Action of the Trustees of the Boston City Hospital Upon the Petitions for the Introduction (Classic Reprint)

Action of the Trustees of the Boston City Hospital Upon the Petitions for the Introduction (Classic Reprint)

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Excerpt from Action of the Trustees of the Boston City Hospital Upon the Petitions for the Introduction

The setting apart of certain existing wards for hom?opathic treatment, which was admitted as more desirable, and which was quite generally advocated by the petitioners, would undoubtedly in part reduce the practical difficulties, but would only lessen and not overcome them. The Hospital is a compact whole, with ward divisions, not now, in the opinion of the Trustees, sufficient in number to make so extensive classifications as are desirable. Patients are assigned to the various wards according to their sex, age, and the nature of their complaints. Patients, nurses, and house officers must be transferred from one ward to another, according to the exigencies of the cases and the service, and the whole is overlooked by single supervisors in different departments, all subordinate to a general superintendent, who is responsible to the Trustees.

The successful and economical administration of an institution with an average of three hundred and fifty patients and in all of five hundred and fifty people, almost literally under a single roof, depends largely upon the harmonious working of its different departments. If different methods of practice are introduced into different wards there must be constant confusion and trouble arising among house officers and nurses attempting sometimes to follow one system and sometimes another. Nurses and house officers, if possibly mentally qualified to pursue their duties under opposite methods and different masters, can hardly be expected to be neutral in their opinions, and perhaps prejudices, and just complaints would inevitably arise, and a harmonious administration of details could not be expected.

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