HomeMy WebLinkAbout06 June
JEFFERSON COUNTY HEALTH DEPARTMENT
HEALTH BOARD
Minutes:
June 15, 1983
Staff Members:
Randall M. Durant, R.S.
Phyllis Bee, P.H.N.
Joseph Fischnaller, M.D,
Gael Stuart, Administrator
Board Members:
B.G. Brown, Chairman
A.M. O'Meara, Member
John L. Pitts, Member
All members were present when Chairman Brown called the meeting to order.
MINU1'ES: With one minor correction, the minutes for the meeting of
May 18, 1983 were approved on the motion by Commissioner O'rteara, seconded
by Commi.ssioner Pitts. Unanimous,
FOOT CARE CLINICS: Catherine ~errill, who has operated these clinics with
the assistance ot several volunteers for five years, discussed this pro-
gram with the Board. Nine clinics per month are conducted at three
locations (Port Townsend, Chimicum, Quilcenel. The average age of the
clients is 70 years, with a large number in their 80's and 90's. The
current case load is 440 clients, with at least 1-3 new clients being added
each month.
The purpose of the clinics is to provide necessary foot care for individ-
ualSWh:o are unable to perform such care for themselves due to physical
limitations. and to educate clients in the Droper care of the feet, Treat-
ment includes nail and skin care, treatment of blisters, bunions, and
corns, basic hygiene, and referral to a physician when indicated. ~/rs.
Merrill noted that a number of clients who originally attend the clinic
on cruj:;cQ.es or with a walker or wheelchair are able to regain full
mobili.ty with. proper , consistent foot care. While some clients who are
unableto,do their own foot care attend a clinic monthly, others check
in quart~rl:Y Or yearly or when they have a problem. Proper and thorough
foot care is essential for these elderly people to maintain optimal
mobility.
Mrs. Bee.reported that, for some clients whose contacts are limited, these
clinics provide an additional social benefit. Mrs. Merrill's and the
volunt~ers' professional attitude and genuine concern and interest in
their clients provides clients with an opportunity to discuss other con-
cerns while receiving foot care.
NURSING DIRECTOR REPORT: Mrs. Bee's written report for the month of May,
1983 (attachment 1) was briefly reviewed. She noted that the decrease in
the number of children seen at well-child clinics was due to the nurse
who conducts the clinics being absent due to illness in the family,
Health Board, June 15, 1983
Page 2
During the month of May, Mrs. Bee and Mrs. Handly attended a Crippled
Children's Services workshop and a workshop on sexually transmitted
diseases.
PROPOSED MOUND SYSTEM: CHARLES LAWS: Mr. Durant reminded the Board that,
on February l6, 1983, they had approved a mound system for Mr. Laws' Cape
George lot contingent on Department of Social and Health Services approval.
Following inspection of the lot on May 25, 1983, a letter was received from
the DSHS Sanitarian (attachment 2) stating that the site is not acceptable
for a mound system because it does not have the minimum 24 inches of
original topsoil above the seasonal water level or a strata of impermeable
soil.
Mr. Laws was present, and stated that he would like to engage an engineer
to work with DSHS staff to determine whether any other alternative system,
such as the intermediate sand filter system, would be acceptable on the
lot. He asked that the Board indicate their support of his plans to DSHS
in order to encourage their cooperation.
During the discussion that followed, the following points were made by
the Board and staff members: l)Any alternative system which the State is
likely to approve would probably require 24 inches of topsoil. 2)Some
alternative systems, such as the sand filter, still require a drain field,
and soil conditions would still be critical. 3)Although an engineer may
design a system which he feels will work at a particular site, the State
may not approve it. 4)Money invested in engineering services may not
result in a State-approved system, and may result in a financial loss.
5)While the State is also very interested in alternative systems, and
their cooperation could be expected, they are understaffed and may be slow
to respond.
Mr. Laws stated that information he obtained from the State of Oregon,
where sand filter systems have been installed (with varying success),
indicated that some systems have been approved for sites with 18 inches
of topsoil.
Commissioner Pitts moved to communicate, via Dr. Fischnaller, the Board's
support of any joint effort by Mr. Laws' engineer and DSHS staff to find
an acceptable alternate system. Commissioner Brown seconded the motion.
Unanimous.
DANGEROUS WASTES AND AGRICULTURAL APPLICATION OF SEWAGE SLUDGE: Mr.
Stuart presented a letter (attachment 3) trom the State Association of
Public Health Officials stating that these topics will be discussed during
meetings held concurrently with the Washington State Association of
Counties meetings which the Board will attend in Yakima. Health Depart-
ment staff will not be attending, but it was suggested that one or more
of the Commissioners might choose to attend these meetings.
LETTER OF APPRECIATION: Mr. Stuart read a letter of appreciation for
assistance provided by Randy Durant and John Hayes (attachment 4).
Health Board, June 15, 1983
Page 3
ADDITIONAL ENVIRONMENTAL HEALTH PERSONNEL: Mr. Stuart reported that
Clallam County has inquired about the possibility of sharing the services
of another Environmental Health Specialist on the same basis as John
Hayes is employed. He indicated that, if the staff is to be increased,
hiring a part-time person (possibly shared with Clallam County) is prefer-
able to hiring a fulltime person because it would provide more flexibility
and make covering vacations, etc. easier. He also acknowledged that the
environmental health workload probably justifies additional staff. How-
ever, from the standpoint of his position as Administrator, he is compelled
to resist increasing the staff unless revenues increase. At present,
revenues do not justify additional staff. He stated his opinion that to
increase staff at County expense would mean the County would be funding
additional services to the public.
Mr. Durant stated that an additional staff person would not provide any
extra services, but would enable the Department to perform duties and
services which they are required to provide. At present, food service
inspections are four months behind. Owner septic tank installation
inspections are not always performed in a timely manner, and only about
20 percent of professionally installed systems are inspected. He pointed
out that, in addition to routine duties such as site evaluations, sewer
and water system review and inspection, plan reviews, permits, coordination
with the Planning and Building Departments on projects, and related con-
tacts and paperwork, the number of special projects and requests is
increasing. During the month of May, there were eleven different matters
which required a considerable amount of time and effort, such as plan
reviews for a school remodeling, a new school facility, and the Crown Z
solid waste site, requests for information regarding the status of
Protection Island, two public septic system repairs, and the situation at
Olympic Testing Labs. He noted that there is no fee charged for many of
these less routine activities.
The Board indicated that the County's financial situation is such that an
additional employee cannot be employed unless there are additional revenues.
There was discussion regarding the possibility of charging for services for
which there is not currently a fee and of increasing current fees to
reflect the actual cost of the service.
ADMINISTRATOR'S REPORT: Mr. Stuart reported that actual expenditures are
lower than budgeted and actual revenues, due to a Home Health Program
payment which was received, exceed the budgeted amounts. He agreed to
investigate the possibility of Federal funding to compensate for expenses
incurred due to the current situation on Protection Island and the possi-
bility of any funding which might be available due to the new jobs programs.
PROFESSIONAL SERVICES CONTRACTS: Commissioner Pitts seconded Commissioner
O'Meara's motion to approve and sign contracts with Danielle McClanahan
and Beverly Rich (attachments 5 & 6) to provide staff coverage during
vacations, etc. Unanimous.
ENVIRONMENTAL HEALTH DIRECTOR REPORT: Mr. Durant's written report for
May, 1983 (attachment 7) was brietly reviewed.
,
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JEFFERSON COUNTY HEALTH DEPT.
MONTHLY REPORT OF NURSING SERVICE
Date of Report June 1, 1983 OJ. 00:. ~dO
For Month of' Mav, 1983 Phy11 i ~ Bee. Di rector of Nurs i ng
Number of Number of Year to Date
clinics clients seen
his Month. Las t ~'onth This Month Last Month
'ell Child Clinics 6 9 43 82 328
oot Care Clinics , 9 9 70 91 17<;
mmunization Clinics 4 4 105 108 <;1>1
II
IC Clinics 6 2 49 22 ?()~
II
.
D 1 1 9 I
B 2 4 13
ther Communicable Diseases Chickenoox Chickenoox
ewborn Visits 38 29 11~
hild Development Vi s its 30 26 116
,
chools 940
ommunity Activities
Phyllis Bee and Charleta Handly attended a regional ~~-
S meeting in Seattle 5-3-83
(this was paid for by CCS)
Phyllis Bee and Charleta Handly attended a workshop on STD and STD update for JCHO
and CCHD in Port Angeles on 5-16-83.
,
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JOHN SPELLMAN
Governor
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Al AN , GIBB'
Sf:'(wt.ary
STATE OF WASHINGTON
RErr_:"'~n
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DEPARTMENT OF SOCIAL AND HEALTH SERVICES
Olympia, Washington 985().i
JUN B '83
"
JEFF. COUNTY
,HEALTH D"PT
June 6; 1983
J.E. Fischnaller, M.D.
County Health Officer
Jefferson County Health Department
802 Sheridan
Port Townsend, Washington 98368
Subject: Charles Laws Proposed Mound
System, Lot 12, Division 4,
Cape George Village
Dear Dr. Fischnaller:
As per the February 16, 1983, Jefferson County Board of Health minutes and
Randy Durant's May 6, 1983, letter, Ethan Moseng and I visited lot twelve
of division four of the Cape George Village subdivision on May 25. At that
time, we evaluated the site and soil for a proposed mound sewage disposal
system. The evaluation was made within the framework of the March 1980
Rules and Regulations of the State Board of Health, On-Site Sewage Disposal
Systems, and the May 1980 Guidelines Governing the Design, Application, and
Operation of Fill or Mound Systems.
Based upon the soils information provided this office and my site evaluation,
the location of the proposed mound does not meet with the requirement that
a minimum twenty-four inches of original, undisturbed and unsaturated soil
exist above the maximum seasonal water level or a strata of impermeable soil.
This criteria must be met to comply with the guidelines mentioned and because
it does not, this office would not consider the site acceptable for a mound.
Sincerely,
_~"I_'_F I~
Byron R. Plan
Regional Sanitarian
Water Supply and Waste Section
BRP:dab
cc: John Ekstrom
Charles Laws
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JE.FF. cc,u:~r>
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May 26. 1983
(}HQlch,..,a-"f -3
Washington State Association
of Local Public Health Officials
,... f" I=' \\/ t {) AN AFF<CIATE OF
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\\.; ') '\.'83
COUN1Y
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JEff. COUNT,Xl
HEALTH o"'ff~.
TO: Washington State Association of Local Public Health Officials
RE: The combined meeting of the Washington State Association of Local
Public Health Officials and the Washington State Association of
Counties. Yakima, Washington - June 22, 23, 24. The complete
agenda will be sent out by the Washington State Association of
Counties.
Please make individual motel reservations. Suggested motels are either
the Holiday Inn or the Town Plaza. You should have received appropriate
forms from the Washington State Association of Counties for each motel.
The meeting schedule directly including the Health Officials is as follows:
Wednesday, Jyne 22 1:30 P.M.
Concurrent session. Health Officials presentation will be "Agricultural
Application of Sewage Sludge - The Problems, The Process, The Pay-Off".
Participants will be Larry Chadzynski, Environmental Health, Spokane -
Barry Nelson, Environmental Health, Okanogan and John Nordin, Environ-
mental Health, Seattle.
Health Officials Association no host cocktail dinner - 7:00 P.M. -
place to be announced. The anticipated dinner topic will be legislative
update. Lorraine Wojahn to discuss the S84204 story. Please notify
me of intent to attend this dinner by June 15 at one of the numbers
listed below, as a plate guarantee is required.
(509) 456-3630 or SCAN 545-6341
-
-2-
Thursday, June 23 10:30 A.M.
The concurrent session - "Oangerous Wastes" - Health ~azards will include
the Health Officials presentation. The speakers will include Ray M.
Nicola, M. D. who will represent the Health Officials Association.
Friday, June 24
Local Public Health Officials meeting 8:30 A. M. - 12:00 P. M.
Please be sure that your 1983 dues have been paid.
Mary Q. Luther, M. D.
Secretary-Treasurer
West 1101 College Avenue
Spokane, WA. 99201
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CONTRACT FOR PROFESSIONAL SERVICES
This Contract is between the JEFFERSON COUNTY HEALTH DEPARTMENT (DEPARTMENT)
and DANIELLE MCCLANNAHAN (CONTRACTOR). The contract is to be effective
,
June 1, 1983 and will continue until December 31, 1983.
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 Contrator states that 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:
(l)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 Washington
and the Jefferson County Health Department.
(3) The Department shall pay the Contractor the amount of Eleven
dollars and sixteen cents ($11.16) 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 bene-
fits 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 thirty (30) days.
day
Q Contract
of ,.L-.''/
t7
for Professional Services (McClannahan) dated this
/.s-ZL
, 1983.
JEFFERSON COUNTY BOARD OF HEALTH
By /i31~AAA )
B. G. Brown, Chairman
JEFFERrl COUNTY HEALTH DEPARTMENT
BY'~ (2 Ji;:J-
Gael R. Stuart, Administrator
"
By
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Danielle M Clannahan, P.H.N.
.
.
A HQ/chlY/4.n f. '"
,
CONTRACT FOR PROFESSIONAL SERVICES
This Contract is between the JEFFERSON COUNTY HEALTH DEPARTMENT (DEPARTMENT)
(
and BEVERLY RICH (CONTRACTOR). The contract is to be effective June 1, 1983
,
and continue until December 31, 1983.
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 that 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 staDdards of the profession, the State of Washington
and the Jefferson County Health Department.
(3) The Department shall pay the Contractor the amount of Eleven
dollars and sixteen cents ($11.16) 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 Contractorcshall 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.
... ~ ~ "'".,.,;.i"{'_
. -
(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 bene-
,
~its 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
presentingthenselves 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 thirty (30) days.
for Professional Services (RICH) dated this ~~~day
cct
(J
, 1983.
of
JEFFERSON COUNTY BOARD OF HEALTH
By
~
B. G. Brown, Cha1rman
JEFFERSON COUNTY HEALTH DEPARTMENT
By lfw CZ Jj;;j
Gael R. Stuart, Administrator
By
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Beverly RiCh,~.H.N.
COMMUNICABLE
DISEASE CONTROL
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PUBLIC HEALTH
NURSING
VITAL
STATISTICS
ENVIRONMENTAL
HEALTH
HEALTH
EDUCATION
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JEFFERSON COUNTY HEALTH DEPARTMENT
802 SHERIDAN PORT TOWNSEND, WASH. 98368
1206) 385-0722
To: Jefferson County Board of Health
From: Randall M. Durant, R.S.
Director of Environmental Health
Date: June 14, 1983
Subject: Activities of Environmental Health Section for May, 1983
Other Field Work:
Food
13
Complaints
3
Water
1
Other
15
Finals
3
Followup
17
Total
52
Contacts: Office calls, telephone calls, plan reviews
Sanitarians:
Secretaries
498
118 Office contacts
246 Telephone contacts
364 Total for secretaries
862 Total for secretaries and sanitarians
Total contacts year to date: 3,390 (does not include field
contacts or Food Handler tests).
Food Handler Permits: May-77
Sewage disposal system repairs to date 1983 - 11
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