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HomeMy WebLinkAbout04 April " U.~,b\Sl CONfROL , i'0L>UC HEALT~ ' NURSING \ , \ ~ ii(I.,1i: .'1',','- t.i'IVili;J;-.,.1t.:1'f!AL HEALTH H::::AUH EDUCATION NURSING STATI$T1G; -=:::;.. >(~..~ ~ -- -- JEFFERSON COUNTY HEALTH DEPARTMENT 80aSHERiDAN PORT TOWNSEND, WASH, 98368 (206) 385.0722 HEALT BOAR '::}':-; Minutes: April 17, 1985 ,.....:,... Board Members: ,..-.'t, ,os B. G. Brown ,Chaixman John L. PittS , MellJ.ber Larry W. Denni~~~~ Member Glenn Ison,M~m!:1e,''if, :.";' ':),:;' ~. '-, Randall M, Durant, R.S. Gretchen Gephart, D.O.N. Joseph Fischnaller, M.D. Gael Stuart, Administrator exception of Commissioner the meeting to order. March 20, 1985 meeting seconded by Chairman NURSING DIRECTOR REPORT: Gretchen Gephart reported that March was a very busymqnth with the Health Department staff helping 1,058:,people in the office and,calso participated in the following community service projects: Poison Week The "Look Alike Box" was presented for parent of the Headstart Program. Posters for Poison Prevention Week were put up in o'octor' s offices and pharmacies from Brinnon to Port Townsend. Some pharmacies gave away free bottles of Syrup of Ipecac, which is used to induce vomiting in cases of non-caustic poisoning. Schools & Children Did a session at the Brinnon Schools on Hypertension in children. Scoliosis (curvature of the spine) screening is being picked up in the Port Townsend School District. The District will ~ay the costs for this screening. A Toy Loaner Program has been set up at the Jefferson County Library and a supply of sturdy wooden toys were purchased with funds donated by the Kiwanis. This will h",lp the Library promote the theme "Take out a book, take out a toy" for this summer. Health Board Minutes, April 17, 1985 Page 2: Nursing Director Report (continued): Schools & Children A Child Abuse Council is being organized in this area as well as a group called "Childrens Helpers and Associates" for youth and teenagers. Adults A meetirgwas held by the North Olympic Health Care Council on the "Natural Death Act". The Health Department Nurses taught "Breast Self Ex- amination" at the Women's Wellness Day. Gretchen Gephart reported that two sites have been added,in addition to the current site at the Episcopal Church (Tyler and Jefferson), for Geriatric Foot Care Clinics. These sites, one at the Admiralty Apartments and one at the Marine Plaza Apartments, will allow residents of these apartments with walkers and wheelchairs to take part in these clinics. The Recreation Center would be a more ideal place to hold the clinics that are scheduled at the Church, but scheduling a room there has always been a problem. Commissioner Dennison noted that he and representatives from various Seniors groups as well as the Recreation Center staff are working on the use of this site for more Senior activities. Wellness Programs The Health Department has been asked to participate in the "Growing Younger Program" for Seniors, sponsored by Health Works Northwest and the Olympic Area Agency on Aging, Health Works Northwest is paying for a pilot pro- ject for this area. Gretchen Gephart will be teaching health related subjects for this project. Gretchen Gephart reported that the Health Works Northwest Organization has been working on strategies, current issues and health promotion programs in the work place. It was noted at the last meeting that the Forture 500 companies do not rate Wellness Programs very high because they do not address the needs of the people that could benefit most from them -- those being the lower class people who can not afford to participate in wellness programs. These companies would like to see people in public health take a strong look at developing minds rather than developing bodies by encouraging work places that have an environment that develops people's self esteem by making them feel valued and worthwhile -- if this was done there wouldn't be any need for wellness programs. It was also noted that injuries incurred by participation in many health related activities (fitness programs) are increasing physicians business and there is a need to take a long look at any program that encourages anything more than brisk walking, Health Board Minutes, April 17, 1985 Page 3: HEALTH OFFICER REPORT: A group of attorneys who work in Public Health Law is being organized by an Attorney in Vancouver, Washington, who represents the local Health District in that area. The idea of the organization would be to provide a place for Health Department and Health District attorneys to be able to advise one another and share experiences and special knowledge in this area of law. The bill before the legislature to transfer Environmental Health services to the Department of Social and Health Services has come out of committee with the transfer language deleted but the "study" language still in tact. ENVIRONMENTAL HEALTH DIRECTOR REPORT: Highligh~ of the Environmental Health Section's March activities were as follows: * Office contacts made by Secretaries and Sanitarians were up from 725 last year to 908 for the same time frame this year. ;< Sewage disposal system repairs are 16 to date this year which is sub- stantially more than the same time period last year, while Septic Tank Permits and site evaluations have decreased from last year's levels. ;< Follow up is continuing on Quilcene Bay. * Randy Durant attended a meetingci the Olympic Region, Washington Environ- mental Health Association, where a presentation was made by Marylou. Taylor the Program Coordinator for the Thurston County water quality study of Henderson and Eld Inlet. Ms. Taylor would be willing to come here and give her presentation. She reported that in their study they found that the number one source of on point pollution was urban stormwater, with animals of all types second and septic tanks and drainfields being third. As far as seals and water fowl, the fecal coliform tests done on water samples taken near a seal rookery with a population of 250 to 400 seals, did not show anything. The Board asked Randy Durant to set up a meeting with Ms. Taylor for an evening presentation to which the public will be invited, sometime after May 20th. * The Environmental Health Section has been working closely with the City on the new City Nuisance Ordinance as far as coordination between the Police Department and the Health Department. * Did follow up on the Port Townsend School's Modernization Program. Some final inspections will be done this month as well as noise testing in the shop. * A temporary food service operation was closed on a Sunday at an auction. * DSHS will not be able to do anv further plan review for the Count)' on mound systems, due to lack of staff. This will place an additional workloaa on the Environmental Health staff. ADMINISTRATOR'S REPORT: See Financial Report at bottom of agenda. Health Board Minutes, April 17, 1985 Page 4: Status Report: Quilcene Assembly of God Church: Pastor Stephen Mandeville was present when Gael Stuart read the letter that was sent to him by Randy Durant outlining the conditions of the temporary vari.ance that was granted the Church at the January 16, 1985 Board of Health meeting. Randy Durant then reported that four water samples had been submitted by the Church and they were all satisfactory. Pastor Mandeville reported to the Board that the Churchhas puchased seven acres of property in the Quilcene area; a preliminary building plan has been drawn; a site plan will be developed shortly and the form for the well site evaluation has been sent in with the required fee. The Pastor then proposed, in order to expedite the Church's move to the new site, that they be allowed to move the mobile building they own to the site and use Sani Cans, as soon as the site plan is approved and the area for the septic tank and drainfield are located. A different type of waiver would be required before the Health Department could approve of this proposal for the new site, Randy Durant advised, and since the water samples have been good on the currently used site, he sug- gested that it might be easier for the Church to stay where it is for now. Chairman Brown noted that as soon as the well is in and approved/the septic system could be installed and when it was approved the Church could then move the mobile building on the site and construct restrooms to use while the main Church building is under construction. Commissioner Dennison moved to extend the variance for the Assembly of God Church in Quilcene to stay at it's present site for three additional months under the same conditions as the original variance, Chairman Brown seconded the motion. The variance will be reviewed at the July 17, 1985 Board of Health meeting. Update on Charles Samples variance request on sewage disposal permit at Grittith Point: Bob Leach an engineer representing Mr. & Mis Samples presented the Board with a copy of the drainfield plan he had submitted to Randy Durant last week. He noted that there were three minor changes to that plan that were noted when he compared actual measure- ments at the site with those of the plans: 1) the setback of the drainfield is 30 feet from the building. 2) they are two feet apart not five and 3) the garage structure is 32 feet square, not 30 feet by 36 feet. Mr. Leach continued by reporting that he had contacted the Department of En- vironmental Quality (DEQ) in Oregon as well as the sanitarian at the Lane County Public Works Department and found that there were two issues with this sand filter system in Oregon: 1) Some of the information tn the past regarding medium iiI.ere AIRR (Aerobic Intermittent Recirculating Reactor) system is not as it is currently because of the evolution the concept has undergone. 2) This system is not currently approved in single family residences in Oregon primarily because of the lack of a responsible party for operations and maintenance. After noting that there was more than one reason these systems were not approved for single family residences in Oregon, Randy Durant reported hi.s findings from conversations with the Oregon DEQ, Lane County Oregon, Washington Department of Social and Health Services and King County. Health Board, Minutes, April 17, 1985 Page 5: State of Oregon Department of Environmental Quality (DEQ): Randy Durant contacted a Dr. Robert P~th, a soils scientist, who advised that his Department had done an experimental testing program of various type of alternative septic systems in 1982. Eight of the systems were sand filters, and all of them failed. Some of the problems were: 1) the owner's wouldn't maintain the spray fixtures above the bed, 2) overspray outside the systems boundaries occurred, 3) Weeds and grass had to be removed from the bed (this problem was solved in the AIRR system by covering the bed) 4) the sprinkler heads and top of the filter bed experienced freezing and odor problems. In some of the eight systems, media overload where the media was flooded, was experienced but that was taken care of by a change in the size of the media. When the systems were functioning, the water quality was better than that from a septic tank. Larger systems have been installed to repair a failed septic system. Dr. PaedJ. said "the trouble with these devices is that they keep modifying them because of failure." He also noted that the Blue infor- mation sheet given out by Spec Industries (See Minutes of March 20, 1985) misused, he felt, the sample results and were a falsification of facts, and the DEQ has written the company about this matter. There are, Randy continued, over 600 installed, normal , intermittant sand filters in Oregon and there have been no problems with them. Commissioner Dennison then asked if there is any experience in Washington with the normal intermittent sand filter systems. Washington has guidelines to allow the installation of the normal inter- mittent sand filter systems but very little experience with them. Washington still has the same drainfield requirements for these sand filter systems while Oregon has allowed a reduction in the drainfield size. Mr. Leach ad- vised that he and his client recognize the fact that Washington State has not allowed for a reduction in drainfield size for a sand filter system, at this time. Lane County, Oregon: The man that Randy Durant talked to in Lane County was more optomistic about the future possibilities for the AIRR system than the DEQ. There are three AIRR systems in single family residences in Lane County (these three were covered in the DEQ report). Each of the three systems was installed as a result of a failing drainfield. Because of lack of staff, there has not been any monitoring or follow up done on these three systems. Dr. Fischnaller noted that there was not much information provided from any source on the bacteriology. A discussion of the need for monitoring if such a system was installed, ensued, and Bob Leach explained that the proposal he presented did envision a monitor- ing program to which the PUD has agreed in principle to be the providing agent, and the Sample's would pay the PUD's fee. Chairman Brown added that since the PUD has an interest in sewage and water in this County, and if they have the funds they might be interested in subsidizing this type of monitoring program to provide the County with some reliable information on these systems. Randy added that DEQ and Lane County both stated that Uperations and Maintenance is the biggest problem with this system. Health Board, Minutes, April 17, 1985 Page 6: King County, Washington: King County has approved a couple of normal, sand filter systems tor repair of failing systems. One AIRR system has been approved for a new construction single family dwelling on a site with accessively permeable, Type I soils, Chairman Brown advised that it is his feeling that this project is probably the best opportunity Jefferson County will have to install an experimental system and to gather data that pertains particularly to Jetterson County, s~nce the property owner, due to the . extenuating circumstances is willing to put the system in and the PUD is willing to enter into an agree-- ment to monitor the system. Jefferson County needs to put forth an effort to gather data if this system is installed. From the standpoint of an opportune site for an experimental system, Randy Durant noted that this site is not,.. There is no area of suitable soils that meet the State guidelines~ There are two issues involved in this matter: 1) There are guidelines that must be followed for the installation of this approved alternative devise in the State of Washington and 2) The drainfield requirements must be met on the site before the devise can be installed. The State guidelines require that the same site requirement for soils and drainfield be met for an alternative system as for a normal septic and drainfield. Commissioner Brown reiterated his feelings that if the County waits for a site that has the capability of meeting all the requirements then the property owner would probably not be willing to spend the kind of money involved in the installation of an alternative system. Commissioner Dennison added that he would like to have the Board contact DSHS and tell them that Jefferson County would like to try an experiment with this devise on this site and that there is a responsible agency that is willing to contract to do the monitoring and a contract would be written up with the property owner so that they would know what they are responsible for and if the experimental system fails they would know that they were back to zero. If DSHS says no, however, the County would not proceed with the project. If DSHS says no, Randy Durant advised there are other options tor the Samples to persue,since something should be done for th",m be- cause they have'a house built on the properTY. As discussed in the past the original site was found to be unacceptable for on site sewage and an experimental, full fill gray water system only, was approved but was never installed before the permit expired. Dr. Fischnaller had written to the Samples that the Health Department would be happy to consider a mound system on top of the existing fill for a graywater system only with a composting or an Incinolet type toilet. At that point a plan for a total mound system was submitted for the site by Mr. Leach, but was denied because it did not fit the site. After noting that the Prosecuting Attorney would have to be contacted to work out the legal aspects of this proposal if approved, Commissioner Dennison moved to grant a variance subject to approval by the Washington State Department of Social and Health Services. Chairman Brown seconded the motion. This variance would be in reference to the information on the proposed drainfield plan submitted by Bob Leach. Health Board, Minutes, April 17, 1985 Page 7: Groundwater monitoring and monitoring of present and abandoned solid waste sites: Gael Stuart reported that he had met with Brian Shelton, Public Works Director, in regard to investigating funding for groundwater monitoring around present and abandoned solid waste sites. He will now work with Acting Public Works Director, Gary Rowe in this regard. Randy Durant will be contacting DSHS regarding possible fundi.ng they may have available. Sewage Disposal Permit Waiver Request; Olsen-Tirrill, West End: Gael Stuart read a letter from Mr. Olsen requesting a renewal of the sewage disposal permit on a piece of property he owns in the West End. The original permit was approved in 1981 but due to a divorce the septic system was not installed and Mr. Olsen never received the notification from the Health Department that his permit had expired. He further stated that if the Board would grant him a renewal of this permit he would in- stall the septic system as soon as possible. On the recommendation of Randy Durant, Commissioner Dennison moved to approve the renewal of the sewage disposal permit as requested by Mr. Olsen. Chairman Brown seconded the motion. Contract Employees: Because of the budget delays, Gael Stuart reported that the contracts for the contract employees have not been final- ized yet and asked if these employees should be given the same raise of $.29 per hour as the other employees as has been done in the past. There is enough money in the budget to cover this raise, Gael Stuart noted, since all but approximately $800 of the total $2,400 cost will be picked up by grants. The Health Department will be able to meet the requested 3.3% re- duction, even with this amount in the budget. Commissioner Dennison moved to approve the increase of $.29 per hour in the contract pay for the contract employees. Chairman Brown seconded the motion, Gael Stuart will rewrite the contracts and present them to the Board at a later date for signing. Next Board of Health meeting is May 15, 1985. Meeting Adjourned JEFFERSON COUNTY BOARD OF HEALTH B~rman ~c~ John L. Pitts, Member " + CONTRACT FOR PROFESSIONAL SERVICES This Contract is between the JEFFERSON COUNTY HEALTH DEPARTMENT (DEPARTMENT) and NANCY SMITH (CONTRACTOR). The contract is to be effective February I, '1985 and will continue until terminated. WHEREAS, the Department is in need of the part-time services of a Public Health Nurse; and WHEREAS, at the present time the Department is unable to provide the services from personnel within its employment; and WHEREAS, the Contractor states tbat she is qualified to perform the duties of a Public Health Nurse as set forth in the body of this contract; NOW THEREFORE, IT IS AGREED: (1) The Contractor shall act as a Public Health Nurse assisting the Pediatric Nurse Practitioner in conducting Well Child Clinics. She will serve under the direction of the Director of Nurses in conducting home visits, school programs and general nursing duties. (2) The services to be performed by the Contractor will be in ~ accordance with the standards of the profession, the State of Wash~ngton and the Jefferson County Health Department. (3) The Department shall pay the Contractor the amount of Eleven dollars and eighty seven cents ($11.>87) per hour for professional services rendered and shall reimburse her for mileage driven in her personal vehicle at the rate established by Jefferson County. (4) The Contractor shall provide the Department with a detailed accounting of the work performed and the mileage driven at the conclusion of each month of this contract. The Department shall make payment for the work performed on or before the 20th day of the month following the month in which the work was performed. ..: .. '" (5) The Contractor is employed by the Department to substitute for Department personnel during leaves and vacations. It is understood that she acts as an independent contractor and that she will receive no employee benefits from the Department of Jefferson County. It is further understood 'that neither the Department nor Jefferson County will withhold F.I.C.A. taxes or other obligations for which the Contractor may be responsible. (6) The Contractor shall be considered an agent of the Department and will be covered by the terms of the Department's insurance policy. (7) The Contractor shall not discriminate against any person presenting themselves for service based upon race, religion, color, sex, age or national origin. The Department shall take affirmative action to insure that persons receive services without regard to race, color, sex, age or national origin. (8) This contract may be terminated by either party by written notice of sixty (60) days. Contract for Professional Services (Smith) dated this jg+5- day of ~ 1985. JEFFERSON COUNTY BOARD OF HEALTH ~ By /f84~,~J B. G. Brown, Chairman JEFFERSON COUNTY HEALTH DEPARTMENT BY-/Jw rz j;~ Gael R. Stuart, Administrator By -21 ~ N~iih, R.N. 12.J , , , . ~.L.,L/ .~ , COKIR,\CT HI'- l'::on:ss JLl;,,\L Sr]{\'] CL' THIS CONTRACT is between the JEFFERSON COUNTY HEALTH DEPARTMENT (hereinafter referred to as the DEPARTMENT) and PATRICIA BIRO (hereinafter referred to as the CONTRACTOR). This contract is to be effective February I, 1985 WHEREAS, the Department is in need of the services of a Communications Disorders Specialist, and WHEREAS, at the present time the Department is unable to provide these services from personnel within its employment, and WHEREAS, the Contractor is qualified to perform the duties and responsi- bilities set out in the body of this Contract, NOW THEREFORE IT IS AGREED: (1) The Contractor shall act as a Communications Disorders Specialist providing services for children eligible under the requirements of the Child Development Program upon proper referral from the Clinical Nurse Specialist of the Department and the Public Health Officer who is a physician. The Contractor shall conduct assessments and followup where indicated for eligible children with special problems. Services will be coordinated with each child's total program which is parent implemental and will consult and advise other staff members. (2) The services to be performed by the Contractor will be in accordance with the standards of the profession and will follow the outline of those services required by the Child Development Program which is attached hereto and by reference incorporated into this contract as if fully set forth. (3) The Department shall pay the Contractor the amount of Fifteen dollars and twenty nine cents per hour for professional services rendered. Mileage costs will be reimbursed at the prevailing Jefferson County rate. (4) The Contractor shall provide the Department a detailed accounting of the work performed at the conclusion of each month of the contract. The ~... - , ~ UE'parrment shall make- pa)'TIlent for tbe \o.mrk perlormed un or belore the 20tL day of the month following the month in which the work was performed. (5) It is understood that the Contractor works as an independent contractor and that Jefferson County will not provide fringe benefits. It is further understood that as an independent contractor F.I.C.A. taxes and other obligations will be assured by the Contractor. (6) The C.ontractor shall not discriminate against any persons presenting themselves for service based upon race, religion, color, sex, age or national origin. (7) This Contract shall continue until terminated by one or other of the parties hereto. Termination shall require sixty (60) days written notice by the termination party. DATED this ~?"d day of AjY~ JEFFERSON COUNTY BOARD OF HEALTH , 1985 By ,~~4LAJ~/ JEFFERSON COUNTY HEALTH DEPARTMENT By ~c2~ Gael R. Stuart, Administrator CONTRACTOR 4i<~~13~ Patricia Bi 0 , --1 J -. ___ "w,,_~_. , .: . ~ CONTRACT FOR PROFESSIONAL SERVICE THIS CONTRACT is between the JEFFERSON COUNTY HEALTH DEPARTMENT (Department) and Irene Marble. This contract is to be effective as of February 1, 1985. WHEREAS, the Department is in need of the services of a NUTRITIONIST and WHEREAS, at the present time the Department is unable to provide the services from personnel within it's employment; and WHEREAS, Irene Marble states that she is a qualified person to perform the duties and responsibilities set out in the body of this contract; Now, Therefore, . IT IS AGREED: (1) Irene MarbLe shall act as a Nutritionist conduction consulta- tion with W.I.C. clients who have special nutritional problems and with the Nursing staff of the Department. As part of the program, Irene Marble will design nutritional programs and give directions to clients to assist them in overcoming nutritional inadequacies. Irene Marble will also keep necessary records and data and refer clients to appropriate medical personnel, confer with the Public Health Nurse and County Health Officer or public medical doctor regarding findings and recommendations related to clients with potential problems. (2) Irene Marble states that she is fully certified by the American Dietetics Association as a nutritionist and will provide a copy of her certification for the Jefferson County Health Department files. (3) The services to be performed by Irene Marble will be in accordance with the standards of the profession and will follow the outline of those services as set out in the W.I.C. contract with the State of Washington, which is attached hereto and by this reference incorporated into this contract as is fully set forth. (4) The Department shall pay Irene Marble the amount of Fourteen dollars and Seventy three cents (14.73) per hour for professional services rendered. . . . . - - CONTRACT 'FOR PROFESSIONAL SERVICES (Marble) Page 2 , (5) Irene Marble shall provide the Deparrment a detailed accounting of the work performed at the conclusion of each month of this contract. The Department shall make payment for the work performed on .or before the 20th day of the month following the month in which the work was performed. (6) Irene Marble is employed by the Department to perform certain required services which cannot be provided by Department personnel. It is understood that Irene Marble acts as an independent contractor and that she will receive no fringe benefits from the Department or Jefferson County. It ,. is further understood that neither the Department nor Jefferson County will withhold FICA taxes or other obligations for which Irene Marble will be responsible. (7) Irene Marble shall not discriminate against any person presenting themself for service based on race~ religion. color, sex, age or national-origin. The'Deparrment shall take affirmative action to insure that persons receive services without regard to race, religion, color, sex, age or national origin. (8) This contract shall continue until terminated by one or the other of the parties hereto. Termination shall require sixty (60) days written notice by the terminating party. r- 19~ . DATED THIS -~ 0 DAY OF f\ \l~ \ JEFFERSON COUNTY BOARD OF HEALTH JEFFERSON COUNTY HEALTH DEPARTMENT BJir~ C? JLJ Gael R. Stuart, Administrator By M~j B~ G. Brown, Chairman '---\)kL0'L-\~~l.. ~9 Irene Marble )