St. Joseph`s General Hospital Peterborough, Ontario 100 Years: A
Transcription
St. Joseph`s General Hospital Peterborough, Ontario 100 Years: A
St. Joseph’s General Hospital Peterborough, Ontario 100 Years: A Commemorative Publication by Margaret M. McDonald, CSJ Source: Archives of the Sisters of St. Joseph of Toronto Copyright: Public Domain Digitized: August 2013 SAINT JOSEPH'SGENERAL HOSPITAL PETERBOROUGH lOOYEARS A COMMEMORATTVEPT]BLICATION Lt- /*^f-t A'a"^-"t- MARGARET M. McDONALD, C.S.J. FOREWORI) Eachof us hasa personalstory to recount,a taleof twojourneys, really, one the identifiable milestonesand accomplishments of a life, and the other a mysteriousinner road we walk from childhoodto maturity. Institutions,too, show one face to the outsideobserverand anotherto thosewho have inhabitedtheir inner corridors. SisterMargaretMcDonald is uniquely placed to chroniciethe inner and outer life of St. Joseph'sGeneralhospital. An historianherself, and the author of A Heritageof Caring, SisterMcDonald servedwithin the hospitaifor more than thirty yearsand haswatchedits developmentin recentdecadesfrom the vantagepoint of health care volunteerand counsellorin the wider community, Decadeby decadeshetakesthe readerthroughthe hospital'shistory, with stark statisticsand warm, revealing anecdotes. As the 1890 building grows from its pristine splendouron an Ashburnhamhill through its many winged and multi-serviceexpansionswe are madeawareof the faith ofall thoseinvolved, their strugglesto endureandadaptand their courageousandjoyful and competentcare. insistenceon the missionof compassionate This is Centennialyear for the hospital,a time when currenthealthcarerealitiesstandin the reflectedlight of times past. This book is more than a nostalgicremembering,however, it is an ordering of the presentand the future upon the building blocks of a hospital's tradition. It servesus well as an historic commemorativeand we are greatly indebtedto its author. VeronicaO'Reilly, C.S.J. General Superior 4:r.''!JcrsT'JoiD ':::. - r',. It T) PREFACE As I undertake theawesome taskof preparingsomerecordof healthcareat St. Joseph's GeneralHospitalfor thepastonehundredyears,I amreminded of thel-ord'sanswer.Habakkuk 2 : 2& 3 . ..."Write downthevisionclearlyuponthetablets so thatonecanreadit readily,for thevision still hasits time, presses on to fulfilment" ... andagain,in the wordsof theprodigiouswriter, St.Teresa of Avila (1515-1582), ..."Would thatI hadmanyhandswith whichto write so that while puttingdownsomeof thesethings,I wouldn'tforget theothers"... However, the taskhasbeenmadeeasierbecauseof the researchI had alreadydonefor history in the of St.Joseph's Schoolof Nursing0906-197qin theHeritageof Caringpublished 1981. This accountincludedhospitalsettingsandeventsonly as far as Nursingwasinvolved. In this presenttreatise,I haveendeavoured to fix locationand dateof beginnings of a numberof serviceswhich havedevelopedinto departments with the passingof time and availabilityof scientificknowledge I have andexpertise.To establishsomesortof sequence, attempted to placehighlightsin ten-yearperiods. I haveincludeda few statistics whichwouldbe of interestto the thenandnow. Other informationto reflectthe growthin the natureandvolumeof sewices,hasbeennoted. Throughoutthetext, reference to a sectionof thehospitalmaybe identifiedby letteror by yearof formalopening,e.g. Key: ABCD- 1922Wing 1950Wing 1890Wing 1964Wine in any way in The authorwishesto express a sinceregratitudeto all who haveassisted theproductionof this commemorative booklet. M. 111 CONTENTS Foreword Preface Introduction SectionI 1890to 1900 2 SectionfI 1900to 1940 9 SectionIII 1940to 1990 n Endpiece to7 References 108 Rededication 109 Addenda 111 lV INTRODUCTION The developmentof healthcarein hospitalsover one hundredyearsmay best be viewed in relation to the changesin Canadiansocietyover a similar period. Social and economic progress, growth in government, rapid advancesin scientific knowledgeand communicationhaveall had their effects. However, the explosionof knowledge in medicaland appliedsciencesand technologyhad the mostprofound impact on the healthcare system. A theoreticalframework for the historicaldevelopmentof medical and hospitalcare in Canadahasresultedfrom a researchprojectdoneat Laval University, Quebec1972. The report notedthat historiansand sociologistsdistinguishedthreemain stagesin the evolution of medical and hospitalcare, namely: from pre-historictimes until the end of the nineteenthcentury, II. from the end of the nineteenthcenturyinto the 1940's, III. from the 1940'sto the present. I. In the first period, care of the sick was closelyconnectedwith religion. Churchesand religious orders assumedtheseresponsibilities. Medical sciencewas rudimentary. Hospitals were placeswherethe sick could be caredfor underfavorablephysicaland spiritual conditions. Hospital structureswere organizedto give primary importanceto lodging and personalcare. Medical treatmentprovided relief of pain. The secondperiod was markedby the introductionand spreadof the systematicuseof scientific methodsin the treatmentof illness. Hospitalstendedto becomea scientific medical milieu. The prevailing idea was technicalefficiency, with limited attention to the patients' subjectivereactionsor their previoussocio-culturalexperiences. The beginningof the third period coincidedwith the introductionof socialsciencesinto the field of medicine. The conceptof hospitalsas treatmentcentreswas gradually developing. Resourceswere being mobilized to define the psychologicaland socialfactors of illness within the therapeuticcontext, so that thesemight be alteredto promotethe processof cure. Gradually, the importanceof humanrelationsbetweenmedicalstaff, hospitalpersonneland the patientswas also seenas a factor. Section1 Doctor Sawyerin his history of the OntarioMedical Associationgives an overviewof medicalpracticein the 1880's.The followingis an excerpt. no automobiles, few railroads,no medicalinsurance,... "No telephones, smallincomes.....For themajorityof physicians, homewasa placefor deliveryof babies,reductionandimmobilizingof fractures, .... The sick werenursedby the mother,a closerelativeor a kindly neighbor. Physiciansmadehousecallsby horse-drawnvehiclesandthe circuit could beforty or frfty miles.... Therewasverylittle knownaboutgerms,there wereno steriledressings, norubbergloves. ... Theoperatingroomwhere evenheroic surgerywould be performedwas usually the kitchen in the home. Lightingwasprovidedby a coaloil lamp. Chloroformwas the only anaesthetic and carbolicspraythe antiseptic" The foregoingis a kaleidoscopicview of the natureof the healthcare systemin Canada from the early seventeenth century to the present. It is intendedto be an overview for the readersof this brief historyof St.Joseph's Hospital,Peterborough over the pastone hundred yeaus. This commemorativebooklet is divided into three sections. These encompassthe highlightsof majoreventsaswell asfactualdata. In addition,it includeshumanintereststories contributedby personswho experiencedthem. rrst.Leonard'sGrove" RogersSt. to Armour Roadproperty of H.C.Burritt,M.D. (1878-188E) Residence Hospital. St.Joseph's purchasedin 1888for the site of 1890- 1900s The populationwas increasingso rapidly in Ontario in the latter half of the nineteenth centry that numeroushospitalswere springingup, especiallyin industrialareas. Medical science was rudimentaryand hospitalswere regardedas placesof last resortwhere the sick and injured could be looked after. However, therewasa generalresistanceto theseinstitutionsdue to fear of the unknown. In 1882the RomanCatholicdioceseof Peterboroughwas formed and BishopJamotwas appointedits frrst bishop. He lived only four yearsand he was succeededby Bishop Dowling in 1886. In anticipatingthe growing needsof his diocese,five acresof land in Ashburnhamon the outskirts of Peterboroughwere purchasedby the episcopalcorporationin 1881 for the sum of $6,000. On this propertytherewasa house,anotherbrick building and a stableall surroundedby a high board fence. The locationwas known as St.Leonard'sGrove. The househad beenbuilt for ReverendJ.W. Beck, an Anglican Church minister who lived in it from 1865 to 1874. Within three yearsit had changedhandstwice, the residenceof a lumberman,A.H. Campbell 1874to 1877;and Doctor Horatio Burritt, a medicaldoctor who lived therefrom 1878to 1888. At this time an unusualcircumslanceexistedin Peterboroughwhich required the urgent attentionof BishopDowling. A benefactorhad given propertyand endowmentfor the purpose of establishinga Protestanthospitalfrom which Catholicswere to be excluded. The bishop, thus concernedfor the spiritualand temporalneedsof the peopleof his diocese,set aboutto provide a facility for the sick, the agedand orphans. Suffrcientfunds were collectedto undertakethe building of a twenty-five bed hospitalon the site of St. Leonard'sGrove. John Belcher, an architect was hired to plan the constructionat an estimatedcost of $20,000. The building was to be called St. Joseph'sHospital. This namewould be a reminder to thosewho would be caring for the sick that they servewith the samediligence, charity and cordiality which St. JosephshowedMary and his foster-sonJesusChrist in their humble home in Nazareth. The cornerstonewas laid on October24, 1888. The silver trowel usedto put it in place may be seenin the hospitalarchives. It wasdonatedby the wife of Doctor O'Sullivan who also added$2,000. to her gift. Of specialsignificancewas a gift of a metallic statueof St.Josephto be erectedin the gable centeredabove the front door. This was a highlight in east city until that part of the hosoitalwas demolishedin 1969. In 1889BishopDowling wastransferredto the dioceseof Hamilton and was replacedhere by Bishop R.A. O'Connor. He saw the building completedon scheduleat a total cost of $32,000. of which $18,000. had alreadybeenraisedby parishioners. In 1890 Bishop O'Connor requestedthat the Sistersof St.Josephof Toronto who were alreadyservingin his dioceseform a new congregationto be known as the Sistersof St.Joseph of Peterborough. This congregationwas formally establishedAugust 15, 1890. Four Sistersoccupiedthe completedbuilding July 28, 1890, Sister Anselm, Superior, SisterBaptista,SisterGeraldineChiddick, SisterHilary Irwin. TheseSistershad to obtain some essentialsupplies,equipmentand furnishingsfor the new hospital. They had acquiredsome nursing skills under the direction of the physicianswhile caring for the sick and neglectedin Toronto. They knew that whateverwould be accomplishedwould not be by humaneffort alone. century "that they were They were mindful of their founder'sWisdomSayingsin the seventeenth life with a zealouspractical life." must their spiritual not to be simply a task force but combine They outlined their horarium which they would try to observetogetheras far as possible. The Sisterswould begin their day with spiritualexercisesprescribedby their religious rule. Each morning at five-thirty they would assemblein the little chapel locatedon the first floor to the left of the front entrance. By seveno'clock they would be on the wards ready to administerto the sick and needy. In the eveningwhen the ward dutieswere finishedfor the day, the Sisterswould do the additionalcleaningand householdduties. The bed linen, limited in supply, would be washedand dried around the kitchen stove so it could be used again the following day. Each would take her turn at night answeringa patient's call-bell. Though the spiritualqualitiesof deep Sisterswere lacking in scientificknowledgeand skills, they possessed respectand love of neighbor, compassionand concern in their ministrations. These virtues animatedby prayer, faith and trust in God supportedthe Sistersin their daily arduouslabors. It also strengthened their convictionsof the sanctityof life and of the ultimate meaningof suffering and death. While the hospitalwas being constructed,the brick building and stableon the property were converted into temporary accommodation for the elderly and destitute from the Peterboroughdiocesebeing cared for at the Houseof Providencein Toronto. A total of forty personswas scheduledfor transferto Peterborough,October 1891. The hospitalwas dedicatedand officially openedby Bishop R.A. O'Connor on August 20, 1890. The Peterborough Reviewon thisdatereported: "The new St.Joseph'sHospitalis completed. This beautiful building is locatedon the lovely groundspreviouslyknown as St.I€onard'sGrovein Ashburnham.Crowdsof peoplefrom the townandcountryfilled verandas andcorridorsof thenewbuilding to helpcelebrate theevent.Thefire brigadeprovidedmusicwhile visitorsfiled throughthe hospital. Speeches intendedto be given on the Men's Ward had to be deliveredon t1tesouthveranda. Even the weatherwas beautiful for the galaoccasion. . ." Among thoseattendingthe ceremony,the recordsnotedthe namesof BishopR.A. O'Connor,Mayor Stevenson, towncouncillorsand twenty-three clergymen.Membersof the medicalstaffwererepresented by DoctorsHalliday,Goldsmith,Brennan,Mccrath, Moherand Pigeon. Thebishopin his openingremarksstatedthatthephilosophyof thehospitalis basedon theJudeo-Christian conceptof thenatureof thehumanperson,hisdignityandworthregardless of socialor economicslatus,coloror creed. Notingthehospital'spolicyasexpressed by thebishop,themayorfelt thatit wasbound to havethe 'heartyapproval'of everyonewhatevertheircreed. He alsoassured the bishopof the town's cooperationin raising funds neededto wipe out the balanceof the cost of construction. was On August26, 1890,sixdaysaftertheofficialopeningDavidQuinnof Peterborough Hospitalregister.Therecordshowsa admitted.He wasthefirst patientlistedon St. Joseph's diagnosisof ophthalmiawhich in thosedayswasa generalterm for eye infection. He was discharged unimproved159dayslater. Thediocesan recordof i903 showsthata legacyof$826.00in thenameof DavidQuinn wasreceivedfor St.Joseph's Hospital.Anotherentrynotedthat$700.00hadbeenreceivedfrom Reverend M.McCloskey. By the endof the first yearof operation,recordsshowthatfifty-four patientshadbeen two of diphtheria admittedamongwhomwerefour casesof typhoidfever,threeof erysipelas, andtwo of syphilis. Therewerealsoentriesof casesof dysentery,intestinaltorpor,phthisis, cystitis, pneumonia,eczema,ulcers, insanity, heart palpitation,narcotic poisoningand alcoholism. patientsadmitted.Among Thepatients'registerfor 1891showstherewereninety-eight thesewere thirteencasesof typhoidfever, threeof diphtheria,and two eachof measles, tuberculosis, erysipelas andtrachoma.Thesurgicalcasesnotedwerechieflyfractures,herniae andotherinjuriesnot specified. Two Sistersdiedfrom fevercontracted while nursinghospitalpatients. As the populationof the towngrewfrom 6000in 1890to its incorporation asa city in 1894,recordsshowan annualincrease in thenumberof patientstreated. Administration in the earlydaysandthe Sisters of the hospitalwasnot too demanding part patients took a more direct in caring for while looking after the generalcleaning, maintenance of buildings,laundryandcooking. During theseearly years,a largecapitalwasnot requiredto operatethe institution. The annualreport(1891-1892) showsthetotalexpenses amounting to $4,716.20.Theexpenditures werecarefullyitemized. The lion's sharewasfor food, then salariesand wages,drugsand medicines,fuel, fumishingsand bedding. Receiptsfor the year totalled$3,802.92which grantof $1,710.52. included a government At thetum of thecentury,theprovinciaigovernment wasreimbursing thehospitalat the rate of twenty centsper patientper diem. An appealwas madefor financial assistancefor patientsfrom thePeterborough countywho wereunableto pay their hospitalbills. Patientswerechargedsix dollars(6.00)per weekfor privateroomsandtwo dollarsand fifty cents(2.50)per weekfor wardaccommodation. St.Joseph'sHospital- August15, 1890 SectionII 1900- 1920s Prior to the Sisters'comingto thePeterborough diocesein 1890,a numberof thepoor in Toronto. elderly,anddestitutefrom the diocesewerecaredfor by the Sistersof St.Joseph buildingon the Ashburnham As soonas accommodation couldbe providedin the renovated property, all were transferredhere and the Sistersat the hospitalprovided them with food, clothingandshelteras well ashospitalcare. headed Duringtheearlypartof theyear1899,theEpiscopal Corporation by BishopR.A. wasurgentlyneededfor theelderlyanddestitute. O'Connordecidedthatbetteraccommodation ArchitectJ.E. Belcherwasagainhiredto plana buildingadjacentto the hospital. The bishoplaunchedan appealfor fundsto all the parishesin his diocese. This new wasofficially openedJuly 27, 1900. For a while, this buildingnamedHouseof Providence structurerelievedthecrowdedconditionsfor the sick. The orphanedchildrenweretransferred from the Houseof Providence to St.Vincent's Orphanage on LondonStreetwhenit wasoffrciallyopenedNovember4, 19O7. in Aboutthis time,electriclightingwasinstalledin thehospitalandotherimprovements radiators,pipesandpaintingwerealsoachieved at a costof about$3,000. The bishopannounced thatthe Sundayofferingswouldcontinueto be appliedtowards reducingstill furtherthedebton St.Joseph's Hospital. By 1905thedebtwaspaid off. 1906- TRATNINGSCHOOLFOR NT]RSESIS OPENED After 1880severaltrainingschoolsfor nurseswereestablished by hospitalsin Ontario with a view to improvingthe staffing. Howeverit wasdifficult to attractstudents.The hours werelong, wageswerepoorandworkingconditions demanded a strongphysiqueandmilitarytype discipline. Moreover,the superintendents wereconcemedthat the studentswould receive goodinstructionandpracticeandalsobe ableto copewith the hardshipsanddemandsof the times. The majorityof theearlygraduates of the schoolswereabsorbed into privateduty, first in homesandlaterin hospitals.A numberof hospitalssetup a registryof their own graduates whom they would assignto privateduty but few wereemployedon the staff. St.Joseph'sHospital,Peterboroughwasno exceptionto theprevailingneedfor more help to care for the increasingnumberof sick. Sincehelp was also being soughtto care for the sick in their homes,additionalheads,heartsand handshad to be found. St.Michael'sHospital,Torontohadalreadyopeneda Training Schoolfor Nursesin 1892. The Sistersthere gave encouragingreportson the improvementin patientcare in their hospital through having studentswho had been taught by the Sistersand who were dependableand interestedin taking care of the sick. After considerablereflectionand discussionon the generalconceptof startinga Training School for Nurses, the Sisters,under the leadershipof Sister St. Michael the Superior of the hospital, submittedthe proposalto Mother Clotilde, SuperiorGeneralof the Congregation,and to Bishop R.A. O'Connor. Both gave their approvalto the unde(aking. This was in January 1906. The medicalstaff supportedthe idea with enthusiasmand offered to give lecturesand to instruct the studentsin the care of their Datients. Miss Verna Winterhalt, a graduatenursefrom St. Michael's Hospital, Toronto was hired and she was appointedthe first superintendent of nurses. Therewas no provincial legislationat this time to governthe establishment of schoolsnor was there any official guide for conductingthem. Each hospitalset up its own standards. The Sisters decided to adopt the sameruies, subjectsand methods of teaching as were being usedin St.Michael's Training Schooland with which Miss Winterhalt was familiar. Foremostin the Sisters'deliberationsfor sucha new commitmentwere the desire and determinationto ensurethat their spirit of servicewould be communicatedto the students: "This spirit is inherentin the enduring value and worth of each human being from conception to natural death, and it is not lessenedby one's ageor one's physicalor mentalcondition, race, colororcreed...." By 1908,the hospitalneededmoreaccommodation for the sick and Architect Belcherwas again hired to plan the first extension,a three-storeybuilding on the north side of the original structurewith an elevatorshaft at the iunction. The contractwas awardedto JamesBosue for $9.375.00. 10 The first floor providedanoperatingroom,anaesthetic andsterilizingrooms. Thesecond floor wasfor patientaccommodation whichnowincludeda few privaterooms. The third floor gaveadditionalsleeping areasfor theSistersandstudentnurses,aswell asa laboratory,andan isolationward which waslater convertedinto spacefor X-Ray service. Theelevator,thefirst in thecity, wasinstalledby theOtisFensonCompanyat a costof behindtheelevator $1,390. It wasoperatedmanuallyandhada controlswitchin thebasement shaft. Whena patientneededto be transported,the powerwasturnedon in the basement,and onepersonwas then requiredto pull the cablein order to bring the cageto the desiredfloor. Someyearslaterthe elevatorwasmechanized andit serveda varietyof purposes until thatwing wasdemolished in 1969. Additionalpropertyto thenorthandwestof thehospitalwaspurchased in 1910from the estateof Mrs.Wall. A gardentheresuppliedvegetables for thehospitalfor a numberof years. This lot remainedvacantfor thirtv-five vearsuntil the residenceand schoolof nursinswasbuilt there. Duringthe 1908construction period,a brick buildingwaserectedbetweenthe hospital andHouseof Providence, to providea steamlaundryfacilitywhichservedbothinstitutionsfor manyyears. The costwas$3,403. Recordsshowthat the first hospitalbirth tookplaceon January16th, 1909,whena baby girl wasbom to Mr. andMrs. Cohen- shewasnamedBeatrice. Because it wasnormalin those days,for babiesto be bom at home,few mothersweresentto hospitalfor delivery exceptwhen complicationsweresuspected.As the hospitaldid not havea separatematernityunit for some years,the matemitycaseswereadmittedto privaterooms,deliveredthere,and the babiescared for in the samerooms. Somediagnosticservicesweregraduallybeingdeveloped afterSisterLigouri took training in X-Raytechnology at St.Michael'sHospital,Toronto,andSisterAngelicastudiedlaboratory technique at St.Bernard's Hospital,Chicago. In July 1913,an X-Raymachinewaspurchased, thecostof whichwasdefrayedby the threecity parishes.This equipmentwasinstalledon the third floor of the newaddition,andthe public was invited to seeit beingput into operation. However,the Utilities Commissionhad useda five, insteadof a fifteen, kilowatt transformer. Whenthe corridorswere crowdedwith spectatorswaiting for the demonstration,the switch was turned on and the transformerwas blown into literally a thousandpieces,somelandingas far awayas the Lift Locks. Therewas thenconsiderable delayin initiating the X-Rayserviceasanothertmnsformerand repairshadto be broughtfrom Toronto. 11 The clinical laboratory was openedin 1914 in a room on the third floor, and Sister Angelicawasplacedin charge- shebeingthe first personin Peterboroughqualified in laboratory technique. What was entailed in nursing in the early twentieth century can probably best be understoodby readingsomeincidentswhich the nursesthemselvesrelated. E.C., who startedher training in 1913,describedsomeof her experiencesthis way: When I was only three weeks in training, I was sent into the women's ward to sit with a lady who was dying. When I thought I saw her take her last breath, I knelt down and prayed and coveredher facewith a sheetand reportedit to the headnursewho was in her third year of training. About an hour later, shesentfor me and said that the patientI had beensitting with had askedfor a glassof water . And, again, I was sent to the men's ward, to a patient who was so that boardswereput on his bed to keephim from gettingout. obstreperous He thoughtI washis daughter,Bessie.When he wouldn't do anythingfor the other nurses,I was sentfor and he would say "here comesBessie- I'11 doitforher-..." SisterAngelicatook us for class,twice a week, after the day's work was completed. There was no classroom,nor blackboard. Classeswere held in the Sisters'communityroom, or on the top floor in the isolationward, if there were no patientsthere . . . The day nurseswould meet at 7:00 P.M. to give a report to the night nursesof what the doctors had said about their patients,then the night nurseswould carry on for the next twelvehours.., The hospitalwas very poor. SisterSt.Josephwho was in charge of the O.R. would often come down to the kitchen to get some utensilwhich could be usedfor an operation.. . There was no help for any housekeeping,the sistersand nursesdid it all . . . I recall looking after a very ill patientwho had cancerof the mouth and Doctor G. took him to the O.R. and pulle.dall his teeth. When the patient he threatenedto suethe doctor, becausehis teeth regainedconsciousness, weregood... 12 After onemonthin training,I wasallowedto give medicines.In my secondyear, a lady teachercameoncea weekto give classes on the preparationof food for the sick. The and demonstrations doctorswerealwayskind andwilling to helpus. Theygavemany hoursof lectures,but alwaysafter the studentshad completed twelvehoursof dutyon thewards R.F. Classof 1916; . . . recallssomeof hermemoirs. We hada probationaryperiod of threemonths,then we received our bibs and capsand after two years,our black bands. we to learnby doing;baths,dustingandcleaninghad helpedourselves to be finishedby 10:00A.M. to bereadyfor thedoclors'visits. .. We had to makeour own surgicaldressingsand takethemto be we might sterilizedin theO.R.-nowardaidesin thosedays.Again be calledto help in the O.R. as therewasno separatestaff there. It was a real strugglefor the poor sisters;they worked so hard, cleaningandwaxingat nightaftera busyday... For the graduatenurses,therewas only privateduty nursing. OnceI wassentto Bethanyon a matemitycase. . . thedoctormet me with horseandbuggy... thebabyhadalreadybeenborn and the motherwasin convulsions.Eachtime thepatientconvulsed, her mother,who wasthereto helpme, wouldfaint .., we packed the patient in oats which had beenheatedin the oven and this causedher to perspire. The other childrenwereall sick and one wascoveredwith a rashandher hair wasfalling out. Therewere no telephones, so whenthedoctormadehis nextvisit, he decided it was a caseof scarletfever. He placardedtlte housefor six weekswhich meantwe all had to remainthere until the Dlacard wasofficially removed. . . E.O'B. Classof 1922: in her first yearof . . . gavea vivid descriptionof her experiences training. Miss I recall Sister Angelica quoting her Superintendent, Winterhalt"thata nurseshouldbeableto bathea patientin seven minutesand havethe unit in order in twentyminutes." Sister of pendingdangers,e.g., wouldusuallywarnus well in advance watchon thepatientin thefourthbed,his clothes "keepa constant are hidden,but he threatenedto leavein a quilt." Again, a favoritedirectiveto thenightnurse,"I thinkyou aregoingto have an awful night. Keepyour hypoloaded..." 13 Themedicalandsurgicalpatientswereall assigned to thesamelargewards; thesurgical caseswerekepton one side,andthenurse,nicknamed CLEAN, wasin chargeof them,while the DIRTY nurselookedafterthe medicalcases.Patientswith communicable and infectious wereisolatedon thethird floor, sincetherewasasyet no isolationhospitalin thecity. diseases Diphtheriawascommon,andsuchcasesweresegregated in a largeroom remembered by the nursesasthe "diphthedaward"or the "greenroom." A nursespecialled any patientthereand preventingthespreadof germs. wastaughthow to takeprecautions, There were many casesof typhoidfever, and thesepatientsrequiredstrenuousand prolongedcare. If thetemperature wasover 101"F, theyweregiventepidspongebathsevery four hours. Studentnurseswereassigned to attendto them; oftenthepatientsweredelirious infection,requiringconstantvigilance. Theywere from the high temperatures andsubsequent foods feda strictdietof clearfluidsandorangejuice blendedwith thewhiteofan egg. Gaseous werecarefullyavoidedto lessenthe dangerof hemorrhage;if this did occur,the patientwas givena low rectalirrigationof starchsolutionwhichhelpedcontrolthebleeding.Usuallyafter hadpassed, thepatient's threewerkson completebedrest,andwhenthedangerof complication gradually, andaliowed legswerebandaged, from ankleto hip, andhewasliftedoutof bed,very to walk, in an effort to preventphlebitis. Nursing procedureswere carefullydetailedto preventthe spreadof communicable diseases.The ban on eatingon the wardsor in patients'rooms,while on duty, wasa firm regulationfor manyyears. Onemustrealizethattherewasno immunizationavailablein the province- theConnaught vaccines and l,aboratory in Torontowasonlybeginningto manufacture antitoxins. wasgradually Tuberculosis wasalsoa constant menace.Theuseof X-Rayin diagnosis wasdone. It consisted of anointmentmadeup with anda form of skin-testing beingintroduced, old tuberculinand rubbedon the patient'schest. If the areareddenedafter 24-48 hours, later. wasdiagnosed.This testformedthe basisfor the mantouxtestdeveloped tuberculosis diet in treatingthesepatients However,theimportance of providingrest,freshair andadequate waswell understood andpracticed.Greatcreditis dueto the medicalandnursingcaregiven in the treatmentof the disease as well as in thecontrolof its spread. Pneumoniawas a very commoncomplicationof manyillnessesbeforethe adventof (linseedpoultices)or antiphlogistine (mustardplasters) andcataplasms antibiotics. Sinapisms washigh, for chestpainsandabdominal distention,If thetemperature werestandard treatments with blanketswrungout of ice water,or he wassponged thepatientwaswnppedin flannelette patientswere never alowedout of bed or to help alcoholevery four hours, Pneumonia whichnearlyalwaysoccurredaboutninedaysafter untilafterthe"crisis"hadpassed, themselves the onsetof symptoms.This breakin thehigh feverwastakenas a goodsignandthepatient usuallyrecovered."Thata goodnurse,ratherthanthephysician,contributedmoreto thecarc patient,"wasa commentnot infrequentlymadeby the doctors and recoveryof a pneumonia themselves. 14 1916- QuakerOatsFire eventin thehistoryof fire wasa memorable largestandmostdisastrous Peterborough's had it almostcompletely control brought under Hospital. Beforethe fire couldbe St.Joseph's destroyedthe structurebuilt only a few yearspreviously. The fire wasconsideredto be caused by a spark from the ignition of a grain-rollingmachine. This set the grain{ust on fire ard resultedin the terrible explosionwhich followed. Almost immediatelythe top threefloors of Quakeroats factorywereengulfedin flames and the grain tanksbegantumblingdown. Within one-halfhour almostall of the wallsand floors hid collapsed.The chemicaltanksbeganexplodingcausingmorefires. The fire bumed uncontrollablyfor nearlyfour days. Men andequipmentweredispatchedfrom the Torontofire brigadeto assistthe local department.Traffrc hadto be divertedto the Smith streetbridge. It *ai not until two weekslater that the Hunter streetbridge could be usedon accountof the dangerof falling walls. awayuntil Marchandby thenhadbeenthecauseof at leasttwentyThe fire smouldered two deaths,sixteenbodieshavingbeenburied in the ruins. In addition there were scoresof injured, manyof whom wereleft with permanenthandicaps. 11, 1916a loudblastsenttremors Aboutteno'clockin thewintrymorningof December in the operatingroom noticed nurse a throughoutSt.Joseph'sHospital. Almost immediately flamei gushingout of the QuakerOatsfactorywhich wasonly a few blocksaway. Shealerted at the time. As he was the attendirg Doctor F.P. McNulty who wasdoing an appendectomy physicianfor the Quakeroats company,he left the suturingfor his assistantto completeand he rushedto the main floor to take charge. Everyonelnew that casualtieswould soon be arriving. Patientswho couldbe safelylookedafter in their homesweredischargedso asto free as manyas possibleof the hospitals'thirty-five beds. Surgicalbookingswerecancelledand only the urgent medicalcaseswere to be admitteduntil after the emergencyperiod had passed. Maternitypatientswere to be deliveredat homeif at all possible' Doctor McNulty placedthe order for all the seriouslyburnedand injured to be heated in the operatingroom. The operatingroom supervisor,SisterSt.Josephand as many of the equipment,blankets,bed linen' and assembled nursingstaff as possible,quickly assessed dressingsand other suppliesavailablethroughoutthe hospital. They begansettingup dressing tableson the main floor, and in the corridorsas well as in the operatingroom' 15 As dressings andbandages werein shortsupply,a numberof Sistersfrom theHouseof Providence nextdoorandfrom MountSt.Joseph, madequantities from of largepadsandsponges bolts of gauzeand had thesereadyfor the sterilizer. Bed linen had to be torn to provide additionalbandages.A quantityof freshtannicacidsolutionwaspreparedin the dispensary. This solution,whensprayed on burnedareaswouldhelpeasepain,promotehealingandprevent secondary infectionsin manycases.Sterilevaselinewasaisomadeready. As soonas newsof thedisasterreached Toronto,St. Michael'sHospitalresponded by sendingnursesandsupplies. As therewasonlyoneambulance in thecity, thecasualties startedarrivingon improvised sffetchers and thenon sleighsor whateverconveyance couldbe had. Screamsfrom pain and hysteriafilled the air. More chaosfollowedwhenthefamiliesof themenwho hadgoneto work in thefactory thatmorningbegangathering at thehospitalin search of theirlovedones. Thenmoreandmore peoplearrived,anxiousto helpin any waypossible. A numberof factoryemployees wereimmediately assigned asorderlies.Soonmenwere groaningwith painandpleadingfor help,theirclothingpartiallybumedoff. lying everywhere, - andstill morecasualties Otherswereashenandunconscious, continuedto arrive. By now, moredoctorswereon the sceneanda screeningprocessbeganto separatethe deadfrom the dying, and the critical casesfrom the lessseverelyinjured. Largedosesof Morphinewereadministered asquicklyaspossibleandthemostseriouscaseswerelakento the operatingroom for immediateattention. The seeminglylessserioushadto remainlying on blanketsin the corridorsandempty spaces until bedsbecameavailable.Extrablankets,hot-waterbottlesandevenheatedflat-irons wereplacedaroundthecasualties in aneffortto combatshock.Inhalations of smellingsaltsand whiskeyandbrandyin milk or waterto thosewho couldswallow,providedsomestimulation. Laudanumwas also usedto help relievetheir agonizingpain. Therewere many who had fracturesto copewith as well as their bums. Tannicacidspraysandvaselinedressings were usedextensively. The hospitalregisterof December 11, 1916listedthosepersonsadmittedthatday with thediagnosis of burns. Thisrecorddoesnotcontaininformationon thenumberstreatedasoutpatientsor on thosedeadon arrivalat St.Joseph's Hospital. t6 After a few daysthe odor of bumt tissuewasbecomingvery pronounced.The pungent smellwassuppressed to someextentby fumesfrom oil of eucalyptuswhich wasburnedin sauce pansin the corridorsand wards. Evencord string left smoulderinghelpedto clear the air for a while. Bocauseskin grafting wasnot availableat that time, the bumt areaswhich healedwere coveredwith extensivescarsandcontractures.Manyburnsbecamebadly infected. Thesewere usuallytreatedwith wet dressingssoakedin salinesolution.Eusolsolution,a prepamtionfrom effectandin somecasesit promotedhealing. chlorideof lime wasalsousedfor its cleansing Somefaceswere so badly burnedthat the eyelidscould not closecompletelyand often the lips remaineddistorted,resultingin permanent dishgurement. This disastertestedthe skill of doctorsandnursesandtheresourcesof the hospital. The challengewas met with self-sacrificeon the part of manypeopleand the spirit of serviceand and often narrated. compassionwaslong remembered Original 1890Wing t7 The SpanishInfluenza (1918-1919) The deadlySpanishInfluenzawhichravagedEuropeafter the first world war, andspread acrossNorth America,hit Peterborough in the fall of 1918. The local MedicalSocietyrecordeda tributeto oneof their members,Dr.C.H. Amys who was medicalofficer of healthat the time: in rousinglocalauthorities to theseriousness "He waslargelyinstrumental and imminentdangerof an epidemic. The Peterborough outbreakwas better handledthan in a numberof larger municipalitiesand with a remarkablylower deathrate. He sawto theconversionof theold Oriental hotel building into an emergencyhospitaland madeready for patients within one week. He advocatedthe temporaryclosing of churches, theatresandotherplaceswherenumbersof peoplewouldassemble." The epidemicwas so suddenand so intensethat both city hospitalswere quickly and overcrowded.Thosebroughtto hospitalhavebeendescribed asbeing"blueasblueberries" were spittingblood. For someunknownreason,personsin the twentyto thirty agebmcket seemedmost susceptible to fatal complications, which in the majority of casesresultedin pneumonia.The victimswere strickensuddenlywith violentchills, terribledizziness,high temperature anddelirium. The doctors were baffled since neither medicinenor other treatmentseemedto be effectivein relievingsymptomsor controllingthe spreadof the disease. Quinine,Dover's Powdersand steaminhalationsto which mentholcrystalswere added,gavesomerelief as did [aws which existedat the time made brandyor whiskeyin hot drinks. However,Temperance it difficult to obtainliquor. Injectionsof caffeineandadrenalinweregivenin somecasesand recordsshowthatsuctioncupsto drawoff "badblood"werealsoused. Numeroushomemade remedieshandeddown from anothergenerationwereoftenresortedto, in an attemptto find an effectivetreatment. Doctorsandnursesworkedaroundtheclockmanydaysandnightsandseveralsuccumbed or the Houseof to the diseasethemselves.As the 'flu' had not yet hit Mount St.Joseph Providence,the Sistersliving in theseresidences wereable to help at the hospitaland also to visit the strickenin theirhomes.SisterSt. Mauricerecalled"thefrighteningsightshewitnessed of the many funeralspassingon MonaghanRoadto the cemeterynearby." By early Decemberthe'flu' had struckat Mount St.Joseph and somethirty to forty Sisterscontractedit. A numberof deathsresultedand many who survived, later developed pulmonarytuberculosis,deafness,nephritisand heartdamage. 18 ThediocesanArchivesnotedappreciationof thework doneby DoctorJamesV. Gallivan duringthe epidemicin his medicalcareandattentionto the sick at Mount St. Josephand at St.Vincent'sOrphanage on LondonStreet. had Thehospitalrecordsshowthatsixtycases of 'flu andtwenty-fourcasesofpneumonia beenadmittedfrom mid-October19i8 to May 1919. By springthe causativeorganismsof SpanishInfluenzaseemedto havedisappeared. t9 1920- 1940 The existinghospitalaccommodation wasagainbecominginadequateto servethe growing needsof the Peterboroughcommunity. Rt. ReverendM.J. O'Brien, diocesanBishop(1913-1929)and his committeedecidedthat a secondextensionwas required to provide more accommodationfor patients and improved servicesfor the whole hospita,. Thus, in March 1921ArchitectA.R.Holmesof Toronto wasengagedto prepareplansfor a four-storeystructureon the southsideof the existingbuilding. It would provide seventy-five additionalbedsand would include a segregated obstetricalserviceand operatingrooms. There provided would also be space for laboratory,X-Ray and pharmacyservices,and an electrically opented passengerelevatorservingall floors, Tendersfor the new building were openedin July 1921and the contractwas awardedto the RussellConstructionCompanyof Toronto. Excavationsbeganpromptly and the cornerstone was laid on the fourth of September,1921. A three-daybazaarwas held in the marketsquarewhich netted$8,000. towardsthe cost of the building. Also, SenatorFrank O'Connorpaid for the entirefurnishingsfor the obstetrical floor. In addition the frrst floor was completelyfurnishedfrom the estateof Jamesand Hannah O'Brien. In appreciationof thesegifts, wall plaqueswere erectedwhere they remaineduntil the areas were renovated years later. Additional services were located on the ground floor. These included a special diet kitchen in which was installed an electrically operated waiter for transporting meal trays to patient areas. Also on this floor was live-in accommodationfor an orderly. The new wing was formally openedJune 8, 1922. Prior to the program, the Bishop celebratedMass in the hospitalchapeland blessedthe new rooms, asking God's blessingupon the patientsand all who would servethe sick within its walls. The public was invited to 'open house'from 2:00 P.M. to 10:00P.M. Excerpt form PeterboroughEveningExaminer, Iune 6, 1922 "New Wing of St. Joseph'sHospital, East City" .. . "the site of the building is one of the most commandingelevationsin its own dairy farm wherethoroughbred Peterborough ... the hospitalpossesses holsteincattlesupplymilk for the establishment ... and its own chickenrun, givingthefreshestof fresheggs... Thenewadditionis 153feetlongcomposed A trim, andis of fire-proofconstruction. of pressed brick with Indianalimestone roof gardenonthestoreytogether with two splendidsunrooms andthreebalconies patients... A powerfulvacuumcleanerin the addto thecomfortof convalescent furnishesa meansof cleaningeveryroom ... " basement 20 This was also graduationday for the classof 1922. The ceremonytook place in the mens'ward, thepatientshavingbeentransfenedto thenew wing. muted,in sympathywith the Thejubilationof the newgraduatenurseswassomewhat guestspeaker,DoctorGallivan,whosewife haddiedonly a few dayspreviously,followinga ceasarean section. After work on the newwing wascompleted, theold structurewasrenovated,andthen usedfor medicalandinfectiouscasesanda newchildren'sward. The third floor continuedto providesleepingaccommodation for the sistersandpupil nursesfor anothertwenty-fiveyears. The following statisticalinformationhasbeenexcerptedfrom a hospitalrcport in 1922. Analvsisof HosoitalServices for December1922 Numberof patientsadmitted Numberof patientsdischarged Numberof births Numberof operations Consultations 55 68 6 22 3 X-Rav Examinations LaboratoryTests fluoroscopics plates gastro-intestinal gall-bladders fiactures chest eye urinalysis 37 7 blood coagulations17 4 sputum pathology 2 46 6 2 10 2 I Medical Staff President : Dr.McNulty Vice-President: Dr.Neal Secretary : Dr.Mann Doctors:McPherson, O'Brien,McNair, Carmichael, Baker,Gallivan,Louden,Hawey,Hammond, Yelland,W.D. Scott,Sutton,McCullough, MacDougall,King, Bucharan,Morgan,Wood. 21 The next goal for administrationwasto meetrequirements of Standardsof PatientCare in Hospitals. The Americancollege of Surgeonshad blazedthe trail in l9l7 for the developmentof hospitalstandards,and their programwasknown as HospitalStandardization, a term which was later changedto Accreditation. The programincludedinspectionand the grantingof a certificateof approvalto the hospitalswhich qualified. To s€tthe stagefor the undertaking,theBishophosteda dinnerfor the medicaistaff, and _ he askedthe president,Dr.F.P.McNulty,a prominentsurgeon,to selecttwo doctorsfor a committeeto work towardsachievement of that goal. on August5, 1922,an inspectorfrom the Americancollege of Surgeons visitedthe hospital. The following yeara certificateof approvalwasreceivedstatingthai the hospitalhad met the standardssetout in the programanddeclaredit a model. Administrationof the hospitalwas graduallybecomingmore difficult and broader information and supportin its management was neededin order to continueto upgradeits standards.Thus, soonafter the frrst canadianchapterof the Americancatholii Hospital Association wasfoundedin 1922thehospitalobtained membership in thisnationalorganization. Its mainpurposewasto providea strongerlink betweenmemberCatholichospitals ln orderro maintainthe Christianphilosophyof patientcare. , . .ln 1928the hospitalreceivedapprovalwith an A rating from the Americancollege of Physicians and Surgeons. In 1929the hospitaljoinedtheOntarioHospitalAssociation whichhadbeenfoundedin 1924' This wasa voluntaryassociation of provincialhospitals andrelatedinstitutionsworking togetherto achievethe higheststandardof patientcarethrougheducationand research. A certificateof enrolmentin 1929is in thehospitalarchives. Meanwhileacrossthe province,nurseswere becomingconcernedover the lack of standards for nursingpractice.A Nursingcommitteehadbeenformedin 1915for thepurpose of upgradingthenurses'trainingandof pressing for legislation but it wasnot passedurtit tgZZ. A qu€stionnairewasthendesignedandsentto theninety-twohospitalsin theprovinceopenting trainingschoolsfor nurses. A copyof thecompleted questionnaire submiltedby St.joseph's 'The Hospitalrraining school,datedApril 20, 1923is filedin theschoolof NursingAichives. original is the first documentin the school'spermanentrecord at the college of Nursesof ontario, an evidenceof the School's approval as of that date. The appioval continued unintemrptedlythroughoutits historywhichculminatedin July 1974when-it was officially closed. Recordsof all of its graduateswerethen transferredto Sir SandfordFlemins Collese Division of Nursing. The original bylawsc.1920of st.Joseph'sHospitalNursei elum"ni Associationmay be seenin the Schoolof NursingArchives. ZL of NursesAct wereissued, of the 1922Registration for administration WhenRegulations TheMinisterof Health to thenewrequirements. voicedstrongopposition a numberof hospitals thenordereda Nationalsurveybe madefirst, wasformedto proceedwith thedirectiveandDoctorG.S.Cameron, A StudyCommittee its chairman.Thesurveywasmadeby Doctor prominent wasappointed Peterborough surgeon a and GeorgeWeir and theWeir Reportwaspublishedin 1932. lt highlightedthe inadequacies inconsistencies of thenurses'trainingacrossCanada. worldwar werecritical of thesecond Thegreatdepression of the'30'sandthemagnitude periodsin the hospital. Therewasno provincialhealthplan for financingandotherformsof wre practicallynon-existent.Iegislationinitiatedin 1929for the Old Age Pension insurance wereoften yearsandolder. Hospitalaccounts seventy providedonly $20.00monthlyto persons, paid in farm produce. of helpin the hospital.The war shortage As the war ragedon, therewasan increasing of werescarceandmethods effortclaimedmoreandmoreof theable-bodied.Medicalsupplies in the hospital and both disinfectionwerelimitedandoftenineffective.Unhygienicconditions communitycreatedadditionalproblemsbecauseof relaxedregulationsfor inspectionand pediculosis, ringworm,etc. rarelyseenformerlyhadnow to be sanitation.Impetigo,scabies, with patients'criticalillnesses.Therewasa rapidincrease dealtwith frequentlyin conjunction andlittle time or helpto disinfectunitsafter patient in the numberof patientsfor admission, whosowillingly helpedat whateverjobs volunteers The number of local, dedicated discharges. to thework load. theycoulddo, wereindispensable DoctorR.J. Youngopenedhis medicalpracticein the city in 1933andhe relateshis impressions andsomeof his experiences. (Thetapedinterviewis in the Schoolof NursingArchives.) " Therewere 28-30family physiciansin city practiceand no specialists.Methodsof treatmentwere antiquatedand hospitalequipmentsparse. Anaestheticswere limited to chloroformandetheruntil gasmachinescameon the market. Therewasno medication to combat infections. No coagulantswere yet available. Phlebitis a frequent complication. . . home deliveriescommonpractice... we carried out our medical Hospitalstafffor the responsibilities asbestwe couldin thesetimesandcircumstances. nurses,veryfew lay graduates andlittle domestichelp mostpartweretheSisters,student insurmountable tasksduring great individuals who handled almost ... creditis dueto the thesetoushtimes. L) Communicablediseases werebeingbroughtundercontrolwith the scientificdiscoveries in bacteriologyas well as immunologyand administrationof vaccinesand antitoxins. Sporadiccasesof Diphtheria,ScarletFeverand Polio occurredin the city... However there wasa diphtheriaepidemicin 1933and the local isolationhospitalwas frlled with patients ... Fracturesweretreatedwith splintsandtapingandsubsequently manypatientsdied from pneumonia.Treatmentfor heartconditionswaslimited mostlyto oxygenand morphine. Severecasesdied from cardiacarrest, Therewas no city ambulance at this time ... There was no emergencyroom in the hospitalfor someyears,accidentswere mostly industrialandfarm type ... few cars... drugswerenot available.... TheTorontoStar(February28, 1938)reported:Sulfanilamide first usedin St. Joseph's Hospitalto treat a caseof streptococcal pneumonia,... 'I (Dr. Young)recallthispatientwhomI treatedwith massivedosesof sulfaintravenously and I employedspecialnursesaroundthe clock. Shewas so critically ill ... and she recovered. Without the drug, I doubtif shewould havesurvived." Therewasgradualincreasein the useof X-ray andlaboratorytechnologyfor diagnostic purposes. The discoveryof insulin by Bantingand Bestin 1921revolutionizedthe treatmentof Diabetes. Also, in 1926 liver extract by injection becameavailable making a dramatic improvementin the quality of life for patientswith perniciousanemia. u St.Joseph'sHospital- 1922Wng 1890and 1922rNingViewedfrom Armour Road Ca 1965 25 1922Wing LR Main entrance; Inforrnation desk OperatingRoom;Public Ward SectionIII 1940s Beforelaunchinginto thethird phaseofour story,thereadermaywish to reflectbriefly it wasthe foundationfor the on a pictureof St. Joseph'sHospitalfifty yearsago. Regardless, whichhastrken placeduringthe secondhalf of our century. rapidgrowthand development in medicalscienceand advances More thananythingelse,it hasbeenthercsultof unpamlleled technologyover this period. wasgainedin thetreatmentof casualtiesduring Much medicalknowledgeandexperience world war II. Antibiotics and chemotherapy,and increasingvarieties of pharmaceutical of their andwith this, a newunderstanding werefastbecomingavailablein Canada substances usesanddangersfrom sideeffects. wasdoubling. Therewas a markedincreasein the The populationof Peterborough numberof medicalpractitionersand specialistssettingup practicehere. With the development of drugs effectiveagainstpneumoniaand bacterialinfectionsand the emergenceof more and needfor hospitalcare. The increasein betterdiagnostictools, therewas a colresponding servicesofferedalsohelpedto bring abouta changein perceptionofthe public's attitudetowards . hospitalization to setup practicein the city in the mid-forties Four first full-time certifiedanaesthetists tapedsomeof their early hospitalexperiences. "Ether and chloroform were the substancesin use here for general anaesthetics. but little wasyet knownof its hazards'... Therewas PentotholSodiumwasintroduced no recoveryroom,no intensivecareunit, no wall suctionexceptin theoperatingrooms, from tanksandtherewaslittle monitoringequipment. oxygenwasadministered Curare and cyclopropanethen becameavailable. New drugs along with a better of the valueof combinationscontributedmuchto the safetyand comfort understanding for the patient. ... Many peoplehad long refusedsurgerybecauseof their fear of the solutionshadbeenmostlylimitedto glucoseandsalineand anaesthetic ... Intravenous administered throughrubbertubingwhichcouldwithstandfrequentsterilization.... no etc. syringes,needles, disposable fee aseithera minoror majorprocedure.The anaesthetist's The surgerywasdescribed of the lengthof time of surgery was$5.00for minorand$10.00for major,regardless a serious or the critical stateof patient'scondition... While using cyclopropane, when the tank they recalled, in occurred, accidentwhich could haveresulted tragedy, blew up in the operatingroom. "Not infrequentlywould a nursehaveto resuscitatea to an eight-bedward." patientwho wasretumed,unconscious n A centralsupplyroom was begunin the 1930'sin room #36 on the secondfloor. However, suppliesand equipmentwerevery limited. Needlesand syringeswere sterilizedby boiling;ready-made wereunheardof. Theuseof theautoclave andwater andsteriledressings sterilizerandanyemergencyequipmenthadto benegotiated within thedemandsof theoperating room schedule. patientswas urgently needed, A room on the A recovery room for anaesthetized room and operatingroom floor in usefor casts,wasdesignated for a temporarypost-anaesthetic it could accommodatethree or four patientson stretchers. This area was set up with what monitoringequipment solutions wasavailable:suctionmachine, andoxygenin tanks,intravenous andmedications. Newerdrugswerebecomingavailable,alsodisposable syringes,needles,intravenous equipmentand the gasmachine. A registered nursewasassigned to theareauntil thepatients'conditionswerestabilized. This limited accommodation for the vital serviceof a recoveryroom serveda rapidly growing needuntil more and betterspacecould be provided. staff, all trainedon thejob Nursing aides,orderlies,ward secretaries andhousekeeping gradually were beingemployed.Now a newdemandwascreatedfor additionalhospitalworkers with basic training, who could assistin the increasinglysophisticatedmedical and surgical Eeatment of illness. More extensiveand costly treatmentswere being introduced; higher standardsof accommodation and betterpreparedstaff were in demand,all of which contributedto higher operatingcostsfor the hospital. Institutionin 1894and wasownedby the The hospitalhadbeenlistedas a Charitable EpiscopalCorporationof thePeterborough diocese.It wasclassifredasa public generalhospital of the province and qualified to receiveprovincial and municipal grants. It is true that govemmentand municipalitiesgavesubsidiesbut this formedonly a small portion of the total revenuerequired. The Sisters had recently been notified that the late SenatorFrank O'Connor had bequeathed $100,000.from his estateto be usedfor buildingpurposes.It wason March 19, (1943-1945), of St.Joseph's 1944thatBishopJ.R.MacDonald transferred theDeedof Ownership Hospial !o the Sistersof St. Jos€ph. 28 Existing hospitalbuildingsacrossthe provincehad to be expandedor replaced. The growing need for constructioncapital led to Ontario's introduction of Capital Grants for Hospitalsin 1948. Therewasno hospitalinsurarcecoverage.The pre-paidhospitalinsurance plan was not introducedfor anotherten years. A CommunityNursing Registry for private duty nursing was openedin the city in October1948. This systemreplacedthat of eachhospitaltrying to operateits own registry. The HospitalAuxiliary heldits inauguralmeetingon lanrwy 26, 1946at whichMrs. Frank Lynch waselectedits first president. Its generalaim was to assistthe hospitalthrough volunteerservices.Its initial workconsisted of sewingandmendinghospitallinensandmaking surgicaldressings. It wasobviousthatthe time hadcometo expandandrenovate.Therewasan urgentneed for additionalpatientaccommodation and more spacefor growth, and new departmentsand services. The hospitalwas fast becominga larger, morecomplicatedand technicaloperation. The recordsshowa continuous succession of additions,renovations, demolitionsandrelocationsof departments and services,in an effort to keeppaceat the local level with advances in medicineandto providethepeopleof the city andareawith thebestservicespossiblewithin the constraintsof budgetand humanresourcesandexpertise. Building and Renovation Program leadershipfor an extensive SisterPriscilla, administrator(1947-L953)gavethenecessary building programto get underway.It wouldconsistof four units; Nurses'ResidenceandSchool of Nursing;a modernPowerPlantandIaundry with a connectingtunnel,andthe fourth phase, a new wing to the hospitalwhich wouldprovideseventy-fiveadditionalbedsandexpandedand new services. Nurses Residenceand School of Nursing The eighty-fourbedresidenceandschoolof nursing,a fire-proof building, wasdesigned by Architect E.J. Turcotteof Montreal and the generalcontractwas handledby the Piggott Construction Companyof Hamilton. May 3, 1946BishopG. Berry (1945-1953) turnedthe sodnorth of the hospitalon the propertywhich had beenpurchasedaboutforty yearsearlier from the estateof Mrs. Wall. The comerstoneof the structurewas laid Oclober 27, 1946 and the building was completedin the fall of 1947at a costof $240,000. It providedbedroomaccommodationfor 64 students,auditorium,loungesandreceptionrooms. Twentyadditionalbedroomswould be finishedat a later date. 29 The residence andschoolof nursingwasformallyopenedon December8, 1947. The of Massby BishopBerry in the beautiful ceremonies of the day beganwith the celebration auditoriumwith Sisters,nursesandfriendspresent.The Sisters'choir from nearbyMountSt. Josephprovidedmusicandsinging. paidtributeto thosepioneerSisterswhofifty BishopBerryin hisaddress to theassembly yearsearlierhadestablished thefirst hospitalon thishill. Theircourageandpatiencein theface of greatdifficulty helpedto makepossiblethis beautifulschoolandresidence. at thepublicgatheringheldat 4:00 p.m. The CardinalMcGuiganof Torontopresided platformguestsrepresenting a capacityaudience. and officialsaddressed Church Government andtea. Conducted toursfollowed. TheLadiesHospitalAuxiliaryhostedthereception Power Plant and Laundry ThenewPowerPlantwith a heatingsystemwouldservetheentirebuildingcomplexand the new laundry facility erectedon the southside. A tunnel connectedwith residenceand hospitalandall wascompleted andin operationfor theopening. The costwas$190,000. Pediatrics As soonasthe residence andschoolof nursingwerereadyfor use,somespacebecame availablein theC wing, mainfloor. TheChildren'sWardon Women'sMedicalwastransferred to the classroomarea. Emergency There was now a pressingneedto find spacefor emergencyserviceso the Sisters from ArmourRoad. Therewasno relinquished their communityroomwhichhadan entrance sink or runningwaterin the room. At first, it wasservicedon a part-timebasisand by the op€ratingroom staff. The frrst nurse. (Irene Boucher)describesone of her memorable Two distraught mothersrushedin carryingtwo toddlerswho experiences. to both had drunk "diaperwash". Emeticswereprompdyadministered wasalmostspontaneous. childrenlying on the samestretcher.Response The mothershelpedas theycouldwhile the nursedashedacrossthe hall manytimesto emptybasinsin thehopper.The familyphysicianarrived on the sceneto find the infantsreadyfor dischargeandthe mothersmore awareof whatmighthappenon washday. 30 (SisterMary Agnes)relatesthefollowingmemoir: A Nursingsupervisor, A man walkedin the Armour Roadentranceabout I o'clock in the morning. His car hadbeenside-swiped by a train at the crossingnear we found MariaStreetandhedidn't appearto bein pain. Onexamination hisarmhangingin hiscoatsleeveandalmostcompletely severed.He was of coursein a stateof shock. He losthis armbut otherwisemadea sood fecovery. Thegoverningandmanagement boardof Sistersthenformeda HospitalAdvisoryBoard of for counselon business matters.Initially, this boardwascomprised of men,representative for three-year terms. the communityservedby the hospital.Theywereappointed of theAdvisoryBoardwith theSistersmaybe Someexcerptsfrom minutesof meetings of interestto the reader. to build 1945- A letterfrom DoctorVivian,Ministerof Healthfor Ontario,grantingpermission an additionto thehospital. 1946- A delegation from thehospitalboardmetwith theCountyclerk to requesta grantfrom the Countytowardthe 1945deficit. 1947- A, certifiedcopy of By-Law Number4568 passedby the City of Peterborough to of theDioceseof Peterborough. authorizepaymentof Grantsto theSistersof St.Joseph 1947- Theorganization of theAdvisoryBoardto includethefollowingcommittees: Nominating, Financeand Property. 1947- A letter from S.A. Holding, OntarioDepartment of Healthpromisingthat the local hospitalswoulddo chestclinic work presentlybeingdoneby a travellingclinic. The proposed paymentto eachhospitalwas$2.50perfilm. Thiswouldincludefilm, negative preservative,developerandfixer, depreciation on equipment,tubeandvalve replacement and mailing to Toronto. The Boardacceptedthis proposal. 31 X-Rav Deoartment (SisterLucille Cavanaghrecallssomeearly memories). This servicehad begunin a room on the fourth floor of the 1890-Cwing in 1913and was moved to two rooms on the fourth floor of the 1922 A wing. It now was transferredto the main floor of C wing where it had someadditionalspace:a radiographyroom, a dark room and office for the acting radiologist,and a room to begin a physiotherapyservice. In the mid-fortiesapprovalwas receivedto open a Schoolfor studentsin X-Ray Technology. SisterAdeltrudewas its first director. The schoolwas discontinuedin 1985whena CommunityCollegein Toronto took over the program. About eighty studentshad graduatedfrom our school. LATJNDRYAND LINEN SER\TCE (HugoVan Hol) A newlaundrywasbuilt in 1947to serveabout140beds. Theservicewasre-organized to functionas a department. Themainequipment at thattimeconsisted two tumblers,two extractors, of two washers, wasmadeby theCanadian onefour-rollironerandtwo pressunitsfor uniforms.A11equipment laundry Machineryof Toronto. From 1947to 1963,thelinento be washedincreased from 300,000poundsto 700,000 poundsperyear. Thiswasdueto theincreasing volumeof patientservices, alsostaffuniforms, and studentuniformswhich includedstarchedbibs and apronsas well. This requiredthe purchase of an extrapressunit in 1952. laundryunit was With theopeningof MarycrestHomefor theAgedin 1959,a separate put in place. Previously,the Houseof Providence hadusedthehospital'slaundrymachinery. When the D wing was put into servicein 1963,the amountof linen to be washed increased to almost1,500,000poundsper year. To takecareof this additionalvolume,a new 400 poundautomaticwasher-extractor wereinstalledin 1964,a new 100 and water-softener poundtumblerwaspurchased of the in 1965anda new automaticfolder in 1966. Because modernequipmentused,therewasonly a minimumincrease of staffrequired. A1so,the old methodof mendingsurgicallinenon sewingmachines hadto be discarded because of resulting pin holesanda patchingmachinewaspurchased in 1964. )z In 1968to economize on handlingtime,surgicalbundlesusedin operatingrooms,labor weremadeup in thelaundry. At this timealso, anddeliveryrooms,andcentralsupplyservices linenquotasfor patientandserviceareasweredeliveredby requisition. All in all, it was a well run laundryand linen service,with modernequipmentand efficiencyproducingcleanwhitelinenat oneof thelowestcostsper poundin Ontario. wassix centsper The costof laundry,whichincludeduniforms,andsurgicalpackaging poundin 1971. and wereexpanding In 1970thePeterborough CivicandLindsayRossMemorialhospitals laundryto servethe requirednew laundries.So the ideawasborn to build a newcentralized threehospitalsandmoveinto the futureneeds. andmoneywhichhadbeen St.Joseph's Hospitalhesitated because of its newequipment was from the Ministry agreement investedin its laundryfacility. However,with thepressure reachedandthe newcentrallaundry,theKawarthaLinenService,wasopenedin 1972. Hugo Van Hof wasits first generalmanager1972to 1986. Department The spaceis now usedby the Purchasing and stockroom. CentralSupplyRoom 33 1950s The fourth phaseof the building programbeganwith the turning of the sod October4, 1948 for the 1950 wing. E.J. Turcotte of Montreal, the architect, and Piggott Construction Companyof Hamilton continuedthe project. Nostalgia was evident as the huge machinery was moved in and mowed down the beautiful treesin front of the hospitaland along the driveway, making way for the seventy-five bed wing and expandedservices. The cost was $500,000. The comerstonewas blessedand put in place by Bishop Gerald Berry, May ll, 1949. The completedbuilding was officially openedMay 3, 1950by HonourableI-eslie Frost. In his remarks,the Premiercongratulatedthe Sisterson their achievements,on this the sixtieth anniversarysincethe hospital'ssimplebeginningsin 1890with twenty-five beds. "You have been faithful to a vision calculated to bring great good to the local communityand to the Province." He remindedthe assemblythat the Provincehad initiateda systemof grantsto hospitals for constructionand maintenance.In addition, "this hospitalwould qualify for the specialgrants which were being madein 1950 to eachhospitalin the Province." This fact was re-iteratedby His Worship, Mayor Max J. Swanston, to overcome to contentionvoiced by a delegationof local citizenswho were objectingto flnancial assistance St. Joseph'sHospitalon the groundsthat it was not a public generalhospital. Subsequently,the 1950 municipal budgetincludeda grant of $10,650. to the hospital. Following the ribbon-cuttingceremony, tourswereconducted. Many of the guestsj oined in the celebrationof the 1950graduatingexercisesof the schoolof nursingbeing conductedthat afternoonin the residenceauditorium. The new wing contained three floors for patients which increased the hospital's accommodationto 167 adult bedsand 31 bassinets.Fluorescentlighting was installedin halls and serviceareas,and telephonesin private and semi-privaterooms. The ground floor provided a new dietary food serviceand kitchen facility, spacefor administrativeand businessoffrces,switchboard,medicallibrary and gift shoppeand a miniature chestX-Ray unit. The Provincialdepartmentof healthhad recentlyrequiredall patientsto have a chestX-Ray on admissionto hospital. 34 The basementlevel provided spacefor a cafeteriaand storageareasand machineryfor the passengerelevatorand dumb waiter. In 1951a renovationprogramwascarriedout, beginningon the fourth floor of the 1922 wing in order to extendthe obstetricalservice. This provideda new nursery,formula room and labor and delivery rooms. Notablechangesin obstetricalcare were urgent. An epidemicof dysenteryamongstthe newbornhad occurredin severalhospitalsthroughoutthe Province. The Ontario Government was madeawarethat the care had to be updatedand thus funds were provided to enablenurses to take a four-week extension course in Maternal and Infant care. Hospitals were also reimbursed for new equipment, By means of these grants the hospilal acquired its ftrst incubator,formula sterilizerand refrigeratorand an oxygenanalyzer. Sister lrretta Fitzgerald,the obstetricalsupervisorat the time, attendedthe courseand she introduced new proceduresand policies which were a breakthroughinto the traditional methods. Babies' formulae were now preparedin individual bottlesfor eachfeeding, sterilizedin formula a sterilizerand then storedin a separaterefrigerator. One nurserecallsan experience shehad with the new methodin the nursery. There were three setsof twins, all on three-hour feedingsin addition to a record numberof babieson four-hour feedings. (Breastfeedingwas not emphasizedat the time). The hospital begancharginga daily fee of two dollars for the care of each baby, and practiceof collectinga packageof safetypins and baby powder. discontinueda long-established The hospitalrecord showsthere were 1075births in 1954. The new centralizedfacility for mealtrays and specialdiets was a sheerjoy for nursing as it marked the demiseof kitchenson eachfloor for servingfood and washingdishes. Gone also were the linen napkins, tray covers and fancy dishes for patients' trays. These were replacedby paper goods and sturdy porcelaindisheswhich could withstand the dishwashing machine. Trays were now set up on a conveyorbelt, the first of its kind in Peterboroughand deliveredon cartsto the patientareas. Within two weeksmealtraysand nourishmentwerebeing distributedfrom the centralkitchen to all patientsthroughoutthe hospital.The menu systemfor patientswas introducedin September1952. 35 DietaryTransition (Ihe dietitian who supervisedthe implementingof this new service,recallsafter forty years, someinteresting details.) From 1922-1950 foodfor patientsandstaffwasprepared in the 1890kitchen. Foodfor patientsin privateroomsor on specialdietswaspreparedin a smallkitchenin the basementand sentto the floors wherenursesandaidesservedanddeliveredthese. Eachprivateroom hada specialsetof dishes,(usuallythegift of a gratefulpatient),linentray coversembroideredor with hand-madelaceborders. Serviceto the staff wasin four separatedining areas. On the groundfloor of the 1950wing, a modemDietaryDepartmentwasopened. Tray serviceon the assemblyline systemwasbegunin March 1950on a thirty foot conveyorbelt. First Day of Operation The first helperplacedcutleryandpatients'identificationcardon a pal)gltray cover. The secondhelperplacedsugar,pepperandsalt,serviette,cupandsaucer.... Herethewoesbegan!trying to find a matchingplateandcerealbowl, asoneservedthecerealor maincourse- Panic! who could find matchingdishesand servethe food beforethe next tray movedalong the belt! Thememoryis of a 2-hourservice,hungrypatientsandconfusedfloor staff. By 3:30p.m. the disheshad gonethroughthe moderndishwasher,the trayswere cleanedand ready for supper service. By now, it wasobviousthat disheswith the samepatternmustbe releasedfrom storage. Surpriseskept coming but the joys of having Food servicecentralizedand a dish-washing machinein operationgavestaffsof dietaryandpatientareasmuchcauseto be grateful. A year later the Cafeteriawasopenedon the groundfloor to servestaff and visitors. 36 Plansfor the replacementof the 1890wing werebeingconsidered.However, demolition would cut off a number of serviceslocatedhere. Consultants'advice was soughtand it was decidedto delay the undertakinguntil after the "D" wing could be constructed. The proposed new buildingwould connectwith the 1950wing. The cafeteriafacilitieswere finishedand in operationJanuary1, 1952. During this year also the unfinishedportion of the residencewas completedand a passengerelevator installed. This work was done by the EastwoodConstructionCompanyof Peterborough. Relocation of departmentsand servicescontinuedas spacebecameavailable. The hospital chapel was transferredtemporarily to the residencelounge in August 1951. The radiology departmentnow on the main floor of the 1922wing, was extendedinto the spacethus created. The hospitalchapelwas restoredto its presentlocationfrom the Armour Road entrance after the demolition of the 1890wing. Space was now available in the basementarea of the 1890 wing to centralize housekeepingserviceswhich up to this point were under the supervisionof nursing. Sister Margaret Allen had completeda course in Hospital Housekeepinggiven at Michigan State University and in 1957 she was appointedthe hospital's first executive housekeeper. She developedthe departmentwith her assistant,Marion O'Toole. Its main objectivewas to provide a clean, safeand efficient environmentfor patients,staff and visitors. Progresswas slow in planningrenovationsand the constructionof anotherwing because of theseprojects. Help was requestedftom of problemsespeciallywith financial management the city and a grant of $520,000wasgiven. However, in addition to the federaland provincial building grants, it was estimatedthat over one million dollars would still be required. The Hospital Auxiliary was alreadymaking substantialdonationsfor specialhospitalequipmentand services. A searchwas begun to obtain further supportfrom clubs and organizationstowards furnishingsand equipmentcosts. The By-l,awsfor the hospital'smedicalstaffwerein needof up-dating.This revision for the followingreasons: becamenecessary - numbersof doctorsincludingspecialists, the increased - the development of departments with increasingnumberof committeesand meetlngs, - situations arisingfor whichtheexistingBylaws did not apply, - in the regulations changes of the OntarioPublicHospitalsAct, - recommendations of the Canadian Councilon HospitalAccreditation, - plansfor thenewwingwhichwouldincrease bedcapacityandneedfor additional services. All of this requiredintensework on the part of committees.The formatwas basedon the prctotypeof By-l,awssentout by the Department of Healthfor usein smalland intermediate hospitals. By-I:ws and Rulesof St.Joseph'sGeneral On March 22, 1956the Constitutions, Hospital,Peterborough wereapproved by theDepartment of Healthwith an Order-in-Council. On May 7, 1956, 'Full Accreditation'was againreceivedby the hospitalfrom the of of thehospital'shigh standard Canadian Councilon HospitalAccreditation.Thisrecognition for serviceresultedfrom the surveyconductedby Dr.K.Hollis for the Joint Commission Accreditationin Chicago,who gavethe appraisalandapproval. Our schoolsfor X-Ray technologyand Medicallaboratory Technologywerealso fully approved. of Health,Torontomadean About this time also,Mr. Dearlovefrom the Department theinstallation of auxiliarypowerin thehospital,andgrounding inspection.He recommended precautions in the operatingroomiuea. He alsoadvisedagainstthe useof the 1890wing for patients.Its usewasdiscontinued in 1958. 38 1956was also a memorableyear for the schoolof nursingwhen it celebratedits golden anniversaryon May 30th. Among thosepresentwere threeof the sevenmembersof the original classwho begantheir training in 1906. They sharedspecialmemorieswith the 1956 classof twenty-four graduates. Laura O'Brien, classof 1917, nursing in Edmonton made the formal presentationof the Nurses' Alumni gift to the school, that of a beautiful grandfatherclock. Meanwhileanotherapplicationwasmadefor approvalof additionalactivetreatmentbeds. This requestresultedin the approvalby the HospitalCommissionfor 122 bedsand the various servicesrequested. It was also noted that an increaseof financial assisiancefrom the Federal and Provincial governmentswas being madeavailablein January1958. At the 1958annualmeeting,BishopB. Websterannouncedthe appointmentof a full-time chaplain,ReverendV. Gillogly to servethe spiritualneedsof the hospital. At this meeting,also a film was shown on the new Ontario pre-paid health insuranceplan, The Ontario Hospital ServicesCommissionto becomeeffectiveJanuary1. 1959. Sisterl-oyola who wasin chargeof thehospitalbusinessoffice andaccountingdepartment at this time, recalls some of the immediateproblemsin trying to shift to the required new system. "The staff had no experienceand little directionin coping with the massivereport forms and detailedpaperwork. A trial budgethad alreadybeen submitted. The clinical recordsfor all patientswho would be in hospitalat midnight, were sent to the office. All of thesehad to be checkedfor chargesbeing submitted. These wouid include all medications,dressings,surgical procedures, special treatmentsetc., and the financial statementto be closed as of December31st, 1958. There was no referenceas yet for reimbursementof unpaid accounts." The impact of this rapid and far-reachingchangewould not be apparentfor sometime. 39 St.Joseph'sllospital - 1950Wing LR Clinical Laboratory; Blood Donor Clinic Staff; Sisters on hospital lawn (1950's) 1960s Early in 1961,the OntarioHospitalServicesCommissiongaveapprovalto proceedwith the expansionplans which had been submittedthe previousyear. The architect,E.J. Turcotte of Montreal had preparedthe drawingsfor a new wing, renovationsto the 1922and 1950wings and the demolition of the 1890buildins. The contractwas let to the lowest bidder, the Anglin-NorcrossConstructionCompany, Toronto. The sodwastumed April 5, 1961and work commencedthe following day on the 1964 wing. The cornerstonewas blessedand put in place by Bishop B.I. Webster on January20, 1962. Attendingthis gatheringwasJohnJ. McCabewho had also beenpresentat the laying of the first cornerstone(in 1888)for St.Joseph'sHospital. Meanwhilework wasprogressingin the boiler room. New boilers were installedfor the use of oil instead of coal. An expansionto the kitchen was also made to provide new refrigeration, larger dishwashing and vegetablepreparation areasand increased storage spaces. It was noted that 95% of the men working on the construction were from Peterborough and surroundingareas. By December, medical and surgical floors of the new wing were ready for use and the first patientwas admittedJanuary1, 1963. By March all patientareasand serviceswere in full operationand renovationson the A and B wings had commenced. A nurserecallsan experiencesheenjoyedas a studentinvolved in the transferof patients from 3C. "The teamspirit wasevident,staff of different departmentssharingand - no U-HAUL servicecouldmatch mixinghopes,laughterandenthusiasm our efficiency. It waslikenedto a movefrom somequaintlittle, rural hometo the bright lightsof the city ... Like all transitionsfrom old to hadto be made. The challengeresultedin improved new, adjustments services.In retrospect,I amgratefulthatI waspart of the teamexp€rience ... betterfacilities,improvedpatientcareandhigherstaffmorale." 42 Another nurserecallsworking on the night shift during transition, "the fire alarm on the new wing rang fiercely and steadily, about 1.30 a.m. The city's fire truckswould arrive promptly and after the entire area was checked,it was then considereda false alarm. This incident was repeated on four consecutivenights after which the problem was resolved." This year continuedto be particularlydifficult as work of the hospitalhad to be carried on while departmentswere being movedand re-organized. An administrativechangewas made in the nursing departmentto sepamtethe dual responsibilitiesof the director of nursing. Thus, in 1963one director was appointedto provide staff for the nursing care of patients,and one to direct the schoolof nursing. Of interestto note, was that the first CancerClinic in Peterboroughwas openedin 1961. Spacefor this servicewas madeavailableon the groundfloor of the nurses'residence. Doctors Beal and Ryder from the PrincessMargaret Hospital, Toronto conductedclinics here twice monthly. An EmployeeHealth Servicewas initiated April i5, 1963. The first union contractwith the CanadianUnion of Public Employeeswas signed,June 30, 1963. The first full-scaleexerciseof theEmergencyMeasuresOrganizationofPeterboroughwas carried out this year. A further safety feature introducedinto the hospital was a stand-by generator. In the event of a power failure, this generatorcould be put into serviceand supply power throughoutthe entire hospital. A new parkinglot for medicalstaff and visitorswas completedby September.It wasreachedwith the pastorat providedaccommodation for 125cars. In addition,agreement the ImmaculateConceptionChurchnearby,for the useof its parkingareaswhenno parish againon thesiteafterthedemolitionof serviceswerebeingheld. Parkingspacewasextended the Houseof ProvidenceHome for the Aged. This buildinghad beenerectedon hospital prop€rtyin 1900. 43 In thefirst published reportof 1963activities,theadministrator notedthatafterfive years planning years of andtwo of actualconstruction, thenewwing wasfully functional, This wing provided 113 additionalbeds, new departmentsfor X-Ray, Medical Iaboratory, Emergency,Physiotherapy,Pharmacy,Central Supply, Medical library, administration,conferenceroom, admittingandgift shoppe.The surgicalsuiteon the fifth floor containedoperatingrooms, major and minor, cystoscopicrooms and a twelve-bedrecovery room, the fourth floor wasthe maternitysection. TheformalopeningtookplaceMay 12, 1964,DoctorM.B. Dymond,Ministerof Health officiated and addresseda large gatheringof officials, staff and citizens. Conductedtours followedof theentirefacilitywhichincludedtherenovated 1922and1950wingsaswell asthe 1964wing. After the 1890wing wasclosedto patientcare, the final bed complementstooda1224 adult and childrenbedsand 39 bassinets. Also reportedat this time wasthe dramaticincrease in the year'spayroll; $1,366,000 with 368 full time and68 part-timestaff. It waspointedout that the hospitalplaysa significant part in the economicwell-beingof Peterborough. In September 1964theprogramofthe Schoolof X-RayTechnology ofboth city hospitals wasamelgamated. It was now becomingevidentthat a spe.ial arsr was neededfor intensivecare of the critically and seriouslyill patients. By 1965a four bedwardon 38 wasmadeavailable. Specialequipmentwasinstalledand the first IntensiveCareUrrit wasmadefunctionalat a costof $6,000. The revisedConstitutions, By-I-awsand Rulesof St.Joseph's GeneralHospitalwere approvedby Order in Councilby His Honour,the Lieutenant-Governor of Ontarioon January 28.r96s. The administratorrecordedspecialthanksto Dr.R.S.Chenoweth and his By-Iaw committeefor the manyhoursrequiredto completethis project. The Medical Staffs approval of the documentwasreportedat the Board'smeeting,April 6, 1965. During Octoberanaccreditationsurveywasconductedandagainwe receivedrecognition as a fully accreditedhospitalby the CanadianCouncilon Hospial Accreditation. 44 specialthanksto theBoardmembers,MedicalStaff, hospital Theadministratorexpressed personnel so muchto our meritingthis approval. andall otherswho hadcontributed attentionin both Peterborough Regionalplanningwas now receivingconsiderable effortsand to effectmore economicoperationsby hospitals. Its purposewas to consolidate equipment. andexpensive avoiding,wherepossible,the duplicationof services 75 Yearsof Service its diamondjubileeof serviceto Hospitalcelebrated On December 8, 1965,St. Joseph's in 1890. the sickandneedywho cameto its doorssinceits humblebeginnings Of specialsignificanceon this occasionwastherededicationof the hospitalchapelwhich hadbeentransferredto theNurses'residenceduringtheconstructionandre-constructionperiod. The largeroom on themainfloor of theC wing hadbeenrenovatedandconvertedinto a suitable locationfor the chapel. Theceilingwasloweredandfluorescentlightinginstalled. The floor wascarpetedin blue and the window drapesandreredoswereof beautifulgold fabric. A new altar wasbuilt by the maintenance staffandthe Stationsof theCrosswererefurbished. wasofferedby BishopB.I. Websterassistedby ReverendJohn Massof thanksgiving assisted with the liturgy. Vanston,Chaplain.The Sisters'choirfrom MountSt.Joseph The Iadies' Auxiliary convenedthepublic receptionandteato mark the occasion. The guestssignedthe registerus€dat the 1890offrcialopening. Scrapbooks,albums,andpress clippingson the early yearswereon display. The bonehandledsilver trowel usedin laying the wasalsoin view. 'l888cornerstone A float preparedby the HospiralAuxiliary staffandon the themeof the GoodSamaritan wasenteredin the city's SantaClausparadeof the yearandwasawardedthe trophy. The staff bulletin. alsoissueda specialanniversarv Early in 1966specialme€tingsof the Advisoryand GoverningBoardswere held to considera re-construction of theseboardsin orderto facilitateconformingwith the provisions in the mostrecentAccreditationreport of the Public HospitalsAct. It hadalsobeensuggested format and responsibilities of these boards be reviewed." In the draft for the "that the compositionof a new board,one quoteworthyitem appeared; to read'persons' somewomencouldbeappointed ... 'men' shouldbechanged "Perhaps in theConstitution" ... 45 At the annualmeeting,the recommendations of the committeewereaccepted,The new boardwasnamedBoardof Directors.Its composition wouldbringthecommunityat largeinto muchclosercontactwith the hospital.The Constitution andBy-l,awsoutlinedresponsibilities andtermsof office of the members. TheBoardof Directorswouldbethepolicy-making bodyandthehighestauthorityin the organization of the hospital. The boardwouldbe responsible to the GeneralCouncilof the Sistersof St.Joseph, the ownersof thehospital. The first meetingof thenewly formedBoardof Directorstook placeApril 20, 1966with Mr.W.F. McMullenits first chairman. The directorof the schoolof nursingwasthenauthorizedto setup a separateboardfor the school. It would be responsiblefor the school'soperationand the director would be accountableto this boardand not to the hospital'sboardof directors. In April a formal requestwas madeto the Collegeof Nursesof Ontario to changethe traditional threeyear nursingprograminto one of two yqrs in length with or without a third yearof experience in hospitalnursingservice. The approvalwasreceivedJwe29,1966. Thus,the students enrolledin the schoolin September1966wereadmittedto the newprogram. This programwasdesignedto offer two yearsof nursingeducationfree of obligationto provide nursing service. It would be followed by an internshipyear during which time the students wouldreceivea salaryestablished by theO.H.S.C. This third ysu wasa requirement at the time because of the provincialgovernment's frscalpolicy involvingall post-secondary education. The 1968classwas the last to graduatefrom the traditionalthreeyear prognm. 46 NationalCentennial1967 To commemorate this significantnationalevent,the staff decidedon an illuminated goal fountainand seta of $1,500to helpfinancetheproject. etc. contests, Eachdepartment raisedmoneythroughraffles,bakesales,entertainments, illuminated the constructed department anda total of $2,500.wasrealized. The rnaintenance theornamentalgarden fountainandcenteredit in a flower garden.TheAuxiliary complemented in the front lawn. by providingadditionalfundsfor shrubbery thefounlaintookplaceon NationalHospitalDayMay Theofficialceremony of activating gift Boardchairmanon behalfof the hospital. The was formally accepted by the 12th. of materialssubmitted A Centennial Bulletinwascompiledby theAdmittingdepartment follow here. Excerpts from a few of these by individual services. "It is the feeling of being an essentialpart of the whole hospital team, we believe,is what contributesmost towardspersonal qualitycareanda well run institution"... satisfaction, themostsignificant changewastheintroductionof "In retrospect, Planin January1959.Thispiece theProvincialHospitalInsurance did muchto change of legislationcovering95% of our population thebasicadministration of all hospitals acrossOntario"... "Our departmentbesides dispensingmedicines and drug information has duties involving business administration, purchasing,stockcontrol and generaldistributionof information in medicaltreatment"... on newdevelopments "From the rudimentarylaboratoryserviceinitiatedin 1913in a cornerroomon thetop floor of 1890buildinga nineroomunit has evolved. The work load showsa frve-foldincreasein the Dastten yearperiod"... wasopenedin March1963.with "Our modernX-Raydepartment the specialistsin vascularsurgerysettingup practicehere,we have beeninvolved in additionalproceduresfor their specialty. Two ImageAmplifiersrecentlyacquired reduceradiationdosageof the patientand has providedaddedprotectionto radiologistsduring fluoroscooic examinations.',.. 47 "The workloadin the admittingdepartmenthasbeensteadilyincreasing. Pre-admittingfor electivebookingsincludesbusinesstransactionfor paymenton prefenedaccommodation.O.H.S.C. forms and advanced informationfor patients'recordsiue suppliedto all departments involved. A daily report of accidentsis given to the pressand radio. Business office, accountingandswitchboardservicesmakeanessentialcontribution to an effectiveoperationof thehospital"... nursinghasmovedfrom intuitive care "In thecenturysinceConfederation, and a simpletrustin MotherNatureinto a highly complexorganization withina modernhospital.In thesymbolof Expo'67 andits captionlMan andhis World! we seenursingasone smallmotif makingits contribution to thewhole." ... The schoolof nursingchoir also participatedin a numberof the city's celebrations. Noteworthy was its presentationof an 'Old FashionedChristmas' which was televisedat Christmas1967. The HospitalAuxiliary sponsoredan historicalfloat which wasenteredinto the city's SantaClausparade. The hospitalalso participatedin the OntarioHospitalServicesCommissionCentennial Project. Its purposewas to assisthospitalsin the West Indies which were in dire needof supplies and equipment. Our contributionswere picked up by transport. The federal governmentsupplieda Royal CanadianShipto transporttheseitemsto the West Indies. Anothereventof historicalsignificance wasthe signingof the first collectiveagreement Hospitalon May 12, 1967. This wasthefrrstunion with theNursesAssociation of St. Joseph's wascertifiedby the OntarioIabor RelationsBoard. of nursesin Ontarioandthe Association The hospital'sfirst personnei director,Mr.J.D.Johnston wasappointedon August23, 1967. A, department wasthenestablished underhis direction. A departmentof SocialServicewasalsointroducedin Augustin co-operationwith the Family CounsellingService. The servicebeganon a one-dayper weekbasisandwasunderthe direction of Mrs. Marv Parthun. 48 During the summermonths,the frfth floor of the 1922wing wasrenovatedandconverted Personnel,EmployeeHealth, Social Service' into office spacefor nursingadministration, rooms. HospitalAuxiliary andtwo muchneededconference at the November The proposalfor a Regionall,aundryServicewasfurtherdiscussed it was noted, viewpoint economic Directors. From a straight the Board of meetingof 1 that we have$80,000worthof newequipment of, whichwouldhaveto be disposed 2 thatour laundry'soperatingcostis well below the districtaverage, 3 thatwe areableto maintaina high qualityof linen for patients. January3, 1968. The dutiesof A new twenty-fourhourpatrolguardwasinaugurated on fire and safetyhazards, hospital rounds, checking this securityguardforce includedregular parkinglotsandbeingon thelook-outfor unauthorized thehospital's controllingandsupervising Dersons. A new systemfor Admissionand DischargeHours was put into effect in both city wouldpresentthemselves hospitals,May 12, 1968. Underthis method,patientsfor admission leave l1:00 a.m. would by p.m. having been discharged while those by 3:30 It consisted ofa series Programwasalsojointly established. An In-ServiceEducational given in specialties. by a numberof the medicalstaff of lectures in Peterborough County doctorswereawardedthefirst life membership Six Peterborough in this to medical care Medical Society. This wasin specialrecognitionof their contributions community. They were DoctorsDobson,Fitzpatrick,C.Scott, G.R.Scott,S.Walshand H.Young. They wereall heldin high esteemat thehospitalfor their devotedserviceto patients. (seePeterborough ExaminerMay 30, 1968). jointly in May 1968and wasput underthe A HomeNursingProgramwasdeveloped direction of the Victorian Order of Nurses. The CanadianRed Cross Society had already in theHomemaker Service. responsibility of trainingpersonnel assumed It was anticipatedthat theseservicesshouldalsorelieve to somedegreethe in-hospital beds. A singleambulance service,financedby theO.H.S.C.wasalsoinitiatedin Peterborough in the sixties. 49 DoctorJ.C. Baldwinon HospitalPlanningCouncil,O.H.S.C. had urgedlocal hospitals formally to constitutea Community PlanningCouncil and broadenit to the district level. He statedat this time that local projectswould be consideredonly after the recommendationhad beengiven by the PlanningCouncil. The PeterboroughHospitals' Council was officially constitutedat a meeting of the executivesof both hospitalsheld September17, 1968. The Boardof Directorsgaveits approval in principle to its establishment. This Council was a requirementof the O.H.S.C. It was designedto overseethe correlationof the respectiveservicesof both hospilalsand guide their growth. It would later be given a regionalrole. The Ontario Hospital ServicesCommissionhad approvedin principle last year, our proposalfor a new IntensiveCareUnit and additionalmedicaland surgicalbeds. Howeverafter two years planning and two sets of architect'sdrawings, approval to proceed was delayed becauseof lack of funds. Fortunately by September 1969 financial restrictions imposed by the federal and provincial governmentshad been relaxedand approvalwas given to proceedwith the project. The contractwas signedOctober23, 1969and completiondate establishedas of 1970. A consultanton the Fire and SafetyInspectionBranch,O.H.S.C. hadalso recommended the demolition of the 1890buildine. NursesResidence Opened1947 50 Demolition of the Original Hospital to levelthe 1890 As soonasapprovalwasreceivedfrom theO.H.S'C.,plansproceeded for thehospitalchapel exceptfor thesectionrecentlyrenovated structureandthe 1908extension fine old buildinghad its this Because of age, Armour Road entrance. andoffice spaceat the hazard. For manyyearsit problemandindeeda fire andmaintenance becomea housekeeping knownas Ashburnham. hadbeena landmarkin thatsectionof Peterborough to the in the "C" wing hadalreadybeentransferred The patients'areaandthe services 1964wing and the renovaten]!/22 and 1950wings. A numberof the Sisterswho were occupyingroomson thefourthfloor, graduallymovedto thethird floor of thenurses'residence. (It mightbe recalledby somereadersthatan IsolationWardat onetime hadalsobeenlocated on 4C andhadbeenin useuntil the QueenMary IsolationHospitalwasbuilt). for completionin July. A saleof somefurnishingsbrought Demolitionwasscheduled collectors. andmemorabilia seekers forth manydealers,antique of living with thirty Sisterson 4C, OneSisterrecallswith nostalgia,her experience "thehappytimeswe hadtogether.Thecaringandsharing memories.Manyof theseSistershave leavesonly pleasant go left us alreadyto to the Father." AnotherSisterrecallsmovinginto luxuryliving in thefire-proofbuildingof thenurses' residence.Moreover, of VaticanII somerecommendations "implementing on ReligiousLife, suchas changingour religious name to our baptismaland family name, and modernizingour traditionalreligioushabit, was " life stance. ratherupsettingto our accustomed 51 The wreckerspromisedto takeextremecareby thegradualremovalof the upperstructure of the building. However, a hiddencoil on the third floor crashedthrough the floor, causing a large hole in the chapelceiling. Moreover, it had rained for three days and despiteplastic coverings, the carpet and some furnishingswere ruined. Of course, all of this meant more renovationsand the replacementof draperyand carpetin the chapel. The cost of demolitionwas $10,500. By mid-July 1969 the original St.Joseph'sHospital had disappearedinto history. By the end of the year, SisterMarie Paul, hospitaladministratorfor the pastelevenyears, resigneddue to illness. Sister was presentedwith the Award of Merit from the City of Peterboroughfor her outstandingcontributionto its community. Board of Trustees- 1960's 52 St.Joseph'sHospital- 1964Wing 1964Wing LR Official opening;RecoveryRoom; OperatingRoom;IntensiveCare Unit LR Staff-MedicalRecords;Pharrnacy; HospitalAuxiliary; Radiology;Nursery 1960's The Staff of Ft. lweytt's Generalffiaryilal cordiallyinviteyou to be p.esentaf the presentation of their CENTENNIAL FOUNTAIN AND GARDEN on NATIONAL HOSPITAL DAY Friday, May l?th, Lg67 at 2:30 p.m. 1967CentennialQuilt Project ($550.00) 56 : CentennialProject- HospitalStaff May 12, 1967 75th AnnivemaryCelebration(1965) HospitalChapel:AuxiliaryFloat-"TheGoodSamaritan" 58 1970s Mr'I,eoB.DoironwaschosenandappointedtheadministratofofSt.Joseph'sGeneml person Hospitalin January. In the hospital'seighty-yearhistory, Mr'Doiron becamethe first lay to assumethis resPonsibilitY. Rationalizationof Services HosPitals) (Peterborough Hospitalconsultantswere askedto studythe future In February1970Agnew-Peckham hospialsanddistrict. The studywasauthorizedby the Peterborough rolesof the Peterborough HospitalCouncil. The report wasacceptedandapprovedby the ontario Hospitalservicescommissionto proceedwith ihe developmentof a Masterplan and rationalizationof services. reportsof studiescarriedout 1970-1974'the of consultant Emergingfrom discussions plan for the division of services boardsof bolh Feterboroughhospitalssettledon an acceptable wasratified by the Peterboroughand to be madeavailableat eachhospital. This arrangement District HospitalPlanningCouncilwhichwasthelocal voluntaryhealthplanningagencyin place at this time. The following is a summaryof the generalallocationof services' obstetrics: would be centralizedat Peterboroughcivic Hospital and the GeneralHospitalwouldbeusedfor facilitiesat St.Joseph's vacated a centralizedOrthopaedicSurgeryUnit' paediatrics: at P.c.H. .... Ten bedswouldbe retained wouldbe centralized at s.J.G.H. for children'selectivesurgery' Psychiatry: at P.C.H. ... ' wouldremaincentralized GeneralMedicine and GeneralSurgery: wouldbe carriedout at bothhospitals. Surgery: Orthooaedic oohthalmology: at S'I'G'H' wouldbe centralized surgicalserviceat S.J.G.H. wouldcontinueto be a cenEalized 59 DentalSurgerv: wouldcontinueto be a centralized surgical service at S.J.G.H. Ambulator)., surgery.Radiologyandlaboratoryservices: wouldcontinueto be carriedon at both hospitals with a commonstaffand NuclearMedicine: wouldbe established asonedepartment operatingunitsat bothhospitals. Emergency service: both generalhospitalsshould continue to have emergency facilities departments sinceboth supplybasicservices.Expanded shouldtakeplaceat P.C.H, wherethelargervolumeof emergency visitsis received. Rehabilitation: at A new serviceneededin the region would be established S.J.G.H. Thein-patientfacilitieswouldincludea unit of 32 beds. Necessaryout-patientfacilities for an integratedprogram would alsobe partof this newservice. Chroniccare: wasnot established by theMinistryof Healthat this time. at P.C.H. AmbulanceService: wouldremaincentralized LaundryService: both hospilalswere alreadychartermembersof a centralized hospitallaundry. planscaused the little concernin theirimplementation, While someof therationalization longdelaysanddifficulties. transferof majorservicespresented Orthopaedics: for S.J.G.H.theactionwasslow Whilethisservicewasdesignated in followingthe transferof obstetricsto P.C.H. This delaywas undertaken at on the costof renovations due in part to decisions project constraints by the P.C.H. and the impositionof capital Ministrvof Health. Paediatrics: of theneed for sometimebecause This servicewasnotcentralized to free up sufficientspaceat P.C.H. and for the judicious placement of a smallsurgicalunit at S.J.H. which woulddepend on otherphysicalchanges. 60 Rehabilitation: Therehasbeena long delayin implementingthis servicebecause the requestfor a capitalprojectadditionto S.J.G.H'hasnot received MinistrYof HealthaPProval. A new IntensiveCareunit anda new urol"r, unit wereoffrcially openedAugust25, 1970by Hon.T.L.Wells,Ministerof Health.Thesenewfacilitieswereprovidedby theaddition to the 1950wing. IntensiveCare Unit (190) I.c.u. of sevenbeds. Two of thesebedsare The area providesa self-contained completelyenclosedfor cardiaccareandthe spacecanalsobe usedfor precautionaryisolation by glasspartitionsand all can be easilyobserved .""iur".. The remainingbe.dsare separated from the centralnursing station. The unit is equippedwith a central monitoring systemfor constantobservationof thepatients'vital signs. A physician,speakingat theboardof directors facilitiesareprovidedin thenewI.c.u. ... The equipmentis the meetingstates"tremendous mostup to datein the provinceof Ontario." The headnurseat the time relatesan early history of the IntensiveCareService' "Therewasa rapid increasein the numberof high risk patientsbeing treatedin of theadditionalmedicalspecialistssettingup their practice because Peterborough here." "For a few yearsspecialnurseswerebeingprovidedfor the seriouslyill patients but essentialequipmentwasnot centralizedandthis createdadditionalproblems." "In the mid-sixties, a four-bed ward had been convertedinto a temporary this spacecould intensivecare facility. Throughthe use of stretcher-beds, andpiped-in Thoracic suction patients. and Throat ill four critically accommodate cardiac monitor with cart oxygenwere installed. Respirators,and resuscitation and defibrillator were the initial sophisticatedpiecesof equipmentcentralized here. An alarmsystemwhichregisteredat thenurses'stationprovidedemergency he1o. " .... bI "However, in a short time becauseof the increasingnumbersof critically il1 patients,an adjacenttwo-bed patient room was pressedinto use for intensive care." "The head nurserecallsit was at this time that a specialI.C.U. committeewas formed to discussproblemsand to plan a new I.C.U. This unit was openedin 1970.".... "At first the nursingstaff had no additionalpreparation. We then initiatedan inservice program. The first EducationDay was offered, Dr.D.May, intemist, presentinga seriesof lectures, Then Dr.W.Thompson,internist, trained staff in recognizing life-threateningsituationsand teaching the technique of cardiac defibrillation, staff competencywasrecognizedby certificate. Dr. RossMcl-ean, Cardiologistcontinuedthe educationprogram and gradually it becamea joint effort of I.C.U. staff of both Peterboroughhospitals." ... "In time, Courses in Adult I.C.U. nursing were offered at the Ryerson Community College, Toronto. A number of staff availed themselvesof this soecialtv." UrologyUnit (1970) This facility wasmadepossibleby theadditionof thetennewmedicalandsurgicaibeds to this areawhere for activetreatment.Patientswith urologicalproblemscouldbe assigned speciallytrainedstaff and necessary equipmentcould be centralized. Towards the end of the year a specialsix-bedunit was openedfor day care of surgical oatients. oz Changein NursingEducation Officialnoticewasreceivedin October1970thattheinternshipyearfor nursingstudents wouldno longerbe required. With the school'stwo yearcoursefor diplomanursingin placeand approvedby-the to assumethatgiventime, the coursewouldbe reasonable collegeof Nurses,it had seemed ultimategoal was to place standirdized. It was becomingobviousthat the government's CommunityColleges' Diplomanursingwithin thenewlyestablished waswell With the suddeneliminationof theinternshipyearthe school'sadministration andto nursing,andalsoof theadditionalstaffrngproblems to students awareof its responsibility nurse it createdfor nursingservice.Onecasein point,theemployingof thetwo-yearregistered in-service education need for would require incieasedorientationschedulingand the progtur.ing for which no provincialfundingwasprovided. However,a diffrcult transition graduallytookPlace. January12, 1973theMinistryof HealthandMinistryof collegesandUniversities,in 1, 1973as the datefor the transferof all diploma set September a surpriseannouncement, nursingprogramsinto the Collegesof AppliedArts andTechnology' in 1906issuedits lastdiploma HospitalSchoolof Nursingwhichopened ThusSt.Joseph's of the school' in 1974. The Alumni Registercontainsthenamesof 890graduates and documents of theAlumniresearched of members composed An ArchivesCommittee preparedartifactsand memorabiliaof historicaland significantinterest. Thesenow constitute, The Schoolof NursingArchives, St.Joseph'sGeneralHosPital, (North Wing) Officiafly opened:May 12, 1978. OJ Top Row: L to R Third Row: L to R SecondRow: L to R Front Row: L to R CLASSOF 1974 J. Davidson,M. Wood,S.Tosh,P. Spinks,S.Walton,S.Bell M. Lahey,A, Meraw,N. Agnew,M. Robson,H. Brewster,S.Murray, M. Morton, M.A. Allen E. Cavanaugh, B. Stackhouse, A. Herr, L. Sullivan,WF. Flagler, S,Troy, S. Dawe,J. Foley,M. Sullivan L. Strack,R. Schauf,J. Fairfireld,M. O'Reilly,S.Whitney,J. Schulist,M. Malloy' C. Gallivan, M. Hunt, F. Marten (LastGraduationfrom St.Joseph'sSchoolof Nursing) in all patient In 1970;the hospitalconvertedto the Metric Systemof recordingmeasurements areas, - the first Food ServiceManagerwasemployed, - during the summer,the hospitaloperatedan out-patient DentalClinic for needYchildren, - agreementwas signedwith the KawarthaHospitalLinen Serviceswhich centralized the laundry facilities of the Peterboroughand Lindsay hospitals.Mr.HugoVan Hof, who waslaundrymanagerat St'Joseph's Hoipital was appointedthe generalmanagerof the newly established Servicewhich wasofficially openedin November1972. Final approvatwas given uy the ontario Hospital servicescommissionfor the at S.J.G.H. It waslocatedin the basement ofa NuclearMedicineDepartment establishment 22' 1971. levelof the 1964wing. The first patientwasreceivedDecember in both city hospitalswith equipmentin The RadioactiveIsotopeservicewasesfablished not duplicate,theother. eachlocationwhichwouldcomplement, Cenerauospitatwas adoptedin lieu of Boardof The title, Boardof Trustees,St.Joseph's Directorswhich title hadbeenin usefor a few years. The hospitalAuditors, in presentingthe annualfinancialreport, addedtltesecomments for clarifrcation. ,,The hospitalis a non-profit organizationproviding a public serviceand looks to the following soutcesfor recoveryof costs; Federalgovemmentfor servicesto veterans, Boardfor industrialaccidents, Workmen'sCompensation Otherprovincesfor servicesto indigents, The patient,who is not insuredunderthe provincialplan' Commission. The OntarioHospitalServices "Full recoveryof its costsfrom the foregoingservicesdoesnot follow as someof the costs are not recognizedby governmentfor its purposesin re-imbursingthe hospital e.g. baddebtlosses,etc. of its buildings,intereston borrowing,out-patient depreciation To offset andabsorbsomeof thesecosts,the hospitalis permittedto retainone-halfof " the amountreceivedfor privateand semi-privateaccommodation. 65 Technology whichopenedin 1956was TheSchoolof MedicalLaboratory from its program. hadgraduated closedin 1972. Forty-ninetechnologists period. In 1963 For a few yearsthe programwascompletedin an eighteen-month lectureswere sharedwith the Civic Hospital'sschool,and studentsreceivedtheir practical experiencein the respectivehospitals,the coursecoveringa twenty-fourmonth pedod. for registration wereconducted at theTorontoInstituteof MedicalTechnology. Examinations (O.H.S.C.)notifiedthehospital Commission Earryrn l972,theOntarioHospitatServices of new directives; - the O.H.S.C.wasbeingtransferred to theMinistryof Health, - thenumberof allowableactiveheatment a newformulawasbeingusedfor determining hospitals, beds.This changeresultedin a20% reductionfor the Peterborough - thatSt.Joseph'sGeneralHospitalobstetricalservicewasto betransferredto Peterborough Civic Hospital,March 1973. wasappointed in February1972.His role Thefirst medicaldirector,Dr.R.S.Chenfweth doctorsandadministration. medicalstaffactivitiesandto actasliaisonbetween wasto coordinate PlanningOfficerwashiredto assiststaffanddoctorsin planningfor thecare A Discharge from hospital. of thepatientsandtheir discharge of medicalandnursing to assistin theevaluation A HealthRecordAnalystwasappointed careand in bed utilization. A PublicHealthnursewasalsoavailablein thehospitalthroughtheCounty-CityHealth Unit. ofour communityhealthprogram. Through Thesenewservicesprovidedan extension their coordinatedefforts, morepatientswerebeingdischargedto chroniccarefacilities and the averagelengthof stayin hospitalwasdecreasing. The frrst casualtyofficer wasemployedto providetwenty-fourhour emergencycoverage in July andAugust. on week-ends resident,Mr.W.J. Innes,joined the staffJunel, 1973. The first administrative The Ministry of Healthimposedanotherreductionin the 1973budget. All levelsof govemmentare placing extraordinarypressureson the healthcare systemin order to contain costs. 66 Processof Amalgamation of Obstetrical Service Noticewas receivedthat the date,April 1, 1973,for transferof obstetricshad to be at P.C.H' to November,dueto thedelayin completionof renovations extended difficulty at S.J.G.H. The Ministry hadalready This reviseddatecausedconsiderable serviceasof April lst. for obstetrical deductedfrom its budgetour funding affectedasthestaffingpatternhadalreadybeengeared Nursingservicewasalsoseriously to transferwerealreadyhired' Those of staffscheduled towardstheoriginaldate. Replacement to adult nursing,were uncertainof their who did not chooseto transfer,or to be assigned dateswereconfusing.Thequalityof service noticesof termination andtheadvance employment jeopardy, low all of whichcreated staffmorale. wasplacedin s.J.G.H. to carryon andDistrictHospitalPlanningcouncilrequested ThePeterborough to obtainnewfunds it could itself to do all theservicetemporarily,theP.D.H.P.C.committing to offsetcoststhusincurred. Medicine,andNursingapprovedan interimplan The hospitals'boards,administration, at P.C.H. duringJulyandAugust1973,thenit would wouldbe centralized by whichobstetrics remainder of theyearbeforeit wouldbe transferred for the bL movedtemporarilyto S.J.G.H. permanently to P.C.H.asof January1, 1974. of dates,the actualtransfertook place, smoothlyand With two further extensions efficiently,May 4, 1974. to organizeandfacilitatethe directorof nursingservicewho wasassigned The assistant in the process. her involvement actualtransferringof mothersandbabesdescribes I was concernedabout the planning was required. great deal of advance "A during businesshours, so we of the newbom,acrossthe city transportation Serviceto beginat 5:00 a.m. .... bookedthe Ambulance whonoticedmy distress previous I metDoctorStrath,Paediatrician evening "The precious babesduringthe goingwrongwith our overthepossibilityof something by nursing".... havingto be assumed transferandthis responsibility move in motion, I met the 4.45 a.m. to set "Arriving in the nurseryabout Dr.Strath. My first reaction do we havea criticallyill infant,etc.".... backandforth until all thebabies Dr.Strathreplied."I will go in theambulance " are safelyin P.C.H. nurserY. "What a dedicatedphysicianand specialperson." b/ Last baby born at S.J.G.H. MaY 4, 1974 LR Mrs. Linda Holek and baby JennaLyn Leo Doiron, Joan Jones,Sister Margaret McDonald "By 8:00 a.m. the obstetricdepartmentwas barren and desolate' Indeedit was a sadday. While the majority of the staff transferredto P.C.H. thoseremaining, togethergrieved many losses- our co-workers,mothersand babes,and the joys of obstetricalnursing." Epilogue The first baby wasborn at S.J.G.H. January 16, 1909 The last baby wasborn at S.J.G.H. May 3, 1973. the beginningand the end of an era of maternaland newborncare, in St, Joseph'sGeneralHospital,Peterborough. 69 Staff Parties 70 The Orthopaedicservice was relocated June l, 1974 in space formerly used for Obstetrics. The departmentof Rehabilitationand PhysicalMedicine was established. A Pain Clinic was initiated to find relief for patientswith intractablepain. Office spacewas providedon the main floor of the 1922 wing for:. - The CanadianArthritis and RheumatismSociety, A new service for the Hearing Handicappedin cooperationwith the city's Board, A volunteerFoot Clinic for SeniorCitizenssponsored by The PeterboroughSeniorCitizensCouncil. Somelong-rangeplansfor changesin the useof the residenceand schoolof nursingwere gradually implemented. Agreementhad been reachedwith the Sistersof St.Josephto permit the building to be usedfor hospitalpurposes,recognizingthat the specificownershipof this property and building was separateand apart from their ownershipof the hospitalproper. - - The building was now designatedthe North Wing, Two bedroomfloors were reservedfor studentaccommodation, The classroomson the main floor were renovatedand leasedto the City's Social and Family Servicefor day care services. It was namedThe AshbumhamDay Care Centreand it was officially openedSeptember10, 1975, Renovationsto the ground floor providedfour office suitesfor the Ashburnham Medical Services, Office spacefor the Pine Ridge Lung Associationwas also arranged. It was noted in the 1975 annualreport that generalhospitalscontinue to grapple with financial restraintsand with the increasingneedfor more chronic care beds. Medical and surgicalbedsreflecteda 95yo occupancyfor the year. procedureshave beencentralizedin this hospital. All radioactiveisotopebone-scanning 71 The hospitalestablished its prioritiesfor theDistrictHealthCouncil,the first beingthe establishment of the Rehabilitation Programwhich is timely both for the hospitaland the communityof Peterborough.However,the Ministry notifiedthat no capitalfundswill be availableuntil the 1979-80frscalyear. The Ministry of Healthapprovedthe HospitalBy-Iaws as enactedby the Boardof Trusteesof the hospital. The Peterborough Hospitals'Fundwasestablished in February1976. City Bus servicebringingpassengers to the RogersSfeet enfanceof the hospitalwas in November,1976. established The departmentof Rehabilitationand PhysicalMedicine receiveda researchgrant to conducta DisabilityStudyor Surveyof disabilitiesthat existin the populationthis hospital serves. A BackCareProgramhasbeeninitiatedthroughthisdepartment to provideeducation to patientswho havebackailmentsor injuries. The Marchof Dimesfundedan Orthotic-Prosthetic workshopwhichwassetup on the mainfloor of the 1922wing. A welfqualifiedorthotist-prosthetist haslocatedhis practicein Peterboroughand with the help of local organizationsthe hospitalprovided spaceto set up a completeworkshopso he canwork in thehospital. The RainbowClub for development of a Disability ResourceCentrehasoffice spacein the 1922wing. The Centreopenedanly in 1977. The local peripheralCancerClinic operatedby the PrincessMargaretHospitalwasrelocatedhereMay 11, 1977,in spaceprovidedon the4th floor of the 1922wing. It hasbeen period. transferred to P.C.H. duringour construction DoctorBealewho hadconducted in theseclinicsin Peterborough since1961expressed a letter their appreciationfor the excellentfacilitiesprovidedfor the OntarioCancerInstitute. 72 Our policiesand procedures for the controlof narcoticand controlleddrugs were Drugsand the reportread, reviewedby the NarcoticsInspection of the Bureauof Dangerous "Everythingwasin excellentshape. " for the year 1978would It wasnotedthatthehospital'sestimated fundingrequirements be exceeding the Ministry'scommitment to thehospitalby $201,000. Thoughnot desirable,it wasfoundnecessary to close43 surgicalbedsduringJuly and Augustas a temporarymeasure to controlcosts, The populationservedby the hospitalduringthe yearwasestimated at 108,300. The generalpatternshowedone-halfof our patientsresideinsideIhe city, 227ain the county,25% in neighboring outsidetheseparameters andoutsidethe province. countiesandthe remainder MedicalandSurgicalbedsshowed95% occupancy; the daily averageof patientstaywas8.8 days. programwasestimated of whichthe Thecostof construction of theRehabilitation at $6,686,000 Province'ssharewouldbe $4,443,700, theremainder of whichwouldbe a localresponsibility. CanadaWorksGrantfundedtheDisabilityResource Centrefor anotheryear. YoungCanada WorksProgramprovidedfundsfor salary,wagesandotherexpenses for themicrofilmingof medicalrecords.This fundinggaveemployment to five universitystudents for a ten-weekperiod. programwasstarted.It wasdesigned Pre-vocational Assessment to assistin rehabilitating disabledpersonsfor their entryinto theworKorce. An orthopaedic clinic wasinitiated. A Shortness of BreathClinic wasbegunin cooperation with the Lung Association. The Fisher-Gaugefirm approvedthe useof their parking lot to establishan emergency landing site for the helicopterambulancecenteredin Toronto. IJ to a student to be presented HospitalAwardwasestablished The Sistersof St.Joseph's graduatingfrom Sir SandfordFlemingCollege. The Archivesof theSchoolof Nursingwasofficiallyopenedon NationalHospitalDay, May 12th.The MedicalStaffdonateda taperecorderanda supplyof tapesto theArchives. A collectionof of the MedicalandHospitalstaffsarc on file. tapedinterviewswith members The Secretaryof State requestednamesof personswho have made outstanding to Institutionsin thepublicandprivatesectorsto be recipientsof SilverMedals. contributions to the throne. of Her Majesty'sascension Thesehadbeenstruckto markthe 25thanniversary andMargaretTunneywerethethreenameschosen L.B.Doiron,DoctorR.S.Chenoweth by a SelectCommitteeto receivethe Queen'sJubileeMedal1977. The informalpresentation took placeon October25, 1977. bedsis based thatthenumberof activetreatment TheMinistryof Healthnotifiedhospitals had of42 activebeds. a surplus that Peterborough andindicated on 3.5 bedsper 1000population to theMinistry,theDistrictHealthCouncilandlocal Statisticdinformationwasreleased to active waitingfor admission patients Emergency Department in our number of Mediaon the ne€dof the home beds, and nursing treatmentbeds;the numberof patientswaitingtransferto additionalbedsin the area. andthe situationof patients'complaints from theMinistryinvestigated A representative by patientswaitingin thedepartment.Followingthevisit, thecrowdedconditionsexperienced thenumberof nursinghomebeds. Ministry decidedto increase that the thehospitalwasadvised Continuingfiscalrestraintsforced,for the secondyear,theclosingof 43 surgicalbeds for July andAugust. from theCity andCounty fundingassistance For thefirst time,thehospitalhadto request requests wereapprovedby both The capitalequipment. of essential councilsfor thepufchase Councils. whichresultedin direct savingsof about Programwasimplemented A CostEffectiveness $46.000. '74 Renovationswere carried out in the EmergencyDepartment.The new arrangements eliminatedthe needto have bed patientsin the corridors. The official openingof the renovatedfacility took place October 10, 1979. A 24-hourEmergencycoveragewasimplementedthroughFamily Physiciansmaintaintng a full roster of 'on-call' volunteerdoctors. Other minor physical changesoccurred during this time' Pharmacy was moved to basementlevel and a clergy room was madeavailableoff the lobby at Almour Road entrance. A tunnel connectionwas madeto MarycrestHome for the Aged. The United HandicappedGroupsof Ontarioopeneda new offtce in the 1922 wing. The Ontario Hospital Associationhonoredthe hospitalwith the presentationof a Plaque in recognitionof its fifty yearsof membershipin the Association. Nuclear Medicine was surveyedby the CanadianMedical AssociationCommittee on Technologists'Training and was given approval. Radiation levels in the Radiology Departmentwere measuredand found to be within acceptablelimits. The CancerClinic in the hospitalis the largestof the flve peripheralclinics in Ontario and handles28% of the total visits to all clinics. The DisasterPlan Call-BackSystemshowed7270of the staff called would have been availablefor duty if necessary.Theseresultswereconsideredexcellentwhen comparedwith the provincial average. The hospital has continued to receive, unintemrptedly, full Accteditation from the CanadianCouncil on HospitalAccreditation,thoughthe surveysarebecomingmoreexactingand exDensrve. A specialtribute was paid to the hospital'smanagementpersonnelfor having won the Ministry of Health IncentiveAward for realizingcost savingsfollowing the introductionof the global budget system. 75 1980's HealthMinisterElinorCaplan,speaking at theannualconvention of theOntarioHosDital Association, callsthe 1980s"a decade of discovery"thatbroughtneeded changes in healthiare policies. "Therehasbeena realization thatonein ten acute care beds, and one in four chronic care bedsare occupiedby people who could be better served elsewhere... the goal is to provideservicesthat require a hospital setting while building up community-based services. ... " '89) (HospitalNews,December between thetwocity hospitals andsince1975joinfly with _ . After elevenyearsof discussion the District Health council, a cooperativeredevelopmenton a rationalization plan for Peterboroughwasapprovedby the Ministry. A reportof a studyby the DistrictHealthcouncil on "chronic care andAlternatives" indicatedthat r0% of activetreatmentbedsareoccupiedby patientswho requirenursinghome facilities. A Disabilitysurveyshowsthatin theFive county region,l\vo of residents suffersome form of disability. Our statisticsshoweda dramaticincreasein the lengthof stayin hospitaland indicated a largernumberof olderpatientswaitingplacement in long-termfacilities. The percentage occupancy for MedicalandSurgicalbedsremainsat95.4vo,this being l0% higherthanidealfor thegeneralhospital'sactivetreatment beds. '81 noted l02.8vo occupancyfor Medical and . The statisticalrcport for November Surgicalunits. The financialpictureimprovedwith $549,000from the Ministry to covermostof our budgetshortfall. In 1981the Ministry advisedhospitalsacrossthe provincethat the numberof active treatmentandchroniccarebedswasbeingincreased.This will includethe33 rehabilitationbeds in this hospitalto comeinto operationin the '83 - ,84 frscalyear. 76 (DnturiulfrMpitaLArsuriution " Miseris SuccurrereDiscimus" iEroorairgrqor@Bmfioro$f ctrhis is an Acrive Institutional Member of this Association,having been enrolled inlg!!, thereby directly helping forward the causefor which we work. "SERVICE TO THE SICK AND SUFFERING" Presentation of O.H.A. Plaque,October23, 7979 O.H.A. by C.E. Boyd,PastPresident To J.G. McCarney,SJGH,BoardChairman with the O.H.A. to commemorate 50 years'membership The PeterboroughHospitals'l,ottery was establishedand sponsoredby from this sourcewouldbe sevenserviceclubsin thearea. Thefundsgenerated availableto both hospitalson an equalsharebasis. The first draw took placeFebruary26, 1981. thatthishospital Mr.JohnAuklund,OntarioDivisionof theRedCrossSocietyrequested responsibilities of theMindenandHaliburtonhospitals. assume administrative hereApril 9' 1981. This majordiagnostic operating servicecommenced Theultrasound tool addsanotherdimensionto radiologyard nuclearmedicine,andprovidesmajorequipment andfacilitiesfor patientsin this area. The new systemwas introducedfor a 24-hour medical coveragein the Emergency dutiesJuly 1, 1981. The first CasualtyOfficercommenced Department. A favorablereportwasreceivedon thefirst inspectionunderthenewOccupationalHealth on theirabilityto work together werecommended members andSafetykgislation. Committee program. in the andachievesuccess Countries nine differentCommonwealth StudyTour representing A Commonwealth in an presentations the theme, on "People visitedthe hospital. Severalstaff membersmade Industrialsociety." in commendingthe Public Relations At the 1982 annualmeeting,the chairperson reiterated, Committeeon its work of updatingtheMissionSlatement, "The hospial'sbasicphilosophyof belief in each person's human dignity, worth and destiny, regardless of race,religion,age,mentalor physical state," ... remainsthe imperativein care and ... compassion. Thoughspecificservicesavailablemaychangefrcm time to time, depending on local needs and resources,Ministry guidelines,legislation and ... technological developments. GeneralHospitalwill continueto be a St.Joseph's dynamicagentof servicein the healthcare of the " community. '78 Top row, left to right: Centrerow, left to right: Rearrow, left to right: Absentwhenphototaken: - 1981 BOARDOF TRUSTEES SisterLoyola,Treasurer;SisterAngelaGuiry, Secretary;SisterMargaretMcDonald; F.J. Petrie,Chairman;Mrs. CarolePulver;H.R. Hammell;W'H. Mortlock; Dr. J.R.Epping L.B. Doiron,ExecutiveDirector;W.A. Clarke;MissVeronicaO'Leary; Wm. Wellman;Dr. R.A. Durnin, Chiefof Staff; R.P.Armstrong;Dr. R.L. Clarke;J.G.McCarney;Reverend W.E. Moore;I{.F, Fisher,SisterAlma Lavell J.K. Grant, ViceChairman;G.R.O'Connor BishopDoyle,SisterCecilia,Mrs, DiannaMcCormick,J.H, Harris, F. Heffernan Dutkevich Memorial Trust Fund Cheque($104,0fi))presentedOctober26, lgW I-R John Crook, Ilse Stangl, Frank Petrie Signingfor S.J.G.H. to assumeresponsibility for the Red CrossHospitalsin Minden and Haliburton FebruarY1' 1984 I-R (seated)CarolePulver; Sr.JeanRooney,Sr.VeronicaO'Reilly (Standing)Kevin Cummings;I,eo Doiron The annualreport alsonotedtherewasa numberof financialcontributionsmadeto the hospitalover the year. as of $100,000' wasestablished The DutkevichMemorialTrustFund,a sumin excess of development for and used the education an endowment,the income from which will be hospitalstaff. Othersignificantdonationswerereceivedfrom KawarthaPine RidgeLung Association, FisherGaugeLimited, The CanadianIrgion and a numberof memorialgifts all of which are deeplyappreciated. received for the moralsupportandfmancialassistance Sincerethankswasalsoexpressed aswell asfrom individuals;appreciationto the Medicalstaff from manyclubsandorganizations in thework of hospitalcommittees; who freely gavemanyhoursof servicewithoutremuneration and to the Auxiliary not only for its financial supportbut for its invaluablecontributionof servicethroughits volunteerprogram. Factorscontributingto the hospital'sfinancialdifficulties which relateddirectly to the servicesrequired,werealsooutlinedin the annualreport: - the high occupancyrate which wasover lN% in severalmonths, the increasingage of the populationservedmeantmore patientshad multiple healthne€dswhile hospitalized, by our patientclassificationsys!em), morepatientswereacutelyill (documented high cost servicesprovided in the areasof orthopaedicsand eye surgery in particularwhereextensiveprostheses and implantsare usedin mostcases, higherdrugcosts. Becauseof the bed shortage , 5l% of el*Eve bookingswere delayedlonger than eight weeks. A public meetingwas organizedUy esnUu-tturn RatepayersAssociation!o explore implicationsof the RationatizationPlanand the Facilitator'sreporton the servicesavailablein this hospital. The audiencemadeit clear that it wantsSt.Joseph'sGeneralHospitalto remain services. an acutecarehospitalwith emergency A hospital-wideQuality AssuranceProgramwaslaunched. A PalliativeCareProgramwasbegunin March 1983,underthe directionof the Pastoral CareDepartment. Thirty volunteerscompleteda 22-hourprogram. The new RogersStrcetparkinglot wasopenedJune3, 1983bringing to the hospitala total of 355 paid parking spaces. 81 C/T Scanner Hospitalsdetermined theneed A joint committee of Peterborough Civic andSt.Joseph's for a computerizedaxial tomographyscannerfor the Peterborough area. The C/T Scanneris a valuablediagnostic aid. It wasapproved by theMinistryin 1983but it advisedthis unit would not be eligiblefor provincialfunding. asajoint It wasagreedthatthis specialized unit wouldbeplacedat P.C.H. andoperated venture,the cost-shadngwould be proportionalto usageby eachhospital. fundswere A CAT Scancampaign waslaunched locallyApril 28, 1984andthenecessary raised. Over $2,000,000in donationsand pledgeswerereceived. This fund-raisingeffort involved113volunteersand2675hoursof work. in 1985andwasofficiallyopenedJanuary13, 1986. The facility wasfully operational GeneralHospitalin the In October1987a CatScanConsolewasinstalledat St.Joseph's RadiologyDepartmentthe costof which wascoveredby the Cat ScanFund. by theMinistryin April 1983.The RevisedBy-Lawsof theMedicalStaffwereapproved Medical staff complementshoweda total of 250 memberswhich included36 dentalstaff. The first combinedmeetingwas held betweenthe Board of Trusteesand the Medical and to outlinethe rolesof each AdvisoryCommittee(M.A.C.) to facilitatecommunications group in hospitalactivities. The Boardof Trusteeshasthe ultimateresponsibilityfor governingthe hospitaland its quality of care given. The Board dependson the Medical Advisory Committeeto keep it informedon medicalissues. to the Boardof reportsandmakesrecommendations The MedicalAdvisoryCommittee Trustees on matters concerningthe practice of medicine in the hospital in relation to professionallyrecognizedstandardsof Hospitalrnedicalcare, - providessupervisionover the practiceof medicinein the hospital, - participatesin the developmentof the hospital'soverall objectivesandplanning... - advisesand cooperateswith the Boardandthe Chief Executive officer in all matterspertainingto the professional,clinical andtechnicalservices..... 82 Merger of the Red CrossHospitalsat Minden and llaliburton TheSistersof St.Joseph of Peterborough, at therequestof theRedCrossSocietyaccepted the transferof ownershipandadministrationof the two RedCross"outpost"hospitalsat Minden andHaliburton. The Boardof Trusteesof St.Joseph'sGeneralHospitalapprovedthe agreementbetween the Corporationof the Sistersof St.JosephandtheRedCrossSociety. An appropriatefinancial s€ttlementwasconcludedanda satisfactoryfundingarrangement wasmadewith the Ministry of Health. At 1400 hours on Februaryl, 1984, St.Joseph'sGeneralHospital assumedfull responsibility for operatingtheseoutposthospitals. "We welcometheseinstitutionsinto our sphereof serviceand pledgeto continuetheir fine traditionof healthactivitiesin thesecommunities". By the 21st day of February1984all relevantlegal documentshad been signedand executed. Formalceremonies wereheldin Augustto recognizethe turn- over of thesetwo northem hospitalsfrom the Red Crossto St.Joseph's GeneralHospial. Thesehospitalsprovide emergencyservicesand in-patientand out-patientcare. They servean increasingpermanent population,manyof whomare seniors. Thereis an annualsummerinflux of up to 100,000 vacationers. It wasalso notedthat after a full yearof operating,the administrativeactivitiesfor all threeinstitutionswerefully integratedandreceivedfull accreditationfrom the CanadianCouncil on HospitalAccreditation. Somecommentsfrom theMindenandHaliburtonhospitals'administrationon thechange of management andownershipfollow: "The staff viewed the change-overas one of necessity,and which would havegreater potentialfor personalandcorporategrowth and satisfaction"... "Feelingsof fear and insecurityexistingduring the transitionperiod and for sometime t*t * to be the normalreactionto any majorchangeto which one hasto adjust" ::* "The local hospitalcommunitiesseemto sharea senseof loss of identity but remain faithful and generousin their support." ... the hospitalsplay majorrolesin thecommunityimage." 83 establishment of A letterdatedAugust15, 1986from theMinisterof Healthauthorized 18chroniccarebedsadjacentto thepresenthospitalin Haliburton. The Architectvisitedthe Haliburtonsiteto discussa functionalprogram. A plan was submittedto the Ministryandapprovalwasreceivedto go aheadwith sketchdrawings.These were forwardedto the Ministry for approval. for Haliburton'sshareof fundingraisedover$240,000andwaslater A FundCampaign extendedto $400,000to coveradditionalrenovationsneeded. communitysupport Manyinnovativefund-raising activitieswereinitiatedandimpressive project. wasmobilizedfor the of the cost of beds. Negotiationsare However,the Ministry calleda halt because continuingto seeksomeway of servingmoreadequatelythe peopleof Haliburton. of health studythefeasibilityof augmentation The hospitalin Mindenhada committee Efforts are servicestherebut no fundswereavailablefrom theMinistry for a studyat thattime. still beinemadein this direction. Paediatric Transfer to PeterboroughCivic Hospital GeneralHospitalwas The last day of operationof the PaediatricUnit at St.Joseph's Friday,March30, 1984. Ten paediatricbedsfrom the formercomplementof 25 ue retainedfor generalsurgery on the4th floor of the "B" wing. useandare relocated The head nurseof the Paediatricdepartmentfor a numberof years describessome concernsof the nursingstaffover thetransfer. "Althoughwe wereawarefor sometime of the impendingmove, the official noticeof the actualdatewasthe shock. All of us hadto grapplewith personal decisions,"e.g. "Shouldwe apply for positionsat P.C'H. or remainhere at S.J.H.? 'If all of uschoseto remainhere,wouldtherebe positionsavailableto all? "Wouldour senioritybenefits,holidays,sicktimeetc.belost if we transfer? Though we were assuredwe would not lose our accumulatedbenefits, uncerlaintiesstill remained. When the frnal transferwascompleted,threefull-time R.N's transferedto P.C.H." 84 Nursingbegan at S.J.H.our orientationto Orthopaedic "For thoseof us who remained for us to fe€l nursing, it took some time well to adult immediately.While the staffadjusted comfortablein the newenvironment,As thereweretwo roomsfor Paediatricsurgeryandoutpatients,we still had somechildrento cuddleand this helpedto fill the 'emptiness'we all in the lossof our little Datients." exoerienced While the Paediatricunit wasbeing freedup, planswere made,to convertthe spaceto a Day Hospital, to enlargetwo operatingroomsfor orthopaedicproceduresand to preparethe wing. additionof the Rehabilitation The assessment of the region'shealthcareneedsalso showedthat new programswould the emergingneedsof an agingpopulation. be requiredto accommodate The Ministry advisedthe hospitalto proceedwith preparationsfor a Day Hospital, but that the governmentfundingfor it would not be availablesoonerthan the 198G87fiscal year. The letter added, 'that the hospital would have to fund the project itself and it would be reimbursedfor the two-thirdscost sometimein the future'. The Rehabilitationwing would be a new additionto the hospital. It would consistof three levels, situated!o the north of the "D" wing and would provide all relatedout-patients rehabilitationactivities. Therewould be thirty-threerehabilitationbedsfor in-patients. The requiredinformationwasforwardedto the Ministry who advisedto proceedto the next stepwith the rehabilitationprojectand submita functionalprogram. 85 REIIABILITATION PROGRAM The needfor improvedRehabilitationServicesin the Peterboroughregion wasrecognized in the early 1970's. Draft plans to addressthis needwere being developedas early as 1975. However, it was not until 1980 that the community, in consultationwith the Haliburton, Kawartha and Pine Ridge District Health council, developed a detailed plan for the rationalizationof major hospitalservicesin Peterborough,including rehabilitation. In a February 12, 1981 announcementthe Ministry of Health noted that St.Joseph's GeneralHospital had the approvalto proceedwith the developmentof a rehabilitationprogram. The gradualreorganizingof servicesbetweenthe two hospitalstook time during the mid 80's endingwith the developmentof the new emergencyservicesat Peterboroughcivic in 198889. The next step was to move forward on the final phase of the previously approved redevelopmentplans for hospital servicesin Peterboroughby establishinga comprehensive community basedRegionalRehabilitationCentre. The processhasbeen slowerthan anticipatedmainly due to the major changesin health care and a significantreorganizationof the Ministry of Health in Ontario. In the meantime,the hospitaladministrationhas madeevery effort to proceedforward with plans and programswithin the currentbudgetwhich would eventuallyform the foundation of a new RehabilitationWing. It is still the objectiveto provide a Centreof Excellencefor RehabilitationServicesin Peterboroughand surroundingareas. Historical Sketchof Services PhvsiotherapyDepartment The depafimentwas offrcially openedin June, 1963in the "D" wing. In August' 1968 the sewice was expandedto provide out-patientcare and week-endcoverage. In June, 1974 a chest rehabilitationprogram was initiatedjointly with the respiratory therapydepartment. A Back Educationprogram was startedin 1976 and in 1977 an Amputee clinic was of patientswith amputations. and maintenance establishedfor the assessment 86 In June, 1987 an expandedout-patientphysiotherapyservice was opened in quarters leasedat the Time Squaredevelopment.This wasa joint programof both city hospitalsand the additionalfundsrequiredflow throughthehospital'sbudget. This off-site developmenthasmade it possibleto reducethe waiting list to a minimum. All in-patientand out-patientwork is recordedand supervisedat the hospital location. Out-patientreferralshave increasedby 90% at the satelliteunit. In September,1989 the physiotherapydepartmentat Time Squarewas selectedfor the Workers' CompensationBoard CommunityClinic. TheraDv Resoiratorv for oxygentherapyprovidingcylindergases In thelate1960'sAlfredBornwasappointed of inhalationtherapywas to nursingunits. In November,1972thedepartment andequipment program with physiotherapy wasdeveloped rehabilitation respiratory startedandan out-patient wereused. in February,1976, By Marchthe first ultrasonicnebulizers was movedto the 1950wing in spaceformerly In September,1976the department andinstalledwaspurchased by thenewbornnursery.Graduallyadditionalequipment occupied washired. Technology ln 1979a Directorof Respiratory In 1984a SmokingPolicy committeewasformedand in 1989the hospitalbecamea smoke-free environment. AudioloevDeDartment receivedfundingfor equipmentfrom the CanadianHearing In i978 the department Societyandfrom a numberof serviceclubsmostnotablythe localLions Club. of audiologywasemployedin December,1979. The first full-timesupervisor assumed thedutiesof directorandkeptthedepartment Dr.JohnFagan,E.N.T. specialist, This resultedin a solidreferralbasefor many abreastof theneedsof themedicalcommunity. physicians in outlyingareasas well asin Peterborough. In 1980the LionsClubsprovideda further$7,000pieceof equipment.This deviceis the amplificationneedsof hearingusedfor the analysisof hearingaidsand to help assess impairedpatientsseenin the department. 8'7 In 1982 an additionaldiagnosticunit was obtainedand it is usedto assessaudiological and otoneurologicalfunctionsin personswith hearingimpairmentincludingvery youngchildren. Much of our equipmenthasbroadenedthe scopeof diagnosticcapabilityand type of testingthat formerly had to be referred to Toronto and other distantcentres. NeuromuscularLaboratorv In September, 1986, the NeuromuscularLaboratory began operating as a sepamte diagnosticentity under the direction of Dr.John Lan. The diagnostictestsinclude assessment of peripheralnervesand neural function. The testshelp to diagnosenerveroot difficulties suchas herniateddisks, compressednerveroots and neurologicallesions. As increasingly specializedequipmentbecomesavailable and obtained, Dr.Lan can perform more sophisticatedinvestigativeprocedures. The neuromuscularlaboratoryhas in a few short yearsdevelopedinto a comprehensive faciiity for the diagnosisof musculardiseaseand other neurologicallesions. Chirooody Services In October 1987 a chiropodyclinic was set up. A full-time chiropodistwas employed for in-patientand out-patienttreatmentsand orthotic appliances. The Senior Citizens Foot Clinic initiated in 1979by the PeterboroughSenior Citizens Council and staffedbv volunteernursescontinuesthis servicefor seniors. A Pain Clinic was openedon 4A in April 1987. doorswereinstalledat thehospital'smain automatic to a patient'ssuggestion, In response patients andtheir families. entrance.to the benefitof AshburnhamMedical Servicesobtainedoffice spacein Time Square. 88 TTIE DAY HOSPITAL In 1985the Ministry approvedthe plansto convertthe formerpaediatricunit into a Day Hospital. However, approvalto proceedwith the project was contingentupon the hospital providingthe two-thirdsfundinguntil the Ministry could reimbursethe moneyfrom capital gfants. TheSistersof St.Joseph decidedto front themoneybecausdbftheneedin Peterborough for this serviceandalsoto free up thatpart of thehospitalwherethesepatientswerebeingnow heated. ThePeterborough City andCountycontributedtheirone-thirdshares,andtheBeavermead ConstructionLimited wasawardedthe contract. "In one sEoketwo needsarebeingfilled, Seniorsget the medical care they require and the community gets back some acute treatment bedsit needs. " .... €cte$orsuCh-E{alsiner, February27, 1985) The Day Hospitalwasofficially openedJanuary13, 1986. The Examinernotingthe event. Hospital:newera"St.Joseph's The one striking contrastaboutthe newly openedday hospitalis that it doesn'tlook like a hospital.... The blue-graywallsandpale-pinkdoors ... homeyatmosphere sharplycontrastingwith the traditionalivory. " The CanadianOrderof Forestersdonatedmoneyto furnish the recreationroom for the useof thoseattendingtheDay Hospital. This newfacility situatedon the fourth floor of the 1922wing offersan interdisciplinary, therapeuticprogftrm approvedby the Ministry and in keepingwith its mandateto provide community-based ambulatorycaresettings. It is designedto provide out-patientservicesfor older patientsand it aims to promote earlier dischargedates and to delay or avoid re-admissionsfor patients with a continuing debilitatingillnessby treatingthemin the day hospital. It providesrehabilitationmeasuresto victims of heartattacks,strokes,post-operative therapyand other rehabilitationservices. The program has now enteredits fifth year of operationand continuesto build its resources.Swimmingsessions areheldfor dayhospitalpatientsin thepoolat MountSt.Joseph. 89 Mayor Sylvia Sutherland - Ribbon Cutting Day Hospital,January 13, f986 Day Hospilal Patienlsusing Poolat Mount St'Joseph With a caseload of 15 patientsper week the director explains'that thejob is to promote healthand independence throughany meanswe can' - through the useof therapy, counselling andassistingpeopleto learnabouttheir illness;to providethemand their familieswith skills and supportallowingthemto adaptto their illnesses while remainingat home. .... A verbal and written assessment is carriedout and a progressreport issuedregularly to the patient's physician. As long as the patient is showing signs of improvementthe therapy program is continued. This hospitalparticipatedin celebrationsof 17 yearsof "Meals on Wheels" servicein Peterborough.It had provided60 hot mealson Tuesdaysand Thursdaysand 30 on Wednesdays eachweek since the servicewas inaugurated. The hospitalis reimbursedfor food and labour costs. Membersof theBoardsof bothhospitals preparedfour televisionprogramswhichwere broadcast on thelocalT.V. station.Theseriesdealtwith: i) Volunteers, ii) Emergency Services, iii) High Technologyandiv) PalliativeCare. Thefirst joint Newsletter Hospitals Togetherwasissuedanddealtwith the six hospitals' activitieswhichwereof oublicinterest. An EmergencyTrauma Kit is availablein the EmergencyDepartmentsof the Peterborough Hospitalsfor any doctorwho is travellingto the sceneof an accident. ThePharmacy department hasbeencomputerized. Thisset-upmonitorsthepatient'sdrug profile andeventuallytheir drugincompatibilities. This systemis a recommendation madeby the Canadian Councilon HosoitalAccreditation. 91 ST.JOSEPH'SGENERAL HOSPITAL OF PETERBOROUGHFOTINDATION in 1985 Foundationwas established The St.Joseph's GeneralHospitalof Peterborough as a serviceorganizationto supportthe work of St.Joseph'sGeneralHospital, Peterborough, Mindenand Haliburton. In reporting on the annual meeting, the Examiner noted that the chairperson,Carole Pulver was completingthe nine year maximumtenn of office as specifiedin the By-laws and with the a wish that her namewould alwaysbe associated "in expressing the Carole A. hospitalshe presenteda chequeof $2,000. establishing GeneralHospitalof Pulver EndowmentFund, to launchthe St.Joseph's Foundation. " .... Peterborough (From CaroleA.Pulver- November,1989) The Foundationwas incorporatedand receivedits Charter, June22, 1985. In thesetimes of tight budgetrestrictions,healthcare institutionsdependon voluntary fund-raisingserviceorganizationsto augmentthe regularhospitalbudget. All moneydonatedto the Foundationis ultimatelyappliedto one of three areasof need: Constructionand renovations,equipmentpurchasesor education. To achieveits goals,the Foundation'sBoardof eight Directorsperformsa three-foldtask of raising, investingand distributing funds to assistthe hospitalsin maintainingcurrent levels of serviceand initiate new programswhich meetpresentand future needsof the communities the Foundationserves. Severalexciting fund-raisingeventshave raisedthe protile of the Foundation:a Gala Dinner Danceheld annuallyfor the pastthreeyears,a community-wideall day Golf Tournament and Bike-a-Thons. and a numberof otheractivitiessuchas Barbecues A Patient-SolicitationProgramwas initiatedwith exceptionalresultsto date. Memorial donationsand contributionshonouringloved oneson specialoccasionsenhancethe Foundation's ability to help the hospitalsplan for their future. In anticipation of the Provincial Ministry of Health approval to build and equip a Regional Rehabilitation Centre at St.Joseph'sGeneral Hospital, a campaign committee, establishedat the requestof the Hospitals'Board, hasmet regularlyfor the pasttwelve months. includean in-depthvolunteerorganization,campaignthemeand logo, and Its accomplishments goals and strategies. fund-raising specific 92 fundsareencouraged asa means ofensuringthatindividualsand Bequest andendowment lasting groupswith a specialinterestin theHospitals contributionto theirprograms. canmakea a centuryof service,the Foundation's As St.Joseph's GeneralHospitalapproaches priority will be to ensurethatit continues to flourishasa dynamicagentof servicemeetingthe healthcareneedsof thecommunitv. Statisticalreporton bedutilizationwasnotedat thebeginningandthe endof 1985: "cancellation days of electivesurgeryon someconsecutive therewereno availablebeds"... because for department "17 patientswerewaitingin theEmergency admission but couldnot be placedin the inpatientwards. At the sametime therewere25 patientsoccupyingacute butwhocouldnotbeplaced beds,whohadbeendischarged in alternativeaccommodation becauseof the lack of these facilities. Thesepatientsreceiveda totalof 1972additional daysof acutecareaftertheywereeligiblefor discharge"... "36 chronicc.[e patientswerewaitingfor transferto other iacilities representing 40Voof acutemedicalcare beds availableto patientsin needof hospitalcare. This together with 21 patientsin emergencyrooms representsan intolerablesituationfor patientsand hospitalstaff. The reportof a studyby The TaskForceon BedNeedsfrom the District HealthCouncil theneedfor 200addidonalnursinghomebeds which wasreleasedaboutthis time, recommended for Peterborough and 18 chronicbedsin HaliburtonCounty. Dr. Murray Elstonfrom the Ministry visitedthe hospitaland touredthe Emergency department. On this particular day there were 13 patientsbeing cared for in the halls and holdingunit. The intensivecare unit showedan occupancyof l03.2Vofor the monthof Januaryand the occupancy ratefor medical/surgical andorthopaedic unitswas99.3Vo. Overthe pasttwo yearsutilizationof emergencyfor intensivecarepatientsescalated morethan300%(1987Annual Report). 93 PROGRAM AMBT]LATORYDAY STJRGERY In September1986the Ministry gaveits approvalto expandthe hospital'sDay Surgery programandapprovedfundsto expandthe Unit which includedrenovationsto the northwestarea of 4D (1964wing). A furtherone-timegrantfor equipmentwasalsoprovided. After the renovationswere completedand operationalin 1987over 50% of all surgery in the hospital was done in this area. To facilitatea smootherflow of patientsundergoingambulatorysurgery,a pre-operative packagewasintroduced. This plan enabledinvestigationof patients'generalconditionby having blood testing, X-ray, electrocardiogram,etc. done prior to admission. The PastoralCaredepartmentrequestedand receivedapprovalof a trial period for a brief evening prayer over the P.A. system. During this period many favourablecommentswere receivedso approvalwas then given by the Board of Trusteesto continuethis practice. A newtelephone systemwasinstalledin March 1986. A new 'state of the art' fluoroscopicx-ray facility was opened. The Nuclear Medicine departmentwas incorporated into the Diagnostic Imaging Departmentwhich includedRadiologyfunction, Ultrasoundand C/T Scanservices. The Hospital Auxiliary fulhlled its pledge of $80,000 for the purchase of the MammographyMachine in the DiagnosticImaging Department. In supportof the major renovationsin the EmergencyDepartment,the Auxiliary pledged $80.000 towards its cost. The Ministry provideda grant to eachof the hospitalsin Haliburton and Minden for a PatientInformation Systemfor emergencycare. 94 OPHTHALMOLOGY The Chief of Staff, in the 1984 annualreport, noted the OphthalmologyDepartment's program for out-patientcataractsurgery. performing of this serviceis a tributeto the skill of the surgeons "The success theseprocedures and to the efficiencyof their screeningprogramin selecting patientswho can benefitmost from thesetechniques. St.Joseph'sGeneral Hospitalis a pioneerin this field and is one of the few hospitalsin Ontario currentlyofferingthis serviceon an out-patient basis." thepurchase of a laser In orderto continueto providequalityeyecarein Peterborough (A laseris aninstrument thatconcentrates light for a specificpurpose.)Since unit wasessential. this servicestartedin 1985the laserunit hasbeenusedto treathundreds of patientswith eye disease. The Peterborough Hospitalshttery providedthe $93,000fundsrequiredfor this laser whichis locatedin 1922wing. equipment performinga cataractoperationwas A shortT.V. articlefeaturingan ophthalmologist preparedby CHEX andwasshownon theirregularnewscas!. Threephysicians from Kingstonanda nursefrom theirHomeCareprogramvisitedthe hospitalto observeits day surgeryprogramfor cataractpatients. (ultrasound) In 1987calmactsurgeryby Phacoemulsification techniquewasintroduced physicians here. Resident fromTorontoandophthalmologists from Ottawa,LondonandQuebec havevisitedthe hospitalto observethis latesttechnique. The Peterborough hospitalsco-sponsored a testimonialdinner for membersof the Peterborough Hospitalslottery Committeeand presentedthem with plaques,expressing for assisting in the hospitals'purchasing appreciation of equipment. TheC.N.LB. acknowledged appreciation to thenursingstaffinvolvedin theretrievaland donationof eyesto the Eye Bank of Canada. "All the eyeshavebeenusedfor corneal transDlants. " 9J Computer-update of financingsystemswithin Four currentareasof activity arein place;i) implementation ii) Microcomputeracquisition,iii) Joint hospitals' the businessoffice andpersonneldepartment, patientcare informationsystem,iv) Radiologydepartmentcomputersystem. Program OrganTransolantation The PeterboroughHospitals'OrganRetrievalCommitteewasestablishedin 1987. (M.O.R.E.)Programis a provinciallyfunded TheMultipleOrganRetrievalandExchange organizationfor organdonationin Ontario. The objectives of the M.O.R.E.programareto, - increasethe numberof organsavailablefor transplantation. - centres, facilitateorgandonationsin non-transplant - ensurethe mosteffectiveuseof availableorgans. and supportin Peterboroughand district for the In order to heightenpublic awareness formal openingwas held January18, 1988at the needof organ donationsfor transplants,a GeneralHospital,ArmourRoadentrance. M.O.R.E. office locatedat St.Joseph's werearrangedandinformation A numberof mediainterviewsandspeakerengagements pamphletsand donorcardswereplacedin strategiclocationsaroundthe city. The Public RelationsandHealthPromotionCommitteecomposedof membersfrom both County-CityHealthUnit undertooka programof community city hospitalsandthePeterborough educationaboutAIDS. A painting by an Italian artist and entitled Tarantellawas donatedby Dr.L.Flak in Dr.E.A.Flak. memoryof her husband 96 CORNERSTONELAID OCTOBER24. 1E88 October24, 1988in a This historiceventof one hundredyearsago was re-enacted symbolicceremonywhichtookplaceon thefront lawn of thehospital. were in periodcostumes HelenWillcoxandGordGibb,dressed To enhance theoccasion the first farnily to seekhelp carriage,representing chauffeuredto thefront doorin a horse-drawn Hospital. in St.Joseph's in full ceremonial attireproclaimedfrom the microphone MonsignorC.H.O'Donoghue Thomas Dowling, the secondbishopof the Peterborough words used by Bishop the exact diocese. for thesickandsuffering "Thisinstitutionwill providecareandtreatment faiths".... ... its doorswill be opento all religious of thepublicwerein hospitalstaffandmembers A numberof Sisters,localdignataries, trowelpassedon theoriginalceremonial attendance.SisterInez,our oldestmember,accepted T.Foleythe hospitalchaplain. by Reverend "This trowelis a symbolof thebindingcovenantof love thatthe had fusedtogether,that all Sistersof St.Joseph of Peterborough may experience the healinglove of Christ'scompassion.May Almighty God continueto blessthe good work begunin the yearsago".... community onehundred Actually Gord Gibb had beena patient here two ystrs ago following a seriouscar accident. He relatedin an interestingmannerhis personalexperienceof being nursedback to Program. healththroughtoday'sRehabilitation 97 Commissioning of the Board of Trustees(1989) Each year at the annualmeetingthe generalsuperiorof the Sistersof St.Joseph of Peterborough, in a somewhat formalstatement, gratitudeto theBoardof Trustees expresses for their hardwork, personalintegrityandfaithfulness to this institution. "We appreciatethe fact that, as BoardMembers,you know and supportthe hospital'sphilosophy,its missionstatement,byJaws and legal obligations (canonicaland civic) that areentailed,the financialexigencies and the general pastoralpurposefor whichit exists." "In keepingwith a growingrecognition in bothcivic andreligiouscommunities of the significanceof the trustee/owner relationship,and as the official representative of theownersof St.Joseph's GeneralHospital, I delegateto you as Board membersthe responsibilitiesof governingthe affairsanddirectingthe operationsof the hospital." In Memoriam SisterCecilia,a boardmemberat thetimeof herdeath,diedApril 6, 1989. Shewasan extraordinarywoman in her devotionto the Congregation and its works. She will be remembered for heradministrative skills,asa natural-born leader,a womanof deepspirituality andreligiousfaith who lived theseout in hereverydaylife. SisterCeciliawasformergeneralsuperior andCouncilmemberof theSistersof St.Joseph Federation andpastpresidentof the Canadian of theSistersof St.Joseph . 98 Quality AssuranceProgram for Accreditation to complywith Standards This on-goingprogramhasbeendeveloped GeneralHospitalMissionStatement.It of CanadianHealthCareFacilities,and St.Joseoh's procedures goalsandassesses in placeto assurethat thesegoalsare hospital-wide establishes beinsachieved. anda frameof mindof all personnel "Thisqualityrequiresa commitment givenour bestperformance.This we have we serve believe sothatthose is our taskin theyearsalead." HaliburtonandMindenwereagaingranted GeneralHospitals,Peterborough, St.Joseph's (the year by accreditation maximumallowed) the CanadianCouncilon HealthFacilities a three Accreditation. OperationalReview by the Ministry of Health, wascarried A comprehensive operationalreview, sponsored hospitalsin theprovince.Its purposewasto identifycauses out by consultants on twenty-three for chronicdeficit situations. Early conclusionsthey reachedwerethat this hospitalwasproviding more servicesthan resulted it wasgivenfundsto cover, 'overutilizedandunderfunded'.Their recommendations in diminutionof activityin the hospitalanda milliondollarcut in its budget. wereimplemented: In orderto producea balanced budgetthe followingchanges i) admitted patients were not kept in the corridors of the Emergency Departmentwaiting for hospitalbeds, iD basis, an increased numberof operations wereperformedon a day-surgery iiD the bed occupancy of the hospitalwas reducedfrom 99.3% to approximately 85Vo. Becauseof this, patientswaiting electiveadmissionfor medicaland surgicaltreatmentwereoften delayedadmissionto hospital, iv) service was cancelledin one operating room resulting in further delay in schedulingsurgery. 99 NURSING IN THE'80'S '60 '69 class,who havebeenin nursingpracticeon a Owo graduates, classand the numberof the hospital'sactive treatmentunits, sharetheir reflectionson changesthey have experiencedover the pastten years). Nursinghasgonethrougha rapidtransitionperiodsince1980. Nursesgraduating in the '80's arebetterpreparedboth in theoryandpractice. Formerly, nursesweretrainedto perform certainproceduresin certainwaysfor specificreasons.Todaynursesasprofessionals havemore input into their practice. In earlieryearsnurseswere'duty' boundandnursingwasmore'task'-oriented.Many newadvancesin moderntechnologyhavegreatlyincreased theneedfor moreon-goingeducation and expertisein patientcareand treatment. Nursinghasbecomelessa servant-roleand more a supportiverole for patients,- a teacherof preventivemedicineand health. Nurseshaveacquiredadvancedskills oncereservedfor medicalpractice,e.g. cardiopulmonary resuscitationat advancedlevels and defrbrillation in case of cardiac arrest. Intravenousdrug administrationby speciallyqualifrednurseshasbecomewidespreadnursing practice. There is more emphasisnow on advancededucation. Many coursesare mandatory requiring regularre-certifrcation,Nursesare encouraged to obtainuniversitydegrees. Nursesexperiencea great changein the hospital'srole in healthcare. It has become business oriented,government dominated andfunded. while its primaryrole is in thecareof the sickandneedy,it is now specialized in definiteservices,e.g. orthopaedics, rehabilitation, ophthalmology,etc. Nursesalsobecomespecialistsin their chosenareasof practice. In earlier timespatientswerenot told muchabouttheir illnessandtheir lovedoneswere advisedin whisperswhentheprognosiswasgrave. To-daythepatient,asa responsibleperson, is advisedof the conditionandthedecisions regardingthe carethatis one'sown to make. Critically ill patientswhoearlierwouldbeplacedin anintensivecareunit, arenow being caredfor on the ward, the unit is generallyreservedfor thoserequiring the useof monitoring equipmentor specializedtreatments. 100 Now, thereis a joint teamapproachbetweendoctorsand nurses,and a mutualrespect to opinionsregardingthe patient'sneeds. Eachyearthe amountof paperwork and response of chartingarebeingtriedto find moreefficient,faster seems to beincreasing.Newermethods and more accuratemethodsof recordingdata. are in the'80's asmoreof our agingpopulation Geriatricnursinghasbecomea challenge requiringcarein nursinghomesandchronicwingsof hospitals.In earlieryears,the elderly werecaredfor in the family home. Now, mothersandfathersarc both workingand modem homesare not easilyadaptedto servicesneeded.However,thereseemsto be a growing trend services becomeavailable. towardshomecareasadequate Sincenurseshavebecomeunionizedtheyhavebecomemoremilitant. AcrossCanada, jobs nursing, femaleprofession, strikingfor rightswhichmale-dominated wesee a predominantly haveenjoyedfor years. to institutions. in thecommunityin preference Manynursesarenowseeking employment The yearsof nursingeducationandthe organizationalskills acquiredin the hospitalsettinghave by nurses,now employedin schools,in clinicsand in "HomeCare beenfoundadvantageous Programs",etc. with theiremployment, The 1980'shaveseennurseshortages duein partto dissatisfaction becomingtired of working shifts and weekendsand havinglimited time with their families. The future may be more home-nursingand midwifery as hospital msts rise and governmentrestrictscare in hospitalsand limits what can be done. However,the nursing professionis still honouredandhonourableandis soughtafter by caringpersonsin our society. 101 Mr.Frank LussingwasappointedExecutiveDirectorAugust1, 1989replacingformer director,Mr.Leo Dorionandinterimdirector,Mr.GerryRowe. as assistantexecutive weregiven new responsibilities Five managers of departments directors: - ExecutiveDirector) Therapeutic andDiagnosticServices(Assistant (Director of Nursing) Directorof PatientServices HumanResource Services(Directorof Personnel) Financialand InformationServices(Directorof Finance) PhysicalPlantServices(Directorof Maintenance). beganin 1890with six Sistersand today,one The hospitalcommunityof care-givers with a growing part-time staffand240volunteers hundredyearslater,thereare744full-timeand needfor more. are alwaysin demand Critical areassuchas intensivecareandemergencydepartments andexpandedshapingthe hospitalinto the havebeenadded,subtracted for nurses. Departments specializedinstitutionit representstoday. Ratedas havingthe secondhighestcasecomplexityof any communityhospitalin the andwell equipped is proudof its successful st. Joseph's province(includingteachinghospitals) services. andOrthopaedic Ophthalmology this departments, Orthopaedic Housingone of the largestcommunityhospital-based joint procedures including350 major nearly1,000inpatientboneoperations servicecornpleted in the pastyear. More than 600 implantsor fracturecorrectionswere alsoperformed. in theareaof DiagnosticImagery(formerly havedeveloped Themostsignificartchanges Radiology),in the effectiveability to visualizewhatis wronginsidethe body. passedby the Boardof Trusteesto reflect AdministrativeBy-laws werereviewed'and members to serveon hospitalcommittees. other staff newlegislationfor nursesand The centennialprojectof renovating'andrefurbishingthe hospitalchapelhas been completed.This venturehasbeenmadepossiblethrougha numberof donationstowardsthis purpose. on March19 in memoryof SisterCecilia. The chapelwasrededicated 702 (Directorof Finance) The CentennialYear tends,inevitably,to focusour attentionupon the history and traditionsof Saint Joseph'sGeneralHospital. A centuryof servicecertainlyleplesentsa happensto be a significantmilestonein the life of any organization.Whenthe organization hospital,the milestonebecomesparticularlynoteworthysince the Centennialprovidesan opportunityto celebrate100yearsof caring. Over the pastcenturyour families -- parentsand haverelieduponSaint grandparents, unclesandaunts,sistersandbrothers,sonsanddaughters, Joseph'sHospitalto meettheir healthcareneeds.Thanksto a dedicatedstaffandthe generosity thehospitalhasbeenthereto meetthoseneeds.With thecontinued of theSistersof St.Joseph, GeneralHospitalwill area,SaintJoseph's andsurrounding supportof thepeopleof Peterborough continueto meetthoseneedsfor manYYearsto come, to notethatthehospital'scost of yearsgoneby, it is interesting Reviewingtheaccounts of operationfor the yearendedOctober1892,totalled$4,716.20.This costof operationcan with thebudgetfor theyearendingMarch31, 1990whichtotals$31,831,500.00. becontrasted Eventhoughthe hospitalhasexpandedsignificantlysince1892,thesefigurescertainlyprovide a graphicillustrationof the spirallingcostof healthcare. The sourcesof hospitalrevenuehavenot reallychangedover thepast100yearsalthough the proportionof overall revenueprovidedby eachsourcehasbeenaltereddramatically. For grantsaccounted for just under45% of totalhospitalrevenue. example,in 1892,govemment As a result of the introductionof variousgovemmentsponsoredhealth insuranceplans, grantsaccountfor almost85.7V0of totalhospitalrevenuein 1990. government 103 categoryhasalsochanged spentin eachexpense Theproportionof totalhospitalresources thehospital'ssinglelargestexpense quitea bit over theyears. In 1892,foodcostsrepresented item, accountingfor 42.1Voof total expenses.In 1990,however,food costsconstituteonly only 11.9%of total andwageswhichrepresented salaries 1.77aof totalexpenses.Conversely, include:fuel costs, Otherchanges 73.9Voof totalexpenses. hospitalcostin 1892,now represent in 1892to 0.4% today;and drugsand which havebeenreducedfrom 10.4%of expenses just in 1892,andwhichtodayrepresents whichmadeup 8.0%of expenses medicines expense, costswhichmadeup 3.2%ol expnsesin 1892,nowaccount 3.4%of rhebxdget.Maintenance for 2.5Voof the budget,and medicalandsurgicalsupplieshavegrownfrom 2.97oin 1892to 5.9VoIoday. remainedrelatively Despitethesechangingproportions,one thing has,unfortunately, constantthroughoutthe past100years. Financialrecordsindicatethat thehospitalincurreda deficitof $913.48for theyearendedOctober1892. Overthepast100years,it seemsthewolf health hasneverbeenfar from thehospital'sdoor,andthestruggleto meetthegoodneighbour's careneedshascontinued,despiteeverpresentfinancialconstraints. centuryof serviceto thecommunity, As SaintJoseph's GeneralHospitalentersits second therearethosewhoaskhowthehospitalcancarryon in thefaceof ongoingfundinglimitations. In searchingfor the answer,one needlook no further than the rich history and traditions duringthe frrst 100yearsof hospitaloperations. established r04 APPRECIATION EVENT MOTJNTST. JOSEPH (Excerptsfrom theaddress givenby SisterVeronicaO'Reilly, C.S.J., to theBoardof Trustees GeneralSuperior,December13, 1989). My personalwelcometo eachof you andto statepublicly our gratitudeand appreciation for all thatyou do for St.Joseph's Hospital. As Boardmembers,you undertakeon our behalftheincreasinglylargetasksof directionsetting,policy-formingandgeneraldecision-making. As Foundationpeople,you are involvedin the businessof assuringfrnancialresources for presentandfutureenterprises relatedto our institution. Thephysicianspresent,representour dedicatedmedicalstaffwho aresoc€ntralto patient diagnosisand treatment. The seniorstaffadministerthedayto dayoperationsandrepresentto-nightall thosecaregivers who makeSt.Joseph'sHospitala goodplaceto work and in which to be caredfor. Togetherasowners,volunteers,BoardandFoundation,medicalandadministrativestaff, we constitutea majorunit of healthcare-giversin this community. And an occasionsuchasthis is a celebrationof all the goodthatunit doesthroughoutthe year. It acknowledges, aswell, the difficult things we haveworkedthroughtogether. So manyof the world's religionsplacea feastof light in the calendarthis time of year. Not only do the long nightsand short,dark daysof the winter solsticemakeus long for light but the tragic eventsthat seeminevitablyto mar this season,makeus feel keenlythe needfor hope. As the shadowsof thedecade,indeedthecentury,lengthenthereis muchdarknessaround us - andthereare somesignsof wonderfullight. World wide hunger,extremepovertyand the crueltiesand oppressionthat characterize andcauseit, diseases that we havenot yet leamedto preventor cure, the tragediesof addiction, personalalienation, meaninglessness and madnessthat s€emcommon to our more affluent societies. This world of darkness,as Shakespeare might say, we acknowledgeours. 105 Ours,too, is the light. And this time of year,as Christiansespecially,we recallin a to be our hope. specialway thatthe light of the world hascometo brightenour darkness, Europe,in theincreasing freedoms of eastern We seethelight aroundusin theemerging '90's mustbea decade of caringfor eachotherandour planet,in thevery consciousness thatthe evidentrecognitionin surprisingplacesthatashumanswe hungerfor, we needandwe havea morethanscience,moneyor powercan afford us. right to a spiritualvision - to something Hopeand light arepresenttoo, in thedecencyandhonestyof ordinarypeople,in the lives of and to standfor whatisjust, compassionate whoareprepared thoseindividualsandcommunities its witness to ready to die to non-violent,who work to bringaboutsucha world andwho stand truth. in givingpersonal you arelight andhope. You aregenerous To us as a Congregation, of a healthcaresystem time, gifts andenergy. You arewilling to sfugglein thecomplexities andjust. It is in you competent fails, to be compassionate, whichtrieshard,andoccasionally in thedarkness' light shines people you is in the world, that like thathope andthroughyou and The poet, GeraldManley Hopkinssaidthis so muchmoreeloquentlywhenhe wrote: places, For Christplaysin ten thousand Lovelyin limbs,andlovelyin eyesnot His. On behalf of the Sisters,I thankyou and I wish eachof you a very happyChristmas. May it be a time ofjoy and safetyamongfamilyandfriends,a time of peacein your hearts. And in the New Yearof 1990mayyou continueto be light amongus. 106 ENDPIECE Our CatholicHealth Care Institutions,in most ways the sameas all other such institutions,nonetheless existfor a specialreason.Theyhavecomeinto beingandstruggleto in thehealingministry continuebecause of a convictionanda traditionthattheyareparticipating loveof Godvisiblein the world. Thatis a tall of JesusChristandmakingthecompassionate order becausewe are all weakand sinful peopleas well as goodand dedicatedpeople. Our strengthlies in two things:we believewe can makeGod's love visible to those we know thatGodlivesin us throughour baptismandgivesus the strength aroundus because whoworktogetherto makethehealingministry weneed;thishospitalis a communityof persons makes happen,andcommunity us strong. in sophistication Healthcareis now movinginto thetwenty-frrst centurywith increasing promotion human life. health and enhancement of methods of andextension ofcontrolofdisease, In closing,I wish to expresson behalf of the Sistersof St.Joseph,our profound gratefulness to the care-givers andreceivers of St.Joseph's GeneralHospitalover thepast100 years. Intellect,will, feelings,mindandbody,pastandfuturecometogether. Humanneeds reassurance, trustandfaithin Godkindlethe of presence, sincerity,understanding, compassion, past person. within each Through the decades of the century, the special spirit of spirit Hospitalhasbeenkeptalive. It will continueto bethewonderfulplaceit is because St.Joseph's of you andbecause of the missionit strivesto fulfil, M. 107 References McDermot,H.E. M.D., OneHundredYearsof Medicinein Canada. Toronto.McClelland& StewartLrd.,1967. Schoolof Nursine. McDonald,Margarct,csj - A Heritageof Caring:A Historyof St.Joseph's (1906-197 4) Peterborough198L Rouleau,J.P., PresentSituationandFutureof CatholicHosoitalsin Canada. Quebec:Iaval University,1972. Sawyer,Glenn,M.D. TheFirstHundredYears:AHistoryof theOntarioMedicalAssociation. 1980. Toronto:OntarioMedicalAssociation. Archives- Mount St. Joseph,Peterborough. Archives- St.Joseph's GeneralHospital,Peterborough. Examiner. Peterborough Variousinterviews. 108 RE-DEDICATION ST.JOSEPH'S GENERALHOSPITAL We bow in profoundgratitude for the countlessministrations l o t h es j c ka n d n e e d ; within your walls duringthe past ONE HUNDRED YEARS alwaysprotectiveof HUMAN LIFE WITHOUT COMPROMISE As a tree lives from its roots you have been rooted in love. Love meanssacrifice. Without love you cannotsurvive As you continueyour Mission, I lslilnrlot lt&+ 1.1t1 "LET ALL FIND COMPASSION IN YOU" (St.Tohnof theCross,7542-7597) 109 HospitalChapelRededication March 19, L990 110 ADDENDA A HospitalAuxiliary B Clinical Iaboratory c Medical Records D SocialServices E PastoralServices F Official Listings G CentennialEvents lll A-1 HOSPITAL AI.XILIARY (DoreenLee) of the Sistersof St.Josephseveraldedicated With the activesupportandencoumgement womenmetto form an Auxiliarygroupfor thehospital.Theinauguralmeetingwasheldin the Lynchwaselected 26th,1946.Mrs. F.J. (Catherine) onJanuary auditoriumat MountSt.Joseph its first president. Committeeswere formed,convenorsappointedand so beganthe history of Hospital. an Auxiliary whichhascontributed so muchto St.Joseph's From the very beginningservicewasthe keyword. Membershipin the Auxiliary was activelyrecruitedboth in thecity andin therural areasandfundraisingprojectswereundertaken and the variouscommitteeswere hard at work. At the end of its first year the Auxiliary was heavily involvedin providingfrnancialsupportfor the newNurses'Residenceaswell astaking chargeof the graduationexercisesand dance. The SewingCommitteewas busy turning out hundredsof itemsandeachcity parishtooktumsvisiting thesick. Fundswerealsobeingraised to provideneededequipmentfor the hospital. It wasindeedan eventful, fruitful year. ln 1947 the Auxiliary becamea memberof the Hospitals' Auxiliaries Associationof Ontarioandparticipatedin regionalconferences.This wasalsothe yearthat the annual"Violet Tag Day" began- for many ystrs this was the major fund raiser. The constitutionof the Auxiliary was also finalized. By 1949the Auxiliary lookedaheadwith confidenceand pledgedto extendits work. As the hospitalexpandedso did the scopeof volunteeractivities. New serviceswere addedas needed.In 1961a fledglingTeenVolunteerprogmmwasintroduced.But with the medicaltechnologyandequipment,needsslowly changedand so, adventof more sophisticated necessarily,volunteeractivities were tailored to fit theseneeds. As well, volunteerswere changing- they soughtopportunitiesto participatein serviceswhich were moredirectly patient related. By the early seventiestheir activitieswereso varied that the Auxiliary appointedone of its membersto co-ordinateand direct all the volunteerservices. tt2 A'2 'Ihese In consultationwith Administrationand staff severalnew servicesevolved. TeenVolunteerprogram,an Admittingserviceand a Portering includeda greatlyexpanded CentralSupplyand service. Volunteersstaffedthe InformationDesk,workedin Emergency, on Nursingunits. It wasat this timethatmenwereactivelyrecruitedandarenow contributing in all of the services. The hospitaland the Auxiliary owesa deepdebtof gratitudeto thosededicatedhard workingwomenwho established thecaringguidelines thatstill prevailin the Auxiliary today. As the hospitalcelebrates its centennialthe Auxiliary remainsan integralpart of its giveover 28,000hoursof serviceeachyear 250volunteers historyof caring. Approximately and engagein fund raisingactivitieswhich haveprovidedso much in the way of needed of eachandevery equipment.All this hasbeenmadepossibleby thehardwork anddedication volunteer. year,the Auxiliarylooksforwardto continueworkingwith the In this, the centennial Administration Sisters,theBoardof Trustees, andstaffin meetingtheneedsof our community in the yearsahead. 113 B-l TIIE CLINICAL LABORATORY (ChiefTechnologists) In theClinicalIaboratoryof a hospital,theprinciplesof Chemistry,PhysicsandBiology whetheror not they of bodyfluidsandtissues,whichdetermine areappliedto theexamination containthe materialsfound in thoseof healthypersons. Physiciansusethis informationto arrive at a diagnosisandto prescribefor and manage the treatment of their patients. It is therefore necessarythat a labomtory service is and undermedicalsupervision. contemponry, dependable The Pathologist,a physicianspecializingin pathologyprovidesthe medicalsupervision. The Pathologistdirectsthe choiceand performanceof laboratoryinvestigations,interprets the resultsof laboratorytestingand is availableto the attendingphysicianfor consultation. aretheMedicalLaboratory AssistingthePathologistby performinglaboratorytechniques education and for theundergraduate post-graduate Technologists.The Pathologistis responsible of MedicalIaboratory Technologists.The first schoolwasopenedin 1956and SistelSt.Martin wasits first director. Body (C.S.M.T.)is boththe Standards Societyof MedicalTechnologists The Canadian Medical Within the Canadian Technologists. Medicat Laboratory Body for and the Registry Associationis the approvingcommitteefor trainingprogramsin Medical Technology. This is The Conjoint Committeeon the Accreditationof EducationProgramsin Medical Labomtory Technology. The Clinical Laboratoryin St.Joseph'sGeneralHospital, Peterborough,Ontario, was the in 1913at therequestof theMedicalStaff. SisterM. Angelica,R.T. (Canada), established by a coursein Medical only technologiston staff at the time, waspreparedfor this assignment of l-aboratory Canadian Society Illinois. When the in Chicago, Technology Laboratory was formedin 1936,receivedits chafterin 1937,SisterAngelica amongits first Technologists, members. As the laboratorygrew, it movedfrom a comet in the attic of the 1890building, to a room ne;lr the operatingroom in the 1922Wing. Then in 1947it movedto the classrooms vacatedby the Schoolof Nursing which was transferredto the new residenceand schoolof nursingbuilding. In 1963the final movewasmadeto the laboratory'spresentlocationin the D wing. tt4 t5-z From 1928to 1983the Directorsof the Laboratorywere: Doctor C.B.Waite Doctor E. Dutkevich Doctor W.A. Dawkins - 1928- 1956 t956 - 1973 19'73- 1983 to serve wassetup underDoctorJ.H.Whiteside In 1983a systemof "rotatingpathologists" Civic Hospital,and as GeneralHospitaland Peterborough as Directorsfor both St.Joseph;s Port Hope and District District, and consultantsfor campbellfordMemorial, cobourg Hospitals., servicewhichcouldbeofferedin 1913thelaboratoryhasevolvedinto Fromtherudimentary service,housedin ten rooms,completewith a wash-upand sterilizing a comparablyadequate room, ECG and classroom,out-Patientarea, offices and record alea, storagearea, and laboratoriesequippedfor: in 1977) Virology (discontinued MicrobiologyandserologY Media preparation Haematology (BloodBanking) Immunohaematology andUrinalysis Biochemistry Histology. applied growthin scientihcknowledge Thelastthirty to forty yearshasseenthephenomenal in the quality,accuracyand to medicaltechnology.This hasresultedin a rapidadvancement wrestle with humandisease.The (tests)availableto doctorsas they quantityof techniques GeneralHospitalhad kept pacewith such advances,as the new liboratbry at St.Joseph's thepacehadto quickenandthescope but suddenly available, became andinstruments techniques hadto broaden.The impactof certaineventsin thelaboratoryspedthe process' the canadianRedcross hadbegunto assumeresponsibilityfor By 1954(approximately) and hadsetup BloodBankDepotsin major bloodfor transfusions, collectingand piocessing to supplybloodfor the hinterland. citiesacrosscanada,but badnot yet undertaken led by Mrs.charlesRae,blooddonor In 1956with thehelpof l,ocalRedcrossmembers, hospitals.This ensuredsuppliesfor city of both laboratories clinicswereheldbi-monthlyin the peterborough's a donorlist andhavingto stopto collectblood needs.It eliminatedsupervising at busytimes. Realrelief camewhenthe TorontoDepotbeganto hold its own blood donor of processed clinicsin Peterborough.Now both hospitalswereassuredof weeklyshipments betweenPeterborough at a timewhenpublictransportation occurred bloodunits. If emergencies breach andbroughtus the into the Police stepped Provincial the andTorontowasunavailable, blood in fair weatheror foul. 115 B-3 When in 1956,Doctor EudoxiaDutkevichbecamethe first full time Director of the its first directpersonal Iaboratoryin St. Joseph'sGeneralHospital,thelaboratoryexperienced wereenrolledin the medicalsupervision.And when,in this sameyear,the first two students of a Laboratory wasassured the newlyestablished Schoolof MedicallaboratoryTechnology, of the schoolremainedon staffeither supplyof trainedpersonnel,sincemanyof thegraduates temporarilyor permanently. up In 1958,an automatictissueprocessor and a secondbinocularmicroscopespeeded production,while the increasednumberof betterquality blood groupingsera,as well as blood. improvedmethodsof bloodmatching,eliminatedmuchof therisk in transfusing The greatest impacton the servicecamein 1963whenthelaboratorywasmovedinto the neededto andthespacefor theequipment newlybuilt "D" Wing. At lastit hadthefurnishings keeppacewith the demandsfor thoseimprovedand specialtestswhich were now available. of immediately.Soontheseparation by electrophoresis wasintroduced Testingfor electrolytes with proteinsandlipoproteinsin bloodserumfollowed. And so it went providingphysicians addedcluesastheysoughtto trackdownthecauseof humanillness. andautomaticlaboratorytestingwerebecoming By 1968instruments for semi-automatic morereliableandwereintroducedinto thelaboratoryeachyear. Theresultingimprovedquality, accuracyand speedin reporting findings in hematology,biochemistry,electrocardiography (EKG's),tissueanalysis,andevenin BloodBanking,hasbeengratifying.The introductionof alsosavedtime andmoney. vacutainers to collectbloodspecimens I-adies'Hat Custom-made projectsto helpdefray undertookmoney-raising ln 1964a numberof hospitaldepartments hataccordingto thedebton the newwing. Our projectwasa prizeof a $25.00Custom-made the preferenceof the womar. a hatdisplay,with stylechange PaulBunnwhosehobbywasmakingIadies' Hats,arranged prize winnerwas Mrs. (Doctor)Atkinson, weekly. The ticket salenetted$720.00and the Norwood. 116 c-1 MEDICAL RECORDSDEPARTMENT (Directors-MedicalRecords) Within the last hundred years many changeshave taken place in the Medical Records Department. Thesechangesinclude an increasein the size of the department,the number of personnel,the amountand quality of the work doneand the methodin which it is done with the useof modernand sophisticated equipment. In 1938the first RegisteredRecordLibrarian (now known as Health RecordAdministrator) was hired and a systemfor coding and cross-indexingdiseasesand operationswas set up. A patient'sindex and physicianindex was also set up. There were approximately80 bedsat this tlme. In 1952a Schoolfor Training Medical RecordLibrarianswasopenedunderthe direction of SisterCeline. It was a 12 month courseand there were four students. The schoolwas closed the following year. In 1956all the medicalrecordsup to the end of 1950were microfilmed and storedon reels in the M.R.D. Sincethen microfilming is doneon a regularbasisand a new microfilm readerprinter waspurchased in 1989. The medicalrecorddepartmentwaslocatedin two different locationsnearthe Armour Road entrance. In 1963 the departmentwas moved to the presentlocation in the D Wing. At the same time the storagearea was located in the basementof the D Wing and equipped with movableshelving. In 1951 a dictating machinewas installedard a medicalsecretarywas hired. There have been many changesand expansionsto facilitatedictating for membersof the medical staff. In 1987 a new central dictating systemwas installed in order to cope with the large volume of dictation which consistsof histories,consultations,progressnotes,operativeprocedures,etc. In 1965the H.M.R.L (HospitalMedicalRecordInstitute)wasintroducedand all the medical statisticswere receivedon computerprintouts. St. Joseph'swas one of the first hospitalsto participate. In 1983the computersystemfor HMRI abstractingwaspurchasedfrom the Network Data Systems. This producedconsiderablecost savings. tt7 c-2 In 1973the positionof a HealthRecordAnalystwas createdfor the Medical Audit Programme.The office waslocatedoppositethechapel. In 1980theDirectorof theMedical RecordDepartment responsible for thisprogramme, became andin 1985shebecameresponsible for the HospitalWide QualityAssurance Programme. In 1982theJointFormsCommittee with Peterborough Civic Hospitalwasformed. In 1985 the Medical RecordsCommitteestartedto meetiointlv with the commmitteeof the Civic Hospital. In 1986 the Director of Medical Recordswas given responsibilityfor Health Record functionsat the hospitalsin Haliburtonand Minden. In 1988 a computersystemfor HMRI/CPI/Emergency Registration wasinstalledat both facilities. In 1983a colour-coded terminaldigit systemwasbegun. In 1987the first computerfor wordprocessing wasobtained.In 1988a computerwasacquiredto producein-housestatistical reportsandnewplansgot underwayto developa joint computersystemwith the Peterborough Civic Hospital. In 1989 the ManagementRegulationin the Public HospitalsAct was revisedwith impacton Retentionof Records. considerable The volume of work in the Medical RecordDepartmentcontinuesto increase,and at the presenttime the staffcomplement is 10.5Full Time Employees. 118 D-1 SOCIALSERVICESDEPARTMENT (Director - Social Services) The Social ServiceDepartmentof the hospitalwas establishedMay l7, 1968 and its ltrst director was Mary Parthun. It was the first social serviceoffered in a generalhospitalin the Peterborougharea. Consultantservicewas providedby Family Counselling. With this new serviceits scopewidenedgreatly to include generalplanning for the social well-beingof patients. There was also the responsibilityto interpretthe socialneedsof patients to official agenciesand to the public at large. A brief wasalso submittedto City Council urging broad planning for the basicneedsof the agedand the poor of the area, urging more direction of voluntary funds to me€t theseneeds. Becauseof the deleteriouseffectsof long hospitalizationon the personaland social life of for patients. Follow-up is also the patient, there is now a stronginterestin discharge-planning part regardedas an important of socialwork. In keeping with its philosophy, the responsibilityof the departmentis extendedto the community at large and for participationin worthwhile communityprojects. In the team-approach,membersfrom eachdisciplinebring their point of view to the total situation. Here Social Servicesunderlinethe social needsand relationshipsof individual and inter-relationshipsof community services. The activitiesof today'sdepartmentincludepatientservices,communityaction, studentand staff education. Recently a brochure was developed and given to families of patients being transferred to Toronto. At the requestof Minden and Haliburtonhospitals,a somewhatsimilar brochurehas beendesignedfor patientsbeing transferredto Peterborough. 119 E-l PASTORALSERYICES (Director of PastoralCare) and "To visit thesickaftertheexampleof ChristHimself is indeeda scripturalexhortation is in the recordedhistoryof Christianity. the its responsibility whentheyaccepted A naturalwork in a hospital,the Sistersassumed invitationof Right ReverendR.A. O'Connor,D.D.,to lakeover the operationof St.Joseph's Hospital,Peterborough. For tlle next forty yearsmedicalsciencewasrudimentaryandthe total careof the hospital patient,body, mindandspirit, wasrelativelystable.Thenumberof patientswassmallandthe helpful for theSisterSupervisors to establish turn-overlimitedsotherewereampleopportunities patient-relationships. Clergymenof patients'religiousfaiths visited on a casualbasis and parish priests administered the sacraments. Sistersandclergywereon call sevendaysa weekandwouldbe availableto be with thevery ill anddying. thecausesof disease becamethe challenge. As medicalscienceandtechnology advanced, But the successfulwar on a numberof diseases seemedto drive a wedgebetweenmedicineand religion. Therewasincreasingemphasis on the causeof sufferingwith lessconcernfor the sufferer. As socialsciences were beingintroducedinto the field of medicine,the importanceof psychologicaland social factors affecting illness was becomingrecognizedwith a better relationships. of the role of humanandinterpersonal understanding by Bishop V.Gillogly,whowasappointed Thefirst full-timehospitalchaplainwasReverend in wasto try to discoverhis role in this medicalenterprise B.I.Websterin 1958. Thechallenge an physical His function became terms. a setting which defined sicknessin stdcdy in addition andencouraging to evolveascomforting,supportive accommodating oneandseemed ministry. to his sacramental In the 60's and70's with conflictsof medicineandreligionthe medicalworld beganto rethink its conceptsof health and medicalpractice. The medicalprofessionalsrecognizedthe complexinteractionbetweenthebiological,social,mentalandspiritualforceswithin theperson life style,diet,exercise,values,faith meaning aswell astheinterplayof heredity,environment, andcommitments. 120 As healthcareperspectives broadened,the importanceand needof pastoralservicesbecame betterunderstood.In due time the CanadianCouncilon HealthCareFacilities in their standards for Accreditationrecommendedthat every hospitalhave a PastoralCare Department. A volunteerprogramin Palliativecare within the Pastoralcare Departmentwas established in 1982 by ReverendC.Rushman,S.J. Director. The first co-ordinatorof Palliative Care was Mrs. Lyla Ranney. The first budgetfor the PastoralCare Departmentwas presentedin 1987. Today, Pastoral Educationprogramsare availablein a variety of settingsand are recommendedfor all who wish to work in PastoralMinistry. It is a sharedministry. To be pastoralmeansto engagein the propheticrole of theologicalreflectionand compassion. The staff in PastoralCare strive to acquirea listeningheart, a contemplativestance,taking 'other'. into oneselfthe joy and pain and concernof the As we move rapidly towardsa new century, alreadythere are signsof vital sparksin the 'quality time', time evolution of the spirit. The individual seemsto sensethe need to find devoted to enhancinghuman relationships,and restructudngpersonalgoals and values and seekinganswersto the basicquestionsaboutlife, which every thoughtfulhumanbeing must ask for an entire lifetime. Hospital Chapel March19, After extensive renovations andrefurbishing, thechapelwasofficiallyre-opened in memoryof SisterCecilia it wasre-dedicated 1990. At therequestof theSistersof St.Joseph from 1976-1983. Maloney,C.S.J.who servedas GeneralSuperiorof the Congregation In additionto daiiy liturgy which is opento the largercommunitythe chapelis usedfor prayerservices,e.g. studentsin C.P.E. Course(ClinicalPastoralEducation)and monthly memorialservices,etc. of quietandpeace It is alsoavailableto patients,staffandvisitorswhodesireanatmosphere for reflection. t2l E-3 Blessingand Rededication of St.Joseph'sHospitalChapel March 19. 1990 (Homilyby BishopJamesDoyle,D.D.) The Blessingof a hospitalchapelis an importantmomentin the historyof a HealthCare of care, for usat St.Joseph's whatis theheartandcoreofour philosophy Facility. It underlines our mission. Two personsemphasize whatI wantto sayto you. whois thepatronof our hospitalandthe we blessthischapelon theFeastDayof St.Joseph herefor 100years. patronand modelof the Sisterswho haveministered wasthefosterfatherof Jesus.He raisedHim andcaredfor Him andHis Mother St.Joseph in theBible. Mary. In scriptureHe is described "asthejustman"- theonlypersonsodescribed "Just" means"giving to all their properdue". What a beautifulmodelfor a hospitalanda community! To give to everyonewho comesherethe carethey need,the concernthat they need,the compassion and warmththat their humanitydeserves.That is what the holy man whosenamewe bearcallsus to in our hospital'sministry. - this chapelis beingdesignated to-dayasThe Sister The secondpersonis a contemporary CeciliaMemorialChapel. Shewasa wonderfulwomanthat mostof us knew, admiredand who stroveto live themottoof hercommunity"TheLove loved. Shewasa Sisterof St.Joseph was of Christhasbroughtus together".This shebroughtto all shedid - andhow monumenlal her contributionnot only for hercommunitybut thechurchandour society.Thatvery special dimension,to seein all othersthe Christto be lovedandservedis the specialqualityher life herwork andperson- to giveto all whocometo thisfacility teaches us to-dayaswe remember the love that we wouldgive to Christ;the lovethatChristwouldgive to themif He laboured here. thishospitaland of thesevaluesthatshoulddistinguish May thischapelremindusconstantly of the rich humanityof everyperson and the love of makeit distinctive a deepawareness Christthat we can bestowon themgiving to eachrichly what theyjustly deserveas human personslovedby God. May this Chapelbe the dynamoof suchcareandlove. Amen. 122 CHAIRPERSONS.BOARD OF TRUSTEES (Title changesof the GoverningBoard) ManagementBoard Advisory Board Board of Directors Board of Trustees 1890- 1940 1940- 1966 1966- 1972 1972- Sistersof St.Joseph 1890- 1939 Mr.JamesLynch 1939- 1940 MI.J.R. Corkery 1940- 1960 Mr.E.W. Curtin t9ffi - 196r'. Mr.W.F. McMullen 1964- 1966 MI.N.J. Crook 1966- t969 Mr.E.W. Curtin t969 - 1975 MI.C.M. Krug 1975- 1976 Mr.Sam Murphy 1976- t978 Mr.John McCarney 1978- 1980 Mr. Frank Petrie 1980- 1982 Mrs. Carole Pulver 1982- 1984 Canon Bill Moore 1984- 1987 Mrs. Helen Willcox 1987- 1990 tz5 r-L HOSPITAL ADMINISTRATORS1890- 1990 1. SisterAnslem 1891 1890- 2. SisterVincent 18911895 3. SisterClotilde 1895-1901 4. SisterSt.Michael 1 9 0 1 - 1 9 1 1 5. SisterAntoinette 1911-1917 6. SisterSt.Michael 1917-1923 7. SisterSt.Bernard 1923-1929 8. SisterSt.Joseph 1929-t935 o SisterAntoinette 1935-1940 10. SisterMary Esther 1940-1946 11. SisterPriscilla 1946-1953 t2. SisterJosepha 1953-1959 13. SisterMariePaul 1959-1970 14. Mr.lro Doiron 19701989 15. Mr.GerryRowe 1989(Interim) 16. Mr.FrankLussing 1989- TU F-3 MEDICALDIRECTORS Dr.R.S.Chenoweth March1972- Aprll 1974 Dr.J.R.Epping Aprrl1974- February1985 Dr. P. Richardson March,April, May 1985 Dr.J.R.Epping 1985 Juneto December Dr.M.Trossman 1986- CHIEFSOF STAFT' Dr.L. Zacks 1962 Dr.W.W.Belch(MedicalStaff Representative) 1962 Dr.H.E.Gastle 1963 Dr.W.W.Belch 1964 Dr.O.B.Richardson 1965 Dr.A.M.Turner 1966 Dr.T.J.Sheppard 1967-1968 Dr.R.S.Chenoweth 1969-1970 Dr.J.R.Epping l97r-r9'74 Dr.I.O.Drysdale r974-1976 t2J -.MEDICAL STAFF PRF"SIDENTS 1960 1961 1962/1963 1964 1965 t966 t967 1968 1969 r970/72 1973/74 D77 1975176-Apm 1977 May - December 1978 19'79/t980 1981/82t83184 1985/86 1987/88/89/90 Doctorswhosenamesare on early recordsof the GoverningBoard 1939- 1959 1957- 1964 1962- 1963 1963 1964 1966 1966 1966 Dr. F.P. McNulty Dr. M. Moher Dr. H.E. Gastle Dr. O.B. Richardson Dr. A.M. Turner Dr. T.J. Sheppard Dr. A.H. lrvy Dr. P. Bodrug t26 F-6 PHYSICIANS'SERVICEAWAR"DS GOSPITAL COMMITTEE WORK) Dr.J.J.Neville Dr.K. Milne Dr.J.R.Epping Dr.D.B. Kelly Dr.I.R. Mclran Dr.H.J.Mccartney Dr.D.R. Clark Dr.G.M. Deyo Dr.B.D.Feaver Dr.S.R.Martin Dr.D.L. Norrie Dr.R.I.L. Sutherland Dr.C.J.Must Dr.W.R.Mcl*an Dr.C.E.Cragg Dr.J.W. Martyn Dr.R.L. Smith Dr.J.E. Callaghan Dr.M. Trossman Dr.G.D. Keats Dr.A.A. Minor Dr.M.B. Trusler Dr.R.A. Beamer Dr.J.E.Gray Dr.V. Arcieri Dr.D.S.Campbell Dr.J.A. Meade Dr. J. Fagan Dr.A.E.W.Morton Dr.D.W.Aitken Dr.R.S.Chenoweth Dr.J.R.Morgan Dr.A.H. kvy Dr.A.M. Davidson Dr.W.W.Belch Dr.I.O.Drysdale Dr.W.S.Gow DI.D.C.May Dr.N.A. Scott Dr.A.M. Turner Dr.S.B.Moore Dr.R.M. MacMillan DI.E.L. Magee Dr.F.J.Strath Dr.C.Varty Dr.J.D.McCallum Dr.E.J.Hambley Dr.R.A.Durnin Dr. D.J.Hartene Dr. W.L. Rogers Dr. E. Ho Dr. R.H. Friesen Dr. W.Beer Dr.R.G.Caskey Dr.J.D.Goodge 127 Dr.C. Maclsaac Dr.E. Dutkevich Dr.W.C. Wedlock Dr.H.M. Yule Dr.P.J.Doyle Dr.W.J.Gamble Dr.R.L. Clark Dr.J.H. Fraser Dr.A. Kelly DI.F.C. Meade Dr.T.J. Sheppard Dr.G.W.Powell Dr.G.A. Irwis Dr.P.A.Clark Dr.W.A. Dawkins Dr. R.R. Mann Dr.J.W. Mewett Dr.R.G. Morrison Dr.B.W.Johnston Dr.I.C. Fung Dr.D.A. Boyle Dr.K. Sewchand Dr.H.J. Stelzer Dr.J.H.M.I,an Dr.C.L. Boyd Dr.R.M. Elliott Dr.D.W. Smith E'7 HOSPITAL AUXILIARY PRESIDENTS 1. Mrs.F.J.Lynch 1946-1948 2. Mrs.J.V. Gallivan 1948-1951 3. Mrs.P.J.Anglesey 1951-1952 A Mrs.B.Monaghan 1952-1954 5. Mrs.J.L. Paquette 1.954-1956 o. Mrs.B.Monaghan 1956-1959 7. Miss L.Sullivan 1959-1961 8. o Miss L.Flynn 1.961.-1962 Mrs.J.Fitzpatrick 1962-1964 10. Mrs.Cyril l,andry 1964-1965 11. Mrs.B.Monaghan 1965-1966 t2. Miss T.Lucas 1966-1967 l -1. Mrs.S.Geale 1967-1968 14. Mrs.K. McMullen 1968-1970 l). Mrs.B.Haley 1970-1972 16. Mrs.D.l-ee 1972-1974 17. Mrs.M.Ramey 1974-1976 18. Mrs.B.Haley 1976-r978 19. Mrs.M.Thatcher 19781980 20. Mrs.C.Clarke 1980-1982 21. Mrs.D. MacCormick 1982-1984 22. Mrs.E.White 1984-1986 23. Mrs.M.Ramey 1986-1987 24. Mrs.P.Houlihan 19871989 25. Mrs.F.McGill 1989- 128 G CENTENMAL YEAR PROGRAM (Monthlyeventsplannedby theHospital'sCentennial Committe€) January2 - February10 March30 - April 21122 - Centennial YearLuncheon. Centennial Crestandsloganunveiled andceremonialcutting of birthday cake. Skatingpartyfor staffandtheir children. SpringDance. Centennial Nurses'AiumniHomecoming. May 27 - FamilyHealthFair andOpenHouse. June24 - TeddyBearFair organizedby the HospitalAuxiliary. July - StaffFamilyPicnic. August15 - BirthdayGardenParty. August12-18- St.Joseph's GeneralHospital, Peterborough Week. - Peterborough August26-Sept.30 MuseumCentennial Exhibitionandspecialevents, i.e. Publicspeakers on historyof MedicineandHealthCare. October - Fall Ball. November - To be scheduled. December - Centennial Christmas Party. t29 Re-enactnent- Arrival of First Patient' 1890 Iced Model of the llosPital LR, Mayor Sutherland,HelenWillcox, SisterVeronica,Frank Lussing January2' 1990 130 EX^ntitt* Established 1847 Centuryto Celebrate St.Joseph's Hospital PeterboroughExaminer,January2, 1990 S R U C El . R U D D P u b l , 3 h e r o n d c e . e r o l E N AANOIO. Msiaging Editor FFEO EISMONT.AdvertislngManager Mo.oge. BEVEBLEY THOMPSON. EdnodrlPaa€Editor FTCHABO RUSSELICkculation Manaser TUESOAY, JANUAFIY 2. 1990 Centuryto celebrate St. Joseph'sHospital St. Joseph'sGeneral Hosnital Sincethen. the hosDitalhas inmarks its 100th birthdav'this stituted services like a nuclear year,a centuryof unstintiigand medicine deDartment.amDutee essentialservice to the peopleof clinic, computerizedpharriracy, thePeterboroushareaday hospital,chiropodyprogram, In fact, the hi-storyof peterbor- cancerclinic affiliated with Prinoughis closelyentwinedwith the cess Margaret HosDital in Tohistory of the Sisters of St. Jo- ronto and"an off-site phvsiothejoseph's seph,the.hospital'sfounderswho rapy department. St.also mark thelr centennialin the and the hosDitalsin Minden and Haliburton ihat it took over in city this year. 1983received their latest threeThe cornerstonefor the oriei- year profesionalaccreditationin nal hospitalbuildingwas laid in 198B. 0ctober, 1888,with the official The practice of medicine openingheld Aug.20, 1890.The changedmarkedly during St.has Jofirst 25-bedhosDitalwas located seph's HosDital's first centurvon RogersStreet,site of the Dre- Where mosi of the burden onie s€nt bxildin€. That section ivas fell on doctors and nurses, todemolrshed ln 1969. day's patientsseea wide rangeof St. Joe's.as it is affectionatelv professional and sxpp,ort staff known. has expanded over thi: memDers and underqo Droceyears to eight fimes its original dures and treatmentJ m'edical capacity.It has also changed,as and nursing practitioners could hospitalserviceswereintegrated not evenimaginein 1890. with thoseofferedacrosstown at Oneprinciplehas alwayssusPeterboroughCivic Hospital. So tained both the Sistersof St. Jogreat wasthe needthat a mere 20 seph and the hospitals they are years passed before new beds responsiblefor: service to this and an elevator were added. A community regardless of race, secondadditionopenedin 1922,a coloror creed.It is the firmest of third in 1950and the most exten- foundationsas the hosDitalenters siveaddition,D Wing,added113 its secondcentury and'theneonle beds and several new depart- of Peterboroughwish it a hea'rtfelt HappyBirthday. mentsin 1964. 731 a cWruny orspRvlcg