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OGH Report to THE PEOPLE --<i 2A THE OSHAWA TIMES, Thursdey, April 27, 1967 _-- Efficient Service Keynote In Care Of Sick Tt is my privilege to present hours of voluntary service. The many new and varied methods cational programs in other to you the report of the Direc- tor of Nursing for the year ending December 31, 1966. Since it is generally believed that the quality of the nursing sets the standard of the hos- pital; our nurses have done their utmost to give efficient service to the sick and injured and have carried on their work in a commendable way. We are grateful to our Ad- ministrator, Board of Direc- tors and the Medical Staff for . their guidance in eur complex problems. Their realization that only good personnel policies, improved working facilities and able leadership will provide an atmosphere in which good nurs- ing care will be effected, has resulted in the satisfaction so often expressed by our patients The constant changing of nursing personnel still presents problems, Fifteen members of the 1966 graduating class ac- cepted appointments on the nursing staff. The applications continue to arrive from all parts of the world. The status of each nurse is determined through the International Coun- cil of Nurses and must be sat- isfactory to the Immigration Authorities. At the present time we have on staff nurses from the British Isles, Jamaica, India, Hong Kong and For- mosa. The nurses of the Community Registry were extremely co- operative as well. During the year 572 days of nursing care general duty and_ special nursing care -- were provided by the Registry Nurses. To the members of the Wom- en's Auxiliary, we offer sincere appreciation for their many Candy-Striper program is one of our most popular and excit- ing projects. During the Easter holidays, 23 young volunteers were instructed in their duties, over a three-day period. To provide summer coverage, 75 more volunteers were instruct- ed, over a four-day period, in June. Summer aides were employ- ed in June to assist in many departments. A 34-day orienta- tion program was provided 'or 26 young women, most of whom had been former Candy- stripers. Pre-Natal Tours arranged with the Oshawa Board of Health and Whitby Victorian Order of Nurses were conduct- ed during the months of Feb- ruary, June, and November. DIABETIC TEACHING PROGRAM In the area of Patient Edu- eation, our Diabetic Teaching Program has maintained a very high degree of impor- tance. Instruction has been provided for approximately seven hours each for 165 up- patients, 78 bed patients and 27 out-patients and family mem- bers. INHALATION THERAPY Inhalation Therapy became # separate department as of March 1966 with a staff of two Inhalation Therapy Technicians and one Serviceman. Daily service. from 8.30 am. to 5 p.m. is provided. Previous- ly this service had been the total responsibility of the Nurs- ing and Orderly staffs. The ultimate objective of In- service Education is to improve nursing care. Each year brings of working towards this goal. Orientation of new nursing staff members is not a recent innovation but remains one of the most helpful. Many gradu- ate nurses are returning to the work force because an orienta- tion program is offered by the hospital. During 1966, the following number of staff passed through the orientation classes: Seventy-four full time and 20 part-time Registered nurses; 4 full time and two part-time Registered nursing assistants. A program of continuing edu- eation is offered to all nursing staff and this past year topics of importance and interest in- cluded: --new concepts of nursing care; communications; --resuscitation and emergen cy measures --medical disease studies. --chemotherapy. The hospital willingly accepts its obligation to the youth of our community and_ thereby fosters and maintains a high level of interest in hospital af- fairs within this group of future responsible citizens. Participation in the Secon- dary School Career Day Pro- gram was carried out in Febru- ary and April -- two Senior stu- dents from Central Collegiate and nine from Donevan Collegi- ate made day long observation visits to the nursing units. The University of Toronto also availed itself of our hos- pital clinical facilities. One stu- dent of Rehabilitation Medicine was accepted for a week of Nursing Field Work in May. Assi ce with planning edu- area hospitals is frequently re- quested. An opportunity for nurses of the Pickering-Ajax Hospital to observe our organ- ization of the volunteer Candy- striper program was provided over a period of three days in. April. : This hospital again sent rep- resentatives to our two-day Conference on "Cardio-pulmen ary Resuscitation and Emer- gency Procedures" held on No- vember 1 and 2. SCHOOL OF NURSING The staff of the School of Nursing express appreciation to the Medical Staff of the Oshawa General Hospital for their assistance with the edu- cational program and with health services: for the Student nurses. During the year there was one ing of the School Nursing Advisory Committee. We thank the members of the committee for their support and advice. We are grateful to the mem- bers of the Women's Hospital Auxiliary and the Alumnae Association for their interest and help in providing entertain- ment, recreation and other comforts to the student nurses throughout the year. It is gratifying to the School of Nursing that a number of former graduates have com- pleted post-graduate study at the university level. Two are presently attending Canadian Universities and two have re- quested transcripts for study in universities im the southern United States during the next term. Respectfully submitted Mrs. R. J. Gulliver Associate Director of Nursing Laboratory Work Increases 10.5 Per Cent In 1966 there were 19,430 hos- pital admissions, compared with 19,326 in 1965. The number of units of laboratory work perfor- med for in-patients in 1966 was 614,314, for out-patients 12,568 a total of 626,882. The total for 1965 was 566,981 units, the 1966 figure representing an increase in workload of approximately 10.5 per cent, in spite of an almost identical number of ad- missions. There were 5,470 surgical pa- thology specimens during the year, and 5,028 in 1965, an in- crease of approximately 9 per cent. 86 hospital autopsies were performed, compared with 77 stillborn infants. With 365 hos- pital deaths during the year, our autopsy rate was 22.5 per cent a figure identical to that of 1965, and again less than the required rate of 25 per cent. 105 Medico - Legal autopsies were performed, 29 of these being on patients dying in hos- pital, so that the total number of autopsies performed -was 162. In the Blood Bank, 7,043 cross- matches were performed for 2,- 536 patients. Again, we must thank the citizens of Oshawa, and the Red Cross Society, for providing us with the blood for these patients. and facilities for the training of student laboratory technolo- gists were inspected by an ac- creditation committee represent- ing the Canadian Medical As- sociation and the Canadian So- ciety Laboratory Technologists, It was again pointed out that we are sadly lacking in space, having about one third of that which we require. To compound this, the syllabus of training recently has been e: markedly. At present, we have 9 junior and senior students, and all 5 of those who wrote their registration examimations in 1966 were successful. The total laboratory staff dur- ing the year averaged 43 in h 'Gachakaat ent, including students, being 32. We had hoped this year to be able to implement a program which would effectively screen biochemical abnormalities in all patients admitted te hospital. This would have necessitated the use of multiple channel auto- matic analyzers. It was finally concluded that, desirable as this screening might be, it would have to be deferred until our very critical space shortage is alleviated. It is hoped that this may be in the near future, and certainly before completion of the proposed new wing. Respectfully submitted R. Clark, M.D., in 1965. Of these, 4 were on During the year, our program , the Pp Director of Laboratories. COMPARATIVE FINANCIAL OPERATING STATEMENT 1962 1963 1964 1965 1966 Patient revenue 3,661,842 4,421,132 4,702,083 5,031,826 5,527,689 Misc., including cafeteria 154,257 157,112 165,961 161,523 170,184 3,816,099 4,578,244 4,868,044 5,193,349 : 5,697,873 Salaries and employee benefits 2,672,504 3,243,100 3,462,022 3,748,609 4,161,279 Expenses including depreciation 1,163,679 1,309,587 1,385,168 1,427,520 1,519,849 3,836,183 4,552,687 4,847,190 5,176,129 5,681,128 Operating surplus or (deficit) (20,804) ct 25,557 20,854 17,220 16,745 Surplus adjustments 16,372 (2,286) (2,361) (8,166 (5,243) Net change in revenue fund (3,712) 23,271 18,493 9,054 11,502