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06-07 AGREEMENT Between UNC School of Medicine <br />And Orange County FleaOh Department <br />Page 3 of 9 <br />protocols. These protocols will be reviewed annually and be consistent with <br />proton-ols used at UNC Department of OB/CYN and Family Medicine outlying <br />clinics, <br />b, Primary medical supervision of the nurse practitioners who are employees of <br />OCHD to include ongoing monitoring and evaluation of the medical acts <br />performed by the nurse practitioners; Regular individual meetings with the nurse <br />practitioners will occur according to an agreed upon schedule to review records <br />of high-risk or problematic patients; documentation will be recorded in the <br />patient record indicating that a review occurred and noting any recommended <br />changesin the plan of care. <br />c, Co-signing charts of patients seen by new nurse practitioners of OCHD within <br />five (S) working days for at least the first six months of their nurse practitioner' <br />practice, and face-to-face consultation on a weekly basis for the first month of <br />their nurse practitioner practice and at least monthly thereafter for the <br />succeeding five months; <br />d, A review of all OCHD prenatal records at 16, 28 and .36 weeks to assure that <br />appropriate medical care is being provided, with a Maternity Chart Review form <br />completed at each interval. <br />e, Weekly group meetings with clinical staff in each site according to an agreed <br />upon schedule to discuss patient care and clinical operation issues, <br />f. Overall responsibility for medical Residents and medical students working in <br />clinics including orientation, supervision of practice and assurance of <br />compliance with OCHD program and don-umentation requirements. <br />g, Provision of routine medical services during scheduled on-site times at OCHD <br />Outpatient Clinics, including documentation of Clinical Services provided per <br />established OCHD protocols; <br />h, Medical consultation visits to OCHD patients during on-site scheduled times at <br />Outpatient Clinics; medical consultation to OCHD nurse practitioners by <br />telephone when the Medical Director is not on-site at OCHD outpatient clinics, <br />i. Continuing education r-onsultation for OCHD nurse practitioners and other <br />OCHD staff to include regular informal consultation and periodic formal <br />sessions as appropriate; <br />j. After-hours medical consultation for primary care patients of OCHD: UNC <br />Health C'are's HealthLink program provides initial triage of after-hours calls as <br />per the agreement attached hereto and incorporated as exhibit A ("after-hours <br />program"). The Department will provide M edical Director consultation and <br />https://owaorangecocoorangencus/exchange/GWilder/Inbox/Contrad renewals for May 16 agenda.EMUUNC Family Medicine- <br />Medical Director 2006-07.dodC5BEA28G7tIC0-4x97-9AF2-036E93DDAF83/UNC' Family Medicine -Medical Director 2006- <br />07 doc?attach ® i <br />