Analysis: Letters of a Transport Nurse
"Analysis: Letters of a Transport Nurse" explores the experiences of Katherine Prescott Wormeley, a transport nurse and administrator for the Sanitary Commission during the American Civil War. The letters, written in 1862, provide firsthand accounts of her daily routine and the care she administered to wounded soldiers, highlighting the significant role women played in wartime medical efforts. Wormeley’s correspondence reveals her reflections on both the harsh realities of war and the remarkable acts of humanity she witnessed among the soldiers, illustrating a deep compassion and commitment to her work.
The letters also shed light on the challenges faced by the Sanitary Commission, particularly its critical role in addressing the overwhelming number of casualties and the inadequacies of the government-run Medical Department. Wormeley’s observations touch on the complexities of her position as an upper-class woman engaging in what was then considered taboo work, reflecting broader themes of gender and social status during the era. Through her narratives, readers gain insight into the intimate and sometimes harrowing experiences of nurses in the Civil War, as well as the resilience and unselfishness displayed by both the caregivers and the wounded. This overview underscores the value of Wormeley's letters in understanding the contributions of women and the human condition in times of conflict.
Analysis: Letters of a Transport Nurse
Date: 1862
Author: Wormeley, Katherine Prescott
Genre: letter; report; memoir
Summary Overview
This document is a compilation of letters written by Katherine Prescott Wormeley during her time working for the Sanitary Commission and as a transport nurse and administrator during the Civil War. By examining elements of a few letters, the details of how the injured were administered to and the interactions of noncombatants in the war show the involvement of all people without making distinction for race, wealth, status, or gender. Katherine Wormeley, along with many other high-class women, dove into the war effort in an attempt to alleviate some of the suffering and pain of those who fought for the Union, despite the existing taboo of women involving themselves in such gruesome work or, as Wormeley came to do, managing men in an official capacity. The complete book of these letters was published years later in order to show how women and nurses participated in the war and is justly titled The Other Side of the War with the Army of the Potomac.

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Document Analysis
This analysis is based on three letters, from 1862, immortalized in Wormeley’s book, The Other Side of the War…, the first a letter to her mother dated May 13, the second to a friend dated May 18 (although a only a section of the letter is referred to as the letter is very long), and the last to her mother again dated May 24. These letters cover a wide range of topics and are not, by any means, a complete cross-section of the letters to be found in Wormeley’s book. But these letters seem best to aid a modern audience through their descriptions of the types of work and injuries Wormeley faced when she began work each day (which she called “Routine of Work”); how the Hospital Transport Service was run and how well it coped with the high number of casualties from the war (titled in her index “State of Affairs of the Hospital Transport Service”); and, finally, how the humanity of the soldiers and their ability to rise above their own injuries continued to amaze her (a part of a her letter labeled “Unselfishness of the Sick and Wounded” in the index). By analyzing these letters, a better understanding of Wormeley’s work, to which she devoted her life, and the care she and others provided to the soldiers, should emerge.
In the Service of the Hospital Transport Service
A detailed description of Wormeley’s specific daily routine in the Hospital Transport Service is provided in the first of her letters. The letter itself was written on her second day at her posting, but even in this short amount of time, Wormeley was able to explain what each day of service was going to look like. The descriptions of the injuries which each soldier is enduring or dying from is not the most helpful part of the letter; that comes from reading more deeply and understanding the services that Wormeley provided to the soldiers themselves. She clearly pays attention to each patient, but she also gives extra attention, which modern audiences would not expect from a nurse, such as her taking dictation and writing the lines thought of by a wounded poet. She and her fellows also spend time with the men, not simply bandaging wounds, but talking with them and keeping up morale. Her comments that the poet sat up in bed and wore some kind of voluminous garment “constructed for him by Miss Whetten out of an old green table-cloth” show each woman’s attention to the men—for no other reason than out of a desire to see them well again.
More than simply entertaining the soldiers, Wormeley and the other women’s daily routine included keeping watch, helping the soldiers prepare for the day and washing up, as well as serving breakfast. While these tasks do not seem out of place for nurses, they do suggest a shocking level of intimacy for 1800s women who are not married to the men in question. Since they were nursing the soldiers, it would have been considered shameful or looked down upon, but it was still highly out of the ordinary for upper-class women, such as these, to do tasks, even more so since the soldiers would rarely be men of equal social status. But even though Wormeley states that she is easily settling into the routine, just as the other women have, she is still horrified by some of the necessary tasks which she has to see and occasionally be involved. The doctors personally oversee the caring of wounds, but it is up to the nurses to soothe the men after they receive their care. Wormeley found this most difficult to endure as she had not yet built up any kind of tolerance to the pain and cries of the men.
The rest of that paragraph is dedicated to an outline of the tasks which she and the other nurses complete every day and how they spend their time while off duty. It is unsurprising that at the end of a shift the women chose to relax or write letters to friends and family—for these are the pastime which they would normally be engaged in, if they were still in their homes. Through this description, it is easy to see that these nurses make up an integral part of the Sanitary Commission machine, of which the Hospital Transport Service was a part. This is further described in Wormeley’s second letter, in which she describes how the Sanitary Commission became such a prominent part of medical care in the Civil War. Simply stated, the government-run “Medical Department” was not sufficiently prepared for the huge number of dead and wounded which were produced by nearly every battle in the Civil War. From there, any boat or barge owned by the Sanitary Commission was put into service, loaded with nurses and patients and ordered to move soldiers from the field to somewhere where they were able to receive more comprehensive medical attention.
Wormeley continues her dialogue by explaining that while being treated properly is a must for any seriously wounded soldiers, some men were starting to take advantage of that fact, as is part of human nature and a justifiably fierce desire not to be killed in battle. While her words do not make her seem to be overly worried about the possibility of men abusing the system, even the fact that she brought up the topic at all in her letter lets audiences know that it is something which she and the other nurses must face. She clearly looks forward to the possibility of a large hospital following behind the army for less seriously sick or injured soldiers who would be able to return to their stations, but she also has a practical understanding of the government, the Sanitary Commission, and of the strains of war which make such an endeavor unlikely for the time being. Her disposition as she writes seems to be one of contentment, as she understands the reasons for the on-goings around her and her own place within them. Such ease of mind seems to be enviable in a time of much confusion and danger.
Wormeley’s Patients
Wormeley’s letters, however, not only show her ease in her place in the war and as a transport nurse, but also her pride in the soldiers whom she aids. In her letter to her mother, dated May 24, she gives some of the details of those whom she is currently tending while they recuperate from their wounds. While she had previously spoken of their wounds, their interactions, and sometimes even the amusement which they provide to the nurses, she had not before talked about the “instances of such high unselfishness” which occur, sometimes on a daily basis.
While she did not spend much time on the details of many instances in her letter, preferring instead to tell her mother about them in person, she does recount one instance at the end of the paragraph—a man giving up his bed in order that a more seriously injured fellow soldier could sleep there and volunteering to climb into a higher bed, even though it caused him great pain. While this does not seem to a modern audience like such a great sacrifice, it would be all too easy for a wounded man to think only of his own pain and ignore the plight of others. Wormeley reports that this is not the case and finds her own faith in humanity restored and “strengthened,” even though she is surrounded by the proof of just how much damage men can do to one another. The importance of these moments to Wormeley are clearly demonstrated, as she writes about them almost immediately in her letter, with only a small opening greeting to her mother proceeding this information.
Wormeley cared deeply for her patients and about her own performance of her duties. This is apparent in each line of her letters and the detail which she includes, possibly to explain her choices to those who are not fellow volunteers in one of the bloodiest struggles in American history. She did not decide to help on a whim and then decide to go home when the job became too hard or too real. She, and many other women from similar backgrounds and subject to a similar drive to help, worked themselves to a state of pure exhaustion and sickness. In a time when doing very little or nothing pertaining to the Union’s war effort would not have been considered unreasonable or excessively unusual, upper-class, wealthy, unmarried women left their homes, volunteered their time, and sacrificed their health in order to make some kind of difference for the men who risked their lives and limbs to reunite the country.
Bibliography
Brockett, L. P. “Katherine Prescott Wormeley.” Women’s Work in the Civil War: A Record of Heroism, Patriotism and Patience. Tufts University, 1867. Web. 23 Aug. 2013.
“Hospital Transport Service.” Civil War Women. The United States Army Heritage and Education Center, n.d. Web. 12 Sept. 2013.
Wormeley, Katharine Prescott. The Other Side of the War: With the Army of the Potomac. Letters from the Headquarters of the United States Sanitary Commission during the Peninsular Campaign in Virginia in 1862. Boston: Ticknor, 1889. Print.