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0708 RGRE~M~NT Between UNC School of Medicine <br />Rnd orange County Health Department <br />May ~1, ZOO7 <br />page ~ of 9 <br />' al atients will be managed according to oCHD established <br />patents, prenat p <br />here rotocols will be reviewed annually and be consistent with <br />protocols. T p <br />at UNC De artment of oBIGYN and Family Medicine outlying <br />protocols used p <br />clinics. <br />' su envision of the nurse practitioners who are employees of <br />b. Primary medical p , <br />to i ncl ude on of n mon itori ng and evaluation of the medical acts <br />C~CH D g g <br />the nurse ractitianers; Regular individual meetings with the nurse <br />performed by p <br />' " ill occur accordin to an agreed upon schedule to review records <br />practitioners w g <br />' roblematic atients" Documentation will be recorded in the <br />of h~gh~risk or p p r <br />' ' dicatin that a review occurred and noting any recommended <br />patent record In g <br />changes in the plan of care. <br />' of atients seen b new nurse practitioners of oCHD within <br />c. Co-slgn~ng charts p Y <br />' warl<in da s for at least the first six months of their nurse practitioner <br />five ~5~ g Y <br />' -to-face consultation on a weekly bans for the first month of <br />practice, and face <br />' arse ractitioner ractice and at least monthly thereafter for the <br />thei r n p p <br />succeeding five months; <br />' 1 oCHD renatal records at ~~, 28 and ~~ weeks to assure that <br />d. A rev i ew of a l p <br />' edical care is bein rovided, with a Maternity Chan Review form <br />appropriate m g p <br />completed at each interval. <br />eti n s with clinical staff i n each site accord i ng to an agreed <br />e. vlJeekly group me g <br />u on schedule to discuss patient care and clinical operation issues. <br />p <br />s onsibilit for medical Residents and medical students working in <br />f. Qverall rep y <br />' ' udin orientation su envision of practice and assurance of <br />clinics incl g ~ p <br />com 1 fiance with oCH D program and documentation requirements. <br />p <br />" ' f routine medical services during scheduled on-site times at oCHD <br />g• Provision o <br />' inics includin documentation of Clinical Services provided per <br />~Jutpatient Cl g <br />established C~CHD protocols; <br />' ultation visits to oCHD patients during on~site scheduled times at <br />h. Medical cons <br />' Clinics medical consultation to oCHD nurse practitioners by <br />(Jutpatient , <br />the Medical Director is not on~site at oCHD outpatient clinics. <br />telephone when <br />• anon consultation for oCHD nurse~practitioners and other <br />I. Continuing educ <br />o include re ular informal consultation and periodic formal <br />NCH D staff t g <br />sessions as appropriate, <br />' edical consultation for primary care patients of oCHD: UNC <br />~, After hours m <br />' alth~ink ro ram rovides initial triage of after-hours calls as <br />Health Care s H e p g p <br />:1Documents.and Setting5lamiles-cassellllocal 5ettingslTemporary Internet ~ilesloLK31UNC i=amily Medicine -Medical Director <br />C <br />Zoo7`~08 revisions ~-Z8-o7.doc <br />