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Form 852
EFFICIENCY REPORT
(13013)
Revised 2-1-21.
BUREAU OF PUBLIC HEALTH NURSING.
Name of Nurse
Alyce Wormwood
Enrol. No 9769
Assigned to (city)
Biddeford (10-15-19) State
Maine
Is she reliable
Yes
Does she understand a situation quickly and clearly?
Yes
Are her recommendations and suggestions convincing?
Yes
Is she industrious?
Yes
Can she plan new work?
Fairly well
Can she handle situations?
Not observed
Does she plan and manage her work well?
Yes
Is she well educated?
Fairly
Apparently
Is she loyal?
Has she a kind manner in dealing with patients?
Not observed
Health
Good
Any physical handicaps?
None known
Is she neat?
Yes
Wear uniform? (note dress, coat, hat, apron)
Yes, regulation.
Teacher of family and community?
Yes
Observant of community needs?
Yes, to a certain extent.
O
Surgical technique Not observed
ONITIA NO#
Ne
Bedside technique
not observed
Case work
Not observed
Condition of bag Not observed
Cooperative with doctors and other workers?
Yes
Remarks :
This nurse is a steady faithful worker and while her program is not
extensive, the work she does is well done.
February 24, 1922.
2
Charlotte M. Simon,
(signature)
Field Supervising Nurse, Maine.
(date)
(title)
New England
(Division)
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Context sent to Scholar
Document identity
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Page context
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"ocrText": "Form 852\nEFFICIENCY REPORT\n(13013)\nRevised 2-1-21.\nBUREAU OF PUBLIC HEALTH NURSING.\nName of Nurse\nAlyce Wormwood\nEnrol. No 9769\nAssigned to (city)\nBiddeford (10-15-19) State\nMaine\nIs she reliable\nYes\nDoes she understand a situation quickly and clearly?\nYes\nAre her recommendations and suggestions convincing?\nYes\nIs she industrious?\nYes\nCan she plan new work?\nFairly well\nCan she handle situations?\nNot observed\nDoes she plan and manage her work well?\nYes\nIs she well educated?\nFairly\nApparently\nIs she loyal?\nHas she a kind manner in dealing with patients?\nNot observed\nHealth\nGood\nAny physical handicaps?\nNone known\nIs she neat?\nYes\nWear uniform? (note dress, coat, hat, apron)\nYes, regulation.\nTeacher of family and community?\nYes\nObservant of community needs?\nYes, to a certain extent.\nO\nSurgical technique Not observed\nONITIA NO#\nNe\nBedside technique\nnot observed\nCase work\nNot observed\nCondition of bag Not observed\nCooperative with doctors and other workers?\nYes\nRemarks :\nThis nurse is a steady faithful worker and while her program is not\nextensive, the work she does is well done.\nFebruary 24, 1922.\n2\nCharlotte M. Simon,\n(signature)\nField Supervising Nurse, Maine.\n(date)\n(title)\nNew England\n(Division)"
}