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Page 40 text:
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One could go on citing many other responsibilities which are routinely accepted by your profession that were unheard of a matter of a few years ago. You, the Graduating Class of 1960, have accepted this increase in nursing responsibility as a matter of course. You have been trained to a high degree of perfection in applying your advanced technical knowledge. I might say that you have also been exposed to the living examples of the highest idealism and dedication to your profession in the environment of your Training School. I would like to suggest that you humbly recognize the contribution of your predecessors in building up the profession to its present stature. In acknowledging the work you in your turn have done to attain your degree, I would remind you of the statement by Bacom - “I hold every man a debtor to his profession.” Thus your diploma creates a debt and demands a continuing contri¬ bution on the part of each one of you for an individual effort to build your profession still higher and greater in line with the progress of the times, further adding to the inheritance you have received tonight, for your successors of the next generation. Your attainment in graduation has created a debt from you to your profession and demands a dedication of inspired service in your future professional life. Thus, in conclusion, I want to sincerely thank your predecessors in nursing for building securely the structure of the nursing profession that you are inheriting today and in congratulating you on your success, to quote to you the admonition of one of the world’s greatest medical men. Sir William Osier, ‘‘that we are here to add what we can to--not to get what we can from - Life . Dr. H. V. Morgan’s Address Delivered to Graduating Class of Nurses Holy Cross Hospital, October 1960.
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Page 39 text:
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centuries of development in our basic sciences. Truly, as graduates of today, and looking forward to still greater advances in the next quarter century, you are stand¬ ing on a threshold of broad horizons that fill one with awe when one thinks of their potential for further progress. In your professional life and in your own life time I am sure that future developments in medical knowledge will parallel the extra¬ ordinary advances in the field of science that have led to the fantastic explorations of space that are going on in our world today. Truly your horizon is without limit¬ ation. Its width, scope and depth for your future cannot be foreseen at present but can only be anticipated by the rapidity of progress that we have seen in the past and which has been so greatly accelerated in the last fifteen years. The ever broadening scope of the future brings demands upon you which, like the advances in medicine, I know are securely built on the scientific knowledge of the past and traditions and fortitude of your predecessors in bringing your profession to its present honored and respected status in our community life. I would remind you of your debt to your predecessors for the improved working conditions of your life during your under graduate and graduate days. These changes did not come about easily. Your predecessors in nursing had a tremendous battle on their hands to gradually bring about the present eight hour day. Also a forty hour week for under graduates with actual time for personal pleasure or improvement of the mind or body in other than professional work was unheard of twenty years ago. Many factors took part in bringing about this evolution of improvement in working conditions. Competitively, one could not expect girls to leave high school and undergo three years of rigorous training for their R.N. and graduate to a twelve hour work day, while their high school classmates would take a six months business course and immediately obtain employment in the business world with a forty hour week plus coffee breaks. Present conditions have been hard to attain but are of great benefit. To obtain the required number of nurses and perform all of the nursing duties in the reduced number of working hours per week, the sub-nursing aspects of bed¬ side nursing care were taken out of the hands of the nurse and performed by ancillary services. With this relief in the work load, the same number of nurses on the reduced number of working hours per week could perform adequately and effectively the essential nursing services. This reduction in hours was really a general sociologic trend in all phases of community life which required a great deal of leadership to bring about its application into the world of nursing. Coincident with these improvements, the advances and strides in medicine raised the ceiling of responsibility accepted by your profession to the elevated level that it maintains today. To illustrate this point of increased responsibility, let us consider a blood transfusion. A few years ago, a blood transfusion required the donor and the patient both present in the operating room with a surgeon and an assistant or-intern attending each one. I might say that the enthusiasm of the surgeon taking the blood from a donor sometimes produced seven hundred and fifty or even one thousand cc’s of blood but the lack of understanding of the clotting mechanism of blood meant that the patient might get four or five hundred cc’s of this mammoth transfusion and the balance was left as evidence on the ceiling, the walls and the drapes. This is not hearsay, I have seen it from the position of the donor. Today with the modern facilities of the Red Cross Blood Service, a transfusion is ordered by the attending physician and administered to the patient on the ward by a nurse who is trained in intravenous medication. Another example, is your use of the stethoscope in determining blood pressures. Formerly, the stethoscope was kept under cover and only used by an attending physician. Today, one sees girls in the under graduate stage of training checking blood pressure with the stethoscope and noting signs of impending shock. This is an increase in responsibility on the nurse that has saved many lives by initiating treatment for impending shock rather than waiting for shock to become well established. One further example, I can well recall in our intern days taking emergency calls at any time of the day or night to treat post-operative distention by passing a stomach tube and doing a gastric lavage.In cases of acute dilatation of the stomach this procedure might have to be repeated as often as every half hour much to the patients discomfort. Today, a nurse passes a nasal catheter and establishes con¬ tinuous suction drainage and then supervises this more efficient drainage and thereby avoids serious complications with a minimum of discomfort to the patient and a more satisfactory result attained.
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