sf
There
is
hospital.
70t
adequate
equipment
to meet
the medical
needs
of
There appear to be two major reasons for this deficiency.
the
One,
little or no maintenance; and two, no long-range planning as to direction,
level of care, or future needs.
Long-range planning seems to be absent from
most of the present health care system.
In buying equipment for the new
hospital, it must be related to the level of care being provided and must
have available support maintenance or it is of little value to the provider
of health care.
Ebeye:
with 20 beds.
Ebeye Hospital
is approximately 19,000 square feet in area
The environmental problem has had its toll on the facility and
available beds.
Of major concern with the Ebeye Hospital is its design.
was designed for forced air which
is not functioning most of
It
the time.
Because of this design there is no natural flow of air, creating some real
health problems.
With some careful planning the plant could be improved to
meet the health care needs it is to serve.
As is seen over and over again, a
good maintenance program would do much to improve the situation.
It is recommended that the hospital be expanded to 50 beds with the same
design concerns that were mentioned for the Majuro Hospital.
will
be needed to
support
the higher
level
This increase
of care to be provided and
population increases.
2.
Laboratories
Present System :
The hospital in Majuro is served by a small clinical laboratory staffed
by the former chief laboratory technologist for the Trust Territory and five
bench-trained laboratory assistants.
This year a Peace Corps volunteer with
American Society of Clinical Pathologists (Medical Laboratory Technician)
certification is helping.
The lab assistants have been cross-trained for
each section of the laboratory.
Continuing education is provided by the
chief technologist and by participation in workshops at the Ponape campus of
the
Community
sponsorship.
College
of
Micronesia
Routine cytology,
hematology procedures are offered.
under
histology,
World
Health
bacteriology,
Organization
urinalysis,
and
Only limited chemistries are available.
Blood banking utilizes walking donors.
Surgical pathology specimens are
grossed and the micro interpreted by a senior medical officer.
Problem
cases, tumors, and special requests are referred to Hawaii for pathologist
consultation.