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VOLUME 60 ° NUMBER 5 
MONTREAL 


MAY 1964 


LET’s LOOK aT THE TEACHER 


GYNECOLOGY AND OBSTETRICS 
A NURSING CHALLENGE 


Hip ARTHROPLASTY 


OWNED AND PUBLISHED BY 


THE CANADIAN NURSES‘' ASSOCIATION 




















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MAY 1964 - VOL, 60, No. 5 


425 








Each biennium, in the spring months 
preceding the general meeting, it has long 
been our custom to invite the officers of 
our Association or the chairmen of the 
major committees to share with you their 
thinking, as our guest editors, on matters 
affecting our profession. This month we 
are proud to welcome our first vice-pres- 
ident, ANN IsopeL (BLACK) MACLEop to 
our pages. Before you read Mrs. MacLeod’s 
editorial, take a quick look at the Ticket 
of Nominations on page 474 and you will 
note that she is president-elect by acclama- 
tion. Now, as you read “A Health ‘Assess- 
ment” you will realize how thoroughly fa- 
miliar with all of the activities, develop- 
ments our president-to-be already is. 

A graduate of the University of Alberta 
Hospital, with her M.A. from Teachers 
College, Columbia University, Mrs. Mac 
Leod is the wife of a prominent psychiatrist 
in Montreal. Her early professional career 
concentrated, broadly speaking. on the field 
of public health nursing. Since 1953 she 
has been the director of nursing of The 
Montreal General Hospital. During this 
past biennium she has been chairman of 
the CNA Firance Committee and also of 
the special committee that studied the in- 
terrelationships of the National Office of 
our association and the Canadian Nurse 
Journal office. 


> * * 


Have you ever thought of the fact that 
“obstetrics” and “gynecology” are twin fac- 
ets of medical care that are distinctly and 
completely feminine in character? As Dr. 
J. Epwin CorFey points out in his discus- 
sion of “Newer Concepts in Gynecology,” 
the two fields are so closely allied there is 
a definite trend today toward melding them 
into one specialty. 

Agenesis or aplasia is the partial or 
complete failure of a part of the body to 
develep; in the current article, a part of the 
female reproductive system. While the sur- 
geon could assist nature, the comprehensive 
nursing care that was required and provided 
was of the utmost importance to the ul- 
timate recovery of the patient. 


426 


Setween Ourselves 









Every nurse is very familiar with the 
care of patients afflicted with the chronic 
condition of the joints — arthritis. A 
youthful nurse who has never seen an 
arthritic patient recover to a point even 
approaching normal use of those affected 
joints is apt to be extremely pessimistic. 
She needs to be reminded constantly that a 
considerable degree of recovery is not only 
possible but probable with adequate, intel- 
ligent care. In particular, those patients 
who can benefit from arthroplasty will be 
able to resume their normal pattern of life, 
free from endless, nagging pain. Following 
surgery, which is clearly outlined by Dr. 
Icor Brrenc, there is a long, slow period of 
rehabilitation during which good nursing 
care is so essential. Physiotherapy and oc- 
cupational therapy have important roles 
in promoting recovery but it is the nurse, 
through her more frequent contacts with 
the patient, who can supply the psycho- 
therapy that is never more vital than when 
emotional upsets, worry and discouragement 
torment the sufferer. 


> > > 


Next month, many nurses will be travel- 
ling to St. John’s, Newfoundland for their 
first visit to that friendly Atlantic province. 
Accommodations have been arranged for a 
thousand visitors. We hope your application 
has gone in long since. 

Those of you who are lucky enough to 
be going will receive the warmest welcome 
you have ever been accorded anywhere 
in the world. You can become familiar 
with many of the “different” expressions 
that may be recognized from the items in 
World of Nursing this month. 

While your welcome will be heart warm- 
ing, the weather does not always match 
the graciousness of our hostesses. It may 
be cold; it may be damp; there may be 
icebergs off shore; there might even be a 
middle of June snow storm. So bring plenty 
of warm clothes, your most comfortable 
walking shoes and, just in case, a leak- 
proof hot water bottle. 


BE SEEING YOU IN ST. JOHN'S! 





THE CANADIAN NURSE 














- 





CANADIAN 
nae May 1964, Vol. 60, No. 5 N U R S E 





453 A HEALTH ASSESSMENT A. 1. MacLeod 
455 GYNECOLOGY AND OpsTETRICS: A NURSING CHALLENGE J. E. Coffey 


459 AGENESIS OF THE FEMALE REPRODUCTIVE TRACT 
S. M. Miall and D. E. Milligan 


463 Hie ARTHROPLASTY 1. Bitenc 
466 THe Lonc Roap HoMeE J. McKay 
471 Let’s Loox at THE TEACHER S. Jourard 
479 CNA EXECUTIVE MEETS IN OTTAWA J. Ferguson 


480 Many IRONS IN THE FIRE 


The views expressed in the various articles are the views of the authors and 
do not necessarily represent the policy or views of 


THE CANADIAN NurRSE nor of the Canadian Nurses’ Association. 


426 BETWEEN OURSELVES 475 THe Word OF NURSING 
430 PHARMACEUTICALS AND OTHER 485 FE a A ov 
Paosucrs [MPLOYMENT OPPORTUNITIES 


432 RanpomM CoMMENTS 


474 CNA TICKET oF NOMINATIONS, 
BIENNIUM 1964-1966 527 INDEX TO ADVERTISERS 


522 EDUCATIONAL OPPORTUNITIES 





MAY 1964 - VOL. 60, No. 5 427 


SESE SESE ESS ee a 


| 
y 





Journal Board: Miss Alice Girard, Chairman; Misses M. Cameron, M. Lewis, G. Char- 
bonneau, H. McArthur, M. Richmond, S. Alcoe, Mrs. I. MacLeod, Sr. D. Lefebvre, Miss 
E. A. E. MacLennan, president CNA; Misses H. Mussallem, M. E. Kerr. 


Editorial Advisors: Alberta, Miss Jean Cummins, 1305 Montreal Ave., Calgary; British Columbia, Miss 


* Marion Macdonell, 1807 West 36th Ave., Vancouver 13; Manitoba, Miss Sheila L..Nixon, 31-105 Ros- 


lyn Road, Winnipeg 13; New Brunswick, Miss Anna Christie, 231 Saunders St., Fredericton; New- 
foundiand, Miss Ruby Harnett, 59 Bennett Ave., St. John’s; Neva Scotia, Mrs. Hope Mack, Nove 
Scotia Sanatorium, Kentville; Ontario, RNAO, 33 Price St., Toronto; Prince Edward Island, Miss Ido 
MacKay, Dept. of Health, Dominion Blidg., Charlottetown; Quebec, Sr. M. Elaine, St. Mary’s Hospital, 
Montreal (English); Sr. Sainte-Barbe, Hétel Dieu Hospital, Quebec City (French); Saskatchewan, Miss 
Victoria Antonini, SRNA, 2066 Retallack St., Regina. 


Executive Director and Editor: Margaret E. Kerr, M.A., R.N. 
Associate Editor: Jean E. MacGregor, B.N., R.N. 
Assistant Editor (English): Virginia A. Lindabury, B.Sc.N., R.N. 


Assistant Editor (French): Claire Bigué, B.Sc., Ed. Inf., 1-L. 


Circulation Manager: Winnifred MacLean 
Subscription Rates: Canada and Bermuda: 6 months, $2.25; one year, $4.00; two years, $7. 
Student nurses: one year, $3.00; three years, $7.00. 
U.S.A. and Foreign: one year, $4.50; two years, $8.00. 
Single copies: 50 cents each. 


For the subscribers in Canada, in combination with the 
American Journal of Nursing or Nursing Outlook: | year, $10.00. 


Make cheques and money orders payable to The Canadian Nurse. 


Change of address: Four weeks’ notice and the old address as well as the new are necessary. 


Not responsible for journals lost in mail due to errors in address. 


Authorized as Second-Class Mail by the Post Office Department, Ottawa, and for payment 
of postage in cash. Postpaid at Montreal. 


RETURN POSTAGE GUARANTEED 


1522 Sherbrooke Street West, Montreal 25, Quebec 


428 THE CANADIAN NURSE 








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MAY 1964 - VOL. 60, No. 5 429 














Pharmaceuticals 
and other products 


BETADINE SHAMPOO (BRITISH DRUG HOUSES) 

Indications—For the safe, effective treatment of seborrheic conditions of the scalp character- 
ized by erythema, scaling and exfoliation of the scalp with excessive dandruff and accompanied 
by pruritis; as a general germicidal skin cleanser in the prevention of acute inflammatory skin 
diseases and recurrent furunculosis. 

Description—An antiseptic shampoo containing 7.5% povidone-iodine as_an active ingredient. 
It forms a rich, golden lather, free from any objectionable medicinal odor. Available in plastic 
squeeze bottle of 4 fluid ounces. 


COMPLAMIN (ELLIOTT-MARION) 

Indications—For the treatment of peripheral vascular and cerebral vascular disease. 

Description—Complamin is a xanthine derivative of 3-pyridine carbonic acid. It acts by in- 
creasing the blood supply to the skin and musculature by opening the reserve capillaries. 

Administration—In acute cases, Complamin should be used in large doses parenterally, 
orally or both. Suggested dosage is 1.8-5.4 Gm. daily. The suggested dosoge for maintenance 
therapy is 0.9-1.8 Gm. daily. 

Side Effects—The toxicity of Complamin is low. No deleterious side effects have been noted. 
A sensation of warmth in the skin may appear in the upper half of the body, then subside in 
10-20 minutes. This usually disoppears after the drug has been used 3 or 4 days. 

Contraindications—Should not be given with ganglionic blocking agents, phenothiazines or 
piperazine derivatives. Should be used with caution on patients with peptic ulcer. 


DISPOSABLE WASH CLOTH (LOWNDES) 

Description—A non-woven, absorbent wash cloth that lasts “one per patient per day.” Sur- 
veys have shown that its use is 50 per cent less expensive than use of the horsher-surfaced 
conventional woven fabric. Further savings are realized because counting, sorting and “penalty” 
charges for shortages ore eliminated. Availoble in 11” x 12” size or larger. 





FOOT ELEVATOR (J. T. POSEY) 


Uses—Forms a soft, light collar around the ankle, elevating the foot to give the potient 
maximum comfort and Ses without any irritation from contact with the sheet. 
of polyether foam covered by a slick plastic shield. The soft cotton 
liner is launderable. 


HEMA-COMBISTIX (AMES) 

Uses—A four-way “dip-and-read” strip test for simultaneous colorimetric determination of 
urinary pH, glucose, protein and occult blood. 

Description—Hema-Combistix is ideol for rapid routine testing in the physician’s office, and 
for routine usinalysis in the hospital and laboratory. False positives due to turbidity interference, 
non-glucose reducing substances, etc., are eliminated. The test requires only drops of urine ond 
is time-saving and economical. Available in glass bottles of 100 strips. A color chart appears 
on each bottle label. 





SANSERT (SANDOZ) 

Indications—For the prevention of severe, recurring vascular headaches. 

Description—Sansert has three main actions: It inhibits serotonin (a vasoconstrictor compound); 
it reduces fluctuations of blood vessels; it offects various pain factors, one of which oppears to be 
serotonin. Each sugar-coated tablet contains 2 mg. methysergide maleate. 

Administration—Average maintenance dosage: 2-4 tab. daily with meals. 

Contraindications—Not to be used by patients with peripheral vascular disease, coronary artery 
disease, severe arteriosclerosis, pregnancy. 





SINOGRAFIN (SQUIBB) 
Uses—A contrast medium to give radiographic evidence of physiologic and pathologic con- 
ditions of the female genital tract. Specifically intended for hysterosalpingography. 
Description—A sterile aqueous solution of 40% Renografin, 20% Cholografin methyiglu- 
comine salts, and approximately 38% firmly bound iodine. Sodium citrate is added as a buffer. 
Administration—The medium is administered to patient in lithotomy position. To visualize 
the uterus, 3 to 4 cc. usually suffice. An additional 2 to 4 cc. will demonstrate the tubes. 


ee SS SS ee SS ee a a ie eee ie Sl ee ee eee 
The Journal presents pharmaceuticals for information. Nurses understond thet only @ physician may prescribe. 


430 THE CANADIAN NURSE 













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MAY 1964 - VOL. 60, No. 5 431 
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432 


CONSTIPATION ? 


for effective overnight 
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prescribe 


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works gently 
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Test Pool Examinations 
Registration of Nurses 
Nova Scotia 


To take place on August 19, 20 and 21, 
1964 at Halifax, Sydney, New Glasgow, 
Antigonish and Yarmouth. Requests for 
application forms should be made at 
once and forms must be returned to the 
Registrar not later than June 19th, 1964 
together with: 

1. Diploma of School of Nursing; 

2. Fee of Twenty Dollars ($20.00). 
Applications received after this date will 
not be accepted. No undergraduate may 
write unless he or she has passed success- 
fully all final school of nursing examina- 
tions and is within nine (9) weeks of com- 
pletion of the course in nursing. 


NANCY H. WATSON, R.N., 
REGISTRAR, 
THE REGISTERED NURSES’ ASSOCIATION 
OF NOVA SCOTIA, 
6024 QUINPOOL ROAD, HALIFAX, N.S. 





Fandom (Comments 


Only signed letters submitted to the editor 
will be considered for publication here. 
Name will be withheld from the published 
letter at the writer's request. 


Dear Editor: 

Attention Hamilton General Hospital 
Graduates! Your School of Nursing cele- 
brates its 75th Anniversary in June 1965. 
Have we your correct address, maiden and 
married names and year of graduation? If 
not, please notify the Alumnae Office, Se- 
nior Residence, Hamilton General Hospital. 

B. McMullen, Chairman, 
Publicity Committee. 


Dear Editor: 

Mrs. McDonald is to be commended for 
her letter (uly ’63). At a time when the 
press is assailing medicine in general, we 
should welcome constructive criticism from 
our members; I personally find many ar- 
ticles a ponderous mass of verbiage. 

The student nursing care studies are good, 
although they tend to emphasize routine 
nursing details. (We assume the patient has 
been turned, and his back rubbed). These 
studies neglect the broader issues, ¢.g. sta- 
tistics re prognosis, etc. 

There is little in the magazine of world 
interest. Our diseases nowadays are mainly 
from over-indulgence of some sort, while 
61% of the peoples of the globe are hun- 
gry! This should be of vital concern to each 
of us. M. Mosley, Ont. 


Dear Editor: 


In the Jan. °64 issue (“In a Capsule”) the 
matter of Florence Nightingale seemed, 
even as a capsule, hard to take. I have had 
a special interest in this lady, lately: Having 
had $100 given to me for my favorite 
charity, I chose to see what a nurse in 
Indonesia needed. Her request for second- 
hand text books has already been looked 
after. She also asked for a skeleton, (too 
costly), and a picture of Florence Nightin- 
gale — also very hard to come by. Now I 
have, by the kindness of our library here, 
found a clipping from an old London Il- 
lustrated of her holding her lamp while 
wounded are being brought into a low-vault- 
ed room. This is now being mounted and 


THE CANADIAN NURSE 











will be forwarded. If anyone has a skeleton 
available I would very much like to know! 

The question of lamp-carrying is still im- 
portant. Now we use a flashlight to awaken 
patients. No doubt the last gestion is face- 
tious and hardly needs a comment. We 
know Miss Nightingale gave much of her 
life for the benefit of nursing, day and 
night and even from her bed. 

Now to R.N. in B.C. in “Random Com- 
ments.” Is it not too bad to want to discard 
tradition which gives us background and 
continuity? Tradition alone is worthless, but 
capping denotes advance — as do chevrons 
used in some hospitals. It does help in know- 
ing what to expect from a nurse. Today, 
some nurses expect to start at the top 
instead of the bottom. I'm quite sure thé 
public are aware that all are not graduate 
nurses. 

All white uniforms probably save laundry 
expenses, at least that was the reason that 
brought them into being. It is nice now to 
see a return of some colored uniforms for 
students. With a few exceptions, such as 
dietitians and therapists, our caps are ours 
alone. However, the few very old-fashioned 
caps and uniforms of another age, are the 
ones that really stand out. So much for that 
kind of tradition. 

Something so much more important is a 
return to the tradition of good bed-side 
nursing. 

F. J. Miller, Ont. 


Dear Editor: 

Please extend my appreciation to Mar- 
garet J. Moncrieff for her article “Prob- 
lems, Principles and Practices in the Care 
of Patients in Plasters” (Nov. °63). In my 
opinion, this is one of those rare articles 
about nursing care that has succeeded in 
demonstrating that nursing care can be ad- 
ministered by applying knowledge of basic 
scientific principles. 

I would like to purchase three reprints 
of the article if they are available. 

Sandra S. Shumway, Ohio 


Dear Editor: 

I found it disquieting to read a well- 
known nurse’s remarks to the Trustee Sec- 
tion of the O.H.A. last Oct. This nurse de- 
scribed her training as “a patchwork busi- 
ness, packed with horrors and wounds from 
which I have not recovered.” Since I 
trained around the same time, I believe, 
(the hungry 30's) and also assumed charge 


as a student nurse, I feel quite free to de- 
bate the issue. 


MAY 1964 - VOL. 60, No. 5 








Tr Ph, 


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FOR DETAILS WRITE: 
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Minneapolis 14, Minnesota, U.S.A. 


The answer: TUMS! 


These mild, minty- 

flavoured tablets will give fast relief 
from heartburn, gas and the 

other discomforts of acid indigestion. 
Keep TUMS in mind when 

your patients ask this question. 
Remember TUMS bring fast, long 
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cost so little too. 





MISS BEATRICE STANLEY, R.N., 
DIRECTOR OF NURSING, 
THE STAMFORD HOSPITAL, 
STAMFORD, CONNECTICUT. 





434 








Fatigue is the one and only descriptive 
word I can use. Twelve or 14 hrs. a day 
could not be ended otherwise. Horrors, may- 
be, but not to me, as a student, as much 
as to the patient to whom they happened: 
A slit throat; a suicide who lived 5 long 
days; missing limbs after train accident; a 
cancerous growth eating away the tongue 
and throat of an old Colonel, etc. Yes, they 
have their impact on a student. But you 
cannot turn away from this nor lessen the 
degree of shock to a student upon witness- 
ing her first contacts with human tragedy 
if nursing is the profession she has chosen. 

Let us not discard the past too hastily 
but, rather, let us carry forward the best 
of it. One of the “bests” of yesterday's 
hurse’s training, perhaps more so in the 
smaller training school, was the greater 
sense of responsibility developed by being 
given more responsibility in the senior year. 
This was especially so in obstetrics and 
surgery. I was appalled, recently, in having 
a graduate of two years tell me she was in 
a panic because I had booked her on ob- 
stetrics. She had been allowed to perform 
one and only one, rectal exam during her 
entire training. Now, some nurse educators 
are advocating that we shorten the course 
to two years! As head nurse on obstetrics for 
12 years and director of nursing for five 
years, I strongly protest. I am truly thankful 
that I spent almost nine months of my 
training on obstetrics. 

Instead of removing a year from the 
curriculum, why don't we give the student 
nurse six months in the case room with 
delegated responsibility and divide the re- 
maining six months between pediatrics and 
surgery. 

A tribute to today's training ‘schools: 
They have removed that overwhelming fa- 
tigue from nursing, given generous “time 
off,” comfortable and shining surroundings 
to work and play in. I'm honestly glad for 
them. But, let us not remove the sense of 
responsibility that the student should feel 
towards the sick, injured, or disturbed pa- 
tient who is with us always. How well pre- 
pared is she to assume responsibility after a 
panicky whisper over an “intercom,” a 
hurried summons from a nursing aide, an 
urgent report from an orderly, a snappy 
order from a doctor? 

Book learning is excellent. I am an ar- 
dent reader myself, but it can not replace 
the actual contact with the patient from 
whom we really learn about human beings 
Is that not why we are in the nursing pro- 


THE CANADIAN NURSE 








*...glad you finally 
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“Are you 


listening to me, 
Henry? 


“Henry?” 


Carbrital xapscats: 

















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436 





fession? We are caught today in a web 
of rules and regulations. It is excellent for 
the ink companies and statistics, but does 
it save the man hemorrhaging to death in 
the ambulance entrance? There is both 
pathos and humor in nursing. It can be 
exhausting and it is not glamorous; but it 
has excitement and a tremendous satisfac- 
tion. It dispels loneliness and gives you a 
feeling of belonging, but, do not divorce 
it from tragedy or attempt to find Utopia. 
Remember the healthy don’t need us, but 
the sick do. Florence Nightingale never lost 
sight of this for a moment. 

Dorothy M. Getz, Alta. 


Dear Editor: 

The article “The Psychoses of Child- 
hood” by Lisette Perron (Jan. 64) was very 
well written. However, I would like to 
clarify a statement made in the subheading 
for the benefit of readers, concerning “the 
mode of treatment which suits each psy- 
chosis.” 

Treatment and nursing care of those with 
psychiatric disturbances is based on the 
behavior which they exhibit rather than 
according to a diagnosis — which often is 
difficult to specifically determine. Thus, if 
someone displays a certain kind of behavior, 
an attempt is made to meet the need which 
this behavior indicates, regardless of the 
diagnosis. 

I find The Canadian Nurse is becoming 
more and more interesting and educational 
for both students and graduates. I am 
looking forward to the next issue. 

Loretta Norman, N.B. 


ICN Congress 


Nurses from 58 countries will take part 
in the ICN Grand Council and the 13th 
Quadrennial Congress of the International 
Council of Nurses, June 16 to 23, 1965, to 
be held in Frankfurt am Main, Federal 
Republic of Germany, by invitation of the 
German Nurses Federation. 

Congress Theme: Communication or con- 
flict — roads to better understanding be- 
tween nurse, patient, health team and pub- 
lic. Under this theme, eight sub-topics cov- 
ering all fields of nursing interest will be 
discussed. Dr. Magda Kelber, a social eco- 
nomist, writer and teacher, will be Congress 
Consultant and Keynote Speaker. 


THE CANADIAN NURSE 





In the Good Old Days 


(The Canadian Nurse — May 1924) 


The Congress of The International Coun- 
cil of Nurses is to be held July, 1925, in 
Helsingfors, Finland. It is hoped that 2,000 
nurses from all parts of the world will 
attend. 

According to present steamer rates, the 
trip from New York to Copenhagen will 
be $130.00, all inclusive, with best accom- 
modation. 


* * 2 


How TO MAKE A USEFUL 
PROBATIONER 


Their first lesson, to study and recite, 
should be in hospital ethics and etiquette. 
This should be given on their first day of 
residence. They should be taken to the 
hospital and should be given surgical dress- 
ings to make. They may be allowed to 
enter the wards to carry trays at meal time 
and to feed a few helpless patients. 

On the second day, begin lessons in the 
principles of bacteriology. Six or eight les- 
sons, given during the first two weeks, will 
be enough to teach the most important facts 
about this subject. Explain to them, in this 
first lesson, why a servant’s cleaning is 
drudgery, while a nurse’s is a scientific 
procedure founded on bacteriology. 

On the third day, add bed-making to their 
list of accomplishments. On the fourth day. 
demonstrate the changing of an occupied 
bed and allow them to practise it on pa- 
tients who are not very ill. On the fifth 
day, show them how to fill hot water bags 
and ice-caps, how to give a urinal, etc. Go 
slowly. It makes even brilliant people a 
definite length of time to adjust themselves 
to a new environment and to grow ac- 
customed to new work. 


O.R. Nurses Meet 


First Ontario Conference of 

Operating Room Nurses to be 

held June 29 and 30, 1964 

Royal York Hotel, Toronto. 

Enquiries should be directed to: 
Miss Kathleen Burton, R.N., Convenor of 
Committee on Publicity, 109 Jamieson 
Ave., Apt. 15, Toronto 3, Ont. 


MAY 1964 - VOL. 60, No. 5 








MONEY SAVER 


Because HEMA-COMBISTIX* 

tells the story of urinary blood, 
protein, glucose, and pH in one 
minute, it has to save time. 
P.S. Time is money. 0 

Ames Company of Canada 


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*Trademark Reg. 


PEERS Ze Et ND Se eno ee 








Look into White Uniform oxfords 
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ay 


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oxfords are made over th 

last and have special Krom-Flex leather so 

that cushion every step. And they re treated 
> 


with Sanitized®© for lasting daintines 


Choice of military or flat heels in a wide range 
of sizes and widths. All this con 

too. Available from your 

Savage dealer. 


WHITE 
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438 THE CANADIAN NURSE 











precision from BAXTER 


the F LO -IR OL clamp 








—one of many taken-for-granted exclusives 
on PLEXITRON sets 


IN GIVING PARENTERAL FLUIDS, you can be confident that your FLO-TROL clamp settings 
will be maintained. The wheel of the clamp can be rolled on the tubing from wide-open 
to shut-off position .. . yet it will remain precisely fixed on the tubing at any desired 
point in between. And the FLO-TROL clamp permits you to stop, change bottles, and 
start administration again ... without disturbing the original setting or flow rate. We 
hope you continue to take it for granted! 


Manufacturing Ethical Pharmaceuticals in Canada Since 1938 


BAXTER LABORATORIES OF CANADA LTD. awiston, ontario 


MAY 1964 - VOL. 60, No. 5 439 








You know you’re well 
dressed wearing 
a uniform 


made by 


BLAND 


There’s an air of distinction 
to them and they are not 


expensive. 


They‘re good 
They’re tailored 
They fit 


Made and sold only by 


BLAND AND COMPANY 
LIMITED 





Si 
1435 St. Alexander St. If you write, we will send 
Montreal a catalogue 


440 THE CANADIAN NURSE 





Consider 
this Selection 





of New 


and Recent Texts 


designed for the modern nursing curriculum 


A New Book! 
PSYCHOLOGY: DYNAMICS 


This unusual book offers a clear, understand- 
able picture of the concepts underlying hu- 
man behavior. Designed as a basic introduc- 
tion to psychology for the nursing student, 
this text relates basic psychological principles 
directly to actual nursing situations. Vital so- 
ciological are also integrated into 
the discussions. You'll find material on: feel- 


New (2nd) Edition! 


Kempf and Useem’s 
of BEHAVIOR in NURSING 


ings, attitudes and emotions, learning patterns, 
culture and personality, family and environ- 
mental influences, etc. 


By tepangare tien C. KEMPF, R.N., B.S., A.M., Chairman, 
School of Mi "State University, East 
Lansing; Ry "RU USEE. Hees So- 
rg en me cine? Sg 
ansi oe x 9 
Abcut $4357 New—Just Ready! 


Sutton’s 


WORKBOOK for PRACTICAL NURSES 


Here is a practical workbook packed with 
useful questions and problems covering every 
commonly-encountered nursing situation — 
from simple housekeeping to nursing care in 
emergencies. The practical nurse, student or 
graduate, will find up-to-date exercises and 
review material on: duties and functions of 
the practical nurse — basic needs of the aged 


Ninth Edition! 


— emergency nursing — anatomy and phy- 
siology — diagnostic procedures — medical 
and surgical treatment — general nursing care 
— drug therapy. 


By AUDREY LATSHAW SUTTON, R.N., Director of 
Service, Edgewood General Hospital, Berlin, 
t 400 pages, 7-1/4" x 10-1/4", illustrated. 
About $4.35 New (2nd) Edition—Just Reody 


Bogert’s 


FUNDAMENTALS of CHEMISTRY 


Designed with the nursing student in mind, 
this text presents an excellent survey of inor- 
ganic, organic and physiologic chemistry — 
with emphasis on medical and biological ap- 
plications. Scores of new discussions in this 
revised edition describe: atoms and atomic 
weights — chemotherapy and modern drugs 
— bleaching and disinfecting — chemical 


Sixth Edition! 


changes and equations — covalence — cor- 
tical hormones. 


By L. JEAN BOGERT, Ph. D., fo 


Haven. 626 pages, , 
illustrations. $8.40. Ninth Editi ished June, 1963 


Bogert’s 


LABORATORY MANUAL of CHEMISTRY 


In this practical laboratory manual, Dr. Bo- 
gert provides simple experiments to clearly 
illustrate the subject matter in her text 
(above), or to correlate with other textbooks 
of general chemistry. These experiments util- 
ize common, inexpensive materials and ap- 
Paratus, as well as time-saving manipulations, 


Following each experiment you'll find ques- 
tions designed to bring out main points in 
observation. Timely experiments are included 
on: nitrogen, ammonia, air, ionization, sterols, 
solutions, etc. 


=f JEAN 1 emmy Ph.D. 296 pages, tn ge 
justrated 


x 8”, 
. $2.75. 


h Edition! 


Gladly sent to teachers on approval 


W. B. SAUNDERS COMPANY 


Canadian Representative: 
McAinsh & Co. Ltd., 1835 Yonge St., Toronto 7 


MAY 1964 - VOL. 60, No. 5 


West Washington Square 
Philadelphia 5 


441 





Help Prevent 
“LIGHTS OUT’’ 
RESTLESSNESS 


with medicated i 


skin refreshant and body rub 





On every ward, when you turn out the lights, some one wakes up... and 
wakefulness thrives on minor irritations. Skin discomfort, particularly, can 
disturb your patients during the nighttime hours. But as nurses in thousands 
of hospitals know, a body rub with Dermassage may add that one welcome 
touch of relaxation which tips the balance in favor of rest and sleep, 


Dermassage comforts, cools and soothes tender, sheet-burned skin. It relieves 
dryness, cracking and itching and helps prevent painful bed sores. 


You will like Dermassage for other reasons, too. A body rub with it saves 
your time and energy. Massage is gentle, smooth and fast. You needn’t follow- 
up with talcum and there is no greasiness to clean away. It won’t stain or 
soil linens or bed-clothes. You can easily make friends with Dermassage— 
send for a sample! 


“SEE IF YOUR HANDS DON’T TELL YOU THE DIFFERENCE” 


Now distributed in Canada by LAKkestpE LABORATORIES (CANADA) LTD. 
1875 Lesiie Street, Don Millis, Ontario 


*trademark 


442 THE CANADIAN NURSE 














DULCOLAX 


the laxative to replace enemas 





The ability of Dulcolax to replace the traditional enema, not only in simple 
constipation but also in preparation for surgery and diagnostic procedures, 
has been well documented in the professional literature. 


Dulcolax saves valuable time 


The time required for Dulcolax administration is minimal compared 
to the enema administration and preparation and cleaning of enema 
equipment. 


Dulcolax eliminates a distasteful task 


Dulcolax tablets or suppositories are equal and often superior in 
cleansing action to enemas. With Dulcolax all but bedridden patients 
are able to use the toilet rather than bedpan and cleansing of soiled 
clothing, bed linen or dressings is rarely necessary. 


Dulcolax spares your patients discomfort 


Your patients will be extremely grateful to be spared the discomfort, 
embarrassment and inconvenience of an enema. Dulcolax results 
generally in one or two evacuations of soft, formed stool without 
violent purgation or exhausting straining. 


Dulcolax tablets (enteric coated) 5 mg. 
Dulcolax suppositories 10 mg. 
Dulcolax suppositories for children 5 mg. 





Boehringer Ingelheim Products 


Division of Geigy (Canada) Limited, Montreal 
BS066-64 


MAY 1964 - VOL. 60, No. 5 443 








a 





OPPORTUNITIES 


for 


REGISTERED NURSES 
in 
THE CANADIAN FORCES 
MEDICAL SERVICE 






















Applications are now being accepted from Registered Nurses for 
enrolment as officers in the Royal Canadian Navy, the Canadian 
Army or the Royal Canadian Air Force for duty in the Canadian 
Forces Medical Service. 


Interesting and challenging careers with opportunity for advance- 
ment are offered to those who meet the requirements. 





YOU MAY QUALIFY IF YOU ARE 





A registered nurse and a current member of a Provincial Registered 
Nurses’ Association. 

A woman under 35 years of age, single. 

A Canadian citizen, or other British subject with the status of 
“landed immigrant.” 


For further information— 
Visit, write or call your nearest Canadian Armed Forces Recruiting Centre 
or write to: THE SURGEON GENERAL 


DEPARTMENT OF NATIONAL DEFENCE 
OTTAWA, Ontario 


444 THE CANADIAN 


6152 





NURSE 







w 


Mosby texts to see how effectively 


confidence 
1) 
these 
new 


they meet your current course requirements 


New 3rd Edition! 
Shafer-Sawyer-McCluskey-Beck 


Ready Next Month! 


MEDICAL-SURGICAL NURSING 


Here is the up-to-the-minute new edition of 
the only medical-surgical nursing text that has 
been tried, tested and perfected in classroom 
use, with revisions and changes based on sug- 
gestions of instructors who used previous edi- 
tions. You will find it a comprehensive, yet 
compact presentation, avoiding duplication of 
material. Thoroughly revised and improved to 


A New Book! 


reflect rapidly changing theories and proce- 
dures, this revision has been redesigned and 
printed in two colors throughout. It has been 
altered substantially to meet all of your cur- 
rent course requirements. Of the nearly 200 
illustrations, 50 of them are new to this edi- 
tion, many of them clinical photographs of 
actual nursing procedures. 


Professor in Out-Patient Nursing, The Cornell University-New York 
Instructor, School of Education, 


Department of Nurse Educa- 


NJ. Ready in May. 3rd edition, approx. 


Matheney-Nolan-Ehrhart-Griffin-Griffin 


FUNDAMENTALS OF PATIENT-CENTERED NURSING 


In keeping with the modern trend in nursing, 
this new textbook provides your inning 
students with the basic concepts on which to 
build a patient-oriented knowledge of all ma- 
jor clinical areas of nursing. Written by 5 in- 
structors teaching in associate group programs, 
By RUTH V. MATHENEY. 
York, N.Y; BREDA T. NO 


RN. 
GERALD J. CRIFEINR NS MAS 


KING GRIFFIN, R.N., M.A., Lecturer in Science, of Nursing Department of Nursing, Bron 
Community College: Published March, 1964. S45 pages, 6ty"x S94", 48 ltustrations. Price, $5.80. 


THE C. V. MOSBY COMPANY 
3207 Washington Boulevard 


tan ten Assistant Professor, Department of 
Assi , , , 


this presentation stresses the interrelationship 
of he vey the physical-emotional-cultural re- 
lationship within the individual and the unity 
of man. This is the only text available in this 
subject area to effectively correlate biological, 
physical and social sciences. 


: 
f 
: 


; ALY 
ot Wasing.Bront Commaniy allege, JOANN 


Publishers 
St. Louis, Mo. 63103 





McAINSH and Co., Ltd. - 1835 Yonge Street - Toronto, Ontario 


MAY 1964 - VOL. 60, No. 5 





445 

















dust Published! 


With a new page size, new format, new illus- 
trations and a new 13-plate, full-color Trans- 
Vision® Insert of the Human Anatomy illus- 
trated by Ernest W. Beck, the new 4th edition 
of this popular text promises to be more stim- 
ulating and interesting than ever. Concise but 
complete descriptions of tissues, organs and 
systems, augmented by carefully executed il- 
lustrations, lead your students from an under- 


By CARL C FRANCIS. AS... M.D.. Associate Professor of 
Ohio. Published 


New 4th Edition 
INTRODUCTION TO HUMAN ANATOMY 





Francis 


standing of simple structures to the identifica- 
tion and location of more detailed and intri- 
cate parts of the human body. The author has 
used the English equivalent of the Paris revi- 
sion of the anatomic nomenclature throughout, 
and has rewritten a number of sections to in- 
crease the emphasis on function, and to make 
the material more easily understood. 


, Department of Anatemy, 


Anatomy Western Reserve University, 
January, 1964. 4th edition, 478 pages, 644x 912", with 325 text illustrations and 25 color 
Anatomy illustrated 


plates, and a Trans-Vision® Insert of Human 


Ready in May! 


New 8th Edition 


by Ernest W. Beck. Price, $6.75. 


Smith 


MICROBIOLOGY AND PATHOLOGY 


Through 7 editions, this outstanding textbook 
has been one of the leading texts in its field. It 
stresses the relationship of microbiology to 
nursing, medicine, dentistry, everyday living, 
food and water supply, sanitation, the pro- 
cesses of nature, manufacturing and com- 
merce. The new 8th edition incorporates new 
information on virology, immunology, allergy 
and asepsis. Microbiology and pathology are 


treated as distinct entities, so you can effec- 
tively use this text whether you teach a com- 
bined course or a separate course in “Micro- 
biology”. Each part provides your student with 
an initial over-all survey, followed by an anal- 
ysis of the details of the subject at closer range. 
Classi ion has been revised according to 
the latest edition of Bergey's Manual of De- 
terminative Bacteriology. 


By ALICE LORRAINE SMITH, A.B., M.D., F.C.A.P., F.A.C.P., Associate Professor of Pathology, The University of Texas 
Southwestern Medical School —y Ready in 


’ las, 
iMustrations. Abeut $7.95. — 


Just Published! 
PEDIATRIC NURSING 


Examine the new edition of this well-known 
text and you will find it presents the most com- 
prehensive information available on child 
care. Compare it with the text you are now 
using for completeness, content, scholarly ap- 
proach and effective illustrations, You will 
find it unquestionably the most thorough text 


By GLADYS S. BENZ, R.N., M.A, 
lows City, lewa. Published 


New 5th Edition 


Associate Professor, 
February, 1964. 5th edition, 547 


May. 8th edition, approx. 625 pages, 7”x 10", with 325 


Benz 


available on the subject. Although ‘easy to use, 
PEDIATRIC NURSING is written from the 
scholarly approach to give your students an 
understanding in depth of pediatrics, not just 
a surface knowledge of the subject. The ma- 
terial is flexible throughout so that you may 
recombine it to suit your needs. 


TUT pause, OR Oe", Oe Tae ee ne Nursing, 
pages, 6Vr"x S¥2", with 124 figures. Price, 30. 


THE CANADIAN NURSE 











look with confidence 


to these new Mosby texts 
for the most effective presentations 


Ready in July! 


A New Book 


Havener-Saunders-Bergersen 


NURSING CARE IN EYE, EAR, NOSE 


AND THROAT DISORDERS 


This well-illustrated new book represents the 
combined efforts of an eminent ophthalmolo- 
gist, a distinguished otorhinolaryngologist, and 
a medical-surgical nurse. Clinically oriented, 
it correlates the nurse’s responsibilities with 
pertinent descriptions of di is, treatment 
and care. You will find discussions of such im- 
WILLIAM H. HA M.D., M.S. 

cal Ohio; WiLL de Pr 
ment of Teachers : 

oar eee 


Ready This Month! 


Professor, 
Boeeer oan, Chaieate ot Su Sepatnee 21 Shane Depart- 
University, New York, N.Y. B.S, US, insta, Soper 


A New Book! 


portant areas as: conducting visual screening 
tests by means of the Snellen chart; preoper- 
ative and postoperative care of eye, ear, nose 
and throat patients; medical and surgical 
management of eye defects. A chapter written 
by a competent audiologist on “Hearing Im- 
pairment” adds to the book's value. 


Department of 


Brooks 


LABORATORY MANUAL AND WORKBOOK 
FOR INTEGRATED BASIC SCIENCE 


Now, for the first time, a comprehensive lab- 
Oratory manual presents the essence of chem- 
istry, microbiology and human biology as an 
integrated and interrelated body of knowledge. 
Here your students can find all laboratory ex- 
periments for physics, chemistry, microbiology 
and human biology in one adequate labora- 
tory manual, making it easier to assimilate 


ee ee Instructor in Science, Lasell Junior 


Peter Bent Brigham Hospital, 


Ready in June! 


principles and relate the various sciences to 
one another. You will find more than 80 short, 
simple and highly instructive exercises (includ- 
ing several dealing with drug action) which 
can also be used as class demonstrations. The 
more than 150 illustrations range from osmos- 
is through electrophoresis, and include cross 
sections of artery, vein and capillary. 


(affiliated with 


College, Auburndale, Massachusetts 
Boston) Ready tater this month. 331 pages, 7¥4”x 10¥2”, 198 illustrations. About $4.95. 


New 7th Edition 


Anderson 


WORKBOOK OF SOLUTIONS AND DOSAGE OF 
DRUGS (Including Arithmetic) 


Here is a new edition of the workbook in- 
structors have called the most “teachable” in 
this area. Through 6 editions, this simplified, 
logical presentation has made this workbook 
the most widely used one for courses in “Solu- 
tions and Dosage” and “Arithmetic and/or 
Mathematics for Nurses”. Concisely written 
to facilitate understanding and retention of 
basic principles, the book is divided into 4 
parts: I, a review of fundamental arithmetic 
as it applies to the mathematics of drugs and 


solutions; II and III, principles and problems 
in computation and preparation of solutions 
and dosages of drugs; IV, drug definitions, 
origin, and application, plus laboratory exer- 
cises in their usage. You will find many help- 
ful new review and drill exercises in this revi- 
sion. The Answer Guide provided instructors 
includes a survey test to aid you in evaluat- 
ing student achievement at the beginning of 
the course. 


By ELLEN M. ANDERSON, R.N., L, 6.5, UA, Streeter, Sebeel Ot Hercing, Colemtle Meepltal, tstwestee, Wisconsin. Ready 


in June, 1964. 7th edition, 176 pages, 7V4"x 1 


THE C. V. MOSBY COMPANY 
3207 Washington Boulevard 


Publishers 
St. Louis, Mo, 63103 





McAINSH and Co. Ltd. - 1835 Yonge Street - Toronto, Ontario 


MAY 1964 - VOL. 60, No. 5 


447 

















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NEW SAFETY IN 
PROLONGED IV THERAPY 





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vents tube disengaging or being severed 
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© Can be disassembled and reassem- 
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tire alo Needie assembly. After puncture during prolonged IV therapy 
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MAY 1964 - VOL. 60, No. 5 44u 















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450 THE CANADIAN NURSE 












Report Available 


Blueprint for Progess in Hospital Nurs- 
ing, a report of the first history-making 
series of national conferences, sponsored by 
the National League for Nursing’s Dept. of 
Hospital Nursing and the Regional Council 
of State Leagues for Nursing, is now avail- 
able at $3.75 a copy. 

Eighteen outstanding speakers discuss how 
organized nursing services and care of pa- 
tients can be improved in the face of social 
forces now at work, rapid technological ad- 
vances, and new scientific discoveries. Or- 
ganizational barriers that impede progress in 
providing better care are identified through 
group discussion. Also included are many 
practical suggestions for counteracting those 
barriers and for promoting and implement- 
ing progressive planning for the future. 

To order this publication, write to: De- 
partment of Hospital Nursing, National 
League for Nursing, 10 Columbus Circle, 
New York 19, N.Y. 




















Medical Film Listings 


The following are descriptions of films 
in the Heredity Series, produced by Indiana 
University. Films are 30 minutes in length, 
black and white, and the service charge is 
$5.00 each. 


It Runs in the Family 

This initial film in the series discusses the 
general aspects of heredity. Chances of in- 
heriting mental illness or transmitting con- 
genital defects are discussed along with the 
chemistry of the hereditary nucleo-protein 
material. 


Reproduction and Heredity 

A discussion of common aspects of re- 
production and heredity dealing with prin- 
ciples of biogenesis, then mitosis. 


Sexuality and Variations 

Discusses why sexual method of repro- 
duction is so widely spread in nature: out- 
lines typical life history of an organism; 
considers parthenogenesis, characteristics of 
ovum and sperm; compares mitosis and 
meiosis. 

These films may be rented from: Cana- 
dian Film Institute, 1762 Carling Ave., 
Ottawa 13, Ont. 








































NARISEPT 


“DISPOSETTES” 





SINGLE DOSE GENERAL PURPOSE 
ANTIBACTERIAL OINTMENT 


A major break-through in the physician’s 
effort to maintain sterile conditions and pre- 
vent undesirable sequelae in topical lesions 
has been made in the development of the 
new NARISEPT antibacterial ointment in 
handy ““Disposettes”’ that eliminate the 
danger of re-infection from contaminated 
multiple dose containers. 


Each “Disposette™” (single-dose 
provides 900 mg. of ointment as 


container 
Neomycin 3.5 mg.* 
Bacitracin U.S.P 500 units 
Anhydrous Petrolatum ointment base 
‘equivalent to Neomycin Sulfate U.S.P.5 mg 
DIRECTIONS: Cut off soft, narrow spout-like 
tip and squeeze “Disposette” to direct oint- 
ment to affected area. 


qs. 


INDICATIONS: Use as a general purpose anti- 
bacterial ointment to prevent or treat infec- 
tion such as may be encountered in abrasions, 
cuts, or minor burns or for nipple disinfection 


during breast feeding period. Also indicated 
for application on and around carbuncles 
and pimples. 

HOSPITAL APPLICATIONS: Intranasally used 
as antiseptic, both in existing infection in the 
nose or in the destruction of organisms, as in 
asymptomatic nasal carriers 
PRESENTATION: 10 ‘Disposettes” 


sleeve type blister pack for one-at 


qh INTRA MEDICAL PRODUCTS 


in a unique 
a-time use 





This 
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patient 





Positive identification Never Sleeps 


Young or old, asleep or awake, ali your patients have full-time 
protection with Ident-A-Band. Soft, comfortable, always right, 
ident-A-Band lets your patients rest—while it stays on the job. 


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| 62 THE CANADIAN NURSE 











THE CANADIAN NURSE 


A MONTHLY JOURNAL FOR THE NURSES OF CANADA 
PUBLISHED IN ENGLISH AND FRENCH 
BY THE CANADIAN NURSES’ ASSOCIATION 


VOLUME 60 MONTREAL, 


MAY 1964 NUMBER 5 


ft Health Assessment 


“Health is a State of Complete Physical, 
Mental and Social Well-being.” 


These words from the World Health 
Organization definition of health can 
apply to a professional organization as 
well as to an individual. What is the 
state of health of the Canadian Nurses’ 
Association? This question does not 
imply a suspicion that it is sick — for 
it is not — but we have gone far be- 
yond considering “the absence of dis- 
ease or infirmity” as implying health. 
We look now, in individuals and insti- 
tutions, for abundant well-being. On 
the eve of a new biennium, let us look 
at the health of our profession. 

We, as nurses, advise a_ yearly 
health assessment for individuals. Per- 
haps a biennial examination for the 
CNA is more in keeping with our 
method of operation. Is the Canadian 
Nurses’ Association in the best pos- 
sible state of health to play its part in 
the promotion of the welfare of the 
Canadian people during the next two 
years? As with an individual, if we 
look carefully we will be able to find 


MAY 1964 - VOL. 60, No. 5 


aspects of functioning that can be im- 
proved. Is our professional body func- 
tioning well physically? During the 
past two years, it has been evaluated 





(Geby, Montreal) 
IsoBEL MACLEOD 


453 











by ourselves with the help of experts 
in management consultation. The or- 
ganization within which our employed 
staff is required to function has been 
studied, as well as some of the aspects 
of committee structure and the rela- 
tionship of such structure to the work 
of the office staff. Remedial changes 
are planned. Some will give greater 
scope to our employees to carry out 
policies by aligning necessary author- 
ity with responsibility for creative ac- 
tion. Our physical environment will 
be improved by the building of CNA 
House in Ottawa. The architects have 
drawn up plans for a beautiful and 
functional building for the use of staff 
and membership. We anticipate that 
it will be completed well before the 
end of the next biennium. 

What of our mental and social 
health? The way in which we meet 
one another’s needs will have an effect 
on our total health as a profession. 
The promotion of mutual trust and 
respect among our members in the 
various positions and fields of nursing 
is essential if we are to have the 
strength as a profession to meet the 
needs of our society. Such harmony 
within is enhanced as we work together 
to promote the economic and social 
welfare of our members. Consideration 
of this aspect of welfare is particularly 
meaningful today among workers in all 
professions. provincial and na- 
tional committees concerned with this 
part of work satisfaction will have a 
heavy responsibility. They will func- 
tion successfully only with the thought- 
ful support of the membership. 

The health of a profession, as of an 


individual, requires that it be a con- 
tributing part of its society. Canadian 
society needs the contribution of the 
nursing profession as it plans and car- 
ries out health programs in the future. 
Are we ready to make this contribu- 
tion? It is essential that the CNA fore- 
see and understand changes in the 
broad field of welfare service in our 
country. If we are to take our place, 
there is no time for confusion. We 
must be clear ourselves as to what the 
role of nursing will be. We must as- 
sume responsibility for ensuring that it 
is clearly communicated to other pro- 
fessional and lay groups with whom 
we will be called upon to work. We 
cannot always wait until we are asked 
what nursing can do. It is a function 
of a profession to initiate such com- 
munication. The Canadian Nurses’ As- 
sociation is aware of this responsibility 
and has taken action. It promises to 
be an increasingly significant profes- 
sional function during the years of 
change ‘ahead. 

Essentially, the Canadian Nurses’ 
Association seems to be healthy and 
vigorous but health is never static. 
The profession’s continued well-being 
will depend on its ability to be timely 
in meeting the needs of its members 
while adapting constantly to the needs 
of society. It will be required, in the 
future, to make prompt and appro- 
priate adaptations within to facilitate 
equally prompt and appropriate adap- 
tations without. 


A. IsopeL MacLeop, M.a. 
Ist Vice-President, 
Canadian Nurses’ Association. 


HUMAN RELATIONS INSTITUTE 


The 16th Annual Institute on Hu- 
man Relations will be held June 15-25, 
1964, at Fort Qu’Appelle, Saskatche- 
wan. The purpose is to examine the 
interaction of forces within groups and 
to study their influence upon: group 
structure and development; communi- 
cation; leadership; personal growth. 


Financial assistance in the form of 
grants equivalent to tuition is available 
to a limited number of delegates. Re- 
quests for tuition grants received prior 
to May 31 will receive first considera- 
tion. Address enquiries to: Human Re- 
lations Council, Saskatchewan House, 
Dewdney Avenue West, Regina. 


THE CANADIAN NURSE 














GYNECOLOGY AND OBSTETRICS 
A Nursing Challenge 


J. EDwIn COFFEY, M.D., F.R.C.S.(C.) 


Gynecology and obstetrics is on the move. No other discipline has undergone 
such self-reappraisal, reorganization and rededication to excellence in 
the areas of research, teaching and clinical practice. That these 
changes were overdue is readily admitted. 


This specialty has been outpaced 
by a resurgence in other fields during 
and following World War II. Instru- 
mentation available since that time has 
provided our investigators with the 
means to measure, record and evaluate 
human data hitherto uncharted. This 
includes work on amniotic fluid and 
intervillous space pressures, uterine 
blood flows, myometrial physiology 
and biochemistry, physiology of labor, 
transfer and metabolic studies of the 
placenta, and exfoliative cytology of 
the reproductive tract. The impetus in 
laboratory and clinical research has 
supplied the balance necessary for a 
healthy discipline which, until recently, 
has been weighted in the direction of 
pure clinical and pathologic work. 

Present day gynecology and obstet- 
rics is taught with greater correlation 
to the basic sciences than was pos- 
sible even a decade ago. This attitude 
permeates the teaching curriculum of 
the medical student, intern, resident 
and postgraduate student. How has 
the emphasis on basic research affect- 
ted the third member of the triad, i.e. 
clinical practice? Some of the older 
men complain that we are now turning 
out laboratory gynecologists without 
operative ability nor knowledge of 
pathology. This. of course, is an ex- 
treme view but nevertheless founded 
on sofme fact. Any revival is bound to 


Dr. Coffey, Hosmer Fellow, McGill 
University, practises in the Department of 
Gynecology and Obstetrics at the Montreal 
General Hospital. 


MAY 1964 - VOL. 60, No. 5 


swing too far and therefore we must 
be careful to maintain proper balance 
in training programs so that clinical 
excellence is complemented by rather 
than subverted to the laboratory. 
Political reorganization has also 
taken place within the specialty in re- 
cent years. One must recall that from 
midwifery developed the art of ob- 
stetrics and from general surgery the 
art of gynecology. One is predomin- 
antly medical, the other surgical in 
nature. Gynecologic endocrinology 
and female urology are intimately in- 
volved and in many centres are an 
integral part of the service. You can 
easily see the pressures which must 
come from sister specialties as they in 
turn feel encroached upon. Because 
the human organism is not divided 
along the lines of man-made special- 
ties we encounter border areas where 
overlap is bound to occur and for the 
sake of consistent patient care must 
be tolerated. Historically, obstetrics 
was practised separately from gyneco- 
logy but over the years the two have 
been combined and now, with few 
exceptions, form one discipline devot- 
ed to the study and treatment of dis- 
eases peculiar to women. Now that 
this marriage has been successful it 
would seem wise to follow accepted 
matrimonial standards and take on a 
single family name. “Gynecology” or 
“Gyniatrics” would best seem to suit 
the purpose. This struggle for identity 
culminated in the founding of exclusive 
such as the Royal College of 
Obstetricians and Gynaecologists in 








Britain and the American College of 
Obstetricians and Gynecologists in the 
U.S.A. In Canada, the specialty is a 
division within the Royal College of 
Physicians and Surgeons. It is not un- 
likely that in time this Division will 
form the nucleus for a Canadian Col- 
lege of Obstetrics and Gynecology. 
Because of this growing maturity the 
discipline no longer assumes the role of 
a medical or surgical subspecialty and 
thus assumes full responsibility for the 
training of appropriate medical person- 
nel. 

Not only in political structure have 
changes occurred but also in the aca- 
demic structure. Traditional obstetrics 
had emphasized the mechanics of labor 
and delivery with the obstetrician high- 
ly skilled in manual and forceps man- 
oeuvers designed to accomplish deliv- 
ery at any cost. No longer is simply 
a “live” baby the principal aim but 
also one having full mental and phy- 
sical capabilities, undamaged by diffi- 
cult mechanical manipulations at birth. 
Cesarean section has generally re- 
placed the very difficult forceps deliv- 
ery. Similarly, the traditional gyneco- 
logist was a general surgeon who re- 
stricted his surgery to the female re- 
productive tract and his laboratory 
interests to gross and microscopic 
study of the involved tissue. Many of 
the great names in gynecology were 
such people. The founder of abdominal 
surgery, Ephriam McDowell, attained 
this honor in 1809 by performing a 
gynecologic procedure — removal of 
a large ovarian cyst. John Marion 
Sims, the “Father of American Gyne- 
cology,” was famous for his vesico- 
vaginal fistulae repairs. Howard Kelly, 
a familiar name to the instrument 
nurse, pioneered the use of radium in 
gynecologic cancer and made a signifi- 
cant contribution to gynecologic urolo- 
gy. Cullen, a former Canadian and 
student of Kelly’s, was a great teacher 
and pathologist. Emil Novak, a self- 
made man, left his mark as a master 
gynecologic pathologist and teacher. 
The philosophy of the last three men 
is still felt at the Johns Hopkins Hos- 
pital where they once worked. 

Canadians may take pride in the 
fact that their ancestors were among 
the first to recognize gynecology as a 
specialty. The first gynecologic depart- 


ment in Canada and among the earli- 
est in America was formed in 1883 
at the Montreal General Hospital as 
part of the McGill Medical School. 
This preceded the Sloane Maternity 
Hospital by four years and Johns Hop- 
kins by six years. 

To this historical beginning has been 
added a broad base of research activity 
that has resulted in a new approach — 
one with emphasis on physiology and 
biochemistry of reproduction. In ob- 
stetrics, maternal, placental and fetal 
physiology have become popular areas 
of study. Much of this is done on hu- 
man subjects as a result of advanced 
instrumentation. It is not unusual to 
see a woman in labor with tiny elec- 
trodes recording fetal heart beats and 
plastic catheters recording intra-amni- 
otic fluid pressures while infusion of 
oxytocin is given by constant infusion 
pump. Abnormal types of labor are 
thus detected early and treated under 
finer control than gross clinical evalu- 
ation permits. Placental physiology, as- 
sisted by newer tissue culture tech- 
niques, is being studied from all angles, 
i.e. placental transfer of nutrients, 
oxygen, and drugs to and from the 
fetus; the endocrine and metabolic 
activity of the placenta. Amniotic fluid 
obtained by amniocentesis is being 
studied in isoimmunized Rh negative 
mothers in an effort to predict the af- 
fected fetus and thus achieve early 
delivery thereby avoiding severe ery- 
throblastosis. A massive research pro- 
gram is now underway in the United 
States gathering precise data on all 
aspects of the reproductive process 
from conception through delivery and 
childhood. Much of the data is being 
gathered by obstetrical nurses. It is 
hoped that analysis of this material 
will point to the areas in fetal or new- 
born development where brain dam- 
age occurs resulting in cerebral palsy 
or mental retardation. 

In the gynecologic field major ad- 
vances have been made as well. Cyto- 
logic screening for cancer is readily ap- 
plied to cervix and endometrium and 
has been shown to reduce the relative 
numbers of invasive cervical cancer. 
Here is an area where public education 
should spread the word that every wo- 
man, certainly after 30, should an- 
nually avail herself ~ Papanicolaou 


THE CANADIAN NURSE 











Smear. In the treatment of gynecologic 
cancer there is much work being done 
with chemotherapy, especially for cho- 
riocarcinoma and ovarian tumors. Ra- 
dium therapy is still the mainstay for 
cervical cancer but improved opera- 
tive techniques, blood transfusion and 
antibiotics have made radical pelvic 
surgery, with or without urinary and 
intestinal diversion, a common ap- 
proach in some centres. This is one 
reason why gynecologic surgery must 
be taught in its widest and historical 
sense to enable its graduates to inves- 
tigate and treat those complications in 
the pelvis arising from gynecologic dis- 
ease. This demands a knowledge of 
cystoscopy, female urologic surgery, 
sigmoidoscopy and bowel surgery. 
Endocrine aspects of gynecology, 
incl metabolic pathways and cli- 
nical effects of ovarian steroids, are 
currently under much study. The Stein 
Leventhal Syndronie with polycystic 
ovaries is still unexplained as to etio- 
logy but may well be an enzyme de- 
ficiency similar in some respects to 
the nital syndrome. Since 
menstrual disorders may be related to 
any disturbance in the hypothalamic- 
pituitary-ovarian axis the modern gyn- 
ecologist must look far afield to ex- 
plain many of these complaints. The 
higher centres which control ovulation 
contain many secrets waiting to be 
discovered. Infertility study has be- 
come so specialized that exclusive cli- 
nics operate for that purpose alone. 
Evaluation of the patient should be 
done in an organized manner to save 
time and money. Tubal occlusion, 
which is the most common cause of 
infertility, is often treated by tubo- 
plastic procedures giving a 10-20 per 
cent pregnancy rate. 
Ovulation su n is currently 


a popular iacaeentie patie made 
simple by the new and powerful pro- 
gestational drugs. These have been 
useful in the treatment of endometri- 
osis, teach bleeding and prima- 
ry dysmenorrhea 


widest pli- 





MAY 1964 - VOL. 60, No. 5 








of adrenal and drug-induced variety. 

new progestational drugs were first 
used in treating threatened abortions 
resulting in an epidemic of newborns 
with ambiguous external genitalia. 
These were due to the androgenic 
drug effect on the female fetus in 
utero. The modern gynecologist must 
know how to differentiate these inter- 
sex problems and do the proper repar- 
ative surgery. 


arly, irradiation of females should 








gi 
. dhe importanc 
on vious vt sedan: 


fit into this pattern of con- 
cepts and new dimensions? If the tra- 
ditional nurse-doctor team is to con- 
tinue she too must become a specialist 
of sorts. In the ing centres where 
research should be high in priority 
she must be well trained in the basic 
sciences and clinical research tech- 
niques used in obstetrics and gynecol- 
ogy. She should have a desire for ac- 
curate observation and a fascination 
for the unusual. Every pregnant wo- 
man whether in the antepartum clinic, 
the labor and delivery suite, or post- 
partum recovery room should be a 
study unto herself. With this attitude 
there is no such thing as the “routine” 
patient. The latter becomes an indi- 
vidual with individual problems and 
individual solutions. With few excep- 
tions in medicine the “best routine” 
is “no routine.” These become neces- 
sary when either member of the nurse- 
doctor team becomes lax in his ob- 
servation of the patient and “for the 
sake of a few, subjects the many.” 
The delivery room nurse, whether 
in the large centre or cottage hospital, 
is often the object of dispute by the 
expectant father desirous of holding 
his wife’s hand in labor and observing 
the drama in the delivery room. This 
attitude has been promoted in the lay 
and certain medical press over the 
past decade to such an extent that we 
are led to believe that being born is 
“as simple as falling off a log.” It is 
just that and so are the consequences 


457 


— 


cap pde 


St pet ee eee Sy eerie Pl 


_—— 


| . 
4; 


a 
nies ea ree Sere 











— 





a 


should the newly born be narcotized 
previously by heavy analgesia or gen- 
eral anesthesia, hypoxic from prolong- 
ed cord compression or obstructed air- 
way or too premature to swim on its 
own. What sort of rescue team is 
available? Woefully inadequate in 
most cases! This very situation has 
led Professor Allan Barnes of Johns 
Hopkins to make the following com- 
parison. 

The removal of a brain tumor calls 
fora surgeon with two assistants, a scrub 
nurse and two circulating nurses. an_ane _hurses, an_anes- 
thetist and assistant. The patient's prognosis 


iets tenendo The bith of 
ent is tremendous. The birth of a 


ne m 








a one physician, no scrub nurse, one 


circulating nurse i 
azard anesthesia cove: combined 


is minimal . . . We do not deny that birth 


is a sentimental 


We cannot _forget, however. that no_otiter 
irthday is surrounded by the m i 


which surrounds the da’ 


This is food for thought. There 
hould be no further doubt as to the 
necessity of highly trained obstetrical 
nurses. 

Another object of concern is the 
expected surge in birth rate once the 
postwar “babies” start reproducing. 
Trained obstetricians have not kept 
pace with the rising birth rate and 
there is likely to be an acute shortage 
in the future. How, then, can the 
specialist be most effectively utilized? 
By training qualified nurses as obstet- 
rical assistants they might undertake 
such time-consuming duties now per- 
formed by the doctor, i.e., prenatal 
visits after the initial assessment, ob- 
servation during labor and postpartum 
visits in hospital. Abnormal findings 
could be brought to the attention of 


A good mind possesses a Kingdom. 
— SENECA 
. J . 
Last year I had one fault — I was con- 
ceited: this year I’m perfect! 


458 


the obstetrician. Thus, the talents of 
the obstetrician would be reserved for 
the time of greatest hazard. This does 
not mean a return to midwifery as we 
knew it but instead the promotion of 
special nurses through extensive train- 
ing to take more responsibility with- 
out lowering the standards of obstetric 
care in this country. 

Likewise, the gynecologic nurse, if 
she has a flair for the operating room, 
must be well skilled in pelvic proce- 
dures including urologic, bowel and 
vascular techniques. She should be 
adept at positioning patients in dorsal 
lithotomy or knee chest. In the office 
or clinic she must instil confidence in 
the young girl about to have a pelvic 
examination or the elderly woman 
still clinging to Victorian traditions. 
She should understand menstrual phys- 
iology and concepts of infertility 
investigation in order to assist the 
gynecologist in his task. On the gyne- 
cologic ward she must know general 
principles of postoperative care and 
every detail of gynecologic care. Be- 
cause of the proximity of bladder and 
bowel to the reproductive tract, the 
potential for undoing all the good in 
a gynecologic procedure by haphazard 
postoperative care is very great. 

Finally, to those who say that gyne- 
cologic and obstetric nursing consists 
only of enemas, bedpans, catheters 
and screaming parturients, I say they 
have missed the greatest opportunity 
of their career. What other field has 
so much uncharted territory — so 
many opportunities for the nurse, fired 
with enthusiasm, to march side by 
side with the gynecologist-obstetrician 
searching for answers to disordered 
reproductive physiology or for means 
of improving obstetric care, thereby 
relieving future generations of the 
ominous prospect that “no other haz- 
ard in one’s lifetime is attended by 
such risk as that of being born”? 


The world belongs to the Enthusiast who 
keeps cool. — WittiaM McFee 
* * * 

Outside show is a poor substitute for inner 
worth AESOP 


THE CANADIAN NURSE 














Agenesis of the 
Female Reproductive Tract 


Susan M. MIALL and Diane E. MILLIGAN 


Two students’ account of the care given to a patient with congenital absence of 
the vagina and uterus — a condition first described in 1593 and of 
which only 750 known cases have been reported. 


The first thing that Janet did when 
admitted to her room in the gyneco- 
logy unit was to become acquainted 
with her room-mate — being very 
careful not to mention her own con- 
dition in her conversation. Janet was 
a tall, attractive young lady who was 
not in any apparent physical pain or 
distress. She seemed tense, however, 
and concerned about her hospitaliza- 
tion. 


Reason for Admission 


Five years ago, at the age of 13, 
Janet had accompanied her mother 
to the family physician regarding her 
delayed menarche. He had assured 
them that there was no cause for alarm 
— that many girls do not begin to 
menstruate until they are 14 or 15 
years of age. 

During the next few years, Janet 
completed a commercial course and 
then worked as a typist in a large 
business establishment. She met many 
young people at work and, eventually, 
the gentleman who wished to marry 
her. Since her menstrual periods had 
still not begun, she again consulted her 
physician. He advised immediate hos- 
pitalization for investigation. 


Examination Under Anesthetic 


On the day prior to the vaginal ex- 
amination, the area from the umbilicus 
to and including the pubic area and 
the perineum was shaved. Janet ap- 
peared embarrassed when this proce- 


Miss Miall and Miss Milligan were sec- 
ond year students at Ottawa Civic Hospital 
when they prepared this study. 





MAY 1964 - VOL. 60, No. 5 


dure was started, but made no protest. 
The nurse assumed a “matter-of-fact” 
attitude which seemed to ease the 
strain. 

An enema was given in the evening 
to evacuate the bowel. Janet felt naus- 
eated during the procedure and vomit- 
ed afterwards. Her obvious tension 
and apprehension appeared to be re- 
sponsible for this malaise. It was diffi- 
cult for her to talk about her fears, 
but when she finally did verbalize 
them, she seemed more at ease. Nem- 
butal gr. 1144 was given to ensure a 
good night’s sleep. 

Early the next morning, a specimen 
of urine was collected and sent to the 
laboratory for routine urinalysis. The 
preoperative sedative of morphine gr. 
1/6 and hyoscine gr. 1/150 was ad- 
ministered subcutaneously at 7:15 a.m. 
and the patient was taken by stretcher 
to the operating room three-quarters of 
an hour later. 

The doctor discovered a congenital ab- 
sence of vagina and uterus and marked 
hypoplasia of the ovaries. The external 
genitalia appeared normal except for the ab- 
sence of the vaginal orifice. Rectal exam- 
ination revealed a semi-circular band — the 
ovarian ligament — extending from one 
side of the pelvis to the other with a small, 
bean-like knob of tissue on the right side. 
which appeared to be an ovary. This con- 
dition — agenesis of the reproductive tract 
— is rare. Normally, these organs appear 
about the fifth week of intrauterine life. 

Although the ovary was only a nubbin 
of tissue, estrogen and progesterone were 
being produced normally as evidenced by 
the presence of secondary sex characteris- 
tics. The hormones produced in the anterior 
pituitary gland must, therefore, have been 
acting on this small ovary. 


459 


— 


a 


ig 


pened a eeea! 





i L 
Ht 
| 
| 
if 


ST a mag As ee Rie AL i geared ng 


Aa) SRE ER i a OM at Ree erent + 





The Patient’s Reaction 


Janet reacted to the doctor’s ex- 
planations by withdrawing. She refused 
to discuss her condition with anyone, 
except to say that she agreed that cor- 
rective surgery should be done. She 
was undoubtedly concerned about her 
fiancé’s reaction to it and how it 
would affect their marriage; in spite 
of this, she kept silent and maintained 
a stoic front. Efforts, on the part of the 
nurse, to encourage her to confide only 
led to her further withdrawal. 


Corrective Surgery 


The skin area from the nipple 
line to the midline of the thighs was 
cleansed and shaved the day before sur- 
gery. The next morning, Janet was 
given a soap suds enema; preoperative 
sedative consisted of morphine gr. 1/6 
and hyoscine gr. 1/150 s.c. 

The surgeons opened the dimple within 
the hymeneal ring and, with blunt dissec- 
tion, separated the plane of cleavage be- 
tween the bladder and rectum. There was 
no evidence of any vaginal cul-de-sac. 

The dissection was carried up to the 
perineum to a depth of 4-1/2 inches. A 
mold 1-1/4” in diameter and 4-1/2” deep 
was then securely sutured to the vulva. An 
indwelling catheter was inserted into the 
bladder before the patient was returned to 
the recovery room. 

In the pencil-thin fold of tissue between 
the bladder and rectum lay cells which con- 
tained the potential for a mature vagina. 
By dissecting this fold and placing a mold 
between these tissues, the surgeon hoped to 
stimulate growth through nature's patterns 
and thereby form a vault of vaginal tissue.* 


Postoperative Period 


Janet was returned to the recovery 
room unconscious with a Foley cath- 
eter draining and an I.V. of 5% glu- 
cose and distilled water containing one 
ampoule of Solu-B and 500 mg. of 
Redoxon. The latter are vitamin com- 
pounds necessary for body metabolism. 

Half an hour later, the patient was 
conscious and in severe pain. Demerol 
100 mg. was given. Blood pressure 


* Amer. J. Obstet. Gynec., 12:310, Sept 
1958. 


was 98/65, pulse 76, respirations 18. 
There was no bleeding or discharge 
per vagina. Janet was returned to her 
own room at 3:30 p.m. 

A further injection of 100 mg. of 
Demerol was given at 8:30 p.m. At 
this time the nurse noted that the peri- 
neal dressing was partially covered 
with a serosanguinous discharge. She 
gave perineal care and changed the 

ing. B.P., pulse and respirations 
remained stable. Intake and output 
were recorded. Nembutal 200 mg. was 
given at 10:00 p.m., but the patient 
slept little because of discomfort. The 


analgesic was repeated at 1:30 a.m. 


Objectives of Care at this Stage: 

1. To relieve the patient’s pain and to 
keep her as comfortable as possible. 

2. To provide support and encourage- 
ment. 

3. To maintain nutrition and fluid and 
electrolyte balance. 

4. To prevent complications. 


Meeting the Objectives 

1. Janet experienced constant pain 
due to spasms of the perineal muscle. 
She received injections of Demerol 100 
mg. q.4 h. but these did not com- 
pletely control her discomfort. The 
slightest leg movement increased the 
pressure on the perineal sutures and 
caused her to cry out with pain. 

As the severity of the pain increas- 
ed, the patient’s tolerance of it de- 
creased and her fear heightened. She 
frequently screamed and cried for her 
mother as the effects of the analgesic 
lessened. At this point, the doctor or- 
dered Stelazine 5 mg. t.i.d. This drug, 
a synthetic dihydrochloride, is an atar- 
axic in that it helps to relieve anxiety. 
thus providing emotional equilibrium. 
The effectiveness of the medication 
was demonstrated by Janet’s restless- 
ness one night when the drug was 
withheld. 

2. Janet required considerable sup- 
port and understanding. Despite con- 
stant reassurance, she continued to 
worry about the outcome of the sur- 
gery. She acted thoughtlessly with her 
fiancé when he came to visit her; she 
exploded angrily when nursing proce- 
dures caused her discomfort; she was 
frightened by the appearance of new 
personnel. 


THE CANADIAN NURSE 





It was necessary for the nurse to 
realize that the hostility and anger de- 
monstrated by Janet was her way of 
releasing frustration and axiety; it was 
not an attack against the nurse her- 
self. By understanding this, the nurse 
was able to accept the patient and her 
behavior. 

3. For two days postoperatively, 
Janet received intravenous therapy 
supplemented by a clear fluid diet. 
Approximately 1,000 cc. of 5% glu- 
cose was given intravenously each 
eight-hour shift. A regular diet was 
then provided with instructions to en- 
courage a high fluid intake. The pa- 
tient ate only tea and toast at first, but 
her appetite increased as her pain sub- 
sided. An accurate account of intake 
and output was kept. 

4. Special precautions were taken 
to avoid possible complications. Peri- 
neal care was given each time the 
dressing was changed to prevent in- 
fection. The perineum was washed 
with warm water and soap using 
downard strokes. This procedure was 
very painful and had to be done gently. 
Chloromycetin 250 mg. was given 
b.i.d. intramuscularly for five days. 

Two days after the operation, a 
foul-smelling, yellowish vaginal dis- 
charge was noted. Prior to this, the 
discharge had been red or pink with no 
obvious odor. Later, the discharge be- 
came brownish and continued to have 
a foul odor for several days. Ordin- 
arily, this might have been taken as a 
sign of infection; in Janet’s case it was 
a result of the of su per- 
formed. The ae tee Hee fre- 
quent change of dressings with peri- 
neal care, and good ventilation in the 
room. Perfumed soaps and cologne 
were helpful in eliminating it. 

The Foley catheter was left in the 
bladder during the postoperative peri- 
od to protect the suture line from con- 
tamination of urine. Six days after 
surgery, an order was written to clamp 
the catheter and release on desire to 
void. That night the catheter was re- 
leased and 300 cc. of clear amber 
urine was obtained. This clamping and 
releasing procedure was continued un- 
til the mold was removed. 

_ Prevention of circulatory complica- 
tion was an essential part of care. 
Preoperatively Janet had been taught 


MAY 1964 - VOL. 60. No. 5 








various leg exercises to Carry Out post- 
operatively to prevent venous stasis 
without straining the suture line. These 
she did, but only with considerable 
persuasion because of the severe pain 
in the perineal region. Due to the type 
of surgery performed and the pain ex- 
perienced with movement, the patient’s 
exercise was all taken in bed. Her 
most comfortable position was a low, 
semi-Fowler’s which seemed to relieve 
pressure on the perineum. Skin care 
was an essential part of the nursing 
care. Frequent massages were given 
with particular attention to bony prom- 
inences. 

Postoperatively, return of bowel 
function is an important consideration. 
Four days after the surgery, Janet was 
given an enema consisting of one 
ounce of magnesium sulphate, two 
ounces of glycerine, and three ounces 
of water. The return flow contained 
small amounts of fecal matter. This 
procedure also helped to relieve the 
patient of pains due to flatus accu- 
mulated in the bowel. A rectal tube 
was inserted following this and 150 
cc. of liquid stool was released. Two 
days later, a soap suds enema was 
given with good results. 


Removal of Mold 


Approximately two weeks following 
the insertion of the mold, the surgeon 
was notified that it was protruding 
about one inch from the vaginal ori- 
fice. He immediately booked the oper- 
ating room for removal of the mold 
the following day. 

Following this relatively minor pro- 
cedure, Janet was returned to the re- 
covery room. She was extremely ap- 
prehensive when she regained con- 
sciousness, and was afraid to move 
her legs or turn because of pain she ex- 
pected to experience. When told that 
the Foley catheter had been removed, 
she was ecstatic and seemed uncon- 
cerned about the outcome of the sur- 
gery. She was returned to the ward 
shortly after this and slept soundly for 
an hour or so. When she awoke she 
required an injection of Demerol 100 
mg. for pain. 


Postoperative Care 
The doctor’s orders were as follows: 


461 





Diet: 1. Full diet as tolerated. 

2. Encourage fluids. 

Prophylactic treatment: 1. Dettol douches. 

2. Instillation of Triple-Sulpha Cream 
b.i.d. 

3. Dicrysticin 2 cc. ILM. o.d. Sigmamycin 
250 mg. q.i.d. 

Healing measures: 1. Heat to perineum 
provided by electric light baker b.i.d. 

2. Vitamin therapy. 

Analgesics and sedatives: 1. Demerol 100 
mg. q.6 h., p.r.n. 

2. Analgesic tablets q.4 h. p.h.n. 

3. Stelazine 5 mg. t.i.d., p.r.n. 

4. Nembutal gr. iii h.s. 
Measures for bowel function: 1. Agarol 1 
tbsp. and 

2. Soap suds enema two days postoper- 
atively. 


Normal bladder function was fost- 
ered by having the patient sit erect 
when voiding. Catheterization for res- 
idual urine yielded 7 cc., signifying 
that the bladder was emptying itself 
adequately. 

A few hours following her return 
to the ward, the patient was given a 
sterile dettol douche; she experienced 
little discomfort. The return flow was 
pink and cloudy. One full tube of 
Triple-Sulpha Cream was instilled into 
the vagina. The electric light baker 
was then applied to the perineum for 
20 minutes thus increasing the blood 
volume to the area. This helps the 


Excuse please — but Memorial University 
at St. John’s, Newfoundland asked that 
nurses attending the CNA convention there, 
June 14-19, do not wear high heels in the 
university. So bring along a pair of flat 
shoes — the CNA will provide a shoe bag 
for your spikes. 

P.S—It will also provide a star-studded 
convention where there’s much to 
learn and much to enjoy. 








healing process as well as having a 
soothing effect. The entire procedure 
— douche, application of cream and 
heat — was carried out b.i.d. 

Janet was taught to use a plastic 
mold equipped with a handle to dilate 
the vagina. At first she was hesitant 
and required much encouragement. As 
the vagina became more flexible, how- 
ever, she was soon able to insert the 
dilator with competence, using aseptic 
technique. The doctor impressed upon 
her the importance of carrying out 
this procedure t.i.d. at home in order 
to maintain the vaginal vault. 

Discussions arose between patient 

and nurse concerning general home- 
care. A diet high in protein and vita- 
mins was essential; a careful balance 
between rest and exercise was em- 
phasized to ensure maximum progress 
to health; the importance of personal 
hygiene, including daily douches, was 
stressed. 
The remaining supportive sutures 
were removed four days after surgery. 
The physician found the graft to be 
satisfactorily established and permitted 
Janet to be ambulatory. Two days later 
she was discharged from hospital. 

Her future plans include marriage 
— about six months after the surgery. 
She and her fiancé will adopt children 
after their marriage so that they will 
have every chance of sharing a happy 
family life. 





THE CANADIAN NURSE 





HIP ARTHROPLASTY 


IGor BITENC, M.D., F.R.C.S.(C.) 


Arthroplasty is a reconstructive procedure in a joint, particularly to the joint 
surfaces, to enable this articulation to resume the function of motion 
- under Stress. 


For successful arthroplasty, it is 
important that re-education of the sur- 
rounding muscles be achieved and that 
their proper action be secured by elim- 
inating all periarticular scar tissue and 
fibrosis. 


INDICATIONS 


Indications for arthroplastic proce- 
dures are numerous, as are the contra- 
indications to it. Where joint surfaces 
are destroyed and ankylosis has taken 
place, either by fibrous tissue or by 
bone, arthroplasty can be considered 
if the patient is in an age group where 
re-education of muscles can be achiev- 
ed and if he is willing to undergo a 
lengthy rehabilitation. The patient’s so- 
cial status and occupation will help 
to determine the feasibility of such a 
procedure and the type to be em- 
ployed. 

Following arthritic changes due to 
pyogenic infection, surgery must be 
postponed until the infection has been 
quiescent for a long time — preferably 
for over a year. No signs of infection 
anywhere else in the body should be 
present. 

If arthroplasty is to be perfofmed 
because of joint changes due to theu- 
matoid arthritis, it is preferable tha 
the disease be well controlled by medi- 
cation; otherwise the procedure should 
be carried out during a _ period 
of remission. Following traumatic 
changes in a joint, where incongruity 
has led or is expected to lead to anky- 
losis, arthroplasty should be carried 
out as soon as possible. Since there 
will still be good muscles surrounding 
the joint, re-education and rehabilita- 


Dr. Bitenc is an orthopedic surgeon on 


the staff of the Royal Victoria Hospital, 
Montreal. 


MAY 1964 - VOL. 60, No. 5 


tion will require a much shorter period. 
Degenerative arthritic changes, either 
of unknown etiology or, as more com- 
monly seen, as a result of changes of 
the mechanics of the joint due to pre- 
vious joint disorders (e.g. Legg-Per- 
thes’ disease or slipped capital epiphy- 
sis) are also frequently treated by 
arthroplasty. 

The selection and evaluation of pa- 
tients for this procedure should be 
made very carefully. If the indications 
are correct, more successful results 
will be obtained if there is full infor- 
mation in regard to the patient’s ori- 
ginal disability. Other procedures, such 
as arthrodesis or osteotomies of the 
McMurray, Pauwels or Blount type, 
have stood the test of time and have 
had, on many occasions, longer-lasting 
results. The decision rests, therefore, 
not only on the ability of the surgeon 
but on his evaluation of the local con- 
dition of the joint to be treated, the 
patient’s age, sex, occupation, desire 
of rehabilitation and the time available 
to him for treatment. 


TYPES OF ARTHROPLASTY 


The interposition arthroplasty is 
well-known. After readjustment of the 
soft tissues and remodeling of the bony 
surfaces of the joint, fascia (from the 
patient himself) or Vitallium is inter- 
posed between the raw bone ends to 
function as a gliding surface. The best 
is the metallic cup made from Vital- 
lium, 

One part of the joint surface can 
be removed and replaced. The aceta-’ 
bulum can be replaced using steel or 
Vitallium of different shapes. Replace- 
ment of the femoral head is usually 
carried out using a prosthesis in the 
form of a head and stem (e.g. Austin 
Moore, Thompson types, etc.). The 


463 


EE ARES ee ee ees cae See NAS een Ae 





Vitallium cup arthroplasty and the re- 
placement arthroplasty with an Austin 
Moore prosthesis are the two types 
used most frequently. 

The indications for these procedures 
are quite different as is the postoper- 
ative treatment. Replacement arthro- 
plasty is frequently carried out in eld- 
erly people who have had a subca- 
pital fracture of the neck of the femur; 
after replacement of the removed head, 
the patients are able to begin walking 
much earlier than if they had waited 
until the fracture had united following 
reduction and internal fixation. The 
possibility of complications such as 
non-union and avascular necrosis is 
eliminated. The drawback is that re- 
placement arthroplasty may not func- 
tion well over an extended period. At 
present, we just do not know how 
long it will stand up. It varies from 
individual to individual. 


OPERATIVE PROCEDURES 


Vitallium Cup Arthroplasty 


The surgical approach to the hip 
joint for this procedure is from the 
front or, in some cases, from the lat- 
eral aspect. During the exposure of 
the hip joint, it is essential that the 
entire joint and acetabular cavity be 
well-visualized following dislocation of 
the head of the femur from the acetab- 
ulum so that readjustment of the sur- 
rounding muscles can be carried out, 
such as transfer of the iliopsoas, etc. 
The incision, therefore. is made most 
frequently in the anterior aspect, start- 
ing at the crest of the ilium and curving 
downward over the hip joint, ending in 
the lateral aspect of the thigh. The 
muscle layers are separated in such a 
way that they are not severed but, ra- 
ther, are detached from the point of 
origin—such as the tenor fascia lata 
and glutei sub-periostally from the outer 
surface of the crest and ilium, the 
sartorius from the anterior superior 
iliac spine, and the rectus femoris 
from the inferior anterior iliac spine. 
The main trunks of vessels and nerves 
are preserved, but some vascular bran- 
ches crossing the exposure cleft are 
ligated. The capsule of the joint is 
excised along with all scar formation. 

The hip is dislocated anteriorly and 





the joint surfaces are then remodeled 
so that there will be no impingement 
of the margin of the interpositioned 
Vitallium cup. This will usually require 
additional removal of the margins of 
the acetabulum. If this has been car- 
ried out frequently, it will be necessary 
to transfer the greater trochanter with 
insertion of the gluteal muscles further 
down the shaft of the femur to allow 
better leverage for these muscles and 
to clear the neck of the femur for bet- 
ter abduction. It is also frequently ne- 
cessary to transfer the iliopsoas more 
anteriorly to the trochanteric area. 

Throughout this procedure, force is 
avoided, particularly when the hip is 
to be dislocated. Attention has to be 
paid, at all times, to the proper fit of 
the cup and it is necessary to develop 
an acetabulum that is deep enough for 
the proper fit. When closure is com- 
menced, the muscles that were detach- 
ed are sutured to their original pos- 
itions. 

When the patient is moved to his 
bed, a Thomas splint with a Pearson 
attachment is used to suspend the leg 
with an additional five to seven pounds 
of traction to overcome the postoper- 
ative muscle spasms. The leg will be 
placed with the hip in slight flexion 
and abduction, yet neutral position in 
regard to rotation. The knee joint is 
slightly flexed at about 20 degrees. 
This position is the most comfortable 
for the patient’s postoperative care 
and will enable him to start gentle mo- 
tions, partially passive and partially 
active. At all times it will be necessary 
to re-educate and strengthen muscles 
that have not been used for many 
years. 

The cup acts as an interposed struc- 
ture, moving in the acetabulum and 
allowing motion of the head of the 
femur in such a way that double mo- 
tion takes place — one inside and one 
outside the cup. This diminishes the 
total friction. The surfaces against the 
cup surface will reorganize the original 
blood clots to fibrous tissue that event- 
ually will undergo metaplasia to fibro- 
cartilage and. become completely 
smooth, depending on the surface of 
the cup. 

The time to start mobilizing a pa- 
tient will vary for each individual; as 
a rule. ambulation can be started after 


THE CANADIAN NURSE 





five to six weeks in the suspension 
apparatus. During the following two 
to four weeks, the patient begins to 





Vitallium Cup 
for Hip Arthroplasty 


use a walker, graduates to crutch walk- 
ing and then to sitting and climbing 
stairs. Walking on crutches is desir- 
able for at least six months postoper- 
atively. During this time, the patient 
will probably have a Trendelenburg 
gait, which means the dipping of the 
pelvis to the opposite side due to the 
inability of the weakened gluteal mus- 


cles to support the pelvis and the body * 


weight over the head of the femur. 
Other than muscular discomfort, such 
as muscle ache due to overwork or 
tiredness, it is expected that the patient 
will be pain-free. 


Replacement Arthroplasty 


The approach most commonly used 
is the modified Gibson (entering the 
thigh and hip joint area from the post- 
ero-lateral aspect) or the so-called 
“southern approach,” (entering the hip 
joint from the posterior aspect). Both 
of these approaches are preferred for 
the simple reason that the gluteal mus- 
cles, especially the gluteus medius and 
minimus are not detached and the only 
muscles sectioned during this approach 
are the short external rotators of the 
hip joint. As a result, after the pros- 
thesis is introduced and the wound 
healed, complete activity of the patient 
can be resumed. 

For this procedure, as opposed to 
the first one where the patient is lying 
on his back with a sandbag under the 
affected hip, the patient is lying on the 
Opposite side, and the hip to be oper- 
ated upon is uppermost. An incision 
is made into the postero-lateral aspect 


MAY 1964 - VOT. 80. No 4 


of the hip joint area. The only struc- 
ture sectioned longitudinally is the ilio- 
tibial tract and the fascia lata with 






Moore Type 
Hip Prosthesis 


a split along the fibers of the gluteus 
maximus muscles. The short external 
rotators are detached in the greater 
trochanteric area with special care to 
protect and avoid injury to the sciatic 
nerve. 

The hip joint is entered from behind 
and, after excision of most of the 
capsule and scar tissue, the hip is dis- 
located, by internal rotation. The head 
and the neck of the femur are removed 
with an osteotome after the dense 
portion of the neck has been drilled. 
The latter procedure has to be carried 
out in such a way that the drill will be 
at the correct angle to allow proper 
placement of the prosthesis where the 
neck of the prosthesis rests on the re- 
maining. portion of the neck of the 
femur, especially on the strongest por- 
tion, the calcar femorale. The bed for 
the stem of the prosthesis is prepared 
and, after measurement has been taken 
of the removed head of the femur, the 
size of the prosthesis is chosen. If the 
acetabulum is incongruent and adjust- 
ments are necessary this will be car- 
ried out; then, according to the size 
of the newly-formed acetabulum, the 
size of the head will be determined. 

The prosthesis is driven into the 
shaft through the neck of the femur. 
It should be sitting firmly and should 


465 





prove immobile when tested. The re- 
duction of the hip is carried out; the 
short rotators are reattached at the 
posterior aspect of the trochanteric 
area of the femur; the fascia is closed 
as well as the skin. 

After such a procedure, it is unne- 
cessary to place the patient in balanced 
suspension or traction. He may be 
nursed without specific care and is 
able to turn from side to side. Follow- 
ing removal of the sutures, exercises 
are started and these can be of an ac- 
tive nature from the beginning. To 
provide suspension of the leg, slings 
can be added or a pre-formed plaster 
mould used to allow lateral abduction. 
Motion can be increased to the resis- 


tance point by use of weights. 

The exercises of primary interest are 
abduction for gluteal muscle strength- 
ening and extension to strengthen the 
gluteus maximus. Hip flexion exercises 
are not desirable at this stage. After 
the patient is able to abduct the leg 
against the resistance of a certain 
amount of weight, ambulation, begin- 
ning with a walker and gradually pro- 
gressing to crutches, can be started. 
Theoretically, and sometimes in prac- 
tice, patients following a procedure of 
this type can ambulate in a matter of 
days without ill effects. This is parti- 
cularly true of patients who have had 
the arthroplasty as a result of acute 
fracture. 


THE LONG ROAD HOME 


JupitH McKay 


The patient who has a hip arthroplasty must be prepared to face a rigid rehabili- 
tation schedule. 


Mrs. Allen was a 55-year-old wo- 
man who had suffered almost constant 
pain in her right hip for five years. 
The pain had become increasingly 
severe over the years and, added to 
this, she noticed stiffness in her hip, 
a tendency to limp, and shortness of 
the affected leg. The physician told 
her that she had a condition called 
osteoarthritis — a strange term which 
she did not understand and which he 
explained to her. 


OSTEOARTHRITIS 


This is a degenerative disease of the 
joints characterized by thickening and 
scarring of the synovial membrane and 
capsule, and by hypertrophy of the 
cartilage and bone at the joint mar- 
gins, with thinning of the cartilage of 
the articular surfaces. It is a disease 
that occurs more often in middle or 
later life, and is associated with joint 
wear and tear. It is also more common 

Miss McKay is head nurse of an ortho- 


pedic unit at Toronto General Hospital, 
Toronto, Ont. 





in people who are overweight. Signs 
and symptoms of the disease are usual- 
ly mild, although persistent and pro- 
gressive. Injury, strain, and damp 
weather aggravate the condition; symp- 
toms tend to be more severe if the 
individual remains too long in one 
position. Overactivity results in more 
discomfort, but this can be partially 
relieved by rest. 

The song of osteoarthritis is usually 
mild, often described as an ache or a 
feeling of stiffness. When the lower 
extremities are involved, a limp ap- 
pears, probably due to a natural ten- 
dency to protect the affected limb. 
The patient will notice some limitation 
of movement in the hip joint, especial- 
ly when trying to abduct and extern- 
ally rotate the leg. Muscular weakness 
of the leg develops due, in most cases, 
to the limited use of the extremity. 
As the disease progresses, the pain be- 
comes more unbearable and severe. 


ANATOMY OF AFFECTED AREA 


The hip is the junction between the 
pelvis and the lower extremity con- 


THE CANADIAN NURSE 








sisting of the hip joint and surround- 
ing muscles. The hip is flat in front, 
slightly rounded laterally, and quite 
rounded posteriorly by the muscles of 
the buttock. The innominate bone, 
formed by the fusion of the ischium, 
ilium, and pubis, forms the inner 
boundary of the hip, and outer bound- 
ary of the pelvis. Near its centre a 
rounded cavity, the acetabulum, 

like the inside of a hemisphere 
or hollow ball, presents a socket for 
articulation with the femur. 

The hip joint is formed by the 
movement of the ball-shaped head of 
the femur with the acetabulum, with 
the femoral head loosely attached to 
the acetabulum by ligaments. This is a 
ball and socket joint which can move 
to any position within the approximate 
range of half a sphere. It is a strong 
joint as well as a very moveable one, 
since it must carry the weight of the 
trunk and upper extremities, as well 
as bear the brunt of the various activi- 
ties of the lower extremity. The hip 
joint and its muscles are used actively 
in the process of walking, running, 
jumping, dancing, swimming, etc. Ad- 
duction and external rotation of the hip 
permit crossing of the legs. 


ARTHROPLASTY 


The physician told Mrs. Allen that 
it would be necessary for her to have 
a hip arthroplasty — a revision of her 


the joint and function to the muscles, 
thes Bie tendons, and other soft tissues. 
Arthroplasty is designed to restore and to 
produce a more functional and stable joint, 
with maximum freedom from pain. It is 
most commonly done at the hip joint. The 
procedure is divided into four parts: 
the plastic adjustment of the soft 
structure; the reconstruction of the 
bone; the interposition of material be- 
tween the articular surfaces; the after 
treatment. 
There are three different operations which 
come under the heading of hip arthroplasty: 
1. fascial 
2. cup 
3. replacement 


MAY 1964 - VOL. 60, No. 5 








Basically, the treatment and post- 
operative care of these three are the 
same, with a few specific exceptions 
which will not be discussed. The oper- 
ation itself is only the first step in the 
re-establishment of function. Carefully 
planned after-treatment to re-educate 
the atrophic muscles is essential to 
success. ; 


PREOPERATIVE CARE 


An understanding of and strict ad- 
herence to the rehabilitation program 
are necessary. The patient is given a 
detailed explanation of events to be 
encountered subsequent to surgery. 
This explanation includes the treat- 
ment program and the estimated period 
of total or partial incapacity. The pa- 
tient must recognize and understand: 


that a normal joint cannot be created by 
any surgical procedure; what may be ex- 
pected from the procedure in her particular 
case; the probable length of hospitalization 
and convalescence; what the postoperative 
rehabilitation program involves, and the 
role she will play in it. 


This was explained to Mrs. Allen by 
her physician well in advance of the 
proposed surgery. She had an oppor- 
tunity to think about it and to discuss 
it with her family. Since orthopedic 
surgery is a very long, drawn out pro- 
cess, it is important that the family 
be able to look after themselves, or 
that arrangements be made for some- 
one to look after them during the pa- 
tient’s italization. Mrs. Allen un- 
derstood that the operation might or 
might not be successful. In either case 
she was prepared to face an extremely 
long convalescent period. 

When Mrs. Allen was first admitted, 
the nurse assigned to care for her 
showed her to her room, introduced 
her to other patients, asked her to put 
on a hospital gown, and then put her 
clothes away. She explained how to 
contact the nursing staff with the signal 
light, how to use the radio, and where 
the washroom was located. After this 
Mrs. Allen was told about the general 
hospital routine. Her admission tem- 
perature, pulse and respirations were 
taken and recorded, and, finally, a 
urine sample was obtained and sent 
to the laboratory for routine analysis. 


467 





After she was in bed, the intern carried 
out a final preoperative physical exam- 
ination, and took a sample of blood 
to determine the hemoglobin content 
as well as the patient’s blood group. 
The laboratory was asked to have 
2,000 cc. of blood available, since 
blood loss during hip surgery if often 
quite extensive. After he had examined 
the patient, he asked her to sign a 
written consent for surgery. An enema 
was given and the operative site was 
prepared. 

In orthopedic surgery, it is essential 
to minimize the danger of infection 
since an infected bone is extremely 
difficult to cure. If infection sets in, 
the bone becomes very weak and rarely 
regains its original strength. The nurse 
washes the- operative site carefully, 
shaves it without breaking the skin, 
and prepares the skin with an anti- 
septic agent such as Phisohex. The 
area extends from the waist to the knee 
on the affected side, and from midline 
in the back to midline in the front, 
including the public area. The area is 
then wrapped in sterile towels. To 
assure the patient of a restful night a 
hypnotic, such as secobarbital sodium 
is administered orally. 

In the morning, the patient is put 
in an anesthetic traction bed. Her 
valuables are locked away, nail polish 
and/or dentures are removed. One 
hour prior to surgery, she is given pre- 
operative sedation to relax her, and to 
reduce bronchial secretions in the 
lungs in preparation for anesthesia. 


POSTOPERATIVE CARE 


Following surgery, an elastoplast 
gauze dressing is “laid on” the oper- 
ative site in such a way that tension 
is avoided. The patient is kept anes- 
thetized until she is moved to her 
traction bed with the limb immobilized 
in a splint and traction applied to it. 
A Hodgen or Thomas splint with a 
Pearson knee attachment is used with 
five to seven pounds of traction ap- 
plied to overcome muscle spasm in the 
leg. The hip is placed in a position 
of slight flexion, moderate abduction 
and slight internal rotation. The knee 
is slightly flexed. This position is 
sometimes altered, depending upon the 
operative technique employed. 


468 


A folded towel or trochanteric roll 
is placed under the buttock behind the 
greater trochanter and in line with the 
gluteal cleft to maintain internal rota- 
tion of the extremity. The patient’s 
position is changed by adjusting the 
apparatus. The extremity must at all 
times be kept in proper relation to the 
trunk, regardless of the position in bed. 

Mrs. Allen was transferred to the 
recovery room, where she was kept 
until conscious. During the surgery it 
had been necessary to give her 2,000 
ce. of blood. The transfusion was com- 
pleted in the recovery room and an 
I.V. of 5% G/DW started. The sur- 
geon wrote the following postoperative 
orders: 

1. Give a total of 2,000 cc. of blood and 
follow it with 2,500 cc. of intravenous fluid 
in 24 hours: 5% G/DW alternated with 
5% G/NS. 

2. Each 1,000 cc. of intravenous fluid 
should contain 1 Gm. Erythromycin. 

3. Intravenous to run until the patient is 
able to tolerate 2,000 cc. of clear fluids 
orally in a 24-hour period. 

4. Clear fluids only to be increased in 
24 hours to diet as tolerated. 

5. Morphine gr. 1/4 q.4 h. p.r.n. s.c. for 
48 hours for pain to be followed by 

6. Morphine gr. 1/6 q.4 h. p.r.n. for 48 
hours to be followed by 

7. Codeine gr. 1 s.c. q.4 h. p.r.n. 

8. Gravol 50 mg. I.M. q.4 h. p.r.n. for 
nausea and vomiting. 

9. Chest routine q.1 h. for 24 hours and 
then p.r.n. 

10. Do not turn patient for 24 hours; 
after this period, turn on unaffected side 
q.2 h. 

11. Catheterize in 12 hours if the patient 
has not voided. 

12. Blood pressure to be taken q.1/2 h. 
until stable and then q.4 h. 

The nurse mentally reviewed the 
reasons for these orders: the intra- 
venous fluid is given to replace the loss 
of body fluid and to compensate for 
a reduced oral intake; Erythromycin, 
an antibiotic, is given to reduce the 
possibility of postoperative infection: 
since bone surgery is one of the most 
painful types of surgery, it is, there- 
fore, necessary to give the patient a 
strong analgesic such as morphine; 
since the gastrointestinal tract move- 
ment is greatly decreased for approxi- 
mately 48 hours after surgery, a limit- 


THE CANADIAN NURSF. 








ed oral intake is essential to decrease 
nausea and vomiting; regular, deep 


breathing : 
clear the chest of stagnant secretions 
caused by the immobility of the pa- 
tient, thus reducing the possibility of 
pneumonia; the patient must remain 
in one position for 24 hours to allow 
the operative site to become stable; 
to decrease the possibility of pressure 
areas, the patient must later be turned 
from back to unaffected side q.2 h.; 
blood pressure is taken at regular in- 
tervals for early detection of shock. 

Mrs. Allen recovered from her sur- 
gery extremely well. In 24 hours the 
intravenous was discontinued since she 
was able to tolerate clear fluids orally. 
In 48 hours she began to eat solid 
foods. She voided without catheter- 
ization. 


REHABILITATION PROGRAM 


This includes: 

A well balanced diet which allows the 
patient to maintain her usual weight; enough 
milk to encourage the formation of new 
bone; sufficient rest to give body and mus- 
cles time to regain strength; change of body 
Position and frequent massage to prevent 
the development of decubitus ulcers; ad- 
ministration of a laxative daily to counter- 
act the problem of constipation and to en- 
sure regularity; adequate sedation to relieve 
pain. 


Physio- and Occupational Therapy 

Since the length of time required for 
the patient to remain in traction is 
usually three to four weeks (sometimes 
five to six weeks), it is necessary to 
find an outlet for her energies and 
thoughts. If she is not occupied in 
some way, she may become quite de- 
pressed. Since depression only serves 
to hinder the physical progress of the 
patient, it is essential that the occupa- 
tional and physical therapy be com- 
bined in a well-balanced program. 
_ Mrs. Allen was interested in paint- 
ing and in leathercraft; during her 
period of rehabilitation she was able 
to complete several oil paintings and 
to make a wallet, a belt and book 
cover. This she enjoyed thoroughly. 
When not working on her crafts, she 
spent her time doing exercises. 

Early muscle activity is limited by 


MAY 1964 - VOL. 60, No. 5 





the painful reaction, secondary to sur- 
i i muscles fatigue 
quickly and a great deal of 
rest. It is only with a consistent exer- 
cise program, carried out within the 
limits of comfort, that fatigue lessens 
and tolerance for activity increases. 
Muscle strength may develop early, 
but endurance is regained slowly. The 
tissues that have been disturbed must 
readjust physiologically to the demands 
of increased function. Thus, the first 
exercises taught to the patient are: 


1. Anterior tibial pull with toe curling, 
alternated with plantar flexion of the foot. 
This simply means pulling the whole foot 
up towards the unbent knee and then push- 
ing it away from the knee as far as possible. 

2. Quadriceps setting and knee extension. 
This exercise is designed to strengthen the 
quadriceps muscle in the thigh by tighten- 
ing and relaxing the knee joint. 

3. Internal rotation of the hip. This is 
accomplished by trying to pull the hip 
inwards towards the pubis. 


These exercises are done daily at 
regular intervals, and are continued 
throughout the entire postoperative 
period. A week to ten days following 
surgery, the physiotherapist increases 
the exercise program, and starts the 
patient on passive and active assisted 
flexion and extension of the hip and 
knee by manipulation, the use of 
suspension ropes, and a knee sling. 
She also teac Passive and active 
leg abduction exercises. The passive 
exercises consist of gently swinging the 
leg from side to side of the traction 
suspension apparatus; the active exer- 
cises consist of stretching the leg to 
make it as “long” as possible. This 
program is continued until the traction 
is removed. While the patient continues 
the above exercises, the physiotherapist 
follows the surgeon’s orders for more 
advanced exercises. Medical practice 
differs respecting this pattern. 

The patient progresses according to 
her work tolerance, her age, and her 
recuperative powers. Mrs. Allen was 
a very willing worker and made good 
progress; within 10 days after removal 
of the traction, she was ready to sit 
in a chair and to begin ambulation in 
a walker. This step is usually taken 
when the patient can actively assist in 
moving from the bed to the chair. The 


i a 











physiotherapist taught Mrs. Allen to 
“mark time” in the walker and then 
to walk by bearing just enough weight 
on the affected limb so that she felt 
the floor firmly underneath her foot, 
while supporting the remainder of 
her body weight with her arms on the 
framework of the walker. There is a 
natural tendency to bend over in order 
to protect the affected side. Mrs. Allen 
had to remember to maintain an erect 
position. 

Eight weeks after surgery, and after 
the patient had mastered the walker, 
the surgeon told the physiotherapist 
that Mrs. Allen could be started on 
crutch walking with partial weight- 
bearing on the affected limb. Until 
the time of discharge, Mrs. Allen con- 
tinued to use crutches and to gradu- 
ally increase the amount of weight that 
she put on the affected leg. 

Most patient are discharged to con- 
valescent homes. Mrs. Allen had a 
very willing, capable family who were 
able to arrange for help in the home 
so that she could rest, continue her 
physiotherapy, and readjust gradually 
to the problems of managing her home. 


CONCLUSION 


Perhaps one of the most important 
but one of the most difficult parts of 
Mrs. Allen’s postoperative care was the 
maintenance of a good mental attitude. 
She needed constant encouragement 
and reminders that progress is slow, 
and must be assessed on a weekly 
basis rather than a daily one. She 


had to understand that she could not 
speed up the healing process by work- 
ing too hard and tiring herself. Most 
fe) ic patients do not feel sick 
and it is difficult for them to under- 
stand why healing takes so long. 

Upon discharge, Mrs. Allen was 
given a list of instructions: 

Avoid sitting for more than one hour at 
a time. 

Complete relaxation in a recumbent po- 
sition — one hour a day. 

A definite exercise program. 

Avoid physical fatigue. 

Muscle soreness and stiffness not relieved 
by rest or Aspirin is due to overactivity. 

Do not increase the number of times, or 
length of time of any one exercise until it 
can be performed asymptomatically several 
times in succession. 

Exercise only to the discomfort point. 

Leaving hospital, almost fully re- 
covered from her surgery, Mrs. Allen 
was pleased that her pain had gone, 
and that her hip joint moved easily. 
The weeks of bed rest, exercise, and 
patience were worth the effort — even 
if it was “a long road home.” 


REFERENCES 


Howarth, M. B. Textbook of Orthopedics. 
Philadelphia, W. B. Saunders Co. 

Larson, C. and M. Gould. Calderwood’s 
Orthopedic Nursing. St. Louis, C. V. Mosby 
Co., 1961. 

Speed, J. S. and R. A. Knight, ed. 
Campbell's Operative Orthopedic. St. Louis, 
C. V. Mosby Co., 1956. 


Coming! 


IN 
JUNE 1964 
Gray — Law and Nursing Brookbank — The Nurse as Supervisor 
Jourard — Personal Contact in Jameson and 


Teaching 


plus additional material 


470 


Mackie 


— Reorganization of a De- 
partment of Nursing 





LETS LOOK AT THE TEACHER 


SIDNEY JOURARD, PH.D. 


Many nurses go into “nursing education” because they can’t stand nursing 
patients! 


We learn, not only from the efforts 
of a teacher to inform and correct us, 
but also through identification with the 
example set for us by our teacher. 
This learning from example is a very 
subtle thing, because much of it goes 
on without a word ever being spoken. 
The kinds of things which students 
learn by emulation of exemplars in- 
clude: attitudes, values, likes, dislikes, 
prejudices, and kindred matters. 


INVOLVEMENT IS ESSENTIAL 


Let us look at the typical role-model 
encountered by a student of nursing. 
Her class instructors are commonly 
women who have not been responsible 
for patient care in ages. They haven't 
liked patient care for a variety of reas- 
ons — it does not pay enough, they 
are afraid of close contacts with peo- 
ple, or they failed to find challenge or 
satisfaction in the process of patient 
care. And so, they went to a teacher’s 
college, took a master’s degree heavily 
loaded with such courses as curriculum 
construction, methods of evaluation— 
the kind of thing that appears in the 
syllabus of a college of education— 
and they may, as well, have taken a 
graduate seminar where they read and 
talked about some phase of nursing, 
¢.g., nursing administration, or super- 
vision etc. n, they have gone back 
to a school of nursing, and have set 
out to teach students something about 
which they themselves may know very 
little. I realize that this is a caricature 
of the state of affairs, but I wager 
that it’s not wholly inaccurate. 

While it is untrue that all expert 
Practitioners can teach the art to 
others, it is also true that one cannot 





Dr. Jourard is with the Department of 
Psychology, University of Florida, Gaines- 
ville, Fla. 


MAY 1964 - VOL. 60, No. 5 


teach the spirit of a profession unless 
one is continually involved in it. I do 
not believe nurses can teach nursing 
to students unless, at some regular 
interval, they hurl themselves into ac- 
tive care of patients in order to learn 
more, test out ideas, discover areas of 
inadequacy and the like, then share 
this with students. 

I am a clinical psychologist by pro- 
fession. By hook and by crook, I have 
maintained a small case-load of private 
patients whom I see in psychotherapy. 
I have done this continually, though 
my main salaried positions have been 
either teaching or research. One of the 
things I teach, do research in, and 
write papers about, is psychotherapy. 
How could I teach a meaningful sem- 
inar in personal counselling and psy- 
chotherapy, unless I kept a lively Re. 
ticipation in my practice? I might read 
much about the field, and become an 
expert on others’ opinions about the 
practice of psychotherapy, but my only 
basis for criticism of the work of others 
would be the grammar and logic of 
the books and articles I read. I would 
have no personal experience to serve 
as a basis for agreeing or disagreeing 
with the views of others. 

If a nurse who teaches students does 


not pra 





A CONTAGIOUS ENTHUSIASM 


What kind of role-medel are you 
as an educator? One of the most im- 
portant characteristics of an effective 
role-model is the degree to which she 


471 





is actively and creatively committed 
and involved in her work. To be com- 
mitted and involved means to be con- 
cerned about some branch of learning 
and practice, struggling to understand 
it, contributing to it, studying it, ap- 


plying it, and perhaps teaching it. A_ 


tted person is one who is en- 


ful people. It may seem academic, but 
a profession must have some kind of 
over-all statement of purpose, a pur- 
pose that can never be fully achieved, 
in order to provide scope for the con- 
tinuous growth and development of 
practitioners. 

Have any of you improved as nurses 


commi 
‘thuséd 2 ubject matter. No- over the years? If so, in what respects 
Se i a Ret See Satie tagious as enthu , _ have you improved? Have you become 
“unless it is lack of enthusiasm. en 


ast time t you had an 
idea that excited you, or read some 
literature in your field that fascinated 
you? When was the last time that you 
wrote a paper for presentation to your 
colleagues or students, for their cri- 
ticism or reactions? When was the last 
time you submitted something for pub- 
lication? When did you willingly take 
on an “impossible” patient, to see 
what you could do or learn? 
is i i siasm that 
ies in spite of the 


more expert with the hypodermic? I 
venture to say that one can reach a 
plateau in proficiency at injections in 
about an hour of expertly supervised 
practice. Have you become more ex- 
pert at making medication rounds, get- 
ting the medicine to the patient with a 
minimum of effort, fuss, or bother? 
In principle, a machine could do this 
better. 

What does growth in nursing prow- 
ess mean? An answer to this question is 
gradually being made by a few of the 
leaders in the field. Nurses in widely 


sameuse boredom of some of the ma. scattered areas quite independently 
rial that needs to read, Or of have arrived at a conception of nurs- 
fectures that must be-attended-Excite- 


ment, involvement, and enthusiasm 
one’s profession cannot 





of teachers of nursing as role-models 


ing which ensures it will have an un- 
limited ceiling. They see nursing as a 
profession concerned with the promo- 
tion of comfort, or well-being, or 
equilibrium in sick people. Nurses ad- 
dress themselves to the residuals of 


— their closeness to the practice of pathology, quite properly so. Nurses, 
the art they profess, and the nature like mothers, nurture growth, then let 
and quality of their involvement and the grown person go free. This con- 





committment to it. 


STATEMENT OF PURPOSE 


Let us look at something that might 
make it difficult to become an enthu- 
siastic professor of nursing — the 
lack of clarity of definition of the field 
itself. Is nursing nothing more than 
a igen of skills? If this is 
true, then nursing assistants who often 
can make a bed or rub a back as well 
as a registered nurse should be called 
nurses. What is nursing for, anyway? 
Is it a profession devoted to being an 
extension of the physician’s eyes, ears, 
and hands? Is it dedicated to paper- 
shuffling? 

There has been lacking a conception 
of the purpose of the profession as a 
whole that has troubled many thought- 


472 


ception has exciting implications. It 
implies that there is much to be learn- 
ed through practice in contact with 
patients; through research about the 
conditions of comfort, about the means 
of fostering morale, growth, and a 
fighting spirit in patients. 

If a nursing educator has wrestled 
seriously with the problem of defining 
ultimate goals for her profession, she 
need never feel that her training is fin- 
ished. She will realize that there always 
will remain much to learn in order to 
improve the quality of the care she 
practises or teaches. If a nurse gen- 
uinely is groping ceaselessly for meth- 
ods of increasing her competence, she 
will not convey, by her example, the 
idea that once one has finished one’s 
training, one need learn nothing more. 

I rather like one leader's statement 


THE CANADIAN NURSE 








that she doesn’t train nurses, but ra- 
ther seeks to develop good people, 
who in the process, learn the technical 
skills and knowledge that will make 
them useful not only in a sickroom 
but also in the community. 

I would like to invite some heated 
discussion about this theme of becom- 
ing a more effective role-model, be- 
cause I believe it to be a crucial factor 
in student-learning. Teacher colleges 
may load their students with tech- 
niques of teaching this, that or the 
other thing, but the importance of the 
role-model is generally overlooked. All 
too often, teachers have sought to be 
something they are not in the presence 
of students in the hope of being a 
proper example. This is not desirable. 
It is better to be what you are, as a 
teacher. If you are bored, or mediocre, 
then you can seek to find what is 
wrong with your setting, with you, or 
with your profession. If you find out 
and correct matters, you will again 
achieve high morale and be the more 
desirable sort of role-model. 


INTERPERSONAL COMPETENCE 


Nursing educators have high hopes 
of fostering interpersonal competence 
in their students. What exactly does in- 
terpersonal competence mean? Taken 
literally, the term means facility or 
skill at producing desired outcomes to 
o Pesca eves with others. One 

terpersonal competence 
is is able. agg tags his relations with 
others, to produce such desired out- 
comes as: being liked by the other; 
being known and understood by the 
other; being obeyed by the other, if 
that is desired, and so on. Further 
implicit to the term “interpersonal 
competence” i is the idea that the one so 
gifted is able to accomplish his pur- 
Poses in interpersonal dealings without 
jeopardy to values other those 
being sought in the transactions. For 
example, an individual may be able to 
= others to like ery which - aoe 

an eagerly pursued aim in 

with peas A if, in doing this, the 
individual is obliged to suppress his 
true self, he may be paying for his 
popularity with neurosis, or recurrent 
physical ills, which are common out- 
comes to the suppression of self. 


MAY 1964 - VOL. 60, No. 5 





Interpersonal competence is a tricky 
kind of skill or capacity to teach. It is 
difficult to teach it in the same way, 
for example, that one teaches students 
how to dismantle an oxygen tent, or 
how to change a bed. It seems to be 
best learned through experience. Here 
is where the role-model becomes of 
the utmost importance. Perhaps the 
best way for students to learn inter- 
personal competence is through expo- 
sure to persons who already have 
achieved some measure of this skill; 
that is, through involvement in rela- 
tionships with persons more compe- 
tent interpersonally than they are at 
present. - 

What is the most crucial factor in 
interpersonal competence? Empathy 
certainly is important, but I would say 
that security is equally important. By 
security, I mean the freedom and 
courage to be one’s real self. This im- 
plies that the person who would be- 
come competent at interpersonal rela- 
tionships must place real-self-being 
high on the ladder of values. It means 
she must basically like and trust her 
own, spontaneous reactions to situ- 
ations and people, and be willing to 
reveal these in a face-to-face situa- 
tion. In the long run, such openness 
will produce the outcomes that are 
most desired. 

What fosters such security and 
openness? Among other things, nu- 
merous experiences at being open with 
others, and being confirmed or sup- 
ported or taken seriously when one 
has been thus open. Students can be 
helped to become more sure of their 
own identity and more courageous in 
expressing their true feelings and opin- 
ions, when faculty members have taken 
the pains to listen seriously to them, 
and have rewarded them for such 
openness, even when they disagree 
with what they say or do, The teacher 
can set an example for this sort of 
openness by being that open herself 
and letting students see her that o 
For example, one need only loo 
the conferences between a nurse cad 
a doctor, and compare these with the 
conversations between that same nurse 
and a student, or an assistant, to see 
where courage to be open, enters the 


picture the relation with the 
physician, the nurse will Tt gen- 


473 


uine opinions and su ions out of ences in being known. This means 
_Siead ‘of being cnicied or Hiased. ona ay 


power and statu ir 


sician, ably students would be aided ems they are hi cir 
immeasurably if they co watc truly boy friends. ‘Rather, it means seckng 


to know them as they are during every 






not only helps the teacher-know what 

—— ._eO rrr Is 

We in nursing education claim that 2 ialents sense af ident as a per- 
we want our students to come to know “son. If the teacher _is a a in 
the patients for whom _the . The lettin student know her as she 
~pest-way of fostering this desire in 4s, en she is providing invaluable 


students is to give them living experi- “role-model experiences to the-student.— 
SN a 


Canadian Nurses’ Association 


Ticket of Nominations 
BIENNIUM 1964-66 


President Mrs. A. Isobel MacLeod 


acclamation 

First Vice-President 
Miss Katherine MacLaggan 
acclamation 


Second Vice-President Sister M. Felicitas 
Miss Ruth E. McClure 


Third Vice-President 
Mrs. Blanche Duncanson 


Miss Verna Huffman 
Sister Denise Lefebvre 
Miss Louise Miner 
Miss Betty Sellers 


Representatives of Nursing Sisterhoods 


Director of Nursing, Montreal General Hos- 
pital, Montreal, Que. 


Director, School of Nursing, University of 
New Brunswick, Fredericton, N.B. 
Director, School of Nursing, St. 
Hospital, Montreal, Que. 
Director, School of Nursing, University of 
Alberta School of Nursing, Edmonton, Alta. 


Mary’s 


Director, Nightingale School of Nursing, 
Toronto, Ont. 

Consultant in Public Health Nursing, Dept. 
of National Health & Welfare, Ottawa, Ont. 
Director, Institut Marguerite d’Youville, 
Montreal, Que. 

Director, Nursing Service Division, Sask. 
Dept. of Public Health. Regina, Sask. 
Director of Nursing, Queen Elizabeth. Hos- 
pital, Toronto, Ont. 





Sister T. Castonguay ~ perste of School of Nursing, Regina Grey Nun’s Hospital, 
gina, 

Sister Mance Décary Director of Nursing, Hé6pital Notre-Dame, Montreal, Que. 

Sister M. Elaine Director of Nursing Service, St. Mary's Hospital, Montreal 

Sister Agnes Fleury 


Que. 

Director, St. Boniface General Hospital School of Nursing, 

St. Boniface, Man 

Administrator, Halifax Infirmary, Halifax, N.S. 

. Administrator, Our Lady's Hospital, Vilna, Alta. 

Presently enrolled in Master's program, Catholic University 

-f America, Washington, D.C. mt 
rector, Degree , St. Martha’s ital, Anti- 

gonish, N.S. a 

cma cama School of Nursing, University of Ottawa, 


Ottawa, 
Sister Joseph-Ovide Assistant Administrator, Hépital du an Hull, Que. 
Sister Saint Albert Director, Ottawa General eo Ottawa, Ont. 
Sister St. Joseph Administrative Assistant, Hétel Dieu, Campbellton, N.B. 


THE CANADIAN NURSE 








THE WORLD 


OF NURSING 


PREPARED IN YOUR NATIONAL OFFICE, CANADIAN NURSES’ ASSOCIATION. 
74 STANLEY AVENUE, OTTAWA 


Are You Ready? 


The stage is set, the welcome mat 
is out, St. John’s awaits you. But be- 
fore you board your flight for the 
32nd Biennial Meeting, we thought 
you should become familiar with some 
of Newfoundland’s folklore. For when 
you step off that flight you will be 
charmed by the islanders’ picturesque 


Words 


MAY 1964 - VOL. 60, No. 5 


speech and customs. For instance, 
when you hear, “Long may your big 
jib draw,” you are being given a good 
wish for the future. 

Here is a selection of unusual words 
and their meanings, Newfoundland 
sayings and some festal customs. We 
think you will enjoy them. 


Meanings 


a weak, miserable person 

any 

to abuse 

ill-tempered 

a small stove 

a stupid person 

caught 

dried roots of trees 

to give a quick blow 

pudding of flour, fat pork and molasses 
small pieces 

a silly trick 

a pancake 

one who brings bad luck 

plenty 

dark, gloomy 

none 

2 person of low intelligence 

soft talk, flattery 

food 

a skeleton 

to wrestle 

to stay away from school or work 
to get out of the way 

cold tea 

to examine goods and buy nothing 


in this place 
to retort angrily 





k { 


7 erode 


Newfoundland Sayings 
All mops and brooms 


A noggin to scrape 

Don't cut tails 

Give her the long main sheet 

Good morrow to you 

In a hobble about it 

Out dogs and in dieters 

Tom Long’s account 

‘Tis not every day that Morris kills a cow 


The old dog for a hard road 
When the snipe bawls, the lobster crawls 
You can't tell the mind of a squid 


The older the crab, the tougher his claws 


Figures of Speech 


Busy as a nailer 

Cross as the cats 

Deaf as a haddock 

Far as ever a puffin flew 
Leaky as the basket 

Old as Buckley's goat 
Round as the bung of a cask 
Slow as cold molasses 
Smooth as a mill pond 
Soggy as lead 

Stunned as an owl 
Smoky as a Labrador tilt 
Wide as the devil's boots 
Yellow as beaten gold 


OMENS 

Good Luck 

Seeing the new moon first over the left 
shoulder — picking up a horseshoe on the 
road — picking a four leaf clover — seeing 
two black crows flying overhead — putting 
on a garment inside out by mistake — pick- 
ing up a coin — picking up a pin or a 
white button — a rooster crowing on the 
doorstep — to see a baby smiling in its 
sleep — to dream of one’s father — a bee 
coming into the room. 

Bad Luck 

Breaking a mirror — having thirteen per- 
sons at table — coiling a rope against the 
sun — walking under a lkadder — pur- 
chasing a broom in May — meeting a red 
haired woman — coming in by one door 
and going out by another — meeting a 
cross-eyed person — to spill salt — to 
leave a knife turned blade upwards — to 
have a lone black crow fly over your head 


476 


This refers to an untidy condition of the 
hair 

A very difficult task 

Don’t be too particular 

To go afar with no intention to return 

You are mistaken 

Not worrying about the matter 

Prepare for the summer fishery 

To pay what you owe and have nothing left 

Favorable opportunity comes but seldom 


Experience easily overcomes difficulty 

After sunset 

This refers to an unreliable person. A squid 
can move backwards or forward 

It is not easy to fool a sophisticated person 


— to be called back just as you have be- 
gun a journey — to whistle on the water 
— to drop the ring at a marriage ceremony. 


FOLK MEDICINES 
Stopping Blood 

The application of cobwebs, also turpen- 
tine of fir. Nose bleed could be stopped by 
certain persons who recited a secret prayer 
or rite to secure the desired effect. 
Curing Warts 

Cut notches in a stick and hide the latter. 
Rub a piece of fresh meat to the warts, 
then bury the meat and as it decayed the 
warts disappeared. Count the warts and 
make a like number of chalk marks on the 
back of a stove; as these burned off the 
warts went also. 
Toothache 

Vinegar left in the mouth gaye relief. 
Pebbles from the grave of a pious person 
provided a faith cure, The magician charm- 
ed away the toothache. One way to do this 
was to write some words on a scrap of 
paper and have the afflicted one carry the 
script on his person. He was forbidden to 
read it as the pain returned in punishment 
of such curiosity. 
Pain in the side 

Put a pebble under the tongue. 
Headache 

Walk backwards, around in a circle pre- 
ferably. 
Festal Customs 

Celebrated with gusto is the night of 
November Sth. Huge bonfires are lit in 


THE CANADIAN NURSE 





every village to perpetuate the Guy Fawkes 
attempt to blow up the Parliament Buildings 
in the time of James I. Green boughs and 
tar barrels are used to create a thick smoke 
screen, and through this dense pall of 
smoke young people dance and collide with 
shouts of laughter. Should a novice come 
in good clothes, he or she is marked for a 
lavish smearing of burnt embers. 

Other times of much merriment are 
Pancake Night, the eve of Lent, and the 
feast of St. Patrick. Old time dances are 
all in order on these occasions, and the 
music of the fiddle or the inevitable ac- 
cordian gives the gay throng the necessary 
accompaniment. 


Advanced Nursing School to Open 
in Autumn 


Dr. HELEN K. MUSSALLEM was 
one of eight nursing leaders in Edin- 
burgh recently to discuss curricula for 
the International School of Advanced 
ae Education which will open in 

r 


The school, which will form a sec- 
tion of the established Nursing Studies 
Unit at Edinburgh University, is being 
established in association with the 
World Health Organization. Teaching 
and research facilities for the school, 
the first of its type in any British 
university, will be provided by the 
university itself, but the WHO will 
provide fellowships for both staffs and 
students, and also travel grants. 

The school is being set up in Edin- 
burgh because a nursing studies unit 
already exists there, and because the 
university has shown interest in offer- 
ing opportunities to nurses. 

The new course, which will lead to 
a diploma for graduate nurses and 
certificates for non-graduates, will last 
a year. Admission requirements will 
be the same as those demanded by the 
university academically, but nurses 
will have to have qualified in their 
country of origin. 

The program will prepare nurses for 
the administration of nursing services 
or of nursing education, and students 
will be full members of the university. 
They will be learning principles that 
can be applied in any setting so that 
they can go back to their own countries 
and make a specific contribution. 

Others, attending the meetings, who 


MAY 1964 - VOL. 60, No. 5 






oh sal 


were also concerned with the setting 
up of an advisory body to be con- 
cerned in the implementation of the 
program, included Miss LYLE CREEL- 
MAN, chief nursing officer of WHO, 
Geneva; Miss FERNANDA ALVES-DINIZ, 
Regional Nursing Officer, WHO; Mlle 
M. DuvILLarp, director of the school 
of nursing, Le Bon Secours, Geneva; 
Mile G. Frere, director of the school 
of nursing, Free University of Brus- 
sels; Miss M. ScoTTt-WRIGHT, deputy 
matron, St. George’s Hospital, Lon- 
don; Miss I. HAMELIN, director of the 
nursing education division, Interna- 
tional Council of Nurses, London; and 
Miss MARION Murpuy, professor of 
public health nursing, University of 
Minnesota. 


Nurses Enter University of Ghana 


The University of Ghana has ad- 
mitted 20 students in its new 2-year 
program for graduate nurses. The 
students — ten women and ten men 
— will be prepared to teach in schools 
of nursing, public health schools and 
midwifery schools. 

Both general education and profes- 
sional subjects are included in the 
program, including psychology, soci- 
ology, and English, which are taken 
with non-nursing students. In time, 
the university plans to lengthen the 
course to provide a degree in nursing. 


Nurses and the Social Insurance 
Number Project 


Last month a mammoth project, in- 
volving approximately 6,500,000 Ca- 
nadians, began with the issuance of 
Social Insurance Numbers to employed 
persons whether covered by unem- 
ployment insurance or not. All em- 
ployed nurses, including those in hos- 
pitals now considered charitable in- 
stitutions, must make application for 
a Social Insurance Number, if they 
have not already done so. 

You are asked to obtain an applica- 
tion form from your employer. The 
completed form will be sent to the 
nearest office of the Unemployment 
Insurance Commission and your So- 
cial Insurance Number Card will then 
be issued to you. Those nurses who 
are self-employed on private duty must 


477 


a 


ra 





aioe ~ 
ia a eS ae! 


a 


i 


i 


verre Sage 


BE Oe) coal ed IER Dt. Sie 
= ihe = * = = - 


go to the nearest office of the Unem- 
ployment Insurance Commission to 
make application. 

Nuns employed as nurses are also 
to be registered unless they are mem- 
bers of religious orders which have 
taken vows of perpetual poverty and 
whose wages and salaries are paid ei- 
ther directly or by them to the Order. 


Young Women to be Encouraged 
into Nursing 


Forty-three delegates from all 
of Alberta attended the 4th Annual 
Presidents’ Institute of the Alberta 
Association of Registered Nurses, held 
recently in Edmonton. Among the 
topics discussed were ways and means 
to encourage more young women to 
enter the nursing profession. 

One Chapter of AARN is organ- 
izing a Career Club for high school 
girls. The aim of this club is to give 
more insight into nursing and the al- 
lied health professions. It will also help 
them to explore their own aptitude 
for such professional pursuits. 

It is not designed to be a club of 
nurses, but a career opportunity course 
to show what fields are open to 
women; how to get into the various 
courses; what they need to know about 
the job they will undertake; the future 
that is open to them; and to help them 


An Unusual Custom 


The Haida people of Queen Charlotte 
Islands have a custom of complimenting 
the cook when they attend a party. 

The guest leaves a morsel of food on his 
plate to compliment the hostess on her 
generosity in giving him more than he can 
eat. The hostess provides a paper bag for 
each guest. At large weddings, etc., crack- 
ers, fruit or favors may be saved to take 
home in the bag. 

Recently, one nurse held a party to intro- 
duce a new nurse to the area. In recognition 
of the custom, she provided the small paper 
bag. The people used them in the customary 
way — after they were assured that this 
was expected. 


— Excerpts, Feb., 1964. Medical Services. 


478 





decide on a definite course. The Chap- 
ter members will act in a counselling 
capacity and will give short talks dur- 
ing the year on what nurses do in 
specialized fields such as operating 
room, case room, public health and 
general duty. 


A Couple of Firsts 


A new school of nursing, designed 
for women in the 30-50 age group, 
will be started at Toronto’s St. Joseph 
Hospital this year. The two-year day 
school for nursing will be the first of 
its type in Canada. It will use adult 
education methods, provide special 
counselling services and turn out 
graduate nurses. The new course for 
older women has already attracted 100 
applicants, although only 35 will be 
enrolled. 

Ryerson Polytechnical Institute may 
add a three-year diploma course in 
nursing to its curriculum in 1964. If 
Ryerson approves and is able to se- 
cure the necessary staff and clinical 
facilities, the first 30 student nurses 
are expected to enroll in the fall of 
1964. The projected course is the 
first experiment outside a university 
to try nursing as a course in a general 
educational institution. Its success will 
determine the establishment of similar 
courses elsewhere. 


Dept. of National Health and Welfare, 
Canada. 
eo & 6 


Student Exam Boners 


The appendix was taken immediately to 
the laboratory with the patient's name and 
her doctor attached to the container. 

Pregnancy is an illness that lasts nine 
months and usually cures itself. 

Religious care should be given to a pa- 
tient’s back to prevent bedsores. 

. . > 

We may be personally defeated, but our 

principles never. — Wm. LLoyp GARRISON 
* 7 > 

The man who lets himself be bored is 
even more contemptible than the bore. 

— SAMUEL BUTLER 


THE CANADIAN NURSE 





CNA Executive Meets in Ottawa 





JUNE FERGUSON 


Thirty-three nursing leaders from 
across Canada were faced with 
ably the most difficult decisions that 
an executive committee has been con- 
fronted with in many years, when they 
met in Ottawa last February. Thirty- 
six reports, some of which called for 
great changes within the association, 
were presented for action. 

One such report was that of the 
Nursing Affairs Committee, in which 
chairman KATHERINE MAaAcCLAGGAN 
asked for a re-examination of the 
objects of CNA. She stated that a 
change in the structure of CNA is 
now warranted. “The work can no 
longer be handled exclusively by vol- 
untary committees,” she said. “In- 
creasing authority and responsibility 
within the policy laid down by the 
executive committee should be del- 
egated to the employed personnel of 
the association.” She also said that 
authority for the total enterprise of the 
CNA should be brought under one 
administration. 

The report of the executive director 
also pointed up the need for a study 
of the organization. Dr. HELEN Mus- 
SALLEM said that during the past year 
the activities of the association and its 
national office had increased in an 
attempt to meet specific demands, but 
“many activities met in this way do 
not necessarily result in a move toward 
reaching desired goals.” She felt that 
a study of the functions of the asso- 
ciation and a restructuring of its head- 
quarters could provide a guide where- 
by the energies expended might be 
organized and channeled to more ef- 
fectively meet the objectives of the 
association. She pointed out that this 
was no small task, but one with which 
the executive committee is now con- 
cerned. 

Her report revealed the scope of 
activities carried out in the past year. 
There were approximately 30 commit- 
tee meetings held in Ottawa, 22 addi- 
tional meetings attended by CNA 
secretariat, and 15 major speeches 


MAY 1964 - VOL. 60, No. 5 





given by the executive director, in 
addition to field assignments in Can- 
ada and Europe. The association was 
involved in three submissions to go- 
vernment groups — the National Cen- 
tennial Administration, the Senate 
Special Committee on Aging and the 
Royal Commission on Bilingualism 
and Biculturalism. She also pointed out 
that the three special studies — the 
study of nursing education, the pro- 
ject for the evaluation of the quality 
of nursing service, and the school im- 
provement program — had all devel- 
oped as projected at the last executive 
meeting. These activities, together with 
the 8.0 per cent increase in member- 
ship in the past year, underlined the 
need to study and expand the pro- 
grams of national office to serve the 
association’s membership. 

The recommendations in these re- 
ports were basically the same as those 
presented by Stevenson & Kellogg, 
the firm of consultants hired during 
the year to study the organization and 
administrative procedures of both the 
Canadian Nurses’ Association and the 
Canadian Nurse Journal. 

Their recommendations included 
change in the composition of commit- 
tees and the division of responsibilities 
and activities between committees and 
permanent staff. “To be effective,” 
Stevenson-Kellogg said, “organization 
and procedures must have clear ob- 
jectives as their genesis.” Their first 
recommendation called for the pro- 
duction of a revised set of objectives 
for the Canadian Nurses’ Association. 

They explained that the activities 
required to accomplish the associa- 
tion’s objectives fall into two general 
areas — those at the corporate level 
and those at the operating level — 
and recommended that authority for 
performing these activities be com- 
pletely delegated to permanent salaried 
employees. The executive committee 
would then operate as a policy-making 
body and discharge its ultimate re- 
sponsibility by ensuring that the 


479 





actions of the permanent staff con- 
form to promulgated policy. They also 
recommended that the process of del- 
egation be projected through succes- 
sive echelons of the permanent staff 
so that “the power of decision is at 
the lowest practical level.” 

The executive committee agreed 
that authority for the total enterprise 
of the CNA should be brought under 
one administration but that a task 
committee should be set up to study 
the Stevenson-Kellogg report and de- 
velop and plan for step-by-step re- 
organization based on the implementa- 
tion or adaptation of those recom- 
mendations that seem feasible. It was 
further agreed that the task committee 
should present a progress report to the 
executive committee as soon as pos- 
sible. 

Other decisions made at the four- 
day meeting were: 

That a research project in a Canadian 


Many Irons 





hospital be initiated by the Canadian 
Nurses’ Association to explore the nursing 
needs of patients as a basis for estimating 
staff requirements. 

That the extension course in nursing 
unit administration be endorsed for the 
year 1964-65 and that further continuance 
be considered on a year-to-year basis. 

That the CNA enter into an agreement 
with the CHA to assume, on a 50-50 basis, 
such financial subsidy as may be necessary 
for the support of the extension course 
in nursing unit administration. 

That the Canadian Nurses’ Association 
report from time to time to the Prime 
Minister of Canada and his cabinet on 
nursing and related matters of human wel- 
fare as they pertain to Canada and to the 
international scene. 

Though Dr. KAsPaR NAEGELE pre- 
sented a report of his study on nursing 
education in Canada, it was only an 
interim one. His full report will be 
given at the biennial meeting in June. 


in the Fire 


“Legal adviser suggests that CNA approach Minister of National Defence con- 
cerning status of male nurse in the Armed Services.” “A Special Com- 
mittee is investigating the possibility of making psychiatric experience 
a requirement for all students in the province.” “Personnel policies 

revised to up-grade the basic minimum salary of R.N.” 


These were three of the many issues 
reported by individual provinces at 
the annual CNA Executive Commit- 
tee meeting held in February. The 
latter, concerning changes in financial 
remuneration, was mentioned in sev- 
eral of the reports, indicating a general 
movement toward improvement of the 
economic welfare of the R.N. 

Studies, workshops and _ institutes 
concerning staffing patterns and qual- 
ity and quantity of nursing care, have 
been held in abundance in most pro- 
vinces. The emphasis, at present, 
seems to be concentrated on nursing 
service, which, for a time, seemed al- 
most overshadowed by nursing educa- 
tion. The latter, however, has not been 
neglected: Schools of nursing have con- 
tinued to show enthusiastic support 
for the CNA School Improvement 
program; institutes for nurse educators 


480 


are being held with large attendance; 
certain schools of nursing are being 
set up within the framework of general 
education; at least one school. is re- 
commending a basic nursing course of 
less than the traditional 36 months. 

Many provinces reported an in- 
crease in the number and acceptance 
of loans available for postgraduate stu- 
dy. There seems to be a growing 
awareness, by all nurses, of the neces- 
sity for continued education — both 
in the university and work settings. 
This is a healthy sign. It is a must if 
we are to realize our potential — in- 
dividually and collectively. 


ALBERTA 
1. Bylaw passed to allow graduates from 


outside the province, inactive in nursing but 
wishing to participate in Chapter activities, 


THE CANADIAN NURSE 








to become registered with associate mem- 
bership. ‘ 

2. Provision made for new standing com- 
mittee, “The Student Nurses’ Association 
of Alberta Advisory Committee.” This acts 
as an advisory and consultant body to 
S.N.A.A. and provides a liaison between 
the two associations. 

3. Criteria for registration of Canadian 
and U.S. graduates approved: Applicant 
required to provide evidence of registration 
in province or state in which she graduated, 
successful completion of NLN Test Pool 
Examinations in Nursing with passing score 
of at least 350, and competence in nursing. 
Applicants who have not written NLN ex- 
aminations are required to submit school 
of nursing and academic credentials. 

4. Basic minimum salary for R.N. in full 
employment will be $315 per month, ef- 
fective April 1, 1964. 

5. Loans amounting to $10,000 have 

been issued to 18 nurses during past two 
years. 
6. Survey team, appointed by the Uni- 
versity of Alberta, visited all schools of 
nursing in the province and published report 
last fall. 

7. The report of the Nursing Education 
Survey Committee, chaired by Dr. Scarlett 
of Calgary, recommended, among other 
things, that a Provincial Nursing Council be 
established “to provide for cooperative and 
coordinated planning and organization, and 
for licensure of all nursing personnel . . .” 

Association members were asked to study 
this report, and a task committee was set 
up to prepare a Brief for presentation to 
the provincial government. 


BRITISH COLUMBIA 


1. Two-year contracts have been success- 
fully negotiated with 50 hospitals, providing 
for a basic minimum salary of $332 for 
1964 and $340 for 1965 with four annual 
increments of 5%. 

2. Institutes held for various groups in- 
cluding nursing service and nursing educa- 
tion. 

3. Under the direction of the Department 
of Continuing Medical Education of UBC, 
an inservice correspondence course for 
public health nurses is being offered as 
well as a course for R.N.’s in obstetrics and 
a course for doctors and nurses in care of 
prematurely born infants. 

4. A special committee is investigating 
the possibility of making psychiatric experi- 


MAY 1964 - VOL. 60, No. 5 


es 





ence a requirement for all students in B.C. 
schools of nursing. 

5. A Brochure for High School Counsel- 
lors, which the counsellors helped to pre- 
pare, describing nursing education programs, 
entrance requirements, etc., has been dis- 
tributed to all high schools in the province. 

6. The Joint Committee of the RNABC 
and the B.C. Hospitals’ Association hope 
to obtain financial assistance to support 
an NLN study of the staffing patterns in 
B.C. general hospitals. 

7. No indication that the government in- 
tends to implement the Practical Nurses’ 
Act. Now an additional problem has arisen: 
Three new schools for training practical 
nurses have recently been established in small 
centres. These schools are not providing 
clinical instructors; there seems to be little 
concern as to the adequacy of clinical 
teaching facilities. 


MANITOBA 


1. Conferences for directors of schools of 
nursing held to discuss problems affecting 
administration of schools of nursing. 

2. The emergence of post-surgical and 
intensive care units in hospitals has greatly 
reduced the call for private nurses. 

3. Institute on Evaluation in Nursing 
held for instructors and supervisors. 

4. The Manitoba Government Nurses 
Loan Fund loaned $8,050 to 57 student 
nurses. 

5. Basic minimum gross salary recom- 
mended by the Association is $4,200 a year. 

6. The Manitoba Hospital Survey Board 
has published the second part of its report. 
Part I concerns “Hospital Facilities;” Part 
II concerns “Hospital Personnel.” 

7. In memory of Dr. Isabel M. Stewart, 
the Association donated $1,000 to the Cana- 
dian Nurses’ Foundation. 


NEW BRUNSWICK 


1, New personnel policies adopted pro- 
viding for an increase of $50 per month 
in the basic salary for the general duty 
nurse, and proportionate increases for other 
categories of staff, projected over a three- 
year period. 

2. Two scholarships established by As- 
sociation ($1,000 each) to be awarded an- 
nually to basic students or to nurses re- 
gistered in N.B. who are working toward 
a B.Sc. in nursing. 

3. A brochure. “Concepts of Nursing 


481 





Care as They Affect Staffing,” available 
without charge from NBARN. 

4. Under the Continuing Education Pro- 
gram for Graduate Nurses at the U.N.B. 
School of Nursing, a one-week institute was 
held for nursing service personnel on “Qua- 
lity Nursing Care;” six-week summer school 
courses in psychiatric nursing and public 
health nursing also held. 

5. Major concerns are the unequal dis- 
tribution of nursing personnel throughout 
the province, and difficulty in staffing 
schools of nursing with qualified faculty. 


NEWFOUNDLAND 


1. Workshop on “In-service Education” 
held, with Miss Mary Richmond, as con- 
sultant. A “Let’s Understand Each Other” 
workshop had a psychologist as consultant. 

2. A Brief pointing out the need for a 
school of nursing at the Memorial Univer- 
sity of Newfoundland was presented to the 
president of the University. 

3. Recommended that the NLN Test Pool 
Examinations be continued with a minimum 
acceptable score of 350. 

4. Study to be started to make recom- 
mendations for providing the best possible 
nursing care throughout the province. 


NOVA SCOTIA 


1. The requirement of psychiatric nurs- . 


ing as a compulsory subject for registration 
is being studied. 

2. Association has approved a four-year 
program leading to a B.Sc. degree in nurs- 
ing, at St. Francis Xavier University, Anti- 
gonish, in place of the present 5-year 
program. 

3. Consideration is being given to a 
Proposed new program in nursing educa- 
tion of léss than 36 months at the Halifax 
Infirmary. 

4. The Nursing Service Committee pro- 
Poses to conduct a study day or workshop 
to help answer the question: “Is less than 
3.4 hours per patient adequate or how does 
one decide what is desirable or adequate?” 

5. The Board of Registration of Nursing 
Assistants has approved the establishment 
of an additional school for nursing assist- 
ants at New Waterford. 


ONTARIO 


1. A five-year experimental program, 
designed to prepare a nurse at the diploma 


482 


level, will be initiated September 1964 at 
the Ryerson Polytechnical Institute, Toron- 
to, providing the College of Nurses of 
Ontario approves the course. This project 
is an application of the concept of bringing 
basic nursing education diploma programs 
within the general framework of education. 

2. Dr. J. Crispo’s study concerning the 
feasibility and advisability of the Associa- 
tion seeking special legislation leading to 
the implementation of collective bargaining 
is now being considered by the Committee 
on Socio-Economic Welfare. 

3. A provide-wide study on nursing has 
met with enthusiastic response. It is antici- 
pated that a conference of representatives 
from all parts of the province will be held 
in 1964. 

4. The RNAO legal adviser has suggested 
that the CNA make representation to the 
Minister of National Defence concerning 
the question of discrimination against re- 
gistered male nurses in the Armed Services. 

5. Arrangements have been made with 
the College of Nurses of Ontario to pur- 
chase testing service from the RNAO for 
the purpose of registration. 

6. Project underway to develop standard- 
ized objective-type’ machine-scored examin- 
ations for the nursing assistant applying 
for registration. 


PRINCE EDWARD ISLAND 


1. The prerequisite for admission to 
schools of nursing is now Grade XII with 
an over-all average of 60 per cent. 

2. The recommendation that the 40-hour 
week be implemented for all nursing per- 
sonnel in hospitals and health mapas has 
been accepted in principle. 

3. A study of medical an. - being 
performed by nurses resulted in recom- 
mendations which were discussed with the 
Joint Committee on Health Services and 
sent to all hospitals and agencies. 

4. A study of nursing education is being 
conducted by personnel from CNA. 

5. A Nursing Activity Study is being 
made by Health Insurance Consultants 
from Dept. of National Health and Wel- 
fare. 

6. A new categorization of all hospital 
personnel by the Civil Service Commission 
and the Hospital Services Commission is 
having repercussions in hospitals which are 
struggling to maintain autonomy. 

7. Major problems include: the lack of 
qualified personnel to staff hospitals and 


THE CANADIAN NURSE 








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schools of nursing; the difficulty in provid- 
ing adequate nursing care for patients under 
present budgetary allocations. 


QUEBEC 

1. The Association has a bill before the 
legislature to amend the Nurses’ Act. One 
of the important amendments concerns the 
inclusion of male nurses in the Act. 

2. Various institutes and conferences were 
held in both the French and English lan- 
guages. 

3. Fifty instructors from French-language 
schools of nursing attended the course or- 
ganized by the Canadian Defence College. 
This was the first such course to be con- 
ducted entirely in the French language. 

4. A two-day bilingual institute on labor 
relations will be held in the Spring, 1964. 

5. Four refresher courses for nurses held, 
two in French language, two in English 
language. 

6. Nurse consultant appointed to Hospital 
Insurance Service. 

7. Translated Virginia Henderson's book- 
let Basic Principles of Nursing Care into 
French. 


SASKATCHEWAN 
1. The revised “Requirements for Ap- 
proval of schools of nursing and admission 
to the S.R.N.A.” permits schools to plan 
a basic nursing education program of less 
than three years with a minimum of two 
years. 


MAY 1964 - VOL. 60, No. 5 


et 


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Dept. CN 


Pasadena, California 


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2. By the end of 1964 facilities should be 
available for all nursing students to receive 
psychiatric affiliation. 

3. A booklet “Criteria on Nursing Service 
Department” prepared by Committee on 
Nursing Service. 

4. The Nursing Division, Dept. of Public 
Health, continues to study home care pro- 
grams. A guide for planning pilot projects 
for organized home care programs in Sas- 
katchewan Health Regions has been de- 
veloped. 

5. The Joint Committee on Nursing, 
Medical and Hospital Services met four 
times, recommending action on various 
problems submitted by the nurse members. 
Presently under discussion is the problem 
of admission of mentally ill and alcoholic 
patients to general hospitals. 

6. Twenty-four R.N.’s received Dominion- 
Provincial bursaries for postgraduate study. 
Eleven R.N.’s received financial assistance 
for study through the S.R.N.A. Loan Fund. 


Seminar for Senior 

Nursing Executives 
The School of Nursing of the University 
of Western Ontario has encountered no 
more rewarding experience than the re- 
sponse to its first seminar for senior nursing 
executives, June 1963. Particularly heart- 
warming has been the sustained enthusiasm 
expressed by the expert nursing consultants 
who worked with the faculty in its imple- 
mentation and by the participants who ex- 


483 





THE NATIONAL 
HOSPITAL, 


QUEEN SQUARE, 
LONDON, W.C.1., 
ENGLAND 


(NEUROLOGY AND NEUROSURGER Wy 
POSTGRADUATE NURSING EDUCAT 


Eight months Clinical experience. 
Five weeks vacation. 


Certificate and badge of the Hospital 
awarded to successful Students. 


Full groduote salory paid throughout the 
yeor. 


This work hos o ial appeal 
interested in reseor Sad Ge tainantieron 
aspect of Nursing. 


For prospectus apply to the Matron 


CLUB 501 
“WHERE THE ELITE MEET” 


An exclusive club for unattached 


people 
WA. 4-1302 


or write 


501 YONGE STREET, TORONTO 
ONTARIO 


perienced it. Moreover, follow-up has 
revealed the many specific and creative 
ways in which participants have used to 
advantage, in their employing agencies, the 
benefits derived. 

The program this year, scheduled for 
June 22 — July 4, incorporates a new ap- 
proach, but retains much of last year's 
format. It is designed to appeal both to 
those who attended last year and who 
may wish to return and to those attending 
for the first time. The germinating idea 


484 








for the program is found in these words 
of Norman Cousins: 

Like a broken record, the theme that 
keeps recurring every time I write about 
education is that we may be educating 
ourselves for the wrong century. The 
twentieth century is at least a thousand 
years beyond the nineteenth in the issues 
confronting the individual . . . . Challenges 
which formerly belonged to a society 
as a whole now press in upon the indi- 
vidual. Education did not create these 
problems, but it certainly has to deal 
with them.* 

The program committee is proud to an- 
nounce the planned participation of the 
following experts in the various fields of 
thought to be explored: R. B. Willis, Vice- 
President; Dr. O. H. Warwick, Dean of 
Medicine; Miss R. C. Aikin, Dean of Nurs- 
ing; Dr. G. H. Turner, Professor of Psy- 
chology; J. A. McIntyre, Director of Ex- 
tension and Summer School; K. J. Duncan, 
Assistant Professor of Economics and So- 
ciology; C. C. Lundberg, Assistant Professor 
of Business Administration (all from the 
University of Western Ontario); Dr. Oswald 
Hall, Professor of Sociology, University of 
Toronto; Dr. Beatriz Tuchweber, Research 
Associate of Dr. Hans Selye, University of 
Montreal; a representative from the Interna- 
tional Council of Nurses. 

This specific program gives recognition 
to the crucial role played by the anticipated 
seminar participants, the almost inestimable 
value that can be placed on their contribu- 
tion to society and their almost limitless 
sphere of influence. In announcing this 
Seminar, the Dean and the Faculty of the 
School of Nursing acknowledge their deep 
debt of gratitude to the W. K. Kellogg 
Foundation for again providing the’ finan- 
cial support which makes possible this 
stimulating venture in contiruing education 
for some of Canada’s nursing leaders. 


*Norman Cousins, “The World, The 
Individual and Education,” National Edu- 
cation Association Journal, 49:10, April 
1960. 


No man, for any considerable period, can 
wear one face to himself, and another to 
the multitude, without finally getting be- 
wildered as to which may be the true. 

— NATHANTEL HAWTHORNE 


THE CANADIAN NURSE 





ADVERTISING RATES 


ey | 
| | 
Canada and Bermuda: 

$7.50 for 3 lines or less; $1.50 for each additional line. | 
| U.S.A. and Foreign: | 
| $10.00 for 3 lines or less; $3.00 for each additional line. : 
| 

| 

| 


Rates for display advertisements on request 


All advertisements published in both English and French issues. Closing 
date for insertion or cancellation orders, TWO MONTHS prior to date of 
publication. 


The Canadian Nurses’ Association has not yet reviewed the personnel poli- 
cies of the hospitals and agencies advertising in the Journal. For authentic | 
information, prospective applicants should apply to the Registered Nurses’ 
Association of the Province in which they are interested in working | 
| 


Address correspondence to: 


THE CANADIAN NURSE JOURNAL, 
1522 SHERBROOKE STREET WEST, MONTREAL 25, QUEBEC 


ALBERTA 


Director of Nursing (1), Graduate Nurse (1) for smal! hospital. Salary for Director of Nursing: $355 to $400/m 
Sal for Nurse: ch with 3 onnvol a of $15/m. 40-hr. wk., 3-wk. annual vocation and 9 statu- 
tory idays a Charge for room, boord and laundry: $30/m. Apply to: L. F. Krawchuk, Administrator, 
Glendon Monicipal Hospital, Glendon, Alberto. 1-41-1 


Senior Nurse, P.H.N. or B.Sc., preferred. Sclory based on L.H.S. 5 scale depending on training and experience 
Staff Nurses (2) immediately for duties in the Vermilion-Lloydminster-Derwent sectors, P.H.N. of B.Sc., pre- 

n idered. Selary based on L.H.S. 5 scole depending on training and experience. Further 
information and enquiries from: Dr. R. 8. Murray, Medical Officer of Health, Minburn-Vermilion Health Unit, 


VERMILION, Alberto. , 1-903 
Registered Nurses (immediately) for 100-bed hospital. For full porticulars please apply to: The Director of 
Nursing Service, St. Mary's Hospitol, Camrose, Alberta. 115-3 





Registered Nurse for 30-bed hospital in central Alberto. Solory $300-$345 with onnuol increments. ore 
modern residence. Apply to: Director of Nursing, Municipal Hospital, Eckville, Alberto. 32-1 





leave ond pension benefits sonable poe work wk., 21 doys Sioned vacation fe statutory holidays. For 
further information apply to: Miss Morgoret Mocintosh, Director of Nursing, Municipo! Hospital, Elk Point, 





Alberto 1-34-1 
Admini Nurses. Solary: $330/m. starting to $375 moximum. For further information contact: Mrs. P. mete 
Administrator, Box 520, Municipal Hospital, Fairview, Alberto. 1.37-1 





Registered Nurses (3) for 31-bed active treatment hospital. Solary $310/m with bi-yeorly increments. Residence 
available. Prefer recent grads interested in moving together to west central Alberto. Write Administro- 
tor, General Hospitol, Rimbey, Alberto. 177.1 





—— Nerses for General Duty. Staff voconcies in 50-bed General Hospital. Situated on main highway 
between Calgory and Edmonton. Basic solory $315/m with increments. experience recognized. Apply 
Lacombe General Hospital, Lacombe, Alberta. 1-541 


General Duty Nurses for modern 60-bed fully meg ey hospital situated 70 mi. northwest of Edmonton 
Good personne! policies. afar a accommodation. For further porticulors apply to: Administrator, St. Jone ; 
Hospital, Barrhead, Alberto. 














General Duty Nurses for wall divtened 76-bed hospite! in octive town of 3,000. Solary $315-$360 for 
Alberto registered; $305-$350 for non-Alberto registered. New seporate residence, excellent personne! 
policies & working conditions. Apply to: Director of Nursing, Brooks General Hospitol, Brooks, Alberta. |-13-! 











General Ovty Nurses (2) for modern 25-bed hospital om Highwoy No. 12. Salary range $340 to $385. New 

staff residence. Full maintenance $35, personne! policies include Blue Cross, M.S.1. and pension pions. 2! 
bd vacation per yeor, plus statutory holidays. Apply to the: Director of Nurses, Municipal Hospitol, 
Coronation. Alberto 1-25-1 


MAY 1984 . VOL. G0. No 45 - bavi 




















active treatment tal. Basic sal $325 with _onnval $15 ts to 
Duss. Sanam. ‘Sor_St hed ive na A ory a. 


$370 maximum. experience recognized. Perquisites m in new resi ities 
in town ed Ta 120-mi. from Edmonton on daily transportation routes. Apply: Administrator, bec 
Munic vcioal Hospital, Sreeriohe, Alberta. 





Duty Nurses for new 90-bed hospital in beautiful small city just outside Edmonton. Excellent work- 
itions, modern residence and top salaries. Apply: Director of N Nursing, Wetaskiwin Municipal Hos- 


cond! 
i P.O. Box 340, Wetaskiwin, Alberta. 1-96-1 


Grodvate Nurses. Salary: $315 to $360/m. 5 day, 40-hr. wk., 31 paid vacation ofter 12 mo. continuous 
employment generous sick t and pension benefits. For particulars please apply to: M. 
Hawkes, R " Me crete of Pea Municipal Hospital, Drumheller, Alberta. : 1-31-2 








Graduate Nurses (4) for Provost Municipal Hospital, PROVOST, Alberta. (34 beds, 6 bassinettes) for General 
increments $ added 








Duty, starting basi $335/m. 3 yearly 15 — first increment yeor 
previous experience. Rotating ifts — good pr Mes..B. Usedtoy, iaetron, 5. 
Box |, PROVOST, Al 1-73-1 
- epdenge, Toone Bes fin the fir Benge eon ff > yaar Hentai Lang et tne tk 
five years. ized program, 5-day-wk., vacat leave ond retirement plan. Forms ion 
moy ne tee tl Ske tate Seen, Lael Road of Hawn TIO Can tick Clonee 
rEg 1-33-14 
NURSES cage tly hose dhe wo yep wegen lig Heo pwede diner fee on Goer pee 
nurses’ interested in coming, please do not apply. Personnel policies sent upon 


request. ole tec tae he theien, Seeerimsehanen Municipal Hospital, Bassano, Alberta. 1-5-1 





Sees & District frit Hospital Lodyemith, British Gudie’ aaa Sari 








HEAD NURSE for small, active See SS 
Clinic. University preparation further information apply to: Director 
F iectenn, Renee Gecteed Hommtecd, toon, heme Conembte. 234-1 


Heed Nurse, mole or femcie, for active Operating Room Unit. Postgroducte ired. Good per 
icles; residence accommodation available (female). Apply Director Tadenot 
Hocpttol, Trot’ Brite Cohumbio. P as + Troi Teens 








Registered or General Duty Nurses for active 25-bed hospital. Salory B.C. $320 to stort. 
Unregistered effect, nurses’ residence ovoilobie. Administrator, 
Unreaiered $008 AMARC garunee! polcy 241 


Registered Nurses or Graduate Nurses for 75-bed opened in 1962. Solary 8.C. registered 
nurse $332-$404; non-registered nurse $317, policies in . Very octive town in 
county. Appin: Divecior of Nursing, Cariboo Memorial Hospital, Williare Lake Britch nbio 





i 





General Duty Nurses (2) for 30-bed active e fereteR BCH icles in effect. Director of 
Nursing, Creston Valley Hospital, Creston, om iPS 2-161 


eis die GC atees tee Sen oe gieetaten Be olieet ake Tipe 
once. Accommodations available in residence. of Nursing, General Hospital, Fort 














feonted ie cc ont cities cee Teation Geakt olny tae te he ee st 
located in i, eve Serer ic solory: $332 . 
'RNABC ‘personnel poic ok Bay Ae ll A dh yt 


Prince George Regional Hospital, Prince British 





NURSING WITH 
Medical Services Directorate 








REGISTERED HOSPITAL NURSES 
PUBLIC HEALTH NURSES 
AND 
CERTIFIED AUXILIARY NURSES 


For service to Indians across Canada, Eskimos and the 
population of the Yukon and Northwest Territories. 


Those interested in positions at the following locations should write to: 

Fisher River Hospital, HODGSON, MAN.; Miller Bay Hospital, PRINCE 
RUPERT, B.C.; Moose Factory Hospital, MOOSE FACTORY, ONT.; Norway 
House Hospital, NORWAY HOUSE, MAN.; Sioux Lookout Indian Hospital, 
SIOUX LOOKOUT, ONT.; Nanaimo Indian Hospital, NANAIMO, B.C. 


Information on these ond other positions is available from Medical Services 
Directorote, Department of Notional Health and Welfore, in Vancouver, 
Edmonton, Regina, Winnipeg, Ottawa and Quebec, or from the 


Director, Personnel Services, 


DEPARTMENT OF NATIONAL HEALTH AND WELFARE, OTTAWA 





MAY 1964 - VOL. 60, No. 5 487 
oS Se 





—— 





General Duty Nurses for |!0-bed hosprtol in northwestern B.C. Solary—B8.C. registered $347-$419, non-regis- 
tered $332. Newly furnished residence with T.V. Good social x ed including bowling, curling, tennis and 
year-round swimming. Full personnel benefits including travel allowance. Apply to: Director of Nursing, Gen- 
eral Hospital, Prince Rupert, British Columbio. 2-58-2 


General Duty Nurses for well-equipped 80-bed General Hospitc! in beautiful inioand valiey odjocent Loke 
Kathlyn and Hudson Boy Glacier. Initial salary $335, mointenonce $50, 40hr. S-day wk., 4-wk vocation. 
Boating, fishing, swimming, pole, on curling, a skiing. Comfortable nurses’ residence, rail fare od- 
vonced if necessory. Apply: Sacred Heart ithers, British Columbia. 2-73-13 








General Duty Nurses for active 40-bed hospital. Sciery in accordance with RNABC contract for 1964. Nurses” 
residence availabie. Also Laboratory Technicion. Apply to: Administrator, St. John Hospital, Vanderhoof, 
British Columbia. 2-74-1 





General and O.R. Nurses with postgroducte course or equivalent experience required for 1|46-bed 
General ps hog Pucci pauls’ te tr eoitainne ik MBIA. Rete Dindanes ob teomsicat Doneice Wompinn, 


Chilliwack, British Columbio. 2-13-1 





peerage 2 sia Spent 5 ncllpegeenlylw'ayaeee Seater fen Oe eae ere eee cee Seay with 
yeorly increments to RNABC personne! icies. Enquiries: Director Nursing, Campbell River 
District General iaaeinal Campbell River, British Columbio. 2-9-1 


1 Lea meaaud enews. cet We navera SUiee Raghen wee cet on t stoff 
member of for summer vacotion relief. We hove o hospital, with stoff residence, some from Von 
ated — good bus service Apply: Director of Nursing, Longley Memorial Hospital, Murrayville, bons 

j 146- 








Secretary-Treasurer, General Hospital, Box 640, Ocean Falls, British ‘Colombe. 





Sretuete nouns aeeene 19-bed hospital located ot Port Alice, 8.C. This attractive opening is in o 
{all recreational. facilities, Tep salary sffered. NO DEDUCTION for roore room and board. 
For interview information please write: RAYONIER CANADA (B.C.) LIMITED, 1111 W. GEORGIA STREET, 





VANCOUVER 5, B.C. 2-73-24 
Graduate Nurses ond Certified Nursing Assistants for 70-bed ocute Hospital on Pacific Coost. Solory 
for Graduates in occordance with RNABC scale with credit for i 3 Nursing Assistants $2 . J 
4nd room $25/m; 4wk. vocation ofter t-yr. Superannuation medical plons. Apply: Director of Nursing, 
St. George’s Hospital, Alert Boy, British Columbia. 2-2-1 





Operating Room, Obs. and General Duty Nurses for modern 450-bed hospitol with a school of nursing 
RNABC policies in effect. Salory $332/m. Credit for past experience and tgroduate training. 40-hr. wk.. 
10 statutory holidays, Annual increments, cumulotive sick leove, pansion plan, 28-doy 28-day onnuol vacotion. B.C 
registration required. For icvlors write to: Director of Rating Sort Service, St. Joseph's Hospital, Victoria, 
Vancouver Island, British Columbia. 2-76-5 





Nurses two for 30-bed hospital. Salaries as per B.C. Registered Nurses’ agreement. Comfortable nurses’ home 
Apply to: Miss H. Campbell, 8.N., Director ~f Nursing. Community Hospital, Grand Forks, British —_. 





Staff Nurses required full-time in oll words and deportments in a busy Genero! wap ne Please 
Matron, MEDWAY AND GRAVESEND HOSPITAL 
Matron, MEDWAY MANAGEMENT COMMITTEE, ST. BA S wosPlral, 





sera Mele Sod in samt an stn State aly As oat 
i) a oct 1 work ions to: tron, 
HOSPITAL MANAGEMENT COMMITTEE. S$ BARTHOL S HOSPITAL, ROCHESTER, KENT, ENGLAND. 








14-3-1A 

MANITOBA 
INSTRUCTORS in Fundamentals in Nursing, Medical-Surgico! Nurs Obs. Ni 150-bed hospita! 
ceans Seerne to 250 beds. Apply to: Director, School of Morsing, Vie Victoria Gunenal Yawps ital, Winntoeo. 
3 3-72.11 





Resistered Nurses (2) for small Generot Hospital Salary $340-$390, accommodation " 
good personne! policies. Contact: Administrator, Benito Mosphal, Benito, Manitobo. one “i 


Registered Nurses for 12-bed hospital. Salary: $340/m. plus ae increment after 6 mo. service, plus free 
room and board. Group insuronce, medical hospital and pens pho Keg For further | particul 
apply to: Personnel Monoger, Sherritt Gordon Mines Limited, Ly Lynn ie hee poms 33.1 





Registered Nurse Aor) otis & eens des Obagi of Rann of 25-bed hospitol, 
30-mi. from Winnie $970-$415, lied in 
now. & Dairies laushot oe a ovoiloble. For more detailed ere ae 


baci THR CANADIAN NURSE 











ONTARIO SOCIETY 
for 
CRIPPLED CHILDREN 


presents a challenge 
to Public Health Nurses 


Applicants must have at least 
two years experience in oa 
generalized public health pro- 
gram, preferably in Ontario. 


. 


INTERESTING 
AND CHALLENGING 
PROFESSIONAL SERVICES 


INCLUDE: 

* rehabilitation of crippled 
children 

* counselling of children 


and parents 


* working with official 
health agencies 


New attractive salary 
schedule with excellent: 
benefits. Car provided 
Pre-service training with 
salary. 


Apply in writing to 


MISS MARGARET MacMILLAN, 
Reg.N., 


Supervisor, Nursing Service, : 
«bene lees ‘Savoie Senet 
Toronto 17, Ontario. of the Society, could provide : 
489 





MAY 1964 - VOL. 60, No. 5 
NE a ae 

















Registered Nurses Practical f 
L.P.N.’s, $220-$250. 40-hr. wk., 3-wk vacation, 9 stot. 
Apply: Matron, Pine Falls General Hospital, Pine Falls, Manitoba, 3-44-1 











i or phone 180 collect to: Mrs. E. Sims, Superintendent, District Hospital, 
Roblin, Manitoba. 3-48- 
Registered ( for Foted bend ot Vie. Men, Dal fom Wee 

 R. - LPN. allowance for jience. Daily bus service. 40-hr. 
Starting salary, R.N. $330 f $225, w' ; a 
General Nurses , for ful 20-bed hosp’ Salary: 40 hr. 
wk. Increments of every 6 mo. for 8 increments. Full mointenance,evalleble of the hospital for $48/m 
to: Mrs. Olive . e ter 





Goneral: Baty Binaee (8) for, soy S60 Soepite 


and generous personne! policies. Apply: 
Director of Nursing, Portage Hospital District 3-45-1 


I. Good salary 
18, Portage La Prairie, Manitoba. 





General Nurses and L.P.N. (1) immediately for 17-bed pone perme -ys Pes Bagh yy’ $320-$360; 
L.P.N. $220- Fa eee Gale ket es coed aot heen end seat single, $45 double room. 
40-hr. ~ wi, pension plon in effect ond MM.S. benefits. Apply: Matron, Grandview District Hospital, Grand 
jew, 





NEWFOUNDLAND 
Registered Nurses for General Duty and Operating Room for 100-bed hospital. eres, Sore selene yaa 
“yf. 


statutory holidays. Apply: Nurse-in-Charge, Notre Dame Bay Memorial Hospital, Twillingate, Newfound: 





NOVA SCOTIA 


Registered Nurses for 2)-bed hospite! in pleasant community — Eastern Shore of Novo Scotia. 
Sinerireident Tssen Gace Hhemeied Sein, tha thotoes, Nove Seotle. vend 


fe Septet moc Rect elle agg Bem Romane: gn Rene pacing policies. 
quorters. Apply Superintendent, Fishermen’s Memorial Hospital, Lunenburg, Scotia, 621-1 


DIRECTOR OF NURSING EDUCATION for 215-bed accredited ital — 100 students — University preporation 
preferred. Good personne! pol NS SRO Sane, De ere ee 


en tee Gee ae a ee oe fe maple. Dine &- 
= ens experience solary expected to: Dr. idis, Huron County 


In-service Education Co-ordinator for in-service and orientation program. Boccalaurecte 

foeieal ith of Au lps Hae polic Solary will oo with ifico- 
with o Le. commensurate i 

fiom and enparionce: Apply ter Diestior of Noming . Hosp a9 





Registered Nurses for new 65-bed hospital. Resort oreo. range: $315/m. Up-to-date personnel policies. 
Apply: Disecior of Bhvecs, South Mceote Menara ni Hospital, obtain Senate past 








irector Lady Minto Hospital, Cochrane, 30-1 
Nurses for 34-bed min. os years, J-wk. 

poy sick leave after 6-mo. service. Staff — hr whe 9 iden Ganiian Glee h oaee 

for . Englehart & District Hospitel, Englehart, 7-40-1 





Nurses for modern 55-bed General Hospital, 40-hr. wk., 8 stotutory holidays, excellent personne! 
icies and opportunity for odvancement. Resort town Huron. Apply: Director Nursing, Genero! 
Hospital, Kincardine, Ontario, wis + 765-1 





Assistonts for 42 
os fer bed General located tn crea known for is 
oA ne Be ee The Director of hhnsinn f ro. 
] 
Box 909, Sioux Lookout, Ontario. ah See eee Sere See ei 











THE HOSPITAL FOR SICK CHILDREN 


YOU RECEIVE THE ADVANTAGES OF 
we FIVE-WEEK ORIENTATION PROGRAM FOR NEW STAFF 
% ONGOING INSERVICE EDUCATION FOR NURSES 
% EXTENSIVE STUDENT EDUCATION PROGRAM 


% RESEARCH INSTITUTE 


APPLICATION FOR GENERAL DUTY POSITIONS INVITED 
FOR INFORMATION CONTACT: 
THE DIRECTOR OF NURSING 


555 UNIVERSITY AVENUE, TORONTO, CANADA 





& 
MAY 1964 - VOL. 60, No. 5 491 i 





a> 





Registered Nurses for 25-bed hospitol. Minimum ‘salary: $350 with allowance for experience. Registered 
Nursing Assistants, iahianae salary: $250 with allowance for experience. Excellent fringe benefits. Boord 
and toom available in residence: $45/m. Apply to: Mrs. G. Gordon, Superintendent, Nipigon District 


Memoria! Hospital, 98 Churchill St., Nipigon, Ontario. 





Reoistered Ni and i: Nursing Assistants for well equipped 75-bed hospital! in progressive town of 
6,500, re aati tees Winnipeg and the Canadian Lokeheod, Basic Reg.N., $330 and Reg 
N.Ass‘ts,$230/m with single room accommodation available in modern nurses’ res’ . Excellent personne! 


information, please phone or write: The Director of Nursing, Dryden District bag rh 


~ 





istered Nurses, Certified Assistants (IMMEDIATELY) for 40-bed hospital in pleasant town of 5,000 
tone wk. with good rotation shifts, providing long weekends every 4 wks. salaries and personne! 


policies. For further details and application, apply: Administrator, General Hospital, Espanola, ee, 





160-bed accredited hospitol. Storting salary $350 and 
both. Excellent personne! policies. Resi occom- 
be arranged. Apply to: 





Registered Nurses ond Certified Nursing Assistants for immediote and future vacancies in this 42-bed ital. 
Starting salories $335 and $225, 4 in new Gvolable. Unvol tinge bene 
fits. For full information, apply to: Director of Nursing, New Liskeard and District Hospital, New Miners, 


Ontario. 





Reg 

ist area, north of Kenora, Ontario. Modern residence with individual rooms; room, un 
ioundry only $45. 40-hr, wk. no split shift, cumulative sick time, 8 statutory holidays ond 28 day poid 
vacation after one year. Solary range $350 - $375. Apply to: Matron, Margaret Cochenour Memorial Hos- 
pital, Cochenour, Ontario. 7-29-1 











Room, and Intensive Core Unit. Good salary ond personne! policies. Apply: Director 

of Nursing, Victoria Hospital, London, Ontario. 7-73-10 
i Nurses for General Duty for wel ipped 42-bed General Hospital located in crea known for its 
wealth of noturc!l resources. The ee per. ey oe Se 
to $365 with increment for experience. policies. Accommodation available well 
furnished nurses’ residence. For further information phone or write: The Director of Nursing, General 
Hospitol, P.Q. Box 909, Sioux Lookout, Ontario. 7-191 
Nurses for General Duty & in modern hospital (opened in 1956). Situoted in the 

Nickel Capita! of the world, pop. 80, Selary: $335 per mo., with onnual merit increments, plus 
40-hr. wk. Recognition for experience. icies. Assistonce with trons- 

portation con be Apply ing, Memorial Hospital, , Ontario. 7-127-4 
Registered or Graducte Nurses for modern 100-bed located in summer resort district, 40-mi. from 
Ottawe. Apply: Director of Nursing, Public Hospitel, Sm Falls, Ontario. 7-120-2 


asain’ Crees for Seeenes Sa een. Sealed pnd Ss. Seat) Excellent personnel icies. Soi 
commensurate with education and experience. Apply to: Director poccinn, Suctiucy Midileses Genucl 
Hospital, Strathroy, Ontario. 7-125-1 


Duty Registered Nurses for 90-bed hospital situated in the Ottawce Valley. Good solary, mony 
benefits. Apply to: Director of Nursing Service, St. Francis General Hospital, Smiths Folls, Ontario. 7-120-1 


pension pion, life insuronce, etc., residence accommodation. min. from downtown ty 


Duty Nurses for 66-bed General Hospital. Starting Recegg +4 $335/m. Excellent personnel policies, 
Director of Nursing, Douglas Memorial Hospital, For! Erie, Ontorlo. , ] 





General Duty Nurses for modern 100-bed hospitol. istered Nurses $325-$355/m, Grodvotes $285-$325/m, 
40-hr. .. benefits include accident, si OF ay ly Rena tgp pee wage lm cng ot 
OHA Pension Plan. Apply: Miss Tillett, Director of Nursing, Leamington District Memorial 


& 
Leamington, Ontario. 








Sok otitis canes General Vieraiiel teated tn Sovetetin ovse of oity, Hak 
ientation program. Progressive personnel . Apply to: vector Nurs Doctors 
Hospital, 45 Brunswick Avenue, Toronto 4, Ontario. a 7133-9 





& Certified Nursing Assistants for new 50-bed i o 
wk, 8 holidays, excellent personne! policies & for advancement. Tourist town on 
k bus connections to Toronto. Apply to: of Nurses, Genero! Hospito!, 1 





active and ic Hospital 7 
Apply: Director of Nursing, Huntsville District Memorial Hospital, Huntsville, Ontario. 7-9-1 













ee 


le YOU FEEL THE wr ash a 
OF NURSING... 


* COOK COUNTY 
_, HOSPITAL 


It emphasizes the vital part the nurse plays 
in the modern world of medicine...and 


) in addition offers 
{ you extremely liber- $ 00 
= al employment ben- 
4 efits. Our start 
wo~ nurses start at. . Mo. 


MAIL THIS COUPON for INFORMATION 








Personnel Manager Box 426 


i 1 
' 1 
; i 
! 
1 e 1 
' Cook County School of Nursing 
: 1900 West Polk Street, Chicago 12, Illinois i 
i 
! eee 
, NAME RESOURCE & SCHOOL : 
| ST. ADDRESS. : 
' 
i City. STATE ; 
a en a al ele ew MAS Wa GS a i ng a tas eb wed teh Ss sh es tle en wah a 3 
MAY 1984 . VOL. 60. No 4 497 


—  —e 








Public Health Nurses eae for on urban-rural Health Unit. Salary range: $4,000 to $4,950, 
increment: $200 with allowance for experience. Apply: Director of Public ic Health Rosine: Simcoe County 
Health Unit, Court House, Barrie, Ontario. 7. 


Public Health Nurses lified) for general prog: ee 5-day-wk., I-mo. voco- 
tion, car allowance, kat mie 50% hosp’ ligation, PS. A Eg < Dr. Dunton, Director, a 
County Health Unit, Aberdeen Avenve, 


Buble as Meets fer. qendralion’d propre, antec schorys 2 $4,000 with allowance for previous ex; 
ence and annual increments. Cumulative sick leave plon. Hospitalization, atthe oul Pensions: Plen pn i 

Liberal transportation a! Ne, at PHS ee ee Ea OR, Seat eee We Sree 

Health Unit, Brockville, Ontario. 7-18-4 


Public Nurses (Qualified) for generalized program, Dundes and Glengorry Health Unit 
gted fr te Seowcy gi geo. inmu solory $4008. Annual increment, Allwonce fo experiance 





"e 











Public Health Nurse(s) (Qualified) for ao generolized Etobicoke Township. Minimum salary: 
$4,355. Car allowance: $670 per annum, 4-wk. vacation foher te employes be benefits. Apply: Director 
of Public Health Nursing, Township of Etobicoke, 550 sate Tyr Usa Etobicoke, Ontario. 7-41-2 


Public Health Nurses peers Cacenedh Pig range $4,000-$5, . Car allowance, guptors shored pension p! 
and other benefits. ert a F. Stewart, Sicheaethecreer, Wentworth County Health Gna, 


Court House, Hamilton, atl 7-55-14 


Public Health Nurse (bilingual) for health unit in rural Ontario. Minimum salary $3,800. Cor allowance, pen- 
sion plan, insurance. For further information, please write: Dr. R. G. Grenon, Unité Sonitaire, Prescott 


& Russell, !’Orignal, Ontario. 7-73-14 


polices ‘and further Informotion ‘poly to: Dr. Av F Bull, Medial Officer of Health orec. Fo rpersonne! 





Public Health Nurses (Quolified). Salory range $3,850 - eee eS ae ee & tee 
and semi-urbon itan Toronto. Excellent 
group Reireees anil emmpceehen mevommaeas Wiis Dr. &. aa on York nn ota Uae ai 


SE ee ee ee ae Dano: in eet city hee apernaees Salerys 
$5,000, P.S.1. wk., generous car allowance, occumulative sick leove. Apply 
A. S. Middlebro’, Sound Department of Of Health, 100 - <“Gth Street, East Owen Sound, Ontoro. 


Public Health Nurses for ——_ Sol $4,900. icies include - 

a eet Sle Pe eS cree Sh, SN, en tn ae 
for experi Piak ua Dr. The Lombton Health Unit, 333 

Sarnia, Ontario. 7-114-3 


Seeie Haat Heres 2 ror oevenlised 8 public vege Minimum solary $4,100 plus allowonce for 
ience. i 

stating qualifications to: Dr. tor Br Wek tC. ‘Allon ‘ond | Medical Health, Norfolk 
County Hecith Unit, Ben 247 247, Simcoe, Ontario. er. ——* 








i 
i 








Public Health Nurse (Qualified - Catholic).Minimum : $4,236. Annual increments. 3 . 
acation; $100 uniform allowance; P.S.1. rangy | Pomme Se. & 
3 - om : a pentane Aeely ow izabeth Visiting Nurses’ Association, 





SUBUC SALTS NURSE for, generalized progrom with the Bruce County Health Unie. Minimum sclary $3,900 











with adjustments for experience, pens: "oP mileage Diam Rly to TM: Aiton, Soc roan, Bape Cou 
iloble. Car provided, tonal’ choice jleage pions. Apply to: T. H. Alton, -Treos., Bruce 

Health Unit, P.O. Box 70, Walkerton, Ontorio. iupihite ae 7138-2 
Public Health Nurse (quolified) for generalized oy of Waterloo. Annual increments, fri 

benefits ond cllowonce for experience’ Apply to: Or. B.A. ‘oelker, RS Abert Thy Waterton, Caters. 
Pes Heme Semems fot an bending Gintetlind Salary schedule, $4,000-$4,900, with storti 

salary being based on experience. Personne! pol icios taciucle cor allowance, OMERS. ct td 
plan, group insurance, family coverage under Bindeor Medico! Services, ization, o — vocation, 
accumulative sick leave and other benefit. Nurses already qualified in Hh ag Mad ag ey eg 
2090 'W Teeet;ten, Wicker, Dame : t 7145-8 
Public Health Nurse for general staff duities. Basic sa’ +4 ith adjustment experience. Personne! 
policies include o seplorer shared Ontario Hospital Serving Wiadeot Medion and nd Omens plon. stating 
qualifications and experience to: Dr. W. H. Johnston, Medical Officer of Health, , Deportment Health, 
hatham, Ontario. 7-243 








pomirened, iecese. tee Room with operating room postgroducte course 
hospital, Trowel Gilowanes Bord: Fee personne, Srtee memes tense aot fospiel 
494 


THE CANADIAN NURSE 








Registered Nurses 
FROM: Director of Nursing 


Ours is a progressive Psychiatric Ward in a Pediatric Hospital 
setting, with 14 patients ages 4 to 16 — blending a variety of 
Psychiatric conditions. 


The nurse, in a warm homelike setting 
“lives” with the child through daily 
activities, participating with him 
in seasonal sports and community 
events. Close association with the So- 
cial Worker, Occupational Therapist, 
Psychiatrists, Teachers and Nursing co- 
workers, provides learning opportuni- 
ties and guidance for the creative 
nurse to develop skill in helping the 
child establish meaningful relation- 
ships. 


Are you interested? 


Send your application to: 


THE DIRECTOR OF NURSING, 
MONTREAL CHILDREN’S HOSPITAL, 
2300 Tupper Street, Montreal 25, Que. 





MAY 1984 . VOL. @. No 5 495 








7 


SRST ete, 


ee et es ea tioeke sone Ssalle Bled. ‘Verdun eran, "oak etc. 








Registered Nurses w M 
modern fully Se cashinest hospital to be opened in June 1964. Accommedations. available in new nurses’ 
residence. Apply stating qualifications to: Miss E. Sporks, Director of Nursing, Union Hospitol, 





the Riverdale Union Hospitol ot Turtleford, @s recommended by 

policies in effect, x located the |, board and room 

available. The R. Memorial Union Hospital is a 20-bed hospital, modern throughout, jipment and 

ition and a lorge been The has two 

r on staff, a clinic is situcted near the hospital providing services os Dentist, , Op- 
* tomotrist etc. aaeaiee te a: cnatiern .Witage ofiycoes 50-mi. with bus service to 
r N.B. and Sasketoon. a resorts. Please apply to: Sec.-Manager, Union Hospite!, 
Turtleford, Saskatchewan. 10-125- 





fo starting salary mode for previous experience. Apply 
woo Noothal 


yearly increments. 
Stang, Director of Nursing, Un Wokow, Saskatchewan. 10-131-1 


ia gf meet gpan ly i cnciellag re a npn Treen cede le ter eee an Sime. Sclary range, $310 
wr 
5 





i Graduate Nurses for cll departments. Modern 160-bed fully accredited hospital in attractive city, lation 
ec 13,000. Nurses’ residence built in 1958 in open landscaped orea with tennis court ond skating rink. Good 
: SEY ee ee rene penne rmprmnnene, 00 e. Sarmayaed) ee {tae Director <7 Miising, Uten tes. 
pitol, Swift Current, Soski le 10-122-1 





God for mighas ona Liberal policy for odvancement, : ee Tacen’ tale, Anol ae ae 
entia! n eveni «cy vocations, s 1 
nomoh "97201, Oregon. "1538-1 





il Registered Nurses for modern 374-bed Genero! Hospital on the beautiful, worm Peninsula yet only 20-min 
‘| from the heart of cosmopolitan Son Francisco, Openings in all ices “ 
Mi emergency room, ond 1.C.U. Excellent policies, mony extra benefits and opportunities for odvonce- 
ment. Telephone collect, OXford 7-406] or write: Director of Personnel, Peninsulo Hospite!, 1783 El Camino 
Real, Burlingame, California. 15-5-20 








Nurses for 80-bed pe exis & Valley, southern Calif. $375-$440 
Effective duly T1864. "$995 £487. Liberal bene Sed seaton tn tae tdeel mses tes 
smog or fog. Write: Personnel Department, County bas nthe & Centro, California. 15-5-2! 








inning $450/m. eppro 
$30/m for evening or ni * : 
Drinnon, R.N., Bias Bs toe | siege cet = cal Nome age oy eevties you to write to 





idays, vocations, sick leave, 
heoith ‘alifornia reiation ications ond deta Mate 
request. Contact: Personnel Director, Children's Hospitol, 3700 + nell ng sinew ie on 





H Registered Nurses for 233-bed modern hospital. Positions avollable — ail services, no shift rotation. Libero! 


Director’ of Nursing ———— e597 























| 
| 
' 
' 





DIRECTOR OF NURSING EDUCATION 


AT THE 


STRATFORD GENERAL HOSPITAL, STRATFORD, ONT. 


The present Director of Nursing is retiring about the middle 
of the year after being with the hospital for 20 years. We 
would like to appoint a successor before the end of June. 


The Director of Nursing is fully responsible for the Nursing 
Service, and the School of Nursing through the Director of 
Nursing Education. 


We have just completed an expansion and renovations pro- 
gramme which gives us 209 active treatment beds. All service 
departments have been modernized and enlarged to take care 
of another 60 beds when these are required. 


The old hospital, connected by a tunnel to the new hospital, 
was completely renovated in 1955, and accommodates 105 
chronic and convalescent patients. 


There is no need to extol the beauties of Stratford, which 
has achieved world renown through its annual Shakespearean 
Festival. 


The hospital offers excellent personnel policies including 
membership in the Hospitals of Ontario Pension Plan, Group 
Life Insurance, and P.S.|. Blue Plan. The hospital is fully ac- 
credited. 


Applicants who should have their B.Sc. (Nursing) and a 
wide experience in hospital administration, should address 
their applications, together with biographical details to: 


MR. J. L. BATEMAN, SUPERINTENDENT, 
GENERAL HOSPITAL, STRATFORD, ONTARIO. 





MAY 1964 - VOL. 60, No. 5 


497 











wi $395 mo., 
plus shift and service differentials. Merit increases to $481/m. Must be eligible for Colifornio registration. 
Write: Director of Nursing, Stanilaus County Hospital, 830 Scenic ¥ ia 2 





General Du v ge egg 9 9 nar oie ag th + gone coreg hospital. range per mo.: Day Duty, $438-458. 
P.M. _ night duty, $448-468. 40-hr. wk. Paid vacation. 7 pid aids sir lege Accumulative sick time 
based service. Liberal aa aC | pian. residence. Rooms at recsonable rates 





GENERAL DUTY STAFF NURSES — General Hospital. Stort $413/m. Excellent in- 
atta en eal one poche differential. Apply: Personnel Director, San 
Joaquin County, Room 530, Courthouse, Stockton, California. 15-5-36 


Staff Nurses for C Hospital. a eae plus differentiol for specialties, after- 
mor Ca aight ane’ Cuccacinae tx cool okcaee key se Yo: Director of Nursing. Service, Kaiser 
Foundation Hospital, Ocklond 11, neiforsie 15-5-3C 


Staff Nurses for 100-bed County Hospital located "ants diferent for for, evenings ond. nigh. Oc 


romotions to ond Supervi: positions. Liberal ’ residence of bape er 
prommnions to Head and Supervising gestions, Ube Hospial: Tolore California. 1B 544A 


Staff Duty positions (Nurses) in private 403-bed hospital. Liberal personne! policies and salary. Substantial 
differential for evening and ni “te Write: Personnel Director, Hospite! of The Good Samoritan, 1212 
Shotto Street, Los Raasion 17, California. 15-5-3B 





Ae ee ee ae ee © for California registration). Southern 
ease Ventura bed hospital. Salary range compensation for extra experience. 
* residence $20/m. lenturo, ra, cy of $6,000,» moor the beaches, nae.o sand younrmmnd <iimete aed 6 
Personnel , Courthouse, ic. 





PROFESSIONAL NURSES For immediate openings in 274-bed Genera! Hospital liberal fringe benefits. Enjoy 
interesting, chal ing position in the ideal climate of Santa Monica Bay. Apply: Director of Nursing, Santo 

















Monica Hospital, 1 16th Street, Santa Monica, California. 
NURSES — ALL SHIFTS, ALL DEPTS. NEW ACCREDITED 99-bed hospital. Starting ay row be plus differen- 
tial, liberal benefits. Contact Director of Nurses, ital, Coliseum Street, Los 
aon = ‘enone Viewpark Community Hospital . 
Nurses for new 75-bed General Hospitol. Resort crea. Idec! climote. On beautiful Pacific ocean. Apply to: 
Director of Nurses, South Coast Community Hoephol, , South L Laguna, Colifornic. 15-5-50 
germ, pth ‘eradic ncreanee ndings bare surgery for 72-bed hospital. Starting sal: $375 
— increases "een a eee town, ; “Contec 
Executive Director generalized public health nurs om pon & er 
perdi amon salory n NYC Stal 8 : tie =. § — peal ary Chelenan, Personne! 
experience requ Mr. 
Commitee: Visiting ‘ies Association, 60 Guernsey Street, 15-7-4 
REGISTERED NURSES: for 75-bed, air conditioned hosp — aay marten. tery $330-$365/m, 
fringe benefits, vacotion, sick leave, holidays, a. Sheluelon t T iiiclhet Write: 
Administrator, Hendry General Hospital, Clewiston, Floride. 15-10- 





re nya gene ppt mages ae ave flenreata we ag yee is wk. Good working conditions. 


New 50-bed hospital under construction. Liv of Lake Okeechobee. ite 
coll: J. C. bag Administrator, EVERGLADES MEMORIAL Hi al HOSPITAL, Se Main Street, Pahokee, Florida, 
33476. Phone: 924-5502. 15-10-4 





General Nurses for 54-bed ital, gg gh . located Miami and 
West Palm . Apply: Director of Nurses, Bel te’ Glade Memorial Hooton Belle Glode, Florida 1$-10-3 





GENERAL STAFF NURSES for ivate, i i 
‘ ar ivate, General Bet. Si comaletly modern facies loqstad 


transportation 
Hiring range $5,040 to $5 personnel. Progressive personne! icles. Apply: Director of 
Nursing Service, Evanston ital, ri, S350 Ridge Avenue, Evanston, I!linols. in 15-14-2 





Sotking eevienmas teaitched Teall Jevclegmant programs, “aurezcaving” equipment, challenging 





NURSES for 200-bed modern pr ive General Hospital. Salary $300/ $300/m, living quorters furnished free, 
one meal while on duty. Li itera personne! icles. Wi Director of Nursing . Jackson Park 
S. Stony Island Avenue, Chicago 49, iitnotee ti a sth 


THE CANADIAN NURSE 

















NURSING OPPORTUNITIES 


in this modern 400-bed non sectarian hospital in Administration, Teaching, Staff Nursing, 

Certified Nursing Assistants also required. Openings in Psychiatry, Pediatrics, Obstetrics and 

Medicine ond Surgery. Excellent personne! policies. Bursaries for post-basic courses in 
Teaching and Administration. 


For turther information, please write: 


Director of Nursing, JEWISH GENERAL HOSPITAL, 3755 Cote St. Catherine Rd., Montreal, Que. 





THE WINNIPEG GENERAL HOSPITAL 


is Recruiting General Duty Nurses for all Services 


SEND APPLICATIONS DIRECTLY TO 
THE PERSONNEL DIRECTOR, WINNIPEG GENERAL HOSPITAL, 
WINNIPEG 3, MANITOBA. 


MAY 1964 - VOL. 60, No. 5 499 

















AS ie area ee aaa eT 
Apply: 
SUPERINTENDENT OF NURSES, LADY DUNN HOSPITAL, WAWA, ONTARIO. 





ASSISTANT DIRECTOR OF NURSING SERVICE 
Wanted for McKellar General Hospital. An active treatment hospital of 380 beds, with o progressive 
. Postgraduate preparation essential; Baccalaureate Degree preferred. 


NURSES WANTED 


wonted for a modern 75-bed accredited hos- 
pitol cs in the beautiful Parkland 


t pl 
Pmcecusren — aes ee fo ond pe 
sion P con! 
py a olin a Feige nurses eligible for registration. in Monitobe 


modation with meals ore avaliable at 0 very Previous supervisory experience would be 


reasonable rate on the grounds. desirable, but not essential. 


Apply te the: for further particulars apply to: 
Director of Nursing Services, Personnel Manager, 
CANORA UNION HOSPITAL, SHERRITT GORDON MINES LIMITED, 
Canora, Saskatchewan. 





ee ee ee eee, oe a interns ond residents. 
pecan ee facilities. Goer Coreen poli ome Pe Me Department, Spri * Id 
icies. . 
Hospital, ond housing, foci Springfield, Massachosvetts. 15-22-5 
Licensed Practical Nurses (Open: in severcl creas, ail shifts). Minimum $77 
UT"Sel per wk, experiance conidered_ diferrtol ifs, igh. Every yg 4 
hone ital 2 miles from Boston. Living quorters available. Contact: Miss Elizobeth 
Decor of Chelsea Memorial Hospital, Chelsea, Mass. 15-22-1 


> a} 
lies 
aie 
in 
ae 

3 

Uy 

i i 

ft 

rt 

! 


t 
jt 
: 

up 
if 


l-yr. emp. contract. Come to New Mexico “Land of Enchantment.” Coreer opportunities, 
accredited hosp. in : 


af 
(al 
: 


Occasional vocancy hosp. owned oppts. New Mexico licensure os nurse ond U.S. citi- 
ration Set femieet, Wine or cal aateck: Bis. Camty 3. Tate i Presby- 
, 1012 Gold, S.E., Albuquerque, New Mexico. Phone 243-5611. 15-32-3 


i 





if 
cif 
ck 
it 
Hi 
| + 
i 
fal 
iH 
ut 








tei Cayo fas aa ath Wee Rae” Bracor Harry 


nursing. 
scholarship aid ‘oveiloble for’ eo a education University of Vermont 
Mgmnt) Rew te community. Apply: Gilbert acne Assiekant ; - 


Adminis. 

Sita te capaine Research Hospital located 

recrnaiy t tem So sett te of the follow specialties: neces. 
Sesaerys Cyaions Medicine, ieee seer ee 


one, 





cfter six months fulltime employment. For i on opportunities write 
of Nursing Services, University Hospito!, 1959 Pacific | Avenue, Secttie, ys 
1 


THE CANADIAN NURSE 












PROVINCE OF 
ALBERTA 


Provincial Mental Hospital, 


ie 


GRADUATE NURSES— for General Duty. 
Differential for advanced preparation or 
experience in Psychiatric Nursing. 
Salary — $300 to $360 per month. 
INSTRUCTORS—to teach Psychiatric Nurs- 
ing (Clinical and Classroom) 

(a) Affiliote Program in Psychiatric Nurs- 










ing. 
(b) Basic combined General and Psychi- 
atric Nursing Course 

Salary — (Qualified Instructor with Psy- 

chiatric Nursing experience) $395 to $495 
per month. 

This is an active treatment mental hospi- 

tal conducting an approved School of 

Nursing. 40-hour work week. Civil Service 

holiday, sick leave and pension benefits. 

Good personnel policies. 60 miles from 
Edmonton. 


Apply to: 
DIRECTOR OF NURSING, 
Provincial Mental Hospital, 
Ponoka, Alberta, giving full 
particulars. 


LONDON, ONTARIO 


ST. JOSEPH’S HOSPITAL 


Teaching Hospital, 600 beds, new facili- 
ties, requires: 


TEACHERS—Obstetrical and Surgical Units 
| HEAD NURSES 
GENERAL STAFF NURSES 


REGISTERED NURSING ASSISTANTS 


For further information apply: 


THE DIRECTOR OF NURSING, 


St. Joseph’s Hospital, 
London, Ontario. 


MAY 1964 - VOL. 60, No. 5 





Ss 

























DIRECTOR OF 
NURSING 
EDUCATION 


at the 








































STRATFORD GENERAL 
HOSPITAL, 


Stratford, Ontario. 



















In this same issue appears no- 
tice of a vacancy for a Director 
of Nursing in June, the present 
Director retiring after 20 years 
with the hospital. We also re- 
quire a Director of Nursing Edu- 
cation for this three year Dip- 
loma School. 



















Enrolment at present is sev- 
enty students. With our newly 
completed addition and renova- 
tions, this can be increased to 
ninety students when the new 
school and additional residence 
accommodation is built. 










Salary will be commensurate 
with qualifications and experi- 
ence. Applicants, who should 
have their B.Sc. (Nursing) with 
a good background of experi- 
ence in Schools of Nursing, 
should address their applica- 
tions, together with biographical 
details to: 












MR. J. L. BATEMAN, 
SUPERINTENDENT, 
GENERAL HOSPITAL, 
STRATFORD, ONTARIO. 









SUPERVISOR, OUTPOST HOSPITAL 


Northern Health District 


REQUIRED BY 
SASKATCHEWAN DEPARTMENT OF PUBLIC HEALTH 


SALARY RANGE: $377 - $459 monthly. 


REQUIREMENTS: Registered Nurse with oa certificate in midwitery and 
professional experience. 


This is an opportunity for interesting and challenging public health nurs- 
ing service. The appointee will act as nurse midwife in an outpost hos- 
pital. Free living accommodation and sustenance provided. 


BENEFITS: Three weeks holiday, three weeks accumulative sick leave al- 
lowance annually with pay, excellent pension and group life insurance 
plans and other benefits. 


APPLICATIONS: Forms and further information.available at Public Service 
Commission, Legislative Building, Regina, Saskatchewan. Quote file no. 
c/c 8177. 


THE DUFFERIN AREA HOSPITAL 


A new addition to be opened in July, invites applications from: 


REGISTERED NURSES 
REGISTERED NURSING ASSISTANTS 


For all Nursing Units including an Intensive Care Unit. Salaries — Re- 
gistered Nurses: $320-$360; Registered Nursing Assistants: $210-$250. 
Progressive Personnel Policies, Pension Plan, Group Insurance. 


For further information write to: 


DIRECTOR OF NURSING, 
Dufferin Area Hospital, Orangeville, Ontario. 


THE CANADIAN NURSE 





NURSING eR aed tel a 


REGISTERED NURSES AND CERTIFIED NURSING ASSISTANTS 


Planned Orientation Programme — Inservice Educational Programmes 
Opportunity to gain additional knowledge in specialized fields of nursing 
Excellent personnel policies 
Salaries commensurate with prevailing current salaries in Metropolitan Toronto 


For information or application write to: 
DIRECTOR OF NURSING, TORONTO GENERAL HOSPITAL, 
101 College Street, Toronto 2, Ontario. 


MALE NURSES 
(REGISTERED) 
REQUIRED JULY 1 TO OCTOBER 31 


FOR CANADIAN GOVERNMENT CARGO SHIPS 
TRAVELLING TO THE EASTERN ARCTIC 





g XP? & N.S a8 P Al OD 

SALARY UP To $360 

MONTHLY DEPENDING 
ON EXPERIENCE 


APPLY TO DIRECTOR, PERSONNEL SERVICES 
DEPARTMENT OF NATIONAL HEALTH AND WELFARE 
OTTAWA 


USA 
New York Polyclinic —— School ond yee in heart o f Manhattan. Six month courses for qualities 





West ‘50th Street, New York, few York 10019. 533-24 


MAY 1964 - VOL. 60, No. 5 503 

















GENERAL DUTY NURSES 
FOR ALL DEPARTMENTS 


Gross salary for nurses registered in the Province of Ontario $335 
monthly with annual increment $10 monthly to $385. 


Salary until registration is established — $305 monthly. 


Rotating periods of duty — 40 hour week, 8 statutory holidays annually 
— Annual vacation 21 days. 


Annual sick time 12 days after one year, unused portion cumulative to 
36 days. 


Hospitals of Ontario Pension Plan. 


Ontario Hospital Insurance and Physicians’ Services Incorporated, 50% 
payment by hospital. 


Apply: 
DIRECTOR OF NURSING, GENERAL HOSPITAL, OSHAWA, ONTARIO 


THE SARNIA GENERAL HOSPITAL 


Offers excellent opportunities for 


REGISTERED NURSES AND 
REGISTERED NURSING ASSISTANTS 
Sarnia is an industrial city located midway on the seaway, 60 miles 


north of Detroit and Windsor and 60 miles west of London. It is a resort 
area noter for swimming and boating as well as being located a reason- 


able distance from the skiing resorts in Northern Michigan. 


The hospital is modern, fully approved (JCAH), and has recently been 
expanded to 350 beds. 


Positions are available in all services. 


Salary scale with annual increments to the maximum. Additional salary 
allowance for two years or more acceptable experience or postgraduate 
certificate. Benefits include pension plan, 40-hour week, regular rotation 
of shifts with premium pay for evenings and nights. 


Apply. 
PERSONNEL DIRECTOR, 
SARNIA GENERAL HOSPITAL, SARNIA, ONTARIO. 


THE CANADIAN NURSE 








Then take a look atus: Charles T. Miller Hospital 


...@ stimulating environment that encourages professional growth 
in your choice of work areas. 


...excellent personnel policies including team leader salary. Credit 

allowed for previous experience. Tuition paid by hospital for satis- 

factory completion of post-grad credits in nursing field. 

... exciting metropolitan re of the Twin Cities of St. Paul- 

Minneapolis. Surrounded by lakes and ski areas. Convenient to 

theatres, shopping, world-famous symphony orchestra, art 
ries. 


Miss Joan Johnson, R. N., Personnel 
Charles T. Miller Hospital « Dept.C-5 








- 
| 

To receive 125 West College Ave. « St. Paul 2, Minn. | 
our informative | 
booklet, mail Name | 
this coupon to: Street I 
l 

City State 1 

a 





STRATFORD GENERAL HOSPITAL 


STRATFORD, ONTARIO 


There are vacancies for the following positions: 
Surgical Clinical Instructor 
Medical Clinical Instructor 


A newly renovated and enlarged hospital of 209 active treatment beds, 
with completely modernized services and service departments, together 


with a three year diploma course in nursing comprise the working back- 
ground for these positions: 

The hospital offers excellent personnel policies. 

Applicants must hold preferably a B.Sc. (Nursing) or a certificate in 
teaching. 

Salary commensurate with preparation and experience. 


Applications, together with biographical details to: 
MINERVA H. SNIDER, REG.N., DIRECTOR OF NURSING, 
General Hospital, Stratford, Ontario. 


MAY 1964 - VOL. 60, No. 5 505 





q READ ME 


i Nursing is nursing is nursing, wherever you are — therefore what attracts 
i | nurses to different areas? Well | don’t know but this is what Shelburne 
has to offer for all duty hours. 


A. Outdoor life — In summer, camping, fishing, swimming, golf, 
boating, water skiing. 


In winter — Skating, fishing through ice. 


| . Indoor life — make your own, no Night Clubs ,one movie house, 3 
i good eating places. Adult education classes of all types — old 
i time dancing, leather work, pottery, language, painting, drama. 
f Nearest Concerts, plays etc. in Yarmouth. 

Hi 


Good shopping area, salaries as recommended by RNANS. Navy 
Base 5 miles away. 

Air force base 30 miles away — both expanding. Are you in- 
terested? 


a + 


Please have applications addressed to: 
THE ADMINISTRATOR, 
ROSEWAY HOSPITAL, 

Shelburne, Nova Scotia. 





he eee 


a Clas 


J 


NURSING ADMINISTRATOR 


OTTAWA CIVIC HOSPITAL 


This position carries full authority in status as an Assistant Director of 
the Hospital and responsibility for Nursing Education and Nursing Ser- 
vice in an 1,100 bed University Teaching Institution. The position will be- 
come vacant during the summer of 1964 due to the retirement of the 
present encumbent who has completed eighteen years of progressive 
service in the position. 

] ; Applicants must have at least a Bachelor's degree in Nursing and pre- 

ference will be given to applicants with a Master's degree. The appoint- 

Hi ment offers a very excellent opportunity as well as a challenge in taking 
over an administrative responsibility within a Hospital which is recog- 
nized as having a good Nursing Education Program and a highly respect- 
ed Nursing Service. The position provides responsibility to be a part of 
an active administrative team with not only an opportunity to develop 
and plan Nursing Programs but also hospital activities in general. Excel- 
lent salary, pension plan, group insurance, sick leave, vacation and ap- 
pealing personnel policies. 

K Our staff is aware of this advertisement and the confidence of appli- 

: cants will be maintained. 


ee ee ey oe 


| } Please address applications or requests for additional information to: 


ih DOUGLAS R. PEART, B.Com., D.H.A., 
ie Executive Director, Ottawa Civic Hospital, Ottawa 3, Ontario, Canada. 





7 506 THE CANADIAN NURSE 














HUMBER MEMORIAL HOSPITAL 


HOSPITAL — 


Newly expanded 350-bed hospital. 
Progressive patient care concept. 


SALARY — 


General Staff Nurses registered in On- 
tario $335-$400 per month. Registered 
Nursing Assistants $235 - $271 per 
month. 


HOUSING — 


Furnished apartments available at sub- 
sidized rates. 


JOB SATISFACTION — 


High quality patient care and friendly 
working environment, personal recog- 
nition. and professional development. 


You are invited to enquire concerning 
employment opportunities to: 


DIRECTOR OF NURSING, HUMBER MEMORIAL HOSPITAL, 
200 Church Street, Weston, Ontario - Telephone 249-8111 (Toronto) 


JAMES PATON MEMORIAL HOSPITAL 


Applications are invited for the following positions at the above 153-bed General Hospital at 
Gander, Newfoundland. 


DIRECTOR OF NURSES 


Applicants should hove several years’ experience in a nursing administrative capacity. The 
successful applicant will be responsible for the organization of nursing services in the hospital. 
Preference will be given candidates with university training. 


ASSOCIATE DIRECTOR OF NURSES 


Applicants should have experience in nursing administration. The position carries responsibility 
for coordination of nursing care activities and for essuming the duties of the Director of 
Nurses in her absence. Preference will be given candidates with university training. 


SUPERVISORS, HEAD NURSES, ASSISTANT HEAD 
NURSES AND STAFF NURSES 


Required for units and departments of the hospital. 


Applications stating oge, eduction, experience, qualifications, etc., should be addressed to: 
THE ADMINISTRATOR, 
James Paton Memorial Hospital, 
Gander, Newfoundland. 





MAY 1964 - VOL. 60, No. 5 507 


———— ee ee 


oe Anheen sie zi 


ewes a8 = : 


Ee . 
ioettd 








REGISTERED NURSES 


For General Duty required for 100-bed general hospital. Forty-hour week. Three weeks annual 
vacation for first three years of service then four weeks annually. Nine (9) statutory holidays 
annually, 1-!/, days sick leave per month accumulative to five months. Shift differential 
of 40 cents for each evening shift and 50 cents for each night shift. Salary range: $315-$390 
with special consideration given for postgraduate training and previous experience. Residence 
accommodation with meals available at the rate of $35 per month if desired. 


Apply to: 
Director of Nurses, 
WEYBURN UNION HOSPITAL, 
Weyburn, Saskatchewan. 











NOTRE DAME HOSPITAL 


North Battleford, Saskatchewan 


REQUIRES 
General Staff Nurses and Certified Nursing Assistants for Medical, Surgical, Obstetrical and 
Pediatric Services. Forty hour week. Salary range: R.N. $315 to $390, C.N.A. $205 to $235 
gross per month. Differential for evening and night duty for R.N.’s. Accommodation close to 

hospital if desired. 
Apply to: 
DIRECTOR OF NURSING SERVICE, 
Notre Dame Hospital, North Battleford, Sask. 





VICTORIAN ORDER OF NURSES 
FOR CANADA 


Interesting and Challenging Careers. Positions are available in various ports of Canade ot 
prevailing salary rates. Good personnel policies. Pension plan. Transportction on duty. 
Uniform allowance. 


Bubseries are offered to assist students in the final year of the basic degree course or 
graduate nurses taking preparation in public health nursing. 
For further information write: 
MISS JEAN LEASK, DIRECTOR IN CHIEF, 
5 Blackburn Avenue, Ottawa 2, Ontario. 


SUPERINTENDENT OF NURSES 


Required by 18-bed Private Hospital. Ontario registration required. 
Registered Nurse with supervisory experience or experience os Superintendent of small hospital 
would fill requirements. Two room apartments with bath ond all meals supplied for $20 per month. 
Four weeks annual vacation per yeor, eight statutory holidays, hospitalization, medical- coal ond 
Group Insurance. Moving expenses up to $50 refunded fol ing six months employment. Solory 
scale will be pF. oe opplication 


MRS. V. M. SW’ ER, SECRETARY, 
BOARD OF DIRECTORS, LADY DUNN HOSPITAL, WAWA, ONTARIO. 


THE CANADIAN NURSE 








NEW HOSPITAL 


AJAX, ONTARIO 


110 BEDS 
Nursing the patient as an 


individual 
Opening — October 1964 
VACANCIES for Head Nurses, Assistant Head Nurses, General Duty R.N.’s and Registered 
Nursing Assistants (Union Agreement for Registered Nursing Assistants) in Medicine and Sur- 
gery. O.R., OBS., Pediatrics. Salaries commensurate with prevailing salaries in Metro Toronto. 


Consideration for experience and education. Overseas nurses welcome. Personnel recognition 
and excellent fringe benefits. Professional development fostered. 


Ajax is 7 miles from Metro Toronto, hourly bus service 


Apply to: 
NURSING OFFICE PERSONNEL, 
AJAX AND PICKERING GENERAL HOSPITAL, 
Ajax, Ontario. 





YORK COUNTY HOSPITAL 


ONE HOUR FROM DOWNTOWN TORONTO 
260 bed Hospital with new facilities in- 
cluding: 


INTENSIVE CARE UNIT 
SELF CARE UNIT 
PSYCHIATRIC UNIT 


CLINICAL INSTRUCTRESSES: 
$385-$460 per month 
REGISTERED NURSES: $335-$400 per month 
REGISTERED NURSING ASSISTANTS: 
$230-$265 per month 
LIBERAL PERSONNEL BENEFITS INCLUDE: 


Pension Plan, Group Life Insurance, 
Medical and Hospital Insurance. 
Residence accommodation available. 


Please write for further details concerning employment opportunities to: 


DIRECTOR OF NURSING, YORK COUNTY HOSPITAL, 
Newmarket, Ontario. 








MAY 1964 - VOL. 60, No. 5 


————E—— 





DIRECTOR OF NURSING 


Modern progressive 70-bed hospital located in picturesque valley north of Edmonton. 
Accreditation application being made. 


Highly qualified medical staff provides stimulating work environment. 
New suite available in residence. 


Send particulars to: 


Administrator, 
PEACE RIVER MUNICIPAL HOSPITAL, PEACE RIVER, ALBERTA. 


ASSISTANT DIRECTOR OF NURSING 


REQUIRED FOR 
ALBERTA CHILDREN’S HOSPITAL, CALGARY, ALBERTA 
Apply to: 


- Director of Nursing, 
ALBERTA CHILDREN’S HOSPITAL, CALGARY, ALBERTA. 


PSYCHIATRIC NURSING INSTRUCTRESS 


Required to organize and participate in program in Psychiatric Nursing in a new Community 
Mental Hospital under auspices of ROYAL OTTAWA SANATORIUM. 


Apply: 
Director of Nursing, 
ROYAL OTTAWA SANATORIUM, 
Ottawa, Ontario. 


INSTRUCTORS 


Required for School of Nursing with 75 students in 250-bed hospital 
SCIENCE INSTRUCTOR TO TEACH BASIC SCIENCES 
CLINICAL INSTRUCTOR FOR MEDICAL-SURGICAL NURSING 
INSTRUCTOR FOR FUNDAMENTALS OF NURSING 
University preparation required. Good personnel policies. Salary commensurate with qualifi- 
cations and experience. 
For turther information apply to: 
Assistant Director of Nursing (Education), 
CORNWALL GENERAL HOSPITAL, 

Cornwall, Ontario. 





510 THE CANADIAN NURSE 





THE VANCOUVER GENERAL HOSPITAL 


ENQUIRIES INVITED FOR 


CURRENT REGULAR FULL TIME STAFF PLACEMENT 


FROM 
GENERAL STAFF NURSES 


SALARY COMMENCES UP TO $366 PER MONTH 
WITH APPROVED EXPERIENCE. 


All enquiries addressed to: 
PERSONNEL DIRECTOR, WILL BE ANSWERED. 





MONTREAL CHILDREN'S HOSPITAL 


DID YOU KNOW THAT 


. We have 354 beds for children from the Premature to the Adolescent age group. 
Our nurses may be bilingual or English-speaking. 

. We are affiliated with McGill University. 

We have an excellent Orientation and In-Service Program. 

. Salary is commensurate with experience and preparation. 

We have vacancies for Registered Nurses. 


oOhYeN> 


For information please write: 
THE DIRECTOR OF NURSING, 
Montreal Children’s Hospital, 2300 Tupper Street, 
Montreal, Que. 





MEDICAL SUPERVISOR REQUIRED: 


Position available for Medical Supervisor on a 62-bed unit with two nursing stations. 
Preference given to applicants with one year University in Ward Administration and 
experience. 


Well defined personnel policies, including pension plan, 4-week vacation, sick time. 


Direct inquiries to: 


Director of Nursing, 
STRATFORD GENERAL HOSPITAL, 
Stratford, Ontario. 





MAY 1964 - VOL. 60, No. 5 511 





ONTARIO PROVINCIAL GOVERNMENT 


DEPARTMENT OF HEALTH REQUIRES 


PUBLIC HEALTH NURSES 
R 
NORTHERN ONTARIO PUBLIC HEALTH SERVICE 


Starting salary — $4,400 (with experience) 
—To develop and organize an expanding public health nursing service in outlying areas 
—Challenging opportunity for person with initiative in developing and co-ordinating programs 
—Bilingualism an asset but not essential 
—Exceilent promotional opportunity 
—Full range of employee benefits 
—Services established in North Bay and Timmins. Plans for additional offices in Sault Ste. Marie, 


Sudbury, Lakehead. 
Apply to: 


Personnel Director, 
Room 5527 East Block, Parliament Buildings, Toronto. 


DIRECTOR, SCHOOL OF NURSING 


SOUTHWESTERN ONTARIO RESORT AREA 


Excellent position available in Spring of 1964. Modern classrooms and facilities in main wing 
of 351-bed hospital. Student enrollment of 95. Modern students’ residence adjacent to hospital. 
Minimum qualifications include a bachelor’s degree in Nursing Education, as well as suc- 
cessful experience in Nursing Administration and Education. Registration in Ontario is required. 
The person appointed to this position will have the opportunity of using progressive techniques 
in teaching. 
Write to: 
Administration, 
SARNIA GENERAL HOSPITAL, 
Sarnia, Ontario. 


CLINICAL INSTRUCTORS 


ST. JOSEPH’S HOSPITAL, SCHOOL OF NURSING, HAMILTON, ONTARIO 
MEDICAL — SURGICAL — and OBSTETRICAL UNITS 


Well-equipped modern school of nursing — Expanded January, 1963. 
800-Bed Hospital fully accredited. Salary commensurate with preparation and experience. 


For further information please apply to: 


DIRECTOR OF NURSING, 
ST. JOSEPH’S HOSPITAL, 
School of Nursing, Hamilton, Ontario. 


OAKVILLE-TRAFALGAR 
MEMORIAL HOSPITAL 


OAKVILLE, ONTARIO 
General Duty Nurses for all departments, also Operating Room Nurses required in modern 
340-bed fully accredited hospital. 
Oakville is a progressive community situated on Lake Ontario just twenty miles from the 
cities of Toronto and Hamilton. Excellent salaries and personnel policies. Further details will 
be furnished on request. 

Apply to: 
DIRECTOR OF NURSING, 
Oakville-Trafalgar Memorial Hospital, 
Oakville, Ontario. 





512 THE CANADIAN NURSE 











DIRECTOR OF NURSING 


REQUIRED BY JUNE Ist, 1964 
For modern 18 bed, 8 bassinet hospital, serving a progressive ,fast growing farming and 
industrial area in Northern Alberta. Salary open for discussion, depending on experience. 
Employees participate in Pension Plan, M.S.I. and Blue Cross. 
Matron‘s suite in NEW Nurses’ Residence available at $35 per month, including board and 
laundry. Fare will be paid from any point in Canada, on condition of at least one year 
employment. 


Please state in application, date available, salary expected and experience. 


For further information write, phone or wire collect to: 
MANNING MUNICIPAL HOSPITAL, 
Box 250, Manning, Alberta, Ph. 173, after hours 189 or 236. 


SCHOOL OF NURSING 


METROPOLITAN GENERAL HOSPITAL, WINDSOR, ONTARIO 
REQUIRES 
INSTRUCTOR IN BASIC SCIENCES and SURGICAL NURSING 
This is an opportunity to participate in the development of a progressive program which 
emphasizes educational nursing experiences for the student. The program consists of 2 basic, 


preparatory years followed by one year of Nursing Internship. One class of 32 students is 
admitted annually. 

DUTIES INCLUDE: Instruction in Anatomy and Physiology, Chemistry and Physics. Clinical and 
Classroom instruction in an integrated program of Medical-Surgical Nursing. 

REQUIREMENTS: University preparation in Nursing Education — Salary differential for Degree. 
Duties to commence August Ist, 1964. 


For further information, contact: 


Director, School of Nursing, 2240 Kildare Road, Windsor, Ontario. 


COUNTY OF RENFREW HEALTH UNIT 


This new Health Unit will begin operation July Ist, 1964. Applications and enquiries are 
invited regarding the positions of the following: 


DIRECTOR and MEDICAL OFFICER of HEALTH 
PUBLIC HEALTH NURSING SUPERVISOR and PUBLIC HEALTH NURSES 
CHIEF SANITARY INSPECTOR and INSPECTORS 








Salaries will be based on experience, pension plans, group insurance, vacations and sick 
leave in varying scales. 


Apply to: 
E. M. FRASER, 


County Clerk-Treasurer, 
County Administration Building, Pembroke, Ontario. 





YORK CENTRAL HOSPITAL 


RICHMOND HILL, ONTARIO 
Applications are invited for: 
1) GENERAL STAFF NURSING POSITIONS 


2) REGISTERED NURSING ASSISTANT POSITIONS 
ALL IN CLINICAL AREAS 


This is a new 126-bed active treatment hospital, lying outside Metropolitan Toronto. Progres- 
sive personnel policies, salary based on education and experience. 


Apply to: 


DIRECTOR OF NURSING, 
York Central Hospital, Richmond Hill, Ontario. 





MAY 1964 - VOL. 60, No. 5 513 





WOODSTOCK 
GENERAL HOSPITAL 


WOODSTOCK, ONTARIO 


Applications are invited for the position 
of Clinical Teacher in Medical-Surgical 
Unit for August 1964. 


QUALIFICATIONS: 
Prefer degree in Nursing Education and 
experience or diploma in Nursing Educa- 
tion and minimum of 2 years teaching 
experience. 


Apply to: 
DIRECTOR OF NURSING 


Woodstock General Hospital 
Woodstock, Ontario. 


SOUTH PEEL HOSPITAL 


A new 450-bed General Hospital, located 
12 miles from the City of Toronto, has 
openings for: 


(1) Supervisor for Nursing Office with 
Nursing Service Administration Diplo 
ma. 


(2) Supervisor for Unit Administration on 
Medical Ward. 


(3) Head Nurses and Assistant Head 
Nurses for Medical and Surgical units. 


(4) General Staff Nurses in all depart- 
E ments. 


Good personnel policies. Salary commen- 
surote with experience and preparation. 


For information or application, 
write to: 
DIRECTOR OF NURSING 


South Peel Hospital, 
Cooksville, Ontario 


CLINICAL INSTRUCTORS 


Required for School of Nursing in this 

350-bed General Hospital. Modern class- 

rooms and facilities. Student enrollment 
95. 


Minimum qualifications — Diploma in 
Nursing Education. Good starting salary 
with special consideration for experience 


or degree. 


Excellent working conditions with oppor- 
tunities to use progressive techniques in 
teaching. 


Apply: 


Personnel Director, 
SARNIA GENERAL HOSPITAL, 
Sarnia, Ontario. 


NURSES 


KENORA, ONTARIO 


This resort town eave just 
00-bed ital 
‘spt! a 

opening the 


second 
are needed. The woantee is wonderfully loc- 
ated on the shores of beautiful Lake of the 
Woods in Ontario. In the summer we have 
activities in swimming, boating, fishing and 
golfing and in the winter there is skating, 
curling, tobogganing, skiing and ice fishing. 


A nurse’s residence is available at a reas- 
onable rate of $20 per month for private 
room or $15 per month for a double room. 
Cafeteria services are available ,at cost as 
well as a kitchen in the nurses’ residence. 
Separate personne! policies re page Bene 
ay see and ins eee mailed ti a hi 

starting salary per mont eek it 
statutory holidays, sick leave, three 
vacation with pay are some of the senate 
of these policies. 


All applications will be treated with cour- 
tesy and privacy 


Please apply to: 
Director of Nursing, 
KENORA GENERAL HOSPITAL, 
Kenora, Ontario. 


THE CANADIAN NURSE 








OSHAWA GENERAL HOSPITAL 


Oshawa, Ontario 
Requires for School of Nursing 


CLINICAL INSTRUCTOR IN SURGICAL NURSING 


with Certificate in Nursing Education 


For further information, apply to: 


DIRECTOR OF NURSING, 
Oshawa General Hospital, Oshawa, Ontario. 


GENERAL DUTY NURSES 


SALARY RANGE $327 - $362 


Required by Metropolitan Toronto for the new Riverdale Hospital, an 800-bed hospital for 
chronic and convalescent patients. Shift allowances for afternoon and night shifts. Cumulative 
sick poy and pension plans are in effect. Permanent positions, 40 hour week 


Apply: 
PERSONNEL OFFICE, 
387 Bloor Street East, Toronto 5, Ontario. 


UNIVERSITY HOSPITAL 


Saskatoon, Saskatchewan 
APPLICATIONS ARE INVITED FOR: 
General Staff positions. 

OPPORTUNITIES FOR EMPLOYMENT ARE AVAILABLE IN: 
Medical, Surgical, Obstetrical, Pediatric, Psychiatric and Rehabilitation Services 
SALARY RANGE: 
$300-$360 — Differential for evening and night duty — 40-hour week 
RESIDENCE: 

Temporary accommodation if desired 
Apply to: 

DIRECTOR OF PERSONNEL, UNIVERSITY HOSPITAL, 
Saskatoon, Saskatchewan. 


GENERAL DUTY NURSES 


Two General Duty Nurses, starting salary $332 - with two years’ experience $349 - with 

four years’ experience $366. Travelling expenses paid on completion of one year’s service. 

Personnel policies as in accordance with provincial agreement. Health plan and retirement 

plan in operation. Comfortable nurses’ residence. Situated 80 miles upcoast from Vancouver 
with daily bus and plane connections. 


Apply to: 
Director of Nursing, 
POWELL RIVER GENERAL HOSPITAL, 
Powell River, British Columbia. 





MAY 1964 - VOL. 60, No. 5 515 





CLASSROOM & CLINICAL 
NURSE INSTRUCTOR 


(Male or Female) 
Required for the 


HOSPITAL FOR MENTAL DISEASES, 
BRANDON, MANITOBA 


Salary Schedule — $350-$440 per month 

Regular Annual Increments 

Pension Privileges 

Liberal Sick Leave with Pay 

Annual Vacation with Pay, as set out by 
Civil Service Commission 

QUALIFICATIONS: 


Registered Nurse with postgraduate 
training in Nursing Education and 
preferably a Licensed Psychiatric 
Nurse. 


Write to: 


THE DIRECTOR OF NURSING, 
HOSPITAL FOR MENTAL 
DISEASES, 
BRANDON, MANITOBA. 


REGISTERED NURSES 


CERTIFIED 
NURSING ASSISTANTS 


for 


360-bed accredited General Hospital. Re- 
gistered Nurses salary range $325 - $377 
per month with consideration for con- 
temporary experience or special prepara- 
tion. 


Certified Nursing Assistants $230 - $260 
per month. 


For further information write: 


Director of Nursing Service, 
METROPOLITAN GENERAL 
HOSPITAL, 
Windsor, Ontario. 


ST. JOSEPH'S 
HOSPITAL 


Hamilton, Ontario 


A modern, progressive, 850-bed hospital, 
located in the centre of Ontario’s Golden 
Horseshoe, has openings for: 


1) Head Nurses for Medical or Surgical 
units. 
Postgraduate study preferred. 


2) General Staff Nurses in all clinical 
areas. 


3) Registered Nursing Assistants in all 
clinical areas. 


For further information write to: 


THE DIRECTOR OF NURSING, 
St. Joseph’s Hospital, 
Hamilton, Ontario. 


VICTORIA HOSPITAL 


LONDON, ONTARIO 
Modern 1,000-bed hospital 
Requires 


Registered Nurses for 
all services 


and 


Registered 
Nursing Assistants 


40 hour week — Pension plan — Good 
salaries and Personnel Policies. 


Apply: 
DIRECTOR OF NURSING, 
Victoria Hospital, London, Ont. 





SCHOOL OF NURSING 


METROPOLITAN GENERAL HOSPITAL 
requires 
INSTRUCTOR IN PSYCHIATRIC NURSING 


This is an opportunity to participate in the development of a progressive program which em- 
phasizes educational nursing experience for the student. The program consists of 2 basic, 
preparatory years followed by one year of Nursing Internship. One class of 32 students is 
admitted annually. Duties include: Instruction in Introductory Psychology and Mental Hygiene. 
Clinical and Classroom Instruction in Psychiatric Nursing. Requirements: University preparation 
in Nursing Education. — Salary differential for Degree. — Duties to commence August, 1964. 


For further information, contact: 
Director, School of Nursing, 2240 Kildare Road, Windsor, Ontario. 


DIRECTOR OF NURSING 


FOR MODERN, 163-BED, FULLY ACCREDITED GENERAL HOSPITAL 
SALARY COMMENSURATE WITH QUALIFICATIONS AND EXPERIENCE 


Please address enquiries to: 
Administrator, 


KIRKLAND AND DISTRICT HOSPITAL, 
Kirkland Lake, Ontario. 


Opportunities for Employment Are Available in: 


SCHOOL OF NURSING: 


CLASSROOM INSTRUCTOR — CLINICAL INSTRUCTORS FOR: 
Operating Room, Medicine, Neurosurgery, Pediatrics, Psychiatry. 


NURSING SERVICE: 


SUPERVISOR, DEPARTMENT OF PEDIATRICS — STAFF NURSES, MEDICINE AND SURGERY. 
University teaching hospital. Applicants should be eligible for Ontario Registration. 


Personnel policies and further information may be obtained from: 
Director of Nursing, 
KINGSTON GENERAL HOSPITAL, 
Kingston, Ontario. 


GRADUATE STAFF NURSES 


Opportunities for men and women on all services including metabolism, rehabilitation, psy- 
chiatry, recovery room, medicine, surgery, pediatrics, obstetrics, operating room and emer- 
gency room. Well planned orientation and in-service programs, tuition free courses at Western 
Reserve University after 3 months employment, low cost housing in nurses’ residence. Liberal 
personnel policies with premiums for evening and night tours. Staff Nurse salaries range 
$400-$440, based on experience and education. For more information ask for our new 
booklet describing nursing opportunities at University Hospitals. 


Write to: 


THE DIRECTOR OF NURSING, UNIVERSITY HOSPITALS OF CLEVELAND, 
University Circle, Cleveland, Ohio, 44106. 


MAY 1964 - VOL. 60, No. 5 





GENERAL STAFF 
NURSE POSITIONS 


AVAILABLE 


In the General Operating Rooms (includes 
general surgery, cardiac, neurosurgery, 
plastic, ear, nose and throat and urol- 
ogy), Gynecological and Ophthalmological 
Operating rooms. Salary commensurate 
with experience. Opportunities for pro- 
motion. Excellent fringe benefits including 
refund of tuition up to six points per 
semester. 


For further information write: 


Director, Nursing Service, 
THE JOHNS HOPKINS HOSPITAL 
Baltimore 5, Maryland. 


ST. JOSEPH'S HOSPITAL 


Toronto, Ontario 
REGISTERED NURSES 
and 
CERTIFIED 
NURSING ASSISTANTS 


600-bed fully accredited hospital provides 
experience in Operating Room, Recovery 
Room, Intensive Care Unit, Pediatrics, Or- 
thopedics, Obstetrics, General Surgery and 
Medicine. 

Orientation and Active ‘In-service program 
for all staff. 

Salary is commensurate with preparation and 
experience. 

Benefits include Pension Plan, Group Life 
Insurance, Sick Leave — 12 days after’ one 
year, Ontario Hospital Insurance — 50% 
payment by hospital. 

Rotating Periods of duty — 40 hour week, 
8 statutory holidays — annual vacation 3 
weeks ofter one year. 


Apply: 
ASSISTANT DIRECTOR OF NURSING 
SERVICE 


ST. JOSEPH’S HOSPITAL 
30 The Queensway, Toronto 3, Ontario 


THE ROSS 
MEMORIAL HOSPITAL 


LINDSAY, ONTARIO 
Invites applications for the position of 


For a 35-bed Surgical Unit with duties to 
commence June, 1964. 


Previous experience necessary, preference 
given to applicants with a B.Sc.N. or 
University preparation. 


This is an active treatment general hos- 

pital of 140 beds, located in the ‘’Ka- 

wartha Lakes” region. Personnel policies 
available on request. 


For further information, please write to: 


PERSONNEL DIRECTOR, 
The Ross Memorial Hospital, 
Lindsay, Ontario. 


APPLICATIONS ARE INVITED FOR 
THE POSITION OF 


DIRECTOR OF 
NURSING SERVICE 


THE METROPOLITAN 
GENERAL HOSPITAL 


WINDSOR, ONTARIO. 


The Metropolitan General Hospital is o 
fully accredited 362 bed facility, and ap- 
plicants with experience and holding a 
Bachelor Degree, or with University pre- 
paration, will be given preferable con- 
sideration. Associated with the Hospital 
is the Metropolitan Hospital School of 
Nursing which has teaching standards 
well recognized in Ontario. 
Salary will be commensurate with quali- 
fications and experience, and other em- 
ployee benefits are generous. 


Address all applications and enquiries to: 
THE ADMINISTRATOR, 
METROPOLITAN GENERAL 
HOSPITAL, 

1995 Lens Ave., Windsor, Ont. 


THE CANADIAN NURSE 





TORONTO BRANCH 


VICTORIAN ORDER OF 
NURSES 
invites applications for positions of 
PUBLIC HEALTH NURSES 


This branch offers experience in a diversified 
ing bedside nursing, indivi- 


program includ 

dual teaching, child health centre activities, 

porticipation in experimental programs, stv- 
dent program, inservice education. 


For details apply: 
DIRECTOR, 
Victorian Order of Nurses, 


(Toronto Branch), 
281 Sherbourne Street, Toronto 2. 


OPERATING ROOM 
SUPERVISOR 


With postgraduate course in 


OPERATING ROOM TECHNIQUE 
AND MANAGEMENT 


Required for 
100-bed hospital. 


For salary rates and policies apply to: 


Director of Nursing, 
THE CHARLOTTE COUNTY HOSPITAL, 
St. Stephen, New Brunswick. 


REGISTERED NURSES 


HOSPITAL FOR CHILDREN 


Salary according to qualifications and ex- 
perience. Differential for evening and night 
duty. 40 hour week. Statutory holidays. 


Pension plan. Sickness insurance. 


Apply to: 
THE DIRECTOR OF NURSING, 
Hopital Marie Enfant, 
5200 Bélanger Street E., 
Montreal 36, Tel. 727-2844. 














INSTRUCTORS NEEDED 


As the number of Students increases, so must 
the number of Instructors! Our Junior Stu- 
dents attend Lakehead College for 5 subjects 
during the academic year. 


The School is progressive ond the program 
is dynamic! 
Apply to: 


Director of Nursing, 
McKELLAR GENERAL HOSPITAL, 
Fort William, Ontario. 


MAY 1964 - VOL. 60, No. 5 

















INSTRUCTORS 


1. Clinical Co-ordinator (New Position) 


2. Clinical Instructors: 
1. Pediatric Nursing 
2. Operating Room Nursing 


3. Surgical Nursing 


3. Science Instructors (2): 
University preparation required 


Salary differential for degree 


For further information apply to: 


Director of Nursing, 
BRANDON GENERAL 
HOSPITAL, 
Brandon, Manitoba. 





THE GRENFELL 
MISSION 


Has excellent opportunities for interesting 
and challenging work in northern New- 
foundiand and the Labrador coast. 


For details, please write: 


Miss Dorothy A. Plant, Secretary, 
GRENFELL LABRADOR MEDICAL 
MISSION, 

Room 7O1A, 88 Metcalfe Street, 
Ottawa 4, Ontario. 











SUPERVISORS 
FOR 
Inservice Education 
Department 
AND 


Operating Room 
Required by an active 250-bed hospital. 


Apply to: 


Director of Nursing, 
NORTHWESTERN GENERAL HOSPITAL, 
2175 Keele Street, Toronto 15, Ontario. 


519 








DIRECTOR OF NURSING 
50-BED HOSPITAL 


Reference necessary. Thriving Industrial Com- 
munity. Winter and Summer resort, New 
living quarters on grounds of hospital. 

This is a challenging position for a suitable 
person. Salary open. 


Apply to: 


Secretary-Treasurer, 
PONTIAC COMMUNITY HOSPITAL, 
Box 280, SHAWVILLE, Quebec. 
Phone 647-2214, COLLECT. 


EMPLOYMENT 
OPPORTUNITY 


The Moncton Hospital School of Nursing re- 
quires a Faculty member to lecture in the 
Physical Science subjects. The three-year 
course is carried on in a modern General 
Hospital, a class of 60 students commences 
annuolly. 

Good personnel policies available. 


For further information regarding this position, 
: write: . 


The Director of Nursing, 
THE MONCTON HOSPITAL, 
Moncton, New Brunswick. 


OPERATING ROOM 
NURSES 


Applications for experienced Operating Room 
Nurses are invited for the General Hospital, 
St. John’s, Newfoundland. 


Apply to: 


DIRECTOR OF NURSING, 
General Hospital, 
St. John’s, Nfld. 





Head Nurse Operating 
Room and Head Nurse 
Maternity 
Registration and Postgraduate certificate re- 
quired for pay ~ sence position in 110- 
bed hospital in western British Columbia. 
Salary $381-$460 plus $10 for certificate or 
$25 for eo Newly furnished residence 
with T.V. social activities including 
bowling, curling, tennis and year round 
swimming. Full personnel benefits including 

travel allowance. 


Apply to: 
Director of Nursing, 
GENERAL HOSPITAL, 
Prince Rupert, B.C. 


520 











REGISTERED NURSES 
REQUIRED 


For the Operating Room and other Services. 
Good personnel policies. Residence accom- 
modation available — $30 per month. ‘A 
Friendly Hospital in a Friendly Community’. 


For further information, write to: 


Director of Nursing, 
McKELLAR GENERAL HOSPITAL, 
Fort William, Ontario. 


SCIENCE INSTRUCTOR 


Applications are invited for the position of 
Science Instructor for a School of Nursing 
situated in the Interior of British Columbia. 
New Residence and teaching facilities opening 
soon. Expected student enrolment — 100. 
Position available after July Ist, 1964. 


Please address enquiries to: 


DIRECTOR OF NURSING, 
Royal Inland Hospital, 
Kamloops, British Columbia. 


ASSISTANT DIRECTOR 
OF NURSING SERVICE 


For accredited 200-bed hospital 
QUALIFICATIONS: Baccalaureate Degree pre- 
ferred. Supervisory experience. Salary ac- 
cording to qualifications. Position open July 
Ist, 1964. 


Apply to: 


DIRECTOR OF NURSING, 
General Hospital, 
Guelph, Ontario. 


REGISTERED NURSE 
for 


110-bed “HOME FOR THE AGED” with 50- 
bed bed-care wing. Located on Grand River, 
Niagara Peninsula within 1 hour’s travel 
to Hamilton, Niogara Falls and Buffalo, N.Y. 
Modern staff quarters optional. 


For full particulars apply: 


SUPERINTENDENT, 
stating qualifications, experience and 
remuneration: 


GRANDVIEW LODGE, 
Dunnville, Ontario. 





THE CANADIAN NURSE 


CITY OF HAMILTON 


requires @ 
PUBLIC HEALTH NURSE 


Must be a Registered Nurse with a public 
health certificate. 
5 day - 36-%4 hour week 
Minimum salary: $4,066 
Maximum salary: $4,901 
Starting salary commensurate with previous 
experience. 

Top fringe benefits including pension, sick 
pay, group insurance, vacations, statutory 
holidays, hospital and medical plan. 
Apply to: 

DIRECTOR OF PERSONNEL, 

City Hall, Hamilton, Ontario. 


GENERAL STAFF 
NURSES 
SALARY $415 to $480 

(Commensurate w/experience) 
$3.00 per day differential for evenings. $1.50 
differential for nights. Positions available in 
Birthroom, Post Partum, ‘Newborn Nursery 
and Medical - Surgical areas. Time and a 
half for overtime. Quarters available on 
os grounds. Other liberal fringe bene- 
its. 

For more information write: 
Personnel Director, 
WOMAN’S HOSPITAL, 

432 E. Hancock, Detroit 1, Michigan. 
TEmple 3-2000 


TWO GRADUATE 
NURSES 


For girl’s private camp (campers 6 to 16); 
June 24 — August 24 


For further particulars, write to: 


MRS. JOHN GILCHRIST, 
6-A Wychwood Park, 
Toronto 4, Ontario. 


REGISTERED NURSES 
required for 


82-bed hospital. Situated in the Niagara 
Peninsula. Transportation assistance. 


For salary rates and personnel policies, 
apply to: 


DIRECTOR OF NURSING, 
Haldimand War Memorial Hospital, 
Dunnville, Ontario. 





MAY 1964 - VOL. 60, No. 5 








OTTAWA CIVIC 
HOSPITAL 
requires 
GENERAL STAFF NURSES 
fi 
OPERATING ROOM 
MEDICAL 


SURGICAL 
OBSTETRICAL AND omer NS 


PSYCHIATRIC 


Apply: 
EDITH G. YOUNG, REG. N., 
Assistant Director and Administrator 
of the Department of Nursing. 





INSTRUCTORS 


for 


MEDICAL and SURGICAL 
NURSING 


University preparation required. The School 
conducts a three-year program and a two- 
yeor program. A challenge awaits you. 


Apply to: 


Director, School of Nursing, 
GREY NUNS’ HOSPITAL, 
Regina, Saskatchewan. 


WANTED IMMEDIATELY 
Registered Nurses 
and 
Certified Nursing Assistants 


For a new 40-bed Hospital with Nurses’ 

Residence. Nurses—Salary: $340-$390 accord- 

ing to experience. 3 semi-annual increments 

of $10 poe al C.N.A.’s—Salary: $225-$255 ac- 

cording to experience. 3 annual increments 
of $10 each. 


Reply to: 


The Director of Nursing, 
GERALDTON DISTRICT HOSPITAL, 
Geraldton, Ontario. 





THE ROSS MEMORIAL 
HOSPITAL 
requires 
GENERAL DUTY NURSES 


Positions are now available on our Medical, 
Surgical, Obstetrical and Pediatric Services. 
All inquiries are welcome. The hospital offers 


excellent personnel benefits along with an 
active in-service education and on organized 
orientation program. 


For complete details please direct your 
cues reply to: 


PERSONNEL DIRECTOR, 
The Ross Memorial Hospital, 
Lindsay, Ontario. 


521 


EDUCATIONAL OPPORTUNITIES 


DALHOUSIE UNIVERSITY 
School of Nursing 


Degree Course in Basic Professional Nursing 

Candidates for the degree of Bachelor of Nursing are required to complete 
2 years of university work before entering the clinical field, and one year 
of university work following the basic nical period of 30 months. On 
completion of the course the student receives the Degree of Bachelor of 
Nursing and the Professional Diploma in either Teaching in Schools of Nursing 
or Public Heatth Nursing. 

Degree Course for Graduate Nurses 

Graduate nurses who wish to obtain the degree of Bachelor of Nursing are 
required to complete the three years of university work. 

Diploma Courses for Graduate Nurses 


' 


: Public Health Nursing 
c 





Teaching in Schools of Nursing 
} Nursing Service Administration 


For further information apply to: 


DIRECTOR, SCHOOL OF NURSING 
DALHOUSIE UNIVERSITY, HALIFAX, N.S. 


O.R. POSTGRADUATE COURSES — 
THE VANCOUVER GENERAL HOSPITAL 


Applications for Postgraduate Courses in Operating Techniques are in- 


vited by The Vancouver General Hospital. Three classes a year are now 
being held and interested applicants will be advised of class dates. 


Further particulars, on enquiry to the 


PERSONNEL DEPARTMENT, 
The Vancouver General Hospital, 
will be forwarded. 





522 THE CANADIAN NURSE 





SCHOOL FOR GRADUATE NURSES 
McGILL UNIVERSITY 





PROGRAMS FOR GRADUATE NURSES 
DIPLOMA 


Students are granted a diploma at the completion of the first year of the program 
leading to the degree of Bachelor of Nursing. All first-year students elect to study in 


PUBLIC HEALTH NURSING 
or 
TEACHING AND SUPERVISION IN ONE OF THE FOLLOWING: 
* Medical-Surgical Nursing 
* Psychiatric Nursing 
* Maternal and Child Health Nursing 


DEGREE OF BACHELOR OF NURSING 


A two-year program for nurses with McGill Senior Matriculation or its equivalent. 


A three-year program for nurses with McGill Junior Matriculation or its equivalent. 
In the first year students elect a field as indicated above. In the final year students 
elect to major in one of the following: 


* Nursing Education 
* Administration and Supervision in Hospitals or in Public Health Agencies 


DEGREE OF MASTER OF SCIENCE (APPLIED) 


A program of approximately two years for nurses with a baccalaureate degree. 
Students elect to major in 
* Development and Administration of Educational Programs in Nursing 


* Nursing Service Administration in Hospitals and Public Health Agencies 


PROGRAM IN BASIC NURSING 


leading to the degree Bachelor of Science in Nursing 


A five-year program for students with McGill Junior Matriculation or its equivalent. 
This program combines academic and professional courses with supervised nursing 
experience in the McGill teaching hospitals and selected health agencies. This broad 
background of education, followed by graduate professional experience, prepares 
nurses for advanced levels of service in hospitals and community. 


For further information write to: 
DIRECTOR, McGILL SCHOOL FOR GRADUATE NURSES 
3506 UNIVERSITY STREET, MONTREAL 2, QUE. 





MAY 1964 - VOL. 60, No. 5 523 





ST. JOSEPH'S 
HOSPITAL 


TORONTO, ONTARIO 


Offers a 6 month Postgraduate Course 
in Operating Room Management and 
Technique. 


Classes March and September 


Reasonable monthly stipend 


For information and details of the Course, 


apply to: 


DIRECTOR OF NURSING 
SERVICE, 
St. Joseph’s Hospital, 
30 The Queensway, 
Toronto 3, Ontario. 





CLINICAL COURSE IN 
PSYCHIATRIC NURSING 


offered by 
The Department of Veterans Affairs, 
Westminster Hospital, London, Ontario. 
Open to all Registered Nurses. Enrollment 
Limited. Four months duration commencing 


12 January 1965. Room and meals at nominal 
rai 


For further information please write: 
Director of Nursing, 


WESTMINSTER HOSPITAL, 
London, Ontario. 


COURSE 


for 


GRADUATE NURSES 


In operating room techniques, six months. 

Terms begin June 21, and December 6, 1964. 

Room, meals, laundering of uniforms and 
monthly stipend provided. 


Apply to: 

Director of Nursing Education, 
COOK COUNTY SCHOOL OF NURSING, 
Dept. C, 1900 West Polk Street, 
Chicago, Illinois, 60612. 








UNIVERSITY OF 
BRITISH COLUMBIA 


School of Nursing 


DEGREE COURSE IN BASIC 
NURSING 


DEGREE COURSE FOR 
GRADUATE NURSES 


Both of these courses lead to the 
B.S.N. degree. Graduates are pre- 
pared for public health as well as 
hospital nursing positions. 


DIPLOMA COURSES FOR 
GRADUATE NURSES 


1. Public Health Nursing. 
2. Administration of Hospital 
Nursing Units, 


For information write to: 


The Director, 
SCHOOL OF NURSING, 
UNIVERSITY OF B.C., 
VANCOUVER 8, B.C. 


NOVA SCOTIA 
SANATORIUM 


KENTVILLE, N.S. 


Offers to Graduate Nurses a Three- 
Month Course in Tuberculosis Nursing, 
including Immunology, Prevention, Medi- 
cal and Surgical Treatment. 


1. Full series of lectures by Medical and 
Surgical staff. 


2. Demonstrations and Clinics. 


3. Full maintenance, salary and all staff 
privileges. 


For information apply to: 


DIRECTOR OF NURSING, 
NOVA SCOTIA SANATORIUM, 
Kentville, N.S. 





THE CANADIAN NURSE 








A COURSE 


in Advanced Operating Room 


Technique and Management 


is offered by 


THE MONTREAL GENERAL HOSPITAL 


to 
Qualified Registered Nurses 


Classes of 6 months’ duration are admit- 
ted March and September and are limited 
to 8 students. 


For further information write to: 


THE DIRECTOR OF NURSING, 
The Montreal General Hospital, 
Montreal 25, Quebec. 


THE WINNIPEG 
GENERAL HOSPITAL 


Offers the following opportunity for ad- 
vanced preparation to qualified Registered 
Graduate Nurses: 


A six month Clinical Course 
in 


Operating Room 
Principles and Advanced 
Practice. 


The course commences in September of 

each year. Maintenance is provided, and 

a reasonable stipend is given each month. 

Enrolment is limited to a maximum of 
ten students. 


For further information please write to: 
THE DIRECTOR OF NURSING, 
700 William Ave., Winnipeg 2. 





MAY 1964 - VOL. 60, No. 5 





ROYAL 
VICTORIA 
HOSPITAL 


SCHOOL OF NURSING 


MONTREAL, QUEBEC 


Postgraduate Courses 


. (a) Six month clinical course in Obs- 


tetrical Nursing. 

Classes—September and February. 
(b) Two month clinical course in Gyne- 

cological Nursing. 

Classes following the six month 


course in Obstetrical Nursing. 


(c) Eight week course in Care of the 
Premature Infant. 


. Six month course in Operating Room 


Technique and Management. 


Classes—September and March. 


. Six month course in Theory and Prac- 


tice in Psychiatric Nursing. 


Classes—September and March. 


For information and details of the 
courses, apply to:— 


Director of Nursing, 
Royal Victoria Hospital, 
Montreal, P.Q. 





525 





MONTREAL CHILDREN'S HOSPITAL 


Offers co 6 month postgraduate course in Nursing of Children. 
ENTRANCE DATES SEPTEMBER AND MARCH 


This course is designed for, Registered Nurses with a minimum of 1} year’s experience in 
Pediatric Nursing. 


Apply to: 
DIRECTOR OF NURSING, 


Montreal Children’s Hospital, 
2300 Tupper Street, Montreal 25, Quebec. 








Assistant Head Nurses 


General panty, Reaieeret CHILDREN’S HOSPITAL 


AND OF WASHINGTON, D.C. 
Registered Nursing 


Assistants ae 

we éo bg Aad Registered Nurses a 16-wk. supplementary 
Medical - gical iatric Departments program in pediatric nursing. Classes are ad- 
| 70-bed modern hospital. Excellent - # 
nines benefits. Good peat eacre prs mitted January, May and September. 
oe in Pec net of 11,000 sta 
t to, n r large centres. . 
0 ~toron Address Taiee to: 9 For complete information write to: 

Director of Nursing, DIRECTOR OF NURSING, 
GEORGETOWN and DISTRICT 2125-13th Street, N.W., 
MEMORIAL HOSPITAL, Washington, 9, D.C. 


Georgetown, Ontario. 





DON T FORGET YOUR CHANGE OF ADDRESS-- 
56-6 





REGISTRATION No. 





PROVINGE se tiene 
bet | Sa a SAS oe eI Se eae er a Oe Te ae ya 
OLD ADDRESS . 


DATE EFFECTIVE 


Mail this to: 
THE CANADIAN NURSE JOURNAL, 
1522 SHERBROOKE STREET WEST, MONTREAL 25, P.Q. 


526 THE CANADIAN NURSE 





INDEX TO ADVERTISERS 


MAY 1964 


COMMERCIAL 
Ames Co. of Canada Ltd. .. 436, 437 Lakeside Laboratories (Can.) Ltd. 442 
Baxter Laboratories of Canada Lewis-Howe (Tums) 434 
431, 439 J. B. Lippincott Co. of Canada 

. 440 Ltd. 


Cover IV 
Boehringer Ingelheim Products, C. V. Mosby Co. 445, 446, 447 


Div. of Geigy (Canada) Ltd. 443 parke Davis & Co. Ltd. 435 
Brown Shoe Co. of Can. Ltd. 429, 528 | + Posey Co. 483 


Charles E. Frosst & Co. . 450 
Dept. of National Defense, W. B. Saunders Co. 441 

Savage Shoes Ltd. 438 

Reg’d. Nurses ....... 444 : 

Investors Syndicate of Can. Ltd. 44g Sterilon of Canada Ltd. 449 
Hollister Ltd. : 452 Uniforms Reg’d. Cover Ill 
Intra Medical Products Ltd. 451 Warner-Chilcott 425, 432, 433 
June Adams “Club 501” 484 White Sister Uniform Inc. . Cover Il 


PROFESSIONAL 


Alberta 485 New York Polyclinic Medical 
Ajax & Pickering Gen. Hospital 509 School and Hospital 
Bermuda ....... 494 Nova Scotia 
British Columbia _ 486 Nova Scotia Sanatorium 
Charles T. Miller Hospital, Ontario .. 
St. Paul, Minn. .. 505 Ontario Soc. for Crippled Children 
Children’s Hospital of Oshawa General Hospital 
Washington, D.C. 526 Ottawa Civic Hospital 
Cook County School of Nursing, Quebec ....... 
Chicago: 543 . 493, 524 Roseway General Hospital, 
Dalhousie University 522 Shelburne, N.S. 
Dept. of National Health and Royal Victoria Hospital 
Welfare, Ottawa .. 487 St. Joseph’s Hospital, Toronto 
Dufferin Area Hospital, Sarnia General Hospital 
Orangeville, Ont. ..... . 502 Saskatchewan .. 


England .. 488 Saskatchewan Dept. of Public 
Hosp. for Sick Children, Toronto 491 Health . 


anes Se Hospital a 507 Stratford General Hospital . 497, 
ames Paton Memorial Hospital, 
Gander, Newfoundland 507 one Coal peetals 


Jewish Ge ie Hospital ats oi University of British C Columbia 


McGill University 523 Vancouver General Hospital 511, 
Montreal Children’s Hosp. 495, 526 Westminster Hospital, London, 
Montreal General Hospital . 525 Ontario... 
The National ee, London, Winnipeg General Hospital 499, 
England ........ _ 484 York County Hospital, 
Newfoundland & 490 Newmarket, Ontario 
Classified: advertisements are listed alphabetically 
* ~ x 
Advertising Representatives: Vanco Publications, 183 St. Clair Ave., W.. 
Toronto 7, Ont. 
Richard P. Wilson, 1 West Lancaster Avenue, Ardmore, Penna. 
Address advertising enquiries to: 
Advertising Manager, Ruth H. Baumel, The Canadian Nurse Journal 
1522 Sherbrooke Street West, Montreal 25, Quebec 
Member of Canadian Circulation Audit Board Inc. 


MAY 1964 - VOL. 60, No. 5 





Rx 


WONDER AIDE TECH 
$14.99* $15.99* $14.99* 


Three smart styles by Naturalizer— 


and the smartest thing about them is their amazing Wondersole! 


1 Wondersole is shaped to match 2 Ordinary insoles are flat. The 
the contour of the foot. Supports ball and heel of your foot are 
body weight evenly, over all parts —_ forced to support the entire body 
of the’ foot. Lets you stand and _ weight. Feet tire easily. 

walk longer without strain. 


"\ atenl se. 


THE SHOE WITH THE BEAUTIFUL FIT 
with 
For name of your nearest dealer, write: 
Wondersol  — NATURALIZER DIVISION, BROWN SHOE 
*Prices quoted are Suggested Retail Prices COMPANY OF CANADA, LTD., PERTH, ONTARIO 


528 THE CANADIAN NURSE 
















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Nursing Education 
Monographs 











Out of the graduate preparation of nurses for leadership roles come new studies, new 
ideas which contribute to the development and refinement of philosophy, goals and 
methods in nursing. The objective of this monograph series, sponsored by the Department 
of Nursing Education of Teachers College, Columbia University, is to communicate these 
contributions in the interest of improvement of nursing education and nursing service. 
Based on dissertations at the doctoral level, the following monographs have been pub- 
lished by the Bureau of Publications, Teachers College, and are distributed around the 
world by J. B. LIPPINCOTT COMPANY. 


NURSING OF ADULTS: A Pian for Teaching Care of Adults (Number 1) 
By DOROTHY W. SMITH, R.N., Ed.D., Chairman, Department of Medical-Surgical Nursing, College of Nursing, 
Rutgers University. 
Instructors in clinical nursing programs can obtain from this monograph specific 
ideas for general problems. It offers suggestions for making the curriculum more 
unified, realistic and useful 
63 PAGES 1962 PAPERBOUND $2.00 


DEVELOPMENT OF GENERAL EDUCATION IN COLLEGIATE NURSING PROGRAMS: 
Role of the Administrator (Number 2) 

By MARY KOHL PILLEPICH, R.N., Ed.D., Dean, School of Nursing, Keuka College. 
Casts light on the conflict between General Education's insistence on the indivisibi- 
lity of its parts and Nursing’s belief in its own uniqueness. The author examines the 
hypothesis that baccalaureate nursing programs place ae emphasis on purely 
professional objectives and give secondary consideration to General Education's 
objectives. 
86 PAGES 1963 PAPERBOUND $3.00 


INFRODUCTION TO ASEPSIS: A Programed Unit in Fundamentals of Nursing (Number 3) 


By MARIE M. SEEDOR, R.N., Ed.D., Instructor, Department of Nursing Education, Teachers College, Columbio 
University. 
You'll find this fully programed (branching) text to be an excellent self-teaching 
tool for students g the Fundamentals of Nursing course and for in-service 
education. The unit was adapted from a teaching machine program and has been 
tested extensively in nursing school classrooms. 
274 PAGES 1963 PAPERBOUND STUDENT EDITION $3.75 TEACHER’S EDITION $4.25 


PROGRAMED INSTRUCTION FOR NURSING IN THE COMMUNITY COLLEGE (Number 4) 


By MARIE. M. SEEDOR, R.N., Ed.D. 
This monograph’s a is to introduce nursing instructors to the entire subject 
of programed instruction. The author describes how programing is done, emphasizes 
that sufficient time is essential in developing programing skill and discusses the 
testing that is necessary before accepting a unit for general use by students. 
117 PAGES 1963 PAPERBOUND $3.00 


EVALUATING STUDENT PROGRESS IN LEARNING THE PRACTICE OF NURSING (Number 5) 

By ALICE R. RINES, R.N., Ed.D. 
A timely treatise that underscores the urgent need for improved methods of meas- 
uring student achievement in the clinical area. The “why” and “how” of evaluation 
is clearly detailed to provide nursing educators with a better yardstick for gauging 
student performance on the floors. 
76 PAGES 1963 PAPERBOUND $2.75 








| J. B. LIPPINCOTT COMPANY OF CANADA LTD., 4865 Western Ave., Montreal 6, P.O. 
|| Please send the books indicated by the circled number below: 
| No. 1 No. 2 No. 3 No. 4 No. 5 


NAME 


Lippincott , avpress 
CITY PROV.