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3,000 text and reference books, seven lecture rooms, and nursing, dietetics, chemical, bacteriological and pharmaceutical laboratories. The men under instruction are quartered in barracks, each of these barracks accommodating 70 men without crowding, the total capacity being 500 men.

THE PURPOSE OF THE SCHOOL

The purpose of the school is to provide systematic instruction in such subjects as are essential in the preparation of a man for duty in the hospital corps of the Navy. This training is practical, theoretical and military.

SOURCE OF STUDENTS

Men are recruited directly for the hospital corps at naval recruiting stations and, after a short period of training at one of the naval training stations, are sent to this school for instruction. Men from the general service are also selected on board ships and at naval stations for this branch of the service, but the chief, and probably the best source, is the naval training stations where selections are made from men enlisted for the general service who, after completing their training, express their desire to enter the hospital corps.

TYPE OF MEN DESIRED

-The duties of hospital corpsmen are varied and it is highly desirable that selections, from whatever source, be made from men who are

in good physical condition, industrious, intelligent, alert, of good appearance, of good character and apparently adaptable to the work.

EDUCATIONAL REQUIREMENTS

Candidates should possess a good basic education. High school graduates are very desirable but men who have had two years of high school, or its equivalent, are acceptable. Preference is given to men of superior education.

FACULTY

The faculty consists of three naval medical officers, three chief pharmacists, four nurses, and seventeen assistant instructors who are petty officers of the hospital corps and who have been trained in their respective branches. FACULTY MEETINGS

The faculty of the school meets in conference on the first and third Monday of each month to pass upon the progress of the students. The class standing and aptitude of each student is discussed, delinquents warned, and the elimination of failures recommended.

COURSE OF INSTRUCTION

The course of instruction covers a period of four months with a total of 528 instruction hours, which is exclusive of drills to which 64 additional hours are devoted, and consists of theoretical and practical instruction. After

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O far as we know 'twas the first occasion of its kind ever held in the south of Korea. All participants, from our dignified Superintendent of Nurses to the lone "probie" who had entered too late, as yet, to lay claim to this new honor, were, although par excellence in poise, none the less most evidently conscious that they were setting standards-making a "precedent." We realized the fact, too, when we first wished to speak of the occasion in the polite language of this very proper people with whom we work and live. Capping Exercises? The best our combined wits could contrive translated might read: "Hat Presentation Exercises."

We had secured the auditorium of the Boys' Academy and issued invitations to such select groups as the upper classes of the Girls' and Boys' Academies, the superintendent and

nurses of the Government Hospital, representatives from the various churches, our hospital staff, the missionary force, etc. And it seemed that not one of the invited guests failed to add inspiration and enthusiasm to the occasion by his or her presence; they were all there, filling the gaily decorated hall and themselves filled with a keen desire for a "sight-see" of a brandnew order.

Who didn't have a hand in supplying or placing the tasty decorations? One native doctor volunteered his beautiful chrysanthemums; another made the significant red cross which filled the evergreen arch at the rear of the platform. Nurses, staff, friends, all lent a hand in decorating, or supplied the wherewithal to decorate.

First came the processional. Our American Superintendent of Nurses led off, followed by the two native graduates

and the undergraduates already in caps (the latter group doubtless wishing there had been such an occasion to commemorate the event for them). Next came a visiting American nurse in uniform; and last in file came the six erstwhile probationers, all in new uniforms made and starched according to the best of modes. Yes, we are proud of them. Our school is yet in its infancy, the capping exercises celebrating the completion of the first year. . . .

The peak of excitement was reached when each of the girls came forward

to receive her crowning symbol of

acceptable probation work. After the inevitable exchange of bows between superintendent and student, Miss Hedberg carefully adjusted the snowy white caps and the recipient made her first "capped" bow to the enthusiastic accompaniment of clapping hands and appreciative out-loud smiles. Each having received her cap, one of them stepped forward and gave the Florence Nightingale Pledge.

Our schools for nurses in the states have largely done away with formal capping exercises, though to be sure we hear of occasional ones which the annual graduation festivities have not completely overshadowed. Doubtless the day will come when an annual

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League Honors Mrs. Lockwood

"IT has for some time been apparent to those

beyond the Rockies that, among the nurses of California, there was a luminous personality shining steadily for the happiness of nurses and for the cause of better nursing and of nursing education. The source of this luminous power was traced to one of the members of the California State Nurses' Association, who has worked in a most selfless fashion for many years, choosing always the difficult and obscure tasks, never permitting the honors of high office to be bestowed upon her. Her service has not been limited to her own State, for she has long been a generous supporter of our national magazine, and has thus helped to extend California's influence to the whole world of nurses. Because of these things, and by vote of this Association, I have the pleasure of inviting Mrs. Clara Sanford Lockwood, of Pasadena, to become an honorary member of the National League of Nursing Education."

presentation-of-diplomas will suffice WHEN, therefore, a youth says that he

to give expression to our appreciation of the work of our nurses in Korea, too. But for an infant school such as ours which as yet can boast no "Senior class," we found the "Hat Presentation Exercises" a fitting and efficient substitute as a means to tone up our

professional morale and make public statement of our aim, as individuals

proposes to be independent, who would gainsay him? For this cause came he into the world, that he might take charge of his own life. But it is a serious enterprise; it is not to be entered unadvisedly or lightly, but reverently, advisedly, discreetly, soberly, and in the fear of God. To take charge of your own life and to be free means the intelligent substitution of inward self-control and self-direction for outward restraint, and that is a great achievement.-From "The Meaning of Free

dom," HARRY EMERSON FOSDICK.

BY KATHARINE GOOD AMBERSON, R.N.

10 how many nurses does the

T

mention of tuberculosis suggest the fascinating and romantic story of the beginning of sanatorium treatment for patients suffering from this handicap in America; to how many does the word convey the picture of the emaciated, weakened victim of a hopeless malady; to how many does it bring to mind the healthy-looking individual, often fatigued, a little irritable, complaining seldom, and then of symptoms that can so easily be explained on some other basis; and to how many does it occur that this individual may have, and often does have, tuberculosis?

Dr. Edward Livingston Trudeau accidentally, may I say, found a way to health for himself by living a life of comparative quiet in the fresh air of the Adirondacks. What he found healthful for himself, led him to open a similar way of life to others suffering from the same malady. "The Little Red," built in 1884, was the first cottage of the Trudeau Sanatorium, and inaugurated the sanatorium treatment of tuberculosis in this country.

What history of nursing has grown with this movement to overcome the Great White Plague! From Dr. Trudeau's account, nursing in his infant institution was very uncertain. No provision was at hand for the care of those who became acutely ill. He procured the services of lumbermen, guides, and any woman available, to attend the wants of those who had to remain in bed. Most of the grave situations were faced by this physician himself. However, as the number of patients increased, volunteers appeared who served the sanatorium and patients well, and upon this beginning the foundation of a school of nursing

for the special care of tuberculous patients was laid.

Does routine care of a tuberculous patient differ from the routine care of any other patient, and if so, how? This question has been asked us many times. Let us call to mind the treatment of this patient, as prescribed by the skilled physician,-rest, fresh air, good food in proper balance.

"Rest" has been defined as "relief from strain, relief from strain being any state of physical or mental activity or inactivity that does not reach the point of conscious fatigue. Rest for the seriously ill patient involves all those nursing procedures incident to the care of any patient in a similar condition, keeping in mind that extra exertion caused by unnecessary movements of the patient helps to defeat his ultimate recovery. For this reason, bed patients are given but two bed baths weekly. Daily care of the back and bony prominences and whatever is necessary for cleanliness is given. The seriously ill patient is fed, has his hands and face bathed, and all details of his toilet are cared for by the nurse. As improvement comes, the patient is allowed to bathe his own hands and face; he gradually feeds himself, and finally stands for a few minutes (gradually increasing the time); takes a tub bath; sits in a comfortable reclining chair for gradually increasing lengths of time. Then walking exercise is prescribed, beginning with a few minutes daily. The nurse must carefully observe the patient's reaction to this increased activity. Often the schedule must be reversed for a period of time.

In considering the second prescription for our patient, fresh air, at first it seems there would be little here for

the nurse to do, because fresh air is free to all. But strange as it may seem, we have to be educated to take what is ours for the taking. The nurse must encourage the new patient to spend as much time as is possible in the open air. If it is impossible for the patient to live out of doors, then the outdoors must be brought in. Needless to say, the nurse must see that the air is good. If possible, the temperature of the room should not rise above 68 degrees. There should be air in motion, but the patient should not be subjected to draughts. It is a fact that we have had to educate our nurses to depend upon the room thermometer for regulation of temperature. Many individuals can tolerate an amazingly high room temperature and stuffy atmosphere; therefore, the nurse is not always herself a safe guide in regulating this phase of the patient's treatment. In cold weather, the nurse must see that the patient is sufficiently warm to enable him to relax while resting outside. Light-weight woolen or down covers are most comfortable. Special garments may be procured which are warm and which enable the patient to do with fewer covers. Electric pads and blankets are also available. These are not heavy, and the amount of heat can be regulated.

Our last prescription, good food, in proper balance, though third in point of consideration, is equally important with our first. The tuberculous patient, especially the one for whom bed rest has been advised, often has a very fastidious appetite. We find this true in caring for most patients suffering with a chronic disease. The patient acutely ill responds remarkably in regained appetite when his crisis is passed. I call to mind the patient recovering from typhoid fever or pneumonia. Catering to the whims

and lack of appetite in the bed-ridden cardiac, rheumatic fever, or tuberculous patient is a different matter. Orders for diet have changed rather markedly in recent years. Now three regular meals daily, composed of food which has variety, which is tasty, and which has calories, is the accepted rule. It is not thought advisable to overfeed the patient to the extent that gastro-intestinal disturbances result. So long as the patient is gaining and reaching the goal of his standard weight, well and good. When this goal is reached, or passed in a small measure, then our aim is to maintain this weight. Intermediate nourishment is ordered only for those patients who have difficulty in gaining or maintaining weight. Nourishment, if it is ordered, should consist of some food which has definite food value, such as eggs and milk, and it should be given at the proper interval between meals so that at mealtime the appetite will not be impaired. In a patient whose desire to eat has completely left, it is, indeed, extremely difficult to coax to life a relish for food. Small amounts, served frequently, can sometimes be tolerated best. Foods that require little mastication, that are not too sweet, or too highly seasoned, and that have little odor, are sometimes best taken. Often it is the article of food which has no caloric value which appeals most to the patient. We must remember to add to this article, in some delicate way, some food which will supply this value. Lactose, eggs, butter, and cream are all excellent for this purpose. Seared scraped beef can often be given in dainty sandwiches. Small amounts of some relish are a valuable help in stimulating the appetite. Of utmost importance in serving such a patient is the appearance of the tray, and this is where the nurse has unrestricted

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