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HomeMy WebLinkAbout9016AGENDA BILL CITY OF BREMERTON CITY COUNCIL SUBJECT: Affiliation Agreement between Bremerton Fire Department and Tacoma Community College for Training of Health Care Professionals Study Session Date: COUNCIL MEETING Date: Department: Presenter: Phone: 5E February 28, 2018 March 7, 2018 Fire David Schmitt (360) 473-5381 SUMMARY: The purpose of this agreement is for the Bremerton Fire Department to commit to training health care professionals, to provide desirable clinical learning experienges and facilities for Tacoma Community College's students. ATTACHMENTS: Affiliation Agreement FISCAL IMPACTS (Include Budgeted Amount): None STUDY SESSION AGENDA: ® Limited Presentation ❑ Full Presentation STUDY SESSION ACTION: ® Consent Agenda ❑ General Business ❑ Public Hearing RECOMMENDED MOTION: Move to approve the Affiliation Agreement with Tacoma Community College and authorize the Mayor to finalize and execute the agreement with substantially the same terms and conditions as presented. COUNCIL ACTION: [Approve Form Updated 01/02/2018 ❑ Deny ❑ Table ❑ Continue ❑ No Action AFFILIATION AGREEMENT This Agreement is made and entered into between Tacoma Community College ("School"), located at 6501 S. 19th St, Tacoma, Washington, 98466 and City of Bremerton, participating via its Fire Department ("Company"), located at 911 Park Avenue, Bremerton, WA 98337. The purpose of this Agreement is for Company, which is committed to training health care professionals, to provide desirable clinical learning experiences and facilities for School's students. In consideration of the mutual covenants and agreements contained herein, School and Company agree as follows: I. GENERAL PROVISIONS A. School and Company agree that contemporaneous with or following execution of this Agreement and within the scope of its provisions, School may develop letter agreements with Company 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. A list of skills the paramedic students will perform during their time as a student may include, but are not limited to, the following: • Obtain a patient history from an alert and oriented patient • Comprehensive normal adult physical assessment techniques • Comprehensive normal pediatric physical assessment techniques • Airway, oxygenation, and ventilation • Direct orotracheal intubation adult • Direct orotracheal intubation pediatric • Nasotracheal intubation adult • Supraglottic airway device adult (Combitube, LIMA, King, Cobra, etc.) • Needle Cricothyrotomy (Percutaneous Translaryngeal Ventilation) • CPAP and PEEP • Trauma adult physical assessment • Trauma endotracheal intubation adult • Pleural decompression (Needle Thoracostomy) • Spinal immobilization adult (supine patient) • Spinal immobilization adult (seated patient) • Joint splinting • Long bone splinting • Traction splinting • Hemorrhage control • Medical and cardiac physical assessment • Intravenous therapy • Intravenous bolus medication administration • Intravenous piggyback infusion • Intraosseous infusion • Intramuscular and subcutaneous medication administration • Intranasal medication administration • Inhaled medication administration • Glucometer • 12-lead ECG • Synchronized cardioversion • Defibrillation (Unwitnessed arrest) • Transcutaneous pacing • Normal delivery with newborn care • Abnormal delivery with newborn care 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 Company 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 Company 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 Company. D. There will be no payment of charges or fees between School and Company. E. There will be no discrimination against any program participant or applicant under this Agreement on the basis of race, color, creed, religion, national origin, age, sex, honorably discharge veteran or military status, sexual orientation, 2 marital status, genetic information, pregnancy, the presence of any sensory, mental or physical disability, or the use of a trained guide clog or service animal by a person with a disability. SCHOOL'S RESPONSIBILITIES A. School will provide information to Company concerning its curriculum and the professional and academic credentials of its faculty for the students at Company. School will designate an appropriately qualified and credentialed faculty member to coordinate and act as the Liaison with Company. School will be responsible for instruction and administration of the students' academic education program. School will notify Company 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 Company 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 four weeks before the beginning date of thE.' clinical education program. School is responsible for supplying any additional information required by Company as set forth in this Agreement, prior to the arrival of students, School will notify Company 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 immunity status, documentE�d by a protective titer, 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 titE!r. 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 Company rE!garding student status concerning the above requirements. E. School will assign to Company only these students who have satisfactorily completed the prerequisite didactic portion of the curriculum and who have evidence of completion of a CPR course based on American HE!art Association or American Red Cross guidelines and related to the age group(s) with whom they will be working. F. School shall ask each student who may be placed in Company to obtain his/her criminal history background record frorn the, Washington State Patrol, pursuant 3 to RCW 43.43.834 and RCW 43.43.8381, to release a copy of that record to the School, and to authorize the School to transmit that record or copy thereof to Company. Before the start of training, School will provide Company with the names of any students who have failed to provide the requested records, or who refuse to authorize the release of records to Company. The students will be informed that, whether or not they agree to obtain the record and agree to release it to School and Company, Company may conduct the background inquiry directly and the Company may refuse placement of a student who does not provide the requested records or who has a record of prior criminal conduct. Company understands and agreE?s 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 Company. G. School will comply with and ensure to the extent possible that students comply with the policies and procedures established by Company. School will notify each student of his/her status and responsibilities pursuant to this Agreement. This includes notification to students of the need to procure the insurance coverage required by the Company as identified in section V. C. below prior to being admitted to the Company. 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. COMPANY'S RESPONSIBILITIES A. Company will provide students with a desirable clinical education experience within the scope of health care services provided by Company. Company 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. Company will submit in writing to School the professional and academic credentials for the Preceptors and clinical education Supervisor. Company will notify School in writing of any change or proposed change of the Preceptors or clinical education Supervisor. B. Company will provide students with access to sources of information necessary for the education program, within Company's policies and procedures and commensurate with patients' rights, including library resources and reference materials. 0 C. Company 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, Company will make available office and conference space for students and, if applicable, School faculty. D. Company will submit required reports on each student's performance and will provide an evaluation to School on forms provided by School. E. Company retains full responsibility for the care of patients/clients, and will not rely on the students' clinical training activities for staffing purposes. F. Company will have the right to take immediate temporary action to correct a situation where a student's actions endanger any person or property. As soon as possible thereafter, Company'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 Company provides for School; however, Company reserves the right to terminate the use of its facilities by a particular student at any and all times, at its sole discretion, which shall be exercised reasonably. G. On any day when a student is participating in the clinical education program at its facilities, Company will provide or ootain for such student necessary emergency health care or first aid for accidents ocCurring in its facilities. The student will be responsible for the costs of any and all care. H. Except as provided in this Agreement, Company 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 replace Company personnel. Any service rendered by students is incidE)ntal to the educational purpose of the clinical education program. B. Students are required to adhere to the standards, policies, and regulations of Company 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 Company. D. Students assigned to Company will be and will remain students of School, and will in no sense be considered employees of Company. Company 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 5 Agreement. Students will not be Entitled to any monetary or other remuneration for services performed by them at Company, nor will Company otherwise have any monetary obligation or supervisory obligation other than educational, 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 c-:;tate of Washington Self -Insurance Program and the Tort Claims Act (Chapter 4.92 RCW). Claims against School and its employees, officers, and agents 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. C. In order to be accepted at the Company, students will be required to have medical malpractice and general liability coverage, whether through the student medical malpractice and general liability policies offered by the State of Washington, Office of Financial Management, Risk Management division, or otherwise, while a guest of Company. D. Company is self -insured. Through that coverage, Company 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 while acting within the scope of their employment. VI. TERM A. This Agreement is effective July 1, 2017 — June 30, 2020. School and Company 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 Company 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 60 days prior to termination; however, such termination shall not become effective for the students then enrolled in the clinical education prograrn if such termination prevents completion of their requirements for completion of the clinical education program. C1 VI1. PROVISIONS REGARDING BLOOD -BORNE PATHOGENS A. School certifies that it has trained each student it sends to Company in universal precautions and transmission of blood -borne pathogens, and that it will send to Company only students who have been trainE�d in and have practiced using universal precautions. School has recommended the Hepatitis B (HBV) screening to all clinical education program students before assignment to Company. Students may waive the HBV series, but are required to have a TB screening and be up-to-date on all other immunizations. Company 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 Company, Company agrees to provide the following services: • Being seen by Company's employee health service and/or emergency department as soon as possible after the injury • Emergency medical care following the injury, by Company or closest available medical care; • Initiation of HBV, Hepatitis C (HCV) and FIN protocol; • HIV counseling and appropriate testing. The student will be responsible for the costs of any and all care, testing, counseling, and obtaining necessary follow-up care. C. The source patient's HBV, HCV and HIV status will be determined by Company in the usual manner to the extent possible. Vill. MISCELLANEOUS PROVISIONS A. Entire Agreement. 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; 7 2. Attachments to this Agreement in reverse chronological order. D. Governing Law and Attorney Fees. 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. Jurisdiction and venue for any lawsuits shall be Kitsap County Superior Court. For all disputes, each party shall be responsible for all its own costs and fees. E. Notices. All notices, demands, requests, or other communications required to be given or sent by School or Company, 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 S. 19th St. Tacoma, WA 98466 (b) To Company: City of Bremerton Fire Department 911 Park Avenue Bremerton, INA 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 doposit in the U.S. mail, postage prepaid; or upon confirmation of successful facsimile transmission. F. Survival. School and Company expressly intend and agree that the liability coverage provisions of this Agreement will survive the termination of this Agreement for any reason. G. Severability. 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. I. Inspection. Company 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 voluntarily provides students with training on the requirements of the Health Insurance Portability .and Accountability Act (HIPAA). Company will provide additional training on Company's specific HIPAA policies and procedures. School will direct its students and faculty to comply with the policies and procedures of Company. No protected healthcare information (PHI) is anticipated to be exchanged between Company and School. Solely for the purpose of defining students' role in relation to the use and disclosure of Company's PHI, students acting pursuant to this Agreement are defined as members of Company's workforce. However, School's students and faculty shall not be considered to be employees of Company. Tacoma Comnm'nyu)ty College By 7 Krista x V I (date) Dean for Health, Business rofe nal Services Division BY ")14tc� Tod Treat Ph.D. (date) Executive Vice -President Office for Academic and Student Affairs City of Bremerton By �✓� C, Greg Wheel ayor (date) Schni 1/ (date) 0j Attested To: By ( ---- Shannon Corin, City Clerk Approved As To Form By l /L Roger Lubovich, City date) (date)