HomeMy WebLinkAboutM080378 •
.
COMMUNICABLE PUBLIC HEALTH HOME VITAL ENVIRONMENTAL HEALTH
DISEASE CONTROL NURSING NURSING STATISTICS HEALTH EDUCATION
rU . Nei
301,4„0„.„1:-,f.,,,,?..,,,, ,,,,i',:.,i,•;„..,,, , ,,,,,,!-,e-.;,,,,I;;!: „:,. ., -4'',.1* •.--, -.,',...,. '"'"•iif...."rsc:r._,_ _,.... _ .. ,
. '7 JEFFERSON COUNTY HEALTH DEPARTMENT
1. s
,t4„.
602 SHERIDAN PORT TOWNSEND,WASH.98366 (2061385.0722
, . .
Jefferson County Health Department ,
Board of Health Meeting . .
9:30 A.M. August 3, 1978
Approval` of minutes of July 11, 1978 meeting.
Correspondence •
1. Report on distribution of Olympic Health District assets.
2. School contracts: (see attached)
3. Other old business.
New Business
I
E
I. Discussion of the Home Health program and our relationship
with Ciallam County. ,
2. Other new business. J
Reports
I. Public Health Nurse.
2. Environmental Health. i
3. Public Health Officer.
4. Administrator. 4
'Next meeting will be held September 6, 1978.
1
g`
1
ram.
•
PUBLIC HEALTH HOME VITAL ENVIRR MENTAL (pHUCLTH
pSEAU�iENA NURSING NURSING STATISTICS.
:E CONTROL "
r i7,717". . . .
,, w JEFFERSON COUNTY HEALTH DEPARTMENT
4
602 SHERIDAN PORT TOWNSEND.WASH.96366 (208)3650222
, e �• BOARD OF HEALTH MEETING
HEALTH DEPARTMENT CONFERENCE ROOM •
BOARD MEMBERS: STAFF MEMBERS:
Randall M. Durant, R.S.
B.G.'Brown, Member
A.M. O'Meara, Member Phyllis Bee, P.H.N.
Carroll M. Mercer, Chairman Joseph Fishnaller, M.D.
Gael Stuart, Admin.
a
T
August 1, 1978
,
9:30a.m. Meeting called to order by Chairman Carroll M. Mercer with A.M.
O'Meara, Gael Stuart, Dr. Joseph Fishnaller, and Randall M. Durant present. -1
Remaining members absent due to being on vacation.
Minutes: The minutes of July 11, 1978 meeting were approved by motion of
A.M Merla and second by Chairman Mercer, with clarification to Environ-
mental Health report section 2-B, third sentence (Kala Point) -- environmental
health section will keep records of the dates, amount of deposits, and for
which building each deposit is made.
Correspondence: None ,
Old Business: •
1. Mr. Stuart submitted an outline of the basic services the health
department will provide the schools at no cost (attachment #1) . After
.reviewing the list of services, it was moved by O'Meara and seconded by
Chairman Mercer for Mr. Stuart to forward the information to the schools
along with a cover letter advising that any additional services will be
billed at an hourly rate based upon the cost of public health nursing.
Mr. Stuart will draft the letter for Chairman Mercer's signature.
2. Even distribution of nursing services: Problem arises due to
Clearwater School District paying directly to the Clallam County Health
Department. Board requested Mr. Stuart check with Clallam County to see
what services are being provided to the School District and the costs thereof.
Board suggests that Clallam could bill Jefferson, and a letter could be sent
€o.Clearwater School District saying Jefferson County would be picking up
the costs of their nursing services provided by the Clallam County Health
Department.
New Business:
1. Discussion of the Home Health program and our relationship with
Clallam County: Clallam County presently administers the Jefferson County
Home Health Program and Mr. Stuart feels it would be much more beneficial
to us for Clallam to contract with our Health Department for us to provide
this service in this county, to be operated independently within our county
under the Federal rules and regulations, and assuming all responsibilities.
Board concurs. Mr. Stuart, Dr. Fishnaller and Phyllis Bee will meet with
Dave Abeel on August 2, 1978, to discuss this matter. s
3
2. Staff Salaries: Larry Anderson is eligable for $50 per month salary
increase authorized under the Personnel Policy as of 7-1-78; and Marla Weed
is eligable for $50 per month salary increase as of 8-15-78. Both salary
increases approved by motion of O'Meara and second'by Chairman Mercer.
3. 1979 Budget: Mr. Stuart is going to investigate the work load in
the Sanitarian's department, and the cost effectiveness of the purchase of
two conpact cars for the Health Department. If additional personnel or
items are indicated, he will "star" them on the preliminary budget.
Board of Health minutes of Augt.st 2, 1978
p: 2
•
•
Reports:
1. Public Health Nurse: Phyllis Bee
• In the absence of Mrs. Bee, Mr. Stuart submitted the Health Nurse
report (attachment #2) noting the increase in activity, especially in the
Maternal Child Health Program.
2. Environmental Health: Randall Durant
• A. Activities report was submitted and reviewed (attachment #3)
B. Food Program: The next two months will be devoted to the inspection
of restaurants and grocery stores. Consequently, site evaluations may
delayed slightly.
C. The county's sewage ordinance has been approved by the State
Health Department. Notification will be forwarded to the Prosecuting •
Attorney.
D. Additional activities:
1. A bat was sent in to be checked for possible rabies. No response
as of this date.
2. Checked out possible food poisening - determined to be food .
spoilage.
3. Possible food contamination involving Dream Whip and jello
pudding forwarded to F.D.A. for study.
4. Reviewed and approved second set of Chimacum School plans.
5. Followed up on possible Hepatitis case as it relates to sewage
-water.
6. Performed several soil evaluations for preliminary short and
long plats.
E. Maintenance of county park facilities - Chimacum and Lake Leland
park prives have not been maintained. Suggests periodic check.
F. First compost toilet has been installed in Jefferson County.
G. Contract has been signed with Water Supply and Waste Section for
an inventory of at least eight "class 3" water systems.
H. Problem at American Campgrounds (Gardiner) - failure of evapo-
transporation system. Schedule has been worked out for correcting problem.
Temporary closure if situation cannot be remedied within 10 days.
3. Health Officer: Dr. Fishnaller
Discussed his concern over Clallam County's approach to organizational
structure of Department of Health duties, and the Health Nurse program.
M:C.H. nurse has resigned due to salary disagreement with Clallam County
Commissioners, and unless a settlement is reached, funds for the M.C.H.
program may have to be returned to the State.
4. Admimistrator: Gael Stuart
Mr. Stuart advised that he has reviewed the insurance policies and
found definite duplications. He has submitted them to Homer Smith Insurance
for comparison, and to draft a new policy for the Board's consideration.
Meeting adjourned.
r� .w..w. -1111111MINIM... ARIMINIMMIWIMMWRITIM
s
•
•
COMMUNICABLE PUBLIC HEALTH HOME VITAL. ENVIRONMENTAL HEALTH
DISEASE CONTROL NURSING NURSING STATISTICS HEALTH EPUGATION
mo.•#***"..4%***,47". ;";:: .1===r
JEFFERSON COUNTY HEALTH DEPARTMENT
602 SHERIDAN PORT TOWNSENO,WASH.9634i (2003E54712 A
4 August 1978
Mr. James McNally
147 Dosewallips River Road
Brinuon, WA 98320
Refs BD-14
Dear Mr. McNally;
!inclosed is an outline of the school health program :
in Eastern Jefferson County. The school districts
contributed $2.25 per pupil to pay for the program during It
the 1977-1978 school year under an agreement with the
Olympic Health District. On January 1, 1978 the Olympic
Health District was dissolved and its activities were
assumed by the Jefferson County Health Department. t,
The school health program was discussed at the
regular Board of Health Meeting on August 2, 1978 and it
•
was decided that the Jefferson County Health Department
would provide the services as outlined at no cost to the I ,
school districts for the 1978-1979 school year. If the
•
school districts wish additional school health services,
-they will be provided at our cost (approximately $11:40
per hour) if staff is available.
The Board felt that this action should be taken in 1
light of the financial condition of the Health Department
and a feeling that the Department should provide complete
health services to the citizens of the county if finances '
are available.
This decision will be reviewed annually and school I
health services will be provided to the districts at no
charge only if the financial condition of the Health -
Department continues to warrant it. -
, .• • ,
•
44.4.0.41/0114.4
•
•
If you have questions or comments regarding this matter,.
please contact Gael Stuart, Health Department Administrator-
at 385-2571.
Sincerely yours,
' 4
Carroll Mercer
• Chairman, Jefferson County Commissioners
•
Ctifjme
Maclosnre
cc: A.L O'Meara
B.G. Brown,
tenneth Howerton
1
• f
•
•
This letter also sent to:
Mr. Lloyd Olson •
Ccimacum
Mrs. Margeret Berry
Port Townsend
Dr. Clifford Campbell
Quilcene
s `
.74
.
TO: Gael Stuart
FROK: Phyllis Bee
DATE: July 25, 1978
SUBJECT: PROPOSED RESPONSIBILITIES OF THE SCHOOL NURSE111
I. Vision Screening for All
1. Children in Kindergarten, first, third and seventh g . grades annually
be completed by December of each year.
2. Elementary school children new to the school district as soon as
possible after enrolling, regardless of grade.
3. Rescreening, follow-up and referral of children failing the initial
screening.
4. If necessary assist parents to obtain care for the child through
appropriate funding sources.
5. High school students screened on referral.
II. Auditory Screening for All
1. Children in kindergarten through the first three elementary grades
and those in grades 6 and 9 completed by December of each year.
2. Elementary school children new to the school district as soon as
possible after enrolling, regardless of grade.
3. Rescreening, audiograms, follow-up, and referral of children failing
the initial screening.
4. If necessary assist parents to obtain care for the child through
appropriate funding sources.
5. High school students screened on referral.
III. Control of Communicable Diseases
1. Nurse interprets and implements Health Department regulations regarding
communicable diseases.
2. Nurse will be available to see children suspected of having a
communicable disease.
3. Nurse will be available for teaching and consultation with parents
and teachers in cases where children have a communicable disease.
She will give information on symptoms by which such diseases can be
identified and methods to prevent the spread to other school children
and family members.
4. Nurse will evaluate immunization survey forma and assist parents to
have their children adequately immunized.
* Vision and hearing schedules are consistent with Chapter 32, Laws of 1971
and WAC 248-144-010 to 248-144-150.
...�. ..ems..
• *t ,
•
Mr }
IV. Teacher-Nurse Conferences
1. Teacher-nurse conferences for classes kindergarten through grade 6
will be held each year as a means for the teacher and nurse to share
information as needed on the emotional, mental, and physical health
of the child, and together work out a plan to meet the student's *;
need.
2. Other conferences by teachers in other grades may be scheduled as
the need arises. The nurse will give information and assist in
planning and identifying all children with medical problems which
may affect their school performance. She will interpret medical
findings and recommendation as needed.
V. Home and Office Visits and Follow-Up
1. Home visits will be made when necessary to aid parents in caring
for the health needs of their children.
2. Parents may visit the nurse in her school office or Health Department
office for help as needed with health problems.
3. The nurse will make contact and/or home visits with parents regarding
their childs health problems on request of the principal or teacher
if appropriate.
4. The nurse will serve as liaison between school, families, physicians,
and community service organizations on behalf of pupils and the school.
VI. Health Education
The nurse made available to the teachers such health education materials
as are available through the Health Department and other sources and will
be available for consultation or classroom discussion on health topics.
VII. Dental Program
The nurse will arrange for a dental "Brush-In" or similar program in
the elementary schools.
i
VIII. First Aid and Illness
Since the nurse will be in the school on a limited basis it is necessary
that first aid be done by a school employee designated by the principal.
The nurse will assist in training such a person and be available for
consultation when possible. First aid should be limited to minor incidents,
and in the event of illness or more severe injuries the child's parent
should be notified to come and pick up the child and make decisions for
care.
IX. Conferences with Other Health and Educational Professionals
The nurse will be available and participate in staff conferences as needed
with teachers, school psychologist, communication disorder specialists, etc.
Ilil..�rmrsm.. ..�rsmrsm�. AM11111111111111111111111111111111111k.
•
X. Regular Scheduled Visits of School Nurse
Grant Street Monday & Friday 8:30-10:30
Lincoln/Primary Tuesday & Thursday 8:30-10:30
Junior High/High School On Call
Chimacum Monday 8:30-10:30 :k
Quilcene 1st & 3rd Wed. 8:30-10:30
of each month
Brinnon 2nd Wed.. of 8:30-10:30
each month
•
i
- 14
5
i
OS
o.
REPORT 'OF NURSING SERVICE - _w. ... ,_
•
JULY JUNE JULY
' 1978 1978 1977
HOME VISITS 233 249 201
OFFICE VISITS 135 118 27
NEWBORN 27 _ 15 2 '
A UNDER 1-YEAR 28 _ .21 , 11
1 1
G 1 _5 - 46 _ 48 3
R S - 21 _ 15 69 7
•
S 21 - 60 37 30 15
i
i
60+ 215 184 190
. . •
6
M.V..Hi :100--. 98.-: 26
C.C.S.- 4 . 5 4 - . f
ADULT HEALTH 12 4 30 3
p - ACUTE COMMUNICABLE DISEASE `Zmnni2i+ 1 + ;
R CONTROL
0
G V.D. 3 2 6
R i - .
A T.B. ' d ` 1 3
M`
S SCHOOL HEALTH 0 .12.5 hrs., 0
W.I.C. 19 20 .0
- DENTAL. ,
7.
HOME HEALTH_(AIDE) .97 98 70
HOME HEALTH (P.H:N.) 125 139 88
• r5
M"
•
•
•
-rJ
•
JEFFERSON COUNTY HEALTH DEPT.
802 Sheridan Ave.
Port Townsend,Wash, 98368
To: Board of Health
From: Randall M. Durant, R.S.
Director of Environmental Health
Date: August 1, 1978
•
Subject: Activities-Environmental Health for July, 1978
Field Work: For the first 7 months of 1978 there has been a 25% increase in
sewage disposal permits and site evaluations over last year
averaging 41 sewage disposal permits and 56 site evaluations per
month. The sewage program is taking approximately 80% of all our
time. Due to this other programs have been lacking. More emphasis
will be placed in the food program in the coming months.
Field Work (other):
Food Complaints Water Other Finals Followup Total
7 5 3 18 6 32 71
Contacts: Office calls, telephone calls plan review
Sanitariens: 307
Secretaries: 133 telephone
150 office calls
283 total secretary
590 Total
Total contacts of sanitarians and secretaries for year to date: 3,693
Food Handler Permits: Month Year
74 308
o. rn er r4 N.•...
el V a.�`�Nro
Cs Ct0000a • ,
0 CI' 0'aao0
. ..-▪ ta us m m o n.No
I tj: •-r`• t • iO
u+ ta� �
t� e •
0v v M c rhi u,cs 'cr.,oil N C4 CV CM `Q'
0000
oaoao op0o 00 0
• I'sjj O O CD,O O 0 0 0, N 0 0 O
O O N O N N N'yn O h ao to r1
O, O el h N CO N 03 e•-1 t0 t7 e•,r'1 to•
✓l r1 N.•1 N.•i P1 ri es h t•1
I
000 0000 .
paooaoo ;I:CC'
o7.4
0
r2 to 1:e7 Q vi O q N N , ,1QNaOON ® ,r1 r1 ri e-1Nri r1
a
t p 000 1.tl1p 000 4.1
Lpp �.
• {{ O, t^[�- S.
.tCft U j
V. : . .. .
• 61 • Vero, .w C.
4 2 6
a a° s
t ; 2 • Gel. ,
vv • 14 ,,.y. U s
CI CS CS 0 CS
t.AO O 0 0 0 0 L1 v c•,,,,,/vv v
•�, p
c-t1 O at 0 3 N O. t 0 8 0 0 O O O
.^l:coo, r1 r#e-1.-1 's b .. m C?.� to e.MOy O 4
. •• • • _ p. Ot tit A .^•4 d
CA vfh tp sites rA 6st 4
rt e•1elveR.'sN Qv v Nrf V O Opq
• a 0p 0 0 0 0 0 O p p
y es h 0 0 0 0 0 0 0 0 0 0 O _.
aa0000O 00 0 000 i+ h h .P.1 p, ho 0o •N , O N ID
_
•
OpOONN000 0 000 E Os
gelOsQ .+ Nr,en^' N NN rt.
L� h t0 h t0 h N N h Q Q, tor- N r• ..i el •-1 r1
O• fD[� N 1'f r1 N O rt h -
* .-/ ea to NtD Q 0.-1 to h0 V Lt,h }
"1 .'^' 11 r1 a oo0ppa0000
V r4 y O 0 0 0 0 0 0 0 0 0 0
Sc aaa a aaa a a a CS CS V m h1 O I en . . . . • • • •tO •
M O tit • • • • • t•• • •O UCh• cm ...1 0000000• Q
t 4+ 00 00000 '
t) Cf0O g000 00 OOaH y d 'i"i N •
..1 t1fOONNNO L. NOONO
N tr• • • • 7 • .-1 O, 1 t 1 t 1 N N Q Q N h n D.
ar Q 0 C7 N N O. N r"1 N N a Q u d O. .a •"1 • -C
u O, .o0ru0mQ el elF. O, N0 L
H r1 rif•1ertNenQrtNr NNN U N
a
r1e w o
t
p ,
L I.
Z.
hniilii p• It E .I tl 1.I . iIfl1
U
U
U L 7• 2 C• N n .o v 0 m