HomeMy WebLinkAbout10 October
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COMMUNICABLE
DISEASE CONTROL
PUBLIC HEALTH
NURSING
VITAL
STATISTICS
ENVIRONMENTAL
HEALTH
HEALTH
EDUCATION
JEFFERSON COUNTY HEALTH DEPARTMENT
802 SHERIDAN PORT TOWNSEND, WASH. 98368
(2061385,0722
HEALTH BOARD
Minutes:
October 21, 1986
BOARD MEMBERS:
STAFF MEMBERS:
B.G. Brown, Chairman
Larry W. Dennison, Member
(Position Vacant)
Randall M. Durant, R.S.
Charleta Handly, P.H.N.
J. Peter Geerlofs, M.D.
David Goldsmith, Adminis-
trator
CITY OF PORT TOWNSEND
REPRESENTATIVE:
Glenn Ison
***********************************************************************
*******************************************************************
The meeting was called to order by Chairman B. G. Brown.
Commissioner Larry W. Dennison as well as all other Board members were
present.
NURSING SERVICE REPORT: Public Health Nurse Charleta Handly
reported that two resignations have been received from members of the
nursing staff: 1) Beverly Rich (backup Nurse) and 2) Linda Baker (she
handled the Well Child clinics). A State consultant for the Well Child
program has volunteered to do these clinics for the next three weeks.
There is currently only one full time and one part time Nurse on staff.
These nursing positions are being advertised. Most of the school
screening (vision and hearing) has been done so the staff will only
have to provide the minimum service to the schools until these
positions are filled.
The following nursing service activities have occurred since last
month:
* Charleta met with the members of every school faculty, but one.
This has aided the service that is being provided to the schools
because now the teachers and administrators know who they are
dealing with. The schools are responding to a survey asking what
they see as health problems and what priorities they would put on
addressing them. The survey results will be tabulated and the
Health Board Minutes: October 21, 1986
Page:
2
*
information used to set priorities for extra services to be
provided by the Health Department, as time permits.
Dental Health Program: A special grant has been applied for to
fund a dental health program. A dental hygienist has volunteered
to provide some training for 2 to 4 hours per week in the schools
regarding dental hygiene.
Flu Clinic: 575 flu shots were given during the six scheduled
clinics. A $5.00 donation was requested and the average received
was $4.71. 14% of the risk population received vaccinations. In
addition 17 shots were given in the Health Department with 26
being given in the schools.
A possible measles case was reported in one school and eleven
students were excluded from school because they didn't have their
immunizations.
One case of Hemophilus Influenza Meningitis was diagnosed in Port
Townsend. Letters were sent to 17 pre schools and day care
centers advising them of this one case and that the Health
Department has vaccine available.
Pneumococcal vaccine has arrived and will cost $10.00 per dose.
*
*
*
*
Environmental Health Report: Environmental Health Specialist
Randy Durant reported the following activities during the last month:
* 26 Food Program inspections were done during the month. Temporary
food service permits and inspections were up with the Quilcene
Fair and the Kinetic Sculpture Race. DSHS is currently conducting
a Food Program audit. Jeanne Chao will be leaving at the end of
the month.
The Port Townsend Paper Company Sludge Application project
concluded during the month. It was successful and it will be a
number of years before the sludge must be pumped out of the pond
again.
The Pope and Talbot Sludge Application Project is now being
reviewed.
Olympic Testing Lab update: Randy Durant will be meeting with
representatives of DOE on site, this week, to lock the building.
The DOE needs to be urged to contact the owner to clean up the
site and dispose of the hazardous materials properly. The next
step would be on-going monitoring of the drainfield, well and the
headwaters of Donovan Creek.
Randy Durant has been working with the Port Townsend School
District on safety in the schools shop facilities.
4 to 6 animal bites were investigated by the Health Department.
A food service establishment operating without a permit was
closed.
Mound System Guidelines have been revised and will be available by
December 1, 1986. The major change is a decrease to 18 inches of
soil required for a mound system installation (from 24 inches).
This can be reduced to 12 inches provided there is a sand filter
system planned in conjunction with a mound.
Environmental Health Section fees during the first 9 months of
1986 have totaled approximately $50,000.00.
*
*
*
*
*
*
*
*
Health Board Minutes: October 21, 1986
Page:
3
ADMINISTRATOR'S REPORT: Administrator David Goldsmith
reported that three of the four County School Districts have accepted
and approved the Health Department's contract for services during the
1986-87 school year. After reviewing the services to be provided,
Commissioner Dennison moved to approve the contracts with Port Townsend
School District #50, Chimacum School District #49, and Brinnon School
District #46. Chairman Brown seconded the motion.
Michele IsseI, previous Director of Nursing, has agreed to contract
with the Health Department to provide help during the period that the
County is without a Nursing Director. She will provide phone
counseling and will meet with the staff one day per week. The contract
is for $150.00 per week which includes travel expenses, and will
terminate on November 28, 1986. Commissioner Dennison moved to approve
the Personal Services contract with Michele IsseI. Chairman Brown
seconded the motion.
The shortages in personnel have necessitated cutbacks in the clinics
offered in Quilcene and Brinnon, but bus fare is being offered to
anyone in that area who wishes to come into the Health Department for
the services normally provided in these clinics.
A part time Environmental Health Specialist position has been requested
in the preliminary 1987 budget. There are a couple of people who may
be interested in working on a part time basis for the County. Randy
Durant reported that budget cuts in Clallam County may effect the
services provided to the West End of Jefferson County for environmental
and nursing, that the Health Department contracts with their staff to
provide.
Peter Simpson, Director, Clallam-Jefferson Community Action Council
submitted a letter regarding the raise in flu vaccination fees. His
concern is that the new fees may preclude some low income senior
citizens from obtaining these shots. The Health Department policy is
such that no one would be denied service, whether they could afford the
fee or not, David Goldsmith stated and reported that Dr. Geerlofs was
going to advise Peter Simpson of this policy.
Low Income Access Task Force, North OlvmDic Health Plannina
Council: The Health Board is represented on the Low Income Access Task
Force by Dr. Geerlofs and Glen Ison, Mr. Ison reported. This program
is an attempt to systematize access to health services by people who
may otherwise fall through the cracks. The next meeting is October 30,
1986 at 2:00 p.m. in the Hospital Day Room.
Tom Beavers, ERA Real Estate, et al reo Discussion of
Environmental Health Issues: Tom Beavers, Broker for ERA Real Estate
as well as Shirley Rudolph and Bobbie Mustatia, came before the Health
Board to discuss concerns regarding the environmental health services
provided by the County.
Health Board Minutes: October 21, 1986
Page:
4
Mr. Beavers reported that out of nine on-site septic permit and site
evaluations applications submitted over the last month by his office,
everyone was denied. In his opinion the health department staff has
not offered any help or suggestions regarding what can be done in this
type of situation with regard to making the property usable. Six years
ago, Mr. Beavers added, he came before the Board with a petition with
over 3,000 signatures seeking a solution to the same problem, and
nothing has been done during those years. He asked what can be done to
change this situation?
Commissioner Dennison asked if a list of alternative systems was given
to the applicant, or realtor, in these instances. Mr. Beavers stated
that to his knowledge that was not done in these cases. Randy Durant
advised that the alternative systems list is provided on request and
where the Health Department feels, such a system would fit the needs of
the site. There are soils in this County that are not suitable for on-
site sewage systems or alternative systems and there is no answer to
the dilemma this causes for the property owner. The use of alternative
systems and the implementation of a Designer Program for on-site sewage
disposal systems are steps the County is taking to help with this
problem, but even these steps will not help in every instance.
Mr. Beavers then submitted a list of properties that have had site
evaluations performed since January with an indication that on-site
sewage disposal will not work. He added that the State regulations say
(Page 15) that the County Board of Health has the right to make their
own restrictions on properties over five acres in size. Dr. Geerlofs
added that what Mr. Beavers cited in the regulations is true and the
County is looking into this issue. The bottom line issue of all the
regulations is the protection of health. The State is relatively
conservative in their guidelines, because it is hard to come up with
the specific numbers that will assure that a system will work and be
safe health wise for an indefinite period of time.
The discussion continued regarding the current regulations of the State
and the County; the alternative systems available and the regulations
for their use; the need for the State to research and approve more
alternative systems for use; the expenses associated with monitoring
alternative systems; the appeal process; and the adversarial position
of the Health Department with regard to issuing on-site sewage disposal
permits.
Randy Durant responded to Mr. Beavers' statement about the adversarial
role of the Health Department by noting that when a site is found to be
unacceptable for on-site sewage disposal, but an alternative system may
be appropriate, it is the responsibility of the staff person to help
the property owner in every way possible to find a way to use their
property. Randy Durant asked that specifics be provided on sites that
have been denied by the Health Department so they could review the
files on them. No specifics on these sites were provided. The Health
Department staff has to work within the rules and regulations set out
for them by the State and the County and have to rely on what they find
Health Board Minutes: October 21, 1986
Page:
5
on a site. The staff does not view their role as adversarial, but one
of assistance. Dr. Geerlofs added that the Health Department
Administration feel that Randy Durant is competent in soil analysis and
interpretation of the regulations.
Other issues discussed were: Creating a better image for the Health
Department; the Health Department's role and the property owners
perception of that role; the understaffing of the Health Department;
the future implementation of a Designer Program and how that will
affect the appeal process; and the subjectivity of the permit approval
process.
Mr. Beavers concluded by suggesting that the Health Department develop
a packet of information regarding on-site sewage disposal regulations,
the appeal process, and information on alternative systems. This could
be given to each applicant and the cost of the work required to develop
such a packet could be covered by increasing the permit fee. Chairman
Brown thanked Mr. Beavers, Mrs. Rudolph and Mrs. Mustatia for taking
their time to discuss these issue with the Health Board.
MEETING ADJOURNED
JEFFERSON COUNTY BOARD OF HEALTH
d~,-;&)
B:G. Brown, Chairman
;
Member
ATTEST:
(Position Vacant)
Lorna L. Delaney,
Deputy Clerk of the Board
Contract For Professional Services
Between School District # 48
and
Jefferson County Health Department
This agreement is made and entered into between Oui1ce~e school district
and Jefferson County Health Department. This agreement ecomes effective on the
first day of September, 1986 and continues until the last day of August, 1987.
WITNESSETH
Whereas, School District # 48 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, School District # 48 is in need of environmental health services to
meet state regulations regarding food handling and safety of students and,
Whereas, Jefferson County Health Department referred to as the Contractor is
prepared to provide professional nursing and environmental services and,
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. The contractor shall perform the following duties related to assessing health
as an extent ion of the child's primary health care provider:
A. The following duties will be the primary responsibilities of designated
nursing personnel and will be accomplished to the fullest extent possible.
1.) Review health history and developmental questionnaire (distributed by
school) at enrollment. Assist teacher with appropriate health plan-
ning and update as necessary when changes occur. Identify abnormal
health findings and indicate these on student health record.
2.) Coordinate required screening programs for vision and hearing and
scoliosis and kyphosis.
Hearing screening for following grades: Kindergarten, 1, 2, 3, 6,
and 9.
Vision screening for following grades: Kindergarten, 3, 5, 7, 10.
Scoliosis screening for grades 5 - 10.
The nurse will train volunteers and/or designated staff to assist in the
above screening projects. Included in screening procedure are:
- rescreening students who failed initial screening.
- referral of students found to have abnormalities for medical
evaluation at student's expense.
- records results of screening and follow up activities on students'
health records.
3.) Collect and evaluate cumulative data to identify communicable disease
outbreaks, safety/environmental hazards and school climate.
- Monitor absentee records for communicable disease surveillance and
control.
- Monitor and evaluate patterns of reported health problems for timely
reporting of contagious diseases to the health department.
4.) Nurse, or environmental health specialist, recommend changes in the
school environment such as lighting, noise control, and sanitation
needed to maintain an environment which is safe and conducive to
learning.
5.) Participate as the health advocate on the child education evaluation
team interpreting medical recommendations for the Individual Education
Program (IEP) placement.
B. The following duties will be secondary responsibilities and will be accomp-
lished on a prioritized time-available basis by designated nursing
personnel:
1.) Participate in planning and implementation of school health manage-
ment protocols for the child with acute or chronic health problems,
such as asthma, skin problems, injury, or handicap.
2.) Monitor the school health rooms to see that they are equipped with
the appropriate supplies and equipment; that emergency Protocols are
posted and understood by the person responsible for the health room.
The nurse may train the health room staff.
3.) Initiate and make home visits when necessary to further assess the
family's needs as related to the child's health.
4.) Serve as a resource person to the classroom teacher and staff for
health education and participate as a member of the health curriculum
development committee.
5.) Make recommendations to teachers and assist in implementing changes
necessary to accommodate individual student disabilities which are
health related.
6.) Counsels pupils, parents and school personnel in the area of general
health and well-being, and make referrals for further intervention as
deemed necessary.
The contractor shall perform the following duties related to environmental
concerns:
A
policy and procedure.
aCl ltles according to Health
B. Make at least one inspection of all school buildings and facilities to
assess the safety and adequacy of buildings, personal hygiene facilities,
ventilation, heating, sound control and lighting; and to evaluate specific
safety practices in industrial arts and science facilities, and to make
recommendations for improvement.
~
III. The Contractor will assure the professional preparation and competence of the
nurse and environmental consultants.
IV. 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.
V. The School District 1/ 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
School District # 48
It)
day of
&~h7~"'y
~,~. /~
nuu;t@..A( ~~#
Supeof" ndent
Jefferson County Health Department
Jefferson County Board of Health
B. G. Brown, Chairperson
(-j;i&~~40k:---
4--r-- CL-f!h~
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CONTRACT FOR PROFESSIONAL SERVICES
BETWEEN
PORT TOWNSEND SCHOOL DISTRICT NO. 50
AND
JEFFERSON COUNTY HEALTH DEPARTMENT
This agreement is made and entered into between Port Townsend
School District No. 50 and the Jefferson County Health
Department. This agreement becomes effective on the first
day of September, 1986 and continues until the last day of
August, 1987. .
WITNESSETH
WHEREAS, Port Townsend
professional nursing
regarding the health
of students and,
School District No.
services to meet
of students and to
50 is
state
promote
in need of
regulations
the health
WHEREAS, Port
environmental
regarding food
Townsend
health
handling
School District No. 50 is
services to meet state
and safety of students and,
in need of
regulations
WHEREAS, Jefferson County Health Department, referred to as
the Contractor, is prepared to provide professional nursing
and environmental services and,
WHEREAS Jefferson County Health Department is willing to assume
the responsibilities as set forth within this agreement,
THEREFORE, it is agreed between both parties and named as
follows:
1. The contractor shall perform the following duties related to assessing
health as an extent ion of the child's primary health care provider:
A. The following duties will be the primary responsibilities of
designated nursing personnel and will be accomplished to the fullest
extent possible.
1.) Review health history and developmental questionnaire
(distributed by school) at enrollment. Assist teacher with
appropriate health planning and update as necessary when changes
occur. Identify abnormal health findings and indicate these
on student health record.
2.) Coordinate required screening programs for vision and hearing
and scoliosis and kyphosis:
Hearing screening for grades Kindergarten, 1, 2, 3, 6, 9.
Vision screening for grades Kindergarten, 3, 5, 7, 10.
Scoliosis screening for grades 5-10.
.'
.
The
in
nurse will
the above
train volunteers
screening projects.
and/or designated staff
Ine luded in screening
to assist
procedure
are:
-rescreening students who failed initial screening.
-referral of students found to have abnormalities for appropriate
professional care.
-records results of screening and follow up activities on student1s
health records,
3.) Collect and evaluates curnmulative data to identify communicable
disease outbreaks, safety/enviroTInental hazards and school
climate.
-Monitor absentee records of communicable disease surveillance
and control.
-Monitor and evaluate patterns of reported health problems
for timely reporting of contagious diseases to the health
department.
4.) Nurse, or environmental health specialist, recommend changes
in the school environment such as lighting, noise control,
and sanitation needed to maintain an environment which is safe
and conducive to learning.
5.) Participate as the health advocate on the child education evalua-
tion team interpreting medical recommendations for the Individual
Education Program (rEP) placement.
The following duties will be secondary responsibilities and will be
accomplished on a prioritized time-available basis by designated
nursing personnel:
1.) Participate in planning
management protocols for
problems, such as asthma,
and implementation of school health
the child with acute or chronic health
skin problems, injury, or handicap.
2.) Monitor the school health rooms to see that they are equipped
with the appropriate supplies and equipment; that emergency
protocols are posted and understood by the person responsible
for the health room. The nurse may train the health room staff.
3.) Initiate and make home visits when necessary to further assess
the family's needs as related to the child's health.
4.) Serve as a resource person to the classroom teacher and staff
for health education and participate as a member of the health
curriculum development committee.
5.) Make recommendations to teachers and assist in
changes necessary to accomodate individual student
which are health related.
implementing
diabilities
6.) Counsels pupils, parents and school personnel in
general health and well-being, and make referrals
intervention as deemed necessary.
the a rea of
for further
..
..
II. The contractor shall perform the following duties related to environ-
mental concerns:
A. Make at least one inspection of all school buildings and facilities
to assess the safety and adequacy of buildings, personal hygiene
facilities, ventilation, heating, sound control and lighting; and
to evaluate specific safety practices in industrial arts and
science facilities, and to make recommendations for improvement.
III. The Contractor will assure the professional preparation and competence
of the nurse and environmental consultants.
IV. 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.
V. The School District #50 shall compensate the contractor for agreed upon
services at a rate of $4.50 per student based on enrollment as of Oct-
ober 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 9th day of October, 1986.
Ro
DEPARTMENT
JEFFERSON COUNTY BOARD OF HEALTH
~&---..'"'_/
B.G. Brown, Chairperson
Contract For Professional Services
Between School District #--A9__
and
Jefferson County. Health Department
This agreement is made and entered into between Chimac~m school district
and Jefferson County Health Department. This agreement becomes effective on the
first day of September, 1986 and continues until the last day of August, 1987.
WITNESSETH
Whereas, 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, School District # 49 is in need of environmental health services to
meet state regulations regarding food handling and safety of students and,
Whereas, Jefferson County Health Department referred to as the Contractor is
prepared to provide professional nursing and environmental services and,
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. The contractor shall perform the following duties related to assessing health
as an extention of the child's primary health care provider:
A. The following duties will be the primary responsibilities of designated
nursing personnel and will be accomplished to the fullest extent possible.
1.) Review health history and developmental questionnaire (distributed by
school) at enrollment. Assist teacher with appropriate health plan-
ning and update as necessary when changes occur. Identify abnormal
health findings and indicate these on student health record.
2.) Coordinate required screening programs for vision and hearing and
scoliosis and kyphosis.
Hearing screening for following grades: Kindergarten, 1, 2,3,6,
and 9.
Vision screening for following grades: Kindergarten, 3, 5, 7, 10.
Scoliosis screening for grades 5 - 10.
The nurse will train volunteers and/or designated staff to assist in the
above screening projects. Included in screening procedure are:
- rescreening students who failed initial screening.
- referral of students found to have abnormalities for medical
evaluation at student's expense.
- records results of screening and follow up activities on students'
health records.
3.) Collect and evaluate cumulative data to identify communicable disease
outbreaks, safety/environmental hazards and school climate.
- Monitor absentee records for communicable disease surveillance and
contro 1 .
- Monitor and evaluate patterns of reported health problems for timely
reporting of contagious diseases to the health department.
4.) Nurse, or environmental health specialist, recommend changes in the
school environment such as lighting, noise control, and sanitation
needed to maintain an environment which is safe and conducive to
learning.
5.) Participate as the health advocate on the child education evaluation
team interpreting medical recommendations for the Individual Education
Program (IEP) placement.
B. The fOllowing duties will be secondary responsibilities and will be accomp-
lished on a prioritized time-available basis by designated nursing
personnel:
1.) Participate in planning and implementation of school health manage-
ment protocols for the child with acute or chronic health problems,
such as asthma, skin problems, injury, or handicap.
2.) Monitor the school health rooms to see that they are equipped with
the appropriate supplies and equipment; that emergency protocols are
posted and understood by the person responsible for the health room.
The nurse may train the health room staff.
3.) Initiate and make home visits when necessary to further assess the
family's needs as related to the child's health.
4.) Serve as a resource person to the classroom teacher and staff for
health education and participate as a member of the health curriculum
development committee.
5.) Make recommendations to teachers and assist in implementing changes
necessary to accommodate individual student disabilities which are
hea lth related.
6.) Counsels pupils, parents and school personnel in the area of general
health and well-being, and make referrals for further intervention as
deemed necessary.
II. The contractor shall perform the following duties related to environmental
concerns:
JjJ. f..
j,~
~~: :~ ~;a~; ~~~ ~~~":~:im of kiteh!n facilities aeeorein9 ta IIealtll
Bepal~men~ pelley aRe "Faeea~Fe.
B.
Make at least one inspection of all school buildings and facilities to
assess the safety and adequacy of bUildings, personal hygiene facilities,
ventilation, heating, sound control and lighting; and to evaluate specific
safety practices in industrial arts and science facilities, and to make
recommendations for im~rovement.
~
III. The Contractor will assure the professional preparation and competence of the
nurse and environmental consultants.
IV. 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.
V. The School District # 49 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
School District # 49
7
day of afd-er, 11/6& .
~ ({}a~
, perintendent
Jefferson County Health Department
~.~
. David Gold mith, Administrator
Jefferson County Board of Health
~^J
B. G. Brown, Chairperson
~
,:.~o?~~A-;f.b, JojJr/60
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{'l-;'f':1r:'
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Contract For Professional Services
Between School District # 46
and
Jefferson County Health Department
.~. ., ,
~ i 1.
This agreement is made and entered into between Brinnon school district
and Jefferson County Health Department. This agreement becomes effective on the
first day of September, 1986 and continues until the last day of August, 1987.
WITNESSETH
Whereas, School District # 46 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, School District # 46 is in need of environmental health services to
meet state regulations regarding food handling and safety of students and,
Whereas, Jefferson County Health Department referred to as the Contractor is
prepared to provide professional nursing and environmental services and,
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. The contractor shall perform the following duties related to assessing health
as an extention of the child's primary health care provider:
A. The following duties will be the primary responsibilities of designated
nursing personnel and will be accomplished to the fullest extent possible.
1.) Review health history and developmental questionnaire (distributed by
school) at enrollment. Assist teacher with appropriate health plan-
ning and update as necessary when changes Occur. Identify abnormal
health findings and indicate these on student health record.
2.) Coordinate required screening programs for vision and hearing and
scoliosis and kyphosis.
Hearing screening for following grades: Kindergarten, 1, 2, 3, 6,
and 9.
Vision screening for fOllOWing grades: Kindergarten ,1.3 , 5, 7, 10.
Scoliosis screening for grades 5 - 10.
The nurse will train volunteers and/or desiQnated staff to assist in the
above screening projects. Included in screening procedure are:
- rescreening students who failed initial screening.
- referral of students found to have abnormalities for medical
evaluation at student's expense.
- records results of screening and follow up activities on students'
hea 1 th records.
~fI.)?
V
(, '0,1
()'v I
3.) Collect and evaluate cumulative data to identify communicable disease
outbreaks, safety/environmental hazards and school climate.
- Monitor absentee records for communicable disease surveillance and
contro 1.
- Monitor and evaluate patterns of reported health problems for timely
reporting of contagious diseases to the health department.
4.) Nurse, or environmental health specialist, recommend changes in the
school environment such as lighting, noise control, and sanitation
needed to maintain an environment which is safe and conducive to
learning.
5. )
Participate as the health advocate on the child education evaluation
team interpreting medical recommendations for the Individual Education
Program (IEP) placement.
B. The following duties will be secondary responsibilities and will be accomp-
lished on a prioritized time-available basis by designated nursing
personnel:
1.) Participate in planning and implementation of school health manage-
ment protocols for the child with acute or chronic health problems,
such as asthma, skin problems, injury, or handicap.
2.) Monitor the school health rooms to see that they are equipped with
the appropriate supplies and equipment; that emergency protocols are
posted and understood by the person responsible for the health room.
The nurse may train the health room staff.
3.) Initiate and make home visits when necessary to further assess the
family's needs as related to the child's health.
4.) Serve as a resource person to the classroom teacher and staff for
health education and participate as a member of the health curriculum
development committee.
5.) Make recommendations to teachers and assist in implementing changes
necessary to accommodate individual student disabilities which are
health related.
6.) Counsels pupils, parents and school personnel in the area of general
health and well-being, and make referrals for further intervention as
deemed necessary.
II.
The contractor shall perform the following duties related to environmental
concerns:
ft.. . Milk/! trt 1~1l3't ~W" in3p!.e:~~ol:~ ~r kitd,Cl, fbdl itio aee"l diM!! te "eaHA
Bepar tmd,t: pel tey l\"~ praCedth c!.
B. Make at least one inspection of all school buildings and facilities to
assess the safety and adequacy of buildings, personal hygiene facilities,
ventilation, heating, sound control and lighting; and to evaluate specific
safety practices in industrial arts and science facilities, and to make
recommendations for improvement.
~
- /'
,.
III. The Contractor will assure the professional preparation and competence of the
nurse and environmental consultants.
IV. 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.
V. The School District # 46 shall compensate the contractor for agreed
upon services at a rate of $4.50 per student based on enrollment as of
October I, 1986, payable by December 1,1986.
VI. The Agreement may be terminated by either party upon 60 days written notice.
Signed and dated this
~
d ~.z.f
day of
62A"Mi'1/. /9~6 .'
f
School District # 46
Jefferson County Health Department
~~~~
~ D"" G ''',m''h, Adm'"",,'o,
Jefferson County Board of Health
~~)
B. G. Brown, Chairperson
"
j
~.y\~1 ;/of/.D, IcfOjf%'o
"'---.'"
CONTRACT FOR SERVICES
between
MICHELE ISSEL
and
JEFFERSON COUNTY HEALTH DEPARTMENT
This agreement is made and entered into between Michele Issei and
the Jefferson County Health Department. This agreement is effective on October 3,
.
1986 and shall terminate November 28, 1986 or two weeks following the hire of
the nursing director, whichever comes first.
WITNESSETH
WHEREAS, the Jefferson County Health Department is operating
without benefit of a director of nursing; and
WHEREAS, Michele IsseI has extensive knowledge of the position of
director of nursing for Jefferson County; and
WHEREAS, Michele IsseI has specific knowledge related to public
health nursing, programs and organization;
THEREFORE, it is agreed Michele IsseI will act as a private nursing
consultant to provide guidance in nursing program implementation and facilitate
changes within the nursing section;
I. Specifically, the consultant will provide the following
services in coordination with the Health Officer, the Health Administrator and
the Acting Director of Nursing services:
I. Meet with nursing staff to provide professional nursing consultation
regarding case management, identified clinic problems and other c1ient-
centered problems.
2. Meet with nursing staff to provide professional nursing consul~ation
regarding organizational problems, communication diff.iculties and other
workplace-related problems.
_ _" '1
Contract for Professional Services - Michele IsseI
Page 2
3. Participation with the Health Officer and the Health Administrator
in selecting, training and orienting the new director of nursing.
4. Participate with the Health Officer and the Health Administrator in
planning the Board of Health Retreat and then attend the planned retreat.
5. Provide specific additional consultation services as may be requested
by the Health Officer or the Health Administrator.
II. Michele IsseI shall be present in the 'Health'Department for
at least four hours per week, and be available for telephone consultation.
III. Michele IsseI shall be compensated at a rate of $150.00 per
week inclusive of expenses.
IV. This agreement may be terminated at any time by mutual consent
and agreement.
Signed this
"3
day of
()~
1986.
't t:1r---'
p,
Goldsmith,
Jefferson County
m nistrator
ealth Department
~~'^)
B.~. Brown, Chairperson
Jefferson County Board of Health