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 Duke University Libraries 
 Guide for inspe 
 Conf Pam q#27 
 
 DITDr^lflO- 
 
Guide for Inspection of Hospitals and Inspectors Report. 
 
 QUESTIONS— 
 
 I. Date "I vi-ot; iiti mo of hospital; owner; period of occupancy; rent per month; contract made 
 with whom . 
 
 .'. Situation of the hospital; health of the vicinity; miasmatic and meteorological influences; nui- 
 sances existing; obstructions to ventilation; facilities in yards and gardens for exercise of 
 patient - 
 
 .'». 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, 
 I iake houses and privies ; estimate oi expense in fitting up aud repairing building and out-houses ; 
 
 capacity of hospital, estimating fifty square feet B ■ surface for each patient with ordinary 
 
 wound or disease, and in wards sel apart for pyemia, hospital gangrene, erysipelas and typhoid 
 fever, 100 square feet; pitch of rooms and number of wards; number of hospital tents. 
 
 i. 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 sur- 
 geons ; hospital slew .lid'-; name ; by w hom appointed ; pay per month ; is the number of hospital 
 attendants in conformity with Medical Regulations, paragraph 45. 
 
 •">. Surgeon in charge; has he forwarded duplicates of his special requisitions of medical supplies, in 
 all cases to the Surgeon Genera] — Paragraph I ■*. Medical Regulations. 
 
 ii. In transmitting or receiving medical supplies, have duplicate invoices or receipts been transmitted 
 tin' Surgeon General. — Paragraph !!t. Medical Regulations. 
 
 I. On taking charge ^\' hospital, were the medical supplies on hand accounted for and reported to the 
 proper credit. — Paragraph 2H. 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 each lied. 
 
 9, Does the surgeon in charge inspect each ward ami every part of the hospital once daily. 
 
 [0. Has lie placed every ward under some assistant surgeon, making him responsible for good order in 
 the wards, and proper dieting and medical treatment of its inmate-. 
 
 I 1. Does he \isit daily, or as often as necessary, such cases as require his advice, consultation or active 
 interference. 
 
 I l. Does he require one of bis assistant surgeons to be on duty at all times, night and day. 
 
 II. Does be divide the responsibility of the clerical and apothecary departments between his two assis- 
 tant surgeons :is required in paragraph 10. Medical Regulations. 
 
II. Does he require the steward to seeurelj preserve the "hospital stores and supplies," accounting 
 
 fur their issues and distribution according to form 8, Medical Regulations. 
 
 15. Are 'rules and regulations adequate for the finds set forth in paragraph 28, Medical Regulations, 
 
 conspicuously di 
 
 If!. line?- he require the ward-masters to keep an account of the effects of patients, take proper care "I 
 them, and turn over the effects of deceased soldiers to the authorized receiver; to keep m record 
 of hospital furniture, i\e.. and a weekly inventory "I articles in use as required in paragraph 
 SO, Medical Regulations. 
 
 I*. What is the condition ol persons and clothing of patients, and the supply of hospital clothing. 
 
 IS. What 16 the condition of the beds and bedding . how often straw changed 
 
 lit. Whal is the condition of the floors, walls and windows of the wards. 
 
 III. Whai is the condition of the spittoons, bed-pans, slop-pails, &c. 
 
 21. What is the condition of the kitchen, store-r and kitchen furniture. 
 
 .'2. What is the condition of the food used, and cooking and serving of meals. 
 
 I.). Whai is the condition of dining-room, diet tables, times of eating. 
 
 i\. What is the amount of vegetables, antiscorbutics and condiments used. 
 
 l.">. \\ li at is the condition of the laundry and linen-room. 
 
 26. What is the condition of the bath-rooms, supply and quality of water. 
 
 87. What is the conditiou of the privies, construction and situation. Use or requirements of disinfec- 
 tants, and the must efficacious. 
 
 2* Have :>m\ economical, ingenious or scientific improvements been made in the steward's department. 
 
 2!i. Are the register, order and letter book, ease, 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. 
 
 50. What is the condition of the dispensary, medicines, hospital stores and instruments; note the 
 
 amount of hospital stores and stimulants used. 
 
 51. Condition oi the hospital fund (summary); have articles been bought with it that could be pro- 
 
 cured 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 commie- 
 sary ; have officers be< d inmates and consumed rations without charge; are the provision returns 
 kepi and compared with the commissary's monthly abstract. 
 
 :{•>. Is there anything remarkable in the nature, prophylaxis, treatment or mortality of thfi diseases and 
 
 inji! ries thai have existed, 
 
 .<:?. Have any ingenious improvements or economical expedients been suggested worthy of honorable 
 
 mention, or thai would be useful to surgeons, 
 
 it i 
 
 34. Is a rigid sanitary police exercised over the grounds, sinks, privies and garbage boxes; is there a 
 
 scavenger carl actively engaged 
 
 35. Is there a sufficienl guard to protect property, to restrain within the rules and regulations the miscella- 
 
 neous admittance of visitors, and the egress of patients and attendants, I" enforce the laws, and 
 arrest and restrain offenders; has confinement, Other restraint oi- courts martial ever been neces- 
 sary ; is there a u'uard-house 
 
86. To what extent have femah attendants been employed, (or volunteered their aid,) especially in the 
 kitchen and pantry of the sic! ; in administering medicines and stimulants, and in supervision 
 of the 1 i 11 n-room and la Iry ; 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. 
 
 88. 1> 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. 
 
 89. Any ambulance or other transportation; any dairy. 
 
 in. Is there a dead-house ; its condition ; how are bodies identified and removed; are they promptly 
 and decently interred. 
 
 II. 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 offeildor corrected. 
 
 Si \tion 
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 Surgeon "/?</ Fn^jiector of' Hospitals. 
 
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