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May 19, 2004 <br />Addeo m A to ~ Q <br />Agreement betwee NC and OCHD ~ v`~ <br />For Medical Di ector Services ~~ ~~. <br />$. <br />Whereas, the Chapel HilUCarrboro City Sch ols (CHCCS) employ two (2) <br />School Nurses who are licensed and qualified arse Practitioners (Head Start Program <br />and Carrboro Elementary School), and; <br />Whereas, the Chapel HilUCarrboro City <br />Nurses provide limited nurse practitioner <br />and; <br />Whereas, the two School Nurse Practitioners <br />(CHCCS) seek to have the two School <br />to students at their respective sites, <br />medical supervision, and; <br />Whereas, the Orange County Health Department ( CHD) maintains a Memorandum of <br />Agreement with the Chapel HilUCarrboro City Sch ols to provide medical direction to <br />school nurses by the OCHD Medical Director, and; <br />Whereas, the Department of Family Medicine of the C School of Medicine <br />(Department) provides Medical Director services to HD through the attached contract <br />and is agreeable to expanding the contract to provide edical supervision to the CHCCS <br />School Nurse Practitioners. <br />Therefore, the above parties agree to the following: <br />1. OCHD Medical Director (or other mutually agree upon UNC Family Practice <br />physician) will provide medical supervision to the HCCS School Nurse <br />Practitioners from August 15, 2004 to June 15, 200 <br />(10 months). <br />2. CHCCS will maintain medical malpractice insurance qual to or exceeding a $1 <br />million per incident and a $3 million upper limit cove ge for its School Nurse <br />Practitioners and will fiunish proof of insurance to the CHD and the <br />Department. <br />3. CHCCS will submit all nurse practitioner protocols to HD for review by the <br />Medical Director or designee prior to implementation of he protocols. <br />4. CHCCS will provide OCHD with copies of the Nurse Pr ctitioner's current <br />license. <br />5. OCHD will amend its agreement with CHCCS to include a medical supervision <br />of its School Nurse Practitioners by the OCHD Medical Di ector or designee with <br />its corresponding period of coverage and costs. <br />6. CHCCS will pay OCHD for medical supervision of its Sch of Nurse Practitioners <br />the amount of $4776/year (2 hours/wk x 6 months; 2 hours/ o x. 4 months) in <br />one lump payment by September 30, 2004. <br />