Orange County NC Website
Browse       Search
4 <br />2. The Department shall provide, for the programs listed below, agreed upon <br />medical direction and clinician services in family planning (FP), prenatal care <br />(PNC), child health (CH), adolescent (ADOL), tuberculosis (TB), sexually <br />transmitted disease (STD), general communicable disease control (GEN), adult <br />health preventive services (AH/HP), and Jail Health (JH), within State and <br />Federal guidelines and program. rules. Clinical duties shall include: <br />a. Collaborative development and approval of clinic protocols; for the mutual <br />benefit of the Department, OCHD and its prenatal patients, it is agreed by <br />both parties that prenatal patients will be managed according to OCHD <br />established protocols. These will be reviewed annually and be consistent with <br />protocols. used at UNC Department of OB/GYN and Family Medicine outlying <br />clinics. <br />b. Primary technical supervision of the nurse practitioners who are employees of <br />the OCHD; <br />c. Co-signing charts of patients seen by new nurse practitioners of the OCHD <br />within five (5) working days for at least the first six months of their practice, <br />and face-to-face consultation on a weekly basis for the first month after <br />approval and at least monthly for the succeeding five months; <br />d. Routine medical services during scheduled on-site clinic times, including <br />documentation of clinical services per OCHD protocol; <br />e. Medical consultation visits to OCHD patients during scheduled on-site clinic <br />times; <br />f. Continuing education consultation for nurse practitioners and other staff to <br />include regular informal consultation and periodic formal sessions as <br />appropriate. <br />3. The Chair of the Department shall designate the name of the Medical Director <br />and the names. of any physicians who will provide clinical services. The Medical <br />Director shall be board certified in Family Medicine or an equivalent certification. <br />a. Any changes in these designations will be mutually agreed to by the Chair of <br />the Department and the Health Director. <br />