Making Good On Private Duty: Practical Hints To Graduate Nurses
Harriet Camp Lounsbery
16 chapters
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16 chapters
MAKING GOOD ON PRIVATE DUTY
MAKING GOOD ON PRIVATE DUTY
"Not to be ministered unto, but to minister"...
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PREFACE
PREFACE
Though technic is constantly changing, methods improving, and the teaching in our schools grows better and more comprehensive, the old problems in private work are ever to be faced, and still the young sister in our nursing world needs to be counselled, guided and helped. It is for these young private duty nurses that this book has been written. For six years I went up and down one of our large cities doing private nursing, and I can remember, as if it were but yesterday, the curious little sink
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I
I
You may think it unnecessary for me to tell you any more about "the patient." You will say, perhaps: "Have I had all this training, and must I yet be told how to treat a patient?" I answer that you have been taught how to watch the progress of disease, how to follow intelligently the doctor's orders, also certain manual arts, your proficiency in which is unquestionably most necessary, but there is much more comprehended in the meaning of the term "a good nurse" than this. How often do we hear st
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II
II
I suppose no nurse goes through a training school without being duly impressed by all the doctors on the staff of lecturers that they, the doctors, are the generals of the campaign. She and her fellows are the aids, and that she will be kind enough to remember this fact, and not make suggestions to him, the doctor, or give him the fruits of her ripe experience of three years in a hospital, and more or less time, as may be, since she has graduated. But though this I think you all know, there are
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III
III
It is just as necessary for the nurse to be careful of herself as of the patient, though her care must be manifested in a far different way. Always remember that to do really good work you must have really good tools. No man owning, and intelligently working a valuable machine, would keep it going at its highest speed all the time. He takes care of it, keeps it clean, renews defective parts, oils it; and then he expects it to run for so many hours, and to run well,—to do its work thoroughly. But
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IV
IV
Try to realize when you go to a house where there is dangerous illness, that the family is glad to see you when you come. You have come to help them, to stay with them, to comfort them by your presence, by your knowledge, by your experience. They have needed you, have sent for you, and are to pay you for your time. There is a general sense of relief when you are once fairly installed in your place by the bedside, yet you are a stranger. Your friend, the doctor, has told them what a treasure you
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V
V
Always have all food presented to an invalid as tempting as possible. Use pretty china and glass, if you are permitted to do so, yet not the very finest the house affords; that might make the patient nervous lest some evil befall it. Absolutely clean napkins and tray cloths, a few green leaves about the plate, a rose on the tray; the chop or piece of chicken, the bird or the piece of steak ornamented with sprigs of parsley, the cold things really cold, and the hot ones hot , these are necessitie
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VI
VI
Always be loyal to your own school and hospital. It may not have been in every respect perfect; but it is not necessary to tell strangers of its imperfections: probably those in authority are just as sensible of its short-comings as you are, and perhaps they work harder than you do to right its wrong; in any case it does no good to tell others of the things you disapproved. It may indeed be that your criticism is one-sided and unfair, that the very rules you hated and found hard to keep are the
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VII
VII
It seems to some of us, judging from the prevailing tone of nurses' conversations, that this is a veritable age of discontent. We hear that a nurse's life is confining; that it is wearing on the nerves; it keeps one from enjoying society; it is not sufficiently remunerative, etc., etc. We all know, without going into further particulars, what a nurse could complain about, and though each one's tale of woe may be perfectly true, it seems to me we are not wise, as nurses, to allow the trials of ou
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VIII
VIII
It does not occur to every nurse, when she graduates, that she has been preparing herself, during all these strenuous years of study and hospital work, for the life of a teacher. She fondly imagines that she is a nurse, and only that; but after she has been doing private duty for a year or more, she realizes that she is generally a teacher as well as a nurse, and that often she is a missionary also. Perhaps no private duty nurse needs to be told what subject she must teach; the patient or the pa
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IX
IX
One frequently hears the private duty nurse deplore the necessity of her remaining with a patient during convalescence. "I wish," such a one would say, "that I never need stay with a patient after the temperature has been normal for ten days," or, "I do not mind the first two weeks of an obstetric case, then there is something to do, but after that I am ready to leave," or again, "When my patient is ready to go out driving, I always wish she would drive me home; half-sick people are not to my ta
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X
X
To many nurses the time between cases is dreaded as a period when money is being spent for necessary maintenance, and none is coming in; a nervous time, as the ring of the telephone which may mean a call is wished for or dreaded, perhaps both; an anxious time, as no one knows how long she may have to wait; a dreary time, as the days drag on and still no call comes. It is a trying time, but much can be done in these days of waiting that is delightful in the doing, and that will prove a source of
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XI
XI
When a nurse goes to see a woman who wishes to engage her, some months hence, to care for her baby and herself, it is very nice to be able to give her, should she ask, a list of all the things she will need, both for her own comfort and the baby's. The following is a good sensible wardrobe, and will be found ample, though many articles more or less fanciful will, most probably, be added by friends. The things enumerated below should last the baby until he is put into short clothes: Slips, 10. Dr
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ARTICLES FOR THE MOTHER'S USE.
ARTICLES FOR THE MOTHER'S USE.
Perhaps it is not necessary to say why it is better to use old sheets for the bed of a parturient woman, but I will repeat that old ones are to be preferred, and really new ones, that is, only once washed, never used. New towels are of course objectionable, as being too harsh. If the patient likes a rough towel, use a regular bath towel, if you can get it. Be careful, never to let loose and wet ends of the wash cloth drag along exposed parts of the body. It is a good plan to sew your wash cloth
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XII
XII
In the first place get together everything you will need for the bath and subsequent dressing. Have the clothes all laid in order over a chair-back before an open fireplace, or over a radiator, or if no better expedient suggest itself, fill bottles with hot water, or get a hot water bag and fill that, and lay it over the clothes arranged in the order you will need them, beginning the pile with the dress and having the band the last. Have two large, soft towels and keep them warm. If possible, ha
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XIII
XIII
I suppose that no nurse deliberately chooses to go to an incurable case, yet most of us who have done private nursing have found ourselves at some time caring for one who slowly, and painfully, creeps nearer day by day to the great End. We have gone perhaps to stay a few weeks, for some acute disease, but symptoms have changed, and instead of recovery, a long, slow decline is to be faced, the nurse feeling she is needed, decides to stay and do what she can for the poor failing body, and so the w
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