Separated Materials note
Scope and Contents
Title: San Francisco General Hospital AIDS Ward 5B/5A Archives
Date (inclusive): 1983-2003
Collection Identifier: SFH 12
San Francisco General Hospital (Calif.). AIDS Ward 5B/5A.
10 vols., 12 boxes, 2 cartons, 1 flat box
(13.6 cubic feet)
San Francisco History Center, San Francisco Public Library
100 Larkin Street
San Francisco, CA 94102
Scrapbooks, communication books, head nurses' files, correspondence, videotapes, publications, and memorabilia collected by
the nursing staff of AIDS Ward 5B/5A at San Francisco General Hospital, the first dedicated AIDS hospital ward in the U.S.
The collection documents daily life on the ward among patients, their families and friends, nurses, and volunteers. Of note
are the photos of public events and celebrations, minutes of nursing staff meetings, and copies of the "Best Hospitals" issues
US News and World Report
, 1991-1997. The collection also reflects the changing role of nursing, as 5B/5A nurses were critical to the development of
the multidisciplinary model of AIDS care that came to be known as the "San Francisco model."
The collection is stored onsite.
Language of Materials: Collection materials are in
The collection is open for research, with photographs available during Photo Desk hours.
Copyright has been assigned to the San Francisco Public Library. All requests for permission to publish or quote from manuscripts
must be submitted in writing to the City Archivist. Permission for publication is given on behalf of the San Francisco Public
Library as the owner of the physical items and the copyright.
[Identification of item], San Francisco General Hospital AIDS Ward 5B/5A Archives, 1983-2003 (SFH 12), San Francisco History
Center, San Francisco Public Library.
Gift from the AIDS Ward at San Francisco General Hospital, c/o Gillian Otway, Head Nurse, May 31, 2002, Accession number 2002-44.
Researchers are encouraged to view the following related books: Ronald Bayer and Gerald M. Oppenheimer.
AIDS Doctors: Voices from the Epidemic (Oxford: Oxford University Press, 2000); Carol Pogash.
As Real as it Gets (New York: Carol Publishing Group, 1992); and Randy Shilts,
And The Band Played On (New York: St. Martin’s Press, 1987).
Separated Materials note
Some artwork, photos, memorabilia, a book listing patients who died, and an autograph book remain on the ward until transfer
to San Francisco Public Library.
San Francisco General Hospital's Ward 5B, the first dedicated AIDS hospital ward in the United States, opened with twelve
beds on July 25, 1983 and included both AIDS and hospice patients. Cliff Morrison, a former Clinical Nurse Specialist in psychiatry,
was the first nurse manager. Capacity quickly proved to be inadequate, so on Jan. 17, 1986, the ward was moved to the 20-bed
Ward 5A. In the mid-1990s, with the availability of new drugs called protease inhibitors, the number of AIDS patients decreased
sufficiently that the ward began admitting non-AIDS-related oncology patients. With its interdisciplinary approach, Ward 5B/5A
set a new standard in AIDS-related medical care.
5B The First AIDS Ward
Ward 5B at San Francisco General Hospital opened on July 25, 1983, as the new staff moved equipment into an area that had
previously been used as residents' sleeping quarters. The next day, the first few patients were transferred from other units.
They included both AIDS and hospice patients.
Prior to the opening of 5B, most AIDS patients were treated on wards 5C and 5D, which were general medical units. Throughout
1982, as the numbers of patients began to rise and the level of fear about the contagiousness of this new disease began to
rise-- both in the general public and in hospital staff-- a decision was made by the Nursing Department, the Department of
Medicine, and hospital administration to open a separate, special-care unit for the treatment of AIDS and hospice patients.
Notices were posted throughout the hospital in early 1983 soliciting interested staff. Interviews were held in the spring.
Eleven nurses and two unit clerks were selected by Cliff Morrison, a former Clinical Nurse Specialist in psychiatry, who was
the first nurse manager.
From the beginning, psychological support of patients, friends, and families was included in the treatment plan with the help
of three counselors on staff through a grant to the Shanti organization. A hospital psychiatrist facilitated regular staff
Social workers, dieticians, physical and occupational therapists, and chaplains were included in the interdisciplinary team
that provided care.
With the number of AIDS cases in San Francisco rising dramatically, 5B (with only 12 beds) was deemed inadequate and, on January
17, 1986, the hospital moved its AIDS ward to the 20-bed 5A. At the height of the epidemic (late 1980s - early 1990s), there
were often as many patients with AIDS off of 5A as there were patients on the ward, all waiting for available beds. Throughout
this period, 5A remained the preeminent center of excellence in AIDS care in the country, recognized in the U.S. News and
World Report "Best Hospitals" issues 1991-1997. Visitors, students, and the media were welcomed as others tried to implement
the "San Francisco model" in their areas.
5B/5A was self-labeled a "ward without walls," inviting community groups to help furnish a more comfortable space. A large
group of loving volunteers provided weekly assistance for the staff and patients. Actors and politicians came by to show their
concern. Mother Theresa’s signature is probably the most cherished in the ward's guestbook.
In the mid-1990s, with protease inhibitors reducing the numbers of AIDS inpatients, 5A had empty beds. Because the staff had
already been treating AIDS-related cancers, a decision was made to open the ward to the treatment of other oncology patients.
By 2002, the number of AIDS inpatients had dropped to the point where the average census of 5A was one-third AIDS patients,
one-third oncology patients, and one-third general medical patients from the emergency room. On the day of the ward's twentieth
anniversary, there were four patients with HIV on 5A.
Scope and Contents
This collection documents memorabilia collected by the nursing staff of AIDS wards 5B/5A at San Francisco General Hospital
from 1983 to 2003. Current materials continue to be collected by staff and are periodically added to this collection.
This archive reflects the evolution of thought that the nurses put into the saving of their history. It starts with what quickly
became a tattered old, red scrapbook and became the collection that is documented in these pages. Because the culture of 5B/5A
was created by the nurses, this archive reflects what was primarily of interest to them. Therefore, the contributions of the
Shanti counselors, social workers, chaplains, and others get brief mention. Their archives are yet to be collected. The contributions
of the many volunteers over the years are documented well because their program was created and overseen by the nursing staff.
Strongly represented in the photo collection are the public events and celebrations that staff and volunteers were part of
-- parades, union demonstrations, holiday parties, nursing awards dinners, etc. There are several photo groups by professionals
who came to the ward and photographed staff and patients.
The written records are strongest in the day-to-day details of communication books and the monthly concerns of staff meetings.
Extensive Head Nurse files were primarily saved by the first three nurse managers.
George Jalbert, Bill Walker, and Steve Keith organized the early 5B/5A archives. After Walker's departure, Steve Keith and
Adrienne Kernan were primary contributors to the photo archive and Steve became Nurse/Archivist for the ward.
This material has been arranged into six series: Series 1: Scrapbooks; Series 2: Communication Books; Series 3: Head Nurse
Files; Series 4: Correspondence; Series 5: Videotapes; and Series 6: Publications/Articles.
Subjects and Indexing Terms
AIDS (Disease)--Patients--Care--California--San Francisco
Public health nursing--California--San Francisco