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nurse leadership and management with particular
<br /> Report of the reference to school health services. Responsibility
<br /> for the epidemiological aspects of the state tuber-
<br /> Barnstable rns oun culosis clinic and for all communicable diseases is
<br /> a continued one.and to some extent, is jointly
<br /> Health Department shared with the registered sanitarians.one public
<br /> health nurse director continues to direct a five
<br /> member staff and coordinate the management of
<br /> This re ort is for the six months endin J 30 the State Handicapped Childrens Clinic in this
<br /> p gune area, and coordinates the group
<br /> 1976. g p day care center
<br /> inspection activities.
<br /> The staff has been finding it difficult to carry on Medical Social Services are provided,directly
<br /> to
<br /> existing programs,and keep up with the impact of the Handicapped Childrens Clinic families on a
<br /> health planning agencies, local human services continued basis, and also to an person or family
<br /> committees rant proposals from community in- y p ly
<br /> f g p p y on request. Consultation and conferences with `
<br /> terests relating to,health, requests for consulta- other agencies in the count and elsewhere have
<br /> 1 tion and for committee participation. y e
<br /> led to the fulfillment of several requests, such as
<br /> Specialized instruction in the performance of approval for admission to special schools a
<br /> additional tests in water chemistry, learning t p and ser-
<br /> g o vices, funds for homemakers and specialized care
<br /> �
<br /> use the new laboratory equipment,and sharingin at home. Joint planning continues on a regular
<br /> I conferences with the"208"waste water study have basis with day care operators,school special needs
<br /> taken much time and effort. The position of sani- p
<br /> p counsellors, the collaborative staff, school nurses
<br /> tary inspector funded by CETA (Comprehensive and psychologists.
<br /> Employment TrainingAct} was terminated in g
<br /> Dental Hygiene services are still focussed on the
<br /> May. we were fortunate in hiring a registered young child of re-school and 1 y g' p elementary age. As
<br /> sanitarian to succeed him immediately, and who requested b individual schools an -
<br /> could work through the summer period. �' d pre schools,
<br /> g p o Occa- direct services of screening,topical fluoride a li-
<br /> sional workshops have been held with the town pp
<br /> cation, and education are provided. An affiliation
<br /> health agents and this department. Environmen- ex erience for the e dental hygiene students at Cape
<br /> tal health protection continues to be a major ser- Cod Community
<br /> College is now available here,
<br /> vice, with instruction and u '
<br /> The Public Health Nurse Directors have pro-
<br /> weekly pervasion provided on a
<br /> P weekly basis, however this is dependent on the
<br /> vided supervision to seven Home Health Agencies, approval f 'pp o each school system involved.
<br /> attending quarterly record reviews, serving ex-
<br /> off cio on their professional advisory committees, The Handicapped Children's Clinic is held twice
<br /> attending the one day and two day surveys for each month, at Barnstable County Hospital in
<br /> re-certification under Medicare. They assisted in Pocasset,with a caseload of over 330 children,ages
<br /> the selection and orientation of new community from birth to 21 years. Because of the increase in
<br /> nurses in two towns and in one school. A continu- the number of referrals, and the complexity and
<br /> ing education course "The Community Nurse is seriousness of most diagnoses, additional clinic
<br /> the Leader Her Role and Responsibility in the Sessions are being scheduled. The medical staff'
<br /> Home Visit"was well attended,33 nurses received includes:
<br /> credit for 1.4 Continuing Education Units from the Murrayendleton M D -
<br /> y M.D. Pediatrician, Fal
<br /> Massachusetts Nurses Association. One nurse di- mouth
<br /> rector has served on the Continuing Care Commit- Henry . Bank g y s, M.D., orthopedic Surgeon,
<br /> 11.. tee of Cape Cod Hospital, the Heart Association New England Medic
<br /> al ca l Center, Boston
<br /> professional education committee the Cape Cod Michael Goldberg,
<br /> � p M.D., Orthopedic Surgeon,
<br /> Community College Medical Advisor Committee New England Medical
<br /> and the Collegey � g d cal Center, Boston
<br /> Geriatric Aide Course Advisory Seymour Zimbler, M.D., Ortho edic Surgeon,
<br /> Committee. Lectures have been
<br /> p
<br /> given on com- New England Medical Center, Boston
<br /> municable diseases and personal care i
<br /> p n the orien- Edward Rabe,M.D.,Pediatric Neurologist,New
<br /> tati4n course for the
<br /> He Cape Cod Homemaker-Home England Medical Center, Boston
<br /> Health Aide Service.One director served n •o a town Leo Sullivan,M.D.,Pediatric Neurologist,New
<br /> government study committee and completed En '
<br /> course at thep a gland Medical Center, Boston .
<br /> Harvard School of Public Health in A public health h sical therapist, medical so-
<br /> p y p
<br /> -- 69 .--.
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