1. Ordinarily nursing facilities utilized in general public health work
should be diverted to meet the epidemic situation, and should be used on
a district basis, with all other available facilities, under one
supervision.
2. Nursing assistants, volunteers, etc., should be used wherever
possible in homes and institutions, under expert supervision, after
classification and assignment on a basis of minimum standards as to
fitness, and such intensive training in the care of influenza and
pneumonia patients as may be feasible.
3. From the standpoint of the patient, home treatment is to be
advocated, if medical, nursing, disease preventive and other facilities
are adequate.
4. Restriction so far as possible through the pressure of public opinion
should be brought against the unnecessary use of private nurses.
5. Automobile transportation should be provided, and the nursing service
used to encourage isolation and education.
6. Special record forms are essential for this and the medical work, and
a special sub-committee is proposed to meet this problem.
7. Provision as to housing and care should be made for out of town
nurses.
8. We recommend further training with reference to influenza for all
graduates of Red Cross Home nursing courses and more extensive use of
their services. This would necessitate frequent and careful registration
(names, addresses and telephone numbers) and further information
regarding personal health, age and ability and willingness to serve.
(B) _Emergency Medical Service._
1. The medical service should be handled through the central office, the
physicians being responsible to the central office, though perhaps
assigned to district offices.
2. In this emergency service there should be utilized all available
physicians such as school and factory physicians, volunteers,
practitioners on a paid basis, fourth year medical students, etc. This
service should cover all calls reported as unreached by private
physicians or received through other channels, and should be
co-ordinated with the special nursing service, being provided with
automobile transportation, machines being hired if necessary.
3. The emergency medical service should be used to select cases needing
hospital care.
4. It may be feasible to institute a central clearing house in certain
districts for private physicians’ calls.
5. An arrangement should be made through the medical licensing board for
granting of temporary permits to practise to reputable physicians from
out of the state, at the request of the Central Influenza Committee.
6. In some localities it may be feasible to district the local
practitioner and to have him meet special calls on a part time basis for
adequate compensation.
7. Certain of the relatively non-essential specialties should be
discouraged, and the physician in those specialties urged to volunteer
for emergency district work. This type of service may be operated on a
pay or free basis.
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