pap]s ! hospital h\sekeep] comb9es ! position ( sup]9t5d5t ( nurses & matron--! plan t is g5]ally conc$$ to be productive ( ! greate/ degree ( h>mony4 ,9 all b small hospitals1 compet5t assi/ants 9 bo? ! nurs+ & dome/ic dep>tm5ts w be ne$$1 b ! au?ority & responsibility ( affairs dome/ic %\ld be c5t]$ 9 "o woman4 ,:atev] may be ! op9ion ( hospital tru/ees on t po9t1 no "o :o has liv$ = a ye> 9 a hospital :]e ! sup]9t5d5t ( nurses & ! matron 7 equal 9 au?ority1 & pull+ 9 opposite directions1 w sigh = a repetition ( ! exp]i5ce4 ,! ar*itecture ( ! hospital w>d1 & ! g5]al plans ( ! build+1 w h n a little influ5ce 9 creat+ difficulties = ! h\sekeep] & 9 add+ to1 or less5+1 ! burd5s ( ! nurs+ /aff4 ,til$ floors & walls are ideal = w>ds1 b too exp5sive = e hospital to h4 ,ev5 five feet ( til+ on w>d walls is greatly to be desir$4 ,d5i$ t luxury1 z _m hospitals are1 ! next be/ ?+ is to h ! walls f9i%$ 9 cem5t or h>d pla/]1 :i*1 if well coat$ ) enamel pa9t1 w admit ( ?or\gh cleans+ & dis9fection4 ,heavy m\ld+ & %>p corn]s :i* af=d a lodg+ place = du/ & g]ms %\ld n be !re4 ,! ceil+s %\ld be high1 & ample air-space provid$ = ! numb] ( pati5ts = :i* ! w>d is design$4 ,! v5tilat+ %afts1 w9d[s & radiators %\ld be arrang$ ) ref]5ce to ! propos$ location ( ! w>d b$s4 ,:5 ! hospital h\sekeep] c manage x1 ea* w>d w h its own l95 room1 ) abundance ( l954 ,x adds no small item to ! numb] ( miles a nurse is oblig$ to walk ea* day1 if e "t %e ne$s a clean %eet1 t[el or g[n %e has to walk half ! l5g? or ! :ole l5g? ( a long hall to get x4 ,a little =e?\ght & consid]ation = ! nurse's "p 9 ! hospital economy1 9 arrang+ ! plans ( ! build+1 w\ld result 9 at lea/ avoid+ unnecess>y labor = ^? :o w h no small "p 9 c>ry+ out ! humane designs ( ! hospital4 ,sid5ote3 ,soil$ ,clo?+ ,( equal importance is x to h a 8clo!s *ute0 on e floor1 connect+ ) ! sort+ room 9 ! basem5t4 ,?is w r5d] unnecess>y l>ge receptacles = soil$ l954 ,! /or+ ( quantities ( soil$ b$ & body l95 9 ! vic9ity ( ! hospital w>d = ev5 a few h\rs c nev] be any?+ else b injuri\s4 ,! atmosph]e _c be pure :ile soil$ l95 is !re to give (f its impure odors4 ,v dirty l95 %\ld be roll$ 9 a sep>ate bundle4 ,p9s %\ld be remov$ & dis9fection att5d$ to be=e be+ s5t to ! laundry4 ,clo?+ belong+ to pati5ts %\ld be pla9ly m>k$ ) ! own]'s "n4 ,9 mo/ cases x w prove m satisfactory to all conc]n$ = ! hospital to decl9e to be responsible = laund]+ articles ( p]sonal we> = any pati5t4 ,!re is always dang] ( _! be+ lo/ or torn4 ,sid5ote3 ,buy+ ,b$s ,! w>d b$s %\ld be ( uni=m height & /yle & well coat$ ) enamel pa9t4 ,9 buy+ b$s sev]al important po9ts are to be consid]$4 ,if b$s are (f]$ :i* require two m51 & a hamm]1 & a box ( bolts & a wr5*1 to get !m adju/$1 !y %\ld n be consid]$1 ev5 if li/$ at a doll> ea*4 ,!y are de> at any price1 :5 "o consid]s ! prices t prevail 9 ! labor m>ket1 ! /ra9 on human pati5ce1 & ! fuss t ! mov+ ( su* a b$ to ano!r room or w>d entails4 ,x is a mi/ake1 too1 to buy b$s )\t inquir+ ! l5g?4 ,six-foot pati5ts are n uncommon1 & ^! f9d x v di/ress+ :5 put 9 a b$ t is too %ort4 ,! b$ %\ld be at lea/ six feet f\r in*es 9 l5g?4 ,9 all hospital b$s1 !re %\ld be "s k9d ( b> at ! foot1 t w keep ! mattress f slipp+ d[n4 ,"s hospitals h attempt$ to rem$y ?is defect 9 b$s by hav+ bo>ds saw$ & plac$ z foot bo>ds1 b ^! are unsightly1 & if ! "r k9d ( b$ is b\ght su* make%ifts w n be necess>y4 ,be=e ord]+ a quantity ( b$s1 x is well to get a trial b$1 & ?us be sure ( ! quality ( me% 9 ! wire mattress1 & t o!r details are satisfactory4 ,no b$s )\t back re/s %\ld be pur*as$1 = 9 ! majority ( cases a back re/ w be necess>y4 ,sep>ate back re/s mu/ be pur*as$ & /or$ :5 n 9 use1 & ^! are r>ely z satisfactory z :5 atta*$ to ! b$4 ,x is well1 also1 to look closely into ! plan ( ! back re/4 ,"s h a r\nd iron rod across ! l[] edge ,if su* a ?+ is !re1 a s5sitive1 n]v\s pati5t w discov] t rod1 & worry till %e or x is remov$4 ,9 ord]+ b$s x is wise always to /ate ! height f ! gr\nd t is desir$1 or l[ b$s may be s5t4 ,ab\t tw5ty-f\r or tw5ty-six in*es is ! usual height desir$4 ,x is possible to secure b$s t c be adju/$ to any desir$ height4 ,! disadvantage ( su* b$s is ! difficulty ( adju/m5t s t ea* corn] w be exactly z high z ! o!r corn]s4 ,ea* "o mu/ be measur$1 & ! mov+ ( ! wire mattress up & d[n on ! legs ( ! b$1 makes x impossible to keep ! enamel on ! legs4 ,by all means hospital b$s %\ld h ca/ors1 & c>e %\ld be ex]cis$ to see t ^! ca/ors are s con/ruct$ & adju/$ t !y w n fall out e "t ! b$ is mov$4 ,!re is a great diff]5ce 9 ca/ors & 9 _! durability4 ,= ! g5]al we> & te> ( a hospital1 ! cotton-felt mattress is giv+ bett] satisfaction ?an ! hair mattress1 & x is some:at less exp5sive4 ,x is a good plan to h a few pads made ( b$ tick+ ?ickly inlaid ) cotton batt+4 ,^! %\ld be made ! same size z ! b$1 ) r+s at ! corn]s to secure !m4 ,= v fil?y or unconsci\s pati5ts ^! pads are desirable1 z !y c be wa%$ & boil$ z (t5 z necess>y4 ,a c\ple ( ^! pads makes a b$ z com=table z a mattress4 ,sid5ote3 ,b$ ,mak+ ,! mattress %\ld be c>efully protect$ by a rubb] %eet securely fa/5$ at ! corn]s4 ,e nurse ?9ks %e kn[s h[ to make a b$ be=e %e goes to a hospital = tra9+1 b z a matt] ( fact v few d4 ,x is sometimes a difficult ?+ = ! nurse to le>n1 b x is "o ( ! mo/ important ( ! e>ly lessons 9 w>d "w4 ,! appe>ance ( ! w>d b$s1 & ! way 9 :i* !y are made1 is a good index to ! "* ( ! nurse 9 *>ge4 ,if ! spread is on crook$1 ! op5 ends ( ! pill[ cov]s po9t+ 9 opposite directions1 & ! b$ has ! loose appe>ance ( hav+ be5 ?r[n toge!r )\t me?od1 "o may naturally expect ! g5]al "w ( ! nurse to be slip%od & unreliable4 ,x is well to tea* nurses to /& at ! w>d door occasionally1 & take a critical survey ( ! w>d1 not+ d[n ! ?+s out ( ord]4 ,a nurse :o is wat*ful 9 obs]v+ signs ( disord] 9 h] w>d may naturally be expect$ to be a c>eful obs]v] ( signs ( disease4 ,ord]1 :i* is said to be ,heav5's fir/ law1 %\ld be "o ( ! fir/ laws ( w>d "w4 ,ev5 ! height ( ! curta9s ( ! w9d[s add to or detract f ! appe>ance ( ! w>d4 ,! b$s %\ld be an equal di/ance ap>t & 9 a /raight l9e4 ,! head ( ! b$ %\ld nev] be us$ z a dry+-place = wa% clo?s or t[els1 nor z a hook on :i* to hang ba? robes & wrapp]s4 ,sid5ote3 ,w>d ,lock]s ,aseptic w>d tables ( iron & glass are n[ be+ us$ 9 "s hospitals1 b x is d\btful if _! use w ev] be g5]al4 ,!y answ] "s ( ! purposes ( a w>d table1 b n all4 ,ev5 v poor pati5ts pref] to h _! own combs & toilet articles1 _! own h&k]*iefs & /ation]y1 _! own books & fl[]s4 ,if "s place is n provid$ = ^! num]\s small ?+s1 :i* ! av]age pati5ts f9d x necess>y to h close by1 !y w inevitably resort to /[+ _! 8?+s0 "u ! mattress--a cu/om n to be tol]at$ by ! neat h\sekeep]4 ,good h\sekeep+ requires t 9 a hospital1 z else:]e1 a place be provid$ = ev]y?+ & ev]y?+ be kept 9 its place4 ,until ! prop] aseptic w>d table is inv5t$ & (f]$ at a reasonable price1 ! small wood5 lock]1 well coat$ inside & out ) enamel pa9t1 w cont9ue to be us$4 ,^! lock]s c be made to ord] = a v mod]ate price1 usually f ?ree to five doll>s ea*4 ,!y %\ld be ab\t #bj in*es 9 wid?1 #cj in*es f ! floor1 #ad in*es deep1 & m\nt$ on ca/ors4 ,! draw] %\ld be ab\t #d in*es deep & !re %\ld be a %elf 9 ! l[] "p4 ,a daily inspection ( b$side lock]s is necess>y1 or apple cores1 fruit peel+s1 remnants ( food1 & refuse ( v>i\s k9ds w accumulate4 ,all cupbo>ds & l95 rooms %\ld h daily att5tion1 & %\ld be 9 su* p]fect ord] t ! doors may be ?r[n op5 at any "t = inspection )\t emb>rass+ ! nurse 9 *>ge4 ,sid5ote3 ,c>e ( ,pati5t's ,clo?+ ,! out] g>m5ts ( ! pati5t & ^? n ne$$ dur+ illness %\ld be tak5 *>ge ( by ! nurse on ! entrance ( ! pati5t1 & ! li/ record$ 9 a book provid$ = ! purpose 9 e w>d4 ,ea* article %\ld be labell$1 & plac$ 9 ! lock] 9 ! g5]al clo!s room1 & ! numb] ( ! lock] not$ ) ! li/ ( clo?+ 9 ! record book4 ,an accurate & uni=m sy/em ( clo!s records ?r\gh\t ! hospital %\ld be insi/$ on4 ,unless ?is is done confusion :5 ! nurses' places are *ang$ w be inevitable4 ,c>elessness 9 ?is duty on ! "p ( a nurse has result$ 9 no small discomfiture to ! hospital (fic]s4 ,clo?+ has be5 mislaid & n f\nd = weeks aft] ! pati5t has left ! hospital1 & ! :ole in/itution has be5 br&$ ) neglig5ce by ! pati5t & 8 fri5ds4 ,all ! k9dness receiv$1 & ! mo/ skillful pr(essional treatm5t1 w (t5 be lo/ sight (1 if1 ?r\gh ! c>elessness ( a nurse1 ! hospital is unable to r5d] to ! pati5t ! clo?+ entru/$ = safe-keep+4 ,money or valuables %\ld nev] be kept ei!r 9 private room or hospital w>d1 b s5t to ! (fice to be deposit$ 9 ! safe4 ,sid5ote3 ,w>d ,m$ic9e & ,records ,?\gh _m well-regulat$ hospitals h a m$ic9e cab9et 9 e w>d1 ! cu/om does n g5]ally prevail1 nor is x desirable t x %\ld4 ,! less a pati5t kn[s1 sees or ?9ks ( m$ic9e1 except ! dose int5d$ = him at ! "t1 ! bett]4 ,! cu/om ( hang+ cl9ical records ov] ! foot or at ! head ( ! b$ is ano!r cu/om t might bett] be ab&on$1 ev5 ?\gh x be v conv5i5t = ! nurse4 ,pati5ts are only too prone to m$itate ^u & discuss _! symptoms1 9 spite ( all ef=ts to induce !m to tru/ !mselves entirely to doctors & nurses1 & cease que/ion+ & worry4 ,"s sympa?iz+ fri5d or convalesc5t pati5t may be dep5d$ ^u to keep !m in=m$ :5 an unpleasant symptom is record$4 ,?is w occur 9 spite ( all rules & vigilance4 ,x is n easy "u any circum/ances to keep w>d pati5ts f discuss+ _! ailm5ts & symptoms4 ,especially is ?is true 9 wom5's w>ds4 ,9 m5's w>ds ! newspap]s are read1 ! political situation is discuss$1 city improvem5ts & occurr5ces are talk$ ab\t1 all sorts ( subjects occupy ! "t ( ^? :o are able to talk1 b a diff]5t /ate ( ?+s entirely prevails 9 ! wom5's w>ds4 ,:at !y get to eat1 h[ !y feel1 & ! nurses & doctors furni% ! g5]al topics !re4 ,to h a cl9ical record to gossip ab\t might div]t att5tion f ! nurses & doctors1 b ev5 ^! long-suff]+ individuals w\ld will+ly sacrifice !mselves z a topic ( conv]sation r ?an h ! pati5ts read ! records & con/antly discuss _! symptoms4 ,sid5ote3 ,adjuncts to ! ,hospital ,w>d ,! t5d5cy 9 mod]n hospitals is 9 favor ( small] w>ds1 z af=d+ bett] facilities = prop] classification & sep>ation ( pati5ts4 ,a nurses' utility room adjo9+ e l>ge w>d or locat$ conv5i5tly ne> two or ?ree small w>ds1 :]e m$ic9es1 cl9ical records1 supply *>ts & blanks1 ord] books & ! memor&um books necess>y = w>d "w are kept1 is a mu* appreciat$ conv5i5ce 9 "s hospitals4 ,op5+ (f ?is room is ! w>d diet kit*51 :]e ! refrig]ator & food supplies = ! w>d are kept1 & ! facilities = quick prep>ation ( special diets = individual pati5ts4 ,sid5ote3 ,quiet ,room ,a mu* ne$$ adjunct to a hospital w>d is an isolation or 8quiet0 room1 to :i* a pati5t ^: pres5ce is (f5sive to ! o!r occupants ( ! w>d may be remov$4 ,:5ev] possible1 a dy+ pati5t %\ld be sep>at$ f ! o!r pati5ts 9 ! w>d4 ,gruesome tales t are disgraceful h be5 told ( pati5ts pass+ out ( life 9 full view ( ! o!r occupants ( ! w>d1 )\t ev5 ! measure ( privacy a scre5 af=ds4 ,x is a melan*oly com=t to relatives & fri5ds to be ) ! pati5t 9 8 la/ h\rs1 & ?is _c be p]mitt$ 9 a w>d )\t confusion & discom=t to o!r pati5ts4 ,:5 plann+ a w>d = ! c>e ( ! sick or ! poor1 ! object1 ( c\rse1 is ! sav+ ( lives1 b p w die 9 hospitals 9 spite ( ! be/ skill & c>e1 & ! poor man is surely entitl$ to a quiet place to die 94 ,!re is mu* 9 hospital life to blunt ! s5sibilities ( ^? :o live 9 su* in/itutions con/antly4 ,famili>ity ) suff]+ & dea? robs !m ( my/]y & awe1 b x %\ld nev] be all[$ to detract f ! rev]5t c>e ( ! dy+ & dead4 8,put y\rself 9 8 place10 is a good rule to obs]ve 9 deal+ ) ev5 ! mo/ unwor?y ( ,adam's sons4 ,sid5ote3 ,matt]s ,miscellane\s ,! ease ) :i* ! r\t9e "w ( ! w>d goes on w dep5d l>gely on prop] facilities & a prop] sy/em4 ,!re %\ld be a regul> ord] = ! "w ( ! day--a "t = b$ mak+1 a "t = sweep+ & du/+ & wa%+ ! w>d floors1 a "t = ! daily clean+ ( ! ba? rooms & toilet rooms & refrig]ators & cupbo>ds4 ,int]ruptions may be expect$1 b unless a r\t9e ord] ( "w is e/abli%$ ! clean+ w be execut$ 9 haphaz>d /yle4 ,nei!r nurses nor maids c be dep5d$ on to use _! judgm5t 9 su* matt]s4 ,if left to plan _! "w1 !y w probably be f\nd sweep+ _! w>ds :5 ! doctors are ready to beg9 _! dress+s1 & ! "t = o!r ?+s w dep5d on _! ideas ( ! importance ( ! v>i\s duties4 ,! habit ( do+ ?+s quickly & ?or\ghly %\ld be =m$ by e "o :o has any responsibility ( ! r\t9e "w ( a hospital1 :]e ev]y?+ %\ld move ) clock-"w precision4 ,s mu* "t c be wa/$ by lack ( sy/em1 or 9 talk+ or dawdl+4 ,! untidy habit ( leav+ glasses or ut5sils dirty till a suffici5t quantity has accumulat$ to make x a necessity to wa% !m1 %\ld nev] be tol]at$4 ,x ought n to be necess>y to m5tion ! necessity ( pl5ty ( tools & ! "r k9d ( tools = w>d "w--pl5ty ( bas9s1 & syr+es1 & dress+ pans1 & in/rum5ts1 & dr9k+-cups1 & m$ic9e glasses1 & ! ?\s& & "o little ?+s t g to make up ! complete furni%+s ( ! hospital w>d4 ,b1 z a matt] ( fact1 _m nurses g ?r\gh _! c\rse ( tra9+ hamp]$ by a lack ( facilities = prop] "w4 ,"o set ( in/rum5ts = dress+ is provid$1 :]e sev]al are ne$$ at ! same "t2 insuffici5t l95 to keep ! b$s & _! occupants clean is ! rule1 & s on indef9itely4 ,sid5ote3 ,de/ruction ( ,appliances ,on ! o!r h&1 head nurses & hospital h\sekeep]s lam5t ov] ! c>elessness ( nurses & ! con/ant de/ruction ( hospital appliances4 ,j :at c\rse to pursue ) ! girl :o e few days puts a rubb] ca!t] or rectal tube or nozzle on to boil1 & lets x burn up2 :o p\rs boil+ dr9ks into glass tumbl]s1 & !reby keeps up a con/ant breakage2 :o leaves hypod]mic ne$les )\t wires1 & f9ds !m useless :5 ne$$ aga92 :o breaks m$ic9e glasses & fails to report ! accid5t1 till ! head nurse f9ds h] measur+ m$ic9e ) a spoon2 :o puts ! !rmomet] into ! m\?s ( deliri\s pati5ts or *ildr51 & goes away & =gets x2 :o lets ! /]iliz] boil dry2 :o puts glass syr+es & appliances 9 unsafe places1 & returns to f9d !m brok5--j :at c\rse to pursue to correct ^! de/ructive t5d5cies is an ev]-recurr+ problem to ! hospital h\sekeep]4 ,nurses :o are mo/ c>eful & consci5ti\s 9 c>ry+ out ! doctor's ord]s1 & 9 _! duties to ! pati5ts1 frequ5tly lack t f9e s5se ( honor reg>d+ _! duty to ! hospital & ! c>e ( mat]ials4 ,a deposit = breakage is n[ dem&$ 9 "s hospitals :5 a nurse ent]s = tra9+4 ,if ?is is n done ! nurse %\ld be made to replace articles de/roy$ & to pay = repairs t are r5d]$ necess>y by h] c>elessness4 ,prop] economy 9 ! use ( hospital goods is an important lesson = nurses to le>n e>ly 9 _! c>e]1 & "o :i* w dem& frequ5t emphasis ?r\gh\t _! c\rse4 ,gas /oves are left burn+ :5 n 9 use1 & help to swell ! gas bill4 ,milk is left out ( ! ice-box1 & quickly becomes unfit = use4 ,mat]ials ( v>i\s k9ds t c\ld be utiliz$ are ?r[n away4 ,! de/ruction or wa/e ( "o article seems a v trivial affair1 b 9 ! aggregate su* trivial affairs am\nt to hundr$s ( doll>s 9 ! c\rse ( a ye>4 ,! co/ ( rubb] %eets alone is an important item 9 w>d exp5ses4 ,! be/ w soon crack if fold$ :5 n 9 use4 ,if loops ( tape are fa/5$ to ! corn]s & ! %eets hung aga9/ a closet wall :5 n 9 use1 !y w be f\nd to la/ twice z long4 ,sid5ote3 ,scre5s ,pl5ty ( scre5s 9 a hospital w>d is a necessity to prop] nurs+4 ,! poor appreciate privacy & ref9em5t & delicacy z mu* z _m ( _! weal?i] neighbors1 & !y h a "r to su* privacy z a scre5 af=ds4 ,! timid1 fright5$ little woman :o has j be5 admitt$1 & :o %r9ks f ! gaze ( ev]ybody1 ought to be scre5$ (f till ! fir/ awful feel+ ( /rang5ess we>s away4 ,! pati5t :o is critically ill ne$s also to be scre5$4 ,! g5]al "w ( ! w>d requires ! con/ant use ( scre5s4 ,"o scre5 = e two b$s is n too _m = ! necessities ( ! av]age w>d4 ,"o ( ! mo/ practical & altoge!r desirable w>d scre5s is made ( a wood5 frame1 :ite enamel$1 cov]$ on bo? sides ) :ite oilclo?4 ,a set ( clo!s-b>s1 f f\r & a half to five feet high1 makes a v satisfactory frame1 t is l>ge & yet light en\gh = "o nurse to h&le4 ,a fair equipm5t = a w>d ( tw5ty b$s w\ld be3 ,:ite enamel$ iron b$/eads1 ) adju/able back re/s #bj ,mattresses 7hair or cotton-felt7 #bj ,spreads #dj ,pill[s 7hair7 #bj ,pill[s 7fea!r7 #bj ,rubb] pill[ cov]s #f ,rubb] %eets #bj ,rubb] %eets 7small]1 = ba?s1 dress+s1 etc47 #h ,%eets #abj ,draw %eets #abj ,blankets1 =ty pairs #hj ,t[els 7= pati5ts7 #abj ,ba? t[els #fj ,surgical t[els #hj ,roll] t[els = lavatory & pantry #bj ,b$ trays 7= meals7 #bj ,ext5sion tables = read+1 etc4 #e ,/upe t[els ) /icks #aj ,pill[ cov]s #abj ,night %irts or g[ns #fj ,dress+ sacks or ba? robes #aj ,glass t[els #ab ,b$side lock]s 7) draw] & cupbo>d7 #bj ,fold+ scre5s1 :ite enamel$ #ab ,w>d tables = nurses' use1 ) draw]s = *>ts1 records1 %eets1 etc4 #b ,m$ic9e cab9et1 iron & glass1 :ite enamel$ #a ,dress+ c>riage1 glass & iron1 :ite enamel$ #a ,pus bas9s1 diff]5t sizes #f ,pit*]s1 agate w>e #c ,cov]$ cans = /]iliz$ wat] 7two gallons7 #b ,j>s = o9tm5ts #f ,j>s = /]ile dress+s #c ,j>s = b&ages #b ,j>s = absorb5t cotton #b ,trays = in/rum5ts 7agate w>e7 #d ,scissors = dress+s #d ,leg re/s1 = elevations #b ,dress+ =ceps #d ,probes & directors ( ea* #d ,cov]s = dress+s #dj ,b[ls & bas9s1 agate w>e #h ,solution bottles 7l>ge7 #f ,receiv]s = soil$ dress+s #d ,spatulas #b ,_s lamp #a ,graduate glasses = surgical "w #c ,!rmomet] 7ba?7 #a ,syr+es 7glass7 #d ,tape measure #a ,surgical air cu%ions #b ,rubb] f+] tips #ab ,foot tubs #d ,vomit+ bas9s #f ,graduate glasses = measur+ ur9e #b ,scissors = g5]al use #a ,b&age scissors #a ,soap di%es #d ,saucepans1 graduat$ sizes #f ,brooms 7common7 #c ,brooms1 hair #a ,brooms 7bir* = s9ks1 closets1 etc47 #f ,du/ pans #c ,wat] cool]s #b ,m$ic9e trays #d ,m$ic9e glasses 7graduat$7 #aj ,dr9k+ glasses #ab ,refrig]ator #a ,!rmomet] #a ,corkscrews #b ,hot wat] bottles #bj ,b$-cradles #b ,imm]sion buckets = limbs #a ,wa% bas9s #h ,nail bru%es #aj ,combs #f ,look+ glasses #d ,b$ pans #aj ,ur9als #aj ,d\*e pans #d ,sputum cups #aj ,ca!ro/at #a ,b$side *airs1 iron1 :ite enamel$1 ) rubb] tips #bj ,:eel *airs #c ,rock]s #d ,two-b[l wa%/& on rubb]-tir$ :eels = doctors' use #a ,,*apt] ,,iv4 ,sid5ote3 ,! ,l95 ,room ,! l95 room is "o ( ! v important p>ts ( ! in/itution4 ,dem&s w be made on x almo/ e h\r1 &1 if ! hospital is to d prop] "w1 x mu/ be equal to ! dem&s4 ,z well expect a c>p5t] to con/ruct a build+ )\t tools z expect nurses to d consci5ti\s "w )\t a suffici5t supply ( b$ & body l95 to keep _! pati5ts 9 prop] condition4 ,lack ( k on ! "p ( ! manag]s z to ! am\nt ( supplies necess>y1 r ?an a lack ( money1 is acc\ntable = ! %ortage ( l95 9 _m hospitals4 ,an important "p ( ! h\sekeep]'s duties is to "k :at supplies are on h&1 & keep ! bo>d in=m$ z to ! ne$s4 ,"t1 & tact1 & p]sev]ance 9 educat+ !m z to :at is absolutely necess>y = prop] "w1 w d mu* to correct su* defects 9 hospital managem5t4 ,x is difficult = ! laity1 :o are p]haps accu/om$ to hav+ b$d+ *ang$ 9 _! homes b once a week1 & !n sometimes all[+ = b "o clean %eet = ea* b$1 to appreciate t a con/ant *ang+ ( b$s goes on 9 a hospital1 bo? day & night1 & t economy is out ( ! "q4 ,a hospital c really af=d to be extravagant 9 ! matt] ( l954 ,t is "o po9t1 & p]haps ! only "o1 9 :i* lavi% exp5diture w really r$\nd to ! good ( ! hospital4 ,bett] cut d[n exp5se 9 a doz5 o!r ways ?an to give rise to ! criticism t ! hospital has n suffici5t l95 to keep its pati5ts & its b$s 9 prop] condition4 ,cleanl9ess may be next to godl9ess 9 mo/ circum/ances1 b no hospital c af=d to let cleanl9ess take second rank ) any o!r virtue4 ,9 fact1 if want ( cleanl9ess 9 ! c>e ( ! b$s or pati5ts be not$1 v grave d\bts z to ! godl9ess ( ! managem5t w surely arise1 be ! pr(essions 9 t direction nev] s l\d4 ,sid5ote3 ,b$ ,l95 ,! am\nt ( l95 requir$ p] b$ w dep5d some:at on ! "* ( ! "w done 9 ! hospital4 ,:]e only acute cases are h&l$1 & em]g5cy "w is done1 ! supply mu/ ne$s be great]1 z ! av]age numb] ( pati5ts entirely conf9$ to b$ w be great]4 ,six pairs ( %eets & pill[ cov]s = ea* b$ is a fair am\nt to beg9 )4 ,t numb] ( %eets is (t5 ne$$ = "o pati5t 9 a day1 b tak+ ! av]age pati5t 9 ! av]age w>d1 t am\nt w usually be suffici5t1 ev5 to provide = ! extra dem& 9 special cases4 ,a half-doz5 draw %eets = ea* b$ 9 ! w>d are also necess>y4 ,six face t[els & f\r ba? t[els p] b$ is a fair e/imate4 ,two spreads = ea* b$ & two pairs ( blankets w be suffici5t = ! ord9>y w>d1 b a few extra blankets %\ld be provid$ = ea* w>d1 = ! use ( pati5ts :o require extra heat4 ,?is e/imate is bas$ on ! supposition t l95 s5t to ! laundry ,monday morn+ w be return$ at ! late/ by ,w$nesday morn+ foll[+4 ,e well equipp$ hospital has its supply ( g[ns = ! use ( any pati5t :o ne$s !m or c>es to use !m4 ,!y are be/ made to ord] ( firm blea*$ musl91 )\t trimm+ ( any k9d4 ,= ease 9 managem5t !y %\ld be op5 all ! way & %\ld fa/5 9 ! back4 ,tape fa/5+s w be f\nd mo/ satisfactory1 z buttons are con/antly torn (f 9 ! mangle4 ,sid5ote3 ,! ,room ,! l95 room %\ld be really a room--n a closet4 ,special cupbo>ds or closets = ea* w>d or dep>tm5t w be ne$$1 b ! g5]al l95 room has special ne$s t d n apply to ! w>d closets4 ,pl5ty ( light is a necessity4 ,a "w-table1 a sew+ ma*9e1 & a gas /ove on :i* an iron may be heat$1 %\ld be 9 x1 besides ! %elves & cupbo>ds ne$$ = ! hospital l95 supply4 ,to ?is room new l95 %\ld be s5t to be m>k$4 ,sid5ote3 ,m>k+ ,l95 ,x w be f\nd t a uni=m sy/em ( m>k+ l95 w save "t 9 sort+4 ,%eets may be m>k$ on ! wrong side at ! corn] ( ! top end1 pill[ cov]s an in* above ! hem close to ! seam1 t[els 9 ! corn] ( "o end j above ! hem1 table-napk9s & tray clo?s diagonally across ! corn]4 ,blankets & spreads may be m>k$ by a tape sewn diagonally across ! corn]4 ,sid5ote3 ,l95 ,acc\nt+ ,! p]son 9 *>ge ( ! l95 room w be expect$ to keep ! l95 9 repair & to acc\nt = e piece t passes ?r\gh h] h&s4 ,x is v important to h a sy/ematic me?od ( acc\nt+ = l95 t w enable ! h\sekeep] to "k ! am\nt on h&1 & to discov] if l95 is lo/4 ,x matt]s n :e!r ! wa%+ is done on ! hospital premises or s5t to a comm]cial laundry1 "s sy/em ( acc\nt+ is necess>y unless ! h\sekeep] is will+ = a con/ant depletion ( blankets1 %eets1 t[els1 etc41 to g on )\t h] k4 ,:]e a public laundry is patroniz$ ! importance ( ?is matt] is evid5t4 ,:5 hundr$s ( t[els & %eets are s5t 9 at once1 x is n unusual = l95 to be tak5 f ! l>ge quantity to supply miss+ articles 9 ! li/ ( o!r cu/om]s :o _h s5t small] am\nts1 f :i*1 if articles 7 miss+1 x w\ld be quickly discov]$4 ,! h\sekeep] ( a c]ta9 in/itution relates ! foll[+ incid5t be>+ on ?is po9t3 ,! l95 ( ! in/itution 0 s5t to a public laundry1 & = "s "t %e _h be5 miss+ t[els1 ?\gh ! laundry always claim$ to return ! prop] numb]4 ,f9ally ! manag] ( ! in/itution happ5$ into a b>b] %op & accid5tally discov]$ !re a pile ( ! in/itution t[els4 ,inquiry reveal$ ! fact t ! b>b] kept /rict acc\nt ( 8 t[els & ! laundry _h to return ! numb] s5t or pay = !m4 ,! b>b] c>$ no?+ ^: m>k 0 on ! t[els if he got z _m z he s5t4 ,a laundry employee _h be5 9 ! habit ( sub/itut+ l95 f l>ge in/itutions to make up ! requir$ numb] f small] lots1 & ?us ! problem ( ! miss+ l95 = t in/itution 0 solv$4 ,! inexp]i5c$ h\sekeep] may p]haps settle d[n into ! belief t ( c\rse ! l95 s5t to ! hospital laundry is safe s9ce x does n leave ! premises4 ,if all s]vants & ev]ybody ab\t ! e/abli%m5t 7 tri$ & true & tru/wor?y1 ?r\gh & ?r\gh1 x might be safe1 b 9 ^! days ( possible deg5]acy & c]ta9 unc]ta9ty 9 ! s]vant class1 x is wise to tru/ implicitly b few1 & to keep an eye on ^?4 ,sid5ote3 ,disc>d$ ,l95 ,ano!r po9t t ne$s "s emphasis is t ! h\sekeep] or h] assi/ant--n ! nurses or ! s]vants--mu/ decide :5 l95 is to be disc>d$4 ,well-worn or torn l95 %\ld n be s5t to ! w>ds4 ,a special draw]1 m>k$ 8,disc>d$ ,l9510 %\ld be 9 ! g5]al l95 room1 & into ?is ! "o :o sorts l95 c lay aside :at 9 h] judgm5t is unfit = we> or beyond m5d+4 ,b ! h\sekeep] %\ld res]ve = h]self ! privilege ( decid+ :5 an article is to be us$ z old l954 ,unless ?is rule is rigidly en=c$1 a reckless extravagance w be ! result4 ,good t[els w be us$ z du/]s or z sc\r+ clo?s4 ,%eets t might h be5 utiliz$ 9 "s o!r way w be torn up & us$ z clean+ clo?s1 & a con/ant depletion ( ! supply w g on )\t ! h\sekeep]'s k4 ,_m a h\sekeep] :o has assum$ *>ge ( a hospital t _h be5 previ\sly manag$ )\t a sy/em ( l95 acc\nt+ has f\nd x "o ( ! mo/ difficult ( h] tasks to *eck ! t5d5cy to appropriate ! hospital t[els1 %eets & pill[ cov]s = clean+ purposes4 ,con/ant vigilance 9 t direction = mon?s 0 ne$$ to impress ! h\sehold t ! haphaz>d1 loose way ( h&l+ l95 0 a ?+ ( ! pa/4 ,sid5ote3 ,em]g5cy ,supply ,e c>eful hospital h\sekeep] has f\nd ! necessity ( a special closet1 = ! /or+ ( extra l95 ( all k9ds = times ( special em]g5cy4 ,x is poor managem5t to h ! full supply 9 circulation at "o "t4 ,att5tion to ?is em]g5cy closet w save emb>rassm5t _m times4 ,:at c\ld be m emb>rass+ ?an to h a pati5t injur$ 9 an accid5t1 br\ght 9 grimy & dirty1 & n h a clean g[n to put on him8 ,& yet t v ?+ has happ5$ :5 ! hospital h\sekeep] has fail$ to anticipate ! em]g5cy4 ,%eets t are worn ?9 9 ! c5t] may be d\bl$ & /it*$ toge!r = draw %eets1 & 9 t way w la/ = mon?s4 ,! ends ( ba? t[els c be hemm$ = wa% clo?s4 ,squ>es ( l95 f p>tly worn tray-clo?s & napk9s may (t5 be fr+$ = doilies = w>d m$ic9e trays4 ,! tra9+ 9 economy 9 supplies1 & 9 me?ods ( utiliz+ mat]ial t w\ld o!rwise be wa/$1 is an important "p ( ! nurse's tra9+ t w b5efit h] ?r\gh life4 ,sid5ote3 ,remov+ ,/a9s ,! nurses1 too1 9 _! use ( hospital l951 are responsible 9 no small measure = its appe>ance4 ,blood-/a9s & v>i\s o!r /a9s c be readily wa%$ out :5 ! /a9 is fre%4 ,e nurse %\ld be taught t x is h] duty to remove su* /a9s z f> z possible by a prelim9>y soak+ & wa%+ be=e be+ s5t to m+le ) o!r clo?+ 9 ! laundry4 ,a little salt 9 ! wat] w ha/5 ! process4 ,if su* matt]s 7 ?or\ghly impress$ on ea* nurse1 z a "p ( h] duty 9 h] hospital tra9+1 !re w\ld be few] compla9ts ( nurses 9 private practice ne$+ an extra maid to wait on !m4 ,/a9s f c]ta9 oily dress+s are exce$+ly difficult to remove4 ,9 fact1 9 ! g5]al wa%+ x is practically impossible to ?or\ghly efface su* /a9s4 ,a little c>e 9 manag+1 &1 z f> z possible1 keep+ "o set ( %eets = cases requir+ su* dress+1 w prev5t ! :ole w>d supply f be+ /a9$4 ,! olde/ l95 %\ld be specially set ap>t = su* cases4 ,sid5ote3 ,new ,l95 ,:]e a regul> maid is 9 *>ge ( ! l95 room1 %e c usually1 9 addition to ! g5]al c>e ( ! l951 make up new mat]ial4 ,! cutt+ ( new goods is a matt] = ! h\sekeep]'s p]sonal sup]vision4 ,ea* new lot ( l95 t is laid on ! %elves = g5]al use %\ld be add$ to h] inv5tory4 ,"u ! head+ ( 8,disc>d$ ,l950 9 h] l95 acc\nt book1 %e c m>k ea* piece %e lays aside z old l951 & by reckon+ up ea* mon? ! new l95 t is add$1 & ! disc>d$ l951 c readily keep acc\nt ( ! am\nt 9 g5]al use4 ,9 buy+ l95 = a hospital x is que/ionable economy ev] to buy *eap mat]ial4 ,t[els & spreads %\ld always be )\t fr+e4 ,sid5ote3 ,%elf ,managem5t ,9 plac+ l95 on ! %elves ( a g5]al l95 room "s me?od w be f\nd advantage\s4 ,if ! rule is to lay t[els & pill[ cov]s on ! %elves 9 piles ( tw5ty1 %eets & spreads & g[ns 9 piles ( a doz51 x is b ! "w ( a few m9utes to take an inv5tory ( ! cont5ts ( ! l95 room4 ,if1 9 buy+ l951 ! h\sekeep] has tak5 pa9s to secure glass t[els ) "s di/9ctive patt]n or color+1 x w be easy to keep ! kit*51 diet kit*5 & w>d glass t[els 9 sep>ate piles4 ,r$ & :ite *eck t[el+ = ! kit*51 blue & :ite *eck = ! diet kit*51 & pla9 :ite t[el+ ) a s+le /ripe on ! edge1 = ! w>d glass t[els1 is a di/9ction easy to secure 9 any place4 ,face t[els = pati5ts c be secur$ ) r$ bord] & = nurses & (fic]s ) blue4 ,sid5ote3 ,laundry ,bags ,ea* nurse %\ld be in/ruct$ to br+ ) h] two laundry bags--"o to be kept 9 h] room to receive soil$ l951 ! o!r to be s5t to ! sort+ room1 to rema9 till ! clean clo!s are return$ 9 x4 ,a li/ ( ! articles conta9$ %\ld be p9n$ to ea* bag to facilitate ! sort+ ( ! clean clo!s & = ref]5ce4 ,x is ne$less to /ate t all nurse's clo?+ %\ld be m>k$ ) h] full "n4 ,initials may be suffici5t m>k+ 9 a home1 b are useless 9 a hospital4 ,if x c be br\ght ab\t 7& x c by insi/+ on x71 x w be f\nd t a uni=m sy/em ( m>k+ nurses' clo?+ w be a great sav+ ( "t 9 sort+4 ,to h a pile ( ?irty or =ty nightdresses to sort & put 9 bags1 & f9d no two m>k$ 9 ! same place1 mak+ x necess>y to unfold e g>m5t & look x ov] on all sides to f9d ! m>k1 is an unnecess>y trial & wa/e ( "t = :oev] has ! sort+ to d4 ,if ea* g>m5t 7 m>k$ on ! "u side ( ! front1 :i* is usually fold$ on top1 to sort !m w\ld be an easy matt]4 ,to return clo?+ )\t be+ wa%$1 :5 ! nurse has n m>k$ x prop]ly1 is ! only way to tea* nurses1 :o are habitually c>eless 9 _! m>k+4 ,pr9t$ laundry li/s %\ld be furni%$ = ! sort+ room1 duplicate li/s ( ea* lot ( clo!s s5t to ! laundry be+ made4 ,"o li/ goes to ! head laundress1 ! o!r is reta9$ 9 ! sort+ room = ref]5ce4 ,,h\sekeep]',s ,,l95 ,,acc\nt ,,book ---------------------------------------- ----------------------- ,date ,supplies ,pur*as$ ,supplies ,receiv$ ,value ,rem>ks ---------------------------------------- ----------------------- ---------------------------------------- ----------------------- ---------------------------------------- ----------------------- ---------------------------------------- ----------------------- ---------------------------------------- ----------------------- ,,*apt] ,v4 ,sid5ote3 ,! ,hospital ,laundry ,p]haps no "p ( ! hospital h\sekeep]'s doma9 w call = a great] exp5diture ( h] en]gy & pati5ce ?an ! laundry4 ,?\gh out ( sight1 its results are always 9 evid5ce1 & failure 9 ! laundry means t e "p ( ! "w ( ! e/abli%m5t is h&icapp$4 ,!re may be abundance ( l95 to meet ! ne$s ( ! hospital1 & yet if con/ant sup]vision ov] ! "w ( ! laundry is n ex]cis$1 ?ree-f\r?s ( ! l95 supply may at times be f\nd pil$ 9 ! laundry1 ! l95 room %elves empty1 & ! nurses fly+ hi!r & ?i!r on borr[+ exp$itions :5 a clean t[el is call$ =4 ,a wise philosoph] has said1 8,e man is z lazy z he d>es to be10 & ! av]age laundry employee is l ! re/ ( ! _w 9 t respect4 ,few ( !m love ! "w = ! "w's sake1 & if ! weekly wage is n suffici5tly l>ge to be attractive1 !y w be lazy & neglect _! "w if !y h opportunity4 ,sid5ote3 ,manag]'s ,duties ,a compet5t manag] = ! laundry is ess5tial = successful "w1 especially 9 a l>ge in/itution4 ,?is p]son %\ld "k h[ to manage 8 /aff ( help]s s z to secure ! be/ possible s]vice1 & %\ld h a k ( ! ne$s ( ! in/itution :]e 8 own dep>tm5t is conc]n$1 & ( ! "w t is important to be done )\t delay4 ,good common s5se 9 arrang+ ! "t :5 ! diff]5t p>ts ( ! "w %\ld be done1 w prev5t mu* tr\ble 9 any laundry4 ,nurses' clo?+ & articles n 9 con/ant dem&1 t are return$ b once a week1 c be laid aside to make way = ! ?+s 9 con/ant dem&4 ,:5 once a compet5t manag] is secur$1 ! buy+ ( supplies may be safely entru/$ to him4 ,b1 un=tunately = ! hospital h\sekeep]1 few except ! l>g] hospitals c af=d ! luxury ( a skill$ manag] = ! laundry4 ,a head laundress is ! ne>e/ !y c approa* to su* a luxury1 & ev5 t mu* ne$$ individual is (t5 out ( rea*4 ,9 _m cases ! hospital h\sekeep]1 9 addition to h] o!r duties1 has really to take ! place ( manag] ( ! laundry4 ,:]e sev]al laundresses are employ$1 & none are fitt$ = direct+ ! "w ( o!rs1 x is a wise provision = ! h\sekeep] to p]sonally divide ! "w & assign x1 & h ea* laundress responsible to h]4 ,! s]vant problem has assum$ su* an acute =m t x requires delicate h&l+ 9 any h\sehold1 & :]e ! "* ( ! "w is z important z t ( ! hospital laundry1 e possible t5d5cy to friction %\ld be avoid$4 ,sid5ote3 ,laundry ,work]s ,let laundry work]s und]/& fully :at _! h\rs ( "w %all be1 & t !y are expect$ to be 9 _! places promptly at ! h\r4 ,expla9 ! importance ( hav+ ! supplies = ! w>ds & op]at+ rooms con/antly kept up to ! m>k1 & also ! l95 = ! trays4 ,prohibit visitors dur+ work+ h\rs4 ,x is always bett] to make su* prohibitions :5 engag+ help r ?an wait = "s occasion to call x =?4 ,! occasion w c]ta9ly come unless x is anticipat$ & prev5t$4 ,make "s provision = !m to d _! own p]sonal wa%+1 & let x be pla9ly und]/ood !y are n to take 9 wa%+ f o!r s\rces to increase _! income4 ,t is sometimes tri$ & c>ri$ on v successfully1 if x is f\nd t ! laundry has n c>eful sup]vision4 ,if x is n desirable = _! own wa%+ to be done 9 connection ) ! hospital1 !n a "t mu/ be arrang$ = x4 ,:]e ! laundresses are mo!rs ( families1 z is (t5 ! case1 ?is po9t is wor? m5tion+ at ! "t ( engagem5t4 ,_! wa%+ mu/ be done--! "q is1 :5 & :]e4 ,x is bett] to h a pla9 und]/&+ ab\t ! matt] ?an to h !m attempt a c\rse ( deception4 ,fe$ ! laundresses well & arrange = !m to make a cup ( tea or c(fee betwe5 meals if !y want x4 ,! "w is h>d & exhau/+1 & !y _c put _! be/ into x if !y are hungry4 ,take an int]e/ 9 _! heal? & see t _! m9or ailm5ts are att5d$ to :5 necess>y4 ,arrange = an aft]noon (f at lea/ once 9 two weeks4 ,!y h little matt]s ( bus9ess to att5d to1 & !y ne$ ! recreation z mu* z o!r p4 ,arrange to visit ! laundry at lea/ e day--twice a day if possible1 & n always at ! same h\r4 ,comm5d _! "w & _! promptness :5 !re is room = x4 ,a ^w ( appreciation w (t5 d m to inspire !m to bett] s]vice ?an a sev]e rebuke4 ,:5 !y h work$ ov]time 9 "s unusual ru%1 d n =get to m5tion y\r appreciation ( x4 ,!n see t !y h prop] ?+s to "w )4 ,x is impossible to h satisfactory s]vice if prop] facilities are n provid$4 ,sid5ote3 ,/>*+ ,! h\sekeep]1 :]e no manag] ( ! laundry is employ$1 w h ! pur*as+ & giv+ out ( supplies & %\ld h an idea ( h[ mu* is ne$$ = ea* week's "w4 ,provide a good quality ( soap & />*4 ,! *eap] grades are almo/ always m exp5sive ow+ to ! additional am\nt necess>y = ! "w4 ,! bett] grade ( />* w produce bett] f9i%$ "w4 ,see t ! vessels us$ = />*+ are well cleans$ aft] use4 ,"k some?+ ab\t ! me?ods us$ 9 />*+4 ,if coll>s1 cuffs & belts are n /iff1 inquire ! reason4 ,to produce a prop] /iffness1 ! />* %\ld be us$ z hot z c be borne by ! h&1 & well rubb$ 94 ,clo?+ t is />*$ %\ld be put to dry z soon z ! />*+ is complet$4 ,if left ar\nd 9 baskets ! articles w inevitably come out discolor$4 ,x is well to give a li/ ( ! articles requir+ />*+ r ?an tru/ to _! judgm5t4 ,aprons & coats = ! op]at+ room t are to be put 9 ! /]iliz] ne$ no />*+1 :ile o!r aprons & coats mu/ be />*$4 ,!y w n "k ! diff]5ce if !y are n told4 ,sid5ote3 ,blu+ ,if ! clo!s are /reak$ ) blue1 make "s inquiries into ! wa%+ process4 ,x may be ! clo!s h n be5 r9s$ ?or\ghly free f soap4 ,!y %\ld pass ?r\gh at lea/ two r9s+ wat]s 7?ree is bett]7 to free !m f soap4 ,! fir/ r9s+ wat] %\ld be q hot4 ,! blu+ %\ld be done 9 pl5ty ( wat]1 s t e "p ( ! g>m5ts may be "u wat]4 ,9 prep>+ ! blu+ wat] see t ! blue is dissolv$ 9 a sep>ate pail be=e be+ put into ! vessel 9 :i* ! articles are to be blu$4 ,9 mix+ ! blu+ wat]1 x is easy = p>ts ( ! vessel to become deeply /a9$ ) ! /rong blu+ solution1 :i* w be rubb$ into ! clo!s & leave /reaks4 ,:5 pl5ty ( soda is us$ to s(t5 ! wat] !re w be less tr\ble ) black specks f ! soap4 ,impress on !m ! fact t ! nurses' uni=ms & color$ %irt wai/s are n to be boil$4 ,if ! uni=ms are ?or\ghly soak$ ov] night 9 a /rong salt solution !y w reta9 ! color bett]4 ,:5 uni=ms are dri$ 9 ! op5 air see t !y are hung wrong side out4 ,special c>e ne$s to be us$ 9 wa%+ blankets4 ,!y %\ld be dealt ) sep>ately & gott5 ?r\gh ) quickly4 ,! suds %\ld be q hot & a little ammonia add$4 ,! r9s+ %\ld be 9 wat] ( ! same temp]ature & !y %\ld be dri$ 9 ! op5 air4 ,sid5ote3 ,dry+ ,:5ev] possible h all ! hospital clo!s dri$ 9 ! op5 air4 ,no dry+ room1 h[ev] well con/ruct$1 c comp>e ) nature's process ( dry+ by fre% air & sun%9e4 ,! be/ me?od ( blea*+ is by ! use ( ! sun rays :ile ! clo!s are wet4 ,h[ev]1 9 plann+ = laundry "w1 x is nev] wise to dep5d entirely on op5 air dry+4 ,an artificial dry] is a necessity :]e promptness is requir$4 ,quick dry+ is ess5tial to good "w4 ,:]e bad "w is done1 ! tr\ble is (t5] 9 ! wa%+ ?an 9 ! dry+4 ,sid5ote3 ,iron+ ,9 plann+ = ! iron+ mu* may be done to facilitate ! "w4 ,little labor-sav+ devices c be introduc$ :i* w increase ! am\nt ( "w done 9 a day4 ,iron+ bo>ds ( special %apes1 & = special purposes1 & tables ( v>i\s designs c be _h = a trifle & w result 9 a sav+ ( "t & m f9i%$ "w4 ,a box ( ?9 p9e bo>ds ) a h+e cov] & ) p]=ations 9 ! sides is a conv5i5t receptacle = /or+ damp5$ clo?+ wait+ to be iron$4 ,see t !y h prop] irons = ! diff]5t p>ts ( _! "w & t !y h wax to use z ne$$4 ,supply unblea*$ musl9 = iron+ %eets or ! hospital %eets w be f\nd cov]+ ! iron+ bo>ds4 ,in/ruct !m to keep _! iron+ %eets clean4 ,well-f9i%$ "w _c be produc$ on a dirty iron+ %eet4 ,sid5ote3 ,r\t9e ( ,"w ,let ! laundresses und]/& t bad "w w n be accept$1 & !y w n s5d x4 ,bad "w t 0 pass$ 9 ! l95 room has (t5 caus$ emb>rassm5t 9 ! op]at+ room4 ,z f> z possible1 h a r\t9e ord] = laundry "w1 & expect ! laundresses to comply4 ,if !y und]/& t clo?+ s5t f ! w>ds on ,tuesday morn+ mu/ be return$ to ! w>ds n lat] ?an ,?ursday morn+1 !y c arrange to h x done1 :ile if no limit is set = ! clo!s to be 9 ! laundry1 ! haphaz>d results w be con/antly felt 9 ! w>ds4 ,h a me?od ( fold+ l95 & insi/ on t me?od be+ foll[$4 ,x is impossible to h neat-look+ %elves 9 ! l95 room if no uni=mity be obs]v$ ab\t fold+ 9 ! laundry4 ,!n see t ! "w rooms are kept clean4 ,x is useless to expect clean l95 unless ! laundry & its furni%+s are kept 9 prop] condition4 ,! woodwork & w9d[s & floors %\ld be z scrupul\sly clean z any o!r "p ( ! hospital4 ,b !y w n be kept s unless a "t is set = ! clean+1 & someone sees t x is done4 ,greasy t[els or clo!s1 f ! kit*51 pantries & bake rooms1 %\ld ei!r be entirely wa%$ by ^? :o use !m1 or h a prelim9>y wa%+ be=e be+ s5t to ! laundry4 ,su* articles _c be wa%$ ) any o!r clo?+2 a special suds mu/ be gott5 ready & "t sp5t t w\ld h c\nt$ = m if sp5t on o!r "w4 ,a false economy 9 plann+ a hospital (t5 results 9 a space entirely inadequate be+ set ap>t = ! laundry4 ,z ! g5]al "w ( ! hospital increases x is !n f\nd impossible to meet ! dem&s1 & rec\rse has to be _h to ! public laundry--always an exp5sive arrangem5t4 ,ano!r common mi/ake1 is to place ! laundry 9 ! basem5t1 :]e lack ( light & air is always a h9drance to good "w4 ,:5ev] possible1 ! laundry %\ld be locat$ 9 a sep>ate build+1 :]e pl5ty ( light & air & sun%9e c p5etrate1 & :]e !re is room to sep>ate ! clo?+ :ile 9 its diff]5t processes & prop] "w c be done4 ,all clo?+ %\ld be well air$ & ?or\ghly dry be=e x leaves ! laundry1 s t x may imm$iately be plac$ on ! %elves = use4 ,sid5ote3 ,! ,laundry ,plant ,x is difficult to give an accurate e/imate reg>d+ ! co/ ( in/allation & op]ation ( a laundry plant1 z conditions v>y greatly4 ,a li/ ( ! articles requir$ = a plant capable ( do+ ! "w ( a sixty-b$ hospital is app5d$4 ,9 prep>+ ?is li/ ! elim9ation1 s f> z possible1 ( all exp5sive features1 has be5 attempt$4 ,a laundry plant1 l ne>ly ev]y?+ else1 c be figur$ on 9 v>i\s ways1 & at l>gely v>y+ co/1 s t1 ) diff]5t ma*9es1 a plant ) ! same am\nt ( ma*9]y w co/ ?ree times z mu* z ano!r ( practically equal capacity & actual work+ value4 ,x is well1 !re=e1 be=e pur*as+ a plant1 to be ?or\ghly in=m$ reg>d+ ! actual ne$s ( a hospital1 ! v>i\s makes & grades ( ma*9es1 co/ ( op]at+1 etc4 ,a v s]viceable laundry equipm5t = a hospital ( fifty to sixty pati5ts1 is made up z foll[s3 ,"o #ab h4 p4 v]tical boil]1 complete ) suitable injector & regul> boil] trimm+s4 ,"o #f h4 p4 horizontal eng9e1 complete ) all eng9e trimm+s1 & a sight fe$ lubricator4 ,"o #cf #cj wood wa%]4 ,"o #bj-;in* solid curb extractor1 c\nt]%aft atta*$4 ,"o #dj-;gallon galvaniz$ /eel soap tank1 ) circul> boil pipe4 ,"o sectional dry room1 arrang$ to h&le pla9 or fancy clo!s1 & complete ) ?ree metal trucks1 v5tilat+ fan1 etc4 ,"o #ff-;in* /eam mangle4 ,"o #cj-;in* rev]sible body iron]4 ,two iron+ tables4 ,"o truck tub4 ,?is outfit w co/ ab\t #a1ajj to #a1bjj1 includ+ pipes1 pipe fitt+s1 valves1 %aft+1 etc41 & w require a floor space ( ab\t #bd #dh feet4 ,! accompany+ diagram gives a good idea ( an economical arrangem5t ( su* a plant4 ,9 "o in/itution hav+ ab\t "o hundr$ pati5ts1 a plant simil> to ?is is us$4 ,all ! "w is done ) two wom5 & "o man1 ! man look+ aft] ! p[] & ! wa%+4 ,if ! hospital employs a man :o c look aft] ! p[] = two or ?ree days 9 a week1 ! co/ = help may be r$uc$4 ,:]e ! laundry "w ( a hospital runs up to #gej or #a1jjj a ye>1 !re are b few in/ances :]e a direct f9ancial sav+ w n be effect$ by ! hospital op]at+ its own laundry plant4 ,illu/ration ,,*apt] ,,vi4 ,sid5ote3 ,! ,hospital ,kit*5 ,) ! advance 9 sci5ce1 & a bett] k ( ?+s desirable & ?+s avoidable 9 hospital con/ruction1 a gradual *ange is tak+ place 9 in/itutions design$ = ! c>e ( ! sick4 ,p]haps 9 no dep>tm5t h great] *anges tak5 place ?an 9 ! con/ruction ( ! mod]n hospital kit*54 ,in/ead ( be+ locat$ 9 ! basem5t1 :]e odors f cook+ 7 diffus$ ?r\gh\t ! :ole build+1 & :]e abs5ce ( light invit$ ! accumulation ( dirt1 ! kit*5 is n[ locat$ 9 ! top /ory1 or1 if ! hospital be built on ! cottage plan1 9 a sep>ate build+4 ,9 decid+ on ! location1 "o ?\ght %\ld be prom95t--! possibility ( convey+ cook$ food )\t delay to ^? = :om x is prep>$4 ,) prop] facilities = keep+ food hot1 ?is important po9t is n difficult ( accompli%m5t4 ,sid5ote3 ,g5]al ,con/ruction ,:]ev] ! kit*5 is locat$1 x %\ld be l>ge1 light & ?or\ghly v5tilat$4 ,prop] c>e 9 plann+ & con/ruction w insure ! in/allation ( v5t flues & ducts to c>ry (f smoke & odors1 z soon z g5]at$4 ,z f> z possible1 ! int]ior ( ! kit*5 & its furni%+s %\ld be con/ruct$ ( non-absorb5t mat]ial4 ,^? :o h _h exp]i5ce ) cem5t floors claim = !m t !y are spl5didly absorb5t ( grease1 exce$+ly difficult to cleanse1 & liable to crack1 !reby furni%+ crevices = ! deposit ( dirt ( all k9ds4 ,!re=e1 9 a hospital design$ to be ?or\ghly sanit>y1 cem5t floors w h no place4 ,tile seems to be ! mat]ial t gives ! mo/ g5]al satisfaction = kit*5 floors & walls4 ,a :ite vitrifi$ tile1 laid on a heavy f\ndation1 hav+ ! jo9ts betwe5 ! tiles c>efully seal$ ) cem5t1 gives p]haps ! ne>e/ to ! ideal kit*5 floor yet atta9$4 ,if ! floor is con/ruct$ s z to slope g5tly t[>d a dra9 prop]ly trapp$ & protect$1 ! clean+ w be facilitat$4 ,! side walls & ceil+ ( glass tile1 ) ! corn]s well r\nd$1 gives a surface t is n only bright & beautiful1 b ?or\ghly sanit>y4 ,su* a f9i% w endure ! mo/ sev]e clean+ )\t injury4 ,wood m\ld+s1 t invite ! deposit ( du/1 w ( c\rse be avoid$4 ,! s9ks 9 ! hospital %\ld be plac$ at suffici5t di/ance f ! walls1 s z to be accessible on all sides4 ,sid5ote3 ,kit*5 ,cab9et ,a hygi5ic outfit = ! hygi5ic kit*5 is ( c\rse ess5tial1 b sometimes m difficult to secure ?an is ! sanit>y room4 ,dress]s & draw]s = ! accommodation ( ! kit*5 ut5sils mu/ be provid$1 & 9 ^! ?+s crevices & angles & d>k corn]s & all sorts ( complications ( ?is "* seem unavoidable4 ,if ^! cab9ets c\ld be ( metal1 all angles & corn]s done away ) by ! f9i%+ ) curves1 ! %elves loose fitt+ & easily removable1 x w\ld be a decid$ advance 9 kit*5 arrangem5ts4 ,! draw]s c\ld be made 9 ! same way1 ! emphasis be+ on ! po9t 8easily removable40 ,?us con/ruct$1 ! p]son 9 *>ge w\ld f9d x easi] to remove !m ?an to und]take to clean !m :ile 9 position4 ,ar*itects say1 t 9 hospitals :]e /eam boil]s & eng9es = supply+ p[] = elevators1 electric lights1 laundries1 etc41 are 9 use1 arrangem5ts %\ld be made to utilize = cook+ ! l>ge am\nt ( exhau/ /eam1 t ord9>ily goes to wa/e4 ,:5 ?is is done1 a%es1 smoke & _! att5dant ills c be avoid$4 ,! hospital may !n be n only 8a ?+ ( beauty10 b 8a joy =ev]10 & ! drudg]y ( t dep>tm5t greatly r$uc$4 ,?r\gh ! c\rtesy ( ,mr4 ,w4 ,j4 ,palm]1 ar*itect1 ( ,wa%+ton1 ,d4 ,c41 we are able to pres5t draw+s = a hospital kit*5 embody+ mo/ ( ! features above m5tion$4 ,! draw+s 7 design$ = a kit*5 locat$ on ! gr\nd floor 9 a sep>ate build+1 b ) a few *anges c\ld be easily adapt$ to a kit*5 locat$ on ! top floor4 ,! range is locat$ 9 ! c5t] ( ! room1 ) /eam tables on ea* side to keep ! cook$ food hot4 ,a gas range is provid$ & a *opp+ block1 tables & dress]s are arrang$ conv5i5tly = "w4 ,on "o side is a small pantry1 :i* leads to ! vegetable cell> b5ea?1 & adjo9+ x is ! ma9 diet kit*54 ,at "o end is ! s]v+ room1 :]e ! food is divid$ & dispat*$ to ! w>ds4 ,lead+ f ! s]v+ room is a hall1 (f :i* on "o side are ! cool+ rooms1 & on ! o!r side /or]ooms = /aple supplies4 ,if ! kit*5 be on ! top floor1 a cool+ room on t floor1 suffici5t at lea/ to c>e = "o day's provisions1 w be necess>y1 hav+ ! ma9 cool+ rooms locat$ on ! ma9 floor or 9 ! basem5t4 ,sid5ote3 ,cold ,/orage ,a good cool+ room1 9 :i* c be /or$ l>ge quantities ( ! p]i%able supplies1 has n[ come to be reg>d$ z ess5tial to economical h\sekeep+4 ,! size ( ! cool+ room w dep5d on ! size ( ! hospital1 b !re are special features :i* %\ld always be kept 9 view1 & :i* c be _h 9 cool+ rooms ( any size4 ,"o important po9t is to h x s con/ruct$ t ! ice c be put 9 f ! outside1 if x is n manufactur$ on ! premises4 ,e cool+ room ne$s to h ?ree dep>tm5ts--"o l>ge section1 well arrang$ ) meat hooks & %elv+ = meats1 "o ) pl5ty ( %elf space = vegetables & fre% fruits1 & "o = milk1 butt] & eggs4 ,! sep>ation ( ^! articles is highly important4 ,vegetables & fruit w ta9t milk & also meat1 & meat alone w injure milk4 ,! be/ goods t c be pur*as$ w quickly det]iorate unless prop]ly c>$ =1 & 9 a hospital1 :]e ! mo/ caprici\s appetites h to be cat]$ to1 ! keep+ ( ! edibles sweet & fre% is ( ! utmo/ importance4 ,illu/ration ,sid5ote3 ,! ,/or]oom ,! /or]ooms %\ld be light1 well v5tilat$1 cool & dry4 ,! %elv+1 if arrang$ 9 sections 9 ! c5tral "p ( ! room1 simil> to ! arrangem5t 9 libr>ies1 w be mu* easi] ( access & m easily kept clean4 ,label$ receptacles1 ) cov]s = all ! v>i$ commodities us$ 9 ! dome/ic dep>tm5t1 %\ld be provid$1 ?us r5d]+ x unnecess>y to /ore supplies ( any k9d 9 pap] sacks4 ,a special closet = cann$ fruit w also be ne$$4 ,provision %\ld be 9 ! kit*5 = ! c>e ( su* supplies z are ne$$ = ea* day4 ,sid5ote3 ,di%wa%+ ,di%wa%+1 t bugbe> ( e h\sehold1 is n less a task 9 a hospital ?an else:]e4 ,9 fact1 x =ms a v l>ge "p ( ! "w ( ! in/itutional kit*5s4 ,! use ( me*anical di%wa%]s has n yet become g5]al1 & x is d\btful if any b ! l>ge/ in/itutions w deem x necess>y to adopt !m4 ,^? :o h _h exp]i5ce ) !m z a rule f9d !m satisfactory1 & comm5t especially on ! sav+ 9 breakage & "t4 ,provision ought to be 9 e hospital kit*5 = h&l+ di%es 9 l>ge quantities & ! adoption ( a r\t9e me?od ( di%wa%+ w d mu* to prev5t confusion & simplify ! task4 ,if ea* floor has its own kit*5 & diet kit*5 :]e ! w>d di%es c be wa%$ & kept1 ! labor 9 ! kit*5 w be greatly r$uc$ & few] s]vants 9 t dep>tm5t w be necess>y2 & ?is is p]haps ! bett] way4 ,! frequ5t h&l+ ( di%es t is necess>y1 :5 ! supply = ! :ole h\sehold has to be s5t to & f ! ma9 kit*5 ?ree times a day1 adds greatly to ! breakage1 & results 9 increas$ labor & loss ( "t4 ,b 9 ?is matt]1 z 9 _m o!r l9es ( hospital "w1 ! h\sekeep]'s me?ods are modifi$ by ! con/ruction ( ! hospital4 ,if no facilities are provid$ on ea* floor = wa%+ ! di%es1 !re is no alt]native b to s5d !m to ! ma9 kit*5 to be h&l$ !re4 ,! real "w !re may be greatly facilitat$ if 9 clean+ & pack+ ! trays1 c>e has be5 ex]cis$ 9 sep>at+ ! diff]5t articles4 ,! silv] %\ld be collect$ on "o tray1 ! fragm5ts plac$ by !mselves on ano!r1 ! di%es c>efully scrap$ & pack$1 ! tray-clo?s %ak5 & fold$ toge!r4 ,! maid 9 ! kit*5 receives !m f ! dumb wait] z !y are s5t f ! diff]5t w>ds4 ,! silv] & glass & delicate *9a %\ld be plac$ toge!r to be wa%$ fir/1 ! heavi] *9a & greasy di%es on a sep>ate table1 & :5 all are collect$ ! wa%+ beg9s4 ,! wat] = ! glass & f9e *9a %\ld n be too hot1 & ^! %\ld be f9i%$ & put away be=e ! wa%+ ( ! silv] is begun4 ,b few s]vants c be tru/$ to prop]ly h&le delicate *9a & glassw>e )\t sup]vision1 & ! all too preval5t cu/om ( pil+ a l>ge dra9+ di% full ( delicate articles is ! cause ( con/ant breakage4 ,a dra9+ rack1 con/ruct$ ) grooves1 & fitt+ on "o edge ( ! s9k1 is a mu* appreciat$ conv5i5ce 9 _m hospital kit*5s4 ,e h\sekeep] has h] own !ories ( prop] di%wa%+1 & all are good if ! result is clean di%es4 ,! ma9 po9t is to h a sy/em ( prep>+ ! di%es = wa%+ & adh]+ to x2 )\t sy/em ! disord] & confusion 9 ! kit*5 :5 all ! trays are s5t 9 w di/urb ! mo/ sa9tly individual4 ,a limit to ! "t :5 di%es may be s5t f ! w>ds is also ess5tial to me?odical "w4 ,mu* unnecess>y delay & unpleasant feel+ is (t5 caus$ by ! late arrival ( a consignm5t ( dirty di%es :i* %\ld h rea*$ ! kit*5 an h\r or two be=e4 ,! c>elessness ( ^? 9 *>ge ( ! w>d di%es results 9 upsett+ ! arrangem5ts ( ! o!r "w ( ! kit*51 ! maids :o _h f9i%$ _! task hav+ to ga!r toge!r _! di%wa%+ ut5sils & beg9 ov] aga94 ,to require t ! del9qu5ts assume ! responsibility ( wa%+ all di%es n s5t to ! kit*5 at ! prop] "t w d mu* to prev5t ! repetition ( ?is unpleasant occurr5ce4 ,sid5ote3 ,di%clo?s & ,t[els ,mu* c>e ne$s to be us$ 9 ! h&l+ ( di%clo?s & t[els4 ,pl5ty ( t[els %\ld be provid$1 & di%clo?s %\ld be wa%$ & scald$ aft] ea* meal4 ,x is impossible to h clean1 %9+ di%es if ^! are n kept ?or\ghly clean4 ,! t5d5cy = kit*5 t[els to disappe> may be ov]come by ! h\sekeep] requir+ ea* maid to /ate ! numb] necess>y = h] "w1 supply+ !m1 insi/+ t ea* put h] special m>k on h] own t[els1 & requir+ t ! old t[els be produc$ be=e new ones w be giv5 out4 ,sid5ote3 ,! ,*ief ,kit*5 employee ,9 select+ a *ief employee :o w be responsible = ! direction ( ! details ( ! "w1 & = ! c>e ( ! kit*5 & ! o!r rooms 9 h] dep>tm5t1 sev]al po9ts ne$ to be consid]$4 ,%e %\ld n only be famili> ) me?ods ( prep>ation & cook+1 prop] c>v+ & s]v+ ( food1 b %e %\ld "k h[ to keep h]self neat dur+ ! process4 ,neatness & cleanl9ess ab\t ! p]son ( ! work]s 9 ! kit*5 is fully z ess5tial z neatness 9 ! c>e ( ! room & ut5sils4 ,9 fact1 "o :o is n neat 9 p]son _c be tru/$ to obs]ve ! rules ( cleanl9ess any:]e4 8,do+0 is dep5d5t on 8be+10 "h z else:]e4 ,sid5ote3 ,tra9+ ,ne$$ ,! secret ( success 9 ! kit*5 is ! same z 9 o!r dep>tm5ts ( ! in/itution1 &1 inde$1 ( life 9 g5]al4 ,x c be spell$ 9 "o ^w--s-y-s-t-e-m2 & be x und]/ood "h & n[1 t sy/em & r$ tape are n synonym\s t]ms4 ,j z 9 a l>ge dep>tm5t /ore1 e y>d ( ribbon sold has its relation to ! :ole e/abli%m5t1 or 9 a great railway sy/em e tra9 dispat*$ influ5ces ! runn+ ( e o!r tra91 & sy/em is necess>y to insure ! success ( ! bus9ess or ! safety ( human lives1 s 9 a hospital e "p is vitally relat$ to ! great :ole4 ,"s m9d mu/ plan ! details1 fir/ ( ! :ole & !n ! m9ut ( ! diff]5t p>ts z !y contribute to its h>mony & success4 ,& yet1 :ile ?is tru? is g5]ally admitt$1 & its importance is evid5t1 h[ little tra9+ does ! av]age nurse ( ! pres5t day receive to fit h] = ! responsibilities ( hospital h\sekeep+--t on :i* mu* ( ! com=t & well-be+ ( ! :ole in/itution dep5ds4 ,mo/ graduate nurses c nurse1 !y c c>e = a pati5t afflict$ ) an ord9>y disease 9 a satisfactory mann]1 b h[ mu* h !y le>n$ reg>d+ ! managem5t ( ! h\sehold8 ,h[ mu* h !y be5 taught reg>d+ ! pur*ase ( supplies1 ! c>e ( food1 ! managem5t ( ! l95 room1 ! laundry & kit*51 ! sup]vision ( s]vants1 & o!r matt]s ( vital importance to e hospital8 ,is !re n mu* /ill lack+ 9 our pres5t sy/em ( tra9+8 ,if a railway company s5t an eng9e] to conduct a tra9 to its de/9ation z ignorant (1 & inexp]i5c$ 91 ! work+ ( ! :ole tra9 sy/em z "s graduate nurses are1 :o h ! responsibility ( a hospital1 small or l>ge1 plac$ ^u !m1 ! public w\ld raise its h&s 9 horror1 & br& ! railway (ficials ) crim9al c>elessness4 ,:ile pres5t me?ods cont9ue1 ! success or failure ( ! nurse z an executive (fic] & h\sekeep] dep5ds l>gely on ! ?or\ghness ( ! dome/ic tra9+ %e receiv$ f h] "m1 h] own native ability1 & h] intuitions z to h[ ?+s %\ld be done--n on ! tra9+ receiv$ 9 ! av]age hospital4 ,:5 ! nurses' c\rse includes practical in/ruction 9 ! managem5t ( e dep>tm5t ( ! hospital1 ! pur*ase ( supplies ( all k9ds & simple acc\nt+1 ! public1 ) ! nurses1 w reap ! b5efit4 ,9 l>ge in/itutions /ew>ds may be employ$1 or x may be possible to secure a tra9$ h\sekeep] f "s in/itute ( dome/ic sci5ce4 ,b 9 ! small hospital ! sup]9t5d5t mu/ be h] own h\sekeep]2 su* sup]9t5d5ts mu/ almo/ ( necessity be nurses1 & !re ought to be "t 9 a ?ree ye>s' c\rse to give !m "s insight into1 & exp]i5ce 91 ! details ( hospital h\sekeep+4 ,sid5ote3 ,! ,diet ,kit*5 ,an advance /ep has be5 tak51 h[ev]1 9 ! introduction ( cook+ into ! nurse's c\rse ( /udy4 ,! nurse's "w 9 ! diet kit*5 ought to mean a light5+ ( "s ( ! burd5 9 ! ma9 kit*54 ,! cu/om ( managem5t ( ?is dep>tm5t v>ies & ea* in/itution mu/ "w out its own problems4 ,:]e !re is a regul> dietitian 9 *>ge1 ) ! diet kit*5 "w z h] exclusive bus9ess1 ! matt] is easi] ( adju/m5t4 ,:]e ?is is n possible two nurses may be assign$ = ?is special duty1 mak+ ! t]m ( s]vice two mon?s4 ,! junior nurse may ?us be initiat$ by ! s5ior diet nurse1 ! h\sekeep] hav+ g5]al sup]vision ( ! entire "w4 ,! value ( ?is practical exp]i5ce 9 cook+ c sc>cely be ov]e/imat$1 = un=tunately a great _m "y wom5 ent] a hospital ) no m def9ite idea ( h[ to prep>e food = invalids ?an !y h ( m$ic9e or surg]y4 ,9 ord] t ?is c\rse 9 practical "w be productive ( ! mo/ good to ! nurses1 previ\s in/ruction 9 ! pr9ciples ( nutrition1 food values1 & 9 ! processes ( dige/ion1 %\ld be giv54 ,valuable1 h[ev]1 z ! diet kit*5 "w is 9 ! nurse's education1 unless x is arrang$ t t dep>tm5t assume a c]ta9 responsibility = prep>+ a "p ( ! hospital diet>y1 its introduction is h>dly ju/ifiable4 ,9 mo/ cases ! diet kit*5 %\ld furni% at lea/ ! special diets & dess]ts1 all bro?s1 jellies1 etc4 ,if ! diet kit*5 facilities are adequate1 x may be wise to h all ! cook+ = private pati5ts done 9 ?is special dep>tm5t4 ,9 ?is way x is possible to devote m att5tion to attractive arrangem5t ( food1 z well z m c>e to its prep>ation4 ,:]e ! h\sekeep] has a real int]e/ 9 ! p = :om ! food is prep>$1 & has cultivat$ ! f9e art ( cook]y1 or has a degree ( native +5uity1 _m delightful di%es may be con/ruct$ ev5 ( odds & ends1 & a v>iety secur$ out ( v little4 ,! v fir/ ess5tial to prop] fe$+ is good cook+1 & ?is1 l mo/ o!r exp]t s]vice1 is an economy r ?an a wa/e4 ,= ?is reason _m in/itutions t h tri$ bo? me?ods claim t ! employm5t ( a tra9$ *ef at a good sal>y 0 really a sav+ to ! in/itution :5 ! total co/ ( ! cul9>y dep>tm5t 0 reckon$4 ,?is is 9 comp>ison ) ! old me?od ( hav+ ! cook+ done by wom5 :o _h receiv$ no previ\s tra9+1 & _h no special desire to /udy ! art ( cook+ or to become m pr(ici5t 9 x4 ,,*apt] ,,vii4 ,sid5ote3 ,pur*ase & ,c>e ( ,food ,supplies ,! p]son to :om is entru/$ ! pur*ase ( ! food supplies1 & ! direction ( ! g5]al diet>y = ! hospital h\sehold1 occupies a place ( no small responsibility4 ,if %e is to dis*>ge ?is duty to ! satisfaction ( ^? :o h ! int]e/s ( ! in/itution at he>t1 %e %\ld h a few m>ks ( fitness n f\nd 9 ! av]age woman4 ,fir/1 %e %\ld h an active1 intellig5t & sympa!tic int]e/ 9 ! welf>e ( bo? ! sick & heal?y memb]s ( ! h\sehold1 & be 9 p]fect h>mony ) ! humane designs ( ! in/itution4 ,sid5ote3 ,judg+ ,values ,second1 ! pur*as] ( ! food supplies %\ld h suffici5t exp]i5ce & k to detect sup]ior & inf]ior qualities ( ! diff]5t food /uffs4 ,s f> z ! food = ! sick is conc]n$1 ! physician w h ! responsibility ( decid+ ! k9d ( food 8 pati5t %all h1 b %e w h ! responsibility ( decid+ reg>d+ quality & prep>ation4 ,x does n require an exp]t to discov] t a beef /eak is t\gh :5 x comes to ! table1 b t is too late = ! discov]y to be ( any practical value4 ,! t\ghness %\ld h be5 detect$ :ile x hung 9 ! m>ket4 ,s x is ) all v>ieties ( food4 ,to "k ! desirable & ! undesirable qualities be=e pur*as+ is to possess "o ( ! *ief secrets ( successful buy+4 ,clev] buy+ does n mean close buy+1 ?\gh "s p ?9k x does4 ,! *eape/ article (t5 proves ! mo/ exp5sive1 & quality mu/ be paid =4 ,! po9t is to be able to recognize1 & n pay fir/-grade prices = second-grade goods4 ,?ird1 %e %\ld keep po/$ reg>d+ ! fluctuations ( ! m>kets1 & n h to dep5d entirely on :at "o deal] may say reg>d+ prices4 ,z %e is sp5d+1 n h] own money1 b funds (t5 accumulat$ by self-d5ial on ! "p ( giv]s1 %e ne$s to /udy to sp5d !m wisely4 ,f\r?1 %e %\ld make a po9t ( f9d+ out ! exact price ( mo/ articles be=e ord]+ !m4 ,/rawb]ries w\ld be appreciat$ by h] h\sehold at any "t 9 ! ye>1 b :ile !y sell at ?irty or =ty c5ts a box1 %e is h>dly ju/ifi$ 9 buy+ !m freely1 if at all4 ,& ?is rule holds good 9 reg>d to mo/ ( ! ord9>y s-call$ luxuries--! ?+s t are n absolutely ess5tial z n\ri%m5t4 ,!re is a "t 9 :i* %e c decide to h !m1 & also a "t to decide to d )\t4 ,fif?1 %e %\ld h an intellig5t conception ( ! relative nutritive values ( diff]5t foods1 s z to be able to supply a well balanc$ diet>y = ! diff]5t classes ( p :o are dep5d5t on h] v l>gely to direct :at !y %all eat4 ,%e ought to be> 9 m9d ! fact t ! *ief value ( any food lies 9 its adaptability to repair ! wa/e ( tissue t goes on con/antly1 & endeavor to supply z f> z possible ! ideal meal1 :i* is "o 9 :i* nitrog5\s1 non-nitrog5\s & m9]al sub/ances are suppli$ 9 ! proportion requir$ to repair ! wa/e1 & ) ! m9imum tax on ! dige/ive p[]s4 ,! fir/ qualification really includes ?ree diff]5t qualifications--common s5se1 consci5ti\sness & ju/ice1 = all ( :i* %e w h con/ant ne$ 9 dis*>g+ ! duties ( h] position4 ,probably 9 beg9n+ h] "w %e w make mi/akes1 z e "o :o accompli%es any?+ does1 b z %e buys %e w le>n to buy1 & 9 no o!r way4 ,x _c be le>n$ f books4 ,h[ev]1 sugge/ions may be giv5 & accept$ t w save ! h\sekeep] f mak+ all ! blund]s o!rs h made1 & save ! hospital f ! results ( total inexp]i5ce & lack ( k4 ,! am\nt ( supplies ( any k9d to be pur*as$ at "o "t w dep5d some:at on ! dem&1 b *iefly on ! facilities = /or+ & pres]v+ !m4 ,! p]i%able articles are always ! mo/ important1 & also ! mo/ exp5sive1 & :5ev] possible %e w f9d t a sub/antial sum may be sav$ ea* mon? by mak+ ca% paym5ts = ^! articles z pur*as$4 ,) adequate cold /orage arrangem5ts1 a mon?'s supply c be pur*as$ at "o "t4 ,h& to m\?1 or day to day buy+ is poor policy = any hospital1 ?\gh lack ( facilities = prop] pres]vation ( food (t5 gives ! buy] no o!r alt]native4 ,sid5ote3 ,bread ,among ! *ief /aple foods ( any in/itution is bread4 ,:ile ) _m 9 ! hospital x is n exactly ! 8/aff ( life10 yet x is p]haps ! "o ?+ 9 dem& = e meal ( ! major portion ( ! h\sehold1 & fills no small "p 9 ! hospital diet>y4 ,v>i\s =ms ( ?is important article are on ! m>ket1 diff]+ 9 ! v>iety & quality ( fl\r us$ & 9 ! process ( manufacture4 ,?ree pr9cipal v>ieties ate 9 common use 9 ?is c\ntry--! f9e-:eat bread1 made f ! f9e/ or s-call$ /raight-grade fl\r1 ! ,graham bread1 made f fl\r conta9+ ! entire gra9 ( ! :eat gr\nd toge!r1 & ! :ole-:eat bread1 made f fl\r conta9+ ! :ole sub/ance ( ! gra9 except ! out] lay] ( bran4 ,f a *emical analysis ( ! ?ree diff]5t v>ieties1 to asc]ta9 ! nutritive value & dige/ibility1 x 0 f\nd t ! f9e-:eat bread yield$ ! highe/ p]c5tage ( dige/ible nutritive food1 ! :ole-:eat rank+ second & ! ,graham bread ! la/4 ,9 provid+ bread = ! h\sehold x is well to supply at lea/ two v>ieties1 ! f9e-:eat z ! /aple & ! :ole-:eat & ,graham alt]nat+4 ,ano!r po9t wor? not+1 prov5 by ! same *emical analysis1 0 t ! dige/ibility dep5d$ m on ! lightness ( ! bread ?an on ! quality ( fl\r us$4 ,! "q z to :e!r home-bak$ or bak]'s bread is mo/ exp5sive is (t5 ask$1 & ! answ] almo/ inv>iably is t bread c be bak$ 9 ! in/itution at mu* less co/ ?an to pur*ase ! ready-made article4 ,! ,u4 ,s4 ,dep>tm5t ( ,agriculture 9 #aijj publi%$ ! result ( inve/igation reg>d+ ! m>ket value ( bread4 ,_! inve/igation %[$ t 9 "s places ! bak]'s price 0 set by ! trade "n ( ! bread1 & 9 o!rs by ! size ( ! loaf1 & t ! prices v>i$ greatly 9 diff]5t cities4#a 8,9 ,new ,j]sey x appe>$ t ! l>g] ! loaf1 ! high] ! co/ p] p\nd t5d$ to rise4 ,9 ,new ,brunswick1 :]e fifty analyses 7 made1 ! bread conta9+ ! highe/ am\nt ( nutrim5t1 & t conta9+ ! l[e/1 7 sold at exactly ! same price p] p\nd1 #d4a c5ts4 ,:5 ! sell+ price ( bread & ! co/ ( its +r$i5ts are comp>$1 ! results are /ill m /rik+4 ,9 two exp]im5ts made 9 ,new ,j]sey x 0 f\nd t two lots ( bread made f mat]ials co/+ respectively #b4bh & #b4ef1 7 sold = #e4fh & #f4jh4 ,?is repres5ts a pr(it ( #aaf4e p] c5t ov] ! co/ ( ! mat]ials1 or to put x 9 doll>s & c5ts1 ! bak] receiv$ #baf4ej = bread ^: mat]ials co/ him #ajj4 ,9 ,pittsburg1 ! av]age increase 9 price ov] ! orig9al co/ 0 #aaj p] c5t40 #a ,u4 ,s4 ,dept4 ( ,agriculture1 ,(fice ( ,exp]im5t ,/ations1 ,bullet9 #aab4 ,f ^! exp]im5ts x w be se5 t a great sav+ ( money c be effect$ by home bak+1 ev5 all[+ = ! extra co/ ( labor & fuel4 ,sid5ote3 ,milk ,ano!r ( ! important articles ( diet1 & "o t has special value 9 a hospital1 is milk4 ,x is ! "o article ( diet t conta9s all ! ess5tials = n\ri%m5t & because ( its p]i%able "* x is ! food t usually causes ! greate/ anxiety to ! h\sekeep]4 ,9 ord] to det]m9e ! am\nt requir$ = ea* day's consumption x w be necess>y to decide1 be=e ord]+1 ! dem&s ( ! bills ( f>e = ! diff]5t dep>tm5ts = ! com+ day4 ,?is is ess5tial = ev5 approximate calculation4 ,! con/ant *ang+ ( pati5ts & diets t goes on 9 a hospital makes a close calculation sc>cely possible4 ,! ev5+ ( ! day be=e ! supply is to be ord]$1 ! head nurse 9 ea* section %\ld submit h] diet li/1 %[+ ! numb] ( pati5ts on liquid1 semi-solid1 light & regul> diets4 ,= a pati5t on an exclusive milk diet1 f two to ?ree qu>ts p] day w be ne$$1 ! am\nt be+ modifi$ by ! age1 sex & g5]al condition ( ! pati5t4 ,:]e ! liquid diet includes bro? & o!r fluids alt]nat+ ) milk1 two to f\r p9ts w be ne$$4 ,ea* pati5t on a semi-solid diet usually requires n\ri%m5t betwe5 meals1 & z milk ent]s l>gely into ! composition ( ! semi-solid diet1 ab\t ! same am\nt w be necess>y z = liquid diets4 ,= pati5ts on light diet :o mu/ h n\ri%m5t 9 "s =m betwe5 meals1 a qu>t is a fair daily all[ance1 & a p9t = ^? on regul> diet & = ! h\sehold /aff4 ,! quality ( milk is a matt] ( p>am\nt importance4 ,! proportion ( fat or cream 9 milk f ! same c[ w v>y some:at f day to day1 b !re is no d\bt t ! mo/ frequ5t cause ( v>iation is f\nd 9 ! unscrupul\s me?ods ( "s dairym54 ,?ree pr9cipal me?ods ( adult]ation are us$3 wat] is add$1 cream is remov$1 & c]ta9 *emicals are add$ z pres]vatives4 ,:atev] =m ( adult]ation is us$1 ! results are bad4 ,:e!r wat] is add$ or ! cream remov$1 ! nutritive value ( ! milk is less5$4 ,! injuri\s effects ( *emically pres]v$ milk dep5d1 ( c\rse1 on ! am\nt consum$ by "o p]son4 ,! drugs mo/ frequ5tly us$ z pres]vatives are boracic acid1 borax1 salicylic acid & =maldehyde4 ,:]e a life is 9 ! balance1 & milk diet is dep5d$ on to ma9ta9 ! vitality1 ^! adult]ations are ( trem5d\s importance4 ,no h\sekeep] c af=d to patronize a dairyman :]e !re is a suspicion ( ^! me?ods be+ practic$4 ,laws reg>d+ adult]ation exi/ 9 _m places1 b are n always en=c$4 ,b pure milk c be produc$1 & if ! consum] insi/s on hav+ x1 & takes pa9s to f9d out at int]vals ! facts reg>d+ its purity1 ! milk deal] w arrange to supply ! g5u9e article4 ,9 pur*as+ f any deal] x is a safegu>d to h ! milk exam9$ p]iodically by an exp]t *emi/4 ,!n ! h\sekeep] may "k = a c]ta9ty :at %e is gett+4 ,milk :i* conta9s s$im5t is always suspici\s4 ,9 prep>+ a specim5 = analysis c>e %\ld be tak5 t x is a fair sample4 ,milk f ! top or bottom ( a bottle %\ld n be us$4 ,if ! milk to be te/$ is p\r$ sev]al times f "o vessel to ano!r until no p>ticles ( cream appe> on ! surface1 ! sample may be consid]$ to be a fair specim5 ( ! composition ( ! :ole4 ,! me?od ( comput+ ! value ( milk us$ by cream]y exp]ts is on ! basis ( ! am\nt ( fat conta9$4 ,if ?is basis 7 ! g5]al /&>d1 n only hospitals b all consum]s w\ld be ! ga9]s4 ,:ile ! actual food value ( milk does n entirely dep5d on ! am\nt ( fat1 yet ! buy] w\ld h ! satisfaction ( gett+ :at he paid =1 & ! deal] ! increas$ return = supply+ a bett] grade article4 ,! milk conta9+ less fat c\ld be secur$ = cook+ & t ri*] 9 cream = special purposes1 & ! :ole transaction w\ld be fair] ?an ! pres5t sy/em1 :]e a qu>t ( adult]at$ & skimm$ milk sells = ! same money z ! g5u9e product4 ,skimm$ milk & butt]milk bo? h _! value z nutrim5t1 & exp]ts say t ev5 aft] cream has be5 remov$ ! skimm$ milk /ill conta9s ne>ly t5 p] c5t ( its nutritive prop]ties4 ,butt]milk is (t5 m acceptable to pati5ts ?an sweet milk1 &1 if x c be obta9$ fre% e day1 x c be us$ occasionally to add v>iety to a /rictly milk or liquid diet4 ,x is said t six ounces ( butt]milk has 9 x ! same am\nt ( nutrition z a m$ium-siz$ potato4#b 8,actual exp]im5t has demon/rat$ t a fifte5-c5t lun* conta9+ n9e diff]5t food mat]ials 7s\p1 beef1 potatoes1 turnips1 bread1 butt]1 c(fee1 milk1 sug>71 did n h any great] nutritive value ?an a f\r-c5t lun* consi/+ ( a p9t ( skimm$ milk & t5 ounces ( bread40 #b ,u4 ,s4 ,dep>tm5t ( ,agriculture1 ,bullet9 #gd4 ,9 ord]+ milk x is bett] to get too mu* ?an too little4 ,! excess c always be us$ 9 food comb9ations1 & at ! prices ord9>ily paid x is n an exp5sive food4 ,because ( ! ease ) :i* x is dige/$ by ! av]age p]son1 & its nutritive prop]ties1 x c be s]v$ 9 almo/ a numb]less v>iety ( =ms to sick p1 & (t5 9 pref]5ce to o!r foods4 ,sid5ote3 ,c>e ( ,milk ,assum+ t x is possible = deal]s to supply pure milk1 & t ! h\sekeep] kn[s :e!r or n %e is gett+ ! g5u9e article = h] sick family1 !re is /ill some?+ requir$1 if x is to rea* ! pati5ts 9 good condition4 ,be ! article nev] s pure :5 deliv]$1 x c quickly become impure by c>eless h&l+4 ,! milk deliv]$ at a v e>ly h\r may be left at ! door :]e x is expos$ to heat1 du/ & flies1 & by ! "t x is tak5 into ! h\se impurities may h ent]$ t w acc\nt = x becom+ s\r 9 a few h\rs4 ,ano!r s\rce ( contam9ation c be trac$ to ! practice ( putt+ milk 9 op5 vessels into ! same refrig]ator ) meats & vegetables4 ,old t9 or wood5 vessels %\ld nev] be us$1 & vessels %\ld be ?or\ghly scald$ & scrupul\sly clean be=e ! milk is put 94 ,if ! racks & %elves 9 ! cool+ room are scrubb$ daily1 also ! inside ( ! milk refrig]ator1 & a temp]ature ( #ej ,f4 or l[] ma9ta9$1 !re %\ld be no difficulty 9 keep+ milk sweet tw5ty-h\r h\rs or long]4 ,milk deliv]$ 9 bottles :i* h be5 previ\sly /]iliz$ w be f\nd m satisfactory ?an t :i* has be5 c>ri$ 9 l>ge cans & dipp$ f vessel to vessel4 ,ea* "t x is h&l$ ! cont5ts ( ^! cans are expos$ to float+ du/1 & ! "t ! milk w rema9 sweet is %ort5$4 ,! bottles 9 :i* milk is s]v$ %\ld be c>efully clean$ z soon z empti$1 & 9 w>m wea!r milk %\ld nev] be left )\t ice4 ,! c>eless habit t exi/s 9 "s kit*5s ( all[+ ! milk to /& 9 a heat$ room = an h\r or m because e "o is o!rwise employ$1 %\ld nev] be tol]at$ 9 a hospital4 ,ano!r po9t 9 h&l+ may be wor? m5tion+2 milk or cream int5d$ = ! sick may be consum$ by kit*5 employees1 & 9 spite ( ! h\sekeep]'s plans ! supply may become exhau/$ be=e ! new supply is available4 ,?is (t5 occurs at night1 :5 x is impossible to repl5i% ! quantity f any s\rce4 ,all calculations z to ! am\nt p] capita requir$ w be valueless if s]vants are all[$ to consume x at w4 ,if milk is to be all[$ to !m z a bev]age1 !n a mu* l>g] am\nt %\ld be ord]$4 ,sid5ote3 ,*eese ,*eese1 :i* is a conc5trat$ =m ( milk1 :ile ri* 9 nutrition1 is some:at difficult ( dige/ion1 & if b\ght at all = hospital pati5ts %\ld be pur*as$ sp>+ly & s]v$ 9 v small portions4 ,l milk1 x ne$s to be kept cool & entirely sep>ate f fruits1 vegetables & meats4 ,sid5ote3 ,eggs ,eggs are ano!r ( ! valuable tissue-build+ foods 9 con/ant dem& 9 hospitals4 ,= fully eight mon?s ( ! ye> !y c be b\ght at mod]ate prices1 & consid]+ _! great nutritive value are n an exp5sive =m ( food4 ,because ( ! ease ) :i* !y are dige/$ by mo/ invalids1 & ! great v>iety ( ways 9 :i* !y may be s]v$1 !y fill a v important place 9 ! hospital m5u4 ,x is said t !re are m ?an five hundr$ diff]5t ways ( prep>+ eggs4 ,! pur*ase ( !m is1 h[ev]1 att5d$ ) "s unc]ta9ty4 ,_m te/s = detect+ ! quality are 9 use by exp]ts4 ,! 8c&l+0 te/ consi/s 9 hold+ ! egg aga9/ a light betwe5 ! eye & ! sun4 ,! p]fectly fre%1 good egg w appe> cle> & uncl\d$ & ! yolk c be p]ceiv$4 ,if decomposition has begun1 x w appe> d>k color$4 ,*anges 9 ! appe>ance ( ! %ell z %[n by comp>ison ( fre% & /ale eggs are sometimes helps 9 detect+ ! quality4 ,:]e a hospital has an adequate cool+ space1 und\bt$ly ! m economical me?od ( buy+ is by ! crate & 9 suffici5t quantity to la/ sev]al mon?s4 ,"s in/itutions lay 9 a ye>'s /ock1 buy+ always 9 ,april1 :i*1 x is /at$1 is ! only mon? 9 :i* x is wise to buy eggs = /orage4 ,9 a cool+ room 9 :i* ! atmosph]e is sweet & pure1 a temp]ature ( #cd ,f4 w pres]ve eggs = a ye> ) v little appreciable *ange 9 quality4 ,ev5 :5 ! price ( eggs is f tw5ty-five to ?irty c5ts a doz51 !y are n m exp5sive ?an _m o!r =ms ( animal food--notably beef/eak--& :5 s]v$ 9 ! =m ( omelettes1 scrambl$ or cream$ eggs :]e o!r sub/ances are add$ to compose ! di% _! co/ 9 a meal is less ?an /eak4 ,sid5ote3 ,economy & ,c>e ,9 arrang+ a hospital diet>y ! comp>ative co/ ( food %\ld always be borne 9 m9d1 & :]e food ( *eap] mat]ial supplies ! place ( ! m co/ly1 ! *eap] %\ld h ! pref]5ce4 ,if1 :5 eggs are high-pric$1 ! h\sekeep] c\ld arrange to economize 9 _! use 9 dess]ts & cake r ?an 9 _! use z meat sub/ances1 x w be 9 ! long run ! m s5sible plan4 ,h[ev]1 dess]ts 9 a hospital & dess]ts 9 a home are two diff]5t ?+s4 ,! s-call$ dess]t 9 a hospital (t5 =ms ! meal = ! pati5t ) weak5$ dige/ive p[]s1 & 9 su* cases eggs mu/ be us$1 be ! price high or l[4 ,= ! heal?i] memb]s ( ! hospital family1 fruits & dess]ts made )\t eggs c be dep5d$ on to take ! place ( dess]ts requir+ eggs :5 ! latt] are exp5sive4 ,9 /or+ eggs1 ! h\sekeep] %\ld rememb] t ! %ell ( an egg is n imp]vi\s1 & if plac$ long 9 contact ) apples1 onions or o!r sub/ances ( decid$ flavor ! odor c be detect$ 9 ! egg :5 cook$4 ,ano!r po9t to be rememb]$ is t an egg kept 9 a refrig]ator w take long] to boil ?an if kept 9 a room at ! ord9>y temp]ature4 ,:5 deal+ ) impair$ appetites & weak5$ dige/ive p[]s ^! s-call$ m9or po9ts h special importance4 ,sid5ote3 ,meat ,meat is ! mo/ exp5sive article ( food 9 a hospital1 & = ?is reason ! art ( buy+ requires real /udy4 ,! fle% ( animals seems to be especially adapt$ to contribute to ! build+ up & ma9t5ance ( ! organic /ructure ( ! human sy/em1 b ow+ to ! abs5ce ( />* is n to be dep5d$ on to produce =ce or en]gy4 ,meats are g5]ally believ$ to be easi] ( dige/ion ?an vegetable foods4 ,! *emical +r$i5ts are mu* l ! v>i\s sub/ances ( ! human sy/em1 & are !re=e m quickly act$ ^u & made ready = absorption4 ,a c]ta9 woody fibre (t5 surr\nds ! nutritive +r$i5t ( ! vegetable & r5d]s x m resi/ive to ! action ( dige/ive fluids4 ,sid5ote3 ,beef ,beef is believ$ to be ! mo/ nutriti\s ( all animal foods1 & t :i* seems to be mo/ 9 dem& 9 a hospital4 ,x is a meat 9 :i* quality v>ies greatly1 & mu* c>e ne$s to be us$ 9 its selection4 ,! age ( ! animal1 ! me?od us$ 9 fe$+ x1 ! condition :5 slaught]$1 & ! l5g? ( "t s9ce slaught]+ took place1 all affect ! quality & flavor4 ,! fle% ( a "y animal is m t5d]1 b lacks ! flavor f\nd 9 ! fle% ( old] animals4 ,a l>g] relative proportion ( bone is f\nd also 9 y\ng] animals4 ,! be/ beef is usually obta9$ f animals ( f ?ree to six ye>s ( age4 ,:5 ! cool+ facilities are adequate1 at lea/ a side ( beef %\ld be pur*as$ at "o "t4 ,mo/ meats improve by be+ kept a reasonable l5g? ( "t4 ,9 a hospital ! v>i\s p>ts1 ev5 mu* ( ! s-call$ refuse ( ! but*]s1 c be utiliz$ :]e sev]al classes ( diets h to be arrang$ daily1 & a great sav+ ( money effect$ by buy+ 9 quantity4 ,?is w be cle>ly %[n by comp>ison if ea* "p has to be b>ga9$ = sep>ately4 ,9 ord] to gu>d aga9/ wa/e & use ! meat to ! be/ advantage1 "s sy/em & skill 9 cutt+ w be ne$$4 ,! accompany+ diagram %[s ! diff]5t cuts into :i* ! side may be divid$1 provid+ ! l>ge/ am\nt ( good cuts & ) ! lea/ refuse4 ,a good quality ( beef f an animal ?ree or f\r ye>s old %\ld %[ ela/icity on be+ press$ ) ! f+]2 x %\ld h a fair spr9kl+ ( creamy-look+ fat1 ! lean portion %\ld be a deep r$ & ( a r f9e fibre4 ,co>se fibre usually means poor flavor4 ,t\gh beef is usually d>k] 9 color1 ! proportion ( fat w be less1 ! fat in/ead ( be+ a creamy :ite w be a decid$ yell[ & ! fibre co>se4 ,illu/ration ,sid5ote3 ,veal ,veal may be occasionally add$ to ! hospital m5u = v>iety1 b because ( ! excessive proportion ( bone x is n consid]$ an economical meat to be us$ 9 any quantity4 ,x is also believ$ to be m difficult ( dige/ion ?an mo/ o!r meats4 ,mutton w p]haps rank next to beef = hospital uses1 & l beef x diff]s greatly 9 quality4 ,! fibre is %ort] & m t5d]1 & ! color ( bo? ! lean & fat ( mutton some:at d>k] ?an t ( beef4 ,good mutton %\ld h a spr9kl+ ( fat1 b excess ( fat %\ld be gu>d$ aga9/4 ,an entire c>cass %\ld be pur*as$ at "o "t1 cutt+ x z requir$4 ,sid5ote3 ,*ick5s ,9 select+ *ick5s = ! hospital1 bo? "y & old f[ls w be ne$$4 ,= bro?s & jelly an old f[l1 n too fat1 is pref]able4 ,:]e ! meat ( ! *ick5 is ! sub/ance want$1 a f[l ( f "o to two ye>s old %\ld be pur*as$4 ,! proportion ( bone to meat 9 *ick5s "u t age makes !m q an exp5sive commodity4 ,to asc]ta9 if ! meat is t5d] try ! sk9 "u ! w+ or leg4 ,if ! jo9t ( ! w+ yields readily or breaks x is t5d]4 ,sid5ote3 ,fi% ,fi% help to supply ! dem& = v>iety 9 ! diet1 :i* is m important 9 deal+ ) ! caprici\s appetites ( invalids ?an ) ^? 9 heal?4 ,! diff]5t v>ieties v>y greatly 9 nutritive value1 9 flavor1 & also 9 dige/ibility1 ow+ l>gely to ! proportion ( fat4 ,! am\nt ( bone 9 proportion to ! meat 9 mo/ ord9>y fre% fi% makes !m a trifle m exp5sive ?an mo/ meats1 /eak & f[l be+ except$4 ,because ( _! /rong odor1 :i* w\ld require = !m an entirely sep>ate /orage receptacle1 x is bett] to buy !m ea* day z ne$$4 ,salmon is consid]$ m ri* 9 nutrition ?an mo/ o!r v>ieties ( fi%1 & ! oily or co>s] gra9$ species m nutriti\s ?an ! :ite or f9] gra9$1 al?\gh ! latt] h ! m delicate flavor & are easi] ( dige/ion4 ,9 *oos+ ! fi%1 if ! gills are a bright1 cle> r$1 ! body firm & /iff1 ! odor n disagreeable1 ! fi% may be accept$ z 9 good condition4 ,sid5ote3 ,pork ,pork w occasionally h to be pur*as$1 ev5 9 a hospital4 ,9 spite ( ! fact t x is m difficult ( dige/ion ?an _m o!r =ms ( animal food1 & ( ! adv]se criticisms heap$ ^u x1 mo/ p 9 _! secret he>t 7or /oma*7 are fond ( a bit ( good ham4 ,ham & bacon are m suitable = use 9 a hospital ?an fre% pork4 ,! lean ( ham %\ld be a deep p9k1 & excess ( fat %\ld be avoid$4 ,bacon %\ld be q ?or\ghly mottl$ ) bo? fat & lean4 ,c>e %\ld be tak5 t ! ham & bacon h be5 cur$ & prep>$ = m>ket by a reliable firm1 & t !y are protect$ f du/ & kept 9 a cool place4 ,sid5ote3 ,butt] ,butt] is p]haps ! mo/ dige/ible ( all animal fats1 & ! mo/ delicately flavor$4 ,s _m sub/itutes = ! g5u9e article are n[ on ! m>ket t x ne$s to be select$ ) great c>e4 ,fat be+ "o ( ! elem5ts ( food dep5d$ on = ! production ( heat & en]gy 9 ! body1 butt] has a place ( "s importance 9 ! av]age invalid's diet4 ,= use on ! tables & trays1 a good quality %\ld be procur$ & a *eap] grade secur$ = use 9 cook+4 ,potatoes1 ! mo/ important ( all vegetables = table use1 %\ld be pur*as$ 9 quantity 9 ! fall :5 ! price is l[e/ & /or$ 9 a cool1 d>k1 dry place4 ,sid5ote3 ,fre% ,vegetables ,gre5 vegetables w1 ( c\rse1 be secur$ z ne$$4 ,:5 fre% !re is a crispness ab\t !m t is n f\nd 9 ^? pick$ long]4 ,lack ( crispness usually means lack ( flavor4 ,all vegetables w be improv$ by soak+ 9 cold wat] be=e be+ cook$4 ,c]eals1 sug>1 & 9 fact ! :ole li/ ( dry food products1 & cann$ goods1 are a matt] ( mu* less anxiety to ! hospital h\sekeep] ?an ! p]i%able commodities4 ,on g5]al pr9ciples1 buy+ 9 suffici5t quantity to secure :olesale rates is ! only s5sible me?od4 ,b1 z has be5 previ\sly rem>k$1 ! con/ruction ( ! hospital modifies all plans = h\sekeep+4 ,lack ( /orage facilities make x impossible = _m h\sekeep]s to buy wisely or economically4 ,mi/ak5 ideas ( economy 9 con/ruction (t5 mean increas$ & unnecess>y exp5se z long z ! hospital exi/s4 ,:]e economical h\sekeep+ is expect$1 arrangem5ts %\ld be made 9 e hospital = suffici5t cold /orage facilities1 at lea/ = ! /or+ ( meats1 :i* usually =m ! l>ge/ item 9 ! mon?ly acc\nts4 ,,approximate ,,e/imate ,,( ,,quantities ,,( ,,food ,,= ,a #be-;,,b$ ,,hospital1 ,a #ej-;,,b$ ,,hospital ,,& ,a ,,hospital ,,( #ajj ,,b$s4 ,?is is tak5 f a mon?'s exp]i5ce ) ! av]age numb] ( acute cases & convalesc5ts 9 a hospital ) an active surgical s]vice4 ,,breakfa/4 ---------------------------------------- ------------------------ ,hospital ( ,hospital ( ,hospital ( #be ,b$s #ej ,b$s #ajj ,b$s ---------------------------------------- ------------------------ ,beef/eak1 ,r\nd #e lbs4 #h lbs4 #ae lbs4 0 ,port]h\se #h lbs4 #aj lbs4 #bj lbs4 ,eggs #b doz4 #d doz4 #h doz4 ,c]eal1 ,cook$ fre% #e qts4 #aj qts4 #bj qts4 0 ,prep>$ #a pkg4 #b pkgs4 #d pkgs4 ,bread = toa/1 #a lb4 l'ves #d loaves #h loaves #b doz4 l4 0 7pla97 9 addition #b loaves #d loaves #a doz4 l4 ,butt] #a lbs4 #b lbs4 #e lbs4 ,cream 7= priv'te pat'ts74 #a pts4 #c pts4 #b qts4 ,milk 7all[+ pt4 ea*7 #f qts4 #ab qts4 #bd qts4 ,c(fee 7dry7 #c to #d cups #e to #g cups #b lbs4 ,sug> #c lbs4 #e lbs4 #ae lbs4 ,fruit fre% 7oranges1 etc47 #a doz4 #b doz4 #e doz4 ,fruit /ew$ #b qts4 #d qts4 #g to #i qts4 ,cocoa 7all[ "o teaspoon = ea* pati5t gett+ x & add "o cup ea* to quantity ( milk7 ---------------------------------------- ------------------------ ,,d9n]4 ---------------------------------------- ------------------------ ,s\p #e qts4 #aj qts4 #bj qts4 ,cr\tons or ,crack]s #b lbs4 #e lbs4 #aj lbs4 ,roa/1 ,rib #h lbs4 #ab lbs4 #bj lbs4 ,lamb1 ,leg #aj to #ab lbs4#ae to #ah lbs4 #be to #cj lbs4 ,*ops #b doz4 #d doz4 #g doz4 ,potatoes #a pk4 bu%4 #a bu%4 ,cel]y #a doz4 /alks#a l>ge bun4 #b l>ge bun4 ,beets pk4 #a pk4 bu%4 ,bread1 bak]s #a lb4 #c loaves #f loaves #a doz4 l'ves loaves ,tea lb4 lb4 #a lb4 ,sug> #b lbs4 #c lbs4 #e lbs4 ,milk #c qts4 #g qts4 #ae qts4 ,dess]t1 ,rice pudd+ #d qts4 #f to #g qts4 #ah to #bj qts4 ,ice ,cream1 9 bulk #d to #f qts4 #h to #aj qts4 #d to #e gal4 ,ice ,cream1 brick #b to #c br'ks #d to #h br'ks #aj bricks ---------------------------------------- ------------------------ ,,supp]4 ---------------------------------------- ------------------------- ,scallop$ ,potatoes1 7potatoes1 milk1 butt]7#c qts4 slic$ #f qts4 #aj to #ab qts4 ,bread #f loaves #ab loaves #b doz4 ,butt] #a lbs4 #c lbs4 #f lbs4 ,fruit1 /ew$ #b qts4 #e qts4 #aj to #ab qts4 ,tea lb4 lb4 #a lb4 ,milk #d qts4 #f to #g qts4 #aj to #ab qts4 ,eggs1 special diets #a doz4 #b doz4 #d doz4 ,cream #a pt4 #a qt4 #a gal4 ,oy/]s1 raw #b to #c qts4 #c to #e qts4 #f to #h qts4 ---------------------------------------- ------------------------- ,,*apt] ,,viii4 ,sid5ote3 ,prep>ation ( ,food ,if ! pur*ase ( a good quality ( food = ! pati5ts 9 a hospital is important1 ! prep>ation & s]v+ ( x is ( /ill great] importance4 ,! mo/ exp5sive food may be spoil$ 9 cook+1 or be s]v$ 9 su* a mann] t ! pati5t has no desire = x4 ,on ! o!r h&1 ! *eap] article may be s ta/ily prep>$ t x w be readily p>tak5 (4 ,9 deal+ ) ! sick1 ! me?od ( prep>ation & ! mann] ( s]v+ food assume an importance t is n suffici5tly appreciat$ by ! untra9$4 ,x is h>dly possible = e hospital to h a tra9$ *ef or a diet cook4 ,mu* ( ! cook+ mu/ ne$s be done by ! ord9>y s]vants1 b ! hospital h\sekeep] %\ld h an intellig5t appreciation ( ! ne$s ( h] family1 h] influ5ce %\ld p]vade ! dome/ic region con/antly1 & h] /&>ds & me?ods be und]/ood by e "o :o h&les food = ! pati5ts4 ,! diff]5ce betwe5 ! k9d ( cook+ ne$$ = ! sick & ! well ne$s also to be ?or\ghly und]/ood1 & :ile 9 reality ! h\sekeep] mu/ cat] to bo? classes1 yet ! sick are h] especial c>e4 ,! fact mu/ be borne 9 m9d1 too1 t 9 a hospital we are deal+ ) p 9 :om frequ5tly ! functions ( ! organs ( dige/ion & assimilation are s]i\sly di/urb$ & weak5$4 ,^! *anges are accompani$ by a loss ( appetite & (t5 a disgu/ = food4 ,yet ! wa/e ( ! body1 because ( ! sickness1 is increas$1 & special ef=t is ne$$ to supply ! mo/ nutriti\s food ) ! m9imum tax on dige/ive p[]s4 ,sid5ote3 ,objects ( ,cook+ ,! me?od ( cook+1 :i* is 9 reality prep>+ ! food = dige/ion1 ?us becomes a p[]ful factor 9 deal+ ) diseas$ conditions4 ,9 mo/ foods1 & 9 animal foods especially1 cook+ develops ! agreeable flavors & makes !m m palatable4 ,x also enables !m to become m readily ma/icat$ & !re=e m easily dige/$4 ,! nutritive elem5ts ( food are extract$ = assimilation by ! action ( ! v>i\s dige/ive fluids ( ! body4 ,9 _m diseases ! gl&s t secrete ^! dige/ive fluids are weak or in]t1 & ne$ /imulat+1 & "h attractive cook]y & arti/ic s]v+ play an important "p4 ,:5 food is pleas+ to ! eye ! n]ves ( sight & ta/e are excit$4 ,^! n]ves act reflexly on ! n]ves ( ! /oma*1 /imulat+ ! ga/ric gl&s4 ,eat+ is1 !re=e1 made m enjoyable1 a great] fl[ ( dige/ive juices is produc$1 & ! result is bett] dige/ion1 bett] assimilation & increas$ /r5g?4 ,sid5ote3 ,classes ( ,diets ,f\r grades ( diet = pati5ts are ord9>ily recogniz$ 9 a hospital4 ,besides ^! we h ! diff]5t grades ( food1 s]v$ to ! diff]5t classes ( employes on ! work+ /aff1 mak+ z a rule sev5 diff]5t classes ( diet>ies = ! hospital h\sekeep] to provide ea* day4 ,usually !re are di%es on ! regul> diet t may be us$ = ! semi-solid or ! light diets1 & also = ! (fic]s' & employees' tables4 ,& z a g5]al rule !re are special =ms ( liquid diet prep>$ ea* day1 t may be add$ to ! o!r diet>ies1 ?us mak+ x possible to cook _m ( ! di%es 9 bulk1 :i* is always ! m economical way4 ,= pati5ts on fluid or liquid diet1 su* articles mu/ be provid$ z beef tea1 beef juice1 *ick5 bro?1 mutton bro?1 gelat9e1 b>ley wat]1 cocoa1 c]ta9 =ms ( /ra9$ gruel1 album5 wat]1 k\myss1 butt]milk1 :ey & sweet milk s]v$ 9 its natural /ate or 9 its almo/ numb]less comb9ations t v>y ! flavor4 ,= ^? on semi-solid diet su* foods z oatmeal gruel1 cu/>d1 ice cream1 rice1 tapioca1 sago1 & sometimes milk toa/ are us$ 9 addition to ! foods includ$ 9 fluid diet4 ,= pati5ts on light diet su* additions are made z bread1 toa/1 "s fruits1 c]ta9 k9ds ( fi%1 su* z oy/]s1 clams & ! :ite-fle%$ fi%es1 p\ltry & game4 ,regul> diet 9 a hospital may include all ! above articles ) beef1 mutton & o!r meats add$1 c]ta9 vegetables & all fruits4 ,= pati5ts 9 ! transition /age ) weak5$ dige/ive functions1 ! %ort] fibr$ meats are usually s]v$ 9 small quantities1 be=e beef1 mutton & o!r meats m difficult ( dige/ion4 ,b ev5 9 ! regul> diets1 mu* discretion ne$s to be us$4 ,_m articles t are p]mitt$ 9 heal? h no place on ! hospital diet>y4 ,boil$ cabbage1 or cucumb] pickles1 or boil$ dumpl+s1 might be reli%$ by ! he>ti] ( ! pati5ts on regul> diet1 b w\ld be entirely unsuitable = ! majority1 & !re=e n an economical food to s]ve4 ,ev5 ?\gh dige/ion is n s]i\sly impair$1 ! functions because ( lack ( ex]cise are sluggi%1 & x is unwise to put unnecess>y tax on ! excretory organs4 ,s t ?\gh doctors may give full p]mission = ! pati5t to 8eat any?+10 ! h\sekeep]'s common s5se w prev5t h] f incorporat+ 9 ! hospital diet>y _m articles ( food all[$ 9 heal?4 ,! foods includ$ 9 ea* class ( diets & ! limitations %\ld be ?or\ghly und]/ood by ! :ole work+ /aff ( ! hospital4 ,x is well to h pr9t$ li/s conspicu\sly po/$ 9 diff]5t p>ts ( ! hospital4 ,on no acc\nt %\ld milk be all[$ to be giv5 to he>ty pati5ts on full diet1 or to any pati5t on t class ( diet unless specially ord]$ by ! physician 9 *>ge4 ,?is rule ne$s special emphasis or milk bills may be greatly increas$ ) no special b5efit to any "o4 ,z a rule ! pati5t :o is on an exclusive liquid diet mu/ be dealt ) individually & ) great discrim9ation4 ,! am\nt & k9d ( diet w be prescrib$ by ! physician4 ,b 9 ^! cases special prep>ation becomes v important4 ,milk frequ5tly =ms a l>ge "p ( ! fluid diet1 z x is "o ( ! v few complete foods4 ,v>i\s =ms ( pre-dige/$ & conc5trat$ foods are 9 use t are ( great value 9 su* cases1 b !y belong to ! drug room1 r ?an ! kit*51 & ne$ n be m5tion$ "h4 ,sid5ote3 ,bro?s ,next 9 value to milk & its prep>ations1 on ! liquid diet %eet1 come bro?s4 ,:5 bro?s are requir$ = pati5ts suff]+ f acute or febrile diseases1 ! h\sekeep] %\ld see t a ri* & nutriti\s article is provid$--n wat] flavor$4 ,9 ! prep>ation ( ^! bro?s1 ! object %\ld be to extract z mu* z possible ( ! soluble elem5ts ( ! meat into ! wat]4 ,! meat %\ld be cut 9 small pieces & put 9 cold wat]1 ! temp]ature be+ gradually rais$ to ab\t #afj ,f4 ,! rema9d] ( ! cook+ %\ld be a g5tle simm]+ process4 ,= ^! bro?s ! *eap] "p ( meat may be utiliz$1 & x is h>dly necess>y to add t :5 a *eap] grade article c be us$ ) equal satisfaction x %\ld always be done4 ,9 ! prep>ation ( s\ps1 c>e mu/ be ex]cis$ reg>d+ ! flavor4 ,all /rong & decid$ odors1 su* z onion1 %\ld be avoid$4 ,9 fact x is usually bett] to h a c>efully comb9$ flavor ?an "o special flavor t may be disagreeable to "s ta/es4 ,sid5ote3 ,s\ps ,z a g5]al rule x is well to h s\p ( "s k9d on all ! diet>ies ( ! hospital once a day1 except 9 ! v hot wea!r4 ,! body1 ev5 9 heal?1 requires a l>ge proportion ( wat]1 & 9 mo/ diseases wat] has a real !rapeutic value4 ,x is ne$$ z a solv5t ag5t dur+ dige/ion & assi/s 9 ! v>i\s processes ( absorption1 secretion & excretion4 ,:51 !re=e1 x c be comb9$ ) c]ta9 food sub/ances to =m an acceptable article ( diet1 x %\ld be done4 ,! value ( bro?s & s\ps is n suffici5tly appreciat$ by ! poor] classes1 & ! hospital diet>y %\ld =m a practical lesson on s5sible diet4 ,! bones ( meat c be utiliz$ 9 ! mak+ ( s\ps1 a nutriti\s extract consi/+ *iefly ( gelat9 be+ obta9$ by boil+ !m4 ,x is said t ?ree p\nds ( bone conta9s z mu* c>bon z "o p\nd ( meat1 & z mu* nitrog5 z sev5 p\nds ( meat4 ,9 s]v+ bro?s to pati5ts c>e mu/ be tak5 to remove all float+ grease4 ,:5 !re is "t1 x is always bett] to all[ ! s\p or bro? to become ?or\ghly cold1 & !n h x c>efully skimm$4 ,a few drops ( oil or grease on ! bro? may be suffici5t to de/roy ! appetite = food t is su* an important factor 9 tid+ a pati5t ov] ! critical p]iod4 ,sid5ote3 ,cook+ ,meats ,:5 ! object ( boil+ meat is simply to cook x1 reta9+ z mu* z possible ( its soluble con/itu5ts1 ! meat %\ld be 9 "o l>ge piece & plung$ into wat] already boil+4 ,brisk boil+ %\ld be cont9u$ = t5 m9utes till ! album9\s matt] on ! ext]ior is coagulat$4 ,?is =ms a protective lay] :i* helps 9 prev5t+ ! escape ( ! nutriti\s juices into ! wat]4 ,! cook+ %\ld be complet$ m sl[ly4 ,too great heat causes ! meat to be h>d & %runk54 ,roa/+ meat reta9s ! nutriti\s juices bett] ?an boil+4 ,b1 z 9 ! boil+1 ! meat %\ld be fir/ expos$ to a /rong heat1 ! cook+ be+ complet$ m sl[ly4 ,sid5ote3 ,cook+ ,vegetables ,gre5 vegetables are valuable z food1 n s mu* because ( _! nutriti\s elem5ts1 b because ( ! salts !y supply :i* are dem&$ by ! sy/em4 ,_! dige/ibility dep5ds greatly on _! be+ well & c>efully cook$4 ,9 mo/ ( !m !re is a l>ge proportion ( indige/ible residue1 :i* acts z a /imulant to p]i/alsis4 ,x mu/ n be =gott5 t a reli% = c]ta9 vegetables is an acquir$ ta/e1 & unless an article has real nutritive value x is unwise to try to cultivate ! ta/e :ile 9 ! hospital1 ev5 = v>iety4 ,cel]y1 = in/ance1 is r>ely reli%$ by poor p1 & = ?is reason x is a ne$less exp5se to s]ve x 9 ! free w>ds4 ,o!r exceptions w readily sugge/ !mselves4 ,potatoes are ri* 9 />* & :5 cook$ 9 quantity are be/ s]v$ ma%$4 ,?is me?od ( s]v+ prev5ts !m rea*+ ! /oma* 9 h>d1 indige/ible masses1 z is (t5 ! case :5 s]v$ :ole4 ,! pr(usion ( books1 giv+ def9ite cul9>y rules = ! prep>ation ( all ! v>i\s articles ( diet1 bo? = ! sick & heal?y family1 makes unnecess>y m ?an a pass+ m5tion ( ^! few g5]al pr9ciples to be obs]v$ 9 prep>+ a hospital diet>y4 ,"o g5]al aim %\ld be kept 9 view 9 prep>+ food 9 g5]al2 ! me?od ( prep>ation %\ld cons]ve ! nutritive elem5ts ( ! food & cause x to make z little tax on ! dige/ive functions z possible4 ,sid5ote3 ,"t ( ,meals ,z a g5]al rule ! heavie/ meal ( ! day--! d9n]--%\ld be s]v$ 9 a hospital at mid-day4 ,?is plan w be m satisfactory to ^? on :om ! prep>ation ( ! meal devolves1 & x is di/9ctly bett] = ! pati5ts4 ,! "t ne$$ = ! dige/ion ( meats & vegetables is e/imat$ at f ?ree to five h\rs4 ,if ! heavy meal is s]v$ late 9 ! day ! "w ( ! /oma* _c be complet$ 9 "t = ! pati5t to get to sleep e>ly1 & if ! /oma* is actively engag$ 9 dige/ion ! re/ is likely to be ret>d$ or di/urb$4 ,?is rule ( c\rse does n apply to pati5ts 9 a weak condition :o mu/ be f$ at frequ5t int]vals & 9 small] quantities4 ,& x ne$s also to be rememb]$ t a p]fectly empty /oma* does n contribute to repose1 & inde$ is a frequ5t cause ( wakefulness4 ,a pla91 :olesome e>ly breakfa/ = ! 8help0 & = ! nurses is a necessity 9 a hospital :]e ! heavie/ "w comes 9 ! morn+ h\rs4 ,?is %\ld be z sub/antial z ! appetite & dige/ion are equal to4 ,) nurses :o are con/antly expos$ to morbid & depress+ influ5ces1 ! breakfa/ is ( special importance1 & a nurse :o does n p>take ( a he>ty breakfa/ is always m susceptible to delet]i\s influ5ces4 ,! ru% ( "w1 long h\rs1 m5tal anxiety1 & almo/ con/ant walk+ or /&+1 :i* are incid5t to hospital life1 make x v necess>y = a good quality & quantity ( food to be prep>$ = ^? :o h ! direct responsibility ( ! c>e ( ! sick4 ,& :ile extravagance ought to be gu>d$ aga9/1 yet no mi/ak5 idea ( economy %\ld prev5t ! h\sekeep] f s]v+ a well-balanc$1 nutriti\s & attractive diet>y to ^! important memb]s ( h] h\sehold4 ,! h\sekeep] %\ld n fail to rem9d h]self con/antly t 8v>iety is ! spice ( life10 & %\ld see t 8:olesome v>iety0 *>act]izes h] meals1 = ! nurses z well z pati5ts1 f week to week4 ,! elem5t ( surprise or unexpect$ness figures l>gely 9 ! pleasures ( e-day life4 ,any?+ t leaves out ! possibility ( ! 8unexpect$10 especially on a nurses' table1 has mu* 9 x to condemn & little to comm5d4 ,on ! nurses' table clean table l95 at frequ5t int]vals ought n to be reg>d$ z a luxury1 & c]ta9ly x adds greatly to ! enjoym5t ( a meal4 ,a few ( ! fl[]s t are (t5 di/ribut$ lavi%ly 9 a w>d w\ld z fully fulfil _! mission !re4 ,a pretty gr[+ plant pur*as$ occasionally = ! same purpose is an extravagance t c\ld be =giv54 ,!n1 besides ref9$ surr\nd+s & neat1 attractive table s]vice1 ! "* ( ! food1 ! quality1 c\ld be greatly improv$ by a little c>eful plann+ )\t any great1 if inde$ any1 increase ( exp5se4 ,dr4 ,pet]s1 ( ! ,rhode ,isl& ,hospital1 9 an admirable pap] on hospital diet>ies1 ask$ ! foll[+ p]t95t que/ions3 8,d we realize ! satisfaction t a v>iety ( s\ps1 s easily & *eaply prep>$1 give to our inmates8 ,d we rememb] ! _m ways ( prep>+ meats to be s]v$ ) a great v>iety ( gravies & sauces8 ,d we realize t m9c+ meat is an important me?od ( prep>ation8 ,d we appreciate h[ mu* m satisfactory fre% vegetables are ?an cann$8 ,don't we =get ! natural crav+ = fruit8 ,c\ldn't we1 ) a little =e?\ght1 give our nurses & employes salads1 ices1 etc41 at practically no great] co/ ?an ! r\t9e di%es8 ,did y ev] realize ! v>iety ( ways su* common articles z potatoes1 rice1 apples1 etc41 c be cook$ & s]v$8 ,d we s]ve fi% 9 z great a v>iety & (t5 en\gh8 ,d we give att5tion en\gh to ! possible v>ieties ( dess]t8 ,are all ^! que/ions trite8 ,yes2 b possibly wor? repeat+ to act z rem9d]s40 ,x is "t t ! sy/em ( arrang+ a nurses' bill ( f>e = mon?s ahead 7 =ev] ab&on$ 9 e in/itution4 ,! v monotony ( x makes "o we>y at ! ?\ght4 ,to "k t on a c]ta9 day ( ! week "o is doom$ to a d9n] ( corn$ beef & cabbage is c]ta9ly n likely to create en?usiasm = ! morn+'s "w4 ,to contemplate :ile dress+ t 8?is is ! day = fri$ liv] = breakfa/10 is suffici5t to nauseate "s ( ! less he>ty memb]s ( ! family4 ,to "k t ( all ! li/ ( fruits 9 ! m>ket only ab\t ?ree or f\r are likely to appe> on ! nurses' table till ! au?orities see fit to *ange ! bill ( f>e is1 to say ! lea/1 depress+4 ,monday1 apple sauce2 ,tuesday1 /ew$ prunes2 ,w$nesday1 dri$ pea*es or apricots1 etc4 ,& ! dess]ts are (t5 equally monoton\s3 ,bread pudd+1 rice pudd+1 apple pie & aga9 bread pudd+1 rice or tapioca pudd+2 apple pie1 ) a di% ( corn/>*--sometimes p9k1 sometimes :ite--on ,sunday4 ,x is little wond] t aft] two or ?ree ye>s ( ?is monotony 9 diet1 _m nurses reg>d ^! articles ( food z ?+s to be avoid$ = ! rema9d] ( _! lives4 ,z a g5]al rule x is be/ to avoid1 z f> z possible1 s]v+ food t has be5 w>m$ ov]1 or twice cook$1 to sick p1 ?\gh p]fectly prop] = ^? 9 heal?4 ,x is bett]1 h[ev]1 to calculate z c>efully z possible ! am\nts requir$ = ea* meal1 & cook no m ?an w be us$4 ,meat1 fi% & vegetables1 especially1 are bett] = ! sick :5 cook$ fre%4 ,:ile _m ( ! salads--lob/] salad = in/ance--are n suitable = a hospital diet>y1 :5 view$ ei!r f ! /&po9t ( economy or dige/ibility1 yet delici\s salads may be made ( v common articles )\t any extra exp5se4 ,a salad compos$ ( apples1 cel]y1 a few nuts & a little ,fr5* dress+ c\ld sc>cely be consid]$ an exp5sive di% at any season1 & yet su* a simple comb9ation w\ld add a reli% to an o!rwise commonplace meal4 ,a bean salad is bo? da9ty & nutriti\s4 ,_m su* delightful comb9ations w sugge/ !mselves to ! h\sekeep] ^: he>t is 9 h] "w1 & :o is really mi/ress ( h] art1 & ^! all g to make up ! diff]5ce betwe5 v>iety & monotony4 ,,*apt] ,,ix4 ,sid5ote3 ,diet ,li/s & ,blanks ,= ! h\sekeep]s' guidance 9 prep>+ meals = ! pati5ts1 a diet li/ %[+ ! numb] ( pati5ts to be provid$ = & ! classes ( diets requir$1 ne$s to be prep>$4 ,! duty ( prep>+ ?is li/ usually devolves ^u ! head nurses 9 *>ge ( ! w>ds & ! li/s %\ld be s5t 9 ei!r at night or e>ly 9 ! morn+ ( ea* day4 ,special articles = individual pati5ts w usually be prep>$ 9 ! diet kit*51 & may or may n be plac$ on ! diet %eet s5t to ! g5]al kit*54 ,9 l>ge in/itutions :]e !re is a pantry on ea* floor 9 :i* special diets are prep>$1 special requisition blanks are us$ 9 _m hospitals 9 procur+ ! supplies4 ,! am\nt ( eggs1 milk & beef juice & ! v>i\s articles t are exp5sive & p]i%able1 are e/imat$ by ! p]son 9 *>ge1 & ! requisition is sign$ by ! sup]9t5d+ nurse be=e x is s5t to ! kit*5 or /ore room4 ,su* a requisition blank is usually ab\t ! size ( a doctor's prescription blank1 & !y are mo/ conv5i5t :5 prep>$ 9 blocks simil> to lett] pads4 ,! h\sekeep] w1 ( c\rse1 sup]9t5d ! c>v+ ( meats & ! disp5s+ ( food f ! ma9 kit*54 ,?is is "o ( ! mo/ important ( h] duties & _m a doll> c be sav$ or lo/ by neglect or att5tion at ?is po9t4 ,prop] c>v+ ( meats results 9 a sub/antial sav+ 9 ! c\rse ( a ye>4 ,dr4 ,w4 ,gilman ,?ompson says t an 8undesirable t5d5cy among ,am]ican hospital diet>ies is to include too mu* meat4 ,n ov] f\r ounces ( cook$ meat 7)\t bone7 %\ld be all[$ 9 ! meal = m540 ,unless specially ord]$ meat %\ld nev] be s]v$ m ?an twice a day 9 a hospital & once = ! av]age pati5t is suffici5t4 ,sid5ote3 ,s]v+ ( ,food ,9 ! s]v+ ( food to ! pati5ts1 provision mu/ be made = s]v+ cook$ food t is int5d$ to be hot1 really hot4 ,if ?is is to be accompli%$ successfully1 x mu/ h special att5tion & special facilities4 ,if !re is no diet kit*5 or nurses' pantry on ea* floor1 & ! trays are prep>$ 9 ! ma9 diet kit*5 adjo9+ ! g5]al kit*5 & s5t on ! dumb wait]1 x means t plates mu/ be heat$ ?or\ghly & e article ( hot food cov]$ ) a hot plate or sauc]4 ,! food mu/ be really hot :5 s]v$ on ! plates1 & delay at ! o!r end ( ! l9e gu>d$ aga9/4 ,?is me?od is ! only "o t c be pursu$ 9 small hospitals1 or :]e mi/akes 9 con/ruction h result$ 9 !re be+ no facilities = s]v+ food conv5i5t to ! w>ds4 ,x is h>dly necess>y to say t ea* tray %\ld h on x a ticket be>+ ! "n ( ! pati5t = :om x is int5d$4 ,neglect ( ?is precaution might co/ a life1 z = in/ance if a convalesc5t typhoid pati5t 7fami%$ ) hung] z !y usually are 9 t /age7 :o 0 all[$ only cu/>d or bro?1 _h s]v$ to him a tray lad5 ) fruits1 meats & vegetables4 ,su* accid5ts are n unkn[n1 & may happ5 9 any hospital :]e laxity ab\t ! s]v+ ( food exi/s4 ,:]e !re is provision on ea* floor = sett+ trays & s]v+ food ! same c>e ne$s to be ex]cis$ ab\t heat+ ! di%es4 ,! food w be s]v$ 9 bulk f ! ma9 kit*51 usually 9 l>ge cov]$ vessels1 :i* %\ld be hot be=e ! food is put 94 ,a /eam table 9 ! diet kit*5 w suffice to keep !m hot till ! s]v+ is complet$4 ,9 w9t] x may ev5 be necess>y to heat ! cups1 = :at is m insipid ?an a cup ( lukew>m tea or c(fee8 ,equal c>e ne$s to be obs]v$ to s]ve cold ?+s really cold4 ,ice may be a luxury to "s p1 b ! free use ( ice 9 a hospital is an urg5t necessity4 ,n only is x ne$$ to pres]ve ! food1 b x has its place 9 add+ reli% to a meal especially 9 hot wea!r4 ,:5 a pati5t is hot & re/less & uncom=table ev5 ! cl9k ( a piece ( ice 9 a glass is refre%+ & w help to create a desire = ! milk itself4 ,x ought n to be necess>y to add t cold food %\ld be kept z f> z possible f ! hot food on a tray1 & yet hav+ m ?an once f\nd a nurse c>ry+ a tray ) a di% ( ice cream cov]+ a b[l ( /eam+ hot s\p1 or ! butt] cr[d$ z close to ! teapot z x c\ld be1 x may be t su* rem9d]s are n out ( place4 ,if only ev]ybody liv$ up to ! be/ !y knew2 if only "o c\ld be sure t :at 0 taught w\ld always be act$ out1 ! h\sekeep]'s anxiety ab\t ! s]v+ ( food w\ld be greatly less5$4 ,z x is1 8l9e ^u l9e & precept ^u precept0 is ne$$1 & 9 addition t 8et]nal vigilance0 t is said to be 8! only price ( safety40 ,sid5ote3 ,tray ,sett+ ,9 ! sett+ ( a tray !re is a "r & wrong me?od1 z 9 ev]y?+ else4 ,x is n suffici5t to h ! di%es & ! tray clo? spotlessly clean1 b ! me?od ( arrang+ ! v>i\s di%es %\ld h 9 view ! pati5t gett+ ! food ) ! greate/ ease4 ,a mod]ate size tray is pref]able4 ,! v l>ge trays are cumb]some & awkw>d & x is difficult to arrange ! small trays to advantage4 ,9 ! c5t] ( ! side ( ! tray t w be plac$ ne>e/ to ! pati5t %\ld be ! plate1 ) ! knife1 =k & spoons1 arrang$ 9 _! prop] places on ei!r side4 ,at ! "r h& %\ld be plac$ ! teacup & sauc]1 & on ! left ! bread & butt] plate1 or ! individual butt] di%4 ,back ( ! teacup is plac$ ! small tea or c(fee pot4 ,?\ghtless nurses (t5 rev]se ! position ( ! teapot & teacup1 mak+ x necess>y = ! pati5t to rea* ov] ! teapot to ! back ( ! tray e "t he wants a dr9k4 ,9 ! c5t] ( ! back "p ( ! tray1 or ! "p f>!/ f ! pati5t1 ! little sug> & cream vessels %\ld be arrang$1 & 9 ! left-h& corn] ( ! same side ! dess]t4 ,! pepp] & salt bottles & o!r small articles may be arrang$ z space w p]mit4 ,x is well to h a regul> cu/om e/abli%$ ( empty+ ! sug> vessels & wa%+ !m aft] ea* meal4 ,crumbs are dropp$ 9 or !y become sme>$ ) a wet spoon1 & unless ! regul> empty+ & wa%+ aft] ea* meal is insi/$ on1 ! h\sekeep] c nev] be sure !y are prop]ly clean4 ,salt & pepp] bottles %\ld be exam9$ daily1 & ! outside wa%$ aft] ea* meal also4 ,x is s easy to ov]look ?is small matt] & s5d empty salt bottles on ! tray4 ,! food may be s]v$ hot & really be appetiz+1 save t x ne$s m salt to suit ! pati5t's ta/e4 ,if a bell has to be rung1 & a nurse summon$ to get ! salt1 ! meal may h cool$ & ! appetite = x h wan$1 be=e x arrives4 ,^! may seem small ?+s to dilate ^u1 b 9 reality !y are ! real te/ ( ! quality ( managem5t4 ,a *a9 is no /rong] ?an its weake/ l9k1 & real success 9 a hospital dem&s att5tion to ^! app>5tly trivial details4 ,^! trivial details are l>ge to ! pati5t & h mu* to d ) keep+ him happy & com=table4 ,x is n suffici5t to provide good food & prep>e x c>efully4 ,x is only :at ! pati5t really eats & assimilates t is a factor 9 8 recov]y1 & ! be/ meal may be spoil$ by lack ( att5tion to ! details ( s]v+4 ,! idiosyncracies ( pati5ts are n[h]e m 9 evid5ce ?an :]e _! food is conc]n$1 & :ile !y are sick1 ^! idiosyncracies & ta/es %\ld be consid]$ z f> z possible ) _! highe/ int]e/ 9 view4 ,ano!r v important po9t to obs]ve 9 s]v+ food is n to s]ve too mu* at "o "t4 ,9 deal+ ) a caprici\s appetite1 ! sight ( a quantity ( food (t5 repels :5 a small portion ( ! same food da9tily prep>$ & attractively s]v$ w\ld be eat5 ) a reli% & an appetite = m creat$4 ,at ! same "t no cause %\ld be giv5 = ! criticism t a pati5t did n get suffici5t to satisfy him1 :5 8 doctor all[$ him to h pl5ty4 ,9 plann+ = regul> diets1 ! fact ne$s to be kept 9 m9d t a l>g] quantity ( food1 proportionately1 w be consum$ 9 ! m5's w>d ?an 9 ! wom5's w>ds1 & suffici5t to repl5i% ! supply %\ld be s5t f ! kit*54 ,sid5ote3 ,bills ( ,f>e ,a settl$ bill ( f>e = ! diff]5t days ( ! week is nev] a good plan 9 a hospital4 ,! pati5ts w soon le>n ! rotation ( ! diff]5t di%es4 ,old pati5ts w tell new ones1 & ! matt] w come up = discussion4 ,frequ5tly be=e ! food is s]v$1 "s pati5t :o has he>d objections to "s food /at$ has decid$ %e does n want x1 :5 if x _h be5 tak5 unexpect$ly to h] x w\ld h be5 eat5 )\t "q4 ,sid5ote3 ,di%es ,! prettie/1 da9tie/ di%es ! h\se c af=d %\ld be provid$ = ! private rooms4 ,! con/ant breakage ( di%es & especially ( da9ty *9a1 :i* goes on 9 a hospital makes x out ( ! "q to provide ?is k9d ( w>e = ! w>ds1 & "h beauty mu/ give place to durability4 ,b a few da9ty cups1 especially = ! wom5's w>ds1 w be greatly appreciat$1 = !re are ref9$1 s5sitive p 9 ! free w>ds1 z else:]e4 ,^! special cups c be us$ 9 s]v+ hot effects4 ,inde$ x is a/oni%+ h[ few nurses "k attractiv5ess to ! food :i* is 9 itself an aid to dige/ion4 ,c>e mu/ be obs]v$ to avoid p>tiality 9 ?is matt]1 = pati5ts1 l *ildr51 are quick to disc]n symptoms ( favoritism4 ,glasses are n[ s inexp5sive t e hospital c af=d to supply a suffici5t quantity = all ! pati5ts4 ,a writ] 9 ,table ,talk ?us describes f a pati5t's po9t ( view ! invalid's tray 9 a c]ta9 hospital & %[s n only :at delightfully da9ty effects may be secur$ 9 s]v+ ! commone/ articles ( food1 b h[ ! memory ( ^? effects rema9$ long aft] ! hospital exp]i5ce 0 end$3 8,a c\ple ( weeks sp5t 9 an up-to-date1 tw5tie? c5tury hospital1 has op5$ my eyes on _m po9ts connect$ ) nurs+1 & especially 9 reg>d to ! sett+ =? 9 an appetiz+ way ( ! tray = an invalid4 8,at breakfa/1 d9n] & supp] ^! trays 7 arti/ic creations ( ! highe/ ord]4 ,"o d9n] tray 0 a /udy 9 gold5 gre5s & :ite z to *9a & food1 ) ! ne$$ t\* ( color giv5 by wrea?+ ! salv] ) rac9es ( fl[]s 9 s(t old p9k1 a fl[] ^: old-fa%ion$ "n ,i c\ld n rememb]1 b ^: color & fragrance took me back ?r\gh m ye>s ?an ,i c>e to c\nt to a sweet1 old ,new ,j]sey g>d54 8,!re 0 a gold5 br[n *op 9 a circle ( ric$ potato2 crisp1 yell[-gre5 lettuce leaves1 ivory :ite at ! base2 /rips ( :ite & glut5 bread spread ) gold5 butt] & pil$ log-cab9 fa%ion on a pretty flut$ di% ( gre5 & :ite *9a2 pale gre5 squa%2 a quiv]+ mold ( yell[ cu/>d & a pretty teapot 9 gre5 & gold1 ) fragrant amb] tea & a t9y pit*] ( yell[1 ?ick cream4 8,a supp] tray :i* /&s out pre-em95tly 9 my memory1 by reason ( its exquisite tones ( color1 conta9$ a plate ) f\r lusci\s oy/]s on crack$ ice1 ! bivalves laid 9 ! =m ( a />1 & betwe5 ! rays yell[ waf]s & discs ( lemon4 ,!re 0 a plate ( lettuce s&wi*es 9 /rips an in* wide by ?ree long2 a m\ld ( f>9a1 ) its att5dant pit*] ( cream1 a glass di% ( apple sauce :ipp$ to a foam ) :ite ( an egg2 triangles ( :ite & glut5 bread butt]$ & cut 9 ! ?9ne/ ( slices2 a pit*] ( cocoa & ?ree ,reve ,d'or roses4 8,sometimes da9ty sprays ( ,cecil ,brun] roses lay among ! tempt+ vi&s1 & fell 9 delicate pr(usion ov] ! edge ( ! tray4 ,aga91 little clu/]s ( violets peep$ ov] its rim & p]fum$ ! :ole atmosph]e1 or ! ruddy gl[ ( crimson /rawb]ries w\ld be acc5tuat$ by ! deep r$ ( roses ( ,%>on ne/l+ 9 _! glossy1 d>k gre5 leaves40 ,sid5ote3 ,h9ts on ,s]v+ ,an ord9>y fruit1 vegetable1 or meat may be q trans=m$ by ! mann] 9 :i* x is be+ s]v$4 ,an orange may be cut ?r\gh crosswise & s]v$ ) a v small di% ( p[d]$ sug> & an orange spoon1 or x may h ! :ole fruit cut 9 c>pels or sections f pole to pole & ! sk9 drawn back f ea* en\gh to loos5 x1 & !n aga9 drawn into %ape4 ,if a bak$ potato =m a "p ( ! meal1 cut a slice f ! upp] side1 take out ! potato ) a small spoon1 ma% ) butt]1 cream1 & salt1 :ipp+ light ) a =k2 fill ! sk9 aga91 & /& 9 ! ov5 long en\gh = ! little cone ( potato exud+ f ! top to take a gold5 br[n t+e4 ,fruit foams are dige/ible & da9ty = invalids4 ,any sort ( /ew$ fruit--apricots1 apples1 pea*es1 or prunes--%\ld be :ipp$ smoo? :ile w>m1 & :5 ?or\ghly smoo? beat 9 ! :ite ( an egg :ipp$ to a /iff fro?2 s]ve 9 ?9 glass1 a pretty cup1 or l[ ,japanese b[l4 ,a pati5t may be beguil$ into eat+ nutriti\s food simply ?r\gh ! mann] ( its prep>ation4 ,to speak ( raw beef s&wi*es w\ld d\btless de/roy ! appetite ( a delicate p]son1 b if y w prep>e !m z foll[s he w eat !m )\t kn[+1 probably1 :at he is eat+3 ,lay a ?9 slice ( r\nd /eak on a clean bo>d1 & ) a r dull knife scrape (f ! meat1 leav+ ! t\gh fib]s rema9+2 d ! same on ! o!r side1 lay+ ! scrap$ beef on a di%4 ,spread two slices ( v ?9 bread ) ! beef1 season+ pl5tifully ) salt2 lay on ^! two slices ( pla9 bread1 & cut into v small triangles1 squ>es1 or /rips4 ,arrange ^! prettily on a fr+$ napk9 laid on a pretty di%1 & g>ni% ) v small inn] leaves ( lettuce or ) wat]cress4 ,ano!r way ( s]v+ beef :i* is dige/ible1 palatable1 & nutriti\s1 is to m\ld ! beef1 scrap$ z above1 into small olives2 heat a small fry+ pan v hot1 spr9kle ) salt2 lay 9 ^! olives & %ake ov] a hot fire = a m9ute or two until ! out] surfaces are heat$2 turn onto a hot di% & g>ni% ) /rips ( butt]$ toa/4 ,n[ 9 a g5]al hospital :]e a hundr$ or m or less trays h to be prep>$ = ea* meal1 x is out ( ! "q to devote z mu* "t to arti/ic s]v+ z c\ld be wi%$1 b "o ?+ is c]ta91 if nurses are n impress$ ) ! importance ( tak+ pa9s to s]ve food attractively1 & taught h[ to d x :ile 9 ! hospital1 !y _c be expect$ to secure ! be/ results 9 s]v+ food 9 private practice4 ,ev5 a ?+ z simple ( prep>ation z a slice ( toa/ gives room = ! production ( da9ty & arti/ic & :olesome meal m attractive4 ,butt] %\ld be roll$ 9 little balls betwe5 wood5 spatt]s & c be prep>$ h\rs miss+ text h[ to prep>e a slice ( butt]$ toa/ s t x w be j "r4 ,a good deal ( ! "t ! toa/ s]v$ 9 hospitals is ei!r burnt1 half done or soggy1 butt]$ ov] mu* or 9 pat*es & s]v$ 9 slices s t ! pati5t _c possibly manage to eat x )\t gett+ 8 h&s well greas$4 ,x w\ld co/ no m ei!r ( "t or money to toa/ x a gold5 br[n1 put ! "r am\nt ( butt] on x1 & s]ve x cut 9 small squ>es betwe5 hot plates4 ,! "t elem5t is a v important po9t to be consid]$ 9 s]v+ food & requires c>eful calculation4 ,cu/>ds z a rule are bett] s]v$ q cold1 & %\ld be cook$ a suffici5t l5g? ( "t be=e ! meal to all[ = cool+4 ,bak$ potatoes are delici\s & easily dige/$ :5 cook$ j "r & promptly s]v$1 b :at is m unappetiz+ ?an a bak$ potato t has rema9$ aft] cook+ 9 a sl[ ov5 till x 0 soggy & half cold8 ,tea is ano!r article t is spoil$ if prep>$ too long be=e x is s]v$1 & ?is li/ might be multipli$ indef9itely4 ,!re is no "q b t ?is lack ( =e?\ght 9 calculat+ ! "t t %\ld elapse betwe5 cook+ & s]v+ ( food is responsible = _m insipid1 unattractive1 indige/ible meals 9 hospitals4 ,:5 s mu* ( ! food has to be prep>$ 9 bulk1 ! problem is mu* m difficult ?an 9 deal+ ) an individual pati5t1 & only goes to %[ ! necessity ( hav+ n only fir/ class facilities = prompt s]v+1 b fir/ class tra9$ bra9s to calculate & fir/ class h&s to h&le x if ! be/ results are desir$4 ,if ! "o 9 *>ge has _h p]sonal exp]i5ce 9 deal+ ) invalids1 _m little t\*es w sugge/ !mselves to h] t w t5d to make ! invalid's miss+ text 9 advance ( ! meal & all[$ to /& 9 wat]4 ,ev5 a di% ( bread & milk may be made a da9ty meal if ! bread is cut 9 half-in* dice & pil$ lightly on a plate4 ,milk toa/ may be accept$ z a delightful treat if a little ?\ght is giv5 to its prep>ation & s]v+4 ,z = all toa/ ! bread %\ld be ?or\ghly & ev5ly br[n$ be=e a mod]ate coal fire4 ,! toa/1 cut 9 neat squ>es1 ) ! cru/ remov$1 may !n be plac$ 9 a deep sauc] 7! da9tie/ & prettie/ ! e/abli%m5t af=ds7 & cov]$ ) a small plate :i* ) ! sauc] %\ld fir/ be heat$4 ,:5 ! tray cov] is spread1 set on x a small knife & =k & teaspoon1 a little silv] teapot ( hot milk1 a ball ( butt] & a salt %ak]4 ,if ! pati5t is able to butt] 8 own toa/ & p\r ov] x ! hot milk he w enjoy do+ x4 ,:5 a s+le di% is to be s]v$ use a small r\nd tray or a l>ge plate cov]$ ) a doily r ?an ! regul> tray us$ = meals4 ,avoid putt+ s _m di%es on a tray t x w seem cr[d$4 ,x is bett] to use a second tray = s]v+ dess]t or fruit ?an to pile too mu* on "o tray & h x lack 9 ord] & neatness4 ,crack$ cups or *9a & brok5-nos$ teapots are di/9ctly out ( place on any invalid's tray & 9 ^! days ( inexp5sive di%es are inexcusable 9 any hospital4 ,special c>e %\ld be us$ to avoid fill+ cups & glasses to ! brim4 ,:5 ?is is done1 x is impossible to avoid an ov]fl[ if x has to be c>ri$ any di/ance1 ! neat appe>ance is spoil$1 a portion ( ! cont5ts is lo/ & x is difficult = ! pati5t to h&le )\t spill+4 ,a nurse :o has an eye = h>moni\s effects 9 colors w n be guilty ( sett+ a tray ) a gre5 cup & sauc] & an old fa%ion$ blue plate4 ,a s5se ( ! fitness ( ?+s w also keep h] f plac+ toge!r a cup & sauc] t 7 nev] int5d$ = ea* o!r4 ,su* blund]s 9 sett+ a tray are indicative ei!r ( ignorance or c>elessness4 ,x is always a mi/ake to leave food beside a pati5t any l5g? ( "t aft] ! pati5t has _h "t to eat x4 ,if he has no desire = x :5 x is fir/ pres5t$1 ! *ances are small t ! desire w come if ! food is all[$ to /ay 9 sight4 ,besides ! exposure to ! float+ du/ made up ( ! undesirable elem5ts ( a sick room w r5d] ! food unfit = use at ano!r "t4 ,food sub/ances are ! soil 9 :i* bact]ia fl\ri%4 ,a spray ( maid5 hair f]n or any ( ! da9ty gre5 effects is always suitable = decoration1 z are _m fl[]s4 ,! use ( fl[]s on a tray %\ld be re/rict$ to a s+le blossom ) a t\* ( gre51 or a full bloom fl[] ( ! da9ty v>ieties4 ,l>ge b\quets on an invalid's tray are 9 bad ta/e1 z are _m fl[]s t else:]e w\ld be appreciat$4 ,e hospital exp]i5ce ought to be a practical lesson to ! pati5t 9 h[ to s]ve food4 ,a ta/e = ! da9ty & beautiful1 = :olesome & simple ?+s1 may be creat$ !re t w p]man5tly influ5ce ! sick "o to high] ideals ( liv+4 ,& c]ta9ly ! mann] ( s]v+ food is a pretty fair indication ( ! tone ( ! in/itution4 ,ref9em5t or abs5ce ( ref9em5t w be detect$ at a glance by "o :o has a ke5 appreciation ( ! ae/hetic4 ,! be/ results 9 food s]vice w nev] be secur$ 9 any hospital until "s "o p]son is appo9t$ ^: *ief bus9ess is ! prep>ation ( special diets & ! ov]sight ( s]v+4 ,9 _m l>ge or well-regulat$ hospitals ?is matt] is 9 ! h&s ( wom5 specially tra9$ 9 dietetics1 & !re "o has a "r to expect bett] s]vice ?an 9 in/itutions :]e "o ov]work$ woman mu/ att5d to t & a doz5 o!r ?+s1 or :]e ! responsibility ( s]v+ food is divid$ among _m4 ,if ! p]son 9 *>ge has _h 9 addition to ! tra9+ 9 dietetics practical exp]i5ce z a hospital nurse1 /ill bett] s]vice may be expect$4 ,a g5u9e sympa!tic int]e/1 or z "s "o else has t]m$ x1 8an affectionate int]e/10 9 ! p = :om ! food is prep>$1 a keep+ 9 m9d ! ,gold5 ,rule 9 s]v+ & prep>+ food1 z 9 o!r dep>tm5ts ( ! hospital1 is fully z important z a k ( ! sci5ce ( nutrition4 ,! s\l life ( ! individual c f9d abundant opportunities = its expression 9 ! diet kit*5 z 9 ! w>d4 ,!re is a field "h = specializ+ :i* is fully z wor?y ( a nurse's att5tion z "s ( ! o!r l9es ( nurs+4 ,,*apt] ,x4 ,sid5ote3 ,hospital ,diet>ies ,! foll[+ diet>y regulations h be5 adopt$ 9 ! ,new ,york ,hospital3 8,all pati5ts %all be furni%$ ! regul> h\se diet1 unless o!rwise specially direct$ by ! att5d+ physician or surgeon4 ,z a sub/itute = ! h\se diet !re may be furni%$1 on ! ord] ( ! att5d+ physician or surgeon only1 ei!r ( ! foll[+3 8#a4 ,re/rict$ diet4 8#b4 ,milk diet4 8,! att5d+ physician or surgeon %all specify on ! occasion ( 8 fir/ visit to a pati5t :i* diet %all be furni%$4 ,?is duty may n be delegat$ to ! h\se physician1 except t on ! admission ( a pati5t to a w>d x %all be 8 duty to give in/ruction on ! subject to ! nurse 9 *>ge1 & su* in/ruction %all be foll[$ until ! fir/ visit ( ! att5d+ physician or surgeon4 8,! w>ds %all be suppli$ ) blanks call$ diet li/s4 ,! head nurse %all c>ry "o ( ^! ) h] regul>ly :5 accompany+ ! att5d+ physician or surgeon on 8 visits1 & %all note d[n c>efully all 8 in/ructions z to diet2 he %all sign ^! li/s be=e leav+ ! w>d4 8,milk diet or re/rict$ diet may n be ord]$ 9 addition to ! regul> h\se diet1 b only z a sub/itute !re=1 b ! att5d+ physician or surgeon may ord] items ( special diet 9 p>ticul> cases4 8,li/s def9+ ! diff]5t classes ( diet %all be furni%$ ea* att5d+ physician & surgeon4 8,c>ds appropriately inscrib$ %all be plac$ at ! head ( ea* b$1 :i* %all designate ! class ( diet & also ! am\nt ( /imulant :i* is furni%$ ea* pati5t4 8,a diet kit*5 is e/abli%$ "u ! direction & control ( ! directress ( nurses1 :]e9 articles ( special diet %all be prep>$ & s]v$ z ord]$4 ,,daily ,,h\se ,,diet4 8,breakfa/4--,oatmeal or hom9y2 tea or c(fee1 ) milk & sug>2 bread & butt]4 8,d9n]4--,potatoes2 bread & butt]2 "o or m ( ! foll[+ vegetables3 ,turnips1 sweet potatoes1 beets1 sp9a*1 squa%4 8,supp]4--,tea ) milk & sug>2 bread & butt]2 /ew$ or fre% fruit4 8,9 addition on ,sunday3 ,breakfa/--,eggs4 ,d9n]--,roa/ beef & corn/>* pudd+4 ,monday3 ,breakfa/--,bak$ potatoes4 ,d9n]--,/ock s\p1 /ew$ beef or mutton1 rice pudd+4 ,tuesday3 ,breakfa/--,mutton *ops4 ,d9n]--,pea s\p1 roa/ mutton1 bread pudd+4 ,w$nesday3 ,breakfa/--,fri$ or /ew$ potatoes4 ,d9n]--,roa/ beef1 corn/>* pudd+4 ,?ursday3 ,breakfa/--,eggs4 ,d9n]--,/ock s\p1 /ew$ beef or mutton1 tapioca pudd+4 ,friday3 ,breakfa/--,salt mack]el or codfi%4 ,d9n]--,bean s\p1 bak$ fi%1 beans1 rice pudd+4 ,saturday3 ,breakfa/--,beef/eak4 ,d9n]--,corn$ beef1 cabbage1 bread pudd+4 ,,re/rict$ ,,diet4 8,breakfa/4--,tea or c(fee 7) milk & sug>71 f>9ace\s food 7) milk71 eggs4 8,d9n]4--,s\p2 ei!r ( ! foll[+3 ,raw oy/]s1 roa/ beef1 /eak1 *ick5 ) vegetables1 pudd+ 7bread1 rice1 tapioca or corn/>*74 8,supp]4--,tea 7) milk & sug>71 bread 7) butt]71 fruit1 fre% or dri$4 ,,milk ,,diet4 8,six p9ts ( milk daily4 ,,articles ,,( ,,special ,,diet4 8,milk1 eggs1 beef tea1 oy/]s1 corn/>*1 *ops1 /eak1 *ick51 *ick5 s\p1 rice1 bro?1 f>9a1 ice creams1 z ord]$ by ! att5d+ physician or surgeon4 8,salt fi%1 jellies1 cu/>ds1 gruels40 ,diet>y ( ! ,roosevelt ,hospital1 ,new ,york4 8,! w>d diet ( ! ,roosevelt ,hospital1 ,new ,york1 is classifi$ z foll[s3 ,,full ,,diet4 8,daily4--,meat dress$1 eight ounces2 potatoes1 eight ounces2 bread1 twelve ounces2 butt]1 "o ounce2 sug>1 two ounces & a half2 milk1 half-p9t2 c(fee1 half an ounce2 tea1 an eigh? ( an ounce4 8,on ,sundays1 ,tuesdays & ,?ursdays o!r vegetables 9 addition to potatoes1 two ounces2 bread1 rice or tapioca pudd+4 8,on ,mondays & ,w$nesdays1 s\p1 "o p9t4 8,on ,fridays1 fi%4 8,breakfa/4--,c(fee ) sug> & milk1 bread & butt]1 porridge ( oatmeal1 :eat5 grits or samp4 8,d9n]4--,sunday3 ,roa/ beef1 tomatoes1 potatoes or o!r vegetables1 bread & bread pudd+4 ,monday3 ,s\p1 boil$ mutton1 potatoes & bread4 ,tuesday3 ,corn$ beef1 twelve ounces2 cabbage or turnips1 potatoes & bread4 ,w$nesday3 ,s\p1 roa/ beef1 potatoes & bread4 ,?ursday3 ,s\p1 boil$ beef1 potatoes1 onions1 tapioca1 sago1 or f>9a pudd+ & bread4 ,friday3 ,fi%1 boil$ or roa/ beef1 potatoes1 bread1 boil$ rice sweet5$ ) sug> & milk & rais9s4 ,saturday3 ,/ew ( mutton1 potatoes & bread4 8,supp]4--,tea ) sug> & milk1 bread & butt]1 bak$ apples or /ew$ pe>s or prunes or gre5 or dri$ apple sauce1 & on ,sundays g+]bread v>i$ alt]nate weeks ) currant buns4 ,,half ,,diet4 8,daily4--,meat dress$1 f\r ounces2 potatoes1 f\r ounces2 bread1 six ounces2 ( o!r articles ! same z 9 full diet4 ,,milk ,,diet4 8,daily4--,milk1 two p9ts2 bread1 twelve ounces2 rice or samp1 two ounces2 butt]1 "o ounce4 ,,extras4 8,9 addition to ! above1 ! foll[+ extras may be ord]$ by ! visit+ physicians & surgeons3 ,beef/eak1 *ick5 s\p1 gruel1 beef tea1 oy/]s or clams1 corn/>*1 mutton *ops1 milk1 rice1 *ick51 eggs4 8,w>d ,diet>y ( ! ,new ,york ,infirm>y = ,wom5 & ,*ildr51 #aija4 8,! foll[+ is a sample mid-summ] diet f a small] hospital hav+ ab\t sev5ty b$s1 9 :i* att5tion is economically giv5 to v>iety 9 food cook]y1 :i* w\ld be impossible 9 a l>g] in/itution )\t incurr+ ne$less exp5se--,?ompson4 ,,sunday4 8,breakfa/4--,full ,diets3 ,hom9y ) milk1 fi% balls or cream$ fi%1 br[n bread or biscuit1 c(fee ) milk & sug>1 fre% fruit4 ,half ,diets3 ,hom9y ) milk1 toa/1 c(fee1 fre% fruit4 8,d9n]4--,full ,diets3 ,s\p1 bread1 roa/ beef1 sweet or :ite potatoes1 sp9a* or egg plant1 pudd+4 ,half ,diets3 ,clam bro?1 toa/1 *ick5 or beef jelly1 rice or ice cream4 8,supp]4--,full ,diets3 ,press$ beef or cream salmon1 bread & butt]1 cocoa4 ,half ,diets3 ,indian meal porridge & milk1 toa/1 cocoa1 fruit4 ,,monday4 8,breakfa/4--,full ,diets3 ,oatmeal & milk1 bread & butt]1 poa*$ eggs on toa/1 c(fee ) milk & sug>4 ,half ,diets3 ,oatmeal1 eggs on toa/1 c(fee1 fre% fruit4 8,d9n]4--,full ,diets3 ,s\p1 bread1 roa/ lamb1 spaghetti1 tomatoes or lima beans1 rice1 prune or cottage pudd+4 ,half ,diets3 ,*ick5 bro?1 toa/1 spaghetti1 rice pudd+ or cottage pudd+4 8,supp]4--,full ,diets3 ,bak$ potatoes & bacon or cream$ beef on toa/1 bread & butt]1 tea1 fruits4 ,half ,diets3 ,hom9y & milk1 bread & butt] or toa/1 tea1 fruit4 ,,tuesday4 8,breakfa/4--,full ,diets3 ,:eat flakes & milk2 beef m9ce or ha%1 bread & butt]1 c(fee4 ,half ,diets3 ,:eat flakes1 butt]$ toa/1 c(fee1 fre% fi%4 8,d9n]4--,full ,diets3 ,s\p1 bread1 /eak1 cresses1 potatoes1 beans or c>rots or beets1 boil$ or bak$ cu/>ds or ice cream4 ,half ,diets3 ,mutton bro?1 rice1 toa/1 cu/>d or ice cream4 8,supp]4--,full ,diets3 ,br[n bread & butt]1 cream *eese or boil$ eggs1 or slic$ beef1 fruit1 cocoa4 ,half ,diets3 ,oatmeal jelly & milk1 toa/1 fruit1 cocoa4 ,,w$nesday4 8,breakfa/4--,full ,diets3 ,hom9y ) milk1 lamb m9ce or lamb ) cream sauce1 bread1 butt]1 c(fee4 ,half ,diets3 ,hom9y ) milk1 butt]$ toa/1 boil$ eggs1 c(fee1 fre% fruit4 8,d9n]4--,full ,diets3 ,s\p1 bread1 *ick51 potatoes or rice1 peas1 tapioca or fruit pudd+ or cu/>d4 ,half ,diets3 ,bro?1 rice1 toa/1 tapioca4 8,supp]4--,full ,diets3 ,spaghetti & tomato or slic$ tomatoes or bak$ corn1 bread & butt]1 tea1 fruit4 ,half ,diets3 ,:eat flakes & milk1 toa/1 tea1 fruit4 ,,?ursday4 8,breakfa/4--,full ,diets3 ,oatmeal & milk1 fre% fi%1 bread & butt]1 c(fee4 ,half ,diets3 ,oatmeal & milk1 toa/1 c(fee1 fre% fruit4 8,d9n]4--,full ,diets3 ,s\p1 bread1 brais$ beef1 mac>oni1 sp9a* or /r+ beans1 w9e jelly or fruit jelly4 ,half ,diets3 ,*ick5 bro?1 mac>oni1 toa/1 w9e jelly4 8,supp]4--,full ,diets3 ,beef /ew or cream toa/ or pea s\p1 bread & butt]1 cake1 fruit1 cocoa4 ,half ,diets3 ,cream toa/1 cocoa1 fruit4 ,,friday4 8,breakfa/4--,full ,diets3 ,:eat flakes & milk1 scrambl$ eggs on toa/1 bread & butt]4 ,half ,diets3 ,:eat flakes & milk1 eggs1 toa/1 c(fee1 fre% fruit4 8,d9n]4--,full ,diets3 ,s\p1 bread1 fi%1 potatoes1 peas or tomatoes1 bread pudd+ or ,indian pudd+ or ice cream4 ,half ,diets3 ,lamb bro?1 rice1 bread pudd+ or ice cream4 8,supp]4--,full ,diets3 ,*[d] or boil$ eggs1 bread & butt]1 tea1 fruit4 ,half ,diets3 ,oatmeal jelly1 toa/1 tea1 fruit4 ,,saturday4 8,breakfa/4--,full ,diets3 ,indian meal porridge & maple syrup or milk1 beef rag\t1 bread & butt]1 c(fee4 ,half ,diets3 ,indian porridge1 toa/1 c(fee4 8,d9n]4--,full ,diets3 ,s\p1 bread1 /eak1 potatoes1 caulifl[] or squa%4 ,half ,diets3 ,*ick5 bro?1 toa/1 rice1 r5net cu/>d1 blanc mange4 8,supp]4--,full ,diets3 ,lamb /ew or bak$ beans1 bread & butt]1 tea1 fruit4 ,half ,diets3 ,:eat flakes & milk1 toa/1 tea1 fruit4 8,food :i* may be ord]$ by resid5t or att5d+ physician :5 daily diet is n adequate or suitable3 ,beef /eak1 *ops1 *ick51 beef jelly1 *ick5 jelly1 scrap$ beef balls1 raw beef s&wi*es1 clam bro?1 crack]s1 extra eggs & milk1 gruels1 oatmeal jelly1 w9e or fruit jelly1 cold beef extract1 made ) hydro*loric acid40--,practical ,dietetics4--,?ompson4 ,,m5us ,,= ,,nitrog5\s ,,diet4 ,a nitrog5\s diet is "o 9 :i* ! use ( />*y foods is greatly re/rict$1 if n entirely =bidd54 ,sug>s & acids are also prohibit$ 9 _m cases4 ,?is diet is us$ *iefly 9 c]ta9 =ms ( dige/ive disord] & occasionally 9 "s g5]al diseases4 ,bread is usually all[$ 9 ! =m ( zwieback1 crisp toa/1 ,graham bread or %r$d$ :eat biscuits4 ,:]e sug> is prohibit$1 sac*>9e or sweet9a may be us$ = sweet5+4 ,! latt] c be secur$ ei!r ?r\gh groc]s :o h&le special food products1 or ?r\gh druggi/s4 ,:]e ! ord9>y bread is =bidd51 ! use ( gum glut5 or glut5 fl\r--a :eat5 fl\r f :i* ! />* has be5 :olly or p>tially wa%$--may be necess>y4 ,_m gross adult]ations ( glut5 products are on ! m>ket & c>e %\ld be ex]cis$ to see t ! product furni%$ is up to a c]ta9 /&>d & c]tifi$4 ,! ,/ate ,bo>d ( ,heal? ( ,new ,hamp%ire has ann\nc$ t 8/&>d glut5 fl\r mu/ conta9 at lea/ #cj p] c5t ( proteid & n ov] #dh p] c5t ( />*40 ,recipes = us+ ! glut5 fl\r are easily obta9$ & a v>iety ( biscuits1 waf]s & bread may be secur$4 ,breakfa/4--,omelette1 crisp butt]$ toa/1 c(fee1 cream4 ,d9n]4--,/ra9$ vegetable s\p1 glut5 waf]s1 lamb *op1 lettuce salad1 sn[ pudd+ ) s(t egg cu/>d1 tea4 ,supp]4--,oy/] bro?1 glut5 biscuits1 cel]y1 cottage *eese1 cream1 tea4 ,breakfa/4--,broil$ beef/eak1 crisp toa/1 c(fee1 cream4 ,d9n]4--,pea puree1 glut5 waf]s1 :itefi%1 cel]y1 egg & lettuce salad1 ,graham bread1 c(fee jelly ) :ipp$ cream4 ,supp]4--,cold roa/ beef2 cress2 glut5 biscuit1 bak$ cu/>d4 ,breakfa/4--,broil$ fi%2 zwieback2 s(t boil$ egg2 c(fee1 cream4 ,d9n]4--,*ick5 bro?2 glut5 waf]s2 beef 7/eak or roa/71 /r+ beans1 ,graham bread1 junket4 ,supp]4--,bean s\p /ra9$2 *ick5 salad1 ,graham bread1 %]bet1 milk4 ,breakfa/4--,scrambl$ eggs ) %r$d$ :eat biscuits1 cresses1 c(fee4 ,d9n]4--,b\illon1 mutton *op1 sp9a*1 ,graham bread2 junket-ice cream2 tea4 ,supp]4--,pea puree1 fi% salad1 cottage *eese on lettuce2 glut5 biscuits1 tea4 ,breakfa/4--,omelette ) *opp$ p>sley1 cold tongue1 crisp toa/1 c(fee4 ,d9n]4--,cel]y bro?1 glut5 waf]s1 m9c$ *ick51 /r+ beans1 ice cream4 ,supp]4--,raw oy/]s1 glut5 waf]s1 lettuce & egg salad1 bran biscuit1 ,spani% cream4 ,,m5us ,,= ,a ,,f>9ace\s ,,diet4 ,a f>9ace\s diet>y is n infrequ5tly call$ = 9 hospitals4 ,9 c]ta9 =ms ( kidney disease x is an important "p ( ! treatm5t4 ,9 ?is diet all fle% foods are =bidd54 ,milk & butt] are all[$ & c]ta9 fruits4 ,eggs1 if us$ at all1 mu/ be us$ v sp>+ly4 ,breakfa/4--,orange1 :eat breakfa/ food1 bak$ potato1 rolls1 c(fee4 ,d9n]4--,asp>agus s\p1 ric$ potato1 tomato salad1 tapioca cream4 ,supp]4--,cream$ mac>oni1 corn muff9s1 :ite bread1 prune :ip4 ,breakfa/4--,apple sauce1 oatmeal porridge1 butt]$ toa/1 c(fee4 ,d9n]4--,b>ley s\p1 crack]s1 bak$ potato1 scallop$ corn1 blanc mange ) apple jelly4 ,supp]4--,potato puree1 crack]s1 mac>oni ) tomatoes1 :ite & br[n bread1 pe>s4 ,breakfa/4--,bak$ apple1 hom9y1 corn bread1 toa/1 c(fee4 ,d9n]4--,tomato s\p1 crack]s1 scallop$ potatoes1 :ite & br[n bread1 apple :ip4 ,supp]4--,potato puree1 bak$ rice1 bran biscuits1 /ew$ prunes1 cocoa4 ,,m5u ,,= ,a ,,typhoid ,,fev] ,,diet>y4 #f a4 m4--,cup ( hot milk1 c(fee4 #h a4 m4--,glass ( orange jelly4 #aj a4 m4--,*ick5 bro? ) equal portions ( milk4 ,noon4--,junket1 cup ( tea4 #b p4 m4-- ,milk ) vi*y1 b>ley or oatmeal wat]4 #d p4 m4--,*ick5 or beef bro?4 #f p4 m4--,glass ( butt]milk4 #h p4 m4--,cup ( cocoa4 #aj p4 m4--,cup ( hot malt$ milk4 ,,convalesc5t ,,diet>y4 ,beg9n+ ?ree or f\r days aft] temp]ature rema9s normal3 ,,fir/ ,,day4 #f a4 m4--,equal p>ts ( milk & /ra9$ oatmeal gruel4 #h a4 m4--,egg-nog4 #aj a4 m4--,junket4 ,noon4--,milk toa/1 cup ( tea4 #b p4 m4--,cup ( cocoa prep>$ ) milk4 #d p4 m4--,ice cream4 #f p4 m4--,beef bro? ) well cook$ rice4 ,,second ,,day4 #f a4 m4--,milk toa/1 cup ( c(fee4 #h a4 m4--,malt$ milk4 #aj a4 m4--,butt]milk4 ,noon4--,*ick5 bro?1 crack]s1 orange %]bet4 #b p4 m4--,cup ( tea or cocoa4 #d p4 m4--,lemon jelly4 #f p4 m4--,/eak1 *ew$ b n swall[$1 junket4 ,,?ird ,,day4 #f a4 m4--,f>9a ) cream1 c(fee4 #i a4 m4--,s(t boil$ egg1 crack]4 ,noon4--,potato puree /ra9$1 scrap$ beef s&wi*1 tea4 #c p4 m4--,ice cream4 #f p4 m4--,milk toa/1 cocoa1 orange jelly4 ,,supplies ,,= ,,"o ,,hundr$ ,,p]sons ,,= ,,?irty ,,days4 ,au/9 ,fl9t gives ! foll[+ e/imate ( food supplies = ! ,new ,york ,/ate ,hospital3 ,meat1 ) bone1 includ+ fre% & salt$ fi% & p\ltry4 ,total #b1bej lbs4 ,fl\r 7may be p>tly sub/itut$ = by corn meal & mac>oni7 #b1bej lbs4 ,potatoes #b1bej lbs4 ,milk #a1ejj qts4 ,eggs #bej doz4 ,sug> #dij lbs4 ,butt] #dcj lbs4 ,*eese #bae lbs4 ,rice #ajh lbs4 ,hom9y #ajh lbs4 ,oatmeal #ajh lbs4 ,c(fee #ahj lbs4 ,tea #bf lbs4 ,,*apt] ,,xi4 ,sid5ote3 ,hospital ,hygi5e ,"s sage has rem>k$ t m5 & wom5 are doom$1 f bir? to ! grave1 to combat ?ree ?+s--disease1 dirt & ! devil4 ,) a great _m ( ! human race1 ! ef=t put =? to oppose ei!r "o ( ! ,d's is s weak t x c\ld sc>cely be call$ a combat4 ,! ,d's are on h&1 :5 ! fir/ brea? is drawn1 & ! un=tunate individual weakly yields to =ce ( circum/ances4 ,if he does n succumb to _! influ5ce e>ly 9 life1 he drags ?r\gh an exi/5ce someh[ & calls x liv+4 ,b 9 a hospital1 if ! heal? ( ! work]s is to be pres]v$1 if ! hopes ( ^? :o come z seek]s ( heal? are n to be defeat$1 if life = any ( its inmates is to be consid]$ safe1 !n no?+ less ?an an unceas+ w>1 a h&-to-h& combat ) ! ?ree ,d's mu/ be ma9ta9$4 ,sid5ote3 ,prev5tion ( ,disease ,prev5tive m$ic9e & prev5tive nurs+ are ea* ye> assum+ a l>g] place 9 ! /udy n only ( ^? :o deal ) disease1 b ( ! public 9 g5]al1 & 9 no place is su* k ( great] importance ?an 9 a hospital4 ,to ,flor5ce ,night+ale we are "u a debt ( gratitude = giv+ to ! _w "s ( its fir/ & be/ lessons on hospital sanitation4 ,:5 %e1 ) h] corps ( ,engli% nurses1 ent]$ ! huge hospital 9 ,scut>i 9 #ahef & began h] "w among ! six ?\s& w\nd$ soldi]s1 ! disord] & fil? & consequ5t suff]+ 0 appall+4 ,%e %ock$ ! propriety ( "s ( ! army (ficials beyond measure1 b %e sav$ lives4 ,%e trans=m$ ! hospital1 & ! haughty (ficials :o on h] arrival 9 a/oni%m5t _h rem>k$3 8,fancy6 ,"s wom5 h come to ! hospital6 ,a ,miss ,night+ale1 ) a =ce ( assi/ants4 ,0 any?+ ev] m improp] ?an wom5 9 su* a place80 le>n$ 9 less ?an a week "s lessons !y 7 sadly 9 ne$ ( f t self-same woman4 ,mu* ( h] tea*+ on hospital sanitation we h n yet outgr[n1 9 spite ( all ! progress we h made4 ,9 ! av]age home1 "u ! be/ conditions1 ! skill ( ! intellig5t h\sewife is tax$ to ! utmo/ to prev5t disease f invad+ its prec9cts4 ,h[ mu* ! m vigilance is requir$ 9 a hospital ) all its adv]se influ5ces to cont5d )8 ,_m ye>s ago a m$ical (fic] ( a heal? dep>tm5t 9 ,engl&1 9 speak+ on ?is subject1 said3 8,t :i* makes ! heal?ie/ h\se makes likewise ! heal?ie/ hospital2 ! same fa/idi\s & univ]sal cleanl9ess1 ! same nev]-ceas+ vigilance aga9/ ! ?\s& =ms 9 :i* dirt may disguise itself1 9 air1 9 soil & wat]1 9 walls & floors & ceil+s1 9 dress & b$d+ & furniture1 9 pots & pans & pails1 9 s9ks & dra9s & du/-b9s2 x is b ! same pr9ciple ( managem5t1 b ) immeasureably great] vigilance & skill2 = ! e/abli%m5t :i* has to be kept 9 su* exquisite p]fection ( cleanl9ess is an e/abli%m5t :i* nev] re/s f f\l+ itself2 nor are !re any products ( its f\lness1 n ev5 ! lea/ odor\s ( su* products1 :i* ought n to be reg>d$ z poisons4 ,above all ?is applies to ! f\l+ ( ! air )9 hospital w>ds by exhalations f ! p]sons ( ! sick4 ,9 su* exhalations are embodi$ ! mo/ t]rible p[]s ( disease1 ! spread+ flames1 z x 71 ( "s infections & ! explosive fuel ( o!rs2 & any air 9 :i* !y are all[$ to accumulate soon becomes a v atmosph]e ( dea?40 ,! subject ( hospital sanitation is s l>ge1 s _m-sid$1 t to d x ju/ice 9 ! space allott$ is impossible4 ,x involves a consid]ation ( ! site ( ! hospital & ! plans1 ! sep>ation ( ! dep>tm5ts1 ! mat]ials us$ 9 its con/ruction1 its v5tilat+ sy/em1 its plumb+ & sew]age connection1 its food & wat] supplies1 its facilities = isolation ( infecti\s diseases1 = dis9fection1 = disposal ( ! wa/e & refuse f ! v>i\s dep>tm5ts1 & its arrangem5t = liv+ conditions = ^? on :om ! responsibility ( c>ry+ on ! "w ( ! hospital involves4 ,sid5ote3 ,sanit>y ,kit*5s ,sid5ote3 ,pure ,food ,! days ( hospital gangr5e1 ( outbreaks ( erysipelas1 pyaemia & pu]p]al fev] 9 hospitals h pass$1 b we h /ill too _m cases ( typhoid fev]1 diph!ria & o!r diseases develop+ 9 hospitals & in/itutions ( v>i\s k9ds 9 ?is tw5tie? c5tury4 ,! tea*+s ( ,pa/eur & ,li/] t bact]ia are ! cause ( a l>ge numb] ( ! ills t fle% is heir to1 & t ^! micro-organisms may be de/roy$ by ! use ( prop] means--^! tea*+s h revolutioniz$ "s dep>tm5ts ( hospital "w4 ,"o v important dep>tm5t t has n be5 entirely revolutioniz$ is ! hospital kit*54 ,! numb] ( sanit>y kit*5s is increas+1 x is true1 b 9 _m hospitals ! kit*5 is out ( h>mony ) ! o!r dep>tm5ts4 ,x is n unusual to f9d a beautiful & impos+ front entrance1 to f9d m>ble & tile ent]+ l>gely into ! con/ruction ( _m p>ts ( ! build+1 to f9d a co/ly mod]n equipm5t 9 _m dep>tm5ts1 & to f9d ! kit*5 ( t same in/itution1 d>k1 too small1 poorly equipp$1 poorly v5tilat$1 *eaply con/ruct$ ?r\gh\t1 & ?or\ghly unsanit>y1 a spl5did place = ! developm5t ( g]ms--a place t is1 if n a disgrace to ! in/itution1 at lea/ f> f cr$itable4 ,:o is to blame8 ,somebody surely is4 ,c]ta9ly :5 s mu* value is be+ plac$ on ! food supplies s5t f ! kit*5 z weapons 9 ! fight ) disease no hospital built 9 ! tw5tie? c5tury %\ld h 9 x a kit*5 t is n 9 keep+ ) ! re/ ( ! build+1 t w n be> critical inspection1 t _c be %[n ) z mu* confid5ce & satisfaction z ! op]at+ room or ! w>ds4 ,& n only 9 ! situation1 con/ruction & equipm5t ( ! hospital kit*5 is ?is lack ( progress evid5t1 b 9 no "p ( ! hospital is ! g]m !ory s little reg>d$ 9 practical "w4 ,pure blood is reg>d$ z "o ( ! great ess5tials ( heal?1 & mu* /udy has be5 devot$ to t important "p ( ! human sy/em4 ,! mo/ p]fect app>atus = exam9+ ! blood is consid]$ none too good1 b h[ (t5 9 ! av]age hospital are te/s appli$ to ! mat]ials f :i* blood is made8 ,are all but*]s & bak]s & groc]s & dairym5 s honorable t occasional analysis ( ! products suppli$ is q unnecess>y8 ,an exam9ation ( ! ice supply 9 a c]ta9 hospital1 n _m mon?s ago1 l$ to ! discov]y ( ! ice z ! cause ( an epidemic ( typhoid fev]1 t s]i\sly emb>rass$ ! in/itution4 ,a c>eful inquiry into su* matt]s might h prev5t$ s]i\s emb>rassm5ts 9 a numb] ( o!r in/itutions )9 rec5t ye>s4 ,prev5tion is bett] ?an cure1 & f> *eap]4 ,x is always bett] to be sure ?an sorry1 & n[ t sci5tific rese>* is popul>1 x ought to be possible = e hospital to arrange = p]iodical exam9ation ( its food & wat] supplies4 ,sid5ote3 ,filt]s & ,wat] ,filt]s are n[ reg>d$ z ess5tial 9 e hospital1 b x is q possible = too mu* confid5ce to be plac$ 9 filt]s4 ,! filt] t w run fa/ is likely to be ! favorite1 :e!r x really filt]s or n4 ,elm] ,g4 ,horton1 ,b4 ,s41 bact]iologi/ to ! ,ohio ,/ate ,bo>d ( ,heal?1 9 speak+ ( ! weaknesses ( dome/ic filt]s1 says3 8,if ! rate ( filtration is n mod]ately fa/1 ! consum] w n buy4 ,! mak] realizes ?is1 & slights effici5cy 9 ord] to ga9 a m rapid fl[4 ,! filt]+ mat]ial is made co>s] or m por\s1 &1 ) ! resi/ance decreas$1 ! wat] passes ?r\gh m readily1 & s d ! bact]ia4 8,no filt] w cont9u\sly yield a p]fect efflu5t )\t be+ (t5 clean$4 ,:atev] a filt] takes out ( ! wat] rema9s 9 ! filt] until remov$ by cleans+2 & if t cleans+ be delay$ ! filt] w dispose ( ! accumulat$ fil? by way ( ! pass+ wat]4 ,we mu/ expect an unclean or f\l filt] to yield an efflu5t ( l "*1 al?\gh t efflu5t may appe> cle>4 8,aft] all1 ! m h>mful ?+s 9 a wat] are n s mu* ! easily disc]nible ones--mud1 float+ vegetation1 iron1 odors1 etc41 b ! invisible liv+ micro-organisms1 & especially ^? =ms capable ( produc+ disease 9 man4 ,x is true1 & greatly to be regrett$1 t cle>ness is ! crit]ion by :i* ! av]age citiz5 measures ! effici5cy ( 8 filt]1 b let x nev] be =gott5 t ! cle>ness ( a wat] is no gu>antee ( its purity4 ,?is bottle ( wat] :i* ,i pass ar\nd is cle> en\gh1 & no d\bt looks good en\gh to dr9k1 b x actually conta9s n ?\s&s b millions ( typhoid fev] bacilli4 8,a sample ( filt]$ wat] f ! filt] 9 ! d9+ room ( a l>ge bo>d+-h\se 0 exam9$ & f\nd to conta9 five times z _m bact]ia z ! unfilt]$ wat]4 8,rec5tly samples ( filt]$ & unfilt]$ wat] 7 tak5 f a filt] 9 "o ( ! (fices ( ! ,/ate ,h\se4 ,! #b1bjj bact]ia p] cc4 ( ! untreat$ wat] _h increas$ to #ad1jjj 9 pass+ ?r\gh _! 8g]m-pro(0 filt]4 ,organic matt] collects 9 ! filt] & s]ves z food1 & !re is develop$ a bre$+ ne/ = ! bact]ia40 ,p>kes 9 8 manual ( hygi5e sugge/s ?is plan = ! exam9ation ( wat]3 ,fir/1 a physical exam9ation ( wat]2 second1 a microscopical exam9ation ( susp5d$ matt]s & s$im5t2 ?ird1 a quantitative exam9ation ( dissolv$ solids2 f\r?1 a biological exam9ation4 ,sid5ote3 ,air ,:ile x is important = e hospital to "k some?+ ( ! quality ( ! food & wat] suppli$ to its inmates1 x is ( /ill great] importance to "k t 9 e dep>tm5t ( ! hospital !re is provision = ! entrance ( pure air & ! exit ( impure air4 ,we may live )\t food = days or weeks1 b ! brea? ( life is ! fir/ great ess5tial ( exi/5ce4 ,depriv$ ( x & dea? results4 ,poison x & det]ioration 9 heal? results4 8,b\ntiful nature has suppli$ an inexhau/ible supply ( ?is ess5tial1 & ! means = its purification4 ,only :5 man's +5uity or /upidity ?w>ts h] ef=ts1 conf9es ! air1 prev5ts its free circulation1 does x reta9 ! poison he has contribut$ to x40 ,a l>ge "p ( ! sci5ce ( sanitation c be summ$ up 9 "o ^w3 cleanl9ess2 clean air1 clean food1 clean wat]1 clean rooms1 clean b$s & b$ l951 clean occupants ( ! b$s1 & clean appliances4 ,sid5ote3 ,dirt ,dirt has be5 def9$ z 8matt] out ( place40 ,to h ! ability to recognize :5 matt] becomes dirt1 & get x into its prop] place & prop] =m1 is to h ! key to hospital sanitation4 ,x means a /rict att5tion to :at else:]e might be consid]$ small details4 ,x is said t "u ! microscope ! du/ ( an ord9>y h\se resolves itself into soot1 m9ute p>ticles ( cotton & wool fibres1 spores ( bact]ia1 />* gra9s1 pulv]iz$ /raw1 epi!lial & epid]mic debris1 & fragm5ts ( food4 ,x consi/s to a great ext5t ( organic sub/ance1 capable ( decomposition4 ,:5 add$ to ?is we h "s ( ! con/itu5ts ( du/ common to a hospital1 su* z %r$s ( l95 or wool f soil$ b$d+1 pieces ( hair1 dri$ p>ticles ( pus1 blood1 & human tissue1 cry/als ( ur9e1 etc41 ! consid]ation ( h[ to get du/ into its prop] place & =m1 h[ to deal ) x1 s t x is n a m5ace to bo? ! heal?y & sick inmates1 is no small or unimportant "p ( hospital managem5t4 ,sid5ote3 ,flies ,flies--! common1 innoc5t-look+ h\se flies1 t =m]ly 7 reg>d$ simply z annoyances to be endur$1 h be5 f\nd to be among ! mo/ active ag5ts 9 ! spread ( disease4 ,n[ t ! g]m !ory is s well und]/ood1 x is n difficult to see h[ ?is takes place4 ,victor ,vaughan1 a memb] ( ! ,army ,m$ical ,commission dur+ ! ,spani%-,am]ican w>1 /ates z foll[s 8 obs]vations reg>d+ ! fly z an ag5t 9 spread+ typhoid fev] 9 ! camps3 8,!y sw>m$ ov] fecal matt] 9 ! latr9es4 ,!y visit$ & f$ on food prep>$ = soldi]s 9 ! mess t5ts4 ,9 "s in/ances :5 lime _h be5 spread ov] ! cont5ts ( latr9es1 flies1 ) _! feet :ite ) lime1 7 se5 walk+ ov] ! food4 ,(fic]s ^: mess t5ts 7 protect$ by means ( scre5s suff]$ less proportionately ?an ^? ^: t5ts 7 n s protect$40 ,dr4 ,m4 ,j4 ,ros5au1 9 8 valuable book on 8,dis9fection & ,dis9fectants10 expresses 8 op9ion ) no unc]ta9 s\nd on ! fly "q :5 he says3 8,9 fact1 z our k ( ! subject increases we f9d t dome/ic animals & v]m9 are play+ a v conspicu\s role 9 ! transmission ( disease4 ,s dang]\s d we n[ "k t ! fly & mosquito may be1 t :5 ! matt] is m g5]ally und]/ood1 x %\ld be a great] reproa* to ! h\sewife to h ^! dang]\s v]m9 9 ! h\sehold ?an to h b$bugs40 ,:]e dress+s soil$ ) pus & excreta h con/antly to be h&l$1 z 9 a hospital1 ! pres5ce ( flies is a real s\rce ( dang] t no c>eful h\sekeep] w ignore4 ,to keep !m out ( ! build+1 & manage s t no sub/ance ab\t ! ext]ior may be left to attract !m1 means t a sy/ematic inspection ( ! premises mu/ be made1 to see t fruit peel+s or scraps ( food are n ?r[n f ! w9d[s1 t c>eful & prompt disposal ( all refuse is accompli%$1 t scrupul\s cleanl9ess 9 & ab\t ! in/itution is practic$1 & t prop]ly fitt+ scre5 w9d[s & doors are 9 place e>ly 9 ! season1 & left till cold wea!r has caus$ ! fly to leave = p>ts unkn[n4 ,sid5ote3 ,g>bage ,! disposal ( g>bage & ! wa/e accumulation f ! w>ds =ms "o ( ! mo/ s]i\s problems t confronts ! hospital h\sekeep]4 ,!re is b "o safe me?od ( disposal & t is by cremation1 prompt & swift & sure4 ,! too common me?od ( /or+ g>bage 9 l>ge cans1 & all[+ x to vitiate ! air ) its obnoxi\s odors1 & attract to itself flies an o!r v]m91 till ! city g>bage collector gets ar\nd to remove x1 is a practice t ought to be ab&on$ z spe$ily z possible by e in/itution4 ,mu* responsibility re/s ^u ! sup]9t5d5t 9 su* matt]s4 ,%e alone _c effect desir$ improvem5ts1 b %e realizes ! ne$ z no memb] ( ! bo>d c1 & %e ought to tactfully educate ! bo>d & urge ! necessity ( prop] appliances = ?is purpose4 ,rec5tly tw5ty lett]s 7 s5t out to tw5ty v>i\s siz$ hospitals inquir+ z to ! me?ods us$ 9 dispos+ ( soil$ dress+s & refuse f ! w>ds4 ,answ]s 7 receiv$ f almo/ if n all1 & !re 0 a g5]al agreem5t t cremation 0 ! only prop] me?od ( disposal4 ,h[ev]1 9 only ?ree or f\r ( ! tw5ty _h any provision be5 made 9 ! plans ( ! hospital = ?is v important "w4 ,"s hospitals burnt !m 9 ! furnace1 "s 9 ! laundry /ove 9 ! basem5t1 "s cov]$ !m up & c>ri$ !m to ! laundry /ove 9 an outbuild+1 "s _h !m c>t$ away to ! city dump+ gr\nd4 ,f "o ,*icago hospital ( :om inquiry 0 made we _h ! foll[+ report3 ,we h a wat] heat] & g>bage burn] :i* runs day & night1 & into ?is burn] we put all ( our soil$ dress+s & g>bage ( e description at any h\r1 day or night4 ,!y are consum$ )\t caus+ u any tr\ble :atev]4 ,we c]ta9ly f9d x a great com=t n to h any g>bage1 n ev5 a g>bage box or b>rel on ! premises4 ,our pails & baskets are br\ght d[n to ! boil] room twice daily1 & !re imm$iately empti$ into ! burn]4 ,! pails are scald$ & cleans$1 s t we keep ev]y?+ sweet & clean40 ,f a ,new ,engl& hospital we _h ! foll[+ report3 8,= f\r ye>s we h us$ a crematory = dispos+ ( soil$ dress+s1 & h f\nd x mo/ satisfactory4 ,x has gas burn]s & c\ld be plac$ 9 a ba? room if x is l>ge4 ,) su* a crematory on ea* floor dress+s c be burn$ imm$iately1 & ?us ! objectionable dress+ or refuse pail be disp5s$ )4 ,a c>eful nurse w turn out ! gas aft] ! dress+s are dry & ignit$1 & ! exp5se ( ! app>atus w ?us be v slight40 ,?r\gh ! c\rtesy ( ! ,morse-,b\lg] ,co41 :o h in/all$ crematories 9 a consid]able numb] ( l>ge hospitals 9 ! ea/ & 9 "s small] in/itutions z well1 we are able to pres5t a cut ( a crematory = a small hospital4 ,illu/ration3 ,,g>bage ,,crematory ,sid5ote3 ,g>bage ,crematories ,! crematories are built 9 _m sizes to con=m to ! location4 ,!y provide a m$ium = ! disposal on ! premises ) ! utmo/ rapidity & economy ( e class ( wa/e produc$ 9 a hospital4 ,!y c be op]at$ ) any available fuel & all are provid$ ) p]fectly effici5t means ( consum+ ! smoke & inflammable gases ?r[n (f by ! burn+ mat]ial4 ,^! crematories c be plac$ 9 ! basem5t or cell> if necess>y & connect$ directly ) ! *imney or smoke pipes1 f ! heat]s or /eam boil]s ( a build+1 or c be plac$ outside :5 deem$ desirable4 ,9 ord] to asc]ta9 "s facts conc]n+ ! work+ ( ^! crematories1 lett]s ( inquiry 7 also s5t to a numb] ( hospitals 9 :i* ! ,morse-,b\lg] crematories are 9 use1 & )\t exception ! reports 7 mo/ favorable4 ,! foll[+ f "o ( ! l>ge/ ,philadelphia hospitals is *>act]i/ic ( all ! reports receiv$ & goes to %[ t !re is no risk ( unsatisfactory work+ 9 su* an app>atus3 8,x is true t we h a ,morse-,b\lg] g>bage de/ructor1 & x has be5 9 s]vice ab\t f\r ye>s4 ,! capacity ( ! *amb] is ab\t tw5ty b>rels4 ,9 select+ ! size we _h 9 view ! quantity ( g>bage t we h to burn ea* tw5ty-f\r h\rs1 s t ! *amb] w\ld hold all ! g>bage produc$ 9 tw5ty-f\r h\rs at "o *>g+1 ?us reliev+ ! necessity ( keep+ ! fire go+ all ! "t4 ,z x is n[1 ! fire is />t$ 9 our crematory ab\t #d o'clock 9 ! aft]noon1 & by #aj o'clock at night ! *>ge is all burn$ out4 ,?is gives ! app>atus "t to cool (f1 s t ! night fireman c clean x out be=e he goes (f duty & leave x ready = re-*>g+ 9 ! morn+4 8,! de/ructor has work$ v satisfactorily = u1 & burns ! :ole ( our g>bage ) ab\t #ejj p\nds ( buck:eat coal p] day1 :i* means an exp5se ( f =ty to sev5ty c5ts a day1 ow+ to ! price "o has to pay = ! coal4 8,i d n believe y c recomm5d too /rongly ! use ( su* an app>atus = hospital purposes40 ,o!r & *eap] crematories = ! use ( ! small] hospitals are 9 ! m>ket1 !y be+ effici5t1 s f> z ! capacity goes1 & ! price be+ )9 ! rea* ( practically e small hospital4 ,an illu/ration ( "o ( ! be/ ( ^! *eap] crematories1 made by ! ,bramhall-,deane ,co41 is "h %[n4 ,c]ta9ly e in/itution ) new build+s or additions 9 c\rse ( erection t has n yet made provision = ! sanit>y disposal ( g>bage & refuse1 %\ld keep ?is matt] 9 view z "o ( ! improvem5ts to be arrang$ = z spe$ily z possible4 ,!re is no royal road to safety 9 a hospital4 ,!re are hidd5 dang]s on e side4 8,et]nal vigilance is ! price ( safety40 ,! mo/ exp5sive & wisely con/ruct$ build+ & ! be/ mod]n equipm5t w n long rema9 9 a sanit>y condition unless wat*ful c>e is ex]cis$1 & intellig5ce & en]gy appli$ to ! eradication ( dirt1 & conditions t favor ! multiplication ( ! enemies to life & heal? t are ev] pres5t4 ,9 ! regul> daily clean+ ( a hospital no 8royal road0 has be5 discov]$4 ,!re are on ! m>ket a great v>iety ( wa%+ p[d]s1 sc\r+ soaps & su* ?+s1 b no?+ has be5 discov]$ t q takes ! place ( human labor4 ,,*apt] ,,xii4 ,sid5ote3 ,! ,help ,"q ,:5 "o consid]s ! numb]s ( boxes ( good brass p5s1 ! qu>ts ( ink1 & ! reams ( pap] 7to say no?+ ( su* *eap ?+s z bra9s & "t & vitality7 t h be5 consum$ )9 ! la/ score ( ye>s1 9 br++ =w>d 8solutions ( ! s]vant problem20 :5 "o sees t self-same problem1 /ill to ! front1 dangl+ 9 ! air z x 71 refus+ to settle itself or be settl$1 x surely ought to be suffici5t to det] all b ! mo/ audaci\s f t\*+ x4 ,in/ead ( be+ solv$1 x is gr[+ l>g] & m difficult to deal )4 ,x is n mu* wond] t m5 sugge/ t wom5 demon/rate _! ability to manage _! own dome/ic doma91 & get ! s]vant "q settl$1 be=e seek+ to get into politics & take a h& 9 ! gov]nm5t ( ! /ate & nation4 ,h[ev]1 a prom95t memb] ( ! bo>d ( a c]ta9 hospital rem>k$ optimi/ically n long ago1 t 8s9ce ! ,iri% l& "q seem$ to be gett+ work$ out10 %e _h "s hope t some:]e1 ar\nd "s unexpect$ corn]1 "s bright man or woman w\ld discov] a means ( really solv+ 8! s]vant problem40 ,b up to ! pres5t mom5t t discov]y has n be5 made1 & let x be und]/ood "h & n[1 t a solution ( t problem is n attempt$ "h4 ,nei!r is any special claim made = orig9ality1 = ! subject has be5 s ?or\ghly gone ov] t x seems !re is no?+ new to be said4 ,b difficult z ! subject may be to deal )1 ei!r !oretically or practically1 x _c well be ignor$ 9 deal+ ) hospital h\sekeep+1 s9ce x consumes no small portion ( ! "t & en]gy ( ! h\sekeep]1 & is ( vital importance to ! in/itution4 ,sid5ote3 ,numb]s ( ,s]vants ,p]haps ! be/ place to attack ! subject w\ld be to calculate h[ _m s]vants are necess>y to d ! "w 9 a c]ta9 hospital ( a c]ta9 capacity4 ,b at ! outset "o is baffl$ at t po9t because in/itutions diff] s v greatly4 ,"s build+s are mu* m difficult to keep clean1 m difficult to get "w done 9 because ( mi/akes 9 con/ruction t entail m labor4 ,s]vants also diff] 9 _! ability1 /&>ds ( "w v>y1 & ! organization ( ! work+ =ce v>ies4 ,"s in/itutions require nurses to d all ! sweep+ ( w>ds & private rooms1 o!rs h x all done by maids4 ,"s hospitals require nurses to wa% w>d di%es4 ,9 o!rs nurses d none ( t "w4 ,9 a place :]e s(t coal is us$ m help w be requir$ to ma9ta9 ! same /&>d ( cleanl9ess ?r\gh\t ! build+1 ?an if t difficulty _h n to be cont5d$ )4 ,"s in/itutions h no laundry "w done on ! premises1 o!rs h x all done at home4 ,"s hospitals bake all _! own bread1 o!rs bake none4 ,all ^! & _m o!r ?+s h to be consid]$ 9 reckon+ ! numb] ( s]vants requir$4 ,ea* in/itution mu/ be l>gely a law unto itself 9 ?is matt]4 ,9 a pap] read at ! ,philadelphia meet+ ( hospital sup]9t5d5ts1 ,mr4 ,la?rop ?rew out a sugge/ion ab\t engag+ s]vants t might well be adopt$ by hospitals 9 g5]al4 ,9 ref]r+ to ! sy/em ( hospital records & reports us$ 9 ,roosevelt ,hospital1 he said3 8,a book1 entitl$ #8,a ,li/ ( ,(fic]s & ,employees1' alphabetically arrang$1 conta9s ! signature ( ea* to a contract at ! head ( ! page4 ,! contract reads z foll[s3 ,sid5ote3 ,contract 8,i1 ! und]sign$1 accept ! t]ms h]e9 m5tion$1 agree to d fai?fully ! "w assign$ to me & to con=m to all rules ( ! hospital :ile 9 its employm5t2 & x is di/9ctly und]/ood & agre$ t :e!r ,i am paid by ! day1 week1 mon? or ye>1 my engagem5t is to t]m9ate ^u notice by ! sup]9t5d5t t my s]vices are no long] requir$2 & ^u paym5t be+ made to me = ! actual "t ( s]vice r5d]$1 ,i agree to accept & receipt = ! same 9 full consid]ation = all dem&s aga9/ ! in/itution4 ,! hospital res]ves ! "r to d$uct = abs5ce f :atev] cause40 ,?is contract r$uces to a m9imum ! difficulty 9 gett+ rid ( undesirable help )\t unpleasantness4 ,! la/ clause is especially important4 ,! only possible way ( mak+ an impression on "s s]vants1 & keep+ !m up to ! m>k 9 punctuality1 is by t\*+ _! pocket4 ,:5 ! abs5ce or t>d9ess occurs f a legitimate cause1 z 9 illness1 x may n be be/1 if ! "t lo/ is trifl+1 to make any d$uction1 b at any rate ! s]vant %\ld und]/& t "p ( ! agreem5t1 & :5 x is n en=c$ he w be likely to h a due appreciation ( ! fact4 ,m]it ,sy/em ,:5 a hospital pays a fair rate ( wages to its employees x is 9 a position to insi/ on c]ta9 conditions1 & to ma9ta9 c]ta9 /&>ds reg>d+ "w 9 all dep>tm5ts4 ,if x pays ! l[e/ m>ket price = su* labor x mu/ expect its s]vants to rema9 only till some?+ bett] is f\nd4 ,! m]it sy/em has be5 successfully us$ 9 o!r l9es ( "w1 & ought to yield equally good results 9 a hospital4 ,if aft] giv+ a s]vant a fair trial1 he is f\nd fai?ful & anxi\s to please & capable1 he ought to be %[n t ^! qualities are appreciat$4 ,if he 0 engag$ = fifte5 doll>s a mon?1 a raise ( wages ( "o doll> e ?ree or f\r mon?s until x has rea*$ a c]ta9 po9t1 w\ld give him "s inducem5t to /ay4 ,! habit ( express+ satisfaction ) "w well done is a p[]ful inc5tive to cont9uance 9 well do+ & bett] s]vice 9 ! future4 ,s]vants are all human4 ,!y ne$ repro( & correction1 b ne$ q z mu* ! k9d ^w ( appreciation ( _! ef=ts4 ,!re are b few p :o w long cont9ue to d _! be/ if !y ?9k nobody c>es or notices x4 ,sid5ote3 ,s*$ule ( ,"w ,:5 s]vants ent] ! employ ( ! hospital1 x is a good plan to h "s k9d ( s*$ule ( ! r\t9e "w ready to give !m4 ,c]ta9 duties w h to be p]=m$ e day1 o!rs on /at$ days ( ! week4 ,usually ! h\sekeep] is subject to dem&s ( all k9ds4 ,x is necess>y = h] to /udy h[ to get r\t9e "w done well1 ) ! lea/ tax on h] memory or vitality1 & ! s*$ule w help 9 t direction4 ,prop] in/ruction at ! beg9n+ is always important4 ,_m a s]vant has become disc\rag$ 9 a few days & left 8 place vacant1 :5 a pati5t explanation ( :at to d1 & h[ to d :at seem$ to be expect$ ( him1 w\ld h develop$ a capable work]4 ,x is nev] a good plan to h su* fix$ ideas z to h[ a desir$ end %\ld be rea*$ t no o!r me?od w be accept$4 ,if s]vants h be5 accu/om$ to "o c]ta9 way ( do+ ?+s1 & _! way yields z good results z "s o!rs1 x is well = ! h\sekeep] to let !m foll[ _! own plans unless x is f\nd to entail a wa/e ( "t & mat]ial4 ,9 a hospital :]e !re is su* a multiplicity ( details to be att5d$ to1 no h\sekeep] c af=d to wa/e mu* "t ov] non-ess5tials4 ,! po9t is to be able to recognize non-ess5tials & n to ignore ?+s ( importance4 ,if %e sees t "t & mat]ial c be sav$ by do+ ?+s accord+ to h] me?ods1 a sugge/ion & a little tea*+ ought to effect ! desir$ *ange4 ,if x does n1 if !y d n try to improve1 & refuse to apply ! in/ruction receiv$1 !n x is bett] to let !m g & try to secure m tractable mat]ial4 ,!re is seldom a "t :5 all help is j :at ! h\sekeep] wants1 & x is safe to pr$ict !re nev] w be4 ,"s w ne$ m sup]vision ?an o!rs4 ,"s w rememb] a ?+ if told once1 o!rs w ne$ to h x repeat$ aga9 & aga94 ,"o w\ld naturally expect t a ?+ t _h to be done e day w\ld soon be done z a matt] ( habit1 b ?is is by no means ! case1 z e h\sekeep] kn[s4 ,x is n en\gh to say3 8,?is ?+ mu/ be done e day40 ,somebody mu/ be on ! wat* to see t x is done4 ,"s s]vants :5 !y f9d a neglect passes unnotic$ w be v likely to repeat x1 & ! lack ( prop] sup]vision acc\nts = ! g5]al slip%od condition ( ! dome/ic dep>tm5t ( _m in/itutions4 ,usually !re are en\gh h&s to d ! "w if !y 7 kept up to ! m>k & prop]ly sup]vis$4 ,9 ! matt] ( cleanl9ess & neatness a great diff]5ce 9 /&>ds is obs]v$ 9 visit+ in/itutions4 ,suffice x to say t 9 a hospital1 above all o!r places1 !re %\ld n be a spot f attic to basem5t t ! sup]9t5d5t w\ld n wi% to ?r[ op5 = inspection4 ,ice-boxes1 kit*5s1 pantries1 /or]ooms1 basem5t1 laundry1 all %\ld be models 9 respect to cleanl9ess & good ord]4 ,milit>y rule1 or organization bas$ on x1 is suppos$ to prevail to a l>ge ext5t 9 ! tra9+ s*ool1 & x is equally important = x to prevail ?r\gh\t ! o!r dep>tm5ts ( ! hospital4 ,:ile ) nations1 civil laws und]go *anges z ! _s ( ! times *ange1 yet ! fundam5tal pr9ciples ( milit>y organization rema9 un*ang$4 ,!re is a di/9ct gradation ( (fic]s1 & e man is recogniz$ only 9 8 /ation4 ,if a private soldi] has a grievance or a report1 he is expect$ to /ate x to ! (fic] imm$iately above him4 ,! capta9 _c (ficially approa* a g5]al & ignore ! int]m$iate (fic]s4 ,! g5]al gives 8 ord]s to ! (fic] next to him 9 rank1 & !y pass d[n ! l9e f rank to rank4 ,only ?us c a g5]al hope to comm& ! army ( a nation successfully4 ,ea* man is expect$ to be 9 8 place & att5d to ! duties ( 8 position & n m$dle ) ! affairs ( o!rs4 ,practically ! same sy/em prevails 9 l>ge bus9ess corporations1 & no bett] basis = organiz+ a work+ =ce ( an in/itution has be5 discov]$4 ,sid5ote3 ,rules ,mu* z ! av]age ,am]ican dislikes rules1 ! fact rema9s t "s are necess>y4 ,! bus9ess is greatly ov]done 9 "s hospitals1 9 o!rs too mu* laxity exi/s1 & ?is inevitably t5ds to l[] ! tone ( ! in/itution4 ,= ! dome/ic dep>tm5t x is wise to h c>ds ) a set ( g5]al rules pr9t$ & fram$ & po/$ 9 conspicu\s places to s]ve z rem9d]s4 ,ea* hospital sup]9t5d5t w h 8 own ideas ( :at g5]al rules %\ld be made = ! gov]nm5t ( 8 hospital employees1 b a specim5 set ( rules may n be out ( ord]4 #a4 ,all s]vices are at c]ta9 rates p] mon? or week = "t actually s]v$4 ,employees desir+ to leave %all give "o week's notice to ! sup]9t5d5t4 ,! sup]9t5d5t res]ves ! "r to summ>ily dis*>ge any employee = any cause :5 8 pres5ce is detrim5tal to ! int]e/s ( ! in/itution4 #b4 ,no read+ or smok+ 9 b$ at night is all[$ & smok+ or *ew+ ( tobacco is =bidd5 dur+ work+ h\rs4 #c4 ,no duplicate keys = any "p ( ! hospital %all be made except = & by ! hospital4 ,all p]sons hav+ hospital keys %all deliv] !m to ! sup]9t5d5t if abs5ce ov] night is anticipat$4 #d4 ,no employee %all ent] ! room ( ano!r at ! hospital )\t knock+ & wait+ = reply4 ,female employees %all on no acc\nt visit m5's rooms nor male employees wom5's rooms4 #e4 ,no employee1 unless duty requires x1 %all ent] ! w>ds )\t p]mission ( ! sup]9t5d5t1 nor %all !y ent] dep>tm5ts :]e !y h no duty except on bus9ess4 #f4 ,employees %all be prompt at meals4 ,^? com+ late w be expect$ to expla9 ! reason4 ,no cook+1 heat+ or keep+ ( tea1 c(fee1 or food %all be all[$ on ! premises o!r ?an 9 places provid$ = !m & by p]sons employ$ = su* duties4 #g4 ,all employees w1 :5 practicable1 be all[$ two half days (f duty ea* mon? & :5 conv5i5t a "p ( ea* ,sunday1 subject to ! ne$s ( ! in/itution & ! discretion ( ! sup]9t5d5t4 #h4 ,dis*>g$ employees are n entitl$ to ! fre$om ( ! premises & mu/ /op 9 ! wait+-room1 l o!r visitors1 :ile ^? dis*>g$ = cause are n admitt$ except z pati5ts or on bus9ess to ! sup]9t5d5t4 #i4 ,employees %all att5d to matt]s out ( repair 9 _! dep>tm5ts1 & report all articles brok5 or injur$ to ! head ( _! dep>tm5t4 ,nails %all n be driv5 into ! build+ or furniture )\t p]mission4 ,scrat*+ ( mat*es on walls is =bidd54 #aj4 ,! h\se w be clos$ at #aj3cj p4 m4 ,employees desir+ late leave mu/ get p]mission f ! matron or sup]9t5d5t4 ,no employee %all g 9 or out any w9d[1 except ^? us$ z doors1 unless engag$ 9 work+ ab\t ! same4 #aa4 ,employees %all n keep 9 _! possession nor h on ! premises1 spiritu\s liquors1 & ! intoxication ( any employee %all be ! cause ( in/ant dismissal4 #ab4 ,loit]+ ar\nd ! kit*5 dur+ work+ h\rs1 or at any "t1 by ^? n employ$ !re is prohibit$4 ,kit*5 employees are n all[$ to l+] ar\nd ! kit*5 :5 (f duty4 #ac4 ,all p]sons connect$ ) ! hospital are expect$ to be civil & polite at all times4 ,sleep+ rooms1 w>drobes1 dress]s1 closets1 cupbo>ds1 etc41 %all be subject to inspection at any "t4 ,rooms %all be 9 ord] & b$s made by #aj a4 m4 & %all at all times be kept clean1 ord]ly & free f v]m94 #ad4 ,no "o connect$ ) ! hospital %all remove ! prop]ty1 h[ev] small1 f "o room or w>d to ano!r )\t ! p]mission ( ! sup]9t5d5t4 #ae4 ,employees are expect$ by precept & example to assi/ 9 keep+ ! hospital quiet & ord]ly & free f du/1 dirt & f\l air4 ,boi/]\s or pr(ane language & :i/l+ or s++ _c be p]mitt$4 #af4 ,cleanl9ess & neatness 9 appe>ance1 habits & "w are imp]ative4 ,all employees are expect$ to be punctual 9 report+ = duty4 ,visitors to employees are n all[$ dur+ work+ h\rs4 ,9 exceptional cases p]mission may be obta9$ f ! sup]9t5d5t4 #ag4 ,all articles brok5 or de/roy$ w be *>g$ to ! p]son break+ !m1 at co/ price4 ,hav+ made rules1 x becomes necess>y to see to _! en=cem5t4 ,exceptions %\ld be few & f> betwe54 ,a rule t is n en=c$ weak5s ! in/itutional gov]nm5t1 & _h bett] nev] h be5 made4 ,if x is good & necess>y let x be en=c$1 if x is nei!r good nor necess>y let x be aboli%$4 ,! "q ( incompatibility ( temp] among s]vants is a common p]plexity4 ,:5 x occurs x is j z well to plan = a sep>ation1 lett+ ! "o :o seems to be ! /ronge/ elem5t ( discord g4 ,9 fe$+ help !re %\ld be always pl5ty provid$--! quality be+ ab\t :at is provid$ = w>d pati5ts4 ,a sep>ate bill ( f>e = !m w\ld entail extra co/1 bo? = mat]ial & labor1 & !y w\ld be none ! bett] = x4 ,sid5ote3 ,s]vants' ,d9+ ,rooms ,is x too mu* to hope1 t1 sometime1 all hospitals w h a s]vants' d9+ room1 :]e1 ap>t f ! heat & odor ( ! kit*51 !y c take _! meals 9 com=t l respectable p8 ,_m ( ^? :o h labor$ on ! s]vant problem seem to h begun at ! top = a solution1 in/ead ( gett+ d[n to ! f\ndations to build up a sy/em4 ,!y h s\ght to e/abli% tra9+ s*ools & give diplomas1 believ+ t 0 ! "o ?+ ne$ful to dignify ! position ( s]vants & make !m happy & cont5t$ 9 t k9d ( "w4 ,!re is c]ta9ly no objection to plans = tra9+1 provid+ !y are n all[$ to obscure o!r features be>+ on ! problem4 ,b "o does n ne$ to live m ?an a day 9 "s homes or in/itutions to f9d "o reason = ! prevail+ discont5t among s]vants z a class4 ,a hospital t provides an attractive d9+ room = its help 7:i* c\ld also be us$ z a reception room = _! fri5ds71 t sees t !y h good ba? rooms1 lavatories1 toilet rooms & sleep+ rooms1 may expect to attract a sup]ior class ( s]vants1 :o w h "s inducem5t to rema9 :]e provision has be5 made = _! com=t4 ,!y w h m respect = !mselves & = ! in/itution & bett] s]vice c be expect$4 ,sid5ote3 ,sleep+ ,rooms ,!re is a possibility ( p becom+ s *>itable t !y =get to be j4 ,"s are s int5t on provid+ ! mo/ mod]n equipm5t = ! c>e ( ! unkn[n indig5t pati5t t !y entirely ov]look ! necessity ( prop] liv+ conditions = ^? :o mu/ help 9 c>+ = ! unkn[n indig5t4 ,h[ _m hospital manag]s w\ld ?r[ op5 ) pride1 = ! inspection ( a p>ty ( visitors1 ! doors ( _! s]vants' sleep+ qu>t]s1 z !y d ! doors to ! free w>ds8 ,:ile text-books & tea*]s are emphasiz+ ! necessity ( pure air1 ! ne$ ( a c]ta9 numb] ( cubic feet ( air-space = ea* occupant ( e sleep+ room1 hospital au?orities are defy+ ^! self-same rules ( hygi5e1 by compell+ _! s]vants 7& (t5 nurses1 too7 to sleep 9 cr[d$ qu>t]s )\t prop] means ( v5tilation1 & :i* sometimes ! direct rays ( ! sun c nev] p5etrate4 ,x is no?+ uncommon to f9d six or eight p cr[d$ into "o dormitory n l>g] ?an #ajx#ae1 & t n only 9 a ,new ,york t5em5t b 9 a mod]n hospital4 ,e intellig5t p]son pr(esses to believe t 8,pure air is z important z pure food 9 ! production ( vital en]gy ( ! body & m9d1 b x is ano!r case ( n liv+ accord+ to "o's belief4 ,:at we greatly ne$ is a realization ( ! fact t hygi5e is n alone a sci5ce to be /udi$1 b an art to be practic$1 9 ! hospital1 9 all its dep>tm5ts & else:]e40 ,sid5ote3 ,attire ,! work+ attire ( ! s]vants may seem a trifl+ ?+ to m5tion1 b x too is an indication ( ! /&>ds ( ! managem5t 9 t respect4 ,a hospital is no place = a slov5ly1 untidy man or woman4 ,if !y h n suffici5t self respect to keep !mselves clean & neatly clad !y c]ta9ly _c be expect$ to cook & s]ve food 9 a respectable1 appetiz+1 heal?ful way or d _! "w 9 a cleanly mann]4 8,! app>el (t proclaims ! man40 ,x (t proclaims ! in/itution1 too4 ,if ! hospital is to make a desirable reputation & ma9ta9 x1 heads ( dep>tm5ts mu/ be on ! al]t 9 m9or z well z major matt]s4 ,a *a9 is no /rong] ?an its weake/ l9k1 & ea* individual 9 ! long human *a9 ( hospital employees is ei!r help+ to make or m> ! good reputation ( ! in/itution4 ,sid5ote3 ,h\sekeep]'s ,relation to ,s]vants ,! h\sekeep]'s relation to ! s]vants is too l>ge a subject to m ?an t\*1 b x is altoge!r too important to be left out entirely4 ,x is well to be> 9 m9d ! fact t laxity does n mean k9dness1 nor does x always mean 8good nature10 z "s p appe> to believe4 ,nei!r does sev]ity mean dignity4 ,x is q possible to be dignifi$ & approa*able at ! same "t4 ,x is q possible to be sy/ematic ab\t me?ods & "w1 & /rict 9 ! obs]vance ( ! rules ( ! in/itution1 & at ! same "t ?or\ghly k9d & t5d] he>t$ & womanly4 ,! h\sekeep] :o lets h] s]vants "k t %e sympa?izes ) !m 9 ! trials & difficulties incid5t to _! life w h mu* less tr\ble 9 gov]n+ !m ?an ! "o :o ma9ta9s a frigid air1 %uts h] eyes & e>s to ?+s t are l>ge to !m1 & treats !m l ma*9es4 ,!re are a hundr$ ways 9 :i* %e c t\* _! lives helpfully1 & influ5ce !m to high] ideals if %e *ooses4 ,que/ions ( dress1 heal?1 morals all sugge/ !mselves at ?is po9t4 ,! all too preval5t t5d5cy ) ! s]vant class to sp5d _! h>d-e>n$ doll>s 9 silks1 *eap fea!rs & tawdry f9]y1 to foll[ ! fa%ions1 ev5 if !y h to g 9 debt1 is some?+ t c be obs]v$ 9 ! hospital z else:]e4 ,?is (t5 has a be>+ on heal?4 ,_m :o h sp5t _! all 9 jewelry or f9]y :i* !y did n ne$1 are oblig$ to g )\t prop] %oes1 /ock+s1 "u-clo?+ & ?+s t are really ess5tial = heal? & com=t4 ,if ! h\sekeep] has won ! respect & confid5ce ( h] help1 %e ought to h a decid$ influ5ce 9 *eck+ ?is t5d5cy among h] maids & promot+ habits ( ?rift & wise exp5diture4 ,prop] h\rs = retir+ is ano!r matt] t w come 9 ! h\sekeep+ prov9ce z x relates to s]vants1 & "o t no in/itution c af=d to neglect4 ,late h\rs are nei!r conducive to good heal? nor good morals1 & c]ta9ly d n help 9 gett+ good "w done4 ,= all ^! reasons ! h\sekeep]1 :]e ! help are h\s$ on ! premises1 %\ld insi/ t ! same h\rs t nurses are oblig$ to obs]ve 9 gett+ home1 & gett+ lights turn$ out %\ld be obs]v$ 9 ! s]vants' qu>t]s4 ,:e!r %e wants ! responsibility or n1 :e!r %e ?9ks x or n1 ! influ5ce ( ! head ( ! dome/ic dep>tm5t is felt 9 ! lives ( h] s]vants4 ,*>act]s are be+ mold$ & built up t w leave _! impress on future g5]ations4 ,! _w ( ! av]age s]vant is z a rule v small4 ,!y live on ! surface ( ?+s4 ,trifles seem l>ge sometimes4 ,at o!r times v s]i\s & f>-rea*+ que/ions seem to !m q unimportant4 ,education ( ! consci5ce & ( ! h& c g on1 ought to g on1 toge!r4 ,,*apt] ,,xiii4 ,sid5ote3 ,! ,problem ( ,wa/e ,next 9 importance to ! ?ree vital que/ions :i* daily confront ! hospital h\sekeep]1 9 common ) o!r mortals--8,:at %all we eat1 :at %all we dr9k & :]e)al %all we be clo!d80 comes ! "q ( h[ to prev5t wa/e ( ! money & mat]ials suppli$ = c>ry+ on ! "w ( ! hospital4 ,few in/itutions af=d su* abundant opportunities = wa/e1 along s _m diff]5t l9es4 ,! s\rces ( leaks seem to be endless4 ,! individuals :o are responsible = wa/e may be f\nd 9 all dep>tm5ts1 & repres5t all degrees ( intellig5ce4 ,! v>i$ composition ( ! hospital h\sehold1 ! em]g5cies ( ! life & ! fact t ( necessity 9 a hospital ( ev5 mod]ate size ! "w is divid$ into dep>tm5ts ) sep>ate heads1 r5d]s ! problem ( ! prev5tion ( wa/e exce$+ly complicat$4 ,!n ! lack ( any ?or\gh sy/em ( inspection1 ! loose me?od ( keep+ acc\nts1 & r5d]+ reports ( exp5diture & income1 ! abs5ce ( uni=mity ( me?ods1 makes intellig5t comp>ison ) o!r in/itutions difficult1 if n impossible4 ,because ( ^! conditions1 wa/e may con/antly g on 9 an in/itution :]e app>5tly ev]yone is try+ to be economical4 ,sid5ote3 ,ma9 ,causes ,!re are usually ?ree or f\r ma9 causes exi/+ :]e habitual wa/e goes on3 ,lack ( an accurate sy/em ( acc\nt+ = supplies4 ,lack ( c>eful sup]vision 9 ! use ( supplies4 ,lack ( a g5]al k z to ! av]age am\nts ( supplies necess>y = ea* dep>tm5t = a giv5 "t4 ,unwise pur*as+ & ignorant or c>eless h&l+4 7,employ+ p :o 8d n "k h[0 is also a frequ5t s\rce ( wa/e47 ,sid5ote3 ,fir/ ,/eps ,x has be5 well said t ! fir/ /ep t[>d ?rift is tak+ acc\nt ( ! items4 ,a prop] sy/em ( acc\nt+ = ! daily supplies s5t to ea* dep>tm5t w g a long way t[>d *eck+ extravagance4 ,?is sy/em ( acc\nt+ secures facts ab\t ! consumption ( supplies1 t are absolutely necess>y = ! detection ( extravagance or wa/e1 & x %\ld be adh]$ to z an important "p ( ! "w ( e dep>tm5t4 ,! surgical dep>tm5t is "o :i* ne$s special sup]vision4 ,:ile p]haps x w\ld n te*nically come "u ! head ( h\sekeep+1 x (t5 is 9 *>ge ( ! hospital h\sekeep]1 & 9 consid]+ ! s\rces ( wa/e x _c be well omitt$4 ,9 measures = ! prev5tion ( wa/e1 ! dep>tm5ts ( a hospital %\ld be a unit4 ,only ?us c ! problem be h&l$ successfully4 ,ref]r+ to ! excessive use ( surgical supplies1 ,dr4 ,john ,w4 ,brannan1 presid5t ( ! bo>d ( tru/ees ( ,bellevue & alli$ hospitals1 ,new ,york1 9 an op5 lett] to ,*>ities has said3 ,sid5ote3 ,surgical ,dep>tm5t 8,i wi% to lay especial /ress ^u ! possibility ( effect+ a v mat]ial sav+ 9 ! use ( surgical appliances & exp5sive drugs 9 all ! hospitals4 ,9 ord] to accompli% ?is x is necess>y to h ! goodwill & co-op]ation & con/ant ?\ght1 n only ( ! sup]9t5d5t & 8 /aff1 b also ( ! surgeons & physicians1 bo? att5d+ & h\se4 ,if ! visit+ physicians & surgeons 7 to ex]cise ! same consid]ation 9 ! use ( surgical dress+s & exp5sive drugs z !y d 9 _! private practice among p ( mod]ate means1 & exact ! same ( ! h\se /aff2 !re w\ld be1 9 my op9ion1 a m>k$ r$uction 9 ! am\nt ( ! supply acc\nt4 8,! foll[+ is an example ( :at c be done 9 ! way ( sav+ 9 surgical supplies3 ,! att5tion ( ! visit+ surgeon ( "o ( ! divisions ( ,bellevue ,hospital 0 call$ ab\t a mon? ago to ! l>ge consumption ( gauze 9 8 w>ds1 "s #b1ajj y>ds hav+ be5 us$ 9 ! previ\s week4 ,he at once made an inve/igation1 ) ! result t ! next week ! am\nt ( gauze consum$ 0 only #a1ajj y>ds1 & dur+ ! week foll[+ t only #faj y>ds1 al?\gh ! s]vice cont9u$ j z active & ! pati5ts 7 c>$ = fully z well z be=e40 ,! au?or ( 8,! ,commiss>iat0 /at$ t 9 ! hospitals ( ,london1 :]e ! surgical dep>tm5t is dilig5tly sup]vis$1 x has be5 f\nd possible to effect an annual sav+ am\nt+ to five p\nds = ea* b$1 & t )\t 9 any way l[]+ ! /&>d ( nurs+ or treatm5t4 ,sid5ote3 ,utiliz+ ,hospital ,wa/e ,at ! ,bo/on meet+ ( ! ,association ( ,hospital ,sup]9t5d5ts1 ,dr4 ,f4 ,a4 ,wa%burn1 ,jr41 ( ! ,massa*usetts ,g5]al ,hospital1 9 a pap] on 8,me?ods ( ,utiliz+ ,hospital ,wa/e0 describ$ ! me?ods us$ 9 t hospital to r$uce ! consumption ( gauze & soap4 ,! pap] conta9s s mu* t is valuable by way ( illu/rat+ :at might be accompli%$ & h[1 t we h reque/$ p]mission to ins]t x 9 ?is connection4 8,two ma9 pr9ciples are involv$ 9 r$uc+ hospital exp5ditures3 8#a/4 ,us+ less new mat]ial4 8#bnd4 ,utiliz+ wa/e mat]ial4 8,9 ?is pap] ,i w dwell pr9cipally ^u "s ( ! me?ods :i* may be employ$ 9 c>ry+ out ! second ( ^! two pr9ciples1 namely1 utiliz+ mat]ial :i* has =m]ly gone to wa/e4 8,! item ( absorb5t gauze is a l>ge "o 9 e g5]al hospital4 ,at ! ,massa*usetts ,g5]al ,hospital1 9 #aijb1 x am\nt$ to #f1jgi4ha1 9 #aijc1 to #e1iei4cg4 8,up to "o ye> ago1 at ?is hospital1 x _h be5 cu/om>y to de/roy all gauze :i* _h be5 soil$ by blood or pus1 & ,i believe t ?is 0 ! rule at all hospitals1 al?\gh "s _h made an attempt to recov] ! gauze f _! clean cases4 ,9 ,octob]1 #aijd1 ) ! cons5t ( ! visit+ /aff1 a process ( wa%+ & /]iliz+ all gauze 0 adopt$1 & its success has exce$$ our expectations4 8,9 ! fir/ eight mon?s ( #aijd we us$ ov] "o hundr$ & =ty miles ( new gauze ?ree feet wide4 ,9 ! fir/ eight mon?s ( #aije1 we us$ fifty-"o miles4 ,! new gauze us$ 9 ! fir/ eight mon?s ( #aijd w\ld h /ret*$ f ,bo/on ne>ly to ,new ,hav51 ,conn41 :ile 9 a correspond+ p]iod ( #aije x w\ld h rea*$ only five miles beyond ,provid5ce1 ,r4 ,i4 ,money actually exp5d$ = gauze dur+ ! fir/ eight mon?s ( #aijj 03 #aijj1 #c1ggd4ja2 #aija1 #d1bge4ia2 #aijb1 #c1hgb4fa2 #aijc1 #d1jbi4bb2 #aijd1 #d1cff4eb2 #aije1 #a1bec4dj4 8,t %[s a sav+ ( ab\t #c1jjj 9 eight mon?s ov] ! co/ 9 #aijc & #aijd4 8,! me?od employ$ is z foll[s3 8,all gauze & b&ages f w>d dress+s1 amphi!at] & out-pati5t dep>tm5t & op]at+ rooms is collect$ 9 pap] bags & tak5 to ! laundry4 ,x is transf]r$ f ^! pap] bags to op5 "w bags made ( cord1 ^! bags be+ only half fill$4 ,! gauze is kept 9 ^! bags ?r\gh\t ! re/ ( ! process ( wa%+ & ! laundry /]ilization4 8,x is put 9 soak ov] night 9 cold wat] :i* is *ang$ sev]al times4 ,! foll[+ morn+ x is put 9 an iron wa%] capable ( resi/+ /eam pressure up to t5 p\nds4 ,x is !n wa%$ 9 cold wat] until ! wat] runs p]fectly cle>4 ,! gauze is !n wa%$ ) w>m wat]1 soap1 & sal soda4 ,aft] ?is wa%+ x is r9s$ 9 hot wat]4 ,aft] ! r9s+1 en\gh hot wat] is turn$ into ! wa%] to cov] ! bags ( gauze z !y lie on ! bottom ( ! wa%]4 ,/eam is !n turn$ on to a pressure ( t5 p\nds4 ,a self-regi/]+ !rmomet] plac$ 9 ! gauze twice %[$ a temp]ature ( #bci & #bdj4 ,! !rmomet]1 :i* regi/]s on ! outside ( ! wa%]1 %[$ a temp]ature ( #bcf at pressure ( t5 p\nds4 ,?is temp]ature is ma9ta9$ = "o-half h\r4 ,dur+ all ?is process1 ! wa%] is mov+ ) a to-&-fro motion1 :i* cont9ually agitates ! gauze & pres5ts all p>ts ( x to ! action ( ! wat] & /eam4 8,! gauze is !n put 9 ! extractor & :5 dry is s5t to ! out-pati5t dep>tm5t1 :]e x is ov]haul$ "u ! direction ( an intellig5t maid4 ,x is untangl$ & /raight5$1 & ! maid is in/ruct$ to ?r[ out any piece ( gauze :i* is /a9$ or has any?+ adh]5t to x4 ,! gauze is aga9 h&l$ by nurses or maids :5 x is cut & plac$ 9 packages = ! la/ /]ilization4 ,^! wom51 also1 h in/ruction to look ! gauze ov] c>efully = any /a9$ piece or any piece ) =eign matt] adh]5t4 ,! f9al /]ilization is !n done at a temp]ature ( #bej ,f41 ) a pressure ( fifte5 p\nds 9 ! /]iliz+ room4 8,x is f\nd t ! wa%$ gauze is s(t] & m absorb5t ?an ! new gauze4 ,repeat$ te/s conduct$ 9 ! pa?ological laboratory h %[n ! safety ( ! process4 ,! ov]haul+ & /raight5+ ( ! wa%$ gauze involves a v consid]able am\nt ( labor1 & if x 7 necess>y to hire additional p to d ! "w ! sav+ w\ld be mu* less4 ,at ! ,massa*usetts ,g5]al ,hospital we utilize labor t w\ld o!rwise g to wa/e4 ,9 our l>ge out-pati5t dep>tm5t we mu/ h a c]ta9 =ce ( mess5g] boys & maids :5 ! cl9ic is at its l>ge/ & at ! busie/ h\rs ( ! day4 ,mu* ( ! "t all ?is =ce is n requir$ = runn+ ! cl9ics or clean+ ! build+s1 & _! "t is utiliz$ on ! gauze4 8,s mu* = ! gauze :i* is recov]$ & utiliz$ aga9 z gauze4 ,!re is a "p :i* is 9 too small pieces or is too badly tangl$ to be wor? /raight5+4 ,?is mat]ial is run ?r\gh a rag pick] & becomes a v light & absorb5t l9t1 :i* is /]iliz$ & us$ 9 dress+s :]e absorb5t cotton or oakum is ord9>ily us$4 ,x is also us$ 9 ! boil] h\se 9 ! place ( wa/e = wip+ ar\nd ! eng9es4 ,ano!r "p ( ! gauze is ?r[n out because x is /a9$ ) *emicals4 ,^! pieces are utiliz$ by ! h\seclean+ =ce4 ,?is process1 !re=e1 means n only less gauze b\ght1 b less absorb5t cotton1 less oakum1 less wa/e = ! eng9e room4 ,all pieces ( compress clo?1 _m ( :i* h be5 ?r[n away 9 ! pa/1 are wa%$ & /]iliz$ by ?is same process1 us$ ov] aga9 if l>ge en\gh1 run ?r\gh ! pick] if small4 8,packages :i* are s5t to ! boil] h\se to be burn$ are ov]haul$ & inspect$ at frequ5t & irregul> int]vals1 & if x is f\nd t mat]ial :i* %\ld be sav$ is be+ wa/$1 ! responsible head nurse is call$ to acc\nt4 ,safety p9s1 rubb] dam1 knives1 =ks & spoons are recov]$ f ?is inspection4 ,i believe t x w pay to h a sy/ematic inspection by a c>eful employee ( ev]y?+ br\ght f any "p ( ! hospital to be de/roy$ or ?r[n away4 ,su* a man _c fail to m ?an e>n 8 pay & bo>d1 nor w\ld 8 inspection "w take ! :ole ( 8 "t4 ,sid5ote3 ,soap ,mak+ 8,ab\t "o ye> ago ! ,massa*usetts ,g5]al ,hospital />t$ to make its own soap4 ,i h endeavor$ to make a comp>ison ( ! co/ to ! hospital ( buy+ soap = ! sev5 mon?s1 ,febru>y to ,augu/1 #aijd1 & mak+ x = ! sev5 mon?s1 ,febru>y to ,augu/1 #aije4 8,we =m]ly us$ 9 ! laundry a soap *ip = :i* we paid ab\t #d c5ts a p\nd4 ,we us$ a common yell[ b> soap = :i* we paid #e to #e c5ts p] p\nd4 ,savogran = ! floors1 etc41 at #f c5ts a p\nd1 & s(t soap = w>d use at #c c5ts4 ,all ^! h be5 ne>ly or q replac$ by our homemade s(t soap1 :i* we f9d answ]s all ^! purposes 9 a satisfactory mann]4 ,we /ill use a small am\nt ( ,savogran on ! :ite tile floors ( our surgical build+1 & a little b> ( yell[ soap "h & !re4 ,?is latt] we %all make ourselves z soon z our /ock on h& is us$ up4 ,b s(t soap practically replaces ev]y?+ except s& soap1 toilet soap1 soap poli%1 etc41 :i* we buy z be=e4 8,9 ! sev5 mon?s ( #aijd "u consid]ation1 we paid #ece4bf m = ,savogran ?an 9 ! sev5 mon?s ( #aije2 #ajh4dh m = yell[ b> soap2 #bd4ii m = s(t soap1 & #cjj4fe m = soap *ips1 a total ( #ifi4ch m paid = soap effect$ by our home soap mak+ 9 sev5 mon?s ( #aijd ?an 9 ! sev5 mon?s ( #aije4 8,to c\nt]balance ?is we receiv$ 9 ! sev5 mon?s ( #aije1 #bee4ae less = grease4 ,soap mak+ takes ab\t a ?ird ( ! "t ( "o man1 e/imat$ at #agg4be = sev5 mon?s4 ,pota% co/ #bic4ia4 ,/eam us$ 9 cook+ soap e/imat$ at #e p] mon?1 #ce4 ,a total sav+ ( #bfh4jg 9 sev5 mon?s4 8,we h less tr\ble ) our wa%]s 9 ! laundry because ( ! l>g] am\nt ( free alkali 9 ! soap made by our recipe1 :i* is practically ! same z t us$ at ! ,mc,lean ,hospital & ! ,/ate ,hospital4 ,x is z foll[s3 8,dissolve tw5ty-two p\nds ( pota% 9 six n9e-qu>t pails ( wat]1 add ?irty-f\r p\nds ( grease & boil v sl[ly six h\rs4 ,!n fill a #ajj-;gallon tank half full ( wat] & let x come to a boil aga94 ,:5 x becomes /r+y turn (f ! /eam & fill ! tank ) wat]4 8,! soap has be5 te/$ by ! hospital apo!c>y & is f\nd to correspond to ! maximum ( free alkali all[$ by ! #aijj ,unit$ ,/ates ,ph>macopia4 ,v>i\s fabrics h be5 all[$ to soak 9 ?is soap = sev]al days & h %[n no detrim5t4 ,! practical te/ ( a ye>'s use %[s no injury to clo?+40 ,sid5ote3 ,drugs ,dr4 ,w4 ,e4 ,dreyfus1 *emi/ ( ,bellevue & ,alli$ ,hospitals1 calls att5tion to ano!r leak t =m]ly exi/$ 9 ^? e/abli%m5ts & ! same k9d ( leak may be f\nd 9 ! majority ( hospitals ( ! c\ntry4 ,9 comm5t+ on ! hospital deficit "q ,dr4 ,dreyfus says3 8,y "k t all *>t]$ *>itable in/itutions are entitl$ to tax-free alcohol1 b v few take advantage ( x4 ,! sav+ = our city in/itutions on tax-free alcohol dur+ #aijc am\nt$ to ab\t #ba1jjj1 ! indirect b5efit !refrom be+ ab\t #i1jjj m4 ,to give a specific in/ance3 ,be=e ! ,k+'s ,c\nty ,hospitals 7 suppli$ f ?is dep>tm5t1 !y sp5t ! sum ( #ag1gga4ab = drugs1 liquors1 etc4 ,aft] !y 7 consolidat$ ) ?is dep>tm5t we furni%$ !m ! same am\nt at a sav+ ( ne>ly #d1jjj p] annum40 ,^! figures are l>ge1 because ! in/itutions conc]n$ are l>ge1 b :5 small] in/itutions buy & cont9ue to buy alcohol & pay ! tax1 :i* am\nts to #b4jg a gallon1 x is easy to see t a proportionate sum is be+ wa/$ 9 ! majority ( ! hospitals ( ?is c\ntry ?r\gh ?is "o *annel4 ,!re is no "q t hundr$s ( ?\s&s ( doll>s 9 ! aggregate e ye> are tak5 f ! hospital treasuries ( ! c\ntry & p\r$ into local liquor deal]s' pockets & v>i\s o!r pockets t ought to be exp5d$ 9 supply+ legitimate ne$s4 ,sid5ote3 ,wa/eful ,physicians ,j :at to d ) physicians :o are habitually wa/eful is a "q4 ,x has be5 a noticeable fact 9 "s hospitals t physicians :o own$ hospitals ( _! own 7 always m economical 9 ! use ( surgical supplies ?an o!rs1 ^: only hospital exp]i5ce 0 ga9$ 9 in/itutions support$ by ! public4 ,!y knew ! co/ ( supplies4 ,!y 7 foot+ ! bills & wa/$ mat]ial meant money tak5 directly out ( _! pockets4 ,!re=e !y _h =m$ habits ( economy & 7 quick to *eck nurses :o %[$ a t5d5cy to wa/efulness4 ,if ! _s ( economy1 ! _s ( p]sonal own]%ip c\ld take possession ( ! doctors connect$ ) hospitals x w\ld mean an enorm\s sav+ 9 ! c\rse ( a ye>4 ,sid5ote3 ,tea* ,economy ,sid5ote3 ,abuse ( ,appliances ,! lack ( c>eful in/ruction 9 ! use & abuse ( hospital supplies & ! abs5ce ( consci5ti\s1 compet5t sup]vision may always be expect$ to result 9 g5]al wa/e4 ,if 9 ! v beg9n+ ( an int]ne's or nurse's c\rse 9 a hospital1 "s po9t$1 practical & def9ite in/ruction c\ld be giv5 z to ! co/ ( supplies1 & ! avoidance ( common me?ods ( wa/e1 mu* might be accompli%$4 ,if a s5se ( individual responsibility c be cultivat$ at all1 ef=ts 9 t direction _c be begun too soon4 ,x is lam5tably true t !re is p]haps no class ( employees :o c>elessly de/roy s mu* t is useful z ^? ^: names appe> z /ud5ts & employees ( our in/itutions4 ,usually :at is common prop]ty is no conc]n ( !irs4 ,a loss to ! in/itution is no loss to !m4 ,:e!r or n a feel+ ( responsibility c be ar\s$ 9 all hospital work]s is an op5 "q1 b x is wor?y ( dilig5t & con/ant ef=t4 ,"o ?+ specially ne$s frequ5t emphasis1 & t is reg>d+ ! misappropriation ( appliances4 8,use an article = ! purpose = :i* x is int5d$ & = no o!r40 ,?is _c be too ?or\ghly drill$ into !m4 ,h[ _m valuable hospital in/rum5ts are brok5 annually because nurses p]si/ 9 us+ !m to take corks out ( bottles because no corkscrew is 9 sight4 ,?is is only "o common illu/ration out ( hundr$s t might be cit$ on ?is po9t4 ,a rigid rule requir+ a money return or a replac+ ( ! article & a c>eful acc\nt ( ! articles 9 ea* dep>tm5t is ! only way to =ce a /udy ( economy4 ,! abuse ( appliances :i* r5d]s !m unfit = use1 9 an unreasonably %ort "t1 c be met 9 ! same way1 requir+ also t e article report$ unfit = use be submitt$ = ! inspection ( ! head ( ! dep>tm5t1 be=e be+ condemn$ or ?r[n away z wor?less4 ,sid5ote3 ,c>eful ,acc\nt+ ,sid5ote3 ,wat*+ ! ,exp5ditures ,by c>eful acc\nt+ 7& only 9 t way7 c be asc]ta9$ ! av]age am\nt ( supplies t %\ld be requir$ 9 c>+ = a giv5 numb] ( pati5ts4 ,if ?is av]age am\nt is g5]ally kn[n or und]/ood by heads ( dep>tm5ts1 int]nes1 & nurses1 x w be f\nd t m c>e w be ex]cis$ to keep at lea/ )9 ord9>y limits4 ,v frequ5tly ! necessity = economy is nev] br\ght to ! att5tion ( ! work]s4 ,heads ( dep>tm5ts too (t5 seem 9 no way to be conc]n$ ) ! co/ or consumption ( supplies4 ,:5 ?is condition exi/s somebody is to blame4 ,! sup]9t5d5t1 if he is ! head ( ! hospital1 z 8 (ficial title w\ld indicate1 holds m ( ! p[] ( *eck+ wa/e 9 8 h&s ?an any o!r "o or two p]sons4 ,if he does n keep 8 f9ancial eye on ! exp5ditures ( diff]5t dep>tm5ts1 if he does n give "t & /udy to ! "q ( h[ to keep curr5t exp5ses d[n to ! m9imum & at ! same "t d good "w1 if he does n1 up to a c]ta9 po9t1 regulate ! pur*ase & di/ribution ( ! enorm\s quantities ( supplies ne$$ 9 ! hospital1 & insi/ on 8 colleagues 9 *>ge ( dep>tm5ts do+ ! same ?+1 !n wa/e is inevitable4 ,if ! fa!r ( a family simply pays bills = supplies )\t hav+ a voice 9 controll+ ! consumption or use ( ^? supplies he ne$ n wond] if he f9ds ! figures on acc\nts creep+ high] & high] ea* mon?1 & t is probably :at is occurr+ 9 "s hospitals1 :]e ! exp5se is excessive z comp>$ ) o!r in/itutions do+ ! same am\nt & same class ( "w4 ,t economy & effici5cy are q compatible c be easily %[n by actual results 9 hospitals t h nev] adopt$ ! plan ( runn+ ! in/itution on a deficit1 t ei!r h to pay _! bills promptly or close _! doors4 ,sid5ote3 ,dietetic ,dep>tm5t ,no d\bt ! dietetic dep>tm5t ( ! hospital c furni% m concrete illu/rations ( wa/e ?an any o!r4 ,"s ( ?is s-call$ wa/e is legitimate & inevitable2 mu* ( x repres5ts mat]ial t %\ld n be sav$1 t has be5 r5d]$ unfit = use by h&l+1 b !re is no "q t a l>ge proportion ( ?is wa/e ( food comes f a failure to fit ! am\nt & "* ( ! food s]v$ to ! ne$s & ta/es ( ! individual pati5t4 ,a wise discrim9ation on ! "p ( ! "o :o s]ves ! food w\ld prev5t mu* ( x4 ,ano!r important cause ( wa/e comes f imp]fect prep>ation ( ! food4 ,food cook$ 9 bulk1 & ) no bond ( connection betwe5 ! "o :o cooks & ^? :o consume ! cook$ product1 is almo/ sure to be h&l$ c>elessly1 ov]done or "u-done or unpalatable4 ,food t is prop]ly cook$ & ta/efully s]v$1 s t x w appeal to ! eye & to ! palate z well1 is mu* less likely to be wa/$ or r5d]$ unfit = use by h&l+4 ,pecuni>y economy1 a l>ge "p ( x at lea/1 & also hygi5ic economy ( food & nutrition1 dep5d greatly on ! mann] ( h&l+ ( food 9 ! kit*51 9 transit1 & 9 ! w>ds4 ,success 9 fitt+ ! food to ! consum]1 !n1 dem&s skill & c>e 9 cook+ & s]v+4 ,x dem&s discrim9ation1 a prop] s5se n only ( ! physiological dem&s ( ! consum]1 b ( 8 ta/es1 & x dem&s1 besides1 prop] facilities = gett+ ! food to ! pati5t 9 its mo/ palatable & attractive =m4 ,)\t ^! ?ree factors be+ recogniz$1 wa/e is inevitable4 ,!n1 too1 ! buy] ( food mu/ c>ry a good deal ( responsibility4 ,! quality ( food pur*as$1 ! place 9 :i* x 0 /or$1 & v>i\s o!r features ent] into ! "q ( wa/e4 ,)\t prop] /orage facilities 8intellig5t economy0 9 pur*as+ & c>+ = food is impossible4 ,buy+ ov] ! telephone is "o ( ! me?ods to be disc\rag$4 ,c>eful selection ( p]i%able goods 9 op5 m>ket is ! only s5sible way4 ,"s hospitals h succe$$ 9 r$uc+ ! exp5se f food wa/e by dispos+ ( ! g>bage to contractors = a /ipulat$ sum4 ,9 ! heat+ ( a hospital !re is room = a great wa/e ( money4 ,"o small hospital1 ?is la/ w9t]1 "o ( ! mo/ sev]e seasons 9 ye>s1 sav$ two hundr$ doll>s on ! co/ ( fuel z comp>$ ) la/ ye>1 z ! result ( 8! intellig5t economy0 practic$ by ! eng9e]4 ,a v consid]able r$uction 9 ! exp5se ( ma*9]y1 light & repairs is attribut$ by ! bo>d to ! same s\rce4 ,intellig5t economy6 ,! t]m des]ves to be popul>iz$1 = ( all ?+s 9 hospitals x ne$s to be /udi$ & cultivat$4 ,?is sy/em ( daily acc\nt+ = supplies is "o t c be manag$ 9 ev5 ! smalle/ hospital4 ,an inv5tory book 9 :i* is li/$ all ! articles f\nd 9 a dep>tm5t at a giv5 "t1 su* z hypod]mic syr+es1 fe$+ cups1 dr9k+ glasses1 m$ic9e glasses1 rectal tubes1 ca!t]s1 etc41 c also be us$ = requisitions or = not+1 z furni%$1 additional articles ( t class4 ,sid5ote3 ,sy/em ,ano!r book = food supplies %\ld be br\ght to ! kit*5 or /or]oom ea* "t supplies are repl5i%$4 ,ano!r book = keep+ track ( surgical supplies %\ld be br\ght ) ea* requisition4 ,"s hospitals h also a 8l95 book10 :i* tells ! am\nt ( ea* k9d ( l95 s5t to ! laundry f ea* dep>tm5t4 ,clean l95 is not$ 9 ! book also :5 giv5 out4 ,^! books %\ld be s5t to ! (fice ea* week 7,monday morn+ is usually a good "t7 & ! am\nts suppli$ to ea* dep>tm5t reckon$ up4 ,:5 ?is am\nt 9 any dep>tm5t is excessive an inve/igation c be made ) facts z a basis4 ,reg>d+ ?is sy/em1 ,sir ,h5ry ,burdette 9 8,! ,commiss>iat0 says3 8,no true economy c ev] be expect$ "u a sy/em by :i* ! p]sons :o ord] & use supplies1 & ! p]son :o is responsible = ! bills1 bo? "w indep5d5tly & pull diff]5t ways4 ,x is absolutely ess5tial to a well-balanc$ adm9i/ration t a _s ( responsibility %\ld p]meate ! :ole e/abli%m5t1 f ! manag]1 on :om ! multif>i\s *>ges accumulate = paym5t1 d[n to ! y\nge/ probation] *>g$ ) s]v+ out ! rice pudd+ 9 h] w>d4 ,& ?is _s ( responsibility mu/ 9 all cases recognize a d\ble duty4 ,!re is ! duty t[>ds ^? = :om ea* p]son inve/$ ) au?ority ( any k9d is call$ on to provide1 & !re is ! duty t[>d ! in/itution1 repres5t$ by ! p]son next 9 au?ority4 ,:]e ?is dual s5se ( responsibility is nicely balanc$ 9 e memb] ( ! in/itution1 ! managem5t may be consid]$ p]fect4 ,to t end1 x is1 above all ?+s1 necess>y t !re %\ld be "o p]son inve/$ ) g5]al control & end[$ ) a grasp ( ! :ole situation4 ,x _c be too (t5 repeat$ t 9 ^! matt]s to "k is to control4 ,!re is no o!r road to economy4 ,x _c be compass$ by appeals to consci5ce1 n by nagg+1 n by a grudg+1 /+y giv+ out ( necess>y articles z ?\gh ! consum] 7 guilty 9 requir+ !m4 ,let ea* h\semaid "k h[ _m y>ds ( clo? %e is expect$ to use 9 h] clean+ 9 a giv5 "t1 let ea* p\nd ( l9t be regi/]$ aga9/ someone's "n1 :o %all be acc\ntable2 let ea* article be giv5 out at ! "r "t1 on ! "r day1 to ! "r p]son1 & ) ! und]/&+ t ! transaction1 slight ?\gh x may be1 has be5 not$ d[n & w duly f9d its place 9 ! weekly av]age & 9 ! record ( ! :ole exp5diture4 ,let su* a sy/em once take root & !n1 be ! in/itution l>ge or small1 ri* or poor1 hamp]$ ) old traditions or brimm+ ov] ) untri$ !ories1 a _s ( true economy w reign ?r\gh\t e dep>tm5t1 wor? f> m1 inde$1 ?an ! trifl+ secret>ial labor exp5d$ 9 its production40 ,,app5dix4 ,dis9fection--,infect$ clo?+ f w>ds %\ld be imm$iately plac$ 9 a vessel conta9+ suffici5t dis9fect+ fluid to cov] x1 & %\ld be kept 9 x till dis9fection is accompli%$4 ,! l5g? ( "t v>ies ) diff]5t dis9fectants4 ,by actual exp]im5t1 ! l5g? ( "t to de/roy bact]ia %\ld be le>n$4 ,too mu* s-call$ dis9fection is on ! %ot-gun plan1 & no attempt is made to f9d out :e!r x produces ! desir$ results4 ,mo/ dis9fectants are m p[]ful if us$ hot4 ,o!r conditions t modify ! p[] ( dis9fectants are ! k9d & numb] ( bact]ia to be de/roy$1 ! quality ( associat$ mat]ial1 z well z ! /r5g? & temp]ature ( ! solution4 ,bi*loride ( m]cury de/roys all =ms ( pa?og5ic micro-organisms & spores4 ,= ! latt] a solution ( #a 9 #ejj is ne$$1 ! exposure to be n less ?an "o h\r4 ,x %\ld n be us$ = ! dis9fection ( excreta1 because ( its prop]ty ( precipitat+ album9\s matt]4 ,?is =ms a coat+ ar\nd ! bact]ia1 :i* prev5ts ! p5etration ( ! solution4 ,?is solution may be us$ 9 dis9fect+ clo?+ or rooms1 b %\ld nev] be us$ on metal sub/ances4 ,a solution t is highly recomm5d$ = clo?+ conta9s ! foll[+3 ,c>bolic acid #c p>ts ,common s(t soap #a p>ts ,wat] #ajj p>ts ,common laundry soap is fir/ dissolv$ 9 wat]1 ! c>bolic acid is add$ & ! mixture is vigor\sly /irr$4 ,exp]im5ts ) ?is solution %[ t non-spore =m+ bact]ia are de/roy$ 9 an exposure ( "o-half h\r4 ,comm]cial c>bolic acid may be us$1 :i* is some:at less exp5sive ?an ! purifi$ product4 ,= ! dis9fection ( excreta1 a solution kn[n z ! ,am]ican ,/&>d is (ficially prescrib$ 9 ! ,unit$ ,/ates ,army1 x be+ specially /at$ t ! *loride ( lime %\ld be ( good quality1 & n h und]gone decomposition4 ,x is made by dissolv+ six ounces ( *loride ( lime 9 a gallon ( wat]4 ,= ! dis9fection ( mattresses1 live /eam %\ld be us$ :5ev] possible4 ,:5 no facilities exi/ = /eam dis9fection ( mattresses & pill[s1 a fumigation c w be f\nd v valuable4 ,fumigation ,c--,?is c is made ( galvaniz$ iron1 ) a tight-fitt+ cov]4 ,x ne$s to be ab\t f\r & a half feet high1 & at lea/ two feet & a half 9 diamet]4 ,a slat %elf1 ) iron or wire hooks t fa/5 ov] ! top ( ! c1 w be useful 9 /]iliz+ small articles4 ,?is contrivance is sup]ior to any closet1 z x conf9es ! =maldehyde 9 small space1 & c be made almo/ entirely air tight4 ,x %\ld always be rememb]$ t =maldehyde has almo/ no p[] ( p5etration1 & !re=e special c>e is ne$$ to expose all possible surfaces to ! fumes4 ,ext]m9ation ( ,v]m9--,to prev5t b$bugs 9 hospital is no easy matt] :]e pati5ts & visitors are com+ f all k9ds ( homes4 ,a lead+ hospital sup]9t5d5t recomm5ds sulphur fumigation4 ,x is said to be ! only ?+ t w effectually de/roy !m4 8,9 ord] to secure ! desir$ results ! fumes mu/ be v d5se4 ,9 prep>+ = fumigation l>ge pans are us$ made to hold f tw5ty-five to ?irty p\nds ( sulphur1 & o!r pans are fill$ ) wat]4 ,! heat f ! burn+ sulphur w cause /eam1 :i* makes ! sulphur fumigation m effective4 ,9 ord] to accompli% ! entire de/ruction ( ! b$bug1 x is necess>y to fumigate ?ree or f\r times 9 a mon?4 ,x takes ?ree weeks = ! bugs to be hat*$ & elev5 weeks to mature4 ,by successive fumigations 9 ?is way a room or w>d may be consid]$ safe1 b ?is treatm5t %\ld be repeat$ twice a ye>4 ,= keep+ b$s free f bugs1 ! foll[+ prescription is recomm5d$3 ,corrosive sublimate #a ounce ,spirits ( turp5t9e #a p9t ,coal oil #a p9t ,! corrosive sublimate %\ld fir/ be dissolv$ 9 alcohol & ! mixture us$ ?r\gh an atomiz] or oil c4 ,to ext]m9ate p$iculi ( ! head1 saturate ! hair ?or\ghly ) k]os5e = ?ree successive days & wa% ) w>m wat] & gre5 soap4 ,= p$iculi on o!r p>ts ( ! body ! foll[+ is recomm5d$3 ,salicylic acid1 #b p>ts2 toilet v9eg>1 #be p>ts2 alcohol1 #ge p>ts4 ,apply ) a flannel or piece ( absorb5t cotton4 ,"o application is usually suffici5t4 ,,c>e ,,( ,,floors4 ,! be/ f9i%1 ! ideal f9i%1 = wood floors 9 hospitals1 has yet to be inv5t$4 ,at ! ,c9c9nati conv5tion ( hospital sup]9t5d5ts ! subject ( floor f9i%es 0 discuss$1 & ! foll[+ recomm5dations made1 :i* 7 bas$ on exp]i5ce3 ,on new maple floors two coats ( ,b]ry ,bro!rs liquid granite v>ni% is appli$1 !n a f9i% compos$ ( ! foll[+ +r$i5ts3 ,"o p\nd ( p>aff9e dissolv$ 9 #a p9ts ( l9se$ oil & #b gallons ( turp5t9e4 ,?is prep>ation is appli$ once a week ) a mop by ! w>d maids1 & is aft]w>ds rubb$ d[n ) hair bru%es cov]$ ) flannel4 ,wat] or alcohol dropp$ on ^! floors s(t5s ! wax1 b spots c be t\*$ up ) ! bru% :5 necess>y4 ,on old floors two coats ( oil is us$ & !n ! above mixture4 ,:]e local conditions r5d] frequ5t wa%+ ( floors necess>y ! foll[+ prep>ation has be5 us$ ) satisfaction3 ,gra9 alcohol #e gallons ,orange %ellac #b p\nds ,canada balsam #b ounces ,ca/or oil #b ounces ,?is is a gov]nm5t =mula1 & desirable = use :]e s(t coal is burn$ = fuel4 ,x %\ld be mix$ ?or\ghly 9 a suitable vessel1 & all[$ to /& = a day1 be=e us+4 ,add alcohol if x is too ?ick4 ,apply ) a bru% aft] ! floors h be5 clean$1 & keep room vacant eighte5 h\rs to all[ "t = dry+4 ,ano!r =mula t is us$ 9 "s hospitals is3 ,p>aff9e melt$1 #f ounces2 turp5t9e1 #a gallon1 ?or\ghly mix & add s(t soap1 #d ounces4 ,mix well & let x /& #bd h\rs4 ,apply ) a wool5 clo? & rub 94 ,,! ,,presbyt]ian ,,hospital ,,diet ,,%eet 444444444 ,division ,new ,york 444444444444 #aij4444 ,w>d ,no4 444444444 ---------------------------------------- --------- ,,names ,,( ,,pati5ts ---------------------------------------- --------- ,h\se diet 44444444444444444444444444444444 ,convalesc5t diet44444444444444444444444444444444 ,nitrog5\s diet 44444444444444444444444444444444 ,f>9ace\s diet 44444444444444444444444444444444 ,milk diet 44444444444444444444444444444444 ,extra diet 44444444444444444444444444444444 ---------------------------------------- --------- ,no4 ( pati5ts on h\se diet 4444444444 ,no4 ( pati5ts on convalesc5t diet 444 ,no4 ( pati5ts on nitrog5\s diet 4444 ,no4 ( pati5ts on f>9ace\s diet 4444 ,no4 ( pati5ts on milk diet 44444444444 ,no4 ( pati5ts on extra diet 4444444444 ,total ,no4 ( pati5ts 9 w>d 444444 4444444444444444444444444444 ,att5d+ ,physician--,surgeon 4444444444444444444444444444 ,h\se ,physician--,surgeon ,,sample ,,diet ,,%eet ,sample ,page ( ,hospital ,l95 ,book ,,mon? ,,( 44444444444444 #aij444 ---------------------------------------- ------------------------------ ,day ( ,9 ,9 ,new ,req'r'd ,mon? ,9,laun-,resv4 ,article ,dis- ,l95 ,total ,miss-,rem>ks ,use dry c>d$,add$on h& + ---------------------------------------- ------------------------------ 4444444444444444444,b$ ,spreads 444444444444444444444444444444 4444444444444444444,%eets 444444444444444444444444444444 4444444444444444444,draw ,%eets 444444444444444444444444444444 4444444444444444444,*ildr5's ,%eets 444444444444444444444444444444 4444444444444444444,op]at+ room %eets444444444444444444444444444444 4444444444444444444,ba? ,t[els 444444444444444444444444444444 4444444444444444444,face ,t[els 444444444444444444444444444444 4444444444444444444,glass ,t[els 444444444444444444444444444444 4444444444444444444,roll] ,t[els 444444444444444444444444444444 4444444444444444444,surgical ,t[els 4444444444444444444 7= w>ds7 444444444444444444444444444444 4444444444444444444,op]at+ ,room ,t[els444444444444444444444444444444 4444444444444444444,dress] ,cov]s 444444444444444444444444444444 4444444444444444444,sa% ,curta9 444444444444444444444444444444 4444444444444444444,blankets 444444444444444444444444444444 4444444444444444444,m5's ,g[ns 444444444444444444444444444444 4444444444444444444,wom5's ,g[ns 444444444444444444444444444444 4444444444444444444,*ildr5's ,g[ns 444444444444444444444444444444 4444444444444444444,cov]s = ,dress+s 444444444444444444444444444444 4444444444444444444,pla9 ,b&ages 444444444444444444444444444444 4444444444444444444,brea/ ,b&ages 444444444444444444444444444444 4444444444444444444,_m-tail$ ,b&ages 444444444444444444444444444444 4444444444444444444,t4 ,b&ages 444444444444444444444444444444 4444444444444444444,special ,b&ages 444444444444444444444444444444 4444444444444444444 ,etc41 ,etc41 ,etc4 444444444444444444444444444444 ---------------------------------------- ------------------------------ ,sample ,page ( ,hospital ,ca% ,book4 ,receipts = ,mon? ( 444444444444 ---------------------------------------- ---- 4444,bal4 on h& f previ\s mon? 4444444 4444,f ,9-,pati5ts 4444444 4444 0 ,out-,pati5ts 4444444 4444 0 ,private ,nurs+ 4444444 4444 0 ,special ,nurs+ 4444444 4444 0 ,sale ( ,m$ic9e ,supplies 4444444 4444 0 ,ent]ta9m5ts 4444444 4444 0 ,int]e/ on ,inve/$ ,funds 4444444 4444 0 ,annual ,contributions 4444444 4444 0 ,o!r ,s\rces 4444444 ,total 44444444444444444 ,balance 44444444444444444 ---------------------------------------- ---- ,disbursem5ts = ,mo4 ( 44444444 #ai444 ---------------------------------------- ---- 4444,balance = previ\s mon? 4444444 4444,= ,meat 4444444 4444 0 ,fi% 4444444 4444 0 ,butt] 4444444 4444 0 ,fl\r1 ,bread & ,meal 4444444 4444 0 ,milk 4444444 4444 0 ,wat] 4444444 4444 0 ,ice 4444444 4444 0 ,potatoes & ,vegetables 4444444 4444 0 ,groc]ies & ,provisions n above enum]at$ 4444444 4444 0 ,soap & ,clean+ ,appliances 4444444 4444 0 ,fuel 4444444 4444 0 ,gas1 ,oil & ,light 4444444 4444 0 ,b$d+ & ,g54 ,h\se ,fur4 4444444 4444 0 ,nurses' ,uni=ms 4444444 4444 0 ,o!r ,tra9+ ,s*ool ,ex4 4444444 4444 0 ,w9es & ,spirits 4444444 4444 0 ,drugs & ,surgical ,appliances4444444 4444 0 ,surgical ,dress+s 4444444 4444 0 ,adv]tis+1 ,pr9t4 ,po/age4444444 4444 0 ,repairs 4444444 4444 0 ,taxes & ,insurance 4444444 4444 0 ,cont+5cies 4444444 ,total 44444444444444444 ,balance 44444444444444444 ---------------------------------------- ----