Student： You have just mentioned the primary health care team. Can you give us some explanations？

　　Teacher： The health care team is based either in Area Health Authority （ AHA） premises known as health centres or in the privately owned premises of general practitioners. （This kind of care is carried out in Britain and some other countries.）

　　S： How many members are there in a team？

　　T： Usually eight to ten， including a health physician， three or four nurses； a health visitor， a home nurse， a practice nurse and a psychiatric nurse， a community midwife， a social worker and a secretarial staff.

　　S： What is the difference between a home nurse and a practice nurse？

　　T： A home nurse is likely to be spending much time undertaking domiciliary duties and much of the work is concerned with the elderly and chronic sick and their long term care. Apractice nurse is more likely to be working in the surgery. She may be called on to carry out first aid. form m.serviciosjt.com

　　S： Does the health visitor do technical nursing procedures？

　　T： The health visitor is not actively engaged in technical nursing procedures. She has an advisory and educational role and is concerned with the prevention of illhealth rather than with curative medicine. She establishes contact with expectant mothers to ensure adequate antenatal preparation and visit new babies. She also gives advice on family planning. A health visitor may be engaged in school health work as well as visiting pre-school children.

　　S： She must be very busy.

　　T： More than that. Health visitors have a list of duties such as to advise on the control of communicable diseases. They will be visiting families where there is a handicapped member， with social workers. They may visit families who have suffered with visiting the elderly to advise on health maintenance.

　　S： I think they are wonder ful workers. I really appreciate their work. With their various duties， the consequence of the primary health care team is amazing.

　　學生：您剛才提到基層保健隊，能介紹一下它的情況嗎？

　　老師：保健隊的基礎(chǔ)既可以是做為保健中心的區(qū)域保健事務(wù)所，也可以是綜合開業(yè)者的私人診所。（英國和一些國家實行這種形式的保健工作。）

　　學生：基層保健隊有多少成員？

　　老師：通常是8至10人，包括1位保健醫(yī)生，3或4位護士，1位健康訪視護士，1位家庭護士，1位實踐護士和1位精神科護士，1位助產(chǎn)士，1位社會工作人員和1位秘書。

　　學生：家庭護士和實踐護士有什么不同？

　　老師：家庭護士大部分時間管理病人家中生活的事務(wù)，她的工作涉及老年人和慢性病人的長遠目標護理。實踐護士則更多地從事外科換藥工作并承擔現(xiàn)場急救工作。

　　學生：健康訪視護士負責技術(shù)性護理操作嗎？

　　老師：健康訪視護士不從事技術(shù)性護理操作。她負責健康教育及咨詢工作。她的工作主要是預(yù)防而不是治療。健訪護士與早孕婦女建立聯(lián)系，保證產(chǎn)有的準備工作，并訪視新生兒。她同時參與計劃生育工作。健訪護士即訪視學齡前兒童也參與學校的保健工作。

　　學生：她一定忙得很吧。

　　老師：不僅是忙，健訪護士學有一些任務(wù)，如，對如何控制傳染病提出建議，對有殘疾人員的家庭進行訪問，并與社會工作人員取得聯(lián)系。她們還對有喪偶的家庭進行訪問。她們更多的工作是訪視老年人并對他們?nèi)绾伪３纸】堤岢鼋ㄗh。

　　學生：健康訪視護士太好了。我非常欣賞她們的工作。有她們來完成這許多的任務(wù)，基層保健隊的工作會有非常驚人的成績的。