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HomeMy WebLinkAbout4970Contract Number: Vendor: Subject: Department: File Class: Begin Date: End Date: Review Date: Vault Date: 4970 SPOKANE COMMUNITY COLLEGE Affiliation Agreement for Training Site Fire LEG 12-1 10/28/2010 10/28/2013 8/1/2013 Comments: COMMUNITY COLLEGES OF SPOKANE SPOKANE COMMUNITY COLLEGE HEALTH SCIENCE DIVISION AFFILIATION AGREEMENT This Agreement is made and entered into between Community Colleges of Spokane, Spokane Community College, ("School"), located at Spokane, Washington, and Bremerton Fire Department ("Training Site"), located at 911 Park Avenue; Bremerton WA 98337. 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 EMT-Paramedic 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. Affiliation Agreement Page 1 1. The School adheres to and complies with Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Act of 1990; . 2. The School supports the right of students to be free from discrimination based on disability and to reasonable accommodation during clinical rotation; 3. The School will participate in an interactive process with any Training Site and students with disabilities to reach an individualized determination regarding reasonable accommodations that may be appropriate and necessary and the provision of such accommodations; and 4. The School does not approve or support clinical participation by its students at Training Sites that have a policy or practice of discriminating based on disability against clinical students who are otherwise qualified for the college program in which they are enrolled. 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 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 two 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 chicken pox 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. 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 obtain the written authorization of each student who may be 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 and determine, in consultation with the training site if Affiliation Agreement Page 2 needed, whether the student is eligible to participate in the clinical learning experience at the training site. Training Site may conduct the background inquiry directly and the Training Site may refuse placement of a student who has a record of prior criminal conduct. Training Site understands and agrees that the School shall not allow any student to attend clinical that has not met this requirement. 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. G. 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. H. 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. 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 studenYs 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 studenYs 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 Affiliation Agreement Page 3 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: Student shall be responsible 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. IV. STUDENTS' STATUS AND RESPONSIBILITIES A. Students will have the status of learners and will not repface 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 name tags, 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 (Chapter 4.92 RCV1n. Claims against School and its employees, and officers in the performance of their duties under this Agreement will be paid from the tort claims liability account as provided in Chapter 4.92 RCW. Students are covered under the student medical malpractice policy offered by the State of Washington, O�ce of Financial Management, Risk Management division, while working in the Training Site and School agrees to provide proof of insurance to Training Site. School Affiliation Agreement Page 4 also agrees to obtain StudenYs signature on Training Site's Assumption of Risk, Indemnification and Hold Harmless Agreement and to submit the signed agreement to Training Site. C. Training Site self insures its liability claims and provides liability coverage for its employees, 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. VI. TERM � A. This Agreement is effective beginning D���q �- �� , 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 PATHOGEfVS 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 alf 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: . Provide emergency medical care following the injury; Transport to local emergency department, if necessary and/or follow Training Site procedures; • Facilitate initiation of HBV, Hepatitis C(HCV) and HIV protocol; • Facilitate 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. VIII. MISCELLANEOUS PROVISIONS Affiliation Agreement Page 5 A. Entire Aqreement. 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. Governinq Law. The parties' rights or obligations under this Agreement will be construed in accordance with, and any claim or dispute relating thereto will be governed by, the laws of the State of Washington. 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: Terri Armstrong Dean of Instruction for the Health and Environmental Sciences Spokane Community College 1810 North Greene Street MS 2090 Spokane WA 99217 (b) To Traininq Site: ATTN: Mick McKinley, Assistant Fire Chief Bremerton Fire Department 911 Park Avenue Bremerton WA 98337 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 Affiliation Agreement Page 6 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. 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. J. HIPAA. School shall direct its trainees to comply with the policies and procedures of 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 purpose of defining the trainees' role in relation to the use and disclosure of Training Site's protected health information, 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 of the Training Site. SPOKANE COMMUNITY COLLEGE , By Terr rmstrong Dean of Instruction for the Health and Environmental Sciences BREMERTON FIRE DEPARTMENT By � LLi sd � �i�1L� � � /1.(� GNr �1= (please print name & title) Date: /� °- /�- ao / o Approved as to form by the: Assistant Attorney General Attorney for College Date: ��"� �� Affiliation Agreement Page 7 ASSITMPTION OI+' RISK, IIVV�EMI�IIFICA'I'ION AND HOI,D Ht��I.ESS AG1�ElVIEI�TT' The CITY of BREMERTON ("CITY") is a"Training Site" pursuant to an affiliation agreement between the City and COMMUNITY COLLEGES OF SPOKANE, SPOKANE COMMiJNITY COLLEGE ("School"). ���-E- �/1/��_ ("Student") has agreed to utilize the City as their Training Site. In consideration for permission to participate in training activities ("Activity") with the City, Student does hereby agree in addition to the requirements of the affiliation agreement, to accept full responsibility for any injuries to him/her, including death, arising out of or in relation to the Activity. Student assumes the risk of the Activity and waives any and all claims by Student that may arise from personal injury, property damage, or wrongful death associated with the Activity against the City. Student understands that participation in the Activity involves inherent risks and unknown dangers. Student further agrees to defend, indemnify, and hold the City and its officers, officials, employees, agents and volunteers harmless against all liabilities, injuries, damages, losses, costs, expenses and suits, including attorneys' fees, for personal injury, bodily injury (including death) or property damage arising from or in connection with the Activity incl uding, but not limited to, any negligent or wrongful act or omission of the Student, except for that portion of the injuries and damages caused by the CITY' S sole negligence. This Assumption of Risk, Indemnification, and Hold Harmless Agreement shall be interpreted and construed in accordance with the laws of the State of Washington. Venue for any action arising out of participation in the Activity by Student shall be in the Superior Court for Kitsap County, Washington. If any provision of this Agreement shall prove to be invalid, void, or illegal, it shall in no way effect, impair or invalidate any other provision of this Agreement. DATED: I� ZC� IO ,i���� �--- Student