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PROBLEM: Insufficient Staff (Nursing and Secretarial) To Haintain The Present Level Of Clinical Services DATA: 1979-1989 1989-1990 I Change Family Planning - 1.196 clinic visits 1.661 ~ 39l Child Health 3,850 clinic visits 3,157 i 18l Adult Wellness - n/a 550 n/a C=~ural Clinic - 9,672 -. 12,305 ~27l Total Inhouse - 16,865 22,428 ~ 33l llome Visits - 6,858 1,811 School Visits - 1,167 785 ~33l Public II~alth Nurses - 11 13 q~181 Staff RN - i I - Secretaries - 17 14 ~18l Programs/Responsibilities added during the period: High Priority Infant Tracking No Name Immunization Tracking Intake Apnea Monitorin§ Eligibility Determination Maternity Care Coordination Low Birth ~=ight Program AIDS - Testing, Counseling, and Education Targeted Breast Cancer Adult ~ellness Luap Into Life, Worksite and Cholesterol Screening Staff Complaints: Pro,ram charge nurses have no planninE time. Tim~ p~its only priority home visits co he made. ~u many patients seen at each clinic visit chat everything is rushed through. ~lth the additional clinics that require support, secretarial staffing of ~11 sections of the department, even vtth a full staff, is often difficult. ~dle nany additional programs have been added during this time which often requirus =~uch documentaCion~ no pro,rams have been deleted. Consequently, turn arouod time for dictation and other duties has increased from 3 d~ys to approximately ! to It reeks. Dur!nE the last i~ years, there has been no turnovur In the management support staff, However, during the last 6 nontha, quality enployeea have voiced concern of leavin$ because they cannot continue to perform at such a demanding pace with no relief in sight.