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Nurse-Family Partnership

SEA

 

 

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NFP Click to Contact

 

 

 

 

 

 

 

 

 

 

 

 

Who?
Available to anyone who is pregnant with their first child, meets income requirements, and lives in one of the 6 counties in our service area. The mother must enroll before 29 weeks pregnant.
 

Your nurse will support you to:

  • Have a healthy pregnancy and a healthy baby.
  • Become the best mom you can be.
  • Learn and practice things that make you more confident as a mom, like breastfeeding, nutrition, child development, safe-sleep techniques and much more.
  • Get referrals for healthcare, childcare, job training and other support services available in our community.
  • Continue your education, develop job skills or follow your dreams for the future.

 

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Prevent hild Abuse logo

Nurse-Family Partnership is sponsored by PCAND.  This program is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS). The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS or the U.S. Government.

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NFP Cell

 

 

 

SERVICE AREAS

Burleigh County:

Jessica Linneman, RN
Michelle Allex, RN
Liz Kapella, RN


Grant, Mercer, Morton,
Oliver & Sioux Counties:
Chelsey Trebas, RN, CLC

Tuberculosis

Sunset

Tuberculosis (TB) is a bacterial disease that is spread through the air. This happens when
a person with TB disease coughs, sneezes, speaks, or sings.

TB can also affect other parts of the body such as the brain, lymph nosed, kidneys, bones, joints,
larynx, intestines or eyes, which is referred to as extrapulmonary.

 

Symptoms: cough lasting 3 weeks or longer, pain in the chest, coughing up blood or sputum,
weakness/fatigue, weight loss, fever, chills, night sweats

 

 

Screening for TB is available through a simple blood draw.


For more information on Tuberculosis visit:  https://www.hhs.nd.gov/tuberculosis

Western Plains Public Health (Mandan office) offers TB testing on Monday’s, Tuesday’s, and Wednesdays by appointment.  

If you would like to schedule an appointment or if you have any other questions, please contact your local public health office.

Sexually Transmitted Infections

Hands

Chlamydia is a common bacterial STI that can cause an infection in women and men. 

*If you have had a previous chlamydia infection and were treated, you can get infected again.

*If you are pregnant, you can pass chlamydia to your baby during a vaginal delivery. 

 

How it’s spread: By having unprotected vaginal, anal, or oral sex. 

 

Signs/Symptoms: Often has no symptoms, but it can cause serious health problems even without symptoms. 

  • Women—Abnormal vaginal discharge, A burning sensation when peeing

  • Men—Discharge from the penis, A burning sensation when peeing, Pain and swelling in one or both testicles (this is less common)

  • Rectal Infection: Rectal pain, Discharge, Bleeding

 

Who should get tested? 

If you are sexually active and have any of the following risk factors, you should be tested at least once a year.

  • Gay or bi-sexual women and men

  • Men who have sex with other men

  • Have a new sex partner

  • Persons that have multiple sex partners

  • Persons that have a sex partner who has an STI

  • You are pregnant

 

Gonorrhea is a common bacterial STI that can cause an infection in women and men. 

*If you have had a previous gonorrhea infection and were treated, you can get infected again.

*If you are pregnant, you can pass gonorrhea to your baby during a vaginal delivery. 

 

How it’s spread: By having unprotected vaginal, anal, or oral sex. 

 

Signs/Symptoms: Often has no symptoms, but it can cause serious health problems even without symptoms. 

  • Women—Painful or burning sensation when peeing, Increased vaginal discharge, Vaginal bleeding between periods

  • Men—Burning sensation when peeing, A white, yellow, or green discharge from the penis, Painful or swollen testicles (this is less common)

  • Rectal Infection: Discharge, Anal itching, Soreness, Bleeding, Painful bowel movements

 

Who should get tested?

 If you are sexually active and have any of the following risk factors, you should be tested at least once a year.

  • Gay or bi-sexual women and men

  • Men who have sex with other men

  • Have a new sex partner

  • Persons that have multiple sex partners

  • Persons that have a sex partner who has an STI

  • You are pregnant



Syphilis is a bacterial STI that can cause an infection in women and men. 

*If you have had a previous syphilis infection and were treated, you can get infected again.

*If you are pregnant, you can pass syphilis to your baby during pregnancy. 

 

How it’s spread: Direct contact with a syphilis sore during vaginal, anal, or oral sex. It can be spread from a mother to her unborn baby.

 

Signs/Symptoms: 

  • Primary—Single or multiple sores in the location of contact. They can be painless. The sore(s) will go away on their own in 3-6 weeks. These usually occur in, on, or around the Penis, Vagina, Anus, Rectum, Lips or in the mouth

  • Secondary—Skin rashes and/or sores in the mouth, vagina, or anus. The rash can be on the palms of your hands and/or the soles of the feet. These will go away on their own. 

    • Other s/s: fever, swollen lymph nodes, sore throat, patchy hair loss, headaches, weight loss, muscle aches, and feeling very tired.

  • Latent—There are no visible signs or symptoms. Without treatment, you can continue to have syphilis in your body for years and can spread it to others. 

 

Who should get tested?

If you are sexually active and have any of the following risk factors, you should be tested at least once a year.

  • Gay or bi-sexual women and men

  • Persons living with HIV

  • Persons taking pre-exposure prophylaxis (PrEP) for HIV prevention

  • Persons that have a sex partner who tests positive for syphilis

  • You are pregnant

 

Western Plains Public Health offers confidential 3-site testing for *chlamydia & *gonorrhea as well as blood sample testing for syphilis.
*Treatment is available for positive chlamydia and/or gonorrhea results.
 

If you would like to schedule an appointment or if you have any other questions, please contact: 


Grant, Morton, and Sioux Counties
Jennifer Pelster, RN
 

Mercer and Oliver Counties
Amber Staigle, RN

 

 

 

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STI Testing

 
         For more information about Sexually Transmitted Infections (STIs)

       Click Here:

       ND HHS
 

Hepatitis C

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Hepatitis C is a liver infection caused by the hepatitis C virus (HCV). Hepatitis C
is spread through contact with blood from someone that has hepatitis C.

 

How it’s spread: Hepatitis C is spread through contact with blood from someone
that has hepatitis C.

 

Who should get tested?

  • Persons who have HIV/AIDS
  • Persons who have previously used injection drugs
  • Persons who currently use injection drugs*
  • Persons who have ever share injection supplies/equipment*
  • Persons who have a sex partner that has HCV
  • Persons who have a sex partner that uses injection drugs
  • Persons on long-term dialysis
  • Persons who have had blood transfusion or blood products before 1992
  • Persons who have had an organ transplant before 1992
  • Children born to mothers with an HCV infection
  • Healthcare/public safety workers after a needle stick involving infected blood

*Testing should be completed at least annually but recommended every 3-6 months.


                  NDHHS Hep C:  https//www.hhs.nd.gov/viral-hepatitis
 

 

 

Western Plains Public Health offers
confidential testing for hepatitis C.
This is done by a finger-poke,
with results in 20 minutes. 



If you would like to schedule an appointment or if you have any other questions, please contact:

 

Grant, Morton, and Sioux Counties
Jennifer Pelster, RN

Mercer and Oliver Counties
Amber Staigle, RN

 

HIV/AIDS

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HIV/AIDS

HIV (human immunodeficiency virus) is a virus that attacks the body's immune system. Without treatment, it can lead to AIDS (acquired immunodeficiency syndrome). 

There is currently no effective cure. Once people get HIV, they have it for life. But proper medical care can control the virus.

 

How it’s spread: Most people who get HIV get it through anal or vaginal sex, or sharing needles, syringes, or other drug injection equipment.

Only certain body fluids can transmit HIV, including:

  • Blood

  • Semen

  • Pre-seminal fluid

  • Rectal fluids

  • Vaginal fluids

  • Breast milk

 

Who should get tested?

  • Persons having sex with someone living with HIV (PLWH)

  • Persons that have had more than one sex partner since last HIV test

  • Persons who injected drugs

  • Persons who exchange in sex work

  • Persons diagnosed with or had treatment for tuberculosis (TB), HCV or an STI

  • Persons who have sex with someone that uses injection drugs

  • Persons that have sex with someone who exchanges in sex work

  • Persons that have sex with someone whose sexual history is unknown (i.e. anonymous sex partners, one night stand)

  • Persons that get tattoos or body piercings in unsterile environments

                

ND Ryan White Part B Program provides assistance to ND residents living with HIV/AIDS to access confidential health and support services.
To enroll, contact Western Plains Public Health.
 

        Attached Document or FileNorth Dakota HHS


Western Plains Public Health offers confidential testing for HIV. This is done by a finger-poke, with results in 20 minutes. 

If you would like to schedule an appointment or if you have any other questions, please contact: 


Grant, Morton, and Sioux Counties
Jennifer Pelster, RN

Mercer and Oliver Counties
Amber Staigle, RN

 

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Immunizations

People with bandaids on their arms after receiving immunizations

 

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Imm flue covid fall 2024

 

 

 

 

 

 

 

 

 

 

 

Why is it important to immunize?  Vaccines protect children and adults against potentially disabling and life-threatening disease. Immunization has saved more than a billion lives and prevented countless illnesses and disabilities. However, vaccine-preventable diseases are still a threat and continue to infect children and adults, resulting in hospitalizations and deaths every year. Take the steps today to help prepare for a healthier tomorrow.

IMMUNIZATION CLINICS:                                                                                       
Please call the appropriate office to schedule an appointment.

 

 IMMUNIZATIONS PROVIDED

COVID-19 (Moderna), DTaP, Hepatitis A, Hepatitis B, HIB, HPV-9 (Gardasil), Influenza (Flu) - seasonal, MenB (Bexsero), Meningococcal (MCV-4), MMR, PCV-13 (Children only), PCV20, RSV (Adult only), Rotavirus, Tdap, Varicella (Chickenpox), Zoster (Shingles)

Learn More About Immunizations
 

 

 

 

 

 

 

Western Plains Public Health can bill the following insurances:

♦ Aetna
♦ Blue Cross Blue Shield
♦ Champ VA
♦ Health Partners
♦ Humana
♦ Medica
♦ Medicaid
♦ Medicare Part B
♦ NextBlue
♦ Sanford (Except Sanford Align)
♦ Tricare West Region
♦ United Healthcare

If you have an insurance other than what is listed above, WPPH can still provide immunizations.  Please note we would collect payment for the cost of vaccine and administration fee at the time of service.

If you are uninsured/underinsured, you may qualify for vaccine assistance.  Please contact your local office if you have questions.


 

3rd Party Authorization
to Bill Services
 


Recommendations & Requirements

Adult  (General Recommendations)

Adult (Individuals with Chronic Health Conditions Recommendations)

Children (Birth through 6 Years)

Children (7 years through 18 years)

Childcare & School Requirements

Travel
 

Additional Resources

CDC Recommended Immunization Schedules

North Dakota State Immunization Program


 

 

 

 

Home Visiting-Health Maintenance

home health

Home Visiting-Health Maintenance services are provided by Registered Nurses to individuals who live in Grant, Mercer, Morton, Oliver, and Sioux counties. Clients are accepted into the program based on the reasonable expectation that their medical, nursing, and social needs can be adequately met safely in their place of residence. Potential clients have the right to accept or deny services. 

Referrals may be made by individuals, family, professionals or others who believe there is a need.  Care is coordinated with your health care provider.  Costs for services are set by a sliding fee scale.

Potential Clients:

  • Reside in Grant, Mercer, Morton, Oliver, or Sioux counties.
  • Are at risk for hospital admission or long-term care placement due to an inability to safely manage and take their medications as prescribed
  • Are under the care of a health care provider
  • Do not require in-home nursing as defined by Medicare
  • Do not require nursing visits more than once a week
  • Have a reasonable expectation that their needs can be safely met in their home

Services Include:

  • Medication set-up and management - Including but not limited to: setting up medications, monitoring medication supply, ordering and arranging delivery of refills, and communication with health care provider’s office and pharmacy.
  • Health Education and Counseling
  • Nursing assessment
  • Administration of injections/ injectable medications
  • Limited Point of Care testing (i.e. INR)
  • Assisting with community referrals - Connecting clients with other available services to help maintain safety and independence.
  • Foot Care

 

Home Visiting-Health Maintenance Client Rights and Responsibilities

 

Service Provided In

Grant County
Bridget Winkler, RN


Rural Morton County
Heidi Peltz, RN

Mercer County
Heidi Moore, RN

 
Morton and Sioux Counties
Jodie Fetsch, RN, Director of Nursing

 
Oliver County
Amber Staigle, RN

Good Neighbor Project

Many people
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GNP Beulah
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GNP 12.2024

 

 


NEW CLIENT enrollments are encouraged to come at the start of clinic hours.
The first appointment will take approximately 1 hour (please plan accordingly).

CLINIC REMINDER:  The Good Neighbor Project is a walk-in-clinic and waiting times will vary (please plan accordingly).

 


IF YOU WITNESS AN OVERDOSE

  1. CALL 911
  2. Do 2 rescue breaths
  3. Draw 0.4 mg/ml of naloxone into syringe
  4. Administer naloxone into the shoulder or thigh muscle
  5. Continue 2 rescue breaths every 5 seconds
  6. If no response, repeat 0.4 mg/ml of naloxone every 3 minutes
  7. Remain onsite & cooperate with first responders upon arrival

The Good Samaritan Law protects you so you can protect your friend.


SIGNS OF AN OVERDOSE

  • Face is clammy to touch and has lost color
  • Body is limp
  • Fingernails or lips have a blue or purple tinge
  • Vomiting or making gurgling noises
  • Cannot be awakened from sleep or unable to speak
  • Breathing is slow or has stopped
  • Heartbeat is slow or has stopped

 

 

Cribs for Kids

Baby sleeping

Western Plains Public Health is an official partner and distributor for the Cribs for Kids ® program! Cribs for Kids ® is a safe-sleep education and distribution program for families to help reduce the risk of injury and death of infants due to unsafe sleep environments.

This program provides safe sleep education, a Graco Pack n' Play, crib sheet, pacifier and a swaddle sack to pregnant or new mothers in need of a safe sleep location for their baby.

Screening is completed by local partners and eligibility varies by site and is based on availability.  Please visit the following site or contact one of our certified nurses to the right for more information: https://www.health.nd.gov/cribs-kids


For More Information Contact:
Adrianna Tincher, RN

 

 

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Newborn Home Visiting

Mother holding newborn baby.

A few days in the hospital following the birth of a new baby are often not enough for new parents to feel comfortable. Frequently, questions arise after leaving the hospital and settling in at home.

The Beyond Birth Education Program is a newborn home visit offered as a follow-up to hospital discharge. During this visit, the nurse will weigh your baby, check the cord, ask about feedings, and answer questions related to care of your baby. She will also provide support, education, and answer questions about your postpartum healing and role as a mother.

Shortly after your baby's hospital discharge, a Registered Nurse/Certified Lactation Counselor will call or text you to schedule an appointment for a home visit. There is no charge for this service and visits usually last about one hour. We look forward to working with you!
 

Links

General Information on Pregnancy, Birth, and Parenting:

Immunizations:

Nutrition:

Breastfeeding:

Growth & Development, Parenting and Care Giving:

Postpartum Care:

Safety:

Soothing:

Car Seat Safety Information:

Caring for a Sick Baby:

Safe Sleep and Tummy Time:

Community Resources:


Services Provided In:

 
Grant, Oliver, Morton & Sioux Counties
Adrianna Tincher, RN

 
Mercer County
Heidi Moore, RN