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        <title><emph>Guide for Inspection of Hospitals and for Inspector's
Report:</emph>
Electronic Edition.</title>
        <author>Confederate States of America. Surgeon-General's Office</author>
        <funder>Funding from the Institute of Museum and Library
 Services supported the electronic publication of this title.</funder>
        <respStmt>
          <resp>Text scanned (OCR) by</resp>
          <name>Christie Mawhinney</name>
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        <respStmt>
          <resp>Image scanned by</resp>
          <name> Joshua McKim</name>
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        <edition>First edition, <date>1999</date></edition>
      </editionStmt>
      <extent>ca.     20K</extent>
      <publicationStmt>
        <publisher>Academic Affairs Library, UNC-CH</publisher>
        <pubPlace>University of North Carolina at Chapel Hill, </pubPlace>
        <date>1999.</date>
        <availability status="unknown">
          <p>© This work is the property of the University of North Carolina 
at Chapel Hill. It may be used freely by individuals for research, 
teaching and personal use as long as this statement of availability 
is included in the text.</p>
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        <note anchored="yes">Call number 1042 Conf. (Rare Book Collection, UNC-CH)</note>
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          <title>Guide for inspection of hospitals and for inspector's report.</title>
          <author>Confederate States of America, Surgeon-General's Office</author>
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            <pubPlace>[Richmond?]</pubPlace>
            <publisher>[<hi>s.  n.</hi>]</publisher>
            <date>[between 1861 and 1865]</date>
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            <title>Library of Congress Subject Headings, </title>
            <edition>21st edition, 1998</edition>
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            <item>Confederate States of America. Army -- Medical care.</item>
            <item>United States -- History -- Civil War, 1861-1865 --
Hospitals.</item>
            <item>United States -- History -- Civil War, 1861-1865 -- Medical
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        <date>1999-07-14, </date>
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  <text>
    <front>
      <div1 type="cover image">
        <p>
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            <p>[Cover Image]</p>
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      </div1>
      <div1 type="Form title">
        <head>GUIDE
<lb/>
FOR
<lb/>
Inspection of Hospitals,
<lb/>
AND FOR
<lb/>
Inspector's Report.</head>
        <p>STATION .......................................................</p>
        <p>DATE ...............................................</p>
        <closer>
          <signed>Surgeon and Inspector of Hospitals.</signed>
        </closer>
      </div1>
    </front>
    <body>
      <div1 type="main text">
        <pb id="guide1" n="1"/>
        <head>Guide for Inspection of Hospitals and Inspector's Report.</head>
        <list type="simple">
          <head>QUESTIONS—</head>
          <item>1. Date of visit; name of hospital; owner; period of occupancy; rent per month; 
contract made with whom.</item>
          <item>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.</item>
          <item>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.</item>
          <item>4. Medical staff; name, rank and date of appointment of surgeon in charge; name, 
rank, &amp;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, 
paragraph 45.</item>
          <item>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 
Regulations.</item>
          <item>6. In transmitting or receiving medical supplies, have duplicate invoices or 
receipts been transmitted the Surgeon General.—Paragraph 19, Medical Regulations.</item>
          <item>7 . On taking charge of hospital, were the medical supplies on hand accounted
 for and reported to the proper credit.—Paragraph 20, Medical Regulations.</item>
          <item>8. Are the wards designated by names, letters or numbers; the beds numbered 
and patient's name, diagnosis, date of admission, &amp;c., on a card at the head of 
each bed.</item>
          <item>9. Does the surgeon in charge inspect each ward and every part of the hospital 
once daily.</item>
          <item>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.</item>
          <item>11. Does he visit daily, or as often as necessary, such cases as require his advice, consultation or active interference.</item>
          <item>12. Does he require one of his assistant surgeons to be on duty at all 
times, night and day.</item>
          <item>13. Does he divide the responsibility of the clerical and apothecary 
departments between his two assistant surgeons as required in paragraph 26, 
Medical Regulations.</item>
          <pb id="guide2" n="2"/>
          <item>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.</item>
          <item>15. Are rules and regulations adequate for the ends set forth in 
paragraph 28, Medical Regulations, conspicuously displayed.</item>
          <item>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, &amp;c., 
and a weekly inventory of articles in use as required in paragraph 30, Medical 
Regulations.</item>
          <item>17. What is the condition of persons and clothing of patients, and the supply of hospital clothing.</item>
          <item>18. What is the condition of the beds and bedding; how often straw changed.</item>
          <item>19. What is the condition of the floors, walls and windows of the wards.</item>
          <item>20. What is the condition of the spittoons, bed-pans, slop-pails, &amp;c.</item>
          <item>21. What is the condition of the kitchen, store-room and kitchen furniture.</item>
          <item>22.What is the condition of the food used, and cooking and serving of meals.</item>
          <item>23. What is the condition of dining-room, diet tables, times of eating.</item>
          <item>24. What is the amount of vegetables, antiscorbutics and condiments used.</item>
          <item>25. What is the condition of the laundry and linen-room.</item>
          <item>26.  What is the condition of the bath-rooms, supply and quality of water.</item>
          <item>27. What is the condition of the privies, construction and situation. Use or 
requirements of disinfectants, and the most efficacious.</item>
          <item>28. Have any economical, ingenious or scientific improvements been made in 
the steward's department.</item>
          <item>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.</item>
          <item>30. What is the condition of the dispensary, medicines, hospital stores and 
instruments; note the amount of hospital stores and stimulants used.</item>
          <item>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 <hi rend="italics">subsistence</hi>; are any rations 
<hi rend="italics">sold</hi> 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 
monthly abstract.</item>
          <item>32. Is there <hi rend="italics">anything remarkable in</hi> the nature, 
prophylaxis, treatment or mortality of the diseases and injuries that have existed.</item>
          <item>33. Have any ingenious improvements or economical expedients been suggested
 worthy of honorable mention, or that would be useful to surgeons.</item>
          <item>34. Is a rigid sanitary police exercised over the grounds, sinks, privies 
and garbage boxes; is there a scavenger cart <hi rend="italics">actively engaged</hi>.</item>
          <item>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.</item>
          <pb id="guide3" n="3"/>
          <item>36. To what extent have <hi rend="italics">female</hi> 
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.</item>
          <item>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.</item>
          <item>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.</item>
          <item>39. Any ambulance or other transportation; any dairy.</item>
          <item>40. Is there a dead-house; its condition; how are bodies 
identified and removed; are they promptly and decently interred.</item>
          <item>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.</item>
        </list>
        <closer>STATION<lb/>
DATE
<signed>Surgeon and Inspector of Hospitals.</signed></closer>
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