Rex Hospital School of Nursing - Nightingale Yearbook (Raleigh, NC)

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LL'Z49E'Zy N nearly every hospital the Department of Surgery is the largest and most active. This is true of our hospital. We are very proud of our Surgical Department, not only because we believe that ours is the best in the State, but also because of the amount and character of work we contribute and the training and experience we derive from it. At the head of the department is the chief of the Surgical Service. There are also six active surgeons who serve two months each during the year. They care for the service and unassigned patients who come for treatment in the emergency room, or in the out-patient department or for hospitalization. To the emergency room at all hours of the day and night, come all kinds of minor accidents which are cared for by the nurses and internes. In the well-equipped clinic or out-patient department we acquire considerable experience in working with the internes and junior surgeons. The surgery is complete in all the essential details. There are three active operating rooms under the supervision of an experienced graduate nurse and her assistant. There are two most efficient anesthetists and sufiicient student nurses to assist in these operating rooms. It is here that we realize the absolute necessity of accuracy, speed, and safety in all details pertaining to operating-rooni technique. 5Vlecficine HE medical service of Rex Hospital in the past three years has undergone a remarkable increase in the number of patients treated. Formerly, surgical admissions to the hos- pital outnumbered medical admissions by about two to one. At the time of this writing the number of patients admitted for medical conditions has equaled those for surgery for the past six months and shall probably continue to do so. With this growth the charity service has more than kept pace. The thirty-two beds allocated for service patients in our hos- pital have been full constantly and the lengthy waiting list taxes at all times the best thought of our house officers in their efforts to decide who is most worthy and needy as well as next in line of admission. Of these thirty-two beds the medical service utilizes half and the conditions treated truly comprise the most important afiiictions of the citizens of this community. Seventeen

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g 2 wziilz Education HE Rex School of Nursing is the 'old- est school of nursing, and one of the largest accredited schools of nursing, in North Caro- lina. In the past few years many progres- sive changes have been made. The student body, consisting of eighty-eight students, is larger this year than ever before. We feel that this department has been privileged in obtaining the teaching cooperation of such an excellent hospital staff. Our classrooms consist of a chemistry lab- oratory, a nutrition laboratory, two lecture rooms, a demonstration room, and a library. All students have access to these at any time during the day. We consider the library quite an asset to the school. During the past few months many books, both reference and general, have been added. The course of instruction covers three years, and is based on the Curriculum for Schools of Nursing issued by the Educational Committee of the National League of Nursing Education. The changing nurs- ing school curricula is a constant challenge to the student nurse. Because the philosophy of nursing education is progressing, our school is providing her students with more adequate preparation for hos- pital and community service. 67312541 HE out-patient clinics of Rex Hos- pital meet daily in the afternoons from Monday to Friday inclusively, and also on Wednesday mornings. In the course of a year, the various types of patients make al- most 20,000 visits to the clinic. The differ- ent clinics held are: luetic on Monday, medical, cardiac, and skin on Tuesday, genito-urinary on Wednesday morning with prenatal on Wednesday afternoon, surgical and gynecological on Thursdayg and pedia- trics on Friday. The Junior League spon- sors the white prenatal clinic on Wednesday and the pediatrics clinic on Friday. Service cases for tonsilectomy and adenoidectomy are examined and admitted on Monday and Wednes- day afternoons for operation the following morning. Follow-up surgical dressings are done daily, Mon- day to Thursday, from one to two o'clock in the afternoons. Traumatic and other serious eye cases are referred to the private office of the ophthalmologist on service. The hospital-sponsored clinics are staffed by at least one visiting doctor, an interne who is assisted by the medical resident, a graduate nurse and two to three senior nurses. The clinics run by the Junior League have very much the same type of staff, except that members of the Junior League take an active part in the management of the patients. The clinics are located at the western end of the ground floor at the new Rex Hospital. Waiting rooms provide ample seating capacity for both white and colored pa- tients. Six rooms make up the examination and treatment suiteg however, three of these rooms are re- served for the use of the Junior League. Sixteen

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Dgafefziai What 'nsirrr-if HE Obstetrical Department of Rex Hospital is one of the best organized and - most complete units of the hospital. It has one entire hall which is composed of eight private rooms, three semi-private rooms, one three-bed ward, and three four-bed wards, one nursery and two delivery rooms, which contains all necessary instruments and sup- plies, including a new resuscitator for new- horns. The obstetrical nursing staff is composed of supervisor. assistant supervisor and sev- eral student nurses during the day, and a supervisor and several student nurses during the night. Each student nurse has to serve two months on the hall and one month in the nursery. The obstetrical staff is composed of the three full-time obstetricians on the hospital staff, but all the doctors have full access to the department at all times for private patients. The obstetrical staff super- vises the care of all charity patients. The obstetrical interne has a two and one-half months' service. He is responsible for all charity pa- tients. He has the opportunity of delivering all cha1'ity patients tunder the supervision of the obstet- rical staffl and assisting on all private patients. VVard rounds are made at least once a day by the in- terne and a member of the obstetrical staff. Practically all of our charity patients come through our Prenatal Clinic which is held once a week and attended by two members of the obstetrical staff and the obstetrical interne. This clinic was or- ganized by the Junior League of Raleigh and we are deeply indebted to them for their services. With continued improvement, we hope that we will be able to give mothers and infants a brighter outlook on life. Ln,-..-T - .J 1 Qadiafzici HE heads of this department, Doc- tors A. S. Root, Charles Bugg, and Charles Williams, have made this service a very in- structive and interesting one, not only to nurses, but to internes as well. Children's Hall proper is divided into three wards and several private rooms. The largest of the wards, which faces the east, has a capacity of twenty-five beds. These are separated by partitions so that isolation l precautions may be observed if necessary. At the far east side of this ward, is a large inclosed sunporch which is equipped with a Wesco sun lamp, a small but complete library and a set of infant scales. The two smaller wards have a capacity of three and four beds respectively, the former facing the south, the latter the north. The so-called Treatment Room is equipped and used for dressings, spinal punctures, hypodermoclysis, intravenous infusions. A separate unit is the Formula Kitchen, where bottles are sterilized for use, and where formulas are mixed under aseptic precautions. There are usually eight to ten nurses on duty on this hall in the course of twenty-four hours. Five of these are senior nurses. Eighteen