CIHM Microfiche Series (■Monographs) ICMH Collection de microfiches (monographles) Canadian Intthuta for Hiatorical MIcroraproduetlona / Inatltut Canadian da microraproductiona hiatoriquaa TMhnical and MbNofrapMc Horn I Notat tKhmqua ct bibliorep<>it»»ti Tvl9 MilS^VV ■9900*1119 *W«v 0f0 pOWIDto 6PflMQ#nfl9 ttl0 OOIIqH of tha Offl^nal capy and in haa pi ng Oftainal ^baI^ in — i« »ii» TINUEO"). or tho symbol ▼ (moaning "END"). Mapa> plataa> ohana« aiBat mtf/ bo fNmod at dNfarant roduction ratioa. Thoao toe larga to bo ontirohr ineludad in ono aapoauro aro fHmad boginning in tha uppar ioft hand eomor, loft to right and top to bottom, as many framaa aa raquirod. Tha following diograma iiluatrata tha L'aKampMro fNrnd fut roproduH grico i la Matropolitan Toronto Rafaranca Llbrar> Buainaaa and Social Sdancaa Dapartawnt sidvantaa ont did roproduitoa avac la ' I. oompto tonu do la condition at da I'oao m pialra fihnd. at an laa oo n dW ono du eontrat da phM grand OT w nonaia uuiiiiNiniia ^ orlglnoux dont la eouvortura an popior oat imprlmda aom fHmda an eommoncant par la promior plot ot on tormlnont soit par la damidra paga qui eomporta uno ampralnta dimproaslon ou dlHuatration. soft par la sacond plat, aalon lo eaa. Toua laa autraa aaamplairaa originoux sont fHmda an eommon^ant par la pranddro paga gtd eomporto uno omprainta di m praaala n ou dIRuatratlon ot on torminant par la darMdro pago gul eomporto uno telle tin dee aymboloa suhwnts appertftra sur la damidro image do cheque microficho. salon lo ees: lo symbole -^ signifie "A SUIVRE", ie symbolo ▼ signifie "PIN". Lee eertes. plenchea. taMoeux. etc.. pouvont dtre fHmda d dee taux da rdduction dHfdrents. Lorsque Ie docuntont eet trop grend pour dtre reproduit en un soul cNchd. H set fHmd A pertir do I'engle supdrieur geuche. do geuche A droits. ot do haut en boa, en prenent ie nombre d'imegee ndceaaaire. Laa diagrammes suivants HHietrent ie mdthodo. 1 2 3 1 2 3 4 5 6 **'C«OCOfV MIOUinON 7BT OUIT (ANSI ond aO TEST CHART He. 7) A (71») 288 - 99m - F« { TXJ Toronto Public LIbrar: | (Pamphlai CniUetiom) mc? .+ *' OF THE RIVERDALE ISOLATION Hospital TORONTO ^Xl m- r ANNOUNCEMENT OF THE RIVERDALE ISC' "TION HOSPITAL TORONTO * TORONTO : Tkc Cartwcll Compiny. Limitecl, Printers, 28 AJclaiJc St. East. RIVERDALE HOSPITAL ANNOUrrEMENT OP THE River Ja!e Isolation Hospital TRAINING SCHOOL The Riverdalo Ixolation Ifospital 'rraining School for Nur«c» was established by Dr, Charle* Sheard, Medical Health Officer, of Toronto, in 1895. Its organization was lue to the nccessi* for having t lined and okilled nurses in the Hiverdale Isolation Hospitdi, and for t. >ur- pose of iffording those desirous of becoming profesj>ional tiurses 'y«- tematie course of instruction, both in theoretical and prnoHi-al work pertaining to the nursing of contagious diseases, practical disinfection, and other details incidental thereto. Such > . rKJiicnce ••■ !d not be obtbined in other Hospitals, owing to the fac* ' ..t patiento contracting contagious diseases were immediately removed therefrom. Many additions and improvements have licen made to the Hospital, and also to the course of instruction since the S( hool started. A new building, separate from the others, was erected, mainly for tlie care and treatment of Scarlet l-'ever cases. It is capable of accominoi'ing a testimonial of no ordinary character. Time and THaining. The length of the course is two years and six months, and is divided into Probational, Junior, and Senior Periods. Classes are formed dur- ing the spring and fall of each year. Requihements for Admission and RubES Governing Candidates. Applications should be made to the Superintendent of the Training School, personally, whenever possible, and l)y the Form of Application appended hereto. Candidates must be women between 21 and 35 years of age. They must be of average height and weight, good physique, and in a healthy condition. Ther must submit satisfactory- evidence of possessing a good English education, and ability to undertake the course of study. - Preference in selection will be given to those who have had the advantages of a High School course, or its equivalent. Candidates are requested to write the answers to questions in the " Form of Application," and to ifiturri said form to the Superintendent, with a letter of reference from a physician of good standing, certifying to their mental and physical capacity for the work, and one from a clergyman, testifying as to moral character. Candidates who are approved will be admitted on probation for two months, at the expiration of which, upon fulfilling the requirements, they will be finally enrolled as Junior Nurses, and receive the uniform of the School. They will then be required to sign an agreement to sub- mit to and carry out the rules and discipline of the School and Hospital for the full period of two years and six months from the date of entrance, or as long as they may remain nurses in the institution. The Medical Health Officer, upon the report of the officer or officers of the Riverdale Isolation Hospital, may at any time suspend or dismiss a nurse for misconduct, inefficiency, neglect of duty, or any other cause that may be deemed by him sufficient. Any nurse tendering pa < > fa H < o to H H 3 O < her resignation during her course of training must tender the same in writing to the Superintendent of the Training School, and the Medical Health Officer will in each case determine whether the reason offered is sufficient to justify its acceptance. Unifobm. Every nurse when on duty will be required to wear the uniform of the Riverdale Hospital, but will not be permitted to wear it in public places, upon the street, or beyond the precincts of the Hospital. Mater- ial for two uniforms, with caps as required, and six aprons, will be provided each year, but nurses are required to pay for the making up of their own uniforms. Each nurse will receive $12 per month during her first year, and $16 per month during the remaining period. In case of illneijs, nurses will be cared for gratuitously, while in the Hospital, l)ut in the event of their being off duty, or leaving the Hospital on account of illness for any period over one month, the time so lost mu:*t be made up at the end of the term. Nurses will be recjuired and are expected to meet emergencies from time to time incidental to their work, and will be required to perform such duties as may be assigned to them by the Superintendent, and to implicitly obey her orders. THE COURSE OF STUDY AND TRAINING. This course will consist of three distinct and' separate divisions of study : (1) Ward practice and practical training. (2) Special courses of lectures and instruction by special lecturers. (3) Dietetics and Hospital Economics. Ward instruction, during the first two months, consists of the care and cleanliness of the sick room; care of bathrooms; practical ventila- tion ; carbolizing of beds ; use and care of Hospital appliance:* ; care, preparation, and arrangement of ward linen, and supplies; the making and preparation of beds; bathing of patients; setting of trays; serving of food and beverages, and preparation of same; taking and recording of temperatures, hospital charts, etc. Subsequent ward training will include practical care and tendir ' of patients; observation and recording of important symptoms, changes, and developments; the use of special appliances; throat spraying; inhal- ations; handling and care of inhalers; steaming ami steam inhnlatinn ; I PC Ex H < H n > S5 O \*' anointing and inunction; medicated baths; nursing in intubation cases; care and cleansing of intubation and tracheotomy apparatus, and all details pertaining to the nursing of Scarlet Fever cases. Didactic Coi use. Lectures will be delivered for the most part in the evenings, three times a week, during the session. They will comprise instruction in Contagious Diseases, including Diphtheria, Scarlet Fever, Small Pox, Chicken Pox, Septicaemia. Pyaemia, etc., with r. special course on Medi- cal and Obstetrical Nursing, care of the new-bom babe, infant feeding, and diseases of children. These branches will be under thf: direction, of the Medical Health Officer, Charies Sheard, M.D., CM., M.R.C.S. A short course on Bacteriology, with especial reference to Patho- genesis, will be given ay Prof. E. B. Shuttleworth, Phar. D., F.C.S., City Bacteriologist, who will also tako up the subjects of modes of Infection and Disinfection, and Serum Therapy. He will also intro- duce the subjects of Materia Medica and Pharmacology, which will be further elaborated in the classes under the Lady Superintendent. The lectures on Anatomy and Physiology will be delivered by Charles B. Shuttleworth, M.D., CM., F.R.C.S., Associate Professor in Anatomy of the University of Toronto. This course will include lee- tures on the structural elements of the bdy, the skeleton, joints and articulations, the tissues, the vascular systeiii, viscera, etc., and will also embrace the physiology of circulation, digesion, assimilation, secretion, excretion, etc. Dietetics and Hospital Economics will comprise a course of eighteen lectures and demonstrations under a teacher on the staff of the Tech- nical School, who will take up the chemistry of foods, general principles of cooking, .d the preparation of food and beverages for patients suf- fering from various diseases. Classes will be regularly held throughout the session by Mu Sate Mathieson, the Lady Superintendent, who will take up special subjects, auch as instruction in Practical Nursing, the ethics of nursing and conduct in the sick room, and will also review and elaborate the sub- ject, indicated or presented by the lecturers, more particulariy those relating to the details of Materia Medica. Obstetrics, Gynsect gy, and Surgery will be taught by a tlireo months' course of instruction in the Woman's Hospital, Detroit, such time to be counted as part of the special training course in the Biver- dale Hospital. 11 > H 0! H > 04 . Tho Junior Examination will be held at the completion of the firal year's course, and those successful in passing it may, on the completion of the course of instruction, tale the Senior Examination, which if successfully passed, wil' entitle the candidate to the receipt of the Hospital Diploma, and Class Badge or ^ledal. Text Books. Anatomy and Physiology — Kimber. Principles of Nursing, First Year — Weeks. Principles of Nursing, Second Year — Hampton. Nursing Ethics — Hampton. Materia Medica — Dock. Chemistry — Roscoe. Dietetics — Pattee. Books of Reference. Anatomy — Kimber; Gray. Physiology — Lewis; Kirke. Bacteriology — Stoney; Macfarlane. Dietetics— Roland ; Pattee ; Friedeiiwald & Ruhrah ; Fothergill. Hygiene — Abbott; Parkes; Mitchell. Fever Nursing — Wilcox ; Wilson ; Paul ; Woodbridge. Gynaecology— Skene ; Stewart; Albutt & Playfair. Materia Medicar— Dock ; Bruce; British Pharmacopoeia. Therapeutics — Hare ; Wood. Obstetrics— Fullerton ; Wright; Jewett; Cooke; DeLee. Medicine — Osier; Albutt; Stevens; Hughes. Children's Diseases— Holt ; Asliby & Wright ; Gmldart & Still. Surgery — Voswinke' Wharton; McMurthy; Fowler. Nursing— Nightingale ; Robb; Weeks; Stoney; Anderson; Watson. Bandaging — Leonard ; Wharton. RULES FOR NURSES. Each nurse will be allowed half a day off each week, half a day on Sunday, and an annual holiday of two weeks' duration. All such times shall be fixed at the discretion of the Superintendent, and, except by special permission, every nurse off duty must return to the Hospital and report by 10 p.m. sharp. Nurses must not reprimand patients, but treat them with kindness and consid ration, and the personal and professional affaiis of the patient must be held in strict confidence. 13 CommancU or orders from the patients must not be obeyed, but referred to the Supervising Nurse or Superintendent Nurses will consult as far as they can the tastes and wishes of the patients, as to the serving of meals, which should be done in an attractive manner. Every nui-se when going off duty must leave all utensils neat and orderly for the nurse coming on duty, and to see that all necessary medicines, supplies and appliances are ready for use. Nurses will not be allowed beyond the Hospital grounds while wear- ing their uniforms, and any nurse wearing her uniform outside of the grounds will be liable to be discharged. The hours for duty are: — For day nurses, from 7 a.m. to 7 p.m., and for night nurses from 7 p.m. to 7 a.m. Nurses must be ^^unctual both in going on and coming off duty. Nurses will be allowed two hours for meals and rest out of the twelve hours of which they are on duty. Nurses must not leave their wards without permission from tlie Head Nurse or Superintendent. Nurses are not to visit from ward to ward, nor be in any ward except where on duty. Prompt attendance at classes and lectures is required; illness or Aity are the only reasons that will be accepted for non-attendance. Strict economy must be constantly practiced in the use of hospital supplies, including drugs, dressings, food, linen, gas, and electricity, and good care must be taken of hospital appliances, furniture and all other property. SuPEBVisma Nurses. Each Supervisor shall be a Graduate Nurse, under the direction of the Superintendent. She shall have charge of the department assigned to her, and of the patients therein. She shall be immediately responsible for all supplies and utensils, and proper management of the ward. She shall not leave her department without notifying her Senior Nurse, who will then take chaise and be responsible for the care of the patients and for the \minterrupted performance of the Supervisor's duties. Promotion to the position of Senior Nurse will be determined by competency and merit, not by seniority. The Supervising Nurse shall make rounds with the Resident Physi- 14 tiian and visiting physicians; give them the necessary attention and assistance; receive orders for treatment and diet of patients, and HhaM Mv that their orders are implicitly obeyed. It shall he her duty to assist in the insttructioii of pupil nurses in the principles and practice of nursing. She shall make out all requisitions for the daily supplie>» *rom the store room and linen room, and return to tiie sewing room at./ hospital linen requiring mending. The nurse in charge must see that the orders for the Night Nurse are written out, and that the latter thoroughly understands them. A verbal report must also be made, and shall include nny changes that have transpired, and the exact condition of tlie ward. She must also receive every morning from the Night Nurse a report as to the condi- tion of the patients, and orders left during the night. Night Sl'Pkrvisoh. Her hours are from 7 p.m. to 7 a.m. She shall be allowed one evening weekly, and every Sunday eveniiifr, until 10 p.m. One entire night every month will be granted when the work of the Hospital per- mits. She shall make rounds with the physicians and visit the wards at least every two hours, when possible, and shall be at all times subject to call to different departments. She shall devote special care to patients 8«riously ill, and g4ve extra time to the nurse who is most in need of assistance. She shall. report to the House Physician any change in the patient's condition. She shall be responsible for the night nurses, and any misconduct or neglect must be corrected by her and reported to the Superintendent. At 7 a.m. she shall report to the Supervisors the condition of the patients, and anything of importance that has occurred in their depart- ments. When patients are admitted the nurse in charge must see that the clothing is carefully listed, enumerating each article on the Hospital tag, also a duplicate list in the clothes hook, with full name of patient and address, date of admission, and name of ward, and the full signa- ture of the nurse listing it. When a patient is admitted his pulse, tem- perature and respiration ir>u8t be immediately taken. Every patient must have a bath when admitted, unless the contrary is ordered by the 15 OG Sz; doctor, or the condition of tiie pktient <<>ntniindi(iite« the tuith. Any change in the condition «>f the patient nm«t be promptly reported to tiw Doctor. All valqablet and money belonging to the patient tnuit be tent to the office for ufe keeping. The Hoapital will only be reeponsible for raluablea to disposed of. The patient'a soiled linen must be listed, tied in a separate bundle and sent to the laundry. Upon rutum from the laundry each article must be compared with the duplicate list and checked off. The nurse in charge mui«t see that all patients wlien discharged have a disinfectant bath, and an entire change of clothing, and that they leave the Hospital properly dressed. The patient's personal effects that were listed in the clothes book most be accounted for and checked off by the nuri40, and all clothing in Uie Hospital belonging to the patient must be disinfected by the steam disinfector, when possible, or boiled in case of linen, l)efore being re- moved from the Hospital, and the friends of the patient arc supposed to m pply them with such change of clothing that the»e regulations may be carried out, an» that the patient may leave the Hospital properly dressed. The nurse in charge must accompany the patient to the Office and deposit there the Chart and Card. Upon the apparently approaching death of a patient, the attending House Physician must be notified. After death has been pronounced, a written notice of the fact, including the name, date and hour of death, must be sent to the office. The body must be carefully prepared and all jewelry removed before sending to the ^lorgue. A slip with the name, date and hour of death must be pinned on the sheet covering the body. All the personal effects muist be listed, disiv .ied in a pack- age, labelled with the owner's name, and sent to th ' c. RULES FOR THE NURSES' HOME. The nurses are requested to take a personal interest and pride in the care of the Home, and their rooms. The latter must always be open for inspection, and the occupants are required to keep them in such a condition that they shall always present a neat and orderly appearance. The hour for rising is 6 a.m. Before leaving the Home each nurse IT o » 00 as most make h«r bed, dn»t aod arrange her room, the waahatand innat be left in order, the baaina emptied and dried, the pitcbera placed in them, and the towela folded and hung upon the rack. The roonu muat be aired daily by opening the windows on leaving the roomi. All artidea of clothing muat be kept in their proper placea. Soiled or clean bedding moat not be stored in the nunea' cloaet^. Cloaeta and drawera muat be kept neatly. Diacarded articlea of clothing muat not be left III the room. On leaving the room at night, even for the ahorteat •.ime, the gaa muat be lowered or turned off, and all lights muat be put out at 10.30 p.m. Bed linen muat be changed and all aoiled linen muat oe placed in a bag ready for the laundry every Tueaday morning. The walla or woodwork must not be defaced with pencil marks, tacks, pina or naila, nor muat matchea be scratched on the walls. Xight nurses must be in their rooms before 11 a.m., and will not be permitted to go out during the day before 6 p.m., without penniasion from the Superintendent. At 10 p.m. the lights in the sitting-room and hall" will be put out. Nurses are not privileged to use the telephone except by special permiaaion of the Superintendent Money must be deposited in the office for expected C.O.D. parcels,, otherwise they will be returned to the (teliverer. The Hours fok Meals Abk: Breakfast, 8.30; First dinner, 12; Second dinner, 12.30; First supper, 5; Second supper, 6,30. Night Nurses: Breakfast, 7.30; Dinner, 6 p.m.; Night lunch, 12. Nurses must be prompt and regular in going to meals, and must not linger in the dining-room after meals. Lunching in the nurses' room without permission is forbidden. Upon returning to ihe Hospital after holidaya, or absence from other cause, nurses are to report to the Superintendent before going to the Home. Gradi'Hte nurses on special duty in the Hospital are required to observe th« 'eneral rules governing the Hospital and the Home. in FoBM OF Application fob Rivehdale Isolation Hospital, Toronto. 1. Name in full, and present address 2. Age last birthday, date and place of birth 3. Religion 4. Are you married, single, or a widow ? 6. Where educated 6. Your present occupation or employment 7. Height Weight 8. Are you strong and healthy, and have you always been so? 9. Have you any physical defects? 10. Have you any tendency to pulmonary complaints? 11. Have you any private means of your own? 12. Do you intend following nursing as a profession? 13. Have you ever nursed before, or been in a training school for nurses ? 14. Have you applied elsewhere ? 15. Are you free from domestic responpibility. so that you are not liable to be called away during your training course ? 16. Give the name and address of two persons to be referred to. State how long each has known you. If previously employed one of these must be your employer r SI) r S8 m\ Sll> CiR ss cm '■^.' nfC 1i<»(i4