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Vladivostok, Siberia September 10, 1919. To: Colonel R.B. Teusler Commissioner to Siberia From: J. G. Bouvier, Medical Director, A.R.C. Re: Administration of Hospitals, etc. Confirming our conversation of last evening, I submit in writing the differences of opinion which seem to exist between Miss. A. I. Tittman's department and my own department. Miss Tittman has never consulted this office either in the assignment, changing or removal of nurses. When Miss Kingsbury took charge of Vladivostok Hospital on June 26th, 1919, it was in a filthy condition and the running expenses of the institution were far above what they should have been. I called Miss Kingsbury's attention to these facts and told her I would look to her to remedy these evils. When Miss Kingsbury was relieved as chief Nurse, a wonderful transformation had occurred. The Hospital was clean and well conducted, its efficiency splendid and the cost per patient had been cut to a minimum. Miss Kingsbury was removed from her position, if with cause, certainly without complaint from any one so far as I know. When Miss Kingsbury informed me that she had been demoted by being ordered to Harbin as a regular nurse, I advised her to resign. I admit that it was ill-advised, but I consider the demotion of a Chief Nurse by being sent to work at Harbin at a time when no real necessity existed, the resigna- tion was practically forced. Miss Kingsbury was held in high esteem by the Staff of Vladivostok Hospital so that the demand for her removal could not have come from that source. Miss McMenamin, with nine months service, had been for three months Chief Clinic Nurse. She was doing splendid work and giving satisfaction generally. Miss Tittman practically demoted her by placing Miss Suford in charge of the Clinic. This was done without consulting either Miss Kingsbury, Dr. Proshek or myslef. I instructed Miss Kingsbury to pay no attention to Miss Tittman's orders and to continue Miss McMenamin in the clinic just as long as she was doing satisfactory work. Miss Tittman has carried on an inspection of our hospitals, re- commending what should or should not be done. The individual nurses and the physicians generally have resented this interference. I will add that if Miss Tittman is to continue to control the nurses after they have been assigned to duty, I want either to have the hospitals transferred to the Nursing Department, or at least to take them out of the Medical Director's jurisdiction. (signed) J.G.Bouvier Medical Director Captain, A.R.C.

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    "ocrText": "Vladivostok, Siberia\nSeptember 10, 1919.\nTo:\nColonel R.B. Teusler\nCommissioner to Siberia\nFrom:\nJ. G. Bouvier,\nMedical Director, A.R.C.\nRe:\nAdministration of Hospitals, etc.\nConfirming our conversation of last evening, I submit in\nwriting the differences of opinion which seem to exist between\nMiss. A. I. Tittman's department and my own department.\nMiss Tittman has never consulted this office either in the\nassignment, changing or removal of nurses.\nWhen Miss Kingsbury took charge of Vladivostok Hospital\non June 26th, 1919, it was in a filthy condition and the running\nexpenses of the institution were far above what they should have\nbeen. I called Miss Kingsbury's attention to these facts and told her\nI would look to her to remedy these evils. When Miss Kingsbury was relieved\nas chief Nurse, a wonderful transformation had occurred. The Hospital\nwas clean and well conducted, its efficiency splendid and the cost per\npatient had been cut to a minimum.\nMiss Kingsbury was removed from her position, if with cause,\ncertainly without complaint from any one so far as I know. When Miss\nKingsbury informed me that she had been demoted by being ordered to\nHarbin as a regular nurse, I advised her to resign. I admit that it was\nill-advised, but I consider the demotion of a Chief Nurse by being sent\nto work at Harbin at a time when no real necessity existed, the resigna-\ntion was practically forced.\nMiss Kingsbury was held in high esteem by the Staff of Vladivostok\nHospital so that the demand for her removal could not have come from that\nsource.\nMiss McMenamin, with nine months service, had been for three\nmonths Chief Clinic Nurse. She was doing splendid work and giving\nsatisfaction generally. Miss Tittman practically demoted her by\nplacing Miss Suford in charge of the Clinic. This was done without\nconsulting either Miss Kingsbury, Dr. Proshek or myslef. I instructed\nMiss Kingsbury to pay no attention to Miss Tittman's orders and to\ncontinue Miss McMenamin in the clinic just as long as she was doing\nsatisfactory work.\nMiss Tittman has carried on an inspection of our hospitals, re-\ncommending what should or should not be done. The individual nurses and\nthe physicians generally have resented this interference. I will add that\nif Miss Tittman is to continue to control the nurses after they have been\nassigned to duty, I want either to have the hospitals transferred to the\nNursing Department, or at least to take them out of the Medical Director's\njurisdiction.\n(signed) J.G.Bouvier\nMedical Director\nCaptain, A.R.C."
}