Agenda - 05-17-2011- 5e - Laserfiche WebLink

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patients, prenatal patients will be managed according to OCHD established 5 protocols. These protocols will be reviewed annually and be consistent with protocols used at LTNC Department of OB/GYN and Family Medicine outlying clinics. 2) Primary medical supervision of the nurse practitioners who are employees of OCHD to include ongoing monitoring and evaluation of the medical acts performed by the nurse practitioners. Meeting with nurse practitioners at least once every six months to identify and document clinical problems, progress toward improving outcomes and recommendations for changes in treatment plans. Documentation of clinical issues discussed and actions taken will be signed, dated, retained by the nurse practitioner and physician and be available for review. 3) During the first six months of practice, meet with new nurse practitioners monthly to discuss practice-relevant clinical issues and quality improvement measures. Documentation of clinical issues discussed and actions taken will be signed, dated, and retained by the nurse practitioner and physician and be available for review. 4) Weekly group meetings with clinical staff in each site according to an agreed upon schedule to discuss high-risk patient care, treatment changes, and clinical operation issues. 5) Overall responsibility for medical residents and medical students working in clinics. This includes orientation, supervision of practice and assurance of compliance with OCHD program and documentation requirements. Advance notice of medical resident and student placement will be made to the Personal Health Director. Medical students are limited to those involved in special projects with the Medical Director. All medical residents and students must be in compliance with OCHD immunization requirements and maintain documentation of such on file at iJNC. 6) Provision of routine medical services during scheduled on-site times at OCHD Outpatient Clinics, including documentation of Clinical Services provided per established OCHD protocols. 7) Medical consultation visits to OCHD patients during on-site scheduled times at Outpatient Clinics; medical consultation to OCHD nurse practitioners as needed by telephone when the Medical Director is not on-site at OCHD outpatient clinics. 8) Continuing education consultation for OCHD nurse practitioners and other OCHD staff to include regular informal consultation and periodic formal sessions as appropriate. 9) After-hours medical consultation for primary care patients of OCHD. UNC Health Care's HealthLink program provides initial triage of after-hours calls. The Department will provide Medical Director consultation and supervision to OCHD clinicians (4 FNPs) that provide after-hours medical consultation (on a rotating basis) for OCHD clients referred by HealthLink. 4