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4 ' <br /> AGREEMENT Between UNC school of Medicine <br /> And Orange County Health Department <br /> 2, The Department shall provide agreed upon medical direction and clinician services <br /> in compliance with State and Federal guidelines and program rules for the following <br /> programs: family planning (FP), prenatal care (PNC), child health (CH), adolescent <br /> health (ADOL), tuberculosis (TB), sexually transmitted disease (STD), general <br /> communicable disease control (GEN), adult health preventive services (AH/HP), and <br /> Jail Health UH). 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 both <br /> parties that prenatal patients will be managed according to OCHD established <br /> protocols. These will be reviewed annually and be consistent with protocols <br /> used at UNC Department of OB/GYN and Family Medicine outlying clinics. <br /> b. Primary medical supervision of the nurse practitioners who are employees of the <br /> 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, and <br /> face-to-face consultation on a weekly basis for the first month after approval and <br /> 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 and <br /> 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 the <br /> Department and the Health Director. <br />