Memoranda on Army General Hospital Administration

[Skipman]

Memoranda on Army General Hospital administration

" If the V.A.D.s are graded according to length of

service, a lower, and quite a safe, proportion of trained

staff might be adopted e.g., one sister and three staff

nurses to three senior V.A.D.s and three first-year

V.A.D.S (II.).

These establishments for 1,000 equipped beds are as

follows :

I.

Matron - 1

Sisters (1 Assistant Matron) - 19

Staff nurses - - 56

V.A.D.s - -_56

132

For 750 patients or less.

Eight additional V.A.D.s for every 50 beds occupied over

750. Nursing ratio, 5-8. Proportion of

"

trained

"

to

"

untrained," 7 to 5; if all beds are occupied, 7 to 9.

II.

Matron - 1

Sisters (1 Assistant Matron) - - 14

Staff nurses - - 39

V.A.D.s, senior - - - 39

V.A.D.s, first year - - 39

132

For 750 patients or less.

Eight additional V.A.D.s for every 50 beds occupied

over 750. Nursing ratio, 5-8. Proportion of

"

trained

"

to

"

untrained," 5 to 7; if all beds are occupied, 5 to 11. "

Mike

[catfishmo]

Very helpful book for anyone researching the inner workings of a British Medical Facility. Here is the book description I wrote to 'create' the book on Goodreads:

ebook is available free online: https://archive.org/details/memoranda...

Written in 1917 by various physicians of the British Royal Army Medical Corps, Memoranda on Army General Hospital Administration seeks to provide a guide on the various aspects involved in the set-up and maintaining a large medical facility during time of war.

Table of Contents includes:
-Introduction
-Officers
-Coordinating the Civil and Military Medical Demands during a Prolonged War
-Nursing Services
-Kitchens and Cooks
-The Medical Division
-The Surgical Division
-Camp Sanitation
-Clerical Duties

The book contains diagrams of some of the topics discussed (hutted kitchen layout, ideal hospital grounds layout, grease traps, etc) as well as some numerical data (such as suggested number of surgical instruments required for various size hospitals, recommended staff to patient ratios, suggested items for operating theatre, suggested items for 30 bed hut, gallons of water needed per patient per day, etc)

Clearly the intent was to give a report on what had been learned in the early days of World War 1, suggestions for improvement, and to provide a written guide of sorts as future hospitals were assembled--be it in existing buildings, huts, or tents.