Duke University Libraries Circular. Confe Conf Pam 12mo #142 DTTmOEBSX C 1 1^ O XJ li .A.\R . CONFEDERATE STATES OF AMERICA, Surgeon General's Office, Richmond, Va., July 6, 1863. I. Medical Directors of hospitals are instructed to keep the number of medical officers on duty at each hospital always apportioned to its capa- city. In this apportionment only one medical officer will be allowed to every seventy patients. II. Surg;eons in charge of hospitals will make the deductions for clo- thing issued by the quartermaster's department to soldiers whilst in hos- pital, upon the hospital muster roll, instead of forwarding them for this purpose to the field, where they frequently fail to arrive. III. In all hospitals convalescent wards will be established, and a i^pe- cial ward appropriated for contagious diseases. A change of the position of the patient from one part of the ward to another j will oftea be found promotive of his comfort and rehef. IV. Surgeons in charge of hospitals will also give due attention to the frequent whitewashing of the wards, and renewal of the contents of th(^ bed sacks : the former, under ordinary circumstances, twice or "thijioe yearly — the latter, at least once in each month. All bedding will be fi-equently aired. Three sheets for each bed will be the allowance to be kept on hand ; two of which will always be kept upon each bed. V. Upon the door of each ward shall be distinctly noted its number, its capacity in cubic feet, and also the number of beds contained therein. In all cases, at least 800 cubic feet should be allowed to each bed, which will be numbered with a movable card, and not placed nearer than six inches to the wall. VI. In each ward a proper receptacle will be provided for the medi- cines prescribed, each^of which will be labeled with the dose, periods for administration, and name of the patient for whom it is intended. Upon ■the outer surface of the door of this receptacle will be pasted the Diet Tabic of the liospiuil (see Form Xo. 1), aud tor tlie conveuieuce of the attendants, the Time Table for tJic administration of remedies. (See Form No. 3.) YII. In each Avard a few muslin or i)aper covered frames will be dis- tributed as movable screens, for the comfort and accommodation of the patients. These will not be sufficiently numerous to obstruct ventilation. VIII. The floors of the hospital will be cleansed by dry scrubbing with .^and. Water will not be employed for this purpose but by the spe- cial direction of the surgeon in charge. IX. The General Kotise Rules will be pos^Q^ conspicuously at the en- trance, and in all the several departments of the hospital, for the informa- tion of visitors, residents, and all others concerned. Cards, specifying the duties of the stewards, assistants,, wardmasters, acting dispenser of medicines, matrons, attendants, cooks, etc., accompanied by rules for their guidauce, will be hung up in the respective places where such duties are to be performed. X. Suitable hours for retiring in winter and in summer, will be fixed by the surgeons in charge ; after which no con^•ersation in the wards will be permitted. XI. Surgeons in cha,rgc of hospimls will require hospital stewards to furnish them Aveekly inventories of all hospital property under their charge; and each matron, acting dmggist ancl wardmaster' (especially if in charge of baggage), and each cook, will be required to keep at all times, ready for inspec;tion, a neat record of all property committed to their care. XII. Tickets will be given to the patients by the \vardmaster in charge of the baggage; upon which will be entered from his books a list of and receipt for all clothing or other property delivered to him. XIII. After the morning visit of the surgeon, there will bo placed in the hands of the matron of each ward a Diet Roll (see Form No. 2) of the patients of the ward, to whom she Aviil see that the proper kind, quality, and the full qnantu^ of food and stimulus allowed, are delivered. This Diet Roll will be hung up by the matron in a conspicuous place in the ward, and be subject to the inspection of each patient of the ward. XIV. The surgeon in charge of every hospital of or above the capa- city of J 40 patients, will daily assign to duty one of the surgeons or as- sistant surgeons under his charge, as officer of the day, ,)vho will at the same time act as sanitary officer. XV. It shall be the duty of this otiicer to inspect the hospital and pre- mises during both day and night, and to report in writing the results of his inspection to the senior officer in charge. It shall also be his duty to see that proper order and discipline are maintained, and that the direc- tions of th':> officer in charge ;ind of tby r^ps^-'-^Hing .'-nrgc-on ha"' ? been obeyed. He will report any omission or defect in the attendance or con- dition of the wards, and any delay or faikire in the administration of re- medies or serving of diet. Ue will visit the kitchen, and note its condi- tion as regards the jsufficiency of utensils, &c., cleanliness, (^c. ; will be present at meal times, to be able to judge of the proper preparation and distribution of food. He will examine thoroughly the condition of the hospital as to drainage, removal of offal, water closets, latrines, supply of water, light, fuel, dry scnibbing of floorfe, sweeping of premises, yeuti- latiug arrangements, cleanliness of the patients, bedding, and of the hos- pital in general. He will organize the attendants into relief parties, in order that they may be alloAved both the necessary sleep and exercise ; and will see particularly that such convalescents as can sit up, and are pronounced capable of performing such duty, separate their bedding, and air it every day for two hours in fine weather ; and that thoy render any assistance to their sick comrades which their attending medical officer may think fit. He will see if the sentries guarding the hospital are at their posts, and that they allow no liquor to be introduced into the hospi- tal, and no visitors admitted to the wards, except in accordance with the %vritten rules of th-' hospital. SAM'L PP.ESTON MOORE. Sur(rcu7i General. Form y Viet Table for MiiUary Hosjnials. — Articles composing Tea Diet. Spoon Diet. 1 Beef Tea Diet. Milk Diet. Light Meat Diet. Chic Bread, 8 oz. Bread, 8 oz. 1 ■■ ■■ Bread, 12 oz. Bread, 14 oz. Meat, 6 08. Pow Tea, i " Tea, \ " Tea, i" Rice, 2 " Eggs, 2 Brea Sugar, 2} " Sugar, U " Sugar, U" Or, corn meal Bread, 14 oz. Salt. Milk, 6 " Milk, 6 " Milk, 6 " for mush. Salt, i " Tea. Beef, « " Milk, 3 pts. Tea, 1 " Sugf Also, either of the Salt. .V " Sncrar, 1 o^. Sugar, ^ " Milk following: " Milk, 6 " Butt The proportion for Arrow root, 2 oz. Butter, 1 " each meal may I e Rice Hour, 2 " varied at the dis- Maizena, 2 " Rice, 2 oz. cretion of the med- With milk, 1 pt. IMilk, if pt. ical officer i 1 1 Corn meal for gruel, 2 oz. With butter. I " Sugar. 1 " ' Sugar, ^- oz. Egg, 1 Tor pudding, Havored with cinnamon or lemon. BREAK! Tea, Bread' 1 pt. 2 oz. Tea, Bread, I pt. 4 o^ Tea, Bread, 1 pt. 4 oz. Milk, Bread. 1 pt. fi oz. Tea, Bread Butter, Eggs, 2 1 pt. Tea, Toas with Buttt Tea, Bread DINN] 1 pt. 4 oz. Arrow root. Rice flour. M:iizciia Gnu-l. Beef tea, 10 oz. Breail. 4 oz. Rice milk Ipt. Bread, 4oz. Sugar, loz. Or, mush and i milk. • Beef tea, 15 oz. Bread, 4 oz. Also, Rice pudding Fowl, Roast into tea. Bread SUPPI Tea, Bread. 1 pt. 4 oz. Tea, Bread. I pt. 4 oz. Tea, Bread. 1 pt. 4 oz. Milk, Bread, 1 pt. 4 oz. Tea, 1 pt. Bread, 5 oz. Butter, i" Tea, Bread Butte ts in tea. Hnnon. and oe Note 1.— Drinks for patients in tea. spoon, and oeef tea diets are to be made : Note 2.— Half an ounce of coffee may be .substituted for an |th oz. of tea at breakfast and supj Note 3. — Wine, spirits and malt liquors will be considered as extras, nnd when ordered will ii. i V .. - Diet Table for Miikafy Hosjntals. — A rt/cles cumposim (he different Diets for a Day- -Avcrdupois Weight. Tea Diet. i Spoon Diet. Beef Tea Diet. Milk Diet. Light Meat Diet OflH-en Diet. Half Diet. Fish Diet. Roast Half Diet. Pull Diet. Bread, 8 oz. Tea, i " Sugar, 2i •' Milk, 6 " The proportion for each meal may I e varied at the dis- cretion of tht- med- ical offlo^r Bread, 8 oz. Tea, 1 " Sugar, li " Milk, 6 " Also, either of the following : Arrow root, 2 oz. Rice Hour, 2 " Maizena, 2 " With milk, 1 pt. Corn meal for gruel, 2 oz. With butter, \ " Sugar. 1 " Bread, 12 oz. Tea, Sugar, ],( " Milk, 6 " Beef, a " Salt, i " Bread, 14 oz. Rice, 2 " Or, corn meal for mush. Milk, 3 pts. Sugar, 1 oz. Meat, 6 ol. Eggs, 2 Bread, 14 oz. Salt, } " Tea, \ " Sugar, .}■ " Milk, 6 " Butter, 1 " Milk,' i pt! Sugar, .1 oz. Egg, 1 For pudding, fluvored with eiunamon or lemon. i ■ 1, 8 02. d, 18 .". *" i" .r, li " 8 " •r, 1 " iMeat, 8 oz. Bread, 16 " Potatoes, 8 " Barley, U " Or, lice, li" Okraj — Salt, i " Tea, i " Sugar, U " Milk, 6 " Vegeta- bles, 4 " Butter, 2 " Flour, i " Fish, broiled or fried, 6 oz. Eggs, 2 Bread, 18 oz. Potatoes, 5 " Rice, 3 " Salt, i " •Tea, i" Sugar, 1.1 " Milk, 6" " Butter, a " Roast meat, Chop or Steak. Meat, 8 oz. Bread, 18 " Potatoes, 8 " Or, fried mush, 8 " Salt, J " Tea, i ". Sugar, li " Milk, 6 " Vegetables, 4 " Butter, 1 " Or, butter, ? i " Molasses. S :i " Meat (fresh), 15 oz. Or; bacon, 8 " Brerfd, 16 " Potatoes, 16 " Or, potatoes, ( 7 " • Beans, 5 9 " Barley, 1.} " Or, rice, U " Okra, — Salt, i " Tea, i " Sugar, 1] " Milk, (i '■ Vegetables, 4 " Butter, 1 " Or, butter, I t " Molasses, 5 4" " Plour, i " %Vhen in lieu of soup, meat is baked, roasted or Ktewed, 2 oz. extra of bread are allowed in lieu of barley and rice. To be marked "varied" on Roll. BREAK AST. Tea, 1 pt. Bread' 2 oz. Tea, 1 pt. Bread, 4 o%. Tea, 1 pt. Bread, 4 oz. Milk, 1 pt. Bread. 6 oz. Tea, 1 pt. Bread, r, oz. Butter, ,', " Eggs, 2 T„ Toa with But l.pt. . dry or ailk,Goz. r, I oz. Tea, 1 pt. Bread, 6 oz. Butter. 1 " Tea, Bread, Butter, ) pt. Tea, 1 pt. Bread, 6 oz. Batter. >i " Tea, • ^ 1 pt. Broad, 6 oZ. Butter, i " DINN '.R. Tea, 1 pt. Bread, 4 oz. Arrow roof. - Rice Hour. Beef tea, 10 oz. Bread. 4 oz. Rice milk, Ipt. Bread, 4 oz. Sugar, loz. Or, mush and liiilk. Beef tea, 15 oz. Bread, 4 oe. Also, Rice pudding i Pow Roas into tea. Brea 8 oz. or made chicken (>■ oz. Soup, 13 oz. with okra, rice or barley. Meat, 8 oz. Bread, 4 " Potatoes, 8 " Fish, Eggs, Potatoes, Rice, Butter. 6 oz. 2 i) " Roast meat. Chop or Steak. Meat, 8 oz. Bread, 6 " Potatoes, or fried mush, 8 oz. Vegetables, 4 " Okra or bean soup, 1 pt. Meat, 12 or 8 oz. Bre;..!, 4 " Potatoes, 16 or 8 " Veg..fable», 4 " SUPH R. Tea, 1 pt. Bread, 4 o«. Tea, 1 pt. Bread, 4 oz. Tea, 1 pt. Bread, 4 oz. Milk, 1 pt. Bread, 4 oz. Butter, i " H S ipt. 6 oz. Tea, 1 pt. Bread, (i oz. Butter, ', " Tea, Bread, Butter, 1 pt. Tea, 1 pt. (i oz. Bread, 6 oz. 1 '^ Butter, 1 " • Or, molasaes, 3 " Tea, 1 pt. Bread, (i oz. Butter, .( " Or, molassej), 4 " ' ts in tea, spoon, and Deef ten dii Note 1.— Drinks for patients in tea, spoon, and beef ten diets are to be made ; NOTK 2. — Half an ounce of coiTee may be substituted for an Uh'oz. of tea at breakfast and Note 3.— Wine, spirits and niajt liquors will be considered as ^traw. uiid when ordered will i irked ns such on the C Barley IVater. < Rice fViiler.— ' Leni.o'unde. — J Roll, opposite the name — Barli>5', -i oz. ; sugar, 2 oz. ; for every five pints Rice, 2 oz. ; sugar, 2 oz. ; for every five pintH. , large lemon ; sugar, li oz. ; to two pintn. "^ 1 Q g !«, "s^ • 1 •paq JO -OK S « ■5^ as O O) 1:2 s ® O M ».2 o P5 O V Cr, ii ' 1 10 o'clock, Forenoon. Bed time. When ordered morning and evening. 10 o'clock, Forenoon. Bed time. 1 >- fl 10 o'clock. Forenoon. 6 o'clock. Evening. Hi If 1? 10 o'clock. Forenoon. 2 o'clock, Afternoon. 6 o'clock. Evening. is 6 o'clock. Morning. 10 o'clock. Forenoon, 2 o'clock. Afternoon. Bed time. Us 2 o'clock. Morning. 6 o'clock. Morning. 10 o'clock. Forenoon. 2 o'clock. Afternoon. 6 o'clock, Evening. 10 o'clock. Night. "» 53 -a fe Hollinger Corp. pH8.5