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St. Luke's Hospital

The George Smith Memorial

For Private Patients Descriptions, Illustrations

and Floor Plans

Published by Direction of the Board of Trustees of St. Luke's Hospital

INCEPTION c/*^e IDEA qft/>e GEORGE SMITH MEMORIAL

IN FEBRUARY 16, 190O, James Henry Smith wrote a letter to the Board of Trustees of St. Luke's Hospital offering to supply the necessary funds for the erection of a hospital building for private patients, which, when completed, would stand as a fitting memorial to

his uncle, George Smith, formerly a resident of Chicago, — the building to be known as the "George Smith Memorial.,,

Through the kindness of James Henry Smith, the Board of Trus¬ tees found at their disposal the sum of $350,000 in cash, and land valued at $150,000, or a total of $500,000,—to which was added $100,000 by St. Luke's Trustees; thus making the cost of the enterprise $600,000.

In June of the following year, 1907, plans and specifications had been passed upon and accepted, and ground broken preparatory to the construction of the present building at 1431 1447 Michigan Avenue.

It is a matter of sincere regret that Mr. James Henry Smith, who passed away in March, 1907, did not live to see his hopes realized in the present structure. It shall stand for future years as a tribute to the man whose memory he desired to perpetuate, as well as a sub¬ stantial memorial to his own high philanthropic motives.

St* Luke's Hospital opened its doors in a building on State Street, in 1864, with seven beds and two nurses. In 1865, 152 patients were treated. In 1885, January 29th, the present building on Indiana Avenue was opened. In 1890 there were 152 beds, and 1,050 patients cared for. In 1907 the house patients had increased to 3,419, and dispensary visits were 9,579.

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The George Smith Memorial

ff ACING west on Michigan Boulevard, between 14th and 15th Streets, there is a new building, unique at least in its architecture when one considers its purpose. For weeks that have grown into months, and months into years, the casual passerby has been the unconscious

witness to the crystallization of a new idea. Today it stands as a radical departure from all accepted forms. Precedent has had little influence, except as a danger signal from which to turn, in the con¬ struction of the "George Smith Memorial," the new building which

forms a part of the new St. Luke's Hospital.

The character of architec¬ ture, interior arrangement and furnishings, and the policy of its management are alike new in the housing and care of those who must win back health to their weak bodies.

On October 18th was dedi¬ cated and opened to the public the new Invalids' Apartment

Reception Room

which shall be known as the "George Smifh Memorial." While in reality it is a hospi¬ tal for the care of private patients, it is not a hospital as people know such institutions.

The predominating charac¬ ter of the institution will be that of a temporary home for those who are ill, where they may have at hand every de¬ sired aid to better health.

Viewed from Michigan Boulevard, the George Smith Memorial has none of the architectural atmosphere of the hospital. Enter the mas¬ sive wrought-iron gates, walk through the central court, with its walks, flower beds and fountain, to the entrance and the aspect is that of a luxurious modem apartment hotel. Pass the portals and you find yourself in a spacious, cheerful hotel-like lobby, with clerks to give you immediate attention. Behind the hotel-like counter are the desks and offices of the institution. The hotel idea is accentuated by the office arrangement, furnishings and equipment. A handsome large marble fireplace, massive marble pillars and a mosaic floor add to the cheer of the office. On the right is a large visitors' waiting room, decorated and furnished in Louis XVI style. Leading from the lobby are rooms for the officers and members of the medical staff, and a large meeting room for the board of trustees and directors.

Pass from the lobby into the halls and you find on each side the private rooms for the patients. Even here there is the atmosphere

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Interior of Court 9

of the high-grade apartments. Enter the rooms and the impression is increased. For you find none of the emptiness, the barenness—or the pall, if you like of the sick-room. Perfect good taste charac¬ terizes the furnishings. They have about them an air of quiet ele¬ gance. Indeed, these rooms are such as you will find in the homes of well-to-do people. The furniture is of fine mahogany, in some rooms of Colonial design, in others in the patterns of Sheraton. The rooms are sound-proof, of goodly size, the ceilings high, and all corners are eliminated. Where floors join the walls, curves have supplanted sharp angles. The double windows in every room keep out the noise and dust from the streets, and the ventilation is so thorough that the windows need not be raised for purposes of room ventilation. Every room has outside light and many have private bath rooms. There are no unpleasant surroundings to any of the rooms. Hot and cold running water are found in the washstand. Floors are covered with fine, comfortable rugs. The beds are of solid brass of the highest grade in fifty of the rooms, and of superior white enameled iron in the others. The springs and mattresses on all beds are the best procurable and are set higher than those used in the home.

In so far as furnishings go, the bed is of greatest importance, and with this in mind unusual care was taken in selecting such springs and hair mattresses as would give a maximum of comfort and ease.

The bed linen and coverings are of unusual fine quality and every care for their cleanliness has been provided.

Small mahogany tables of the same height as beds are provided in each room for greater comfort in serving meals.

There are arm chairs, bedroom chairs, and easy chairs in each room, as well as a writing desk and a sofa or couch.

Each room has a telephone within reach of the patient. All rooms are lighted by electricity, and a special light is arranged for reading. This, with the other lights, may be turned on and off by the patient while in bed.

The patient also has within reach an electric call for the nurse, one of whom is stationed on each floor. Nurses are called by lights, instead of by noisy bells, and the nurse cannot extinguish the signal light from any switch except the one in the patient's room.

10

FIRST PUOCR. PLAM

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In addition to the single rooms are several suites, either of two or three adjoining rooms, with a private toilet and bath room con¬ necting. These are provided for patients who are attended by friends or personal servants. These rooms are larger, permit of greater freedom, and are furnished at greater cost than the single rooms. A serious effort has been made to make of these suites veritable homes for those who occupy them.

There is a suite set apart for patients with diseases of the respiratory tract, which, because of an increased supply of heated air, will enable the patient to sleep with open windows without fear of evil results from cold or dampness.

In arranging the floor plans, care was taken to wholly eliminate all possibility of annoyance. Therefore, all the work rooms, the pantry, the kitchen, the linen rooms, toilet rooms, operating rooms, and rooms for special treatments are removed from proximity to patients' private rooms. All elevators are encased in solid walls, with double doors for entrance and exit, so as to prevent noises from reaching the rooms.

12

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1431 144-7 /AlQ-llGrAH AVE.

The Culinary Department $ F vital importance in the restoration of health are food

and diet, and this department has been given excep¬ tional attention. The kitchen equipment is of the most modern type, and a genuine effort has been made to provide every diet desired by the physician for his

patient. A capable chef, with assistants of ample experience in each of the several branches, will have direct charge of this department. An effort will be made always in the quality, preparation and service of meals to make them tempting to the ofttimes indifferent appetites of patients. One of the unique features of the institution is a dining- room for patients. This room is furnished with mahogany tables and chairs of attractive design.

Patients well enough to leave their rooms will not be compelled to partake of meals from trays in their rooms. They may, if they so wish, have service in the dining-room.

From the Physicians' Viewpoint* |N the construction and equipment of this institution

a strong effort has been made to meet all the demands of the physician and surgeon, and to provide every facility for the proper treatment of all the various classes of patients which are admissible.

The Operating Department is probably not surpassed by any. The operating rooms have floors of mosaic and sidewalls of marble. Ceilings are of glass, and the equipment, in the main, is of enameled iron. A skylight above the glass ceiling extends the full length of the room and insures ample light under all conditions.

The window which opens to the north is double and the space between is heated, to insure against condensation of moisture and cold currents of air. The ventilation of the rooms is by a separate plant, which provides a change of air once every three minutes if desired. Temperature may be regulated automatically to suit con¬ ditions without reduction in the ventilation.

14

PASSAT .Y/A.Y

• SECOND TLOOI^ PLAN

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Sitting Room of Suite

The air admitted is first washed in the basement and is then filtered through absor¬ bent cotton at the point of admission to the room.

Adjoining the Operating Rooms are Surgeon's Wash Rooms and Instrument Rooms. A Dark Operating Room has also been provided, in which provision has been made for the operations which require

concentrated light on the field of operation with dark surroundings. Especial attention has been paid to the matter of the personal

comfort of the surgeons, as is evidenced by the ample Dressing Room provided for their use and by the comfortably furnished Waiting Room.

The Sterilizing Room located between two of the Operating Rooms contains a complete equipment for the sterilization of water dressings, utensils, instruments, etc. Distilled water is supplied for all surgical uses and for use in sterilizers throughout the building. The Water at all lavatories used by surgeons is sterile. In the sterilizing room is a cabinet for keeping salt solution at a constant temperature, also a cabinet for keeping blankets hot, for wrapping patients.

The Sterilizing Plant of the building is perhaps as complete as any to be found anywhere. The installation in the Sterilizing Room is complete; the Dressing Rooms on each floor are also provided with apparatus for the sterilization of water, utensils, and instruments.

Each of the pantries has a sterilizer for the disinfecting of dishes and table ware. At two points on each floor provision is made for the sterilization of all utensils used about patients.

In the basement may be found a huge sterilizer for the disinfection of bedding, mat¬ tresses, rugs, clothing, etc. In the power house is located

Patients' Room

16

—TniPD FLOOS, PLAN —

^T LuKt5 HosprrAL.

the apparatus, with a capacity of twenty gallons per minute, for the sterilization of all the water supplied to surgeon's lavatories. Adjoin¬ ing is the distilling apparatus, capacity one gallon per minute, for the distilled water supply. The water supplied for drinking purposes is distilled and cooled to about 38° Fahr., and then circulated through¬ out the building to faucets in thirty-six locations.

In the Power House is also located the Refrigerating Plant,— capacity twenty tons per day. At this point the brine is cooled to about eight degrees. It is then pumped through the building, and is then used to manufacture the ice supply, to cool the refrigerators on all floors, to chill the cold storage boxes, to keep cold the water for the hydrotherapeutic room and to cool the drinking water.

With due recognition of the predjudice with which mechanical Ventilation is viewed by many members of the medical profession, great care has been taken in the design and installation of the Ven¬ tilating system. Briefly speaking, it is expected that we will be able to warm or cool the building as may be desired, and within reasonable limits control the humidity.

It will not be necessary to open the windows at any season, but in the event that some patients desire open windows, they may be opened without affecting any apartment other than the one in which they are open. This system is entirely independent of the heating system and the amount and temperature of the ventilating air will be practically constant, except when it is desired to cool the building, at which times the amount will be increased and the temperature reduced.

The Air Supply is taken at a point about fifty feet from the street level; thence it is drawn through a bank of steam pipes, thence through a washer of special design, thence through a bank of re-heat¬ ing pipes, and thence it is driven by a large fan through conduits to the various rooms. Another set of fans of like design and capacity draws the exhaust air from the rooms and discharges it above the roof.

Three hundred feet of air, a very large allowance per patient, in the private rooms is intended not only to provide pure air for breath¬ ing but also to eliminate odors. The distribution is so complete that every apartment, however small, is provided for, and no dependence will be placed on doors to ventilate any portion of the building. It is the intention of the Management of the Hospital to provide

18

— rouKm * rirm FLOO^ PLAM —

Hydrotherapeutic Room

every appliance of established merit for operative work and for the treatment of patients; also to keep abreast of the times in the matter of every¬ thing which will tend to add to the comfort of the patients. One of the elevators is arranged with a landing on the roof, and provision has been made for the Outdoor

Treatment of some classes of patients. The matter of noise, which has been a vexed question in all hospitals, has been dealt with in this building with more than a moderate degree of success. All the open routes for the transmis¬ sion of noise between floors have been eliminated by the enclosure of the stairways in wells with self-closing doors on each floor; the elevators run in shafts of tile, with solid doors, and with vestibules at each landing. All the private rooms are arranged with double windows, and with a provision for double doors leading into the corridors when needed. The dust problem has been solved in a large measure by the installation of a complete vacuum house-cleaning plant, with connections at convenient places throughout the building.

With very few exceptions the use of gas for heat has been sup¬ planted by steam and electricity. The Hydrotherapeutic Depart¬ ment, in charge of a competent operator, will administer treatments only on the orders of the Attending Physicians, and is completely equipped for all work of this character. Apparatus for Thermotherapy and Phototherapy has also been installed.

The Electrical Department is equipped with all necessary apparatus for either diagnosis or treatment.

Dressing Room

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General Description | HE George Smith Memorial is a most dignified structure,

the architectural design being a free adaptation of the Renaissance Style. No attempt has been made to pro¬ duce bizarre effects, nor does mere ornamentation mar the virility of the composition. The walls of the first

story and basement are of stone, the stones above being of a dark-red paving brick with stone trimmings,—the spirit of the whole being one of nobility and harmony. Before working out the plans, the designers had the advantage of a personal inspection of all the best hospitals in the United States, so that in design and equipment it might stand as the last word in modern hospital construction.

The building is absolutely fireproof. Every detail of this feature of the construction was carefully thought out in advance, and every¬ thing that would in the slightest degree contribute to fire hazard was eliminated.

The Ventilation, Heating and Lighting Systems are of the most approved modern type. A special power plant has been provided for these departments.

The Ventilating System is so arranged as to furnish an ample supply of fresh air with an intake of fifty feet above the street level.

The Heating System is capable of delivering a maximum of heat, and is automatically controlled by a temperature regulating system which extends to every room. Any temperature desired by the attending physician may be enjoyed by the patient.

The dynamos in the basement furnish a generous supply of light to every part of the building. Patients without arising may turn the lights on and off by means of a push button placed near the bed.

The Plumbing throughout is open and of solid porcelain of the latest accepted hospital design. An extra faucet is provided for steril¬ ized water in addition to those for hot and cold water. The plumbing is so arranged as to eliminate all possible annoyance from vermin of any kind. Of vital importance in a building of this character is the elimination from patients' rooms of all exterior sounds. This has been accomplished by double windows throughout the building.

The chief architectural features are the entrance court on the east front with its cement walks, driveway, fountain, and flower garden

22

5ixTtt FLOOR^ PLAN

Sterilizing Room

in the center, which can be viewed from all the rooms. The court is guarded on the street side by massive wrought-iron gates of orna¬ mental design. The eastern extremity of the court leads into the entrance hall—a com¬ fortable, spacious, lobby-like room which is unique in hospi¬ tal arrangement.

On the north side of the building is an ambulance court leading to a side entrance which opens onto a raised platform on a level with the ambulance. Inside this entrance is the elevator which touches the corridors above at points convenient to all rooms.

The large Entrance Hall, Reception Rooms and Board Room on the first floor are paneled to the ceiling in the Georgian style and are enameled in soft French gray. The two first named rooms have large fireplaces with marble mantels of beautiful design. The Entrance Hall is furnished with mahogany furniture selected with a view to comfort and appropriateness. The floor is carpeted to harmonize, and with its massive marble columns, its wall tapestries and general treatment of wall and ceiling, impresses the critical eye with its power of pleasing.

The Reception Room furniture is French Walnut of the Louis XVI Period, and the Board Room has English Oak of Elizabethan Style.

All patients' rooms, bath rooms and corridors are finished in the latest development of modern hospital treatment, all angles of walls and ceilings being rounded, and all the floors throughout the building are of art marble.

On each floor are several suites consisting of sitting- room, bedroom and private bath, all having private entrance halls to eliminate the

24 Operating Room

Electrical Room

slightest noises from cor¬ ridors. The furniture in the rooms for patients is of mahog¬ any of Colonial design. The rooms are all decorated simply and tastefully and fitted with harmonious rugs and curtains, giving them more of the char¬ acter of rooms in first-class hotels.

On the third floor are the patients' cafe, diet kitchen

and serving pantry, and on each of the other floors are separate serving pantries connected with the kitchen by dumb waiters, so that all meals may be served hot on every floor.

The operating rooms, gymnasium and rooms for special treat¬ ments are located on the sixth floor. The operating rooms are fitted with every improved appliance known to medicine and surgery of the present day. The conveniences of the attending physicians have not been forgotten, for we find in proximity to the operating room a large dressing room for their sole use. The conveniences here con¬ sist of a dressing room with private lockers, shower baths, toilets, basins and a generous supply of clean linen.

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Bindery

Chicago. St.Luke's hospital

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UNIVERSITY OF CHICAGO

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