Richmond became the capital city of the Confederacy after Virginia became one of the last of the Confederate states to secede from the Union in April 1861. It was generally thought by both North and South alike that the armed conflict would end quickly. After the first battle, the nation realized that the war would be much longer than they imagined. The
First Battle of Bull Run—also known as the First Battle of Manassas—on July 21, 1861, was a Southern tactical victory that opened the Civil War in the first major hand-to-hand combat. Despite the word of victory, the Confederate capital city was ill-prepared for the hundreds of wounded soldiers who subsequently poured in, many arriving via the
Virginia Central Railroad. The shock brought the reality of the horrors of warfare directly home, as officials and citizens scrambled to take care of the overflow of injured and sick patients. Official hospitals were filled. Factories, churches, and even homes became temporary hospitals to accommodate the wounded. At nearly 28 years old, Tompkins was among the civilians who responded by opening the home of Judge John Robertson as a hospital. Judge Robertson had taken his family to the countryside for safety and left his home to Sally to use as a hospital for as long as she needed. Sally was not alone in this effort. Many ladies from the Saint James Episcopal Church, as well as several enslaved people, ran what became known as Robertson Hospital. Robertson Hospital became one of the South's biggest wartime hospitals. She refused any payment for her services. On her military commission, dated September 9, 1861, she wrote, "I accepted the commission as Captain in the C.S.A. when it was offered. But, I would not allow my name to be placed upon the payroll of the army." The Robertson Hospital treated patients continuously throughout the war, discharging its last soldier on June 13, 1865. During its four-year existence, Robertson Hospital treated 1,334 wounded with only seventy-three deaths, the lowest mortality rate of any military hospital during the Civil War. Author and Civil War diarist
Mary Chesnut was a frequent visitor to the hospital. She recorded "Our
Florence Nightingale is Sally Tompkins." Another diarist, Judith McGuire, was a volunteer at the hospital and included many vivid descriptions of nursing the patients while there. Running a hospital was not without its trials. Richmond depended on imports for trade and when the blockade tightened along the coast, the city faced riots in the streets. When supplies were difficult to get within the city, The Robertson Hospital hired a blockade runner to bring necessities from abroad. Since Tompkins and a number of the other women had remained constant at the hospital through the war, they ultimately won the love and respect of their patients. Tompkins received many marriage proposals from former patients out of gratitude for what she had done, all of which she declined. More than 1,300 men fortunate to be sent to Robertson Hospital called her simply "Captain Sally." ==After the War==