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Notes on Nursing - What It Is, and What It Is Not by Florence Nightingale
page 43 of 163 (26%)
measures yourself but to see that every one else does so too; to see
that no one either wilfully or ignorantly thwarts or prevents such
measures. It is neither to do everything yourself nor to appoint a
number of people to each duty, but to ensure that each does that duty to
which he is appointed. This is the meaning which must be attached to the
word by (above all) those "in charge" of sick, whether of numbers or of
individuals, (and indeed I think it is with individual sick that it is
least understood. One sick person is often waited on by four with less
precision, and is really less cared for than ten who are waited on by
one; or at least than 40 who are waited on by 4; and all for want of
this one person "in charge.")

It is often said that there are few good servants now; I say there are
few good mistresses now. As the jury seems to have thought the tap was
in charge of the ship's safety, so mistresses now seem to think the
house is in charge of itself. They neither know how to give orders, nor
how to teach their servants to obey orders--_i.e._, to obey
intelligently, which is the real meaning of all discipline.

Again, people who are in charge often seem to have a pride in feeling
that they will be "missed," that no one can understand or carry on their
arrangements, their system, books, accounts, &c., but themselves. It
seems to me that the pride is rather in carrying on a system, in keeping
stores, closets, books, accounts, &c., so that any body can understand
and carry them on--so that, in case of absence or illness, one can
deliver every thing up to others and know that all will go on as usual,
and that one shall never be missed.


[Sidenote: Why hired nurses give so much trouble.]
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