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17 <br /> learn more about community problems as they appear in <br /> various areas on the Cape, and it is hoped that better coordi- <br /> nation of services to meet these problems may be developed. <br /> Nursing Service <br /> The scope of services provided by the nursing director <br /> and assistant director continues to expand, to the point <br /> where priorities of need have to be determined. <br /> I. Orientation and much assistance for the first two years <br /> of employment are given to nurses newly employed in <br /> town and in public and private schools. The custom con- <br /> tinues to be that several part-time or full-time nurses <br /> are hired, rather than regionalization or extension of <br /> service by a qualified experienced nurse. There are now <br /> 57 public health nurses working in the county, an in- <br /> crease of 72976 in the past six years. <br /> II. Consultation to nursing organizations has increased. <br /> The Falmouth Nursing Association is involved in analy- <br /> sis of the services to school and hospital, the Visiting <br /> Nurse Association of Central Cape Cod is expanding its <br /> in-service education programs and extending service, the <br /> School Nurses Association is exploring personnel policies <br /> and role functions, the professional advisory committees <br /> for Home Health Agencies are beginning to develop pro- <br /> cedures for the evaluation of their services, the Nursing <br /> Service Directors Committee is looking at its responsi- <br /> bility as a spokesman in comprehensive health planning. <br /> III. The number of Headstart services and other new day <br /> care centers has increased; much time has been devoted <br /> to repetition of desired practices of operation, to imple- <br /> mentation of rules and regulations as required by state <br /> law, to the arrangements for periodic evaluation meet- <br /> ings. There has been extension and improvement of the <br /> management of services at the lower Cape Chest Clinic <br /> and in services for Handicapped Children. The func- <br /> tion of a public health nurse in a clinic setting is being <br /> explored with the intention of providing more related <br /> health education and supportive assistance to families <br /> at the clinics and in making more meaningful referrals <br /> to public health nurses for continued care at home. <br /> IV. Provision of in-service education programs for public <br /> health nurses has been changing. Agencies and hos- <br /> pitals are employing more supervisors and educational <br />