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