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6 <br />• <br />June 19, 2006 <br />Addendum A to <br />S -~4'~G <br />SF <br />Agreement between UNC and OCHD <br />For Medical Director Services <br />Whereas, the Chapel HilUCarrboro City Schools (CHCCS) employs one (1) <br />School Nurse who is a licensed and qualified Nurse Practitioner (Head Start Program), <br />and; <br />Whereas, the Chapel HilUCarrboro City Schools (CHCCS) seeks to have the School <br />Nurse provide limited nurse practitioner services to students at her site, and; <br />Whereas, the School Nurse Practitioner requires medical supervision, and; <br />Whereas, the Orange County Health Department (OCHD) maintains a Memorandum of <br />Agreement with the Chapel Hi1UCarrboro City Schools to provide medical direction to <br />school nurses by the OCHD Medical Director, and; <br />w uN~VfiR.,fetY of ,~la~tT/! C/f'rL~R+N~! /~1 Cb~~- ~~u- ~''~ "V~•rriLS/'zr •J <br />Whereas, the Department of Family Medicine of the UNC School of Medicine <br />(Department) provides medical supervision to OCHD Nurse Practitioners through its <br />Medical Director contract and is agreeable to expanding the contract to provide medical <br />supervision to the CHCCS School Nurse Practitioner. <br />Therefore, the above parties agree to the following: <br />1. OCHD Medical Director (or other mutually agreed upon UNC Family Practice <br />physician) will provide medical supervision to the CHCCS School Nurse <br />Practitioner from August 15, 2006 to June 15, 2007 (10 months). <br />" ~r ¢tc~ ~,r t,t,. <br />2 <br />CHCCS will maintain medical malpractice insurance equal to or exceeding a $1 <br />million per incident and a $3 million upper limit coverage for its School Nurse <br />Practitioner and will furnish proof of insurance to the OCHD and the Departure <br />3. CHCCS will submit all nurse practitioner protocols to OCHD for review by the <br />Medical Director or designee prior to implementation of the protocols. <br />~~'~ <br />z~lf~.•~o,~ rs <br />~~1~~ <br />~,QOI~~~.`' <br />~„~ v/f tf/~C `i C¢riS <br />sf~ Tff~ <br />~atFi.+~ <br />nt. 3e Zw ~~ ~1 <br />T~~ ur~~ ~w/"1 <br />/h~ n p c!f p. <br />4. CHCCS will assure the School Nurse Practitioner has an approved Board of <br />Pharmacy registration and Registration and Approval to Practice by the NC Board <br />of Nursing and the NC Medical Board. CHCCS will provide OCHD with a copy <br />of the Nurse Practitioner's current license. <br />5. CHCCS will assure the School Nurse Practitioner has a Collaborative Practice i¢Y <br />Agreement completed with the OCHD Supervising Physician. ~~Ja' ~~,(~ <br />uNrvr~,,,s~-~ti.r ~-.ss.ar+sw ~ p/1 <br />RETURN THIS COPY TO THE CLERK'S _ <br />OFFICE FOR THE PERMANENT AGENDA FILE <br />