New Britain herald., 1928-06-20

Island: Warrington, D. c.: Hartford:
New Orleans, louisiana; Richmond.
Virginia, and Maternity Center as
ISOLATION. New York. were quoted.
In conclusion Hazel Corbin. director
Maternity Center association, New
York city, made a summary in
which she said. that since the object
of a delivery service to a commun-
ity was first to reduce the infant
mortality and second to secure the
maximum Of comfort and the mimi
mum OF discomfort to a patient.
method should be used whereby there
is provision made early for prena-
tai care for every patient by doctor
and nurse, and provision for attend
ance at delivery from the time la
Dor begins until the mother and ba-
by are both comfortable. She stat
ed that if. because of cost, there had
be in the limitation of post-natal
visits.
Exercises as d part of immediate
post-natal care now recommended
by leading doctors, can very we'll be
substituted by the exercise OF the
! daily bed care usually given by
nurse. The Visiting Nurse service for
f, post-natal care is at its best only
partly adequate because 1t cannot be
| constant Teaching therefore of
member of the family or neighbor
or a practical nurse, must always be
done in order to insure care to the
patient between the Visiting Nurses
visits. At this point many good visit
| ing nurses fall short. and conclude
that they have given the patient fine
service if each day they have given
her the perfect general post-partum
| care which they We're taught to give
in the hospital without reference to
what happens TO her between the
nursing visits In brief, then, Miss
Corbin recommended more home
confinoments tunlcss hospital results
were known to be satisfactory, sec
ond. attendance through labor and
three, more and better teaching on
the part OF the visiting nurse.
The report went on to say that
!
utilization had to do with the con-
Germ of the staff as whole for the
utilization education. In some associ-
atoms the student nurse is barely
tolerated by the staff and her a1fii-
alton is an uncomfortable expert
ence in which she does poor work.
In others the staff responds to the
call of giving every possible bit of
good experience to the student and
assisting to make that part OF her
training a successful educational ad-
venture.
Regular system for introducing
the student nurse is necessary and
supervision must be allowed. Student
nurse experience sheets are recon-
mended with a record at the end of
the students service showing the
types of service which she has had,
the length Of service and her grade.
The educational requirements
recommended for supervisors was
High school matrlculation, college II
possible and graduation from a
recognized school OF public health
nursing.
From the paper by w. +. Walker
D. 7. IT,, field director Of the Amer
lean Public Health association, on
Appraisal Of Nursing Service, it was
plain to be seen that all of us need
to stand back and look at our jobs
with the idea of deciding whether o.
not We are getting the results which
the community wants.
To appraise, said DIR. Walker, is 10
estimate generally, the quality
worth, size and extent of our work
A measure of quantity for instance
is visits (per service or unit Of popu-
lation). Visits on the purely quaint.
tatiVc basis must be guarded against
The element Of travel must be con.
sidered and the amount of teaching
which is done. To note the number
of visiting hours and the number o.
visits made is a better picture thar
that produced by the number O
visits made during the whole day
The proportion of the population
reached is another measure of guam
tity. What proportion of the popula
ton uses the service: Why no
more?
Considering quality, some of tn,
phases for consideration are: Arr
you following d manual as a stand
ard OF technique? How many visit
per case are you making?-enougl
or ;St int
val between VISITS it too long
Are mortality rates in your city be
ing lowered? Arc you analyzing you
visits" Does each OF your visits hav,
Il purpose or are some of then
merely social calls when you pet tn,
baby or look at mothers new dress
DO you get, and record, result OF
each Of your visits? DO you max
your return visits soon enough Il
hold your influence: DO you review
your cases 10 see if everything whicl
ought to be done. is being done
Remember records are a worker
: tools and are valuable to her only a
: she uses them.
Costs Of Service
! Concerning costs of scrvice-thes
should be made as a result of
study and not purely on an emo
tional basis as has frequently bcel
done. Collection Of costs by nurse
in the same way. is purely a matte
I of business, never to be guided b.
2 sentiment.
: Harriet Frost, department of pub
= lie health nursing, Pennsylvani
= School of Social Work, in talkin
! about staff education program, dc
9 plored the nurse who resigned her
e self to her knowledge acquired dur
e ing training and made no furthe
e effort. and the board member VIII
' could not see a need for continuou
l staff education.