HomeMy WebLinkAbout05 May
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JEFFERSON COUNTY HEALTH DEPARTMENT
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Minutes: May 18, 1983
Board Members: Staff Members:
B.G, Brown, Chairman
A.M. O'Meara, Member
John L. Pitts, Member
Randall M. Durant, R.S.
Phyllis Bee, P.R.N.
Joseph Fischnaller, M.D.
Gael Stuart, Administrator
Randy Durant did not attend this meeting. All other members were present
when Chairman Brown called the meeting tb order.
MINUTES: Commissioner O'Meara moved to approve the minutes for the meeting
ot April 20, 1983. Commissioner Pitts seconded the motion. Unanimous.
NEWBORN AND WELL CHILD CLINIC SCREENING: Charleta Handly reviewed the
screening programs, wnich identity health and developmental problems in new-
borns and young children and provide information for the parents.
Packets containing Health Department pamphlets and an invitation to utilize
services are distributed to new mothers in the local hospital. Ms. Handly
follows up with a phone call, making a home visit if indicated. ~hese
visits, geared to the individual mother's concerns, take approximately l~
hours. Occasionally, a second visit is made.
At the well child clinics, Ms. Handly gives the Denver Developmental
Screening Test (attachment 1) prior to the physical examination. This test
evaluates four areas of development. If indicated, follow-up testing and/or
referral to the Developmental Disabilities Program or other sDecialists is
done. Results of the test are also sent to the family physici~n,
Gael Stuart commented that this is a cost-effective program in terms of pre-
vention. He also noted that Ms. Handly has been nominated to serve on the
State Board of Nurses, a tribute to her ability and interest.
Nursing Director Renort: Phyllis Bee's 'rIritten report (attachment 2) for
Apr~l, 19~j was submitted. She reported that another outreach program is
being conducted to attract clients for the WIC Program, which is operating
below capacity. Commissioner Pitts reported that the Health Planning
Agency has allocated some funds for publicizing the WIC pi-oii-am, but-It wa-s-
generally agreed that lack of publicity is not the problem.
Ms. Bee noted that hearing and vision screening in the schools was done by
trained volunteers. State mandated screening for scoliosis was done by
P.E. teachers in the County schools and by a nurse under contract to the
school district in the City schools.
Bealth Board, May 18, 1983
Page 2
PROFESSIONAL SERVICES AGREEMENT, WEST END: The agreement with Clallam County
(attachment 3) for an Environmental Health Specialist and a Public Health
Nurse to provide services in western Jefferson County was approved and signed
on the motion by Commissioner Pitts, seconded by Commissioner O'Meara.
Unanimous.
SURPLUS RECORDERS/TRANSCRIBERS: Mr. Stuart reported that, after further
investigation, it does not appear to be cost effective to sell this equip-
ment which was discussed at the last meeting. Therefore, it will remain
in the Department as spare equipment and will be available for loan to other
County departments.
FAMILY PLANNING SERVICES: Following discussion at the last meeting, Commis-
sioner Pitts, Dr. Fischnaller and Mrs. Bee approached the medical personnel,
during their monthly meeting, about providing family planning services. The
doctors and nurse practicioner indicated that they would be willing to pro-
vide education in the schools and felt that medical services and educational
services for adults could be provided in private practice.
Commissioner Pitts stated that the current Family Planning Clinic has shown
an increase in the number of clients under the new manager, and suggested
that their "track record" be reviewed and service needs reassessed during
the budget process for 1984.
HERBICIDE 2-4-D: Dr. Fischnaller reported that he was assured by Al Robbins,
Director ot the State Health Department Pesticide Laboratory, that there is
no evidence of any physical problems in humans due to spraying of 2-4-D.
ENVIRONMENTAL HEALTH DIRECTOR REPORT: The written report for April, 1983
(attachment 4) was reviewed by the Board. Mr. Stuart noted that there has
been a noticeable increase in the number of site evaluations.
MEETING ADJOURNED: The next regular meeting will be on June 15, 1983.
Pi ffachrnenr Z
.
JEFFERSON COUNTY HEALTH DEPT.
MONTHLY REPORT OF NURSING SERVICE
Date of Report May 1, 1983 ~ OO:^ G~o /
For Month of Aoril, 1983 Phy~s Bee. Director of Nursing
Number of Number of Year to Date
clinics clients seen
rhis Month, Last Month ThiS Month Last Month
Well Child Cl inics 9 8 82 62 ?R<;
Foot Care Clinics 9 9 91 69 ':!n<;
Il1I11unization Clinics 4 5 108 85 A<;1
WIC Clinics 2 5 22 42 156
VD 1 0 7
TB 4 2 11
Other Communicable Diseases Chicken DO Chick"n Dn:
Newborn Visits 29 39 97
:hild Development Visits 26 20 AI';
Schools . 70 940
tommunity Activities
I
l. Attended Medical Staff meeti ng at Jefferson General Hospital re Family Planning on 4-26-83. I
2. Attended TBC Conference in Bremerton March 31, and April 1.
3. WIC Program audit April 3, 4 here.
4. Jeanne Hibbard and Christie Helsell attended WIC Conference in Seattl e April 12,
5. Vision/Hearing/Scoliosis Screening in three private schools arranged with volunteers.
6. Found and trained a nurse to do Scoliosis Screening in Port Townsend with Margaret Berry's
approva l. School District 50 ~ill pay this nurse directly.
7. . Attended CSB meeti ng April 28, 1983.
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CONTRACT FOR PROFESSIONAL SERVICES
AGREE}lliNT BETWEEN
JEFFERSON COUNTY DEPARTMENT OF HEALTH
AND
CLALLA1'l COUNTY
f!-H-ach,..,e"f 3.5?i-
4-/6-f3'
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This agreement is made and entered into between the Jefferson County Department
of Health (Department) and Clallam County (Contractor). This agreement became
effective January 1, 1983 and was set into writing March 17, 1983.
WITNESSETH
WHEREAS, The Department is in need of an Environmental Health Specialist and
Public Health Nurse to provide service to the western end of Jefferson County
and~
WHEREAS, at the present time, the Department is unable to provide these services
from a full time member of it's staff, and,
vlHEREAS, the Contractor is prepared and willing to assume the responsibility as
set forth in this agreement:
IT IS AGREED BETWEEN BOTH PARTIES AS NAlffiD HEREIN AS FOLLOWS:
I. The Contractor shall perform the following specific duties:
NURSING A. Visit Queets-Clearwater area maximum of 1 day, 2 times per month
(including travel).
1. Approximately half of the time to be spent in the Queets-
Clearwater school carrying out school nurse responsibility
during the school year.
2. Approximately half of the time spent in making home visits to
the community to follow-up on school health problems, visit
persons with chronic diseases, provide for communicable disease
control, and provide health education for mothers and infants.
3. Office time: Answering phone calls, record keeping, patient
visits and preparation for school and home calls.
ENVIRONMENTAL HEALTH
A. Work in the area for a maximum of 15 days per year plus travel
to provide the following services:
1. Food Establishment inspection (3 times per year).
2. Solid Waste complaints investigations and inspection of
facili ties.
AGREEMENT BETWEEN JEFFERSON COUNTY HEALTH DEPARTMENT AND CLALLAM COUNTY
Page 2.
3. Public Water Supplies-inspection, planning and sampling.
4. Sewage-inspection and approval of on-site systems.
II. For said services rendered under this agreement, the department shall pay
to the contractor the following amounts:
A. Health Nurse Service: $19.80 per hour to a maximum of $4,198.00.
B. Environmental Health Service: $31,25 per hour to a maximum of $2,969.00,
C. Travel: Mileage will be paid at the established rate in effect in
Clallam County during the term of this contract. Total mileage shall
not exceed 3,000 miles per year.
Ill. Detailed bills will be provided by the contractor on December 1, 1983,
PASSED AND ADOPTED THIS d?,1f!! DAY OF
1, 1983 to December
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31, 1983.
This agreement will be effective from January
, 1983.
APPROVED AS TO FORM:
COMMISSIONERS
/lI.//k.l~j) ~ ~, . -^
Prosecuting Attorney, Clallam Co, Comm~
PASSED AND ADOPTED THIS /r~DAY OF '7??~
JEFFERSON CO~TY
~.
1983
BOARD OF COMMISSIONERS
~
Conunissioner
Q ~ /:42)Z'l4
_ L '~ Zr/(p 1<tJ ____
ornmission-
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Commissioner
DENVER DEVELOPMENTAL SCREENING TEST
STo.=STOMACH
SIT = SITTING
PERCENT OF CHILDREN PASSING
25 50 75 90
Mcryp<lssbyreport_
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':::'ry to get cL~=-d. to smile by smili:J.g, -:alking or ~",aving to LilT,. Do not tcrJ.cL Dim.
Vfrj2:J. ch~lG is playing w~th -:oy, pull i-: away :ron aim. Pass if he resists.
Ch~ld does no-:. have to -;:::e ab~e -:'0 tie sDoes or button ire -:he back.
r,:ove yarn 31m-lly in an arc from one si6e to the other, about 6" above child1s face.
Pass i: eyes follow 900 to midline. (Past IT.idline; ::;"300)
Pass if cl:ild g~asps rattle when it is -:ouche~ to ~he backs or tips of fingers.
Pass i: cnild cortinues to look wtere yarn disappeared or tries -:0 see where it wert. Yarn
sto'J.:d be dropped quic~ly from s=-g:"lt f:::-olT_ tester's hand. ~..;ithout arm l1ovement.
Pass if child picKs ~p raisin w=-th any part of t:"lQ~b and a finger.
Pass if chi16 picks up raisin with tte ends of thumb ar..d. index finger t:sir.g allover hanj
(5 + D
DIRECTI Q!.JS
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2,
0'
4.
S.
6.
7,
8.
9. Pass any e:J.-
closei forn.
?ail cortinuot:s
rcun~ !"[otions.
DATE
NAME
BIR~H1lATE
EOSP. ,10,
10. vkicn line is longer?
(Kot bigger.) Turn
paper upside daw:J. ar.d.
~epea". (3/3 or S/6)
i1.
Pass any
crossing
li:les.
I"
c.
H8..ve cti=-d copy
first. If failed,
ielY.Dns:rate
13.
14.
'When giving =-te~s 9, 11 and 12, do not na~e the for~s. ~o not demarstrate 9 and. 11.
When scoring, eacL pair (2 ar~s, 2 legs,
Point to picture and have child ~8..me i~.
~~'
f 00. i-
~~~o~
L l~~~" ,
'~~i
etc.) cO-J.r~ts as one part.
(=\TC cred.i-::: is given for sO"J.nds only.)
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15. Te 11 c:"lild to: Give b::"'ock to ~r.or::unie; put bloc~ on table; put bloc=~ on floor. Pas s 2 of 3.
(Do ~ot help ch=-ld. by poin-:::ing, mov=-:lg tead. or eyes.)
16. Ask C~1.ild: What do you do whe;:} yo~ are cold? .. ht';___'lgry? .. tired? Pass 2 of 3.
17. ~ell child ta: Pt:t bloc~ en ~able; under taD~e; ~n front of chair, becind chair.
Pass 3 of 4. (Do ~ot help-Zhi::"'d by po~nti~g, moving Dead or eyes.) ------
18. As~ ct=-~i: !f fire is ~ot, ice is ?; ~other is a woman, Dad is a ?; a horse is b=-g, a
~ouse is 1. Pass 2 of 3.
19. Ask chi::Ld.: 1;fnat is a ball? . .12.ke? . .desk? . .:"louse? . .banana? . .c"J.rtain? . .ceiling?
..hedge? . .pavement? Pass if de:ine~ in terDs ef ~se, shape, wha~ it is rrBde of or general
category (such as banana is fruit, not just yellaw). Pass 6 0: 9.
28. Ask child: What is 8.. spoon maQe of? ..8.. shoe made of? ..a door nade o:? (No other ob~ects
may -;:::e s-J.-;:::sti t-J.ted. ) Pass 3 of 3.
21. ~~en placed on stomach, chili lifts c:"lest off table with support of forearms 8..;:}d/or ha:lds.
22. Tlhen c~ild. ~s on ",::;.ack, grasp his :"lands and pull nirr. to sitting. Pass if head d.oes not !1arg (;.ack.
23. Ctiid may ~se wall ar rail only, not person. May not crawl.
24. 8tild must tnro,;.[ -oall overtand -; fee~ to ,'lithin armIs reach of tes-:er.
25. Child must perforlT_ standi:'1g bro~d jump over '..ri,itt of test s!1eet. (3-1/2 i:1ches)
26. 7ell child to walk fOFv-Ja!'.i, o:::::.t~O::::::)C::::)+ teel '",i-:;hir. 1 inch of tee.
':::'ester may demonstrate. Chili must waL~ ~ consecu-:::ive steps, 2 out of 3 trials.
27. Bou:lce ball to chili who should stand 3 feet away :rom tes-:er. Child ffit:st catch ball with
hands, :lot arms, 2 out 0: 3 trials.
28. Tell child. to waL~ bac:n:.1:I8..rd, ....-a::=>aoa:::::>CCJ toe ,'lithin 1 inch 0: heel.
Tester nay demo:r::strate. Child must '..ralk 4 cor~secutive steps, 2 ot:t of 3 trials.
DA~ AlID 3EHAVIORAL OBSERVATIONS (how ctilQ fee~s at time of test, relatiaL to teste:::-, attention
span, verba~ betaviar, self-confidence, etc,):
157. 10-70