Part 17

6. There should be periodic staff meetings to discuss—

1. Errors of diagnosis.

2. Unsatisfactory results of operative or medical treatment.

3. Autopsy results.

7. Adequate supply of non-professional personnel for all needs of hospital.

8. Satisfactory fire protection for all classes of patients and perfect fire protection for bed-ridden patients.

9. Satisfactory sanitary conditions as regards heat, light, sewage and garbage disposal, toilets, baths, water supply, laundering, cooking, dishwashing, refrigerating, handling and serving of food, care of clothing and valuables, cleanliness of buildings, etc.

10. One hundred square foot of floor space for each bed and distance between beds of 3 feet.

11. All rooms and porches to be screened against flies and mosquitoes during the season.

12. Satisfactory record should be made of personal histories, physical examinations, all professional treatments, all clinical, serological, bacteriological or other Laboratory work done for patients, also all x-ray, fluoroscopic and other special examinations made, progress notes, working and final diagnoses, and these records should be kept in a form permitting ready reference.

13. There should be surgical operative facilities provided with sufficient equipment and competent organized personnel to meet properly all ordinary surgical emergencies and to perform all ordinary surgical operations in a manner and with results which meet general professional approval.

14. There should be clinical laboratory facilities or definite arrangements for these facilities to properly carry out clinical, bacteriological, serological, x-ray and fluoroscopic examinations.

15. Physiotherapy: provision for special treatment, such as hydrotherapy and electrotherapy.

16. The systematic use of occupations for their therapeutic effects, under the direction of workers specially trained for this duty.

17. Special attention to recreation and diversion with reference to their therapeutic value.

18. Patients to be taught the elementary principles necessary to secure co-operation in treatment.

19. No charges to be made for patients absent from hospital for more than 24 hours.

20. No extra charges to be made the patient for thermometer, sputum cups, reclining chairs, blankets, medicines or special diet, nor for any other article of a similar nature furnished without charge to a patient in Government sanatoriums.

ADDITIONAL REQUIREMENTS FOR TUBERCULOSIS HOSPITALS

1. Resident physicians skilled in tuberculosis—if not living actually on the premises, to be available in five minutes or less. (Not less than 1 for 50 patients.)

2. Outdoor sleeping facilities, or in lieu thereof, provisions for unlimited ventilation of rooms.

3. Suitable rules prescribed for conduct and published rules providing for a satisfactory regimen of treatment in tuberculosis hospitals.

4. Satisfactory treatment conditions, including measures for enforcing suitable discipline and to prevent absence without leave and to prevent excessive exercise, whether from amusement or otherwise.

ADDITIONAL REQUIREMENTS FOR NEURO-PSYCHIATRIC HOSPITALS

1. Direction of the administration of the hospital and leadership in its medical work by physicians trained in the diagnosis and treatment of mental diseases.

2. An adequate medical staff organized so that duties are divided in accordance with the training of its different members and with the requirements of the clinical work.

3. Regular and frequent conferences of the medical staff at which the diagnosis, treatment and prognosis of each new case admitted are considered and at which cases about to be discharged are presented, training in psychiatry for new members of the staff being considered as a special object.

4. The reception of all new cases in a special department or in special wards where they may receive careful individual study and where those with recoverable psychoses may receive continuous individual treatment.