RULES 
GOVERNING 
NURSES 
OF THE 
PHILADELPHIA HOSPITAL. 
DETRE & BLACKBURN, PRS., 35 N. SEVENTH ST., PHILA. RULES FOR THE NURSES 
OF THE 
Philadelphia Hospital Traiqing School. 
A graduate nurse is placed in charge of every department 
of the Hospital, and her orders are to he strictly and res- 
pectfully obeyed by the pupil nurses under her charge. 
The pupil nurses on night duty are subject to the orders 
of the Night Superintendent, to whom they are directed to 
apply in all cases of difficulty. 
Charge nurses and the Night Superintendent are enjoined 
to enforce perfect punctuality and propriety of deportment, 
and any disregard of either, on the part of the pupil nurses 
must be at once reported to the Chief Nurse. Any com- 
plaint which either a graduate or pupil nurse may have to 
make, is to be referred to the Chief Nurse at her office, 
between the hours of twelve and two. 
Rule I. 
All nurses are expected to remain standing when speak- 
ing to the Resident Physicians, and while they are in the 
Wards. They are forbidden to loiter in the hallways or on 
the landings with the physicians, or to talk and laugh 
loudly when passing through the corridors to their work. 
The nurses are in no case allowed either to pass along or 
to remain on the fire-escapes and the staircases leading to 
them. 
Rule 11. 2 
Rule 111. 
All nurses are earnestly desired, and also required, to 
treat the patients with the utmost gentleness, and under 
no circumstances to engage in any argument or dispute 
with them. 
Rule IY. 
No nurse is allowed to employ herself with any sort of 
needlework for her own use when on duty in the Wards, or 
to read any book, save one of a professional character. 
Rule Y. 
The nurses are not allowed to employ any inmate in any 
way for their own personal service; this restriction includes 
all doing of needlework, washing, and carrying messages, 
either outside the institution or to different parts of it, ex- 
cept in cases of extreme emergency. 
Rule VI. 
The nurse in charge of each department will make out 
the day passes for her assistant nurses, and will bring them 
to the Chief Nurse’s office at 9A.M.to be signed. A 
written list of the nurses requiiing extra or evening passes 
must be given by the charge nurses to the Chief Nurse, 
between twelve and two. These passes will be written by 
the Chief Nurse, and all nurses receiving them will he re- 
quired to report themselves, on their return, to the Night 
Superintendent. 
Rule VII. 
Nurses, when their hours of duty are over, are required 
to return at once to their quarters in the Training School. 
No nurse is allowed to visit any other department than that 
in which she is engaged, without leave from the Chief Nurse, 3 
or to enter any Ward in her own department without per- 
mission of the graduate in charge. No nurse will leave her 
room without uniform. 
Rule VIII 
Nurses are not allowed to have friends to visit them in 
the Wards, or to take them round the Hospital without 
permission; nor can they be permitted to leave their duty 
to see them. Visitors will be expected to remain in the 
nurses’ sitting room till the friend whom they have come 
to visit is off duty. Friends of the nurses will not be al- 
lowed to remain in the Hospital during the night, or to 
partake of meals in the dining it>om without the permission 
of the Superintendent. 
Rule IX. 
Nurses must conform strictly to the uniform worn in the 
Hospital. No colored neck ribbons, or embroidered aprons 
and caps, or bustles, jewelry or watch-chains to be worn. 
A small bow of dark blue ribbon to be tied to the watch. 
Sleeves reaching above the elbows, to be worn by pupils— 
only graduates to wear the shorter sleeve. Shoes should 
be perfectly noiseless. Gowns must not be made with any 
sort of ruffling which can collect dust. 
Rule X. 
All nurses engaged in the Maternity Wards must wear 
gowns made of light blue gingham. 
Rule XI. 
Every nurse will be provided with a washing book. She 
is not to send a greater number of articles to the laundry 
than those allowed by the printed list. Any bundle of 
clothes incorrectly entered, or with any article unmarked, 
will be returned to the owner unwashed. 4 
Rule XII. 
Nurses who are unable to go on duty in the morning, 
must at once communicate with the Night Superintendent. 
No nurse will be allowed to go off duty without reporting 
herself to the Chief Nurse. 
Rule XIII. 
The nurses of the Training School, when sick, are attend- 
ed by one of the Resident Physicians, appointed for this 
purpose by the Physician-in-Chief, and they are allowed to 
consult no one but him as to their health, and only with the 
permission of the Chief Nurse. The nurses are not allow- 
ed to obtain medicines or drugs of any sort which have not 
been prescribed for them from the drug-store, nor are they 
to take medicines or drugs from the Wards for their own 
use. 
No sick nurse will be allowed to remain in her own dor- 
mitory; but will be required to move at once into the infir- 
mary. Nurses in the infirmary are to receive no visits save 
by the permission of the nurse in charge of the infirmary, 
nor is any article of food to be brought to them without 
leave. 
Rule XIY. 
Rule XV. 
Nurses are positively forbidden to remove food or table 
furniture from the dining-room without permission of the 
Housekeeper, and no article of food from there or from the 
kitchen is to be taken to the dormitories without an order 
from her. 
Nurses are not allowed to enter the kitchen or the drug 
store, with the exception of nurses in charge of a depart- 
ment. 
Rule XVI. 5 
Nurses on night duty will be supplied with a lunch, 
which includes tea or coffee. They are forbidden to leave 
the department, when they are working, to join other 
nurses, nor are they permitted to supply the resident phys- 
icians with any meal under any circumstances. Every 
night nurse, at the commencement of her term of night ser- 
vice, will be supplied with a set of plates, cups, etc., and 
no others will be issued to her. These table requisites are 
on no account to be left in the Wards, and the dinner nap- 
kins are to be returned every morning to the Night Super- 
intendent, who is made responsible for them. No day 
nurse is allowed to take a meal with the night nurses, 
without written permission from the Chief Nurse. 
Eule XYII. 
As much bedroom furniture as is possible is provided for 
each of the nurses, and they are not allowed to exchange 
this with other nurses, or to appropriate any article of fur- 
niture from other parts of the Hospital to their own use. 
Eule XVIII. 
Every nurse is expected to retire to her own room at 10 
P. M., and all lights are to be turned out at 10.30. After 
this time perfect silence is to be observed. This rule has 
been made to secure the comfort of the greater number of 
the nurses, and must be strictly enforced. 
Eule XIX. 
Eule XX. 
The-chambermaids have orders to empty the slops, and 
to sweep and scrub the floors of the dormitories. The 
nurses are expected to make their own beds, and to dust 
and keep their rooms in order. 
They are directed not to throw the rind of fruit, hair, or 
any solid substance into the basins or other vessels. Con- 
stant repairs of the water-closets and drains are required, 6 
and in every case the pipes are found stopped up in conse- 
quence of neglect of this rule. 
The taps of the baths must not be turned on and the water 
allowed to run while no one is in the hath room, and nurses 
are asked to consider the comfort of their companions by 
not slopping the water on the floor, allowing it to run over, 
or leaving sponges, soap, or towels in the bath room. 
Rule XXI. 
The hours for meals, classes and duty must he strictly 
observed, and nurses exceeding the time allowed on an eve- 
ning pass will be deprived of this indulgence for a certain 
time. 
Every nurse will he required to serve two weeks, during 
her term of service, in the extra diet kitchen. 
TIME TABLE. 
Day Nurses. 
Night Nurses. 
Rise 6.00 A. M. 
Rise 4.30 P.M. 
Breakfast 6.30 “ 
Supper 5.00 “ 
Wards 7.00 “ 
Wards 8.30 “ 
Dinner...12.00—12.30 
Leave Wards 8.00 A.M. 
or 12.30—1.00 P. M. 
Breakfast 8.00 “ 
Wards...l2.30, or 1.00 “ 
Recreation 9.30 A. M. to 
Recreation, 1.30—3.30 
or 3.30—5.30 “ 
12,30 P. M., or 4.30 to 
Supper 5.00—5.30 
7.30 P. M. 
or 5.30 —6.00 “ 
Wards....5.30, or 6.00 “ 
Every night nurse is re- 
Leave Wards 8.30 “ 
quired to take seven hours’ 
Bed 10.00 “ 
continuous rest. RULES FOR THE HEAD WARD NURSES 
PHILADELPHIA HOSPITAL. 
OF THE 
The nurses in charge of the various departments are ex- 
pected to accompany their respective patients to the store 
at the time when the shoes are distributed. 
In preparing the requisition for shoes, the original ad- 
mission must be taken from the Card, and not from the 
Ward Register. 
If a patient is unconscious when admitted, and friends 
should visit him or her, particular inquiry should he made 
as to the name and address of such friends; and the Physi- 
cian-in Chief shall he notified immediately, so that a record 
can be made, in order that they can be officially informed 
in case of death. 
All money or other valuables belonging to the patients 
shall be delivered to the Physician-in-Chief, who will de- 
posit the same with the Superintendent for safekeeping. 
The census and all requisitions for supplies must be sent 
to the office of the Physician-in-Chief not later than nine 
o’clock, A. M. 
All orders for special diet and whiskey must le ordered 
by the visiting medical officer. 
The nurses are prohibited from administering any med- 
icine which has not been ordered in writing upon the 
medicine chart. 8 
The nurses are not allowed, under any circumstances, to 
administer a hypodermic injection. 
The nurses will he held responsible for the condition of 
the instruments under their charge. 
Whenever it is necessary to transfer a patient for treat- 
ment to the Clinic or Battery Booms, the nurse in charge 
of the department must always accompany the patient.