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M
an
u
T
J
5
D.M.R.3
reams
F
TH
FE 4
1
NURSING SERVICE
D
CREDENTIALS FROM TRAINING SCHOOL
=
1. Name of applicant
2. Name of Location Training School Walla Sungray Malla Training wash! School
St alicy U. murphy
3.
Date of graduation april / 1912 3 years
L
288
a
Was If not, entire state course where, given giving in dates above Training Length School? of course yes
4. Daily average number of patients in hospital during applicant's training
5. Character of hospital:
General yes
Special
Private
6. Did this training includé obstetrics?
Children?
If this yes Contagious diseases? yes
yes
Care of men ? yes
7. course included private duty outside hospital, give length of time
Does it at present ?
8. If course included training or experience in public health nursing, state for what length of time and with
what agency?
9. What, if any, position of responsibility did applicant hold during ,her training?
10. glead What was nurse her record In in medicals Rurgical department
regard to the following:
Work? Very good
Health?
Conduct ? E peelent
11. What can you say relative to her
Personality? Etcoming Is she neat yes
Initiative? Executive ability? quality the a parsonable degree
Refined yes
has 12. 13. What Was she has employed been her in standing your hospital as Very a nurse fter/graduation good and as a woman ? Only since for "graduation short ?. alone time reproach
14. Are far as me know she has Conference California for afait years
you willing to recommend her for Red Cross Service?
and Remarks: a Inies first make is a perfect Lody
Sister Paecal
Graduate of St. Vincent) Keep. Portland Of
Superintendent of Training School.
Name and address of Superintendent under whom the applicant was trained;
Date Jennanay 30-1918 The above Hospital
sister Incain
information will be considered confidential astoria. One
This blank is to be sent direct to the Superintendent of Training School from which applicant graduated with
circular letter concerning same (D. M. R.5)
Req. 17 784 May 8M
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