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HomeMy WebLinkAbout5.785 Original Contract ,- . . '. .5.7gS CLINICAL AFFILIATION AGREEMENT This agreement is made and entered into between Clark County Fire District 5 Northwest Regional Training Center (Training Center) and Port Angeles Fire Department (Agency). The purpose of this agreement is for Agency, which is committed to training health care professionals, to provide desirable clinicallearnmg experiences and facilities for Training Center's Paramedic students In conSideration of the mutual covenants and agreements herein, Training Center and Agency agree as follows. GENERAL PROVISIONS 1. Clinical areas, dates, times and numbers of students shall be mutually agreed upon at the beginning of each academic term 2. Training Center and Agency will jointly plan the clinical education program and Jointly evaluate students. Exchange of information will be maintained by on-site hospital visits when practical and by letter or telephone in other Instances. 3. Training Center and Agency 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 Training Center and Agency 4. There will be no payment of charges or fees between Training Center and Agency. 5. 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 Training Center or Agency engage in such discrimination in their employment or personnel policies. TRAINING CENTER'S RESPONSIBILITIES 1. Training Center will provide Information to Agency concerning its curriculum and the professional and academic credentials of ItS faculty for the students at Agency Training Center faculty members supervising students will be licensed to practice where so required in the State of Washington. Training Center will designate an appropriately qualified and credentialed faculty member to coordinate and act as the liaison with Agency. Training Center will be responsible for Instruction and administration of the student's academic education program Training Center will notify Agency In writing of any change of its liaison. Training Center Will have the final responsibility for grading students 2. Training Center shall provide Agency with a Handbook for Paramedic Clinical Preceptors which outlines, among other things, the role of the preceptor, the role of the student, general rules for conduct by the student, learning styles, safety precautions to be taken by the student, skills to be performed by the student under the direction of the preceptor, information taught to students by the Training Center prior to their beginning a clinical rotation, and documentation sheets to be completed by the preceptor 3 Faculty of the Training Center and the preceptor will be responsible for selecting the learning experiences. Responsibilities of the faculty member are to' . Identify students who meet the criteria for the experience. . Communicate prior to the clinical experience with the student and preceptor the role of the Training Center in providing learning experiences for students, the role and responsibilities of the faculty and preceptor regarding the experience, and the responsibilities of the student in this experience . Serve as a resource to the preceptor and the student . Provide orientation materials, course objectives, forms, evaluation tools, and policies of the Training Center as needed to preceptor. . Evaluate student progress and achievement with input from the student and preceptor according to course and student objectives. . Be available and respond to concerns or Issues that arise during the clinical experience . Provide avenue for ongoing communication to student and preceptor. . Evaluate preceptor experience In relationship to course objectives. 4. Training Center's faculty will meet as needed with Agency's clinical education supervlsor(s) and/or preceptor(s) to diSCUSS and evaluate the clinical education program. These meetings will take place In person If practicable, otherwise by telephone conference. Training Center is responsible for arranging and planning the meetings 5. Training Center will provide the names and information pertaining to relevant education and training for all students enrolled in the clinical education program. Training Center is responsible for supplying any additional information required by Agency as set forth in this Agreement, prior to the arrival of students. Training Center will notify Agency in writing of any change or proposed change In a student's status. Training Center shall ensure that all students are current on their immunizations. Immunizations shall include measles (rubeola), mumps, Rubella (or a positive rubella titer), and chicken pox (varicella). Hepatitis B Vaccination is encouraged or a signed waiver declining the vaccine Training Center will provide Information to the Agency regarding student status concerning the above requirements. In no event shall the Training Center enroll a student for the clinical experience who the Training Center has reason to believe has contracted a communicable disease and IS In the communicable period 6. Training Center will assign to Agency only those students who have satisfactorily completed the prerequisite didactic portion of the curriculum and who have evidence of completion of a CPR course based on the American Heart Association or American Red Cross guidelines and related to the age group(s) with whom they Will be working. 2 7 Training Center agrees to request a cnminal background check. Training Center agrees to provide Agency with a copy of the cnminal background check results provided by the Washington State Patrol pertaining to each student considered for placement at Agency Training Center acknowledges that placement of each student at Agency IS contingent upon prOVIsion of background check information dated less than two years prior to the commencement of the clinical education placement. Agency acknowledges that Training Center is not responsible for the accuracy of the information provided through thiS background check and that Training Center's provision of thiS background check information does not relieve Agency of any of ItS legal obligations related to these background checks. Agency understands and agrees that any Information forwarded to it by Training Center has been procured through this process Training Center does not certify the veracity of the records provided 8. Training Center shall support and comply with all policies and procedures of Agency that pertain to students and faculty participating in clinical programs at Agency. Training Center will notify each student of his/her status and responsibilities pursuant to thiS Agreement. 9. Training Center 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. Training Center will inform students that they are responsible for their own health needs, health care costs, and health insurance coverage. AGENCY'S RESPONSIBILITIES 1. Agency Will provide students with a desirable clinical education experience Within the scope of health care services provided by the Agency. Agency Will deSignate staff to act as preceptors, to be responsible for the clinical education program, and will designate one person as the clinical education Supervisor who Will maintain contact with the Training Centers designated liaison to assure mutual participation in and review of the clinical education program and student progress 2. Agency shall proVide orientation for the students to the clinical areas of the Agency. Agency reserves the nght to limit access by the student to confidential information Responsibilities of the preceptor in the Agency.are to: . Assist the student in processing information that will facilitate meeting course/learner objectives Within the agency. . Provide learning experiences and assignments to achieve student and course objectives. . Answer student questions . Be present in the clinical setting and available to the student at all times during the prescnbed clinical time . Discuss with the student the Implications of his/her observations within the (Agency). " -' . Inform the faculty member of problems or issues that are of concern to preceptor. . Communicate with the faculty member concerning student's progress . Provide direct supervision of student(s) within the clinical learning expenence . Give student feedback on performance. . Formally evaluate student performance in the clinical area based on course and student objectives. . Limit student experiences as necessary for client safety related to client condition or student concern. 3 Agency will provide students and faculty access to its Medical Library and access to patient charts according to its standard poliCies and patient's rights. 4. Agency Will provide locker space and conference space as necessary and available. Agency will make available basIc supplies and equipment necessary for care of patients/clients and the clinical education program. 5 Agency agrees to follow the outlines of the Handbook for Paramedic Clinical Preceptors and discuss with Training Center any concerns or deviations that Agency desires to make 6. Agency retains full responsibility for the care of patient/clients, and will maintain the quality of patient care without relying on the students' clinical training activities for staffing purposes. 7 Agency has the right to terminate a student's practicum experience and use of ItS facIlities, equipment or supplies where flagrant or repeated violations of the Agency rules, regulations, poliCies or procedures occur Such action will not normally be taken until the charges against the student have been discussed with the appropnate representative of the Training Center. However, the Agency reserves the right to take Immediate action where necessary to preserve the quality of patient services and to maintain operation of it facilities free from interruption. The Training Center Will not reassign the individual to the Agency without prior approval of the Agency, which will not be unreasonably withheld 8. In the event a student or faculty member requires emergency medical care or first aid for accidents while on the premises of the (AGENCY), the (AGENCY) will provide such care as needed The cost will be charged to the student or the faculty member. STUDENTS' STATUS AND RESPONSIBILITIES 1. Students Will have the status of learners and will not replace Agency Department personnel Any service rendered by students IS Incidental to the educational purpose of the clinical education program. 2. Students are required to adhere to the standards, poliCies and regulations of Agency during their clinical education program. 3. Students Will wear appropnate attire and name tags, and will conform to the 4 ,- standards and practices established by Training Center dUring their clinical education program at Agency. Students observing in surgery will wear appropriate surgical attire. 4. Students assigned to Agency will be and will remain Students of Training Center, and will in no sense be considered employees of Agency. Students will not be entitled to any monetary or other remuneration for services performed by them at Agency, nor will Agency otherwise have any monetary obligation to Training Center or its students by virtue of thiS Agreement. 5 The student will be required to sign the agency's: rider form The student is not an employee or volunteer member of the agency Agency will not provide workers compensation for the student LIABILITY COVERAGE PROVISIONS 1. Training Center shall provide worker's compensation coverage for its staff members while on Agency premises to the extent such coverage is required by the State in which the Agency IS located. Agency does not and will not assume any liability under any law relating to Worker's Compensation on account of any Training Center student's performing, receiving training, or traveling pursuant to this Agreement. 2. During the term of this Agreement, Training Center shall keep in full force professional liability insurance in the amount of $1,000,000 per occurrence and $3,000,000 In the aggregate which shall extend to the activities contemplated under this Agreement and undertaken on Agency premises, covering both faculty and students. Upon request, Training Center will provide proof of coverage. Notwithstanding anything else in thiS agreement to the contrary, failure by the Training Center to maintain the required level of insurance coverage continuously In effect shall be grounds for Immediate termination of this Agreement by Agency. 3. Training Center agrees to hold Agency harmless from claims or injuries or damages to persons or property that arise out of any act or omission of the Training Center or its faculty or students enrolled In the practicum program. Agency agrees to hold Training Center harmless from claims or injuries or damages to person or property that arise out of the terms and conditions of thiS agreement that result from any act or omission of the Agency and ItS employees. TERM 1 This Agreement will become effective on the last date noted on the signature page, and remain In effect for two years. This Agreement will be reviewed no later than two years from ItS effective date, or earlier at the request of either party. Training Center and Agency will JOintly plan student placement in advance of each year's beginning taking Into account the needs of the Training Center for clinical placement, maximum number of students for whom Agency can provide a desirable clinical education experience, and the needs of other disciplines or Training Centers requesting clinical placements 5 " 2 This Agreement may be terminated by either party by written notice given to the other party at least ninety (90) days in advance of such termination. Any students enrolled in the clinical education program at the time of the notice shall be allowed to complete his/her practlcum experience. PROVISIONS REGARDING BLOOD-BORNE PATHOGENS 1. Training Center certifies that it has trained each student it sends to Agency m universal precautions and transmission of bloodborne pathogens, and that It will send to Agency only those students who have been trained In and have practiced using universal precautions. Agency will provide personal protective equipment that IS appropriate for the tasks assigned to Traming Center's students. MISCELLANEOUS PROVISIONS 1. Entire Aoreement. This Agreement constitutes the entire Agreement between the parties, and replaces all oral or written agreements, commitments, or understandings concerning the matters provided for herem. 2. Amendment. This Agreement may only be modified 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. 3. Governino Law. The parties' rights or obligations under thiS Agreement will be construed in accordance with, and any claims or dispute relating thereto will be governed by, the laws of the State of Washington. 4. Notices. 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. mall, postage prepaid; or upon confirmation of successful facsimile transmission. 5 Survival. Training Center and Agency expressly intend and agree that the liability coverage provisions of thiS Agreement will survive the termination of this Agreement for any reason 6. Inspection. Agency will permit, on reasonable notice and request, the inspection of clinical and related facilities by agencies charged with responsibility for accreditation of Training Center. 7. Relationship Between the Parties The parties agree that this agreement is not intended and shall not be construed to create a relationship of agent, employee, partnership, joint venture, or association between Training Center and Agency and any student 6 , Northwest Regional Training Center cla~ County Fire :&t 5 ~_ Signature: . ....~ ~_____ //. t? . ~------ '" ,p A \ Print: ~ ~~~ Title: S2rv~ s-'Ef2ViCO .D*c.~ Date: 2-0 -S- ~ <2.-ecA Port ~nge/es Fire Da;.nt Signature: Print: Dan McKeen Title: Fire Chief Date: June 15, 2006 7