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nursing
tiles
Form 852
AMERICAN RED CROSS
Rev. Nov. 1937
EVALUATION REPORT
for
Public Health Nurses and Instructors in Home Hygiene and Care of the Sick
To be written in narrative and submitted: (1) Within the first year of nurse's
appointment; (2) Every two years thereafter; (3) When the nurse leaves the service
unless a recent report has been made.
Ethel Kersey
Nurse's name
Red Cross Badge No. 63553
Date appointed
10 - 1, 38
Date of resignation or transfer
Reason for resignation
Lehigh Co.
Chapter
Location of Service Emisus Branch
Date 9/16/39
Date
Date
I. APPEARANCE ( On and off duty)
Neat in uniform and
street clothes.
II. ORGANIZATION ABILITY AND LEADERSHIP
Feels confident of her
executive ability. Has
used initiative in
establishing new service.
More interested in actial
problems thab visiting nurs
as needed and planned
III. COMMUNITY RELATIONSHIPS, USE OF RESOURCES
Has critical attitude toward
other agencies. Superior
feeling toward people in
community, feels unhappy
over Isek of support.
IV. APPROACH (Individual, family, group)
Not observed
V. TECHNIQUE (School, bedside, clinic, classroom)
Not observed
52069
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"ocrText": "nursing\ntiles\nForm 852\nAMERICAN RED CROSS\nRev. Nov. 1937\nEVALUATION REPORT\nfor\nPublic Health Nurses and Instructors in Home Hygiene and Care of the Sick\nTo be written in narrative and submitted: (1) Within the first year of nurse's\nappointment; (2) Every two years thereafter; (3) When the nurse leaves the service\nunless a recent report has been made.\nEthel Kersey\nNurse's name\nRed Cross Badge No. 63553\nDate appointed\n10 - 1, 38\nDate of resignation or transfer\nReason for resignation\nLehigh Co.\nChapter\nLocation of Service Emisus Branch\nDate 9/16/39\nDate\nDate\nI. APPEARANCE ( On and off duty)\nNeat in uniform and\nstreet clothes.\nII. ORGANIZATION ABILITY AND LEADERSHIP\nFeels confident of her\nexecutive ability. Has\nused initiative in\nestablishing new service.\nMore interested in actial\nproblems thab visiting nurs\nas needed and planned\nIII. COMMUNITY RELATIONSHIPS, USE OF RESOURCES\nHas critical attitude toward\nother agencies. Superior\nfeeling toward people in\ncommunity, feels unhappy\nover Isek of support.\nIV. APPROACH (Individual, family, group)\nNot observed\nV. TECHNIQUE (School, bedside, clinic, classroom)\nNot observed\n52069"
}