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Hospital Administration.
2. Isolation Hospitals will never accomplish the eradication of
scarlet fever, owing to missed cases, delay in notification, &c.
3. Isolation Hospitals have doubtless contributed largely in
bringing about the mild type of disease one sees at present,
because it has taken away from slummy surroundings cases which
would otherwise go septic.
4. In times of rush, epidemic and overcrowding, an Isolation
Hospital is probably worse than keeping the cases at home. Overcrowding
in hospital comes to the same thing as the slummy
house, and septic complications may arise.
In connection with septic cases, should they occur in hospital,
1 have drawn up the following rules for the nurses:—
RULES FOR SCARLET FEVER NURSING.
1. All newly admitted cases to be isolated as far as possible,
or in some way kept aparc from the others for a fortnight.
2. Septic or dirty cases are not to mingle with clean cases,
either in the wards or in the grounds.
3. Each case to have its own spray and all other accessories,
the spray to be dipped into Izal solution before and after use.
4. The nurse attending to the nose and throat of every case,
and more particularly septic cases, must wear rubber gloves.
5. The gloved hands are to be well rinsed in the Izal bowl
at the foot of each bed before proceeding to the next case.
6. Cases of ear discharge, nose discharge, neck glands, and
kidney disease may be a direct reflection on the way the nurse
does her duty.
7. Ward windows to be kept open in all weather.
8. All dressings and used wool to be burned at once.