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May 1, 2008 <br />Addendum A to <br />Agreement between UNC and OCHD <br />For Medical Director Services <br />Whereas, the Chapel Hill/Carrboro City Schools (CHCCS) employs one (l) <br />School Nurse .who is a licensed and qualified Nurse Practitioner (Head Start Program), <br />and; <br />Whereas, the Chapel Hill/Carrboro 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 />11 <br />Whereas, the Orange County Health Department (OCHD) maintains a Memorandum of <br />Agreement with the Chapel Hill/Carrboro City Schools to provide medical direction to <br />school nurses by the OCHD Medical Director, and; <br />Whereas, The University of North Carolina at Chapel Hill (`The University') through its <br />Department of Family Medicine of the UNC School of Medicine (Department) provides <br />medical supervision to OCHD Nurse Practitioners through its Medical Director contract <br />and is agreeable to expanding the contract to provide medical supervision to the CHCCS <br />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, 2008 to June 15, 2009 (10 months) in accordance with <br />the term of the Agreement between The University and OCHD. <br />2. 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 Department. <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 />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 <br />Agreement completed with the University's assigned OCHD Supervising <br />Physician. <br />