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Mr. Extracted from letter September 21, 1942 F F. Viola Young, Chief Nurse Sacred Hearts Hospital L The above eleven nurses constitute the problem of replacement which faces us after October first. The hospital census has been increasing slowly but steadily for the past month. It has been running between fifty and sixty for about ten days now. Just yesterday it was necessary to open up a new 48 / bed ward to allow for the expansion of cases such as accidents, infected surgical cases, and some medical cases. All signs indicate that we will be busier than we have been in the past. On September 18th, when we met, Dr. Arnold at the conclusion of the meeting dictated a letter to the local Chapter of the A. R. C. requesting Mr. Houghton to advise the replacement, if possible, of these eleven nurses so as to bring the Unit to the original number of 75. He urged me to request, also, the replacements, Furthermore the discuasion arose, in regard to whother an incr ase in the Unit might not be necessary. He asked frankly for my opinion. At the present, judging from the problems that are presenting themselves with the increased census, and the awkward conditions under which we have to carry out our nursing procedures, and due to the fact that this is an emergency hospital, calling for greater personnel than the average hospital needs, and that we still have opened up not our obstetrical department, it seems to ne that we should have additional nurses, over and above these eleven replacements. An accurate estimate in regard to the number that should be requested is difficult to make. But at this time it seems very safe to me to advise that twenty-five more nurses could be used in this Unit. Wahiawa Emergency Hospital has not been quite so busy as Sacred Hearts Hospital the past month or two. At present we have two of their nurses aiding us here. N ll a

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    "ocrText": "Mr.\nExtracted from letter September 21, 1942\nF\nF. Viola Young, Chief Nurse\nSacred Hearts Hospital\nL\nThe above eleven nurses constitute the problem of replacement which\nfaces us after October first. The hospital census has been increasing slowly\nbut steadily for the past month. It has been running between fifty and sixty\nfor about ten days now. Just yesterday it was necessary to open up a new 48\n/\nbed ward to allow for the expansion of cases such as accidents, infected\nsurgical cases, and some medical cases. All signs indicate that we will be\nbusier than we have been in the past. On September 18th, when we met, Dr.\nArnold at the conclusion of the meeting dictated a letter to the local\nChapter of the A. R. C. requesting Mr. Houghton to advise the replacement, if\npossible, of these eleven nurses so as to bring the Unit to the original\nnumber of 75. He urged me to request, also, the replacements, Furthermore\nthe discuasion arose, in regard to whother an incr ase in the Unit might not\nbe necessary. He asked frankly for my opinion. At the present, judging from\nthe problems that are presenting themselves with the increased census, and the\nawkward conditions under which we have to carry out our nursing procedures,\nand due to the fact that this is an emergency hospital, calling for greater\npersonnel than the average hospital needs, and that we still have opened up not\nour obstetrical department, it seems to ne that we should have additional\nnurses, over and above these eleven replacements. An accurate estimate in regard\nto the number that should be requested is difficult to make. But at this time\nit seems very safe to me to advise that twenty-five more nurses could be used\nin this Unit. Wahiawa Emergency Hospital has not been quite so busy as Sacred\nHearts Hospital the past month or two. At present we have two of their nurses\naiding us here.\nN\nll\na"
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