Nottingham Hospitals Archives 2011
Bagthorpe Isolation Hospital
THE RULES AND REGULATIONS
ISOLATION HOSPITAL BAGTHORPE
NOTTINGHAM BOROUGH ISOLATION HOSPITAL BAGTHORPE
Erected by the Corporation of Nottingham to Accommodate cases of infectious diseases occurring with the limits of the Borough.
These Rules have been drawn up with the sanction of the Health Committee of Nottingham Town Council, by their Medical Officer of Health and Medical Superintendent, who is invested, subject to their control, with the management of the institution and its inmates, official and otherwise, and who has power, subject to their approval, to engage and dismiss all officers and servants, and to make regulations, for their guidance in the performance of their duties, and for the good government of the whole institute.
The hospital is designed to accommodate cases of different infectious diseases. It is imperative that patients suffering from diseases, both in their acute and convalescent stages shall be isolated from those with other complaints.
Members of the nursing staff and other subordinate officials engaged in the ward buildings are strictly forbidden, unless special instructions, to enter any premises except those set apart for the accommodation of persons suffering from the same disease as the patients under their care. Persons also not ordinarily engaged in the wards or their officers are strictly forbidden to enter them except by special permission or instruction.
In the case of smallpox the nursing staff and ward servants in attendance shall be completely isolated in the annexe to the smallpox wards, and in the smallpox enclosure, from all other nurses and subordinate officials not similarly employed.
All articles sent to be washed at the general laundry shall be steeped in disinfecting solution or otherwise disinfected before going to the common wash.
No letters or articles may be sent from a person suffering from one disease to another differently affected, or from any of the hospital to a person or place outside, without special permission from the Medical Superintendent or Assistant Medical Officer, and this permission will be granted only under exceptional circumstances, and on condition that the necessary precautions are observed against the carriage of infection by such agency.
The Assistant Medical Officer shall be a registered Medical Practitioner. He shall reside in the Hospital and shall act under the direction of the Medical Superintendent. He shall have medical charge of the institution in the absence of the Medical Superintendent, and shall not absent himself there from without leave obtained the latter. He shall have authority over the subordinate male officers, and shall report at once to the Medical Superintendent any neglect of duty on their part, which may become his knowledge. He shall have charge of all surgical, medical and scientific instruments, apparatus, and books belonging to his department of the hospital, and shall see that they are maintained in good order. He shall keep an inventory of the same. On the admission of a patient he shall fill in the bed card with the necessary particulars and forward it to the nurse of the ward into which such patient is to be admitted. He shall see that corresponding entries are made in the admission and casebooks and upon the ward chart. He shall visit each of the wards at least twice in each day, and shall commence his daily rounds not later than 10am and 10pm respectively. He shall, when required to do so, send to the friends and relatives of the patient’s particulars concerning their condition. In all cases of dangerous illness he shall immediate information to the friends. He shall see that convalescents are duly discharged, and shall send notice to their friends of the day and hour of their discharge. He shall have charge of all dispensary drugs, stores, and appliances, and shall be responsible for their efficient maintenance, and shall dispense all medicine required in the hospital. He shall keep all poisons in a separate cupboard, locked and labelled. He shall keep and furnish any records and returns that may be required by the Medical Superintendent. He shall see that the disinfector is properly managed, and keep a list of all bedding, clothing, and other articles and material sent to the hospital for disinfection. He shall also see that they are properly and promptly returned after disinfection, to their owners. He shall have three weeks holiday each year, at such a time as may be determined by the Medical Superintendent. His appointment shall be terminable at pleasure or with one month’s notice from either side.
The Matron shall charge of all the domestic arrangements in the hospital and administrative departments. She shall have control of all nurses and domestic servants and shall be responsible for the maintenance of discipline among them. She shall visit the wards twice daily; see that the work of the nurses and other female subordinates is properly carried out. She shall when necessary superintend the admission of patients, and shall be responsible for the careful disposal of any clothing and other properties which they will bring into the hospital. She shall see that the directions of the Medical Attendant respecting the treatment of patients on admission are daily carried out in each case. She shall not herself wear, nor not allow the nurses to wear, while engaged in the hospital, any article of personal attire intended for use outside. She shall order and when necessary, superintend the purchase of all foodstuffs required in the hospital. She shall keep in a book provided for the purpose a diet table of the Hospital. She shall make up daily from the ward cards the patient’s diet sheets, and give them all the necessary details respecting the preparation of food for patient’s and officials, each morning to the cook. She shall have charge of all the stores in her department, and keep a record in books provided for the purpose, of all hardware, bedding, blankets, linen, clothing provisions, stimulants, and the like, existing from time to time in the stores. She shall see that all bedding clothing, etc., in use is in good repair and duly marked with the Hospital stamp. She shall keep a book containing an account of all goods supplied to her department. She shall see that all accounts are duly sent each month to the Health department, and shall furnish the Medical Superintendent with invoices duly checked. She shall keep the petty cash, and render an account of all disbursements on behalf of the hospital each month to the Medical Superintendent. She shall have three week’s holiday a year, at such time as may be determined by the Medical Superintendent. The appointment of Matron shall be terminable at pleasure, or with one month’s notice from either side.
During The temporary absence from duty, the Medical Superintendent shall appoint one of the ward sisters
WARD SISTERS, NURSES AND PROBATIONERS
The Ward Sisters and Nurses shall be under the control and direction of the Matron except as far as regards the management and treatment of patients and their surroundings, for which they shall receive their instructions from the Medical Attendants. When in charge of a ward they shall be responsible for its good government, and shall see that all subordinate officials duly perform the duties assigned to them. They shall observe the hours allotted to them in the timetable and attend with promptitude and care to all the patients under their charge. They shall see that each patient on admission is duly bathed and washed, the male attendant performing his office for male patients over twelve years of age. They shall see that each patient when discharged receives a bath in the discharge room, that each patient is attired in completely disinfected clothing upon leaving the bathroom, and that no patient is allowed to re-enter the wards after having so discharged. They shall see that all patients, after admission, are supplied with the appropriate fluid diet until seen by the Medical Attendant, unless their diet has already been prescribed. They shall administer to each patient under their care such food, drink, and medicine as ordered by the Medical Attendant, in the manner prescribed by the latter. They shall submit to the Medical Attendant all eatables sent in by friends and relatives of patients, and shall give or hold them according to his decision. They shall not administer to any patient any drug that has not been ordered by the Medical Attendant. The Assistant Nurses and Probationers in each ward block shall, with the assistance of the ward maids, prepare and distribute the meals of all patients in their ward block. Each Ward Sister or Nurse in charge shall see that the patients under her charge receive their breakfasts at 8am, their dinner at 12 noon, their tea at 4pm, and their supper at 6.30pm. She shall, unless otherwise instructed, see that the temperature of each patient is taken at 7.30am, and pm, respectively. She shall also, when required to do so, make note of the temperature and other conditions of the patient upon the cards and charts provided for that purpose. She shall report at once, during the day or night, to the Assistant Medical Officer or other Medical Attendant the development of grave or unusual symptoms of the part of any patient under her charge. Before leaving duty she shall enter in the report book a full statement of the conditions of all patients under her charge, with any special directions that may be in force concerning conditions of all patients under her charge, with any special directions that may be in force concerning any of them. Each Ward Sister or Nurse in charge during the day shall see that the ward block or ward under her supervision is swept, cleaned, and otherwise prepared for the visit of the Assistant Medical Officer or Medical Attendant by 10am. She shall see that all dirty linen, clothing etc., is sent to the dirty clothes trolley forthwith to the laundry, with the necessary directions for cleansing and disinfection. She shall see that the bed stuffing is removed at once when soiled, or after death of a patient, and that clean bedding is provided for each case on admission.
Staff Nurse Circa 1920’s Bagthorpe Isolation Hospital (Heathfield Hospital)
Each Ward Sister or Nurse in Charge, during the day or night respectively, shall see that the beds are made, the wards swept, and all the offices under her control rendered clean and tidy before going off duty. She shall see that as far as possible all refuse produced in the ward is burnt in the ward or kitchen fires: no unburned refuse of an infectious character is to be thrown into the ash bins. She shall see that all friends and relatives visiting the wards wear the overall coverings provided for their use and that they wash their hands and faces in the discharge bathroom after leaving the wards. All nurses employed on night duty shall see that gas burners and other lights are turned down or extinguished when not required. Nurses of all grades when not fully employed during hours of duty must be prepared to assist the Matron in any way she may require. Nurses of all grades shall while on duty wear the dress provided for them, and shall on all occasions change their clothing completely before leaving the hospital grounds.
Each nurse of whatever grade, when first engaged, will be placed on trial for a month, at the end of which time, if found suitable, and if willing to continue in the hospital, she will be engaged conditionally for a further period of one year, and will receive the dress of her grade.
Each Probationer Nurse after a year of satisfactory probation may be entrusted with the full duties of nurse. All subordinate nurses shall act under direction of their superiors. Acts of insubordination on the part of the persons in any grade shall be at once reported by the superior officer to the Matron, who shall report it to the Medical Superintendent.
All ward assistants and ward maids shall act under the direction of the ward sister or her deputy. They shall transport on the appropriate trolleys to and from the pavilion, the administrative block, and the laundry, all food, drink, and clothes etc., used in the pavilion. They shall do all the ordinary domestic work of the wards. They shall assist the nurses in preparing the patients’ breakfasts and teas, and shall cleanse all plates, dishes, etc., promptly after meals, in the kitchen of the pavilion. They shall while on duty wear the clothing provided for them, and shall on all occasions change their clothing completely before leaving the hospital enclosure.
The cook with the assistance of the kitchen maids shall perform the ordinary duties of her office. She shall keep her kitchen, scullery and pantries clean and neat, and all apparatus and utensils clean and in good order. She shall, with the assistance of the kitchen maids, prepare all the food required in the institution, and give out the rations according to the schedule prepared by the matron. She shall see that no waste is suffered in any of the foodstuffs entrusted to her care. She shall see that the servants rise in the morning and retire at night at the hours named in these rules, or otherwise ordered by the matron. She shall submit periodically to the inspection of the matron an inventory of utensils and other articles entrusted to her care.
Example of a pavilion ward. (Two photographs)
The house maid and the assistant house maid shall keep the matron’s, medical officer’s and nurses’ sitting rooms, the committee, and waiting rooms, the surgery, stairs, passages, lavatories, and other officers, the silver, glass, and other utensils. They shall wait at the tables and perform such duties as the matron may direct. In the general domestic work of the administrative block the house maids shall be fully occupied by the ordinary duties of their offices. Additional house and kitchen maids, when included in the staff, shall act as assistants to the higher officers of their own departments.
LAUNDRESS AND LAUNDRY MAIDS
The laundress and her assistants in the general laundry shall wash, prepare, and get up all the linen, clothing blankets etc., of the wards, and such other washing as the matron may direct. They shall use disinfectants and other cleansing agents according to the directions given them. The assistant laundress in the laundry of the administrative block shall keep carefully posted inventories of all laundry, furniture, utensils, and material entrusted to their care.
“All members of the nursing staff and all female servants shall make their own beds.”
The portress shall attend to the gates and answer the gate bell. She shall keep a careful supervision over the traffic in and out through the gates. She shall admit only, except when otherwise instructed such persons as are officially connected with the institution and have access to the report books to enable her to do so. She shall immediately report to the matron or her deputy the importation of any forbidden article into the hospital enclosure. She shall immediately report to the nurse in charge of patients about to be discharged the arrival of the persons coming to fetch them. She shall see that no nurse or servant is suffered to pass the lodge gates without a properly signed pass, and in any case should the period of leave specified on the pass be exceeded she shall endorse the pass to that effect. She shall see that none of the nurses, ward, or laundry servants is suffered to pass the lodge gates in their working dress. She shall, when required to do so, keep a visitors book recording the time of the entrance and exit of each visitor to and from the Hospital premises. When absent from duty her husband shall act as her deputy.
The Portress and Constable in charge of the Ground’s Office
(Gate House Entrance One City Hospital)
(a) HOURS OF WORK AND OF MEALS FOR
NURSES AND FEMALE SERVANTS.
Ward Sisters:- To rise at 7am; breakfast at 7.30; to be in the ward at 8am; dinner at 1pm., one half hour allowed; tea at 4 to 4.30pm; to leave ward at 8pm supper at 8.15pm.
Staff Nurses:- To rise at 6.30 am; breakfast at 7.am; to be in the ward at 7.30am; dinner at 1.30pm; half an hour; tea at 4.30 to 5pm; to leave ward at 8pm; supper at 8.15pm.
Assistant Nurses and Probationers: - To observe the same hours as the staff nurses.
Night Sisters, Nurses and Probationers:- To rise at 7pm; dinner at 7.30pm; half an hour, to be in the ward at 8pm; meals during the night at the discretion of the sister in charge; to leave duty at 7.30am; breakfast at 7.30am.
(b) DAYS AND HOURS OF RECREATION AND
Sisters, Nurses and Probationers: - Each, two hours daily, 11.00am to 1.00pm, and 2.00 to 4.00pm, on alternative days. One half day holiday monthly also for each, 2.00 to 8.30pm, Sundays in turn, 10.00am to 1.00pm, and 2.00 to 9.00pm for sisters and staff nurses, 5.00 to 9.00pm, for other nurses.
Annual Holiday, 14 days for all Nursing Staff.
Laundress, Assistant Laundress and Linen Women: - From 2.00pm on Saturday to 9.00pm on Sunday, unless their services shall be specially required.
Other Servants, Including Portress: - Half a day once a week, 2.30 to 8.30pm and Sundays, 2.00pm to 5.00pm and 5.00pm to 9.00pm.
Annual Holiday, 10 days for all servants.
CONSTABLE IN CHARGE OF THE GROUND AND
FOREMAN OF GROUNDSMEN
The Constable shall be held responsible for the due and regular performance of his duties on the part of each member of the ground staff. He shall have charge of all apparatus, tools and material, other than those in the engineers department, in use upon the grounds, and shall keep an inventory, carefully revised and posted from time to time, of all such articles and material. The following shall be a list of the principal matters and things placed under the superintendence of this official:- the cultivation and maintenance of trees, shrubs, flowers, fruit, grass and vegetables; the flushing and cleaning of sewers and drains; the manning of the fire apparatus, the walls, fences, gates, doors and their fastenings; the working of the disinfecting apparatus; the mortuary; the vans, ambulances, horses, harnesses, stables, and out buildings connected therewith; the lodge in which he resides. During the temporary absence of the Portress he shall supervise the traffic through the hospital gates. He shall not leave the hospital premises without first reporting to the assistant medical officer or matron. Smoking while on duty is strictly forbidden to the subordinate male officials, and the constable in charge is instructed to enforce the observance of this rule. Neither the constable in charge, nor the subordinate male official, shall execute any commission for any member of staff without the sanction of the male matron or her deputy.
Bagthorpe Isolation Hospital (Heathfield Hospital) Grounds. This was very much a feature until the early 1990’s when a new Maternity Unit was built where this photograph was taken.
The engineer shall have charge of the boiler and furnace, and all machinery and apparatus connected therewith, including the engine and pump, the laundry apparatus and machinery, and the steam heating apparatus. He shall make periodical examination of this and all other work plant, and shall report to the Medical Superintendent any faults or deficiencies calling for repair or alteration. He shall, as far as possible, himself execute all alterations and repairs lying within his province, but such repairs, except in cases of emergency, shall not be executed without an order from one of the principal officers. He shall from time to time, and in conjunction with the constable in charge, make a trial of the fire extinguishing apparatus, and shall see that all pipes, taps, and fittings connected therewith, are maintained in good working order. He shall, when necessary, assist at the working of the disinfector, and shall make careful examination from time to time of all its pipes and fittings. He shall keep, in a book provided for the purpose, an inventory of the contents of the boiler house, and all other things specially entrusted to his care. He shall have charge of the coal used in his own department, and shall make a written application to the Medical Superintendent whenever the renewal of this or any other material is required. He shall see that no hospital patients are allowed to enter the boiler house and other adjoining premises. He shall not leave the hospital premises without first reporting himself to the Assistant Medical Officer or Matron.
GARDENERS AND LABOURERS
These shall assist, and act under direction of the foreman and constable. Their special duty shall consist in attending to the trees, shrubs, flowers, fruits, grass, etc., and in keeping all land, paths, and other parts of the hospital grounds in good order. They shall see that no patient or subordinate official plucks or interferes with any flowers, fruit, or vegetables, or does any damage to the grounds and vegetation. Each gardener and groundsman shall be responsible for the security and preservation in good order of all tools and implements entrusted to his care. When not fully employed with their regular duties as above, or in any emergency, they shall be prepared to make themselves useful in such other ways as the Medical Superintendent or other higher officials may direct.
DISINFECTOR AND MALE WARD ASSISTANT
The disinfector shall have charge under higher officials of the stream disinfecting apparatus. He shall disinfect forthwith, in the manner prescribed in the rules for working the apparatus, or as otherwise ordered, all articles entrusted to him for disinfection. All goods that are urgently required shall be disinfected at once but otherwise, each separate parcel shall be disinfected as far as possible in the order in which it is received. He shall enter in a book provided for the purpose a description of all articles received, with the source from which they came, whether in the hospital or outside. After disinfection he shall deposit them, conveniently arranged for removal, upon the shelves in the clean chamber of the apparatus, but all parcels shall be despatched as soon as possible after disinfection to their several destinations.
He shall report immediately to the assistant medical officer any damage to goods in the process of disinfection. He shall see that a receipt for all goods returned in good condition after disinfection to the owner or sender is duly signed by such person. He shall also immediately communicate to the assistant medical officer any complaint or protest on the part of such person respecting the alleged condition of goods returned after disinfection.
The disinfector and his assistants shall see that all the vans and ambulances are properly disinfected and cleaned each day after use, and that their horses, harnesses, and other appointments are in clean and proper condition and ready for use at all times. Subject to instructions from the medical officer, the disinfector and ward assistant shall undress and bathe all male patients on admission who are over the age of twelve years. When not involved in the above duties, the disinfector and his assistants shall, if necessary be prepared to help in controlling refectory patients by removing dead bodies to the mortuary, and performing post mortem examinations as and when required. He or one of his assistants shall attend at the telephone each evening at 5.30pm to receive instructions for the next day’s work.
The ambulance driver shall have charge of the ambulances and vans, shall cleanse and disinfect them according to instructions, and shall attend to the horses, harness, stables etc. He shall promptly and without loitering execute commissions for the transport of patients, clothing, bedding etc., to and from the hospital and disinfecting stations, as instructed by the higher officials. He shall wear such overall covering as shall be required from time to time when engaged in the manipulation of infected patients and things. He shall not, while engaged in the conveyance of infected patients and goods, unnecessarily place himself in contact with the public, to enter without a special commission any house, shop or other place. He shall on occasions, unless otherwise instructed, drive gently while conveying patients in the ambulance.
THE ENGINEER’S ASSISTANT AND NIGHT WATCHMAN
Shall act as the engineer’s assistant and deputy, and also as general watchman of the whole hospital enclosure and premises during the night. He shall stoke the furnaces when necessary, and perform such other officers as may be entrusted to him on duty. He shall also be prepared on special occasions to assist the engineer for a short time during the day.
ASSISTANTS TO THE SUBORDINATE MALE STAFF
Theses shall act generally under the direction of the permanent officials of the permanent officials of the departments for which they are engaged, but they must also be prepared to execute the orders of the assistant medical officer and matron.
(a) HOURSE OF WORK AND OF MEALS FOR
SUBORDINATE MALE OFFICIALS
Constable in Charge and Engineers: - On duty at 6am; half an hour for breakfast; one hour for dinner, half and hour for tea; leave duty at 6pm.
Assistant Engineer and Night Watchman: - 6pm to 6am, and a short time occasionally during the day.
Gardeners and Groundsmen: - On duty at 6am, half and hour for breakfast; one hour for dinner; leave duty at 5pm, in winter, and 6pm in the summer.
Ambulance Driver: - Ditto.
Horses: - To be cleaned and fed by the ambulance driver and assistants 6 to 7.30am, and 5 to 6pm, and again to at 9pm.
Van: - For the collection of infected clothing to leave the hospital at 8.30am.
Dining Hours: - For male subordinate officials 12 noon to 1pm, and 1 to 2pm in two sets alternatively.
(b) DAYS AND HOURS OF RECREATION
Constable in charge, Engineer and other permanent subordinate male officials, resident on the premises, to have one half holiday a week, on Thursdays and Saturdays in turn, from 2 to 8pm; and every alternative week, from 2 to 9pm.
Non-resident subordinate officials: - To be off duty from 1pm Saturday to 6am, Monday.
The hours of leisure and recreation are subject to modification or abridgement at the discretion of the Medical Superintendent or higher officials, or on occasions of emergency.
Annual Holiday: - Ten days for all.
Patients admitted to the hospital are expected to regulate their conduct as follows: -
1. To observe the directions of their medical attendant, or his deputy, in matters. Affecting their treatment.
2. To comply with all reasonable requests of the nurses respecting their conduct on the wards or outside.
3. To behave themselves decently and quietly, and to refrain from annoying or disturbing their fellow patients and, if necessary, to assist the nurses in maintaining order.
4. To submit themselves to the examination of the sister or nurse in charge all food and other presents or material brought or sent to them from outside.
5. When convalescent, and allowed to leave the wards, to confine themselves to those parts of the ground set apart for their use, and to refrain from injuring any of the vegetation or other property, and from entering any building except their own ward and its offices.
6. Also, when convalescent, to rise in the morning, to take their meals, and to retire for the night at the times appointed.
Patients are strictly forbidden: -
1. .To leave the grounds until they are discharged.
2. To send any letter or other article without permission out of the hospital or to any part of the hospital other than that which they are placed.
3. To mix with patients suffering from other complaints.
4. To enter any of the nurses’ or other officers’ houses or apartments.
5. To smoke or chew tobacco in the wards.
HOURS OF PATIENTS MEALS
Dinner. 12 noon.
The friends of patients are requested to read carefully the following regulations, which may also be separately printed upon leaflets. They are reminded that subordinate officials have no authority to remit any of the regulations.
1. Enquires respecting patients may be made at the Health Department at the Guildhall, which has telephonic communications with the hospital, or at the hospital gates.
2. Ordinary inquirers are requested to visit the hospital gates, or the Guildhall, between the hours of 2 to 5 in the afternoon upon any day of the week, except Sunday in the case of the hospital, and excepting Saturday and Sunday in the case of the Guildhall. It is particularly desired that they will stay no longer at either place than is necessary to fulfil their errand or obtain the information they require.
3. Convalescent patients may be allowed at the discretion of the assistant medical officer to converse with their friends in the open air, but friends are warned that this can only take place in fine and suitable weather.
4. Visitors to convalescent patients will be allowed to enter the hospital enclosure, between the hours of 2 to 5 upon Thursday and Sunday afternoons, and from 11am to 1pm on Sunday, and to stay fifteen minutes. Two adult’s friends only will be allowed to visit any convalescent patient upon the same day. Such visitors must enter the enclosure together. Only one visit can be paid by each visitor or pair of visitors upon the same day. No visitors under the age of 16 years will be admitted upon any pretence within the hospital enclosure.
5. The friends and relatives of patients will be admitted to the hospital wards only in the case of dangerous illness of the latter or other grave emergency. Upon the occurrence of dangerous symptoms in any patient immediate notice of the fact will be sent to the nearest relatives or friends.
6. Except under very unusual circumstances, only two of the nearest relatives or friends will be admitted to the hospital wards at any one time to visit a patient and, on each occasion, unless the patient is actually dying, the duration of their stay shall not exceed fifteen minutes.
7. Visitors to the wards will be required to wear the overall coverings provided for their use and to wash their hands and faces before leaving the hospital.
8. Such patients are warned that the danger of the visit to themselves is greatly enhanced by the very near approach to, or actual contact with, the patients and their bedding, and that they should never enter the wards when fatigued or fasting.
9. No visitor will be allowed to enter the smallpox ward unless recently vaccinated.
Will be read in each ward by the sister at 9am every morning, and by the matron in the administrative department every morning at 8.30.
MINSTERS OF RELIGION
In the event of a serious or dangerous illness of any patient, a clergyman or minister of the sect or denomination to which the patient belongs will be allowed to visit such patient. The rules affecting the general conduct of lay visitors shall apply also to the clergy.
DIET OF STAFF-NURSES AND SERVANTS
Breakfast. Meat 2oz or 1 egg.
Bread and Butter 4oz.
Coffee and Milk ½ pint.
Dinner. Meat 4oz.
Potatoes 6oz. or Greens 6oz.
Bread 4oz. Pudding 3oz.
Soup additional, ½ pint twice a
Tea. Tea (infusion) ½ pint.
Bread and Butter or cake 4oz.
Supper. Cocoa ½ pint or soup ½ pint.
Bread and Butter 4oz.
General daily allowance per head of staff and of convalescent patients.
Tea ½ ounce. Coffee ½ ounce. Cocoa ¼ ounce. Sugar 2 ounces. Butter 2 ounces.
Bread 6 oz., Butter ½ oz. Coffee or Milk & Water ½ pint.
Bread 6 oz, Butter ½ oz. Coffee or Milk & Water ½ pint.
Bread 4 oz., Butter ¼ oz. Milk and Water ½ pint.
Milk 2 & ½ pints, and Beef Tea 1 pint (1lb. meat to 1 pint water or milk alone 3 pints.)
Meat (cooked) 6oz. Potatoes 8 oz. or Greens 6oz. Bread 6oz., or Rice Pudding 8 oz. Water ad lib. Soup ½ pint, additional, twice a week.
Meat (cooked) 4 oz. Potatoes 6oz. or Greens 4oz. Bread 6oz. or Rice Pudding 8 oz. Water ad lib. Soup ½ pint, additional twice a week.
Rice or bread pudding 8 oz. with Bread 4oz. Milk ½ pint.
To be given at intervals and in quantities as directed.
Tea (infusion) or milk and water ½ pint. Bread & Butter 4oz.
Tea (infusion) or milk and water, ½ pint. Bread & Butter 4 oz.
Bread & Milk or Porridge & milk, 1 pint.
Bread & Milk or Porridge & milk, 1 pint.
Milk gruel 1 pint
Children under 10 years of age to have two thirds of any diet, ordered by number only. All patients on admission unless convalescent to be placed on milk diet until seen by a medical man. Flesh foods to consist of varieties of beef, mutton, fowl, and fish, but no pork or shell fish allowed.