well.
A sample of a child home based medical rec ord is in the
Appendix.
Medical supplies and equipment {j.e. teaching/couns elling aides,
contraceptives, food supplements) must be immediately on hand in
the premises.
Furthermore,
the resupply and
inventory system
should be tied directly to the patient-care record
3.
The primary care worker must be trained in all t
qdystem.
skill areas
expected and given the opportunity to practice such an integrated
approach under appropriate supervision.
It will be difficult for
this concept to be put in practice by the primar r care worker
unless he has seen it work, is convinced it is bette t, and has the
chance of trying it out.
The
need
for
continuing
and
timely
positive
support
and
constructive supervision from the central office by ; pecialists of
several kinds is mandatory i.e. health educators,
ublic health
Nurses, sanitarians, nurse-midwives, etc.
Upgrade the communications system to allow for guaranteed contact
with a higher trained health professional, whenever}
that contact
This may
be through a
is deemed necessary by the clinic worker.
walkie-talkie type radio contact with the main clinic where a
"beeper" or other device is always being monitored b: r someone (the
wife) who can go call the medical assistant. The medjcal assistant
in turn will be the main contact person with the central facility
in
Majuro
or
if
Ebeye
an
emergency
call
for
referral
or
At all times of the d
the medical
assistant will have a supervisory medical officer on
physician on
consultation is- required.
call at Majuro or Ebeye to answer questions and to
ecide whether
referral is needed.
3)
Community Health Activities
Besides specified hours allotted at the clinic for "wal L curative
and preventive services oriented to the individual patient, t
re will also
be other regular periods scheduled for specified community hea th activities
(these may be on a daily, weekly, monthly or other schedule as befitting
local needs).
It will be the duty of the primary care worker to lead out in
such activities as:
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t,(