HomeMy WebLinkAbout11 November
COMMUNICABLE
DISEASE CONTROL
PUBLIC HEALTH
NURSING
VITAL
ST A TISTI CS
ENVIRONMENTAL
HEALTH
HEALTH
EDUCATION
.-.
~~
JEFFERSON COUNTY HEALTH DEPARTMENT
802 SHERIDAN PORT TOWNSEND, WASH. 98368
(206) 385.0722
HEALTH BOARD
Minutes:
November 17, 1987
BOARD MEMBERS:
STAFF MEMBERS:
B.G. Brown, Chairman
Larry W. Dennison, Member
George C, Brown, Member
Rick Micklich, Director of
Environmental Health
J. Peter Geerlofs, M.D., Health
Officer
Mary Catlin, Administrator/Director
of Nursing
CITY OF PORT TOWNSEND
REPRESENTATIVE:
Glenn Ison
***********************************************************************
*******************************************************************
The meeting was called to order by Chairman B. G. Brown with
Commissioner Larry W. Dennison and Commissioner George C. Brown both in
attendance as well as Mary Catlin, Administrator/Director of Nursing
and Rick Miklich, Director of Environmental Health. Health Officer
Peter Geerlofs was not present.
APPROVAL OF MINUTES: The Minutes of the October 20, 1987
meeting were approved as read by motion of Commissioner Larry Dennison,
seconded by Commissioner George Brown.
ADMINISTRATOR'S REPORT:
items for the Board:
Mary Catlin reviewed the following
Model standards program: Mary Catlin asked if the Board would like the
Department's annual report presented in the "model standards" form
this year? In this format information on the morbidity and
mortality of Jefferson County would be presented as well as how
the County compares to the rest of Washington State and the
Health Board Meeting Minutes: November 17, 1987
Page:
2
country.
services
that the
Ms. Catlin advised that the summary information on
by program would still be provided. The Board concurred
annual report be submitted in this format.
Contracts: Mary Catlin asked if a written policy could be developed
which states that all contracts that the Health Department enters
into are written with Jefferson County as contractor (not the
Health Department). After discussion of the needs of the
department and the legalities involved, the Board directed Mary
Catlin to develop a written policy for their consideration.
The discussion continued regarding the contract with the taverns
where the Health Department is placing condom vending machines.
Mary Catlin suggested that the contract state the Department
receive all the proceeds from sales until the price of the vending
machine and the initial supplies has been reimbursed. The machine
would then become the property of the tavern and be their
responsibility to maintain. Chairman Brown expressed concern with
regard to assuring continued maintenance of the machines. He
suggested of sharing maintenance costs be explored.
The meeting was recessed and then reconvened at 3:00 p.m. so that the
Board members could attend a memorial service for PUD Commissioner
Charles Botts.
Administrator's Job Description: Mary Catlin submitted a revised draft
of the Administrator's job description, She reported that all of
the changes that were discussed on this description have been
incorporated into this revised draft. Action on this matter was
deferred until the Health Board Retreat scheduled for November 19,
1987.
Computer Time and Accountinq Procedures: The State CHIMUS system used
for program accounting is being discontinued on January 1, 1988.
Kathy Stafford and Mary have been working on a replacement
computer program for this accounting that will meet the State
reporting requirements and better serve the needs of the
department.
Scan Telephone Lines: The State has sent a memo to all Health
Departments stating that they will no longer pay for the SCAN
telephone line to the department. This is being fought on the
State level by several Health Departments. Mary will keep the
Board advised of what happens with the SCAN billings.
Health Board Meeting Minutes: November 17, 1987
Page: 3
Gene Seton and Duke Shold re: Individual Sewaqe Disposal
System Permit; Black Bear Subdivision, Four Corners: Environmental
Health Director Rick Miklich reported that he made a site inspection of
a lot in the Black Bear Subdivision at the request of Mr. Seton and Mr.
Shold. This subdivision was approved in 1983 but the Health Department
records are confusing. The soil logs on the site in question are not
good because they have an indication of high ground water at 17 and 18
inches. Mr. Miklich then read the letter he wrote to Mr. Seton which
provided the following information:
Soil log profiles: #1 hole - soil modeled at 17 inches,
#2 hole - soil modeled at 17 inches.
#3 hole - soil modeled at 18 inches.
#4 hole - soil compacted at 17 inches with
clay at 28 inches.
The letter advised that because of the soil limitations he
recommended the use of a curtain drain and mound disposal
system.
After reading the rest of the letter, Rich Miklich reported, that Mr.
Seton has indicated to him that he is not willing, and sees no need to
install a mound system. He would be willing to install a partial fill
system, however.
Gene Seton then explained that he received a letter from the Health
Department dated June 13, 1983 which recommended that lots three and
four of the subdivision be combined as one building site which would be
five acres in size. (This was also stated in the June 7, 1983 letter).
This is what was done and the subdivision was approved. Lots one and
two of this subdivision have been sold and one of them has a septic
system installed on it currently.
Having to install a mound system on this lot is a hardship to any
purchaser, Mr. Seton stated. Mr. Seton further stated that the
approval of the short plat has put a hardship on him. If the short
plat had not been approved in 1983 he would not have spent the money to
short plat the property at all. Mr. Seton reiterated that he is
willing put extra fill on the lot for a partial mound system.
Rick Miklich advised that because of the indication of seasonal high
ground water on this lot at 17 inches, the regulation 18 inches of
separation can not be met. Even for a mound system 18 inches is
recommended with the minimum allowable being 12 inches. If the
separation is decreased from the 18 inches, some type of system must be
installed to improve the quality of the effluent that goes into the
ground (sand filter, etc.). The possib~lity of the installation of a
curtain drain to divert the water was discussed. Rick Miklich stated
that the installation of a curtain drain and then a winter evaluation
of the site could possibly solve this problem.
The discussion then turned to the subdivision regulations in 1983 and
the use of site evaluations. The Board reported that there is a
Health Board Meeting Minutes: November 17, 1987
Page: 4
disclaimer on every short plat that states that the short plat approval
does not guarantee that the individual lots will be approved for a
septic system.
In response to a question from Mary Catlin, Rick Miklich reported that
a winter evaluation requires that the evaluation is done over a period
of time during the "rainy" season. This procedure assumes there will
be a rainy season or it would have to be put off until there is one and
it is a very time consuming process.
Chairman B. G. Brown asked if the mottling seen in the soil gives an
indication of how long during a year the water level was at that height
or is it just an indication that the water was at that level at least
one time? All it indicates, Rick Miklich responded, is that the water
has been at that height at one time. There may have been changes in
topography or drainage patterns in that area since that mottling
occurred, Chairman Brown added, which should be taken into
consideration.
The discussion again turned to the subdivision approval received in
1983 and the site evaluations that were done before that approval was
given. Commissioner Dennison reminded those present that the site
evaluation, which is no longer done by the County, was used to give a
property owner an idea if any area on a piece of property was suitable
for a septic system, it was not an approval for a septic system on the
site and a disclaimer was put on the form stating that.
The need for a curtain drain on the site was discussed. Chairman B.G.
Brown asked if the topography of the site would cause the ground water
to move toward the planned septic system area? Rick Miklich reported
that he does not remember the topography of this particular site, but
he will make another inspection of it before a determination is made on
the need for a curtain drain. Gene Seton stated that he will check the
soil log holes that are open on the site now, over the "rainy season"
to see if there is any water in them, and report to Mr. Miklich with
the results. With that information, Rick Miklich can then make a
determination regarding the need for a curtain drain on this site.
DIRECTOR OF NURSING REPORT: Mary Catlin presented the
written monthly report of nursing services provided by the department.
Staffinq: Mary Catlin reported that part of the nursing staff
positions in 1987 have been partially funded from funds allocated
for a Nurse Practitioner. Now that a Nurse Practitioner has been
hired that funding is not available. The following programs will
not have funding for nursing services: new born program,
communicable disease control, TB, and school education. Mary
asked that she be advised as early as possible what the 1988
budget level will be so a determination can be made on what
programs will have to be eliminated.
Health Board Meeting Minutes: November 17, 1987
Page: 5
Commissioner Dennison stated that one of the problems that the
Board has had in reviewing the health department budget, is
identifying what programs are tied to grant funding.
Flu and Pneumonia Clinics: Two more pneumonia and flu shot clinics
have been scheduled: Port Townsend on Friday from 11:00 to 1:00
p.m. and one in Quilcene. The pneumonia is a once in a lifetime
shot which protects against 22 kinds of pneumococcal pneumonia.
Dental Rinse Proqram: The Department received State funding to do a
dental rinse program in the schools. The program will be setup
this year with the work to be done next year.
Vision and Hearinq: Vision and hearing testing is currently being done
in the schools.
CONTRACT re: Professional Services: County School Districts;
#50 Port Townsend, #46 Brinnon, #20 Queets/Clearwater and #49 Quilcene:
Commissioner Larry Dennison moved to approve the contracts between the
following school districts and the Health Department for professional
nursing services as outlined:
School District #20 Queets/Clearwater
School District #46 Brinnon
School District #49 Quilcene
School District #50 Port Townsend
Commissioner George Brown seconded the motion.
CONTRACT re: Professional Services; Dental Hvqienist: Jess
Brevik: Commissioner Dennison moved to approve the professional
services contract with Jess Brevik to provide services as a Dental
Hygienist for the Health Department. Commissioner George Brown
seconded the motion.
ENVIRONMENTAL HEALTH DIRECTOR'S REPORT: Environmental Health
Director Rick Miklich submitted his written report of October's
environmental health activities. He noted that the accounting on the
number of hours per program is being reported in a more exact form.
PUD Contract: The final draft of the PUD contract with the County for
municipal oversight of alternative septic disposal systems was
then reviewed for the Board. This contract is for the PUD to
provide monitoring for all alternative septic systems approved in
the County. The PUD will charge the homeowner a fee which they
will negotiate for doing the required monitoring. Rick Miklich
will be meeting with John Floyd, Manager of the PUD, to work out
the final details on this contract.
Health Board Meeting Minutes: November 17, 1987
Page: 6
Waiver Reguest; Mound Septic Disposal System Installation; East
Quilcene Road; Bill Taylor: The department had Dave Lenning from the
State Department of Social and Health Services, Environmental
Health Section, inspect the site of Mr. Taylor's mound system,
because of concern regarding the slope on the lot. Mr. Lenning
has suggested that due to the slope of the lot being in excess of
that allowed by the State guidelines and the cut for the driveway
being located too close to the reserve drainfield area, the County
should apply for a State waiver for this system and have the
property owner re-route his driveway away from the reserve
drainfield area as a condition of approval of the system.
Rick Miklich advised that he does not feel the County needs to
apply for a State waiver for this system for the following
reasons: 1) If the primary system fails and the reserve area is
needed the driveway can be moved at that time, and 2) there is
approximately a 30% slope which means that the guidelines require
60 inches of soil. There is 33 inches of soil on this slope,
which is why the mound system is required. Rick Miklich advised
that the 33 inches with a mound system is acceptable. He
recommended that the system be approved by the County with these
two conditions, without referring this permit to the State.
Commissioner Dennison moved to approve the variance and the mound
system permit with the conditions as recommended by the
Environmental Health Director. Commissioner George Brown seconded
the motion.
Household Hazardous Waste Day: The Health Department will be the lead
agency for the Household Hazardous Waste Day on December 12, 1987,
Rick Miklich reported. This project is estimated to cost between
$7,000.00 and $8,000.00 ($40.00 per cars). Chem Pro Company will
be here that day to containerize and ship these hazardous wastes
for disposal. The Health Department has funding set aside in
their budget to pay for this project, Mary Catlin, Administrator
reported. The Board concurred that the Health Department be the
lead agency for the Household Hazardous Waste Day as proposed,
MEETING ADJOURNED
JEFFERSON COUNTY BOARD OF HEALTH
Member
George C. Brown, Member
to
~"""
RECEIVED
AOO 2. 6 '8il'
Contract For Professional Services
Between Brinnon School District #46
and
~efferson County Health Department
JEFF.
HEALTH DEi'1,
This agreement is made and entered into between Brinnon School
District #46 and ~efferson County Health Department. This agreement
becomes effective on the first day of September, 1987 and continues
until the last day of August, 1988.
WITNESSETH
Whereas I Brinnon School District #46 is in need of professiona':
nursing services to meet state regulations regarding the health of
students and to promote the health of students and,
Whereas, Jefferson County Heal th Department referred to as the
Contractor is prepared to provide professional nursing and services,
Whereas, Jefferson County Health Department is willing to assume the
responsibilities as set forth within this agreement:
It is agreed between both parties and named herein as follows:
I. SERVICES
A. 1)
The Health Department will coordinate mandated screening
programs for vision, hearing (WAC 248-148) sco.d.osis and
kyphosis (WAC 248-150). (Vision screening for kindergarten,
1, 3, 5, 7, 10; hearing screening for grades: kindergarten,
1, 3, 5, 7, 10. Scoliosis screening for grades 5 - 10.)
2) The nurse wi 11 train volunteers and/or designated staff to
assist in the above screening projects. Included in screening
procedures are:
rescreening students who failed initial screening.
referral of students found to have abnormalities for
medical evaluation at student's expense,
B.
1 )
The contractor shall
disease, disability,
communicable disease by:
take
and
actions
minimize
necessary to
absenteeism
prevent
due to
providing immunizations to staff and unimmunized chi':dren
in local clinics.
Investigating, advising and implementing control measures
in the event of outbreaks.
Providing inservices and advice to school secretaries
concerning the new communicable disease guidelines.
.
.
C. :)
D. 1)
2) The Heal th Department wi II work with the School District to
prepare a locally acceptable AIDS EDUCATION P~AN that offers
options including:
-a choice of lessons plans.
-an AIDS patient and health education panel for classes.
-a parents night to preview materials, discuss current
facts of AI~S/ Sexually Transmitted Diseases and 11Eow to
Discuss AIDS and Sexually Transmitted Diseases with
Your Children.1I
-AIDS videos available for home viewing.
-:ndi vidual counsel ing and/or home visi ts available for
students at risk for Sexually Transmitted Diseases.
The Heal th Department wi 11 work with the School District to
prepare a locally acceptable plan for human growth and
development education offering the following options:
-parent night to preview and discuss materials.
-parent night "Talking about sex with your children".
-video about reproduction available for home loan,
-parent update on the epidemic of teen pregnancy and STD
rates in Jefferson County.
-classes available to 5th through 12th grade
(Superintendent of Public Instruction approved
curriculum available.)
Anatomy and Physiology of the Reproductive system
Anatomy and Physiology of Pregnancy
The facts of Sexually Transmitted Diseases
Coping with Peer Pressure
Teenage Fathers
Life Planning/ Decision making
Teen Parent panel
A Guy Can Say No
How to Say No (refusal skills)
Saying No (assertiveness and communication)
What to expect for a woman's annual health care exam.
Alcohol, sex and drugs
Touching (sex abuse prevention)
2) Public Health nurses are available at the school's request to
provide individual counseling for teens at risk for pregnancy.
3 )
Public Eealth nurses will provide
teens to ensure that they are
other needed services,
case management for pregnant
receiving prenatal care and
The Health Department will be available for general health
assistance in other areas including:
the heal th
t earn for
Upon the school's request, participating as
advocate on the child education evaluation
Individual Education Program placement.
Serving as a resource person to the classroom teacher and
.,
staff for the health education and participating as a
member of the health curriculum development committee.
Ii:. The Contractor will assure the professional preparation and
competence of the nurse and environmental consultants.
.L.L.....
The Agreement
parties and
Agreement and
may be amended by written consent
all amendments shall be attached
made a part therein.
of . both
to this
IV. The Brinnon School District #48 shall compensate the
contractor for agreed upon services at a rate of $4.50 per
student based on enrollment as of October 1, 1986, payable by
December 1, 1986.
VI, The Agreement may be terminated by either party upon 60 days
written notice.
Signed and dated this
:?0
day of
~;(
/I , (' /)
ca/t./~1J1j &1?-~/v.
Mr5, Caro n o;nzler::
Superintendent
Brinnon School District #46
~~
M Y Catlin
Ad nistrator
~efferson County Health Department
~~'c/
B. G. Brown
Chairperson
Jefferson County Board of Health
1kj'?7
0<0-<..
(
'.'.
Contract For Professional Services
Between Queets Clearwater School
and
Jefferson County Health Department
This agreement is made and entered into between Queets Clearwater
School and Jefferson County Health Department. This agreement
becomes effective on the first day of September, 1987 and continues
until the last day of August, 1988.
WITNESSETH
Whereas, Queets Clearwater School is in need of professional nursing
services to meet state regulations regarding the health of students
and to promote the health of students and,
Whereas, Jefferson County Health Department referred to as the
Contractor is prepared to provide professional nursing and services,
Whereas, Jefferson County Health Department is willing to assume the
responsibilities as set forth within this agreement:
It is agreed between both parties and named herein as follows:
I. SERVICES
A. 1) The Health Department will coordinate mandated screening
programs for vision, hearing (WAC 248-148) scoliosis and
kyphosis (WAC 248-150). (Vision screening for kindergarten,
1,3,5,7,10; hearing screening for grades: kindergarten,
I, 3, 5, 7, 10. Scoliosis screening for grades 5 - 10.)
2) The nurse will train volunteers and/or designated staff to
assist in the above screening projects. Included in screening
procedures are:
rescreening students who failed initial screening.
referral of students found to have abnormalities for
medical evaluation at student's expense.
B. 1)
The contractor shall
disease, disabi I i ty,
communicable disease by:
take actions necessary to prevent
and minimize absenteeism due to
providing immunizations to staff and unimmunized children
in local clinics.
Investigating, advising and implementing control measures
in the event of outbreaks.
Providing inservices and advice to school secretaries
concerning the new communicable disease guidelines.
....;
.
t
.
2) The Health Department will work with the School District to
prepare a locally acceptable AIDS EDUCATION PLAN that offers
options including:
-a choice of lessons plans.
-an AIDS patient and health education panel for classes.
-a parents night to preview materials, discuss current
facts of AIDS! Sexually Transmitted Diseases and "How to
Discuss AIDS and Sexually Transmitted Diseases with
Your Children."
-AIDS videos available for home viewing.
-Indi vidual counseling and/or home visi ts avai lable for
students at risk for Sexually Transmitted Diseases.
C. 1) The Heal th Department wi 11 work with the School District to
prepare a locally acceptable plan for human growth and
development education offering the following options:
-parent night to preview and discuss materials
-parent night "Talking about sex with your children".
-video about reproduction available for home loan.
-parent update on the epidemic of teen pregnancy and STD
rates in Jefferson County.
-classes available to 5th through 12th grade
(Superintendent of Public Instruction approved
curriculum available.)
Anatomy and Physiology of the Reproductive system
Anatomy and physiology of pregnancy
The facts of Sexually Transmitted Diseases
Coping with Peer Pressure
Teenage Fathers
Life Planning! Decision making
Teen Parent panel
A Guy Can Say No.
How to Say No (refusal skills)
Saying No (assertiveness and communication)
What to expect for a woman's annual health care exam.
Alcohol, sex and drugs
Touching (sex abuse prevention)
2) Public Health nurses are available at the school's request to
provide individual counseling for teens at risk for pregnancy.
3) Public Health nurses will provide case management for pregnant
teens to ensure that they are receiving prenatal care and
other needed services.
D. 1) The Health Department will be available for general health
assistance in other areas including:
Upon the school's request, participating as the health
advocate on the child education evaluation team for
Individual Education Program placement.
Serving as a resource person to the classroom teacher and
staff for the health education and participating as a
-
......
.
. ,
member of the health curriculum development committee.
II. The Contractor will assure the professional preparation and
competence of the nurse and environmental consultants.
III.
The Agreement may be amended by written consent of both
parties and all amendments shall be attached to this
Agreement and made a part therein.
IV. The Queets Clearwater School shall compensate the contractor
for agreed upon services at a rate of $9.50 per student based
on enrollment as of October 1, 1986, payable by December 1,
1986.
VI. The Agreement may be terminated by either party upon 60 days
written notice.
Signed and dated this
If ;d.,
day of ~
l'lr7
6-J;;~j/.VJ'( JI~
Fran Hansen
Superintendent
Queets Clearwater School
I J/'
~~~~
Mary atl~n, Adm~n~strator
Jefferson County Health Department
Lf"L/~kj //fif(s'7
B. G. Brown, Chairpe son
Jefferson County Board of Health
-"<C^
.
.
.
\-.
Contract For Professional Services
Between Port Townsend School District #50
and
Jefferson County 3ealth Department
This agreement is made and entered into between Port Townsend School
District #50 and Jefferson County Health Department, This agreement
becomes effective on the first day of September, 1987 and continues
until the last day of August, 1988.
WITNESSETH
Whereas, Port Townsend School District #50 is in need of professional
nursing services to meet state regulations regarding the health of
students and to promote the health of students and,
Whereas, Jefferson County Health Department referred to as the
Contractor is prepared to provide professional nursing and services,
Whereas, Jefferson County Health Department is willing to assume the
responsibilities as set forth within this agreement:
It is agreed between both parties and named herein as follows:
I.
SERVICES
A. l)
The Health Department will coordinate mandated screening
programs for vision, hearing (WAC 248-l48) sco.l.losis and
kyphosis (WAC 248-150). (Vision screening for kindergarten,
1, 3, 5, 7, 10; hearing screening for grades: kindergarten,
I, 3, 5, 7, 10. Scoliosis screening for grades 5 - 10.)
2) The nurse will train volunteers and/or designated staff to
assist in the above screening projects. Included in screening
procedures are:
rescreening students who failed initial screening.
referral of students found to have abnormalities for
medical evaluation at student's expense.
B.
1 )
The contractor shall
QlSeaSe, disability,
communicable disease by:
prevent
due to
take
and
actions
minimize
necessary to
absenteeism
providing immunizations to staff and unimmunized children
in local clinics.
Investigating, advising and implementing control measures
in the event of outbreaks.
i?roviding inservices and advice to school secretaries
concerning the new communicable disease guidelines,
8(0
,
....
.
.
.
.'
2 )
The Health Department will work with the School District to
prepare a locally acceptable A~DS EDUCATION PLAN that offers
options including:
-a choice of lessons plans.
-an A~DS patient and health education panel for classes.
-a parents night to preview materials, discuss current
facts of A~DS/ Sexually Transmitted Diseases and "How to
Discuss A~DS and Sexually Transmitted Diseases with
Your Children. II
-AIDS videos available for home viewing.
-:J:ndividual counseling and/or home visits available for
students at risk for Sexually Transmitted Diseases.
C. 1)
The Health Department will work with the School District to
prepare a locally acceptable plan for human growth and
development education offering the following options:
-parent night to preview and discuss materials.
-parent night "Talking about sex with your children'1.
-video about reproduction available for home loan.
-parent update on the epidemic of teen pregnancy and STD
rates in Jefferson County.
-classes available to 5th through 12th grade
(Superintendent of Public Instruction approved
curriculum available.)
Anatomy and Physiology of the Reproductive system
Anatomy and Physiology of pregnancy
The facts of Sexually Transmitted Diseases
Coping with Peer Pressure
Teenage Fathers
Life Planning/ Decision making
Teen Parent panel
A Guy Can Say No
How to Say No (refusal skills)
Saying No (assertiveness and communication)
What to expect for a woman's annual health care exam.
Alcohol, sex and drugs
Touching (sex abuse prevention)
2) Public Health nurses are available at the school's request to
provide individual counseling for teens at risk for pregnancy.
3) Public Eealth nurses will provide case management for pregnant
teens to ensure that they are receiving prenatal care and
other needed services.
D. 1)
The Health Department will be available for general health
assistance in other areas including:
Upon the school's request, participating as the health
advocate on the child education evaluation team for
Individual Education Program placement.
Serving as a resource person to the classroom teacher and
:};
" ,f.
.
.
.
staff for the health education and participating as a
member of the health curriculum development committee.
..........
The Contractor will assure the professional preparation and
competence of the nurse and environmental consultants.
.i...L.....
The Agreement may be amended by written consent
parties and all amendments shall be attached
Agreement and made a part therein.
of both
to this
IV. The Port Townsend School District #50 shall compensate the
contractor for agreed upon services at a rate or $4.50 per
student based on enrollment as of October 1, 1967, payable by
December :, 198-7.
VI. The Agreement may be terminated by either party upon 60 days
written notice.
Signed and dated this
day of
on :Johnson
\ Sup intendent
Port Townsend School District #50
~in
J Administrator
~efferson County Health Department
&~---,),) /:~~7
B. G. Brown
Chairperson
~efferson County Board of Health
d~
.
OJ ~_'
Contract For Professional Services
Between Chimacum School District #49
and
Jefferson County Health Department
This agreement is made and entered into between Chimacum School
District #49 and Jefferson County Health Department. This agreement
becomes effective on the first day of September, 1987 and continues
until the last day of August, ~988.
WITNESSETH
Whereas, Chimacum School District #49 is in need of professional
nursing services to meet state regulations regarding the health of
students and to promote the health of students and,
Whereas, Jefferson County Health Department referred to as the
Contractor is prepared to provide professional nursing and services,
Whereas, Jefferson County Health Department is willing to assume the
responsibilities as set forth within this agreement:
It is agreed between both parties and named herein as
~ ~ ~
....O.J...1Ows:
I. SERVICES
A. 1)
The Health 0epartment will coordinate mandated screening
programs for vision, hearing (WAC 248-148) sco.l.losis and
kyphosis (WAC 248-150). (Vision screening for l<:inde:,garten,
1, 3, 5, 7, 10; hear iug screening for grades: kindergarten,
1, 3, 5, 7, 10. Scoliosis screening for grades 5 - 10.)
2) The nurse will train volunteers and/or designated .staff to
assist in the above screening projects. ~ncluded in screening
procedures are:
rescreening students who failed initial screening.
referral of students found to have abnormalities for
medical evaluation at student's expense.
B.
1 )
The contractor shall
disease, disabi I i ty,
communicable disease by:
take
and
actions
minimize
necessary to
absenteeism
prevent
due to
providing immunizations to staff and unimmunized children
in local clinics,
Investigating, advising and implementing control measures
in the event of outbreaks,
Providing inservices and advice to school secretaries
".
C. 1)
D. 1)
concerning the new communicable disease guidelines.
2) The Health Department will work with the School District to
prepare a locally acceptable AIDS EDUCATION PLAN that offers
options including:
-a choice of lessons plans.
-an AIDS patient and health education panel for classes.
-a parents night to preview materials, discuss current
facts of AIDS/ Sexually Transmitted Diseases and "How to
Discuss AIDS and Sexually Transmitted Diseases with
Your Children."
-AIDS videos available for home viewing.
-Individual counsel ing and/or home visi ts avai lable for
students at risk for Sexually Transmitted Diseases.
The Health Department will work with the School District to
prepare a locally acceptable plan for human growth and
development education offering the following options:
-parent night to preview and discuss materials
-parent night "Talking about sex with your children".
-video about reproduction available for home loan,
-parent update on the epidemic of teen pregnancy and STD
rates in Jefferson County.
-classes available to 5th through 12th grade
(Superintendent of Public Instruction approved
curriculum available.)
Anatomy and Physiology of the Reproductive system
Anatomy and physiology of pregnancy
The facts of Sexually Transmitted Diseases
Coping with Peer Pressure
Teenage Fathers
Life Planning/ Decision making
Teen Parent panel
A Guy Can Say No.
How to Say No (refusal skills)
Saying No (assertiveness and communication)
What to expect for a woman's annual health care exam.
Alcohol, sex and drugs
Touching (sex abuse prevention)
2) Public Health nurses are available at the school's request to
provide individual counseling for teens at risk for pregnancy.
3)
Public Health nurses will provide
teens to ensure that they are
other needed services.
case management for pregnant
receiving prenatal care and
The Health Department will be available for general health
assistance in other areas including:
Upon the schoolls request, participating as
advocate on the child education evaluation
Individual Education Program placement.
the heal th
team for
.
"
,.....,
Serving as a resource person to the classroom teacher and
staff for the health education and participating as a
member of the health curriculum development committee,
II. The Contractor will assure the professional preparation and
competence of the nurse and environmental consultants.
TTT
.l...i.....l...
The Agreement may be amended by written consent of
parties and all amendments shall be attached to
Agreement and made a part therein.
both
this
IV. The Chimacum School District #49 shall compensate the
contractor for agreed upon services at a rate of $4-. scf''""per
student based on enrollment as of October 1, 1986, payable by
December 1, 1986.
VI. The Agreement may be terminated by either party upon 60 days
written notice.
Signed and dated this
zS
day of
A'1w1:
,/'18fl
""~rg_rJ%2--
Superintendent
Chimacum School Distric #49
~~
Administrator
Jefferson County Health Department
$d~~r,J ~~7
B. G. Brown
Chairperson
Jefferson County Board of Health
'"
F'C.JF;~
I tj r-"~ Pi!.. ~~; I::: h' \) I C" E ;:--;
fr" i '=,
C) r'i t. 1'"' -~:" c ...
.i :~.i \:!i.::.:t,v-;c:-;c.'r",
H F: ('; L."r \"1
l'-'-\F:(.~'T
.::) n d ,j F.: ~:'} f.~ \::{ 1:' ' ; 1 t<
} "
iF: (; E" r ".c., 'J, ::'i:, -1:: h C~
:U,::-::j::i<',.;l.j....t:.rn;::.n,i:
::..i"I
n;-:-:::c'U
'.'1
. ":.".' !..i'::).l't
.,,'"
~;::. t.? r"" './ .1. C: F? 'Cc.,
'a.il
_.. di:;::nt,.:?J
i i:::-~' r", J. ~:;
.;::<1"..
!.-.Jhf-?"i"'i:?:'':::I'';"I .~':\ t:
t.hc." r"
" (;:.:'':::;(0:' r",
i..fnE:~ ,..r-i":;~ !.),:.:::'i
"'::,n'; .'::1' '.
:::~ 1:::; 1 (-:.?
,"
pr-'C\/:iC\f-:"
l::.\-';r-:' -:;::.E':'f"v.i C<'::':.";;:.-
t"r-ODer,
'i,i'_""
'''..ij -i: h:Lral
(.:;.:-('n;::).1 C)"../ii1;;,-
,.."; "i::.
i::\; ,n
l/.\h,~:_::i"
-1--...-.......
'-."':;;:
CC)nT".iC'.;'-,.C:'::.C:
T.';'::... "1::.im,.__T
",;;"',(.::.
, c"
.. j
PE-'f'.tD,'--m
t.\',;';-;,
d t..i. t... '1 ,,:;~~,
Ci.
",',
Ci
_c,t
C",r' T!"I ',i, f"' +-1''';[:-:'
tJodV \.~i tt'lis cC)ntl~a(:t
t'..IUL'.,1
1 '"r j :'.::,
:1.)
l' h t:c: C~ C) r"; i:... ;''' .;?:l_ c: t:. U r" ~:; 1'", <:,,]':1 .... ,
:.Ji::.:'ni':..--:,
c'
.... '.i..c.':"'"
and D,--;':;;;<::~C.''---;.'"
r:JY-DC:J'f
u-f
'....'...'.i
E'!!""' t.
pl'-'C''!' (:;":~~':::. 'LCin,:;;..t
, , :":"!i""'j ',::.1..,,1 "i:;'
....,
,I'.
':"'. :~
... i::.:~n .1_ :,'; 'j"
'.",
1 nE~
'.;:;1" \/:.\.C:C;-!::::.
'-'-'
f-,i:::.
. (:-,
.' ''''"rn.::-'
"
,.:;
t,j'''iC!
,un 'r_, ';::'.C: te)I" ~"J:i.l1
'....r.
ur:"
;.--.
}.."
E?CC: DY cja.n . co, V-,!.i. th
l.h,:
~:::_ t,<:.~.rn; ':J ,:':" r' '"..'
,-..,::':-
'."
i'::.!"':F:!
pi'nC'T;::-"-- '-.',,'...'",
'(,'-"11;;:;'
b "1::.<::;;. "\::.(:;..) ,-:-;
1..-\,i_:::l.:::;.\',...i..nCj1:_ci:, "
<:l_\"'!d 1::_\",I;:?, ('JD-2\ 1 :::' c-,
,n;'.
,i)::::;Hh Dc.!!"! t."". j
:'''1;..,.-, -' ',,_' 1 (:-3..n',':'"n-l.:."
T J-](;;"! ,] '- . ._ i.. i::'::~~:, n'f t hi~:: [:ur': t.I' Ei.r': f:'_Uj'"' C.:_ i-',:.~.11 in c:: ::.!. C i':':: ::
1\';:. F.::i::_.1.r'lq
curnmU,i--j.ln -1::,"/
i,-~! _1. t- h <:':.i: hon.l ,';:( i,)'j hi) r .... t.:i. E:~:- F'<::\ r-E-,n t ~.-::, E,.n (I \':.I"',t.-:.; d (;i""l t....:::,}.
t.O P('G.~p<'::\l" (',"
rc:'('
.:::;.
lU.Cil'j,c]\-:::! l"'"
i..!\
._' !."J ," C, (~ t... .::7';'11
'fern
'i::. j"-; (.:;:,
,j 1:-::: -r- -f F! t...;::; Ci ri C; IJ 1_..\ r"j t, V
::::;'.'
;'1 i "in J ,,~.
".I.;""',
':~.C: i"iOC,}
'/(-. ":'.i
-')\::::
D
,-'
.t,,' ~
nr'"q_E~n:i.z.i..nq
health pr-esentation~~ tG stl.1dents
C. (J C) roo di. r"'i ;;~_.t :. 1-; q r:i r' 'c;? \.") E:l, r' :i, n q .:'~_ roo j 'n" '0-';:' !.:-; r', -!:~ :.\. ""1 q cJ Q r'l 1.':.3_ .:
<;:,nci r::'.::,<' r C?i"; t:_~,.:.
.i.. i'"1 ,j r:::~ "f t I;:;~ 1.... :::; u r'j
C:c,j.Jn t.'--/ "
c.
CorlSLlltatiorl and c:
frl]ffi clthe~ tleal.ttl
1 i (-;::'1"'1 t.
C'_:::>:"
E-:"::::,:::frn(,::'n +-.
0"1
~_.3tj,e1-1tS rercrF'ed
Cjppar-tment progr'~rnsR
D. PIJF'ct-12sing Tleedeej Sl1pr ._0
E. Presenti.i1q arl irlservic:e 'co the health depar.tment sta'f'f.
Fn
Keepinq tt,e recorcls necessary i'OF qran~
.::\cccun ting"
rerlortir1g and tilne
4) "rhe Departmerlt stlall r'~v tt18 CCJrltractlJr the amOlln't of $16.0(1
oern 111JlAf'" 'for p1~o'fessiIJnal ser"V11:es rendered ail(j shall reimburse
her for mi.leage driverl In J-ler- personal vet'lic:le at ttle rate
establi.shed tlY JefferscJn COl~rlty.
5)
Thf..~ [~Df1tr-,3.ctc)I'"
~::;I"'!a,ll pr"()\/idF: tht.:~ L)(:'P,;::\I'..tmF:."'i"'lt v-.J.1.th d cit.~1..:.<;:,:.i..lf.;d
.;:;;.c: C C) t.t r", t:.:.!..r..,C! n.r
th ...
VJi.:) , j..
[)C.-:1r
TC'''. inc::'cj
.;.:;'.i".'jd
t:.h<:-,:.,
rn.i
L ~:'.?DC-:1C'
UI"'.],./t-:.,:n ..-:.\"1". t:.h(.::-
cc,nc]. L'.::.;.ic)n c,..i.
,'j ;ric:;n"!:" 1"';
,....+
,..i'
+.- h .-i, ';~'.
C',c)!n'i t.lr 'Cole: t"
.fl..,i.:,..
c!(-::;rJ,';:).l,..t:.fnc:r", t.
':',h
:....., .;
..'..l..'
in ,":'. k (,:.:.' n ;::\ '../ iH E.:' n t
.;-. D I"" '1::
("";'::::,
,/\'L..,
i--: p
.::.-:,..'
rUl'''rn\
:\J (}I.i ...l'"
i]fo;:;.Y'Dr.'(:;,.:
t.hC2
.,; '} 1 r, r,",
()'j
.j::.ht.,"
mDnth
.f(}J le;v-.'
'':'' r'i(
rnc}rnj t \.;
, .' ~."J r"i 1. c:: r--.
.j..!.-
,..,.'.:..:'
h!Dr..\.:
l.-~"':'-:' ..,. r."i.ur. mF:,:'d..
...- ,
'..-'.'
I"h,.:;,'
I :nn
C.i".
".;,:.
(.:.:~,np 1
1";--,,:,,.:,,
DF:or::D
1'--;-:.,\\(-;1".1 t.
':::,I"..!
i ".',d.:::.:'
bE.?n .,::,.f.1. .,..
.._ n"t:.i'."O".(:: r:.:.,
.:.:,n(".:i
i. ~
. ; ,<:"\..
'::':.imi(.:::,
l.--.~ .i. :1 .j
(.F::.:,c::r;-::
C!U
f::: rni:::'.I. ()Yi.:.::.e'.
"'.r':..'!."(1
j.niE:
',-,,;,,!". t.;",".:.::':l"1t.
:.::,'f
.lptters;UI1 (~OL!rltYg
..i..':::i
.fur.
+:.h(.:.:'l.
unc1(.::;--":::: t.e ()d
f..n.:::"',
n(:
i:..h(.:'l'
'..; ,'~'-;
rntil'I(;;7;nt
,.I;,:".'
r T r:,:;.
.-:::':.01"".;
i.. CJu.nt:..',./
v,).-L]. .1
V...1:1.. -I.:.;"'!hD 1. C\
,,:1. >: E':::,
C),....
.::::.1::".1"""1'::.7;)'-
, .,. .
C).D.t .1 n ;:~. t. i c:::r"; ':::.=.
T;>
~''';!''l.Lc h
T.j";f."':f
LDi";t:
,::\CT.c;r.
",....
f.::';::'-
j"":,:, c::.].iC::;'--'! ~::.i b]. F.::;.
7)
.Tl...ji;:-::'
,.'.E;f:: in,
';:;.1.
.;i::',-i:"
ol.~;cr'ltnirlate a(lai.'--l~..'
,;;).r-.,y l:)(':'::'i"-.:~:.un
c.c!:Lc!1'" ".
':;"...-l''-." e::,("
'..ii
;.hf::'
L:.Dc.\n
l)f:"[);;:;
'.' ;'-:,f"-".
.."'i
r-(.:.::J.:i,cJ:.i.;::,rni"
i~:;]-'"'!, :' ::::. t.:;;; rl -l:~ J.. nUT: n '::" r;"l ::::. ..--C' .1.
'fc);.
._. . ~ r .
cl,..!".'
'::;;,:''- ,j
,,,::\
t".lur.:,:;'.
q.i.n.
"i::.fn;;:,:.:nl.":.
-:::.;1..',,,,;.1 :I
t..:;:"ll<i:::'
,. . .
<:C\ T .,.. .1 r"" m a,. .1.: .1. './ E'
....;;.:1:-..1..c'r";
:L n::"u, j-f,:;
-:.::h.:3.t.
Pi:'?'-.
:~~.(Jn ::::.
r'.E:C
(.:':.'.I'.../i::,.:
~::, (.~ j..
.iCE:::::.
~):i t.! ,01...:.1. .\7;:,(::\".r"'''I<::; -r:.c.;
".i\. _..
CC)
j,;
;::> ':.-~ ..
E;C;'::.-:'
Di'
f"'I,:\t.:i.un",.,,]
(:)\,n -'..1;.:.1 .1.1"1 ~
F~ 'I
Th:i.':c~
cDnt.i"
'-''-1,0;.\/
bf;.:'
t. t:.: r.. In i ri a. .i:~ t:.-? d
f?:i. t'. h C~ !r.
;._' ::":<I'''.L \)
l/".!;.'-i..-i::"i...(.,,
nCit.i(:E.: ().t'
.C''''.
Ui::,.'. ....
; r.';~:;.'
L, Dr', .1..:, ,'" i::;, C 't:. D 1'-
.;;;\CI r.'(-;;:'E:.::'::.
tc!
hE\'v'C:'
.... :::;u.h::::.t i t.ut.E.
CC)rf1pl
.fhi.:::;
.1.C:.:::l.T.:.l..i "1
,.,~, :... iil
;.. ,Co'.; I
C)1..:i:"
t:.hf::~ pt'.'C)..."
.j'"
:.\.c:)n~::; D.f
,:.!"",; :.~ r"
pr- f:;c.~n E,r'rC V
con t.ir.aC t"
Ei. \/ .:::'. i 1 .6, b ]. E'
-'..r'!
'("".1"'1;:.::.'
.';;.'\.-'!';-:'I"'l +:.
() .r
r~ (;C:;
C: L,) n t. r. E.. c1::. c' l~. '
....11 n(.-::.":;:.'::; ()!"".
;;:.L\ t::, ::~, .j::. .n.
'.< ',., '.~.' 1..-,1
..., ':..~
u'
.1::1".'\'-:
U::'.""e::ct.o!r.
(::."IT
I'Ju.r.';:.:i..ncJ"
~!...:~:~c +-
.t'c' 1'..
pr--C'i i.'.o'::::. :C..lC'''-,::":i J
:(.::;.'lr'\/:1.. C:E::;,;
(] .~.:'. t, F~ d
t:.I""\:i.:;:;
,LZ~
()-I'
.l \':-'Hi"
Jetter.so,'l 1,','.,~"','"ll"",-,.4,',',.,,. '
__ ' 1.3c,D.!' ci C)1' l-.i,;;":'E\ 1 i::.h
b../
,I;JI/d J
....~~"".
B~G" Br(Jwn~ ....~laj.r-marl
l!;c:ffr~~~":;un/'}jl/. Hr'd 1 th Of,'p",..t,O;en t
;~'~""~\
Ildl .~I L.:"3.T..1J..n" (~cjinini~:;1::.r~.;:"1~.~;.';~
b\/
,:.~, ,,'lS5~Yf{l\J21
J (:;. ..;> ..:. 'i r'I.~:.':j 1 k j \ I:;:' ,--. ,1- ..:, "l
~.. . .." ., __' .._' , '_. (0.' .
/7i~1J& ,,_
!":(V. (] :t (.::;; 1'"1 .1. ::::. t.