HomeMy WebLinkAbout9214 DocuSign Envelope ID:C1 B12272-90A9-43EC-A33C-D6C9EAB4C991
AGENDA BILL
CITY OF BREMERTON
CITY COUNCIL
SUBJECT: Study Session Date: December 13, 2023
Affiliation Agreement with Pierce College COUNCIL MEETING Date: December 20, 2023
for Paramedic Student Training Department: Fire
Presenter: Pat McGanney, Fire Chief
Phone: (360) 473-5381
SU ARY:
This agreement will allow Bremerton Fire Department to train Pierce College paramedic students.
ATTACH ENTS:
Affiliation Agreement for Pierce College
FISCAL I PACTS (Include Budgeted Amount): No cost.
STUDY SESSION AGENDA: El Limited Presentation Eli Full Presentation
STUDY SESSION ACTION: El Consent Agenda Eli General Business Eli Public Hearing
RECO ENDED OTION:
Move to approve Affiliation Agreement with Pierce College; and authorize the Mayor to finalize and
execute the agreement with substantially the same terms and conditions as presented.
COUNCIL ACTION: 104 Approve I I Deny I I Table I I Continue I I No Action
Form Updated 11/09/2021
DocuSign Envelope ID:Cl B12272-90A9-43EC-A33C-D6C9EAB4C991
AFFILIATION AGREEMENT
This Agreement is made and entered into between Pierce College ("School"),
9401 Farwest Dr. SW, Lakewood, WA 98498 and City of Bremerton, on behalf
of the Bremerton Fire Department, ("City"), a municipal corporation of the State of
Washington. The purpose of this Agreement is for City , 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 City agree as follows:
I. GENERAL PROVISIONS
A. School and City agree that contemporaneous with or following execution of
this Agreement and within the scope of its provisions, School may develop letter
agreements with City 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 of preceptors (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 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 City 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 City 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
City.
D. There will be no payment of charges or fees between School and City.
1
DocuSign Envelope ID:Cl B12272-90A9-43EC-A33C-D6C9EAB4C991
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 discharged veteran or military status, sexual orientation,
marital status, genetic information, pregnancy, the presence of any sensory, mental or
physical disability, or the use of a trained guide dog or service animal by a person with a
disability.
II. SCHOOL'S RESPONSIBILITIES
A. School will provide information to City concerning its curriculum and the
professional and academic credentials of its faculty for the students. School will
designate an appropriately qualified and credentialed faculty member to coordinate and
act as the Liaison with City. School will be responsible for instruction and
administration of the students' academic education program. School will notify City 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 City 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 City as set forth in
this Agreement, prior to the arrival of students. School will notify City in writing of any
change or proposed change in a student's status.
D. School will obtain evidence of current immunizations against diphtheria,
tetanus, measles (rubeola), mumps, rubella (or a positive rubella titer), and of hepatitis
B immunity status, documented 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 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 City regarding student status concerning the above requirements.
E. School will assign the clinical education program ride site 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 American
Heart Association or American Red Cross guidelines and related to the age group(s)
with whom they will be working.
2
DocuSign Envelope ID:Cl B12272-90A9-43EC-A33C-D6C9EAB4C991
F. As a prerequisite to participation in the clinical education program. School
shall require each student who may be placed in City 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 the School and to
authorize the School to transmit that record or copy thereof to the City. Before the
start of training, School will provide the City with the names of any students who
have failed to provide the requested records, or who refuse to authorize the release of
records to the City. The students will be informed that, whether or not they agree to
obtain the record and agree to release it to School and City, City may conduct
the background inquiry directly and the City may refuse placement of a student
who does not provide the requested records or who has a record of prior criminal
conduct.
City 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
City.
G. School will comply with and ensure to the extent possible that students
comply with the policies and procedures established by the City. 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 City as identified in section V. C. below prior to being admitted to the City.
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. CITY'S RESPONSIBILITIES
City will provide students with a clinical education experience within the
scope of health care services provided by the City. City 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. City will submit in
writing to School the professional and academic credentials for the
Preceptors and clinical education Supervisor. City will notify School in writing of
any change or proposed change of the Preceptors or clinical education Supervisor.
3
DocuSign Envelope ID:Cl B12272-90A9-43EC-A33C-D6C9EAB4C991
B. City will provide students with access to sources of information
necessary for the education program, within City's policies and procedures and
commensurate with patients' rights, including library resources and reference materials.
C. City will make available to student's basic supplies and equipment
necessary for care of patients/clients and the clinical education program. Within the
limitation of facilities, City will make available office and conference space for
students and, if applicable, School faculty.
D. City will submit required reports on each student's performance and will
provide an evaluation to School on forms provided by School.
E. City 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. City 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, City'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 the City provides for School; however, City 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 the City's facilities, City will provide to such student necessary
emergency health care or first aid for accidents occurring in its facilities. The student
will be responsible for the costs of all care.
H. Except as provided in this Agreement, City 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 City
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 District 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 School.
4
DocuSign Envelope ID:Cl B12272-90A9-43EC-A33C-D6C9EAB4C991
D. Students participating in the clinical education program will be and will
remain students at School, and will in no sense be considered employees of City.
The City 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 City, nor will City
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 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. For students to be accepted at the City, 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 working
within the District.
D. City maintains professional liability insurance coverage with
Washington Cities Insurance Association (WCIA). Through that coverage, the City
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 shall be effective as of the Effective Date for a term of
three (3) years ("Initial Term") and shall renew every three years commencing from the
last date shown below; PROVIDED THAT the parties review this Agreement and
memorialize their intent to renew the Agreement for a subsequent three-year period —
such renewal being memorialized in writing three months prior to the expiration
of the current three-year term. There shall be a maximum of two renewal periods.
The Initial Term and any Renewal Term will be collectively referred to herein as "Term".
School and the City will jointly plan student placement in advance of each
year's beginning, considering the needs of the school for clinical placement, maximum
number
5
DocuSign Envelope ID:Cl B12272-90A9-43EC-A33C-D6C9EAB4C991
of students for whom the City 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 the City in
universal precautions and transmission of blood-borne pathogens, and that it will send
to the City only students who have been trained in and have practiced using
universal precautions. School has recommended the Hepatitis B (HBV) screening to all
clinical education program students before assignment to City. Students may waive the
HBV series but are required to have a TB screening and be up to date on all other
immunizations. The City 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 the City, the City agrees to provide
the following services:
• Being seen by City'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.
The student will be responsible for the costs of all care, testing, counseling, and
obtaining necessary follow-up care.
C. The source patient's HBV, HCV and HIV status will be determined by
the City in the usual manner to the extent possible.
VIII. 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
6
DocuSign Envelope ID:Cl B12272-90A9-43EC-A33C-D6C9EAB4C991
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 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 City, 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:
Pierce College Ft. Steilacoom
9401 Farwest Dr. SW
Lakewood, WA 98498
(b) To Training Site:
Bremerton Fire Department
911 Park Ave
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 the City 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.
7
DocuSign Envelope ID:C1B12272-90A9-43EC-A33C-D6C9EAB4C991
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. City 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). City
will provide additional training on City's specific HIPAA policies and procedures.
School will direct its students and faculty to comply with the policies and procedures of
the City. No protected healthcare information (PHI) is anticipated to be exchanged
between City and School, but in the event such PHI is exchanged, the parities shall
have previously executed the necessary business associate agreement. Solely for
the purpose of defining students' role in relation to the use and disclosure of City's
PHI, students acting pursuant to this Agreement are defined as members of
City's workforce. However, School's students and faculty shall not be considered
employees of the City.
H. FERPA. The Parties agree to protect the participating students'
educational records in accordance with the Family Educational Rights and Privacy Act,
20 U.S.C. 1232g and any applicable policy of the Parties. To the extent permitted by
law, the Parties may share information from participants' educational records with each
other so that each can perform its respective responsibilities under this AGREEMENT
but shall not disclose or share education records with any third party.
Pierce College
The Associate Professor for Pierce Emergency Medical Services Program is: (Sarah Swart,
sswart@pierce.ctc.edu, EMS Program, Pierce College Ft. Steilacoom Cascade 342, Lakewood
WA, 98498, 253-964-6649)
8
DocuSign Envelope ID:C1B12272-90A9-43EC-A33C-D6C9EAB4C991
The Contract Manager for Pierce College Health and Technology is: (YuVonne Bailey-
Na varrette ybailey aypierce.ctc.edu, EMS Programs Director, Health and Technology, Pierce
College Ft. Steilacoom, WA 98498, 253-964-6649)
IN WITNESS WHEREOF, the parties have executed this Agreement.
YuVonne Danielle Evans
stiley-N a rette
ate of v\ shington State of Washington
r DocuSigned by:
jta./atAA/a., baiLui
bbUu:i1D11C684b0...
Signature Signature
EMS Program Di a &t`a024
Title Date Title Date
City of Bremerton Fire
DocuSigned by:
By Pt '� a t( Fire Chief 1/8/2024
\'�MUL41
(date)
9
DocuSign Envelope ID:Cl B12272-90A9-43EC-A33C-D6C9EAB4C991
FIRST THREE-YEAR RENEWAL
SCHOOL CITY
By: By:
Title: Title:
Date: Date:
SECOND THREE YEAR RENEWAL
SCHOOL CITY
By: By:
Title: Title:
Date: Date:
10