Agenda - 05-20-2008-4h - Laserfiche WebLink

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08-09 AGREEMENT Between UNC School of Medicine And Orange County Health Department May 21, 2008 Page of 9 a. Collaboration with OCHD to develop and approve protocols for Outpatient Clinics. For the mutual benefit of the Department, OCHD, and its prenatal patients, prenatal patients will be managed according to OCHD established protocols. These protocols will be reviewed annually and be consistent with protocols used at UNC Department of OB/GYN and Family Medicine outlying clinics. b. 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; Regular individual meetings with the nurse practitioners will occur according to an agreed upon schedule to review records of high-risk or problematic patients; Documentation will be recorded in the patient record indicating that a review occurred and noting any recommended changes in the plan of care. c. Co-signing charts of patients seen by new nurse practitioners of OCHD within five (5) working days for at least the first six months of their nurse practitioner practice, and face-to-face consultation on a weekly basis for the first month of their nurse practitioner practice and at least monthly thereafter for the succeeding five months; d. A review of all OCHD prenatal records at 16, 28 and 36 weeks to assure that appropriate medical care is being provided, with a Maternity Chart Review form completed at each interval. e. Weekly group meetings with clinical staff in each site according to an agreed upon schedule to discuss patient care and clinical operation issues. f. Overall responsibility for medical Residents and medical students working in clinics including orientation, supervision of practice and assurance of compliance with OCHD program and documentation requirements. g. Provision of routine medical services during scheduled on-site times at OCHD Outpatient Clinics, including documentation of Clinical Services provided per established OCHD protocols; h. Medical consultation visits to OCHD patients during on-site scheduled times at Outpatient Clinics; medical consultation to OCHD nurse practitioners by telephone when the Medical Director is not on-site at OCHD outpatient clinics. Continuing education consultation for OCHD nurse practitioners and other OCHD staff to include regular informal consultation and periodic formal sessions as appropriate;