<oai_dc:dc xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd"><dc:title>Necessary Adjustments: Evaluating Staffing Changes at Talihina Hospital</dc:title><dc:date>1957-08-15</dc:date><dc:creator>unknown</dc:creator><dc:rights>http://rightsstatements.org/vocab/NKC/1.0/</dc:rights><dc:language>eng</dc:language><dc:identifier>http://congressarchives.org/record/CAC_CC_001_4_27_26b_0018</dc:identifier><dc:description>Hal Curran, executive officer of the Indian Health Service, has reviewed the situation at the Talihina hospital and believes adjustments need to be made to the staff. He has identified several positions that can be eliminated without impacting hospital services, including cooks helpers, guards-firemen, a janitor, a mail clerk, a property officer, and nursing assistants. The hospital is transitioning some nursing assistants to practical nurses and eliminating nine positions. The hospital has a patient load of 125 to 130 but had a payroll that cannot be justified.</dc:description></oai_dc:dc>