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4 <br /> AGREEMENT Between UNC School of Medicine <br /> and Orange County Health Department <br /> Page 3 of 7 <br /> and program rules. Clinical duties shall include: <br /> a. Collaborative development and approval of clinic protocols; <br /> b. Primary technical supervision of the nurse practitioners who are <br /> employees of the OCHD; <br /> c. Co-signing charts of patients seen by the nurse practitioners of the <br /> OCHD within five (5) working days; <br /> d. Medical consultation visits to OCHD patients during scheduled on-site <br /> clinic times; <br /> e. Routine medical services as needed during scheduled on-site clinic <br /> times when the nurse practitioner is not available or clinic is <br /> extremely heavy; <br /> f. Continuing education consultation for nurse practitioners and other <br /> staff to include regular informal consultation and periodic formal <br /> sessions as appropriate. <br /> 3. This agreement covers the following clinics: FP/STD on Monday <br /> (afternoon) , Tuesday (all day) , and Friday (morning) in Hillsborough and <br /> Wednesday (all day) and Thursday (afternoon) in Carrboro; PNC on Thursday; <br /> CH half-days on Monday and Wednesday; general clinic -adult health and <br /> communicable disease on Monday in Hillsborough and Tuesday in carrboro; <br /> adult health promotion once a month at each location; county employee <br /> health promotion scheduled as needed; TB patients are scheduled during <br /> FP/STD clinics in the afternoons. <br /> 4. Clinics are operational during the normal business hours of 8:00 a.m. to <br /> 5:00 p.m., Monday through Friday. Wednesday and Thursday clinics are <br /> likely to extend until 5:30 p.m., and Tuesday clinics are likely to extend <br /> until 6:00 p.m. The Department is responsible for medical activities <br /> conducted during the entirety of these hours. <br />