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May 1, 2008 <br />Addendum A to <br />Agreement. between UNC and OCHD <br />For Medical Director Services <br />Whereas, the Chapel Hill/Carrboro City Schools (CHCCS) employs one (1) <br />School Nurse who is a licensed and qualified Nurse Practitioner (Head Start <br />Program), and; <br />~-~ - ~ ~ <br />~h <br />Whereas, the Chapel Hill/Carrboro City Schools (CHCCS) seeks to have the <br />School Nurse provide limited nurse practitioner services to students at her site, <br />and; <br />Whereas, the School Nurse Practitioner requires medical supervision, and; <br />Whereas, the Orange County Health Department (OCHD) maintains a <br />Memorandum of Agreement with the Chapel Hill/Carrboro City Schools to <br />provide medical direction to school nurses by the OCHD Medical Director, and; <br />Whereas, The University of North Carolina at Chapel Hill (`The University') through <br />its Department of Family Medicine of the UNC School of Medicine (Department) <br />provides medical supervision to OCHD Nurse Practitioners through its Medical <br />Director contract and is agreeable to expanding the contract to provide <br />medical supervision to the CHCCS School Nurse Practitioner. <br />Therefore, the above parties agree to the following: <br />1. OCHD Medical Director (or other mutually agreed upon UNC Family <br />Practice physician) will provide medical supervision to the CHCCS School <br />Nurse Practitioner from August 15, 2008 to June 15, 2009 (10 months) in <br />accordance with the term of the Agreement between The University and <br />OCHD. <br />2. CHCCS will maintain medical malpractice insurance equal to or <br />exceeding a $1 million per incident and a $3 million upper limit coverage <br />for its School. Nurse Practitioner and will furnish proof of insurance to the <br />OCHD and the Department. <br />3. CHCCS will submit all nurse practitioner protocols to OCHD for review by <br />the Medical Director or designee prior to implementation of the protocols. <br />4. CHCCS will assure the School Nurse Practitioner has an approved Board of <br />Pharmacy registration and Registration and Approval to Practice by the <br />NC Board of Nursing and the NC Medical Board. CHCCS will provide <br />OCHD with a copy of the Nurse Practitioner's current license. <br />S:\Managers Working Files\Contracts\PERSONAL HEALTH - UNCFM\FY 2009 Contracts with UNC Family <br />Medicine\Addendum A to UNC Agreement 2008-09.doc <br />