Guide for Inspection of Hospitals
and for Inspector's Report:
Confederate States of America.
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Joshua McKim and Natalia Smith
First edition, 1999
Academic Affairs Library, UNC-CH
University of North Carolina at Chapel Hill, 1999.
Call number 1042 Conf. (Rare Book Collection, UNC-CH)
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Library of Congress Subject Headings, 21st edition, 1998
LC Subject Headings:
Hospitals -- Inspection -- Confederate States of America.
Military hospitals -- Confederate States of America -- History.
Confederate States of America. Army -- Medical care.
United States -- History -- Civil War, 1861-1865 -- Hospitals.
United States -- History -- Civil War, 1861-1865 -- Medical
Celine Noel and Wanda Gunther
revised TEIHeader and created catalog
record for the electronic edition.
1999-07-14, Natalia Smith, project manager,
finished TEI-conformant encoding and final proofing.
Guide for Inspection of Hospitals and Inspector's Report.
1. Date of visit; name of hospital; owner; period of occupancy; rent per month;
contract made with whom.
2. Situation of the hospital; health of the vicinity; miasmatic and meteorological
influences; nuisances existing; obstructions to ventilation; facilities in yards and
gardens for exercise of patients.
3. Construction of the building and adaptability to the purposes of a hospital
in different seasons; light and ventilation by windows; supplied with water and gas
fixtures; rooms in the building or contiguous buildings for office, apothecary shop,
laundry, kitchen, dining rooms, store rooms, bake houses and privies; estimate of expense
in fitting up and repairing building and out-houses; capacity of hospital, estimating fifty
square feet floor surface for each patient with ordinary wound or disease, and in wards set
apart for pyemia, hospital gangrene, erysipelas and typhoid
fever, 100 square feet; pitch of rooms and number of wards; number of hospital tents.
4. Medical staff; name, rank and date of appointment of surgeon in charge; name,
rank, &c., of other medical officers; if contract physicians, stating, also, amount
of monthly pay, and by whom contract made; have the commissioned officers been before
the examining board of surgeons; hospital steward's name; by whom appointed; pay per
month; is the number of hospital attendants in conformity with Medical Regulations,
5. Surgeon in charge; has he forwarded duplicates of his special requisitions
of medical supplies, in all cases to the Surgeon General--Paragraph 18, Medical
6. In transmitting or receiving medical supplies, have duplicate invoices or
receipts been transmitted the Surgeon General.--Paragraph 19, Medical Regulations.
7 . On taking charge of hospital, were the medical supplies on hand accounted
for and reported to the proper credit.--Paragraph 20, Medical Regulations.
8. Are the wards designated by names, letters or numbers; the beds numbered
and patient's name, diagnosis, date of admission, &c., on a card at the head of
9. Does the surgeon in charge inspect each ward and every part of the hospital
10. Has he placed every ward under some assistant surgeon, making him responsible for good order in the wards, and proper dieting and medical treatment of its inmates.
11. Does he visit daily, or as often as necessary, such cases as require his advice, consultation or active interference.
12. Does he require one of his assistant surgeons to be on duty at all
times, night and day.
13. Does he divide the responsibility of the clerical and apothecary
departments between his two assistant surgeons as required in paragraph 26,
14. Does he require the steward to securely preserve the
"hospital stores and supplies," accounting for their
issues and distribution according to form 8, Medical Regulations.
15. Are rules and regulations adequate for the ends set forth in
paragraph 28, Medical Regulations, conspicuously displayed.
16. Does he require the ward-masters to keep an account of the effects
of patients, take proper care of them, and turn over the effects of deceased
soldiers to the authorized receiver; to keep a record of hospital furniture, &c.,
and a weekly inventory of articles in use as required in paragraph 30, Medical
17. What is the condition of persons and clothing of patients, and the supply of hospital clothing.
18. What is the condition of the beds and bedding; how often straw changed.
19. What is the condition of the floors, walls and windows of the wards.
20. What is the condition of the spittoons, bed-pans, slop-pails, &c.
21. What is the condition of the kitchen, store-room and kitchen furniture.
22.What is the condition of the food used, and cooking and serving of meals.
23. What is the condition of dining-room, diet tables, times of eating.
24. What is the amount of vegetables, antiscorbutics and condiments used.
25. What is the condition of the laundry and linen-room.
26. What is the condition of the bath-rooms, supply and quality of water.
27. What is the condition of the privies, construction and situation. Use or
requirements of disinfectants, and the most efficacious.
28. Have any economical, ingenious or scientific improvements been made in
the steward's department.
29. Are the register, order and letter book, case, prescription and diet
books, copies of requisitions, reports of sick and wounded, and hospital fund account
kept neatly and accurately as hospital records and property.
30. What is the condition of the dispensary, medicines, hospital stores and
instruments; note the amount of hospital stores and stimulants used.
31. Condition of the hospital fund (summary); have articles been bought with
it that could be procured from a quartermaster or medical dispensing agent, or only
articles of subsistence; are any rations
sold for hospital fund account, or is the excess returned
and commuted for by the commissary; have officers been inmates and consumed rations
without charge; are the provision returns kept and compared with the commissary's
32. Is there anything remarkable in the nature,
prophylaxis, treatment or mortality of the diseases and injuries that have existed.
33. Have any ingenious improvements or economical expedients been suggested
worthy of honorable mention, or that would be useful to surgeons.
34. Is a rigid sanitary police exercised over the grounds, sinks, privies
and garbage boxes; is there a scavenger cart actively engaged.
35. Is there a sufficient guard to protect property, to
restrain within the rules and regulations the miscellaneous admittance of
visitors, and the egress of patients and attendants, to enforce the laws, and
arrest and restrain offenders; has confinement, other restraint or courts martial ever been necessary; is there a guard-house.
36. To what extent have female
attendants been employed, (or volunteered their aid,) especially
in the kitchen and pantry of the sick; in administering medicines and
stimulants, and in supervision of the linen-room and laundry; has
discipline and hygiene been promoted by their presence and their services.
37. Is noise, profanity, intemperance and waste forbidden
and punished; is there any library attached to your hospital or
newspapers taken; any chaplain or religious observances.
38. Is any restraint exercised over patients in private
quarters; if not reporting punctually, are they reported as
deserters; are attendants who do not return at the expiration
of their leave of absence reported.
39. Any ambulance or other transportation; any dairy.
40. Is there a dead-house; its condition; how are bodies
identified and removed; are they promptly and decently interred.
41. Are patients encouraged to report to the surgeon in charge,
or his assistant surgeons, any neglect, grievance or ill usage,
that the complaint may be redressed and the offender corrected.
Surgeon and Inspector of Hospitals.