Hospital plans : five essays relating to the construction, organization & management of hospitals / contributed by their authors for the use of the Johns Hopkins hospital of Baltimore.

  • Johns Hopkins Hospital.
Date:
1875
Catalogue details

Licence: Public Domain Mark

Credit: Hospital plans : five essays relating to the construction, organization & management of hospitals / contributed by their authors for the use of the Johns Hopkins hospital of Baltimore. Source: Wellcome Collection.

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    or refreshment of tlie inner surfaces of wards, their entire de- struction becomes unnecessary. Tlie character of the lot of land provided for the Hospital is exceedingly satisfactory, and it is needless to dwell on some matters which would demand early attention in selecting a site. Its elevation secures the free access of air to all the buildings, if care is taken not to obstruct it unnecessarily. No difficulty is to be anticipated about drainage or water supply. If the streets immediately around the Hospital can be paved with wood, it wHl prevent annoyance and detriment from the noise of passing teams. The difference of grade in these streets is not such as to interfere with any plan for building ; for it would be practicable to make the greater part of the lot level. In the plan which I submit, however, the present general conformation of the land is re- spected. SCHEME OF OEGANIZATIOlSr. The following scheme of organization is proportioned to the full capacity of 400 beds : Officers elected annually hy tlie Board of Trustees. A Mesident Pliysician—the executive officer ; in constant and confidential communication with the Trustees, and in profes- sional sympathy with the medical and surgical staff, he is better able to regulate action, and harmonize various interests, and to control subordinates of varied position and character, than a non- medical sujoerintendent. His duties include those of a steward, and admitting physician; but he should have an assistant, and one or other should be always at the Hospital. Under the di- rection of the Trustees, he has control of the Hospital in all re- spects, except the treatment of patients. He makes all pur- chases for the regular needs of the Hospital, and receives all moneys paid for board or otherwise, and his accounts are settled monthly with the Treasurer. His decisions as to the admission of patients, and their rate of board, shape the whole character of the charity. He appoints and discharges all emploj^ees not elected by the Trustees. He is responsible for the proper warm- ing, ventilation, cleaning, and repair of the Hospital, and for the discipline of house officers, employees, patients, and visitors. He provides the diet and remedies ordered by the physicians and