Regular preventive maintenance must be scheduled. 10. An inventory of spare parts for field repairs shoul t be obtained and maintained. ll. Replacement of equipment and instrumentation shoul 1 be planned and budgeted for an average life of 3 to 5 years. Some in truments may need replacement even earlier due to the effects of high umidity and salt from the sea spray. 12. As superclinics become staffed with Medex or higher level personnel, they should be equipped to do stool exams for parasite s, complete blood counts, urinalysis, and blood sugars. Radiology Present System Diagnostic x-ray facilities are operational at both Fixed instruments processed by hand. are modern; portable equipment obsolete. X-ray technicians were trained initi are now giving on the job training to their assistants. studies only. ajuro and Ebeye. Films ordering physician. are interpreted Films are ly in Saipan and Th do non-invasive and brief report# written by the Super clinic x-ray facilities are not] operational. Recommendations: Shielding in x-ray examination areas should be extenddd sufficiently to exposed to more prevent patients and employees in adjacent areas from bei than the allowable dose. of x-ray personnel Film badge services or other apprdpriate monitoring should be provided. Arrangements 5s uld be made for periodic review of technical quality and accuracy of interp etation of films. 4. Supplies Up to the present time the hospital at Majuro has been the central depot for all supplies both organizationally and physically. With the suggested upgrading of health services at the primary and secondary levels this wit] become increasingly more difficult. As a result it has beer suggested that a completely separate division be established to handle ai} both the primary and secondary health services. While change organizationally it is suggested that the physica) central depot remain at the Majuro Hospital. the supplies of his represents a location of the This would mean that the hospital would no longer order supplies directly from the sippliers but would