HomeMy WebLinkAbout5.722 Original ContractTACOMA
COMMUNITY
COLLEGE
Health, Justice Human Services Division
Continuation of Clinical Affiliation Agreement for Academic Year
2011 -2012
Clinical Affiliation Agreement between Tacoma Community College, Paramedic /EMT
Programs, and Port Angeles Fire Department
The College has reviewed this Agreement and wishes to continue the same without
change in stipulations until September 1, 2012.
Qut4a0J,
Pat Brown
Dean, Health, Justice, and Human Services
g/
Date
After review, Port Angeles Fire Department agrees to continuation of this
Agreement without change in stipulation until September 1, 2012.
Dan McKeen
Fire Chief
Tacoma Community College
is accredited by the
Northwest Association of
Schools and Colleges.
Date
ORTNGELES
W A S H I N G T O N U.S.A.
CITY COUNCIL MEMO
DATE: SEPTEMBER 6, 2011
TO: CITY COUNCIL
FROM: DAN MCKEEN, FIRE CHIEF
SUBJECT: AFFILIATION AGREEMENT WITH TACOMA COMMUNITY COLLEGE RE- ESTABLISHING
THE PORT ANGELES FIRE DEPARTMENT AS A PARAMEDIC TRAINING SITE
Summary: Tacoma Community College is requesting that the Port Angeles Fire Department be
re- designated as a field- training site for paramedic students enrolled at the College. There are
several benefits in maintaining our paramedic training site status. These benefits include an
improvement in our own paramedic's pre hospital medical skills, increased Port Angeles Medic I
recognition and the subsequent increase in paramedic candidates when testing.
Recommendation: Authorize the Fire Chief to sign the Affiliation Agreement between the City
of Port Angeles and Tacoma Community College for 2011/2012 academic school year.
Backiround/Analvsis: During the past several years, the Fire Department was designated as a
field" training site for paramedics students enrolled at Tacoma Community College. This was
made possible through an affiliation agreement originally approved by the Council in 2005.
Tacoma Community College is asking the City to renew its Affiliation Agreement, re- designating
the Port Angeles Fire Department as a field training site for students enrolled at Tacoma
Community College. There are no changes to the existing Agreement that was previously
reviewed by the City Attorney and was approved by the City Council.
The following outlines the benefits of obtaining paramedic training site status:
When instructing and/or evaluating paramedic students, our paramedics will be
voluntarily refreshing their own skills to stay on top of the latest techniques and
information in providing pre hospital medical care.
The Port Angeles Fire Department increases its recognition throughout the area's EMS
community as paramedic students from Tacoma Community College obtain their
practical training through our Medic I program.
City Council
Page 2
September 6, 2011
The City receives more firefighter /paramedic applications when testing for the above
position. This occurs as Tacoma Community College paramedic students become familiar
with the department and our area.
As a field training site, the Port Angeles Fire Department will continue to limit taking no more
than one or two students per year, with each student requiring no more than approximately 30
shifts of field instruction per year.
DM
Attachment Affiliation Agreement
__ TACOMA
COMMUNITY
COLLEGE
Tacoma Community College
is accredited by the
Northwest Association of
Schools and Colleges
AFFILIATION AGREEMENT
This Agreement is made and entered into between
Tacoma Community College ( "School ")
located at 6501 South 19th Street, Tacoma, Washington, and
Port Angeles Fire Department ( "Training Site ")
located at 102 East Fifth Street, Port Angeles, Washington
The purpose of this Agreement is for Training Site, which is committed to training health
care professionals, to provide desirable clinical learning experiences and facilities for
School's students who are enrolled in its Emergency Medical and Health Services
program (the "education program "). In consideration of the mutual covenants and
agreements contained herein, School and Training Site agree as follows:
I. GENERAL PROVISIONS
A. School and Training Site agree that contemporaneous with or following execution
of this Agreement and within the scope of its provisions, School may develop
letter agreements with Training Site to formalize operational details of the clinical
education program. These details include, but are not limited to, the following:
• Beginning dates and length of experience (to be mutually agreed upon at
least one month before the beginning of the clinical education program);
• Number of students eligible to participate in the clinical education program;
• Specific days, hours and locations for the clinical education program;
• Specific learning objectives and performance expectations for students;
• Specific allocation of responsibilities for the faculty Liaison, clinical education;
• Supervisor and Preceptors, if any, referenced elsewhere in this Agreement;
• Deadlines and format for student progress reports and evaluation forms.
Any such letter agreements will be considered to be attachments to this
Agreement, will be binding when signed by authorized representatives of each
party, and may be modified by subsequent letter agreements signed by
authorized representatives of each party.
B. School and Training Site will jointly plan the clinical education program and jointly
evaluate students. Exchange of information will be maintained by on -site visits
when practical and by letter or telephone in other instances.
C. School and Training Site will instruct their respective faculty, staff, and students
participating in the clinical education program, to maintain confidentiality of
student and patient information as required by law and by the policies and
procedures of School and Training Site.
D. There will be no payment of charges or fees between School and Training Site.
E. There will be no discrimination against any program participant or applicant
covered under this Agreement because of race, color, religion, national origin,
age, handicap, status as a Vietnam era or disabled veteran, sex, or sexual
orientation, nor will School or Training Site engage in such discrimination in their
employment or personnel policies.
II. SCHOOL'S RESPONSIBILITIES
A. School will provide information to Training Site concerning its curriculum and the
professional and academic credentials of its faculty for the students at Training
Site. School will designate an appropriately qualified and credentialed faculty
member to coordinate and act as the Liaison with Training Site. School will be
responsible for instruction and administration of the students' academic
education program. School will notify Training Site in writing of any change or
proposed change of its Liaison. School will have the final responsibility for
grading students.
B. School's faculty will meet with the Training Site clinical education Supervisor and
Preceptors, if any, at the beginning and end of the clinical education program to
discuss and evaluate the clinical education program. These meetings will take
place in person if practicable, otherwise by telephone conference. School is
responsible for arranging and planning the meetings.
C. School will provide the names and information pertaining to relevant education and
training for all students enrolled in the clinical education program at least four
weeks before the beginning date of the clinical education program. School is
responsible for supplying any additional information required by Training Site as
set forth in this Agreement, prior to the arrival of students. School will notify
Training Site in writing of any change or proposed change in a student's status.
D. School will obtain evidence of current immunizations against diphtheria, tetanus,
poliomyelitis, measles (rubeola), mumps, rubella (or a positive rubella titer), and of
hepatitis B immunization status for those students who will be in contact with
patients /clients. For each student born after 1956, School will maintain on file
records of positive titer or of post -1967 immunization for rubella and rubeola. At
the time of immunization, students with no history of exposure to chickenpox will
be advised to get an immune titer. School will require yearly PPD testing or follow -
up as recommended if the students are PPD - positive or have had BCG. School
will provide information to Training Site regarding student status concerning the
above requirements.
Affiliation Agreement with
Port Angeles Fire Department
Page 2 of 9
E. School will assign to Training Site only those students who have satisfactorily
completed the prerequisite didactic portion of the curriculum and who have current
CPR certification.
F. School shall ask each student who may by placed in Training Site to obtain his /her
criminal history background record from the Washington State Patrol, pursuant to
RCW 43.43.834 and RCW 43.43.838, to release a copy of that record to School,
and to authorize the School to transmit that record or copy thereof to Training Site.
School will provide Training Site with the names of any students who have failed to
provide the requested records, or who refuse to authorize the release of records to
Training Site. The students will be informed that, whether or not they agree to
obtain the record and agree to release it to School and Training Site, Training Site
may conduct the background inquiry directly and the Training Site may refuse
placement of a student who does not provide the requested records or who has a
record of prior criminal conduct.
G. Training Site understands and agrees that any information forwarded to it by
School has been procured through this process. School does not certify the
veracity of the records provided and, furthermore, the obligation to conduct
appropriate background checks and the liability for non - compliance therewith
remains the responsibility of Training Site.
H. School will comply with and ensure to the extent possible that students comply
with the policies and procedures established by Training Site. School will notify
each student of his /her status and responsibilities pursuant to this Agreement.
I. School will encourage each student participating in the clinical education
program to acquire comprehensive health and accident insurance that will
provide continuous coverage of such student during his or her participation in the
education program. School will inform students that they are responsible for their
own health needs, health care costs, and health insurance coverage.
III. TRAINING SITE'S RESPONSIBILITIES
A. Training Site will provide students with a desirable clinical education experience
within the scope of health care services provided by Training Site. Training Site
will designate in writing Preceptors, if any, to be responsible for the clinical
education program, and will designate in writing one person as the clinical
education Supervisor, who will maintain contact with the School- designated
Liaison to assure mutual participation in and review of the clinical education
program and student progress. Training Site will submit in writing to School the
professional and academic credentials for the Preceptors and clinical education
Supervisor. Training Site will notify School in writing of any change or proposed
change of the Preceptors or clinical education Supervisor.
Affiliation Agreement with
Port Angeles Fire Department
Page 3 of 9
B. Training Site will provide students with access to sources of information
necessary for the education program, within Training Site's policies and
procedures and commensurate with patients' rights, including library resources
and reference materials.
C. Training Site will make available to students basic supplies and equipment
necessary for care of patients /clients and the clinical education program. Within
the limitation of facilities, Training Site will make available office and conference
space for students and, if applicable, School faculty.
D. Training Site will submit required reports on each student's performance and will
provide an evaluation to School on forms provided by School.
E. Training Site retains full responsibility for the care of patients /clients, and will
maintain the quality of patient care without relying on the students' clinical
training activities for staffing purposes.
F. Training Site will have the right to take immediate temporary action to correct a
situation where a student's actions endanger patient care. As soon as possible
thereafter, Training Site's clinical education Supervisor will notify School of the
action taken. All final resolutions of the student's academic status in such
situations will be made solely by School after reviewing the matter and
considering whatever written factual information Training Site provides for
School; however, Training Site reserves the right to terminate the use of its
facilities by a particular student where necessary to maintain its operation free of
disruption and to ensure quality of patient care.
G. On any day when a student is participating in the clinical education program at its
facilities, Training Site will provide to such student necessary emergency health
care or first aid for accidents occurring in its facilities. Financial responsibility for
such emergency care, including care described elsewhere in this Agreement, will
be as follows:
• Training Site will not bill students for the cost of initial emergency care;
• At the student's expense, Training Site will provide follow -up care, testing and
counseling, including HIV testing, and counseling associated with that testing,
in the absence of any similar service being immediately available from
School's health services;
• The student will be responsible for the costs of any and all such follow -up
care, testing and counseling.
H. Except as provided in this Agreement, Training Site will have no obligation to
furnish medical or surgical care to any student.
Affiliation Agreement with
Port Angeles Fire Department
Page 4 of 9
IV. STUDENTS' STATUS AND RESPONSIBILITIES
A. Students will have the status of learners and will not replace Training Site
personnel. Any service rendered by students is incidental to the educational
purpose of the clinical education program.
B. Students are required to adhere to the standards, policies, and regulations of
Training Site during their clinical education program.
C. Students will wear appropriate attire and nametags, and will conform to the
standards and practices established by School during their clinical education
program at Training Site.
D. Students assigned to Training Site will be and will remain students of School, and
will in no sense be considered employees of Training Site. Training Site does
not and will not assume any liability under any law relating to Worker's
Compensation on account of any School student's performing, receiving training,
or traveling pursuant to this Agreement. Students will not be entitled to any
monetary or other remuneration for services performed by them at Training Site,
nor will Training Site otherwise have any monetary obligation to School or its
students by virtue of this Agreement.
V. LIABILITY COVERAGE PROVISIONS
A. Each party to this agreement will be responsible for the negligent acts or
omissions of its own employees, officers, or agents in the performance of this
Agreement. Neither party will be considered the agent of the other and neither
party assumes any responsibility to the other party for the consequences of any
act or omission of any person, firm, or corporation not a party to this Agreement.
B. School is covered by the State of Washington Self- Insurance Program and the
Tort Claims Act (RCW 4.92.060 et seq.), and claims against School and its
employees, officers, and agents in the performance of their duties and this
Agreement will be paid from the tort claims liability account as provided in RCW
4.92.130.
C. Training Site maintains professional liability insurance coverage with
GO CIA . Through that coverage, Training Site provides
liability coverage for its employee's officers, and agents in the performance of
this Agreement, and further provides the means for defense and payment of
claims that may arise against such individuals.
( A ) 5h 41.9 C A )4Z-3 T r► s u ran c
Affiliation Agreement with
Port Angeles Fire Department
Page 5 of 9
VI. TERM
A. This Agreement is effective beginning, January 1, 2010 and will continue
thereafter from year to year. This agreement will be reviewed no later than three
years from its effective date, or earlier at the request of either party. School and
Training Site will jointly plan student placement in advance of each year's
beginning taking into account the needs of the school for clinical placement,
maximum number of students for whom Training Site can provide a desirable
clinical education experience, and the needs of other disciplines or schools
requesting clinical placements.
B. This agreement may be canceled by written notice one year prior to
termination; however, such termination shall not become effective for the
students then enrolled in the clinical education program if such termination
prevents completion of their requirements for completion of the clinical education
program.
VII. PROVISIONS REGARDING BLOOD -BORNE PATHOGENS
A. School certifies that it has trained each student it sends to Training Site in
universal precautions and transmission of blood -borne pathogens, and that it will
send to Training Site only students who have been trained in and have practiced
using universal precautions. School has provided the opportunity to receive
Hepatitis B (HBV) vaccine to all clinical education program students before
assignment to Training Site. Training Site will provide personal protection
equipment that is appropriate for the tasks assigned to School's students.
B. In the event a student sustains a needle -stick injury or other substantial exposure
to bodily fluids of another or other potentially infectious material while
participating in the clinical education program at Training Site, Training Site
agrees to provide the following services:
• Being seen by Training Site's employee health service and /or emergency
department as soon as possible after the injury;
• Emergency medical care following the injury;
• Initiation of HBV, Hepatitis C (HCV) and HIV protocol;
• HIV counseling and appropriate testing.
C. The source patient's HBV, HCV and HIV status will be determined by Training
Site in the usual manner to the extent possible. Training Site does not accept
liability for any illness or injury subsequent to such accidental exposure, except
as otherwise provided in this Agreement.
Affiliation Agreement with
Port Angeles Fire Department
Page 6 of 9
VIII. HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT
PROVISION
School shall direct its faculty and students to comply with the policies and
procedures of the Training Site, including those governing the use and disclosure
of individually identifiable health information under federal law, specifically 45
CFR parts 160 and 164. Solely for the purposes of defining the trainees' role in
relation to the use and disclosure of Training Site's protected health information,
as that term is defined in 45 CFR parts 160 and 164, the trainees are defined as
members of the Training Site's workforce, as that term is defined by 45 CFR
160.103, when engaged in activities pursuant to this Agreement. However, the
trainees are not and shall not be considered to be employees or volunteers of the
Training Site,, nor are the trainees aaents of the Trainina Site by virtue of this
provision.
IX. MISCELLANEOUS PROVISIONS
A. Entire Aareement. This Agreement constitutes the entire agreement between the
parties, and supersedes all prior oral or written agreements, commitments, or
understandings concerning the matters provided for herein.
B. Amendment. This Agreement may be modified only by a subsequent written
Agreement executed by the parties. The provisions in this Agreement may not
be modified by any attachment or letter agreement as described elsewhere in
this Agreement.
C. Order of Precedence. Any conflict or inconsistency in this Agreement and its
attachments will be resolved by giving the documents precedence in the
following order:
1. This Agreement;
2. Attachments to this Agreement in reverse chronological order.
D. Governing Law. The parties' rights or obligations under this Agreement will be
construed in accordance with, and the laws of the State of Washington will
govern any claim or dispute relating thereto.
Affiliation Agreement with
Port Angeles Fire Department
Page 7 of 9
E. Notices. All notices, demands, requests, or other communications required to be
given or sent by School or Training Site, will be in writing and will be mailed by
first -class mail, postage prepaid, or transmitted by hand delivery or facsimile,
addressed as follows:
a) To School:
Tacoma Community College
6501 South 19 Street
Tacoma, Washington 98466
Attention: Pat Brown, Dean for Health, Justice & Human Services
To Trainina Site:
Port Angeles Fire Department
102 East 5 Street
Port Angeles, WA 98362
Attention: Dan McKeen, Chief
Each party may designate a change of address by notice in writing. All notices,
demands, requests, or communications that are not hand - delivered will be
deemed received three (3) days after deposit in the U.S. mail, postage prepaid;
or upon confirmation of successful facsimile transmission
F. Survival. School and Training Site expressly intend and agree that the liability
coverage provisions of this Agreement will survive the termination of this
Agreement for any reason.
G. Severabilitv. If any provision of this Agreement, or of any other agreement,
document or writing pursuant to or in connection with this Agreement, shall be
held to be wholly or partially invalid or unenforceable under applicable law, said
provision will be ineffective to that extent only, without in any way affecting the
remaining parts or provisions of said agreement.
H. Waiver. Neither the waiver by any of the parties hereto of a breach of or a
default under any of the provisions of this Agreement, nor the failure of either of
the parties, on one or more occasions, to enforce any of the provisions of this
Agreement or to exercise any right or privilege hereunder, will thereafter be
construed as a waiver of any subsequent breach or default of a similar nature, or
as a waiver of any of such provisions, rights or privileges hereunder.
Affiliation Agreement with
Port Angeles Fire Department
Page 8 of 9
I. Inspection. Training Site will permit, on reasonable notice and request, the
inspection of clinical and related facilities by agencies charged with responsibility
for accreditation of School.
Tacoma Community College Port Angeles Fire Deparment
BY BY
BY 5 l _J. �-, BY t
Silvia Barajas Dan McKeen
Vice Presicl Col ege Services Fire Chief
DATE vac i Gild' DATE la J 1/ 09
Affiliation Agreement with
Port Angeles Fire Department
Page 9 of 9