The Washington times. (Washington [D.C.]) 1901-1902, 1901-08-21

4
fecting plant. refriserating plant, kitchen
| with attached diet kitchen: crematory 70,
| wastes. laundry. clothes sorting room
and sewing room. receiving room for sup
! Plies, store rooms for supplies, including
| room Tor storing blankets etc during
The summer. and store rooms for the
clothing of patients The upper stories OF
this building should contain leepinp
rooms. dining rooms. living rooms and
| toilet accommodations for cooks. iaun-
| dresses, ward helpers, etc. provision be-
ing made Tor the entire separation of the
| male and female help of this grade. So
as to allow the easy transportation OF
food. clothing. ETC. the dome s. ic seryic.
building should be located so as to permi,
| connections to be made in nearly a
/ straiSht line as practicable with the ad-
| ninistration building. ward buildings
| nurses home. etc, and the floor Of the
kitchen and laundry should be on or near
| the level of the floors of the Easements
| of these buildings
| Provision should be made for a stable
| large enough to accommodate six horses !,
| two ambulances. and two general service
| wagons, with feed ROOM harness room
room for gardeners TOOLS and living
| rooms for the drivers. Special attention
the convenient and proper disposal of
| manure etc.
| "A mortuary for the accommodation of
twelve bodies will be required. Facilities
| Tor the performance of autopsies should
| be provided
| Accommodations should be provided in
separate buiiding for all necessary
| nurses. Such accommodations include
sleeping rooms. sitting rooms dining
rooms and ample bathing facilities
The srperintendsnt's residence should
\ repre- sent simply an ordinary dwelling
| of, say. eight rooms.
| While in designing all ward buildings
the same general plan may be followed,
yet the special needs of various classes
| of patients must be regarded
These classes may be briefly described
| as follows: % Medical cases: t2) surgf-
cal cases; CD obstetrical cases; (4) cases
| or pulmonary tuberculosis; t5 yenereal
cases, and (6j cases OF minor contagious
| diseases. Provision must be made for
| the separation of each of these classes
| from each other and by sex Except class
| - and by color.
Each ward building must be separated
from every adjacent building by a dis
lance at least.equal to the height of the
nlghest OF such buildings, but not less
than forty feet. All such buildings must
be connected with the administration
building and with each other by covered
ways, two stories high, and of such width
and construction as to AFFORD room for
the treatment of patients in the open air
as much as possible, even in their beds
All electric wires and all water gas,
sewer, and steam pipes should be run in
pasSageway under these corridors and
for this purpose the passageway should
be extended in as nearly a direct line as
possible to the domestic service building.
This passageway should be SO construct
ed as to permit the easy passage of trucks
or other conveyers for the distribution of
food. linen, etc
Each ward building should consist of
two stories and basement, except where
the special purpose of the building makes
greater height necessary. The floor of
the basement should be approximately
four feet below grade and around eacf.
window or around the entire building
should be an area.
The basement should be ten feet high
and should contain the wires. ducts. and
pipes leading to the wards above. Each
ward building should contain two four
wards, as the architect may elect; that is,
one or two wards on each floor. Each
ward should contain not more than TWEEN
ty beds. ten on each side. with not less
than eight feet of floor space from centre
to centre of adjoining beds. and from the
end of the ward to the centre of the near
est bed. The width of the wards should
not be less than twenty-four, nor more
than thirty feet. Ceilings should be APP
proximately fourteen feet high The al
lowance of cubic air space should be not
less than 1.50o cubic feet per bed. Wards
should be lighted by diffuSed light from
the ceiling, but sockets must be put in
the side wall near the head of each bed,
so that single bed can be lighted If nee
essary without disturbing the entire ward
Each ward should contain all necessary
accommodation rooms. etc, as ward
kitchen, serving room, and convalescents
dining room: bath room. with accommo-
dations for movable bath tub; nurses
duty room; room for patients requiring
quiet or disturbing other patients by their
noise; in surgical wards. room in which
dressings can be changed; water closets;
closet for Slop sink. with accommodation
for scrubbing brushes. etc, place for
bed pans and urinals; a place where ex-
creta can be kept pending its examination
by the attending physician; and a LIT TO
bring food from the lcwermost corridor
beneath.
Facilities should be provided for clint
cal instruction and for medical research.
For these purposes two amphitheatres and
the necessary laboratories should be in
cluded in plans submitted. Each amphi-
theatre should accommodate approximate
ly 200 students and should have facilities
for the proper disposition of their hats.
overcoats etc, and toilet accommodations
for their use. One such amphitheatre
should be designed for surgical cases and
should have the following rooms asSocia-
room for washing instruments, room for
storing Instruments, rooms FOR the prepa-
ration and storing OF dressings, steriIlzlng
rooms, etherizing and recovery rooms,
rooms for the use of the X-ray apparatus.
and a waiting room. All operating rooms
must be lighted by side and skylights-
The other amphitheatre, designed prima,
rily for medical cases, must be provided
with a waiting room and be associated
with clinical and pathological laborato-
ries, which should contain facilities for
Photographic work. and with such rooms
as may be necessary for Acknowledgment
tic and electro-therapeutic treatment
These amphitheatres should preferably be |
associated with ward building or with !
ward buildings.
zone of the ward buildings should be |
designed for use as receiving ward, viz, i
a ward where all cases can be bathed and |
given hospital clothing before being sent |
to the general wards; in which patients |
arriving at night can be held until the |
next morning instead of being sent im- !
to the wards; in which minor
cases can be held until the
patient is able to go home, and in which |
persons suspected of being insane can be |
treated pending the determination of their i
mental condition. This ward should have
an examining room, drug and dressing
room, waiting room. and storeroom for
the accommodation Of stretchers, ward
etc.
Wards designed for maternity cases
should have rooms for women in various
such rooms to be provided
with facilities for SteriliZing instruments. 1
dressing, etc, and rooms for the care of
babies. All such accommodations must
be practically In duplicate, so to pro-
vide for the proper isolation of infected
cases, but accommodation for infected
cases need not exceed 20 per cent of the |
total number of beds in such wards.
Buildings for the accommodation of
minor conta gious diseases must have liv-
ng rooms for the resident physician. |
nurses. and other attendants the |
premises. and should follow the princi-
JlcS usually laid down for the construc- |
ion of buildings for snch purposes. As |
however, the construction of such wards
= not likely to be undertaken until some
line after the general hospital has been
n operation, isolation wards for the treat
nent of cases merely suspected OF being
contagious pending their diagnosis and
'emoval should be provided in connection
With the receiving ward.
Provision should be made for the iSo-
alton of persons who cannot be treated
n the general wards OF the institution
,ecause of the foul odors incident to the