76 ADMINISTRATIVE SECTION 



examining and caring for the patients, in solving 

 social problems, &c., are the same in each dispensary. 

 This important uniformity has been brought about by 

 requesting both doctors and nurses to do duty at the 

 Central Dispensary, in order to be eligible for duty at 

 the branches. The nurses continue to keep in direct 

 touch with the Central Dispensary by reporting there 

 at a definite time every day, by being on duty there 

 on certain days during the dispensary hours, and by 

 attending a nurses' meeting once per week. 



It is impossible at this place to go into the real 

 detail of the organization, although there is nothing 

 more important to the accomplishment of real work, 

 especially by the nurses, than a system carefully 

 worked out, supervised and constantly remedied to 

 meet new needs and developments. In the work 

 of establishing a system the writer has been materi- 

 ally aided by his ever-ready and able superintendent 

 of nurses, Miss H. L. Leet. 



The scheme of centralizing as much of the work 

 as possible was also carried out in the milk work. All 

 of the rmlk was bottled as stated before about 90 per 

 cent, in pints and quarts and 10 per cent, in modified 

 tubes at the Central Milk Laboratory and delivered 

 from here, at first per hand-cart, then per horse and 

 wagon, and finally per automobile, to sub-stations which 

 were in grocery stores, drug stores, meat shops, &c., 

 near the homes of groups of patients. The orders and 

 prescriptions for milk were telephoned daily at about 

 noonday to the Milk Laboratory by the nurses in 

 charge of the branch dispensaries. They were 

 enabled to do this because the branch dispensaries 

 (prophylactic babies' dispensaries) were open in the 

 forenoon. This had the further advantage that 

 patients found ill at the branch in the morning 

 could be sent to the Central Dispensary, which was 

 open during the afternoon. This arrangement further 

 made it possible for the nurses to be on duty at the 



