HomeMy WebLinkAboutAgreements/Contracts - Sheriff & Jail/-/>��F til z��3jz�
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O�IMTY
IG -RE C
COLLEGE
ENCY AGtIE", NT
PROVISIONOF FOR ORCLIMCAL ]EXPERIENCE
--F ,
BIG ]BE" COIV����
OLLEGE HEALTIt..'
E.0'UCA1n0X PROGRAMS
2022-2026
AFFILIATIONAGREEMENT
T
hireernent *i'.mad Ahd entered into between �.B*Ben
d
Commun'
s -�A Q-,.
ash"n and G'
M Lake.drtI.ty
Collle�e, 7662- St.
's
W I g.. on., oe
nFf
ce/Grant C W J: H 36 C tr•
oun a . t W.W.1 P80. 80 .3.7. Wasbington. The,
X, E*rat�
purpoSe,- th" A'
g S'
C Is committep to
Qrpem n is;ter, r, Jn n ite, wh
hrch a. care
a d- f4c1l"ti.'.$ �fdr
pro 0 si hals- to n
vi -'des" bl' lei'l - - i
provi it e c i ar ng experient
e
Wchoolos Udish6-J4r'e eftiled In i Hea Ithcation `' u �
U, programs e
0 ne
In .,,.cQns`de
Tation of the '.,mut.ual.�c.t.)Ven,ant8.,and
-,agre enis Mai.' d'herein-
sit.
�an ra
I 8c-hool d T j -n in ;asf[,Iv
agre
10.Na.
Crag- ininagree that' Qontemporh.6-6.1 and T
aneous "with or followin
9
i0fit,
xec" -pro I
u S
-0 of -4141 s ��g.re rn
ent an6 ithin the scopm,.-
W, 1. �S,, vislo, s oo may
op
t e Clinical
etter :a9ree-ments'With Train.ina � S i te:, to f6r.-m:aii 1pp,e fabprial
- 1. .. .1 : etalls o. th
ze
e' Oducat*) rogrp' m Andetails ino lare t 14 -hit d, to t1►J, but
d: t- k a t one
B.0 in ing a e -and length zof ex eroe c
d. f -s' na
p jo. be Y:ag.rP p
Po
Wk
dunn in g of-thnth b6for6""t e eJ�4tonp; inicM
Progra.
'Nvmeof t i pa intlinicat
eau
cat.
iorog
s rcim
doysh0ur$ and, 16cation .sJ6.r -he-clin icafatiota edu6 it '
,
prp r
pol l 'e11 a- *r,n dbjctl ge
Anp
rf
rmanc-
e ,pectatjons'forst
ud ents,-
fjk Ity Lai 6"iffis'-ot.,line
Pe.wic allocation :
of re�pohsribflffies fo th;'
e CU
I
10�
ca,, pd.uc
n
� p r ►l 'd pier'if,6ny referenced.e;rPece,Isewhere ffin-th1s:Agrb6M0,ht
pr, an
and form t, for stlu dprpdry's-'and eval
eadl
ines a
qn, ogress:
-p,,, on -forms.
Any tuch,le"
tter.a�greements Will be do;,�`00 d to b a`tt6 h A to-th'is A ree
n i re
,c mentv W1
.9.
be , bindin h n d b
g. w s1gri ho.d' d re p. -Ach pa'
e y a ze
rese t6tivat, of: e
n
and nlab
'dih, 9 d fomodified by subsequent lett6r,ag-roaM ntse 81 ne Dv iauon4ed
re
pr
esentativ0s of each
B.'h001 'anlr hd TraiIt wi ll"jo4ntly plan. the �clini
st-tide n't
and piatient. information stequired by law a d b - ane nI a y� polilcie's end procedures
Of School -and TrIa.inin-g- Sit6.,
DOI Theredill b � �'no pa me C-hool d Traininge y nt of Charges �or fee I
between S an
Site.
'There will be�, no discriminOtioh ag-41h'st a'
These nor prpgrarn participant or
applicant tovered,� u-n-dre-r- thwis,`AN, t& nt b6i�ause.:of racpaler, r igion n. ti
g. ,pme
to el*''
_.ona ,origin,
a Metnamera or disabled:v I eern s*;)(' 'ex . ual -'O'denta ton,
;!��ge-, hani.._ ic D, status -as: a I
-:1, xt Qrr'S
I T svto
nor wilf,�,86 0. tai.fl.,
,h. o :or in ng I -in heiremplt or
such di nationeng�age in .scrimltO"en
Orso Po ..pie$.
pnlei
SCU OL"AftEg'e,,' 11LI
A S'h ` oo 1, w preside I
ill,pro i e �*nformat*on 'to Training ni-h'g* Site C6n'cetn . i g , ifi _c rriOU m
c
a a 0 emic..-cre 'entiais efi Ts., acul fo the s ude�andlheprofessional hd b` �dnts at T' ining
�ty. r
C 0-:1 designate S h'� 6: Wj_:an appro telIt' bpriay, qualified an, d credohtialed:fU2V meM1
q r
Site.
'wth T
.to C dinate�and a -as ffi Liai§ ni
Mor. :apt 0 W1
itin g Sthoo will be.respons: le. for
-t I:a -ad'M e i
a � M1theuden c uca. ion re gr,arh,, hi
Ihstruttib -d -d '
on, nist"ion oSO 001 W11
e ic*.
u-propose.i. c
1. I . .:. - - hool
no bite in writhl ''"""d: fi- �
Tr 0 Of 8MY t,*hahg6 �61"" ange,
of it Liaison, $o
far: rep. y-�:graoing z.
W- ill'I'a ve 'the-flih-al
tudents;
4, M- 14
B. Sch: -10eY eet w t
Qo s U t 'he T�aini na �bitecl* k o�der 'tatW. h t: in cal ion
I educat'g
0 e..Cli "-a Jon
S U 01" b,an_dd �f -th
_..Per- $or Frece t6rs., if ,any at the
p
n1c
iscuss:.and i-,th- :4i iI 'se rneetnrCl pr ram 16
_e. educavor "program,
c rail n
..
t k "A if a, t the'Misb h•
ppp-ie, �iq person. I a tic 0 ,
y -Teiep.i.p.no c
on, eronoe. $che is
reaphibCe>fc art6,n, vn'_
gi_ g Pria., p.;,pn ,.e meetings...
ning h
ill We the
-h An - r:, in
CM w rov names edr Otion p. rta in"in g to le
re an
v
f
Ain' ..a e- udati
edO dtta"inin for HCl ik' -enrolled. in the.:�."d
io'n an
Mdents d on p. o
g rR asst
our.weeksbeforethe bogit _rudate:, of th Icern.ol is
e c in e U
P4, _,ca ion. :pr
0
66 e fpr w-zr oons11JIby'Tr..id g.,additional irforma, ion required ningS e uppyipg',any
A ite. in
forth in:1hJs,.,A�,qrP.e e d- r to.: tWenta� rn n prio the a IV will 0 Tta*';re al atn_ jf iningg o f ahv"d ange or Pf6pose c.:. d nge instaUstatus.
change
D �'h'e Health Agen Will be.� ro id In tp ved with �alist of stOdents vr, W
follow n* ts" y
g.rpqkjire.men. i,,
a.. kne t�ve18, -prior to the., firstday'of th', hoitl -erW tst00 test I
proifTB
'itivo d cumen avon of -� 'hfiretrnenand
�po$_ 0 finest x-ray
release: to work in
ON
hN;WM.4R1th:qare setting.
b. Hepatitis B v ddine.� aerie - s doc wit's
-um,enta"tion or written declination of vaCc'ihe.
gift if vac, i aft Capt
eptitntib.dy titer maybe done neeeivd iI - _. . .,, I .. 1: . , n a
documentation is Uh
avaitap e
c.
mons. ration. of Meas es/M (a) ph si
Umps/Rubella immunit' by
y _y_cian
as, 0 eviden
diagnosed meastes or MUM'' . deieor(b) IOpsab
p
--ra_ r :ce- of measles,
y
mumps, or rubella immunity, (pe ons
rs, who have an Wet in te" or
lot ri.. erm i a
,eq
u ivoca tevej upon festive shldu e considered non.immunr
..l b
C 'le' 'hd ru befla
pproppate. vac ination against. meas s- UmDs. a
administration on or after the fi(
two (2) doses of.five measte
s
re, at le, : t'--' Ive
an*dmuMD.$ vaccines -28 days ays or mo as_one dose of I"
rubella vaccine).
d. D
emoost' of ch - ke
ra. i4on c npox ;m
munity � .2 dosos of varicella h
va
a
Mce
.given at least 28 days q,ap art, or -b) 1cadry�aVnoa ofimmUni.tyP
e Td Or
T
A' 'ith*n, 10
os,pr w i
p � 0'
years.
rfluen CC
za-.] "ne-for-current-se S" n
'g. Ouf h-rW lerr t ea thcre � proer , v 1.C,PR,card or equival nt
e
_h# Si g n. coed nt en-fialit
Y agreement.
L tiv'e drub s+ reen.
-ask each student ho mod it -to
chool- shall C w M.'. be e
C in Tr
ining 81
obtairi hWhet, in - I hist background -from-the Washin't, St -a- tr6l
T criTri a, history ac ground record
P
g on
the
parsua-ntb,kGW -3 �0 that or I
4 A3.8'34.and,RCW' 43 -1`8- t lease a .
43 483 .o tie. C. opy Q -a r P 4.o
o ns . mit t c
'theI t -tta then eof.to Train':n-
.8chool,:and, -to a'uthortze.:'chop �pyhatrp ord or co_t of _tra"%cho6l Sit "th thIft B046fe'' �thestaIninp W*ll ovido Tr rainingVVI e0017ries o.any
nts.who:h " -vd f6 e Vi- . I . I I .
a..-- d W delhe u seed '' or ,,,.,o
q�g,,e rec d, who:re se to, autho i
rize
the
rel ase f H f. b6' _6 "'-d tha"fl:
0 re Tra" Mg The:
ini, Re studontg* wl w 0 ner or
.,n rme
rd re0 w"not,they agree .to- obt 6`ih. th tecd""" A it 4hool
an, a
,,.,-gr,e
qraining
7 and T sitel
Training ite-ay PO
ndu-ft the ba kground nu digit! th-
e T aiw Si
may
'refuse.�pla,oenlentof a st - debt- 'orw
U. whb d: t d. -th -s
s- no V1 req veste
d record ho has, a
record,. oMprio.r'.criminal ++t
. -Sat - I - K w M w
-1,., pe unaerst and ag that env .,jnfo I
,g --an,
T(- JOAh' rMat*Oh forwArd' d t
re
S, .1 Py
e '0cho: th roUgh Ihis h" I:d to1bas been� procuri��d'oos,, n. qg0iyheN.'N1 1. Veracty of
the- records rMoro
ob to condutt
the. ligatio'n
Ot, for -6-1.
rhos" T,
4 Pl(gFound- n
'he ks- and ithe HOW H th
_q�como, ia e
mains, :,the
resp
O'ntibil.Nty, W. Tyaining;.Sit
e,
G. ly " ith and e" to, the extent, possible that students.
0 W1 MO w
nsure
All
i no
C.OmPy with,th,6 .0.11c es -and procedures o'stablished by Tra ing SitewS 0' h 061 w
P
in
trtoudent,of his her statu d - ;, " �an, Tan, responsji1nie, rs this Aeem n
!d 0 0� d 0, t
'00 1 d0"
t tunsthen "cerc s nowiation , o �ss of e d1o',procure the nsuranao V, 06 teo
u
ire
�Y,the, Trainia Site as idontifiedln s- cti, WC be jr owp,_Nor to 9 0 ond therb ih
_p mitt
g adto
Tra-49nin.'"oS t r
-
Ho Schbo'l Will.courage,.-h 't
e,, ac s Went -participating 'in the clinical educato
n
program enquire ompre'hens health nd aI I cei..d.1.0nt inu_ranc that ..r o
i-d
..
cont&nuouscverageseen
e
of �
s u. en 'r her Parti ip.a"-i n in the education
Ud A du h"
r g . is. 0, c t o
program. ,School Will 'Inform students that tho y are ret.ponslblo for their oh6 Ith
needs, health care cost8, and health
insurance coverage.
HL TRAINING 4r;oITFO
SE=181LIJ
Training: Site 'ill -i 'Mrs".cal �ed§prdodents with a desirable c, ca, ion
c" I'- ence Wi
per thin the sco se id bv T ing
pe of health care ry es p Qvided raining Site,. Train,"
6sign- te in if "ble for the
Site vill A A, ung vrepq
any, to be responsi
P C n Ca'
Nti,
education; program,, and M Perso A the dUc ion
ill desionato in,'Wr n h
s plinical afi
e.
Su Ns' wh n pon a w h cho
pe isor- o w,l mAj .- t�j- t bt 'Ith t
n i e ol-Tclesignated Liaison. -to as�s,-u re -
N
on program
pa. cipavon in and re e --of a ad , d ti
vi w the coli- ic' e.
UO nt
d zf d
,progress, Training,,Slte will $u.bmft;,in-' J- h
writi.11 W
_g .8d ool,, tbe. professionaland..'academic
...... ... .
IF,` SO
cred, nfials for'th'e. Prec tioh- Su' Ivi's6r. Tt;Mhin de- Wil[n
e tQrs
and olinical eduda
Ot.
meriting o add th,
-Chool, -in, writ'., tors o, clinical
nge, re., cep.
Pr Pfppp�q the P
0" S
uca. ion
-0 petvlsor.,
_TrainingSiteo.. . Exceptar e twill �a e no lia'tlonpd n
to fur.--isn meaial or surgical +pare to any.student.
I .. T OENISITjM.AKL.R9jP..QNMRQJ UE
'Students rill e the. ttgs of learners :and ill not r+ is .:.
p e ng*te
Per80nnel.,ii rrie ren erect y� studer t s inei ent 1 t • tl a edc6tional
D
urpose of
the clinicald cation p
roa *
13. students are -.re qr d t edi� re to the tand6rdolio a and pequtatlo ns
.Of `raining Site du"rin"g their 01 iai du ationr r .
p
�'tuderdt uvill �nrear a ro riate.:;Attire;and narn tads n will co rrin tc
s •and rds -and p►racti es a tablished Dy, choo[ d t r g h it - olwinioa education
-
program
JDA ... .... Stud+ nts s ned . to T'rai n i erg ne rvi l l be and ill l r+ r ai n stud t + f
g
•
,$Qde end i[I an no Manse b considere- - . mp[p , ees of Trern n Ite raining, bite
dogs nbt end rill not assume : n aiabili under ars Iar�r rel�tin t
g o s
o re
rnpenSa�t�on on account f any drool student s performing, recewin trainingor
traveling pursart to this Agreement: tuont will not be entitle t6:any nepry or
other rein an rati n for ervi�ces performed by them t 'rain n bite nc►r r�If Tratntn
ate tl arr vis lave nY irrtc netary bllgetion oto ool car its students b. �r�rtu of tl1i
rent -
a
students will �q., required to sign Vie, Waiver and Rel0a'so for $tude`
pit
NU*_r on in �E. , i1bit l-'1� rio�r't beginning their .clinidal.eerience
V. IIABILET.1 QL0..ER_A_.G__
wwEP IONS
.,....
• - ..
tach a .
wi l be res onstble f or tho ne l�
o �s reorr�ant _ -gent. alts or
Andh .:_
un is ons fits oUvn em lo: eek, o ricers, r agents in :the errormanee of this
greamen
dtherert v�rlll be ccnsideref Ahe. int `of the otherd nettnir a• .
assumes :ernes a
p respor s� i l Not to the c�tl�ter a for the consequences of any dot or
ornisir o any perm, firm, r-corporton,Qt a a to this r�eemer�t
P
. .........
dol is IgPNIW by the ate df Washington Self-lr�surance f'r ram ►nd
th Tdr( :1 r' Act-hapter 4:92 1 _ Cfairris a air t dheel -
:.,. • g , _ .: and its•_ernploye •
ofl=i+ er and egents �n the perrormance of their dues under this Agreement will be .
�.... f
_ ..pal..,._.
ffdmn the t rt f atr s liability►recount ais pr ► id d in Cha ter 4.92 RC W.
G. In er er to be accepted at ,the Train ng Site - student ' 11 b re; ui re:d to
-have , rnedioal �malproc,ti a ar'd, feral i abclity co r+ re - r t ertbrou l the t
medical , ..
u er1
M pr i en general ,liability policies offered b6,the dch' • t6r .
Ace of Financial Management, Ris-k'Ma`h�a Ont dl�ri is nor otl�e i e while rorkin
in theTraining tee, t
V1. TQR,_�,
�A. This� Agreement is be M -an co, inue
effective. ginning , ..a,y-- 2 d will nt
thereafter from Year to year-. TIjs'. a I be.
....groOfnentwil reviewed n
.,o later than three years
from its ' �' ff citiv dat o
e -
e r earlier at the request ofeith r hI and p
e art C; " 0 rainin
y. S. o
will Join*'In stdnt pi
tI_ aue a'cemen m -'df'rr'�
y 0
into.
a ve
ince oe h sbeginning. t
ak"no
account-t. th W 0
:1 f►r
Oi. al placement. axim'unubrfi
* t f
r
!on experienQe. and he.
whom Trai in
Mi ..g Site can provide 'a esir c n c "I
d, -a" ble -1i - i
edu.c
.needs of othe ditint
sci in -or sc o
im
h'. pis req ues.finical pal eits
:B.
This ma 0 a
agreement. e:canceled by written -,notice n y r
prior to
Is:
Wrminationo however, �such - termi e- Oive. fbr the-n then
na ton S a not be
come-
stude,.
h lied "th- in Cal "i o n' 'p, io am if suc
e ro 'in �e olozz ca
gr I
h termination, preventscomp,_ ion o
their re,
rementsducatprogram,
qui, I tin of ,th in ;R a
or comp e n 6 t ic I Ooh'
Vila P..ROV10qN'$a;...,9 5'GARDIN qBO.RNE PATHOGE
N'S
A. 81phool certifies thaT 'd each stude" t H: d
t it hat> tra'in'e'
....n .sen S►ing r: inn 6' Site i
:universal �precau to' iohstrara*'dh..smission I d.,b pathogens, -and that it:wi'
rne 11. send
to, Tr' SR6 4t
DO �Wde. nts who have bee "d h iq d
n tra*
'Y m6d i
n an aye praq using
H�,,soreenihg to, fl
end - -
to S h 6IN9 t6lbo"m-m- 'the
universa �,precau ions. q_ o ed
H s
C
H
Inical e-d 's trim' Sit Stude rria
ppa,Tjon p
student before, a
Wgriment
y
ive n-es-.
,.u, a re- "'dto' ayp a. 'and ba �u -n all
wa- the HBVse, but te-quire h' TB.
sci enin
a e o
P4o d 't,
otho am"Train-ink-S -p *d t6 -Oht thatj.
J
ri muniza on$
will I
rov...e:, pe a
rson, I pro
ion e�W'
'd t &M. 111,
a0igne;, - o,-, -s auaen
n th -eVeht- a:-.s1ildont 'ij '.�A
e s s ain. a needleAws4ick:-in"q' ry or-other: s u_ u4stantial
eXPOWre'.- to b6dil
:y .-TiuidS': f a' th .-:other fe6fio,
no
pot. ntoally in
u s m41eria,i While
'7 opow
'.S Ot'' Tt 'in ing 8 0 f iPip in. th I c I edu,t 'n rogra. Araining,,i e,:,ng e ofinka caioatP,I e, ag,rees to
provide'th,04 - 1: ".. � I 1 -1 - I .M....:- ... 1 4
w1low ng s
,e_ icess
ice 0 e bt
e in,p.g, qq,s e p1pye.0 -h 1t[ ing-8� hyTra" S'tpasern. -andlor emergen. y id partmo
Qon as pp ib fter the 'injury,,.
. �
le.a.
El
rgJancV me, care fQ 'ing the do -1 How
injury
-itia, io o aCiti'V 'to
.In t n f HBV, HOP, � G(HO ),and HIS -Q
PP c0l,
40 H.1 .'andap riate te'su
V�Pounseling., prop
The tu+ent will be responsible for the costs: of an- .'d te'Mi- u I
yan aiicare ngco res
ii ars
obtaininghecii�s, a f 116
Sry w q-, a re...:
CK The soUrce p , Otient'8 HBVx HGV and HJV status
will be determined' b
Y
Trainitnc,i it in, the. usual_
manner to.the extent possible,
A. Ehfike A
.greeMgnt This Agreement constituto't the entire -n ant,
. greerne
or wri .
between the,patties, ancl'''s-u-"D-e-rd�'e-s' �a, "Itfiri agreements
prior oral ��Commftments
or understan'din, S� On erni
C c I
e matters, provided for herein.
130 AMehgMefl, This Agreement may be modified -On' _b a sWbs , eauen
w
i- this AgreernerAmay not ritten Agreemerite
�-execdted b - th
y wntes. The priOpMons, rt
bo M-6difi6d b,
.,,y any a aci met q as. described hi
11, r letter agreeme t e r in
nt
AO't'00ment..
V
C. Order ��of-:P'maegde h 'c6- -An IC :0rtin js
r in, do - s, i s, e n 0 th' Agree
-rant 'arid
its. attachments, W1 I d b'- the is pre 'n, the foll
11 b, PO ve. y: iving
- d.ocumen
Cade ce
..owing
0r: fir*
ThisAgreemen"
Z -Attach, 'h % ical . order.
mehts to this, A�.g r�
I relver;W C..'ron.0,109
Lam e
Goyg.rn,in Th' pa ►..es ri hts or o .,A reement
ions under ''
9 _b O'gati. th is :9
will be contr
� 'd
s, ue �.,, in accordarim with, and any la* 'd
n, c im ispOp re.. a..pnq th,�a ill be
o w,
:governed b, thola, f the'Stat -f WOningto
e .0
n.
E. Notic'e"s, 'All nook �6 t 416m.- ailds. req or
-c
other ommunication
s
e ..'ato
n �oll b 'i'-' Wrion-a an_ wi e
en Qr wi. ►e n
-by:
require'.d to 1,614 se
School or Traini d ''HI b
pr �hand d -
mailed b firs -c asi� m epaid
e
-,,,,:or rpnsmitt d �y li, rf 1 M, *11 e,
e very -o a
cs
ddrd as Ifo"ll
T-bcBI
'S"ho''Ol., lit 8
g-
mmunity C11
H _Ith:�Ed
uca.uon,,,: epa:,,men,
6.
7 '62, , Ch
Moses Lake, �M
98837
C
(b) ouh
T -C -Site'.�Gtan
_,o..Tr�fir ind ty$hOrif. :Offi' Gra t G.
Q.e./, n ounty jail
Sts NW
`351 C;
P.0, Box 37
-E 4t
, I P, W. A 98823
Each - art M- y des*gnc' te a .chanqe� ritinti
p .y a: I
— .1.1 - I of address: �bv notice in w ;ill n6finem
demands, requests. or cN iate not h
Ommu ications Jhat no and -delivered 'will be deemed
7
received three Od o 'it U S. -It . II, 'postage prepaiaft
er ep.. s. in the rnal
nfirmation O'.f.successfUl facsimite -transmission,
F. SurVivall, School andTraInIP, Site reWY intend �and agree that the
.9
liability cove ra:
e p rVIVe
rovi.sions -of this. Agreement W 11 ;Su thio t r inn on of this
Agrqe'ment for any reason.
severa�� an pr nsio -o f this Ag
' ropmen or f any. otherag nt
reeme
m rfn�rhs Agreement:shi
,be ho
or unenforbeable Un"der:ap" Iible' WN,, 'ad V or partially invalid Sal 610 will
prov
be Ine �' &
COV& to that 0�*nt oniv. Withbut y offectin the te.maining p8w sor
in ;any wip. 9
p Vistons '. f- 'd ogre
S01. ement,
Wi I.,on re, sonae
'I' not e. .,and. -request tho
Wpecoon. Training,.,$- ite, 11 p
b IC
�re c
Inspoction :of ou"
inic, i 'i itv '0
I and, I' t a
ino
�:me� mi , resp mi.
. �Nl
dt tio vil . f
C
0
If A
By
Director'He-alth E�ducauo.n P
rograms
By., wmmwxmw
.Dr. Sato- T, TweedP
_.Y., resident,
Rig Bend Communay.0olIP90
ExhibitA
GRANT COUNTY JAIL
VESANDRELEASE F
0R.STUDENT N.URSES
Grant Courity Sheriffs Office/Grant
Count
y
latt (`�AI_V'or'"GCS0"') located at 35 C Street
Northwest/
P..O.Box.37WgtoA, hostsstuderit burses as a Train ng or th Education
Ephrat�.- aWin
I f
Sate., e Realth
Pro' grams.. f6r dig Bend Cummunt -6 t f future
0116ge o support the
...de'Vold eika d ''du �`t
PM n Ca ion'. 0,
health �cal re pr o-fLis-sion s.
In considera
tionofthe valuable training e wriehob
this -,Wdiiv'e'ra`n-&Releae - i
s .s., executed
e jENr totheto with the JAIL as a
y the STUD S '0
T., D NT's par iDa ion
Trai.,nitlg Site dor i3endCoitni,uiiity,.Coll'ege.,
The STUDENT 'ck" ow
a h led Id N are to her anti _ipjated cl"ni.plac*ehietit-,w-*Ith the JAIL
ges an I aw ci
d, h ch ma include but.is, t1i it th' fi M
in.c. u., es in erent.171"k wliii
s s, Y, no limited to' lowing.
7, P in 0
-
Work gln,a M kq�.: en wi_i uepo- 'b" it ed` oil vironmentc.�Ardc5 thifth
ss
persona. injuryi.4s welL
a pa tentsureto d lead to an
In ela :0�po air r. b dth e- J0 fb I d'b 6' th.
a oo rne pa ogens Which ul
co
t lous 1 -In DS
ess.sqc.h.assTe za-...00VlD`-119
.7.Kepqdtis �,. n
1 -Au
Or other inness. The
'4awm,' t., I I d I iWh
en cou. invo veta. -P ins.rurnents orothere quipment,that
�ilng, or S 1
could.cause
injury ifpot-bandl
od prop erly.
e
Workin,gatthi 'JAIL. involves "is nbere'n't asks such as the:r1sk of a ssault, 'nt&Joandothora
WPdotentialyvolattle situatinsthat may 169d to .ectal altkissue
s
in,. or
Bath.
ju
hi•
le.JA.�
,
the staff works,,to mi ,4� I iz `sksithe..STUDENT-als,
him, e frisks, sumes allh '.nd rpent I health
p_ysica, a
a
-in eren An par cipat' "I en
fisks—h- - - the �ffiedi'ca vi nment,at-the �Land,-a to 1ol
in in ren w
gr _6
v0s, 1, all
prepautiona -�y measuresan ins, ruction s.,pro Med'by-JAM:tt afff.
vi
The, STUNT -Agrees that thq''-volun q„
�yare agreen,gt6be.,ptacedat`th
is Train ing& e and
assumethexisk$ 'h �thp. piacoftient 0 TU
inherent to Th .0
e owledges at.-, 0,
th h �S IDE MAY
avo"d r i nvove. Wi NT.
Y
d 1he. i§k _'d 4th't
ite.0acement by n t agr Wg-to bo,,pAa
0
d at
ce
Tr* aill- 'In -9 Site.
By-s'jigh-in” gb-61 ow": the 'STUDENT d b* /her.legal�1 th ENT," S--: or) atce t
an �is
gu;ardianJ,,, 1) 1 a.min
$T -U.
p s the
risks inherent In the. 611ni al,
ic aid g e b�911-rules. -anld
0 a r s to:a, i e y
9, e M, a
placer e
instructionsDrovided.
�diki d
Th--'e'S"TUDENT.a-'-n"-u:.iega guar i nun erstabdtha�ff 'lu.
re fq W P I ad
to 11
ol. instructi' n d.ru'
san s can.; Ie
ad. rerno.val from pla
the.;� cement
.
H4v1ng'bd' I
een.a vise( of
an, tin - t of -a. clin ccal, laceme L-fhe STUDEN and
he., i,.n. ren r s1k I T
P '19 4. n
I . , - p
T'U
'S a -h elimses and. a all cl
-the�-STUDENT. s le gal -guard"an if the
DENT I mino e e y
r'b ''t waives aims
T s 0,
4pinstthejA1L,:`t- Aicets,a' p 9y d f
9 M ees, an, as as well as C n
'Pu t itsof icers,,
y
agents 6 m- pl nd as ns, r
oyees --a , ,relayed i ereh risks stated ..9 ted.,to activityarisin.g. out,d t ks tzit d above - the
f the ftih'
f
STUDENT's negligence-,, or the STUDENT's ail ure to follow rulesor instructions,
WAIVERIANDR18LEAS
wal-ve, pischa
I I E. 1, therelease.'Grant
STUDENT, hereby , and e
County its eletted afid A _Ibd officials, officer loyees'
4p
'po,n, sp pM
p or agents,,,all of whom
are rIef6rred. to hereafter as "County p erso'' ell" And �GCSO its ele'ctoM and. appointed
nn
6 ft i C i al s 'c i Mi M _G
Cers'.0 . Poyees,.or -agents, 'hereafter 66
personnel" fro' all1lability
to me, my personal representatiVe/6s, -" h�
V.aSsl�ns, ei Sfid.itext0, I It!* for any
loss or.
Waiver and Release for Student Nurses
Page'l -of 2
clai0m. for. damage ny p;atu
of a -re whats incl do drbl tt6rn
u ing. Costs an easona e a
ey
fees arim g out of the M except,
ParU�Ipauon in. e clin cal I
MY .-ement At-th
p ac e. JAIL,
for those. --d. Am-;-s.sokly caused by the g ce o'', will S --du tAt
rossneglign r mi mi con c 0
he
Coun,tyorCo,"p-erson-ne--i�a-,c--,tl*,, -
ngwithi, he,scop
e "eMPIDYMent.
.SCOPE OF RELEASE AND IDEMNffY.
I�.th,e'S-TUD.-ENT-iey�pressly,acknl
w*og 'nd
o e ea
roethat arti c ivatipg'n' -clonical e., t the ac men ex e,o ay.result
Tisksth
ore, ss
s 'ous I
ury a n ./or property damage ex ly*' A- t
a... d gree o assume
'afl. un . teer acti ity and nree t . hat the
the risks assocl"ated with rtle th
on in
g r.e:ease -re n-1 -ten el t6�b b -i �'d
waiver Aod, dewhit is in d'd
yag d
Was ...roa* .:a
s i erm W -o f M f Wa§hington-If any port . io' f th
clu�fvea S.P. itt dby:.the, a
e Sta.
Wo is
A- t s-,�heldln fid,
re n, va i iv agre, -ed, that th balahee'. shall, no:w4ffi'ta'v
coula "lflj
nue: Wfh�pforce an d dft
1h
J1 - read a
,aye care -, y nd wider tandthe contents �of this documetit b0o 'e sI Jt nd
sign the sarAe:6f ofri�,
WIT _e. Will
S
-tudent'NarheO,
Student S":-
.4gaa.tdre.& Date:
If Student is a
Minon
Leg I G di ''Nahie& Rblaib 'p:tb S
ga u,a,r,, MA 1, , tudent
on 1
S111 &
jan
1G,uJard'' igpa,ure* Dte-�
Waiver and Rel ei-ase fair -Student Nurses
Page of2
EAVA-1 M -E
ar er ev
rr,
•� � „ dl�s �
Cindy , i r, 'Vico. Ch _rr