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92 BOARD OF HEALTH MEETING SEPTEMBER 13, 1983 The regular meeting of the Board of Health was held Tuesday, September 13, 1983 at 7:15 p.m. in the Board of Health Office. Members present were: Mr. James W. Lambie, Chairman, Michael S. Erdos, M.D., Linda Roemer, Ph.D., George A. Smith, Director and Deborah Halko, Health in the Health Department. At seven -fifteen Mrs. Jayne Tapia, R.N. of the Visiting Nurses Association and Susan Kearns, R.N. also of the V.N.A. came before the Board Mrs. Tapia and Mrs. Kearns came before the Board to discuss what the Board expects of the V.N.A. nurses and in regard to the elderly, investigating com- municalbe diseases, the monthly report of the V.N.A. contract with the Board of Health. Mrs. Tapia wanted to know if the monthly report they have been sending in the past few months was satisfactory. Mr. Lambie said it was helpful, but he feels we are paying for more than we are getting. Under the elderly visits, he feels the nurses should be doing more for the elderly collectively instead of individually. Dr. Roemer asked if the individuals who are visited, are suggested by physicians. Mrs. Tapis said, "No , these are our patients" Mrs. Kearns told the Board that the meeting with the Board of Health last June had been very helpful. In the meantime, the number of individual patients that the Visiting Nurse has been seeing in their homes, have gone down. The discussion seemed a bit unclear as to who decides that a patient should see a V.N.A. nurse in their home. Dr. Erdos asked if the physicians decide that his patient should have a nurse? Mrs. Tapia said it is the doctor's decision to decide if the patients need a nurse. The nurses alsodecide sometimes if it is necessary for them to go into the homes and care for a patient. Mrs. Kearns told the Board that the new blood pressure clinic at Countryside Village will begin on September 22, 1983. They also reported that the East Village Clinic has been poorly attended during the summer and if it didn't improve in the Fall, they will think of cancelling it out completely. Mr. Smith announced that the flu vaccine clinic will be held on October 6, and this year the hours will be from 1:00 p.m. to 4:00 p.m. He also stated that he is not going to have a pneumococcal clinic this year. There just isn't any call for it and hardly anyone showed up last year. 1 1