9
divisions. The pauper nurses clean up the wards, carry the food, and give general assistance to the superintendent—the duties of nursing in detail, that is to say, the bedside nursing, falling chiefly upon them. They are not permitted, however, to serve any patient with stimulants, beer, porter, or medicines requiring exactness or care; all such duties are discharged by the superintendent nurse. The proposal now made to the Committee, means that the paid staff shall be increased, so that the sick shall be cared for by responsible officers only, and not left, even partially, to the care of pauper nurses.
There is no doubt that pauper nurses are unreliable, inefficient, and many of them very worthless; and it is only by careful watching, and the utmost stringency of regulations, that they can be made serviceable in the hospital. No stringency of regulations, however, could guard against the most flagrant abuses, if these women were employed to discharge duties of trust, such as serving out the stimulants, &c. so that their services in attending upon the sick are limited and common-place. There is therefore, in my mind, no doubt, and I cannot see how any doubt can exist, that to remove these women, and appoint in their places women of character, trained as nurses, will tend to improve the position of the sick, and more rapidly restore many of them to health.
To displace these pauper women, however, involves a complete change in all the hospital arrangements, and suggests the difficulty of finding and keeping up a supply of suitable nurses to undertake the work at, as it would no doubt often happen, short notice. The Committee are aware, too, that owing to the fact that the paupers have hitherto been required to attend upon the sick, the accommodation for paid officers is very limited, and that the adoption of the proposal would render it necessary at once to provide additional rooms for the additional staff. The Committee are also aware that the Workhouse Hospital differs from other hospitals in this—that it forms a part only of a mixed establishment, and that there are great difficulties to be overcome in completely cutting off every connexion or species of intercourse between the hospital departments and the healthy inmates, without which the scheme under consideration could hardly succeed. If any
