TENTATIVE PROGRAM FOR A PUBLIC HEALTH NURSE EMPLOYED BY A BOARD OF HEALTH (FURNISHED IN RESPONSE TO REQUESTS) Office hour work (daily except Wednesday) I Examine birth registry; 'phone registrar if necessary to secure list of new births. 2 'Phone physicians reporting births to find if nurse's service is needed. (Visits of inspection and supervision to be made to physician's cases whenever necessary; to all cases unattended, or attended by a midwife.) 3 Examine death registry for deaths from communicable disease, including tuberculosis. 4 'Phone health officer for his daily instructions. 5 Make out preliminary program for day. 6 'Phone schools at 9.20 for urgent calls (if nurse has school duty also). Child welfare work (first work of the day) Home or school visits for prenatal work and children of all ages not having a communicable disease, including investigations for industrial certificates and supervision of those children to whom industrial certificates have been refused because of defective health. (Tuberculous children may be visited in the morning.) Inspection and supervision of midwives Communicable disease (including tuberculosis) Supervision of tuberculosis, attention to details of establishing, supervision of and lifting quarantine, investigation of source of infection in typhoid and diphtheria cases, taking cultures in school or home. All vists to cases of communicable disease should if possible be made during the last hours of this period, since the nurse in many instances may not find facilities to adequately cleanse her hands between these and other cases. It also prevents fear on the part of the mothers that their children may be infected by the nurse. At the beginning of this hour the schools should again be 'phoned for urgent cases, also the health officer. Classes, clinics and instruction in child welfare I Clinic hours in infant welfare at the health centre. 2 Little Mothers' Leagues - Mothers' Clubs. 3 Talks to midwives at the health centre. 4 Instruction to teachers in recognition of disease. Classes, clinics and instruction in communicable disease (including tuberculosis) I Tuberculosis clinic at health centre. 2 Class instruction to pretubercular children. Health centre hour "At home" hour of health centre for the accommodation of persons who cannot attend afternoon clinics. Application for industrial certificates should be received only at these hours. If the nurse undertakes to provide garments for the needy, they should be called for during these periods. Lunch hour should be variable if possible. This schedule may be adapted to local requirements, but every nurse should have some definite schedule which is posted at the health centre. Regular hours promote efficiency. TENTATIVE WEEKLY SCHEDULE FOR A PUBLIC HEALTH NURSE OF A DEPARTMENT OF HEALTH ANNUAL CONFERENCE OF SANITARY OFFICERS SARATOGA SPRINGS, N. Y., JUNE 6, 7 AND 8, 1916. The annual conference will be devoted this year wholly to matters which affect the routine work of the health officer. There will be ample opportunity for the health officers to discuss their problems with the sanitary supervisors and various members of the Department staff in the Albany office and there is every reason to feel that the conference will be more interesting and successful than the one held in Saratoga Springs two years ago. TENTATIVE PROGAM TUESDAY, JUNE 6, II A. M. Opening address Dr. Hermann M. Biggs, State Commissioner of Health Control of Communicable Diseases 1 Early Diagnosis. Dr. M. Nicoll, jr Director, Division of Public Health Education 2 Quarantine Methods of Control of Contacts Sanitary Supervisor State Department of Health 3 Proper and Effective Disinfection of Premises Health Officer, Rochester, N. Y. 2:30 P. M. I Diagnosis Laboratory in Public Health Work Director, Division of Laboratories 2 Active Immunization Against Diphtheria Director of Laboratories, New York City 4 P. M. Group Conferences under direction of Sanitary Supervisors 8:30 P. M. Smoker Moving Pictures WEDNESDAY, JUNE 7, 9:30 A. M. I Milk-borne Epidemics of Infectious Diseases Deputy State Commissioner of Health. 2 Importance of Clean and Safe Milk Director, Division of Child Hygiene 2:30 P. M. I Detection and Control of Carriers Dr. F. M. Meader Director, Division Communicable Disease 2 Reduction in Water-borne Typhoid Fever Director, Division of Sanitary Engineering 4 P. M. Group Conferences under direction of Sanitary Supervisors THURSDAY, JUNE 8, 9:30 A. M. The School and Public Health I Results Obtained by Physical Examination of School Children State Medical Inspector of Schools 2 The Method for Controlling Communicable Disease in Schools Dr. John A. Smith Sanitary Supervisor State Department of Health 3 Relation of Enlarged Tonsils and Adenoids to the Health of the School Child Dr. Frank A. Overton Sanitary Supervisor State Department of Health 4 Public Health Nursing and Its Influence on Public Health. Miss C. J. Durkee Director, Division of Public Health Nursing State Department of Health REPORTS OF DIVISIONS Division of Sanitary Engineering - March, 1916 Examination and approval of plans for sewerage and sewage disposal: Cooperstown; Watertown; Ocean Beach; (town of Islip); Danby (school); Oriskany (temporary omission); New Rochelle (private plant); Port Chester; Northville (school); Binghamton; Mt. Kisco; Pelham Manor; Big Flats (t); Bath (Borden's Condensed Milk Co.). Investigation and reports of complaints regarding sewage disposal, stream pollution and public nuisances: Walden. Investigation and reports of public water supplies: Hunter; Port Henry (2); Elizabethtown; Cornwall; Parishville; Brewster (2); Hyde Park; Wolcott; Sodus; Callicoon; Locke; Collins; Collins Center; Lakewood; Limestone; West Valley; Fillmore; Oswego. More important letters of advice were prepared and sent out to the following places: Mexico, N. Y., water supply and use of aluminum sulphate; Norwich, N. Y., disinfecting apparatus in sewage disposal. Division of Laboratories and Research - March, 1916 The The report of the Division of Laboratories and Research for March, 1916, shows that the increased work in the diagnosis of communicable diseases as compared with the year 1915 is and probably will be maintained this year. new therapeutic preparations-antipneumococcus, antimeningococcus serum, and pertussis vaccine- have also increased the volume of the work materially. During the month of March the director of the laboratory visited Rochester and Binghamton, reading papers and presenting the laboratory work of the department, emphasizing the importance of the development of county and municipal laboratories throughout the state. It is only through the development of these local laboratories that the diagnostic service of the state to physicians and health officers can be improved. The reports of the county and municipal laboratories of the state, with one exception, are complete for the year 1915, and will be published in the special number of the HEALTH NEWS, and in the annual report of the Department for the year 1915. Distribution of diagnostic outfits, diphtheria, tuberculosis, typhoid fever, syphilis, and other diseases, and culture tubes. packages of diphtheria antitoxin.. 1915 1916 Mar. Feb. Mar. 6348 8398 8133 2849 2912 2550 packages of tetanus antitoxin.... 398 |