ff
There
is
hospital.
ot
adequate
equipment
to meet the medi
There appear to be two major reasons for this
1
needs
of
eficiency.
the
One,
little or no maintenance; and two, no long-range planningllas to direction,
level of care, or future needs.
Long-range planning seems
most of the present health care system.
fo be absent from
In buying equipment for the new
hospital, it must be related to the lTevel of care being
ovided and must
have available support maintenance or it is of little valu
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 onfthe facility and
available beds.
Of major concern with the Ebeye Hospital if
its design.
It
was designed for forced air which is not functioning mobt of the time.
Because of this design there is no natural flow of air, cyeating some real
health problems.
With some careful planning the plant cougd be improved to
meet the health care needs it is to serve.
As is seen over
find over again, a
good maintenance program would do much to improve the situation.
It is recommended that the hospital be expanded to 50 bkds 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 fbe provided and
population increases.
2.
Laboratories
Present System :
The hospital in Majuro is served by a small clinical lIBboratory staffed
by the former chief laboratory technologist for the Trust
bench-trained laboratory assistants.
Tkrritory and five
This year a Peace Corps volunteer with
American Society of Clinical Pathologists (Medical Labordtory Technician)
certification is helping.
The lab assistants have been
each section of the laboratory.
Community
sponsorship.
College
of
Micronesia
Routine cytology,
hematology procedures are offered.
under
histology,
World
Ponape campus of
Health
bacteriology,|
Organization
urinalysis,
and
Only limited chemistri#s are available.
Blood banking utilizes walking donors.
Surgical patholagy specimens are
grossed and the micro interpreted by a senior medical officer.
cases, tumors, and special requests are referred to Hawaiy
consultation,
for
Continuing education is] provided by the
chief technologist and by participation in workshops at thej
the
ross-trained
Problem
for pathologist