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