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HomeMy WebLinkAbout03 March COMMUNICABLE DISEASE CONTROL \ PUB~'C HEALTH \ NYRSING , HOME NURSING VITAL STATISTICS ENVIRONMENTAL ,~EALT~: HEALTH EDUCATION JEFFERSON COUNTY HEALTH DEPARTMENT 102 SHERIDAN PORT TOWNSEND, WASH. 98388 ;.. ..~ (208) 385.0722 HEALT BOARD Minutes March 21, 1984 BOARD MEMBERS: STAFF MEMBERS: B.G. Brown, Chairman A.M. O'Meara, Member John L. Pitts, Member Brent S. Shirley, Member Randall M. Durant, R.S. Gretchen Gephart, D.O.N. Joseph Fischnaller, M.D. Gael Stuart, Administrator All members were present when Chairman B.G. Brown called the meeting to order at the appointed time. Approval of the Minutes: Commissioner O'Meara seconded Commissioner Pitts'motion to approve the minutes of February 15, 1984. Unanimous. Ernest Criez rei On-site sewage disposal for Lots 1 and 2, Block 13, Paradise Bay Estates: Mr. & Mrs. Criez and Dennis Hanburg of Pac Tech Engineering, Inc. were present when Gael Stuart read the minutes of the January 18, 1984 Board of Health meeting when the matter was discussed. Mr. Criez advised that he had consulted Pac-Tech Engineering, Jnc., who designed a mound system for these lots which would mean that with the variances they are requesting a two bedroom residence could be accomodated. Mr. Dennis Hanburg of Pac-Tech then explained that his proposal would require that the collasped bulkhead be rebuilt and filled and used as the "mean high tide" measurement mark. This would mean that the pipe at the end of the bul~head would be the closest point to the septic system at 75 feet. A discussion of what is meant by "Mean High Water" and how that is interpreted by the Health Department then ensued. Randy Durant and Doctor Fischnaller both reiterated that the new State Regulations (which will be out in July) define Mean High Tide as the point where the fol i,age changes. This definition has been applied by the Health Department consistent with DSHS recommendations to do so, as the currEOn~_ ree,gual tions do not define ''tiean H!8_h Water". Randy Durant then reminded those present that there are three areas of concern with this site (lots 1 and 2): 1) The setbac~ from the stream- state regulations require 100 feet, 2) The setback from the Mean High , Minutes, March 21, 1984 Page 2: water--regulations require 100 feet, the area of the proposed drainfield. 100 feet to 75 feet has already been and 3) the high A variance for approved. water table in the stream from The installation of a curtain drain has been planned, Mr. Hanburg advised, to help reduce the water table ~o below 24 inches, but construction won't be done until a decision is made about the waivers being requested. The waivers are being sought on the condition that the water table can be reduced to below 24 inches. It is Mr. Hanburg's opinion that the filtering provided by the mound system will take care of any pollution impact on the stream or beach. Due to the elevation of the stream in relation to Mr. Criez's proptery, the drainage flow is toward the water not the stream. A waiver to allow the mound system (drainfield) closer than 75 feet from the stream and beach would have to come from the Secretary of the Department of Social a..n. d Health Services, Randy reported ,as -peii;JACZli8. 96.1ffi. .. .. ._m_--.__...._._.._..____~..______.___.____.___ --.. .... - ---------- -_._-~- Mr. Criez feels that the waviers he is seeking can be granted under W.A.C. 248-96-130 because the system has been designed by a professional engineer (Pac-Tech Engineers, Inc.) and the engineer believes there will be no contamination of the environment. He also pointed out that part of his appeal is based on the encouragement he has received from the Health Department. Before he purchased this lot he sought professional advise, which, since he wasn't going to build immediately, was in the form of a "Site evaluation" recommended and done by the Health Department. If he had been told at that time that the lots were unbuildable he would not have purchased them. Now, this is causing a financial hardship for he and his family since investment in this property was to provide capital for his retirement. Doctor Fischnaller pointed out that a site evaluation does not guarantee anything, and that he doesn't see anyway that these variances can be granted., In response to Commissioner Pitts' inquiry as to the possibility of obtaining additional property for an off-site system, Mr. Criez reported that his is the last site along the waterfront without a building and the property owners across the road would have their water view blocked if he builds, so they would be happy if he isn't allowed to build. Since this is a complicated issue, the Board would like to have a chance to visit the site before making a final determination. Chairman Brown delayed action on the variance requests until next months's meeting. NURSING DIRECTOR REPORT: Gretchen Gephart noted some highlights of the February Nursing Service report as: ' . * Health education sessions on Hepatitis B and Babysitter training. * She has written and submitted a proposal for expansion of the foot care program especially in the Brinnon and Quilcene areas, since there are unallocated funds available through the Area Agency on Ageing (03A). New State mandated vaccine accountability factor is being used to monitor the refrigerator temperatures of vaccine. This will help Drevent loss and reduce any possible side effects that * Minutes, March 21, 1984 Page 3: Nursing Director Report: Continued. the children might experience from vaccine. * In response to the request for information regarding the possibility of an interface between the Health Department and Jefferson General Hospital to save money, Gretchen Gephart has submitted a findings report summarizing her research. Commissioner Pitts reported that at a recent meeting held with residents of the West End (Clearwater), appreciation for the visit the Director of Nurses had made to the school was expressed as well as a desire for more such visits. Gretchen explained that due to the logistics, a monthly trip would be unrealistic in terms of time and money, especially since Jefferson County is presently contracting with a Public Health Nurse from Clallam County to provide services to the school twice a month. Since visiting the school she has contacted the State regarding the development of services for that area. A dental program has been proposed to the State Superi,ntendent of Schools because of the lack of dental care in the area and a high rate of absenteeism in the first grade due to dental decay. About 40% of the school is Anglo, and are not eligible for the dental care provided by the Indian Health facilities which are the only facilities available in the immediate area. Forks and Aberdeen are the closest dental services for the Anglo students. Gretchen advised also that she sends materials and is in communication with the Public Health Nurse who services the area on a biweekly basis. She will makean attempt to visit this area at least twice a year. Letter to Dr. Fischnaller from A. Lamont Carstens, Washington State Division of Health: This letter will be forwarded to the Prose- cuting Attorneyror review and a legal opinion. Mr. & Mrs. Lee Hargis rei Building permit - Lot 24 Block 3, Addition #1 Olympic Canal Tracts: After Gael Stuart read the Hargis request dated March 14, 1984, Randy Durant reported that a sewage disposal permit had been issued in 1976 to the previous owner of lot 24 Block 3 Addition #1 of Olympic Canal Tracts. That permit was for a small two bedroom mobile home .Mr _8< Mr_s: Hargis are proposing to replace the existing mobile home with a larger one wn{ch requIres the issuance of a building permit. This plat of 42 lots has 26 active water taps and since the Department of Social and Health Services has some concern about the protection of the water supply, approval of the water system has not been granted. A building permit cannot be issued until the water system is approved unless the Health Board grants a variance from Jefferson County Ordinance No. 2-84. Should this waiver be granted an inspection of the septic system will have to be made with the placement of the new mobile home staked out, to determine that themcbile home isn't being located on top of the septic tank and to make sure the system is still functioning. Minutes, March 21, 1984 Page 4: Mrs. Hargis advised the Board that since a building permit and sewage disposal permit had been issued for Lot 13 Block 3 in September 1983 and since the septic system is already installed on her lot, she feels the variance should be granted. She and her husband purchased this property with the intention of retiring there. They have not purchased a mobile home yet awaiting the decision on their variance request. Mr. Scott Wilson, Secretary/Treasurer of the Olympic Canal Maintenance Company which manages the water system for the Olympic Canal Tracts outlined the actions they have taken to gain DSHS approval of the water system. He reported that the DSHS now has all of the information they had requested to make a final decision on approval of the system. Due to the issuance of another sewage disposal permit and building permit in this area and because the water system is close to receiving DSHS approval, Commissioner Pitts moved to grant the variance from Jefferson County Ordinance 2-84 as requested by Mr. & Mrs. Hargis. The variance is contingent on a re-evaluation of the site after the place- ment of the new mobile home has been staked. Commissioner O'Meara seconded the motion and urged the Olympic Canal Maintenance Company to pursue obtaining approval for their water system from DSHS. Revised contracts to reflect raise for Contract employees: The contracts for contract employees: Catherine Merrill, Christy Helsell, Jeanne Hibbard and Myrtle Corey were sign as approved by motion on February 15, 1984. ENVIRONMENTAL HEALTH DIRECTOR REPORT: Randy Durant reported the following items in addition to his written summary of the depart- ments business: * Twice as many site evaluations were done this year than the same time last year, which was a surprise since the September 1983 meeting with area realtors and the fee increase. * John Eliason and Randy attended a soils workshop in Olympia. The information presented should enable them to be as consistent as possible in soils evaluations. * Randy reminded the Board that the amount of time spent on phone calls is a hard thing to show in the monthly report especially since not all calls result in business that fits into one of the report catagories. * Notices will be mailed to all the expired septic tank permit holders. * The new State sewage regulations will go into effect in July. Randy will be putting a draft of the changes this will make in the local ordinance, together for the Board's consideration. HEALTH OFFICER REPORT: Gretchen Gephart and Dr. Fischnaller attended a seminar last month which was an update on diagnosis and treatment of Tuberculosis. Minutes, March 21, 1984 Page 5: ADMINISTRATOR REPORT: Department is financially in better beginning of the year. Gael Stuart reported that the Health shape than was anticipated at the The next regular meeting of the Board of health will be April 18, 1984. MEETING ADJOURNED '7J" ~~d-Y-<<~ub . CO~T~\CT FOR PROfLSSIO~~L SERVICE~ THIS CONTRACT is between the JEFFERSON COUNTY HEALTH DEPARTMENT (Department) and Mary Catherine Merrill. The contract is to be effective as of January 1, '198J. WHEREAS, the Department is in need of the services of a Foot Care Practitioner; and WHEREAS, at the present time the Department is unable to provide the services from personnel within its employment; and WHEREAS, Merrill 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) Merrill shall act as a Licensed Practical Nurse conducting Foot Care Clinics for Senior Citizens and Handicapped Persons. Merrill will give foot care including trimming nails, treatment of calluses, pad feet to alleviate pressure, check pedal pulses and perfusion, inspect general condition of feet, counsel and instruct, refer patients to appropriate medical personnel, confer with the Public Health Nurse and County Health Officer of Private Medical Doctor regarding findings and recommendations related to persons with potential problems. (2) The services to be performed by Merrill will be in accordance with the standards of the Jefferson County Health Department and will follow the outline of those services as set out by the Department. (\ ~t (JJ11', f (3) The Department shall pay Merrill the amount of Seven dollars and lA, ~e>1fY -e)9I1r rs~ '~r~ ~ Cents per hour for services rendered and shall reimburse her for mileage driven. in her personal vehicle at the rate established by Jefferson County_ (4) Merrill shall provide the Department a detailed accounting of the . .. eoNTRACT FOR PROFESSIONAL SERVICES (Merrill) Page 2 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) Merrill is employed by the Department to perform certain required services which cannot be provided by Department personnel. It is understood that Merrill 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 Merrill'may be responsible. (6) Merrill shall provide malpractice insurance coverage for the work which she performs under the terms of this contract in a minimum amount of $100,000.00 to $300,000.00 per injury. (7) Merrill shall not discriminate against any person presenting them- self for service based on race, religion, color, sex, age or national origin. The Department shall take affirmative action to insure that persons receive ser- vices 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. DATED THIS ~ DAY ~. OFf.{ "riA Lli;Y II ' 19~. JEF ERSON COUN BOARD OF COMMISSIONERS ByiJ ,9ft, (j};!&A,ti~ A. M. ot~eara,Chairman JKFFERS, COUNTY HEALTH DEPARTMENT BY~((~ Gael R. Stuart, Administrator By /;; ~ t4;:lA. ~ "0 LAA.. U Mary C therine Merrill ~ < . eLz~ CONTRACT FOR PROFESSIONAL SERVICE THIS CONTRACT is between the JEFFERSON COUNTY HEALTH DEPARTMENT (Department) and Christy Helsell. This contract is to be effective as of January 1, 1983. 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, Christy Helsell 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) Christy Helsell shall act as a Nutritionist conducting consultation with W.I.C. clients who have special nutritional problems and with the Nursing staff of the Department. Inservice instructions for the staff shall also be provided. As a part of the program Christy Helsell will design nutritional programs and give directions to clients to assist them in overcoming nutritional inadequacies. Christy Helsell 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) Christy Helsell 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 Christy He1sell 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 1$. fJ:;i~ (} 911,eJut r;;",I-U"7 of ..:rhiytG9R as is fully set forth. dollars and (4) The Department shall pay Christy Helsell the amount Fb;:J F;:.UY Cb.t<) 1111,,, iJ ') m. ty t"\18-..................8 ~y per hour for professional services rendered. - .~ -"'- l COKTRACT FOR PROFESSIONAL SERVICES (HELSELL) Page 2 (5) Christy Helsell shall provide the Department 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 peforrned. (6) Christy Helsell is employed by the Department to perform certain required services which cannot be provided by Department personnel. It is under- stood that Christy Helsell 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 Christy Helsell may be responsible. (7) Christy Helsell shall provide malpractice insurance coverage for the work which she performs under the terms of this Contract in a minimum amount of $100,000.00 per injury. (8) Christy Helsell shall not discriminate against any person presenting themself for service based on race~ religion~ color, sex, age or national origin. The Department shall take affirmative action to insure that persons receive services without regard to race, religion, color, sex, age or national origin. (9) This Contract shall continue until terminated by one or the other of the parties hereto. Termination shall require si~ty (60) days written notice by the terminating party. DATED THIS / f DAY OF ,vi;A51.'U'-/VU{/ , 1983. JEFFERSON COUNTY HEALTH DEPARTMENT ~JC(b Gael R. Stuart, Administrator JEFFERSON COUNTY BOARD OF COMMISSIONERS By a,~(@!~ . . 'Meara, Chairman ./1 'Ai (!.1.)J..pca;;;,-' "/:'.:u/J:,K17 Christy HeJ!'selJif --.. ,.'--'.','--_._'.~ - . . ~<--r~~/ " :/ ~ COt\TRACT FO\( PJ:OFESSllr:.-',L SD:\"!CL THIS CONTRACT is between the JEFFERSON COUNTY HEALTH DEPARTMENT (Department) and Jeanne Hibbard. ," The contract is to be effective as of January 1,19.83,. " and supersedes that contract between the said parties previously entered. WHEREAS, the Department is in need of the services of a Pediatric Nurse Practitioner; and WHEREAS, at the present time the Department is unable to provide the services from personnel within its employment; and WHEREAS, Hibbard 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) Hibbard shall act as a Pediatric Nurse Practitioner conducting Well Child Clinics and Early Periodic Screening Diagnosis and Treatment Programs and the WIC program. As a part of the clinics' programs Hibbard will conduct physical examinations, perform hematocrit and urine tests, review screening data, record information obtained, provide counselling and instruction, refer patients to appropriate medical personnel, confer with the Public Health Nurse and County Health Officer or Public Medical Doctor regarding findings and recommendations related to children with potential problems. (2) The services to be performed by Hibbard will be in accordance with the standards of the profession and will follow the outline of those services as set out in the Maternal Child Health Contract with the State of Washington, the WIC Contract with the State of Washington and the Early Periodic Screening Diagnosis Contract with the State of Washington, both of which are attached here- to and by this reference incorporated into this contract as if fully set forth. ~~ (3) Q 5~~;;t7 ~,;p~ The Department shall pay Hibbard the amount of Twelve dollars ~ (/;/.73) cents {$12.LJ) per hour fot profeS5~nal services rendered and shall ~ . o . 0 I ~ CO~TRACT FOR PROFESSIO~AL SERVICES (Hibbard) Page 2 reimburse her for mileage driven in her personal vehicle at the rate established by Jefferson County. , , (4) Hibbard shall provide the Department 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) Hibbard is employed by the Department to perform certain required services which cannot be provided by Department personnel. It is understood that Hibbard 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 Hibbard may be responsible. (6) Hibbard shall provide malpractice insurance coverage for the work which she performs under the terms of this contract in a minimum amount of SlOO,OOO.OO per injury. (7) Hibbard shall not discriminate against any person presenting themself for service based on race~ religion, color, sex, age or national origin. The Department 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. 9 . . .. CO;;T!:ACT FOR PROFESSIO~AL SERVICES (Hibbard) Pag.. 3 DATED TIllS / p'" DAY OF / / ---------- -T-IY, / , 1983. , , JEFFERSON COUNTY BOARD OF COMMISSIONERS By fA (97t(~4M~ ~ A. M. O'Neara, CIi 1nnan JEFFERSON COUNTY HEALTH DEPARTMENT BJueJb Gael R. Stuart, Administrator By ~ ~.J.-- {IOeanne Hibbard ~ //7ZU~ " CONTRACT FOR PROFESSIONAL SERVICES THIS CONTRACT is between the JEFFERSON COUNTY HEALTH DEPARTMENT (Department) and Myrtle Corey. The contract is to be effective as of January 1, 1984. WHEREAS, the Department is in need of the services of a Foot Care Practitioner; and WHEREAS, at the present time the Department is unable to provide the services from personnel within its employment; and WHEREAS, Corey 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) Corey shall act as a Registered Nurse conducting Foot Care Clinics for Senior Citizens and Handicapped Persons. Corey will give foot care including trimming nails, treatment of calluses, pad feet to alleviate pressure, check pedal pulses and perfusion, inspect general condition of feet, counsel and instruct, refer patients to appropriate medical personnel, confer with the Public Health Nurse and County Health Officer or Private Doctor regarding findings and recommendations related to persons with potential problems . (2) The services to be performed by Corey will be in accordance with the standards of the Jefferson County Health Department and will follow (3) Tqe Department -ru'C,''l f I,~/;l 1"("))15 (47, ;l,S) tv ce Ei;'\~) per hour for shall pay Corey the amount of 7'f .67 "JA-.7> 5ev""n eich;l's {\">td s-en-<lolla.6 .."J the outline of those services as set out by the Department. services rendered and shall reimburse her for mileage driven in her personal vehicle at the rate established by Jefferson County. (4) Corey shall provide the Department a detailed accounting of the 4 CONTRACT FOR PROFESSIONAL SERVICES (Corey) Page 2 work performed and the mileage driven at the conc~usion 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) Corey is employed by the Department to perform certain required services which cannot be provided by Department personnel. It is understood that Corey 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 Corey may be responsible. (6) The Department shall provide insurance coverage for the work which she performs under the terms of this contract. (7) Corey shall not discriminate against any person presenting themself for service based on race, religion, color, sex, age or national origin. The Department 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. DATED THIS ?-- , 1984. DAY OF JEFFERSON COUNTY BOARD OF HEALTH By /-//./' . ...... -- .. B. G. Brown, Cahirman JEFFtrfON COUNTY ~EALTH DEPARTMENT By JIw ~() /;1::.,v/ Gael R. Stuart, Administrator By Y(l~..f<-Jt, (1~kr Mt. tIe Corey , ,v ; . ,