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following special qualifications, except when engaged in work the qualifications for which are otherwise provided by law, viz:

1. Training for at least four months in a reputable and suitable public-health nursing course; or

2. Eight months of public-health nursing work done on an accredited staff or under adequate supervision.

REG. NO. 251. Supervision.—All public-health nurses in the State of South Dakota shall be under the direction of the State board of health and medical examiners. Their work at all times shall be subject to inspection and direction by the board or any director or supervisor that the board may appoint and employ.

REG. NO. 252. Reports.-Every public-health nurse in the State of South Dakota shall keep a daily report of her work and such other records as hereinafter provided for the files of her office, and shall make a full, confidential report, in duplicate, at the end of each calendar month, and file one with the superintendent of the county board of health and mail the other to the State board of health on or before the 5th day of succeeding month.

Daily report Form "F."
Family report Form "G."

Monthly report Form "H."

REG. NO. 253. The public-health nurse should be provided by the county in which she is working with an office in some public or county building at the county seat, with a room in connection therewith for private conferences. She should be furnished transportation in making visits to rural communities and adjacent towns; a visiting nurse bag, supplied with necessary equipment, should be furnished.

Note.-Blanks and cards for keeping an office record of the work done by the nurses and for reports will be furnished by the office of the State board of health that a uniformity of records and reports may be maintained throughout the State.

The following schedule of hours for public health nurses shall be maintained, unless her profession duties direct or otherwise [sic]:

Hours on duty: 8.30 a. m. to 5.30 p. m.
Office hours: 8.30 to 9.30 a. m. daily.

Office hours on Saturday: 1 to 5 p. m.

CHARACTER AND SCOPE OF WORK.

REG. No. 254. The scope and general extent of the activities of public health nursing are classified under the following four general heads:

1. School hygiene.

2. Educational hygiene, and home care of sick.

3. Special attention given to tuberculosis.

4. Social work in the community.

1. SCHOOL HYGIENE.

REG. NO. 255. The results to be obtained from the work of the public health nurse in schools depend largely upon the cooperation of the teacher; therefore all teachers in the schools of this State should recognize the responsibility devolving upon them and at all times and under all circumstances cooperate with the nurses.

1. Preliminary inspection.-The nurse shall instruct the teachers in the inspection of children's hands, face, eyes, and throat, in order to detect any communicable conditions or disease that might occur, noting particularly red, watery eyes, and discharging noses or ears, inflamed throat, flushed cheek, or

scaling of the hand; this inspection to be given following vacation or absence from school. If the teacher detects any symptoms suspicious of contagious communicable disease or condition detrimental to the health or comfort of the pupils, the child shall be sent home temporarily, and if the teacher considers it necessary she shall call the nurse, who must visit the home or school at her earliest convenience.

2. Daily inspection.-The teacher shall be instructed to watch each pupil daily for signs of sickness. If a child has been out sick with any suspected contagious disease, or parasitic condition, a note from a physician or the nurse must be required before readmitting the child.

3. Exclusion.-If the nurse or teacher sends any child home from school, the following note is to be sent to the parents, and if the case is suspicious of contagion or parasitic condition, notice is also to be sent to the health officer. All pupils found in school suffering from symptoms of contagious or communicable disease or condition shall be excluded:

(Notice to be sent to parents), Form "A."

(Notice to be sent to health officer), Form "B."

REG. NO. 256. 4. Physical examination. All pupils in the county shall, if possible, be examined at least once a year for physical defects, such as defective hearing, defective eyes, defective tonsils, nasal obstructions, teeth, etc. Any teacher who has a particular case she wishes examined shall communicate with the nurse as soon as possible. The information gathered from such examination is for the benefit of the pupil and the parents. The nurse shall discuss the physical condition of such child with the parents or teacher, but the defects of the child are strictly confidential and shall be treated as such.

A record shall be used and kept in duplicate in the school which the child is attending and transferred with the child:

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REG. NO. 257. 5. Routine inspection.-The nurse shall inspect all school children in regard to personal hygiene and give lessons and demonstrations on this work. When teachers have any special cases for the nurses to observe, any information given in connection therewith shall be treated as strictly confidential.

REG. NO. 258. Modern health crusade.-The work of the modern health crusade teaches a system of health rules that is of inestimable value to school children between the ages of 6 and 16 years; therefore the modern health crusade work should be used as a part of the hygiene of every school in the State.

REG. NO. 259. First aid.-The nurse shall carry with her in her nurse's bag full first-aid supplies and render assistance in any emergency case, such supplies to be furnished by the county or city where employed. Each school should be provided with a first-aid cabinet, and the nurse shall instruct the pupils relative to first-aid methods.

REG. NO. 260. Sanitation.-All questions of heating, lighting, and ventilation in the schools shall be under the observation of the nurse, and the water supply and toilets shall be regularly inspected and any corrections needed referred to the school authorities.

2. EDUCATIONAL HYGIENE AND HOME CARE OF THE SICK.

REG. NO. 261. (a) Communicable disease.-All cases of suspected communicable disease found in the nurse's work is [are] to be reported to the Superintendent of the county board of health.

(b) Home calls on sick children.—The nurse shall visit children out of school, particularly when they may not be able in the home to furnish proper nursing care.

(c) Home calls physical defects.—Follow-up work for the physical defects found in school children will make up much of the summer work of the nurse. In cases where parents fail to act the nurse shall report the same to the superintendent of the county board of health.

(d) Home nursing.—The nurse shall assist in finding the source of illness and instruct members of the family in methods of caring for the sick. Many up-to-date methods of nursing may be adopted in the home with a little instruction. In case of any contagious or communicable disease or condition the nurse shall instruct the attendants in the proper methods of precaution.

All county cases shall be given special attention by the nurse when in the judgment of the county health officer it is necessary.

3. SPECIAL ATTENTION GIVEN TO TUBERCULOSIS.

REG. NO. 262. (a) The nurse shall at all times be alert to discover symptoms which indicate tuberculosis and promptly investigate reported suspected cases. (b) Upon discovering symptoms of tuberculosis in any family, the nurse shall forthwith submit to the superintendent of the county board of health the full name, residence, and hygienic data, on blanks furnished by the State board of health for that purpose, of every such suspect.

(Use Form "E.”)

(c) The nurse shall give special attention to well-defined or developed cases, giving specific instructions for the disposition of sputum or other infectious bodily excretion or secretion in such manner as to avoid danger to any person or persons.

(d) Tuberculosis homes must be visited often for the purpose of inspection, instruction, and assistance in preventive measure.

4. SOCIAL WORK IN THE COMMUNITY.

REG. NO. 263. (a) Campaigns.—The nurse shall assist and, if desired, direct in organizing clean-up campaigns, insect-exterminating campaigns, and childwelfare programs. She shall be on the lookout for and promptly report to the superintendent of the county board of health any unsatisfactory conditions. For the county fair and such other occasions as may seem practicable she shall plan and collect exhibits that will help demonstrate health work and health conditions.

(b) Public meetings.-The nurse shall keep in touch with all clubs and other organizations of her county that bring the home and the school, the parent and the teacher, in closer relation.

She shall give demonstrations for public-welfare clubs and allied organizations on such subjects as home nursing, care of children, proper food, etc. Talks shall be given at mothers' meetings, before public-welfare clubs, and wherever there is opportunity for helpful work.

REG. NO. 264. (c) Cooperation.-The nurse shall cooperate with the health officer and other physicians, hospitals, and other agencies in every possible way and endeavor to secure their cooperation in providing treatment for those unable to pay for such service.

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Births, Deaths, Marriages, Divorces, and Naturalizations-Registration. (Ch. 92, Act June 30, 1920.)

TRANSFERRING VITAL STATISTICS TO STATE BOARD OF HEALTH.

SECTION 1. The State board of health shall have general charge and supervision of the registration of births and deaths, marriages, divorces, and naturalizations, and may make and enforce any rules and regulations necessary for the carrying out of such registration not inconsistent with the laws of this State. The superintendent of the State board of health shall be designated and known as the director of vital statistics, and shall be the administering officer of the State in connection therewith, charged with the enforcement of the provisions of law and the rules and regulations of the State board of health relating to the collection, recording, and preservation of vital statistics. The director of vital statistics may, with the advice and approval of the State board of health, appoint a deputy, and may employ such clerical assistance as may be necessary for the purposes of this act.

SEC. 2. The director of vital statistics shall have an office in the capitol properly equipped with fireproof vault and filing cases for the preservation and safekeeping of the official records and papers pertaining thereto.

SEC. 3. That section 9898 of the South Dakota Revised Code of 1919 be, and the same is hereby, amended to read as follows:

"The State board of health shall prepare, provide, and furnish suitable books and blank forms in which to make and keep the records of the births, deaths, marriages, divorces, and naturalizations occurring in this State, as provided for by this article, and to furnish them to the several officers and persons required to make reports and keep the same."

SEC. 4. That section 9905 of the South Dakota Revised Code of 1919 be, and the same is hereby, amended to read as follows:

"It shall be the duty of the clerk of courts of each county to receive such primary birth and death certificates and to at once enter the same in substantial books, provided by the State board of health for that purpose, showing a full and complete abstract of the information contained in each certificate, and he shall, on or before the 15th day of each month, transmit to the director of vital statistics all such primary birth and death certificates, together with the record of the marriages performed in his county and of the decrees of divorce which may have been filed in his office, and also a report of all naturalizations of foreigners during the preceding calendar month."

SEC. 5. That section 9906 of the South Dakota Revised Code of 1919 be, and the same is hereby, amended to read as follows:

It shall be the duty of the director of vital statistics to receive such primary certificates of birth[s] and deaths and the reports of the marriages, divorces, and naturalizations from the several clerks of courts, and to number, index, and bind the same in substantial covers and carefully preserve the same, and shall biennially report to the governor a complete summary, properly tabulated, of the information received. Such report shall be published as a part of the regular biennial report of the State board of health.

SEC. 6. That section 9907 of the South Dakota Revised Code of 1919 be, and the same is hereby, amended to read as follows:

A physician or other person reporting any birth or death to the clerk of courts, as provided in this article, shall be entitled to a fee of 25 cents for each [certificate; a justice of the peace shall be entitled to a fee of 25 cents for each burial or transportation permit issued by him; and the clerk of courts shall be entitled to a fee of 25 cents for each birth and death certificate received, entered, and transmitted to the director of vital statistics, a fee of 10

cents for each abstract of marriage, divorce, or naturalization records transmitted by him; all such fees to be paid out of the general fund of the county as hereinafter provided.

SEC. 7. That section 9908 of the South Dakota Revised Code of 1919 be, and the same is hereby, amended to read as follows:

It shall be the duty of the clerk of courts to make a complete list from his records of all persons who have returned primary birth and death certificates and issued burial or transportation permits in his county during the previous year, and to certify the amount due each person, including his own fees, and having certified to the correctness of same he shall present it to the board of county commissioners at the first meeting after the 31st day of December each year, which amount shall be allowed by such board and a warrant for the amount due each of such persons shall be issued; clerks of courts shall be entitled to receive all fees provided by this article for such officers in addition to their salaries as fixed by law.

SEC. 8. That section 9909 of the South Dakota Revised Code of 1919 be, and the same is hereby, amended to read as follows:

Any undertaker, sexton, keeper of a cemetery, justice of the peace, clerk of courts, or other person who shall fail, neglect, or refuse to perform his duty as required by this article and by the rules and regulations made by the State board of health to carry out the provisions thereof shall be deemed guilty of a misdemeanor.

SEC. 9. The director of vital statistics shall furnish any applicant therefor a certified copy of the record of any certificate of birth or death or abstract of marriage, divorce, or naturalization recorded under the provisions of this act upon the payment of a fee of $1 for the making and certification of each certificate or abstract, to be paid by the applicant. Such copy of the record in the office of the director of vital statistics, when certified by the director of vital statistics to be a true transcript therefrom, shall be prima facie evidence of the facts therein stated in all courts in this State.

SEC. 10. The director of vital statistics shall preserve all records and files of vital statistics as heretofore collected and compiled, and shall have the custody thereof.

Births and Deaths—Registration. (Reg. Bd. of H., Sept. 10, 1920.)

REGULATION No. 1. Relating to birth forms.-That the certificate of birth shall contain, in addition to those items provided for in section 9899 of the South Dakota Revised Code of 1919, the following items, which are hereby declared necessary for the legal, social, and sanitary purposes subserved by the registration records:

1. The place of birth shall include the State, county, township or town, village or city. If in a city the ward, street, and house number; if in a hospital or other institution, the name of the same to be given instead of the street or house number.

2. If the child dies without a name before the certificate is filed, enter the words "died unnamed." If the living child has not yet been named at the date of filing the certificate of birth, the space for "full name of the child" is to be left blank, to be filled out subsequently by a supplemental report as hereinafter provided.

3. Whether a twin, triplet, or other plural birth. A separate certificate shall be required for each child in case of plural births.

4. For plural births, number of each child in order of birth.

5. Whether legitimate or illegitimate.

6. The date of birth should include the year, month, and day.

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