1968-Annual Town Report - Laserfiche WebLink

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.,: 16 waste disposal for Barnstable County. Members of this de- partment are working with the Commission in making this 6, study. :• NURSING—Esther G. Howes One of the major goals for 1968 had been "to provide I more direct supervision for each public health nurse." Be- cause continued"certification" for Medicare coverage requires the provision of supervision, written agreements were drawn up between six towns and the Barnstable County Health De- partment. These agreements meant a new relationship with the public health nurses, beyond that of answering requests for help and imparting information on new programs. Direct supervision includes knowledge of cases and case manage- ment, of the behavior and performance of nurses, and in- cludes a commitment to the employers of nurses. This means a periodic evaluation and report to the employer as to the nurses professional growth and her ability to maintain stan- dards of public health practice. There are 52 public health nurses employed now in the County, 17 are prepared, and all of the agency nurses now have nursing supervision. The school nurses continue to be pre-occupied with personnel policies; however, there is need for many to demonstrate their ability in curriculum planning and health education, and to propose new ways of using non- professional helpers. 9h Areas of service provided this year have been: Inspection and consultation to Day Care Centers. Guidance and coordination of health component of Head Start Programs. Preparation for Medicare certification for one additional town. Assistance in expansion of service and program in Fal- mouth and Bourne. Instruction and field experience in public health nursing supervision for a student in the graduate school of Bos- ton University. Instruction of several classes of Homemaker Recruits on "Personal Care Aspects." Consultation to Cape Cod Community College Health Serv- ices Director.