The American hospital of the twentieth century; a treatise on the development of medical institutions, both in Europe and in America, since the beginning of the present century . within i)lain view of the nurse andvisitor and separated from each otheronly by plate glass partitions, I was verymuch surprised. My training had beenthat to care safely for contagious casesone must, at least, have separate depart-ment, if not sej^arate buildings. Whatwas my greater surprise to find that whilethese various diseases were in the samebuilding and being cared for by the samenurse, the record of the five y


The American hospital of the twentieth century; a treatise on the development of medical institutions, both in Europe and in America, since the beginning of the present century . within i)lain view of the nurse andvisitor and separated from each otheronly by plate glass partitions, I was verymuch surprised. My training had beenthat to care safely for contagious casesone must, at least, have separate depart-ment, if not sej^arate buildings. Whatwas my greater surprise to find that whilethese various diseases were in the samebuilding and being cared for by the samenurse, the record of the five years pre- sections—that for the very ill patientsand that for convalescents. Betweenthese two sections are the servicerooms (Fig. 150) and fresh air pas-sages, so that the patient must passthrough an area of fresh air in beingtransferred from one department toanother. (b) In caring for all cases, the nursewears a special gown for each room orcubicle, never removing the gown fromthe room except for cleansing. (c) After handling the patient oranything which the patient has touched, •HyRiene Hospitaliere, J. B. Bailliere et Fils;Paris, 1917. OF THE TWENTIETH CENTURY 109. FIG. 151. FLOOR PLANS-WHITE ISOLATION BUILDING, ST. LUKES HOSPITAL, JACKSONVILLE, F. Stevens, Architect; Mellen C. Greeley, Associate Architect. no THE AMERICAN HOSPITAL the nurse washes her hands thoroughly,(d) All utensils are disinfected byboiling or otherwise. This is Dr. Martins description ofthe rooms: The partitions of the room areglazed to facilitate surveillance and torender isolation less irksome to thepatient, for through the glass parti-tions the patient remains in contactwith the world outside, which is agreat comfort to him. The patient in his room ought tobe sheltered from all cross infection,whether it be from the hospital or fromoutside. Everything which enters theroom shall be sterile, or at least freedfrom all noxious germs. All thatleaves his room must also be other


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Keywords: ., bookcentury1900, bookdecade1910, booksubjecthospitals, bookyear19