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FLOATING    HOSPITAL    SERVICE
OF
FOR THE  CAMPATGN IN  VIRGINIA.
            TERMS OF SERVICE.
  The Sanitary Commission,  being itself under
military authority, in order to meet its responsi-
bilities, must require of ail persons who engage
m Jheiifwnital service of the army under its direc-
tion, that  they place themselves, for  the  time
being, entirely at its disposai.
  Those who volunteer their services gratuitously
being supposed to do so fully and  in good faith,
rio distinction can be known between them and
those who may be paid for their services, it being
understood that thèse services, in both cases, once
engaged or accepted, are to be claimed equally of
right by the Commission.
             ADMINISTRATION.
  An agent of administration for the Commission
will  be appointed for each hospbal  vessel, who
will be regarded by those on board as responsible
for her flttings and supplies.
                  WARDS.
  Each vessel will bo divided intohospital wards,
designed each for the accommodation of from fifty
to one hundred  and fifty patients.  In case of
convalescents, a larger number will  be properly
Inoluded in a ward.
                SURGEONS.
  A surgeon in charge will be appointed to each
vesfeel, who will be responsible  for the  réception,
classification, and distribution of patients in the
wards. He will sign any necessary officiai médi-
cal reports of the  vessel. Each  ward  will  be
placed under the especial charge of one surgeon,
and, if practicable,  there will be a surgeon for
each ward,
          ASSISTANTS TO SURGEONS.
  An assistant to the surgeon  (with the title of
Ward-master) is to be constantly on duty in each
ward. Under instructions from the surgeon of the
ward, he will superintend and be  responsible for
the entire treatment of thepatient°  of the ward,
during the hours in which he is appointed to be
on duty.
                  NURSES.
   Two or more nurses  are to  be constantly on
dutv in each ward.   They will  .perforai any and
ali dûties  necessàrylr  the"~cnnr7~ lin  ptitwnio,
under instructions  from the surgeons  veceivcd
through the ward-masters.
                DISPENSARY.
   A dispensary wiU be established ou each vessel,
 and one  or more apothecaries will be placed in
 charge of it. They will be  responsible for the
 médical stores and  for their proper compounding
 and issue upon réquisitions of the surgeons through
 the ward-masters.
    IIOSPITAE PANTRY AND EINEN CEOSET.
   Thèse will be in charge of ladies, who will issue
 to ward-masters or nurses, or  themselves adminis-
 ter and dispense, under proper control  of the sur-
 geons, spécial diet and drink and articles of bed
 and personal clothing for the patients.
                WATCHES.
  Ward-masters  and nurses  and  ail who hâve
part  in  duty  of a  constant character, will be
divided into two  watches, which will be on duty
alternately, as  follows :
  1.  From 7 a. m. to I p. m.
1 p. m. to 4 p. m.
4 p. m. to 7 p. m.
7 p. m. to 1 a. m.
1 a. m. to 7 a. m.
7 a. m. to 1 p. m.
A
B, (dog watchv
A,  do.  do.
B
A
B, (2dday.)
TIMF. OF MF.ALS.
Brcakfasl.
  One watch at  6.40 a. m.,
  The other at   7    a. m.
Dinner.
  One watch at 12.30 p. m.
  The other at   1.15 p. m.
Tea.
  One watch at  6.40 a. m.
  The other at   7   p- m.
(being then offduty.)
do.
do.
do.
do.
do.
do.
do.
do.
   uni M  DIET,
       BSEAKTAST.
     ( To be ready (it 7 «■ m.)
Bread (or Toast) with Butter.
     Goffee or Tea.
              (Tobereadyatl.Up.-m.)
     Beef Soup and Boiled Beef or Beef Stew.
            Boiled Bice or Hominy.
              Bread or Crackers.
                   TF.A.
               [To benady at 7 p. m.)
      Bread or Toast or Crackers, with Butter.
                Coffee or Tea.
  When practicable, the house diet will be served
at tables to such patients as are able to corne  to
them.  When not practicable to arrange  tables,
such patients  as may be designated by the sur-
geons, will be divided into squads of forty, and a
squad master appointed to each, who will  receive
and' distribu te to  the rest,  the prepared diet,  as
may be  found  most convenient.  Patients not
able to leave their beds will not be included  in
thèse squads, but house diet will be served to them
by the nurses of  their wards, if ordered  by the
surgeon.
              SPECIAI. DIET.
  The surgeons wiïl at.cerîain .from the p.dmims-
trative  agent, or from the ladies, what articles of
diet  are  available on the  vessel, and in  their
morning rounds direct what choice shall be made
from thèse for the diet of each patient, for whom
the house diet would not be suitable,  during the
succeeding  twenty-four hours.  The ward-master
on duty at the hour for surgeon's morning rounds
will, in  regular order,  be on duty at each meal
time during the following twenty-four  hours, and
will consequently be able to direct the entire diet
of each patient  from  verbal  instructions.  He
should, as soon as possible,  notify the  proper per-
son (no raie in this respect being practicable  for
ail vessels)  of the quantity of each article of spé-
cial diet which which will be required at each meal
necessary) send the nurses for it. and see if prop-
erly distributed.
            SURGEONS' ROUNDS. '
  Surgeons' rounds should commence at 9 a.  m.,
and at (ï p.  m.  The ward-master on duty wil1
closeiy auënd the surgeon, and receiveIsisimwue
tions as he passes through  his ward.  The warf
master off duty may also attend  the surgeon t.
this time, for the benefit of receiving  instructions
directly.   The surgeon  may make this a duty,
otherwise it will be optional.
               111 HANDS.
  In receiving and discharging patients, or in any
emergency which makes it necessary, ward masters
and nurses may be required to do duty in their
watches off.   In cleaning, fitting, or repairing the
vessel for. hospiîal purposes,  they will act  under
orders of the administrative agent.
  RECEIVING AND DISTRIBUTING PATIENTS.
  Before patients are taken on board,  the vessel
should be properly  moored or placed ; gangways,
or other means of entrance arrangea, and, if possi-
ble, ail duties completed, for the time being, in the
performance of which the  crew of the vessel  are
required.  I he surgeon who should hâve previousb
informed himself of the character of the accommt
dations for patients in ali  parts of each v">»itt,
should détail a sufScient number of guides and
bearers to convey the patients, and of ail  neces-
sary attendants at  the  gangway, and within  the
wards.   Thèse should remove their boots, and each
squad of bearers should be  instructed that  ail
orders will be given  them by their guide alone,
and that no one else is to speak aloud while carry-
ing a patient, or passing through the wards.  Ail
persons not having a specitied duty to perform in
receiving patients, should be put where they will
not be in the way or disturb the patients,  but
where they can be  readily called  on  if the force
engaged  is found insufficient.
  As each patient is brought on board,  he will be
examined by the surgeon in charge, who will direct
where he shall be taken ; at the same time notes
will be taken, as follows :
     Number, Name, Cg-mi'any, Régiment, Résidence, Remaeks.
  The administrative agent will, at the same time,
cause a corresponding number to be placed on the
effeets of the  patient which  he will take care of.
to be retumed to the patient on lus leavmb  ....
vessel.   If practicable, the patients may, before
being taken to their berths or cots, be washed and
supplied with clean clothing.
   H will not usually be in the power of the surgeon
in charge to sélect patients for his vessel.  It may,
however, be proper for him to protest against  tak-
in"- patients whose illness is not of a sufficiently
serious character to warrant their withdrawal from
the seat of war, or those  for whose cases there is
less suitable provision on the vessel than in the hos-
pitals they are leaving, or those already in a dying
condition, whose end will hâve  been accelerated
or whose suffering  aggravated by their removal ;
 also, when going to sea, against taking cases of
 eompound fracture of the lower extremities.
his ward,  and at the proper time  should (if
                             FRED  LAW  OLMSTED,  General Secretary 

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