MEDICAL INSPECTION OF SCHOOLS 



of a contagious disease. It is necessary that the office system 

 enable him to dispose of the case so as to notify fully every one con- 

 cerned. This requires (i) an exclusion notice to be sent to the 

 parents; (2) a record for the school authorities; (3) a record for 

 the board of health; (4) a record for the physician himself. 



The record for the board of health and the exclusion notice 

 requite, in addition to the name of the child and the disease, the 

 name and address of the parent. 



Under many systems these notices are made out on four 

 separate cards or sheets, and often the work is still further increased 

 by having a separate card for the record of exclusions from each 

 room in the school. This makes it necessary to secure the appro- 

 priate card before the record can be made. Under such conditions 

 the physician spends five or six times as much time in making 

 entries on different cards as he does in inspecting the child. 



A large part of this waste of time and money can be obviated 

 by a carefully planned system of records. In the case in point, for 

 example, the work can be greatly reduced by adopting a system 

 similar to the one in use in Chicago. Instead of being furnished 

 with supplies of cards for making the several records, each inspector 

 is given a book similar in size and shape to an ordinary check book. 

 The leaves of the book are alternately of light and heavy paper 

 perforated for separation, and have stubs like the leaves of a 

 check book. The thin leaves and stubs are printed as shown on 

 page 25. 



The heavy sheet underneath this thin leaf is an exact dupli- 

 cate, except that in the lower left hand corner instead of the 

 words "Hand to pupil excluded" it has the words "Mail this card 

 to Chief Medical Inspector same day pupil is excluded." Between 

 the two leaves a sheet of copying carbon is inserted. 



When an exclusion case is found the method of procedure is 

 simple. The inspector fills out the blank and its stub. The 

 original blank is the exclusion notice and is taken home by the 

 pupil. The stub is handed to the school authorities as their 

 record of the case. The carbon copy on the heavy sheet is torn out 

 to be sent to the board of health as their notification of the case, and 

 the stub of the carbon copy is left in the book as the inspector's 

 record. 



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