This week (December 4-10, 2022) is National Handwashing Awareness Week. As we all know, hand hygiene is a critical component of clinical care and patient safety. In this post we’ll be looking at handwashing campaigns at Mount Sinai Beth Israel over the years. (Click on the images for a larger view, or see the links below to view the item in our catalog.)
Nurse disinfecting hands in milk formula preparation room, September 1952
Handwashing campaign in October 1981 of the Beth Israel Pacemaker (employee newsletter)
Article from the February 1982 issue of the Beth Israel Pacemaker about BIMC’s handwashing campaign
Infection control team demonstrating hand hygiene in the November 1994 issue of Eye on BI (employee newsletter)
For more information about former Beth Israel locations, see the Building Beth Israel series. An interactive map of Beth Israel historical locations is available here.
The start date of an institution seems like a clear-cut fact, but often the records that would ideally shine a light on this milestone are actually a bit murky. The founding of the Phillips School of Nursing at Mount Sinai Beth Israel (PSON) is a great example of this historical ambiguity.
During a recent reference request, I had the opportunity to research the establishment of PSON more fully. I spent hours poring over the Beth Israel Board of Directors minutes tracking down this information. Reading through this material was extremely time consuming – the minutes are handwritten in large, loopy cursive, and most entries didn’t even have a passing mention of the school. (When one meeting had discussion about the Hospital purchasing a typewriter, I felt like it wasn’t a moment too soon!)
The earliest mention of nursing at Beth Israel Hospital is in the Board of Directors minutes of April 25, 1891, when a nurse applied for a position at the Hospital as it prepared to move to its new space at 196 East Broadway, and was hired to begin working on May 15 of that year at a salary of $23 per month (about $730 today). These early years at Beth Israel (established 1890) were marked by financial precarity, and it was noted in July 1891 that the Hospital must “limit itself to accepting ten patients for the foreseeable future, these to be serviced by 2 nurses only, one doctor, one cook, and if the Hospital would also reduce other expenditures…the institution would survive.”
In the years following, an added concern was hiring nurses who were trained. As was a common model for the time, Beth Israel Hospital opened its Training School for Nurses to supply the hospital with a fixed number of student nurses, who provided most of the nursing service to inpatients and were supervised by a smaller number of trained, professional nurses. We know that the school first opened at the Jefferson and Cherry Streets location with a two-year curriculum – but when exactly?
The minutes reveal only a rough outline of the founding of the school. The first mention of it was on October 11, 1898, when the idea was referred to the Medical Board in conjunction with the Board of Directors, Training School Committee. The committee consisted of two members, “Hurwitz and Fleck[?].” Two months later, the committee wrote a proposal for the school, and on March 7, 1899, it was officially established.
The school wasn’t mentioned again in the minutes for three full years, and renewed interest coincided with the hospital’s preparation to move to the Jefferson and Cherry Streets location. On March 4, 1902, the committee “was instructed to proceed at once with the necessary arrangements for nursing in the new hospital” in addition to “other work” as assigned. On May 6, 1902, the committee reported that “requests for the recommendation of a Supt. Of Nurses have been sent out and that the German Hospital recommended a Mrs. Chapman[?].” (German Hospital was renamed to Lenox Hill Hospital in 1918.) This superintendent of nurses would have supervised the student nurses during their training.
Example of minutes, including the mention of the typewriter purchase (right)
Finally, the minutes from late 1902 imply that the student nurses had begun their work. On October 7, November 11, and December 9, 1902, the minutes state that the nurses’ quarters were “insufficient”, and it was moved to find a better place to rent for them. The November minutes also reflect some logistical challenges around finding the right number of nurses per ward. There’s no definitive school start date mentioned.
The unprocessed Phillips School of Nursing records also have materials related to the hundredth anniversary of the school taking place in 2004. Did these celebrants have access to historical documentation that is not present in the Archives? It is difficult to say. The celebration, called “A Century of Caring,” honored the ten graduates of the first class in 1904: Rose Bergen, Elizabeth Berman, Fannie Finn, Rose Goldman, Rose Hyman, Julia Meyers, Lena Rabinowitz, Sophie Reichin, Elizabeth Stein, and Minnie Vogel.
By carefully reading the Board of Directors minutes, searching through PSON’s own records, and seeing the institution’s own conception of its anniversary year – all this taken together – we’ve concluded that the Beth Israel Hospital Training School for Nurses was established in 1899, with the first class beginning in 1902 and graduating in 1904. We feel that we can more reliably count on these dates than in the past, and hope that this account supplies helpful context to the archival labor that goes into these historical understandings.
An interactive map of Beth Israel historical locations is available here. See the Building Beth Israel series for more information about the history of MSBI.
The 1950s ushered in an era of rapid construction and growth for Beth Israel Hospital that would last for nearly two decades. The footprint of the Hospital during this time rapidly expanded and a number of new buildings were erected to accommodate the hospital’s growing services.
This began in 1952, when the cornerstone was laid for the Charles H. Silver Clinic at Beth Israel Hospital. The building, which was created as an outpatient clinic, would open the following year. According to the Board of Trustees minutes, it was named for Charles H. Silver because “[h]is labors, his vision, and the inspiration he has given to his colleagues have been a major contribution to the development of this great institution so that it holds a ranking position as a haven of healing, a sanctuary of science, a temple of the art of medicine.” (The Archives have additional images of Silver online here.)
Exterior view of the Charles H. Silver Clinic, May 1961 (link)
Charles H. Silver and unidentified man following sign change from Livingston Place to Nathan D. Perlman Place, March 26, 1954 (link)
On March 26, 1954, Nathan D. Perlman Place was dedicated as a tribute to the memory of the former Beth Israel Hospital Vice President, who had also served as a member of Congress. (The street was formerly named Livingston Place.)
The cornerstone was laid for a residence for Beth Israel School of Nursing students on East 16th Street on September 9, 1958. (At this time, the School of Nursing was located in the Dazian Pavilion, and the location of the new building was previously a parking lot.) At its opening, it was called Fierman Hall. Attendees of the ceremony included Senator Jacob Javits and Governor Averill Harriman, the latter of whom used it as an opportunity to criticize Senator Javits for the lack of funding by the federal government for college student housing. Mayor Robert Wagner, then-gubernatorial candidate Nelson Rockefeller, and Gustave Levy (in his capacity as the President of the Jewish Federation of Philanthropies) were also in attendance. When the building opened on September 25, 1960, there was space for 154 student nurses.
Charles H. Silver, Mayor Robert Wagner, Governor Nelson Rockefeller, and others laying the cornerstone of Karpas Pavilion, September 9, 1958 (link)
Postcard showing rendering of Fierman Hall (before it was renamed Karpas Pavilion), circa 1960 (link)
Fierman Hall’s location on East 16th Street was short-lived. Due to swelling class sizes, the space was no longer adequate for the growing School of Nursing. In 1965 alone, the incoming class size almost doubled to a hundred new students, up from sixty, and the School was recruiting six new faculty members. A new student residence, also named Fierman Hall, was dedicated at 317 East 17th Street on September 18, 1966. Senator Javits once again attended the ceremony. The new Fierman Hall on East 17th Street housed between 260 and 300 nurses (sources conflict on this number), as well as classrooms and lecture halls. Together, this allowed for an increase in class size. The first Fierman Hall on East 16th Street was renamed the Karpas Pavilion and it was repurposed for patient care.
Map of Beth Israel campus between construction of the two Fierman Halls, 1964 (link)
Ribbon cutting with Charles H. Silver and Rose Hauer at the second Fierman Hall (link)
The expansion of Beth Israel Hospital did not end there. By the end of the 1960s, the campus would grow to include the Linsky Pavilion, the Bernstein Pavilion, Baird Hall, and Gilman Hall. The history of these buildings will be featured in an upcoming post.
A history of the ambulance service at Roosevelt Hospital, today’s Mount Sinai West, is available here. See the Building Beth Israel series for more information about the history of Mount Sinai Beth Israel. An interactive map of Beth Israel historical locations is available here.
National EMS Week is May 15-21. In this blog post, we’re celebrating by looking back at a brief history of emergency medical services at Mount Sinai Beth Israel.
The first ambulance service began at Beth Israel Hospital in 1906. It first used a horse-drawn carriage, later switching to automobiles in 1915. During this early period, ambulances were manned by members of the house staff, including Nettie Shapiro, MD, the first female house staff at MSBI in 1909.
By 1984, Beth Israel was “the first voluntary hospital in New York City to have attending physicians fully trained in emergency service on duty around the clock, every day of the week.” New York City did not mandate such 24-hour care in EMS participant hospitals until June 1, 1987.
In 1990, the Division of Emergency Medical Services was named for David B. Kriser, a Beth Israel trustee, in honor of a $3 million bequest from him. This led to a major renovation, and the division doubled in size.
An interactive map of Beth Israel historical locations is available here. See the Building Beth Israel series for more information about the history of MSBI.
Mount Sinai Brooklyn is one of the more recent New York hospitals to join the Mount Sinai Health System. Prior to its most recent incarnation, the hospital dates to the 1950s and was a long-time division of Mount Sinai Beth Israel.
Prior to the 1950s, the location was a series of interlocking lots. In 1953, the parcel was created at 3201 Kings Highway for Samuel Berson, MD, a specialist in allergy and immunology, to create a nursing home there. Though the exact timing is unknown, the nursing home was converted into Kings Highway Hospital shortly after with 212 beds.In 1980, King’s Highway Hospital opened its North wing, without an increase in the number of beds. As a small, private, community hospital, not much documentation has survived from those years.
On July 11, 1994, a special meeting of the Beth Israel Medical Center Board of Trustees passed a resolution “that the Medical Center proceed to negotiate the acquisition of Kings Highway Hospital.” By adding Kings Highway to the existing Petrie and North divisions, “on the basis of total admissions per year, the acquisition makes Beth Israel the largest voluntary hospital in New York City and one of the largest in the United States.”
The period following Beth Israel’s acquisition marked a time of rapid renovation and development at the Kings Highway Division. This included renovations at the Surgi-Center (1996); the introduction of three-bed inpatient Acute Dialysis Unit (November 1996); an expansion of the Russian Health Service and other Russian language amenities (1998); and an expansion of the emergency room from six to seventeen treatment slots (Summer 1998). Perhaps most significant was the groundbreaking for the new building starting in May 1998, which included underground parking, a new emergency department, ICU, and five new operating rooms. The new facility, called the Acute Care Pavilion, was built on what was previously the hospital parking lot, and opened in May 2000.
These renovations and expansions continued with significant investment from donors. In February 1997, Beth Israel Kings Highway Division in Brooklyn received a $150,000 gift from the Leryna Foundation, the family foundation of Ely Levy, an electronics distributor and leader of the Sephardic community in Brooklyn. The gift doubled the number of beds in the ICU from six to twelve. In 1997, the Greater Montreal Convention and Tourism Bureau named Kings Highway Hospital as the beneficiary of proceeds for its production of Robert Lepage’s The Seven Streams of the River Ota at the Next Wave Festival of the Brooklyn Academy of Music. And finally, in December 2002, the Louis Mintz Family Waiting Room in Critical Care Unit was endowed.
With Beth Israel’s merger into the Mount Sinai Health System, the Kings Highway Division was renamed Mount Sinai Beth Israel Brooklyn in January 2014, and then was shortened to Mount Sinai Brooklyn in May 2015. It remains part of the Mount Sinai Health System today.
