Nursing & Clinical Services

At the Columbia County Department of Health, we care about our community. We provide many important programs and services to help everyone live the most active, healthy life possible. Check our calendar for upcoming clinics or choose a topic to learn more about the programs most beneficial to you.

Communicable Disease

Every Day is a Chance to Improve Your Health and the Health of Your Community

The Communicable Disease program conducts the following important activities to help stop the spread of disease in the community:

  • Investigating disease reports
  • Interviewing patients
  • Monitoring symptoms of disease
  • Providing patient education
  • Tuberculosis Screening & Testing
  • STD Clinic and Immunization Clinic

The program follows New York State law for reportable diseases.

Centers for Disease Control and Prevention

New York State Department of Health

To Help Stop the Spread of Germs:
  • Wash your hands properly and often.
  • Cover your mouth and nose when you sneeze or cough.
  • Avoid touching your eyes, nose, or mouth.
  • Stay home when you are sick and check with a health care provider when needed.

 

Licensed Home Care Services Agency

The Columbia County Department of Health provides nursing services through its Licensed Home Care Services Agency (LHCSA). A Registered Professional Nurse can visit individuals in the community to provide services for:

  • Maternal and Child Health
  • Lead Poisoning Prevention
  • Tuberculosis

Lead Poisoning Prevention

Lead poisoning is a condition caused by the swallowing or inhaling of lead. Some sources for this can be lead-based paint or pipes found in older residences or buildings, and any other lead-containing materials including contaminated dust or fumes. Young children face the greatest risks from lead because their bodies absorb lead more easily, and because they are more apt to put things into their mouths.

You can stay safe around lead! Wash the lead out! Keep your home clean. Dust and dirt in and around your home may contain lead. Lead is harmful for adults, children and even unborn babies. In babies and children, it can cause permanent learning and behavior problems, slowed growth, hearing problems, kidney problems, damage to nervous system and brain and even death.

Where can Lead be found?

Lead can be found in some hobby & craft supplies. It can be found in costume or play jewelry, painted and metal toys. Food or drinks stored in leaded glassware or lead-glazed pottery may contain lead as well as water from old lead pipes. Some folk remedies can contain lead such as: Greta, Azarcon, Ghasard and Ba-baw-san. Some candies, especially those from countries that do not regulate lead, can contain lead. Paint, paint chips or paint dust in homes built before 1978 is a major source of lead exposure for children in the United States. Chipping and peeling paint from old tubs and sinks. Lead from emissions for cars which burned lead gasoline rests in the soil of yards, playgrounds, or gardens near busy streets and highways.

What can you do?

Eat enough healthy foods especially foods high in iron and calcium. Avoid fried and high fat foods! The body easily absorbs lead when you eat high fat foods. Wash your hands often and carefully after playing outside, before eating and before sleeping. Get your children tested, especially at age 1 and 2! Even children who seem healthy can have high levels of lead in their bodies.

Renovate Right!

The new rule…..The EPA is requiring that contractors be Lead-Safe Certified! Contractors include: renovators, electricians, HVAC specialists, plumbers, painters and maintenance staff who disrupt more than size square feet of lead paint. If you live in an apartment or condominium, it is your right to insist on a Lead-Safe Certified Contractor! To find a contractor who is Lead-Safe Certified near you, visit EPA Get Lead Safe or call 1-800-424-LEAD.

Pediatricians who see children between the ages of six months and six years of age should conduct universal lead screenings. Testing is recommended at age 1 and 2.

The Columbia County Department of Health provides lead screenings by appointment for children under age 6 who have no medical insurance. An environmental assessment for lead in a structure can be performed by this department when elevated blood levels have been demonstrated for occupants.

Immunizations

Timely immunizations are one of the most important ways for you to protect yourself and others from serious diseases and infections. If you are a parent, the New York State Department of Health, the CDC, and the American Academy of Pediatrics all recommend that you keep your children up-to-date with the recommended vaccination schedule. It is also important for adults to be sure that they’ve received all the vaccinations recommended for adults.

Please see the videos and resources below to learn more about the importance of immunizations.

 

 

Maternal Child Health

The Columbia County Department of Health offers programs and services to assist families during pregnancy, after the baby’s birth, and during the childhood years. Our goal is to provide education, assessments, and health care to help promote the healthiest possible start for your child’s life. Home visits are available by a nurse trained in mother, baby, and child care. Available services include:

  • Prenatal assessments and education
  • Breastfeeding information
  • Assistance in obtaining services
  • Education on all aspects of mother and baby care
  • Assessment of baby includes weight checks, growth, development, and general health
  • Lead poisoning prevention

Children with Special Health Care Needs

Children with special health care needs are those from birth to age 21 years who require health care or related services beyond the regular well care and preventive measures to keep children healthy.

These may include children who have or are suspected of having a serious chronic, physical, developmental, or emotional condition. Healthy children and adolescents that have developed special needs due to illness or an accident also may require additional health care.

The Columbia County Department of Health’s Children with Special Health Care Needs – CSHCN – is a program designed to provide information and guidance to families with a special needs child.

A registered nurse is on staff to offer assistance with access to appropriate specialty care. Resource information and group support for a child’s particular condition is provided. The nurse may also assist with organizing your child’s medical history and records, help find transportation for medical appointments, and obtain translation services in Spanish or other languages. Families can be linked with community-based agencies and service providers such as:

  • Child Health Plus Insurance / Medicaid
  • Early Intervention
  • Women Infants and Children (WIC)
  • Developmental Disabilities Service Office (DDSO)
  • Supplemental Security Income (SSI)
  • Specialty Clinics

CSHCN will provide services for children who meet criteria covered under Special Health Care Needs, whose families meet income eligibility for this program, and whose child is not eligible for Medicaid or insurance through Child Health Plus. For insured children or those enrolled in Child Health Plus, the program may pay for services for which insurance denies coverage.

Breastfeeding Education and Assistance Program

All of our breastfeeding services are provided by registered nurses who have specialized training in the management of breastfeeding concerns. Our services include:

  • Phone information and/or home visits
  • Printed information available to answer breastfeeding questions
  • Monitoring baby’s weight, growth, and development
  • Assistance with management of breastfeeding problems
  • Breastfeeding education and support
  • Assistance with obtaining breastfeeding equipment
  • Care and support for mother
  • Case management for mothers and babies with medical complications

Physically Handicapped Children's Program (PHCP)

This program offered by Columbia County Department of Health assists families in paying medical bills for children with severe chronic illness and disabilities between birth and 21 years of age who live in NYS and meet medical and financial eligibility requirements.

Examples of Services Paid For:

  • Durable medical equipment
  • Drugs related to the diagnosis
  • Hearing aids (including batteries and ear molds)
  • Orthodontia resulting from severe structural abnormalities with a medical diagnosis (e.g. cleft palate)
  • Diagnosis and evaluation services, and clinic visits
  • Diabetes
  • Cerebral Palsy
  • Cystic Fibrosis

Examples of Services Not Covered:

  • Co-pays In hospital care
  • Well child visits
  • Surgical procedures (in- and out-patient)
  • Anything related to the diagnosis of mental illness, mental retardation, and/or behavioral disorders
  • Eye glasses
  • Conditions related to prematurity
  • Diapers (unless related to a physical disability)

PHCP assists uninsured or underinsured families. Parents of children without insurance just need to apply to Medicaid and Child Health Plus before applying for the program. Medicaid recipients are not eligible. Child Health Plus insurance clients may be eligible for services that are not covered. The private insurance must be billed before the PHCP makes payment and documentation of private insurance refusal must be presented. The PHCP is the payer of last resort. An example of an item not covered by many insurances would be a hearing aid.

Migrant & Seasonal Farm Worker Health Program

The Migrant Farm Worker Health Program provides the following services to migrant and seasonal farm workers:

  • Outreach clinics at area farms offering blood pressure, blood glucose screening and Tuberculosis screening
  • Immunizations
  • Tuberculosis testing
  • Physician visits
  • Linkage to medical services, dental visits, and other services
  • Transportation
  • Translation and interpretation (Spanish language)
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