HomeMy WebLinkAboutAgreements/Contracts - Sheriff & Jail-lo%� -�1/ z-/i3/Z�
E r VE D
2023
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-MMUNITY COLLEGE
�IG BEND CO.
HEALTH AGENCY AGREEMENT
FOR PROVISION OF CLINICAL EXPERIENCE FOR
BIG BEND COMMUNITY COLLEGE HEALTH EDUCATION PROGRAMS
2022-2025
AFFILIATION AGREEMENT
This Agreement is made and entered into between Big Bend Community
College, 7662 Chanute St. Moses Lake, Washington, and Grant County Sheriffs
Office/Grant County Jail 35 C Street N.W.IP.O. Box 37 Ephrata, Washington. 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 Health education programs the "education
program"). In consideration of the mutual covenants and agreements contained herein,
School and Training Site agree as follows:
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 formalizeI
operational details of the clinical
education program. These details include, but are not limited to, the following. -
0 Beginning dates and length of experience (to be mutually agreed upon at least one
month before the beginning of the clinical education program);
0 Number of students eligible to participate in the clinical educationprogram;
0 Specific days, hours and locations for the clinical education program;
0 Specific learning objectives and performance expectations for students;
0 Specific allocation of responsibilities for the faculty Liaison, clinical education
Supervisor, and Preceptors, if any, referenced elsewhere in this Agreement;
9 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 eachparty, 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
en and patient.informat
ion as required by lawoand b th' icies.and roce
7 _e,vol pdures USchoola,nd''Trainin, - Site..
.9
DO The-re'Will b rid pay nt,of. heres.orf6es.' ho A Trahi
m.e C,
ee c an
Site., betw n:8 ng
E. The' Hl be: no di t
-re wl scriminotio, n, �agti_in.st,,, any
program paqilz ip,;an or
applicant cov6red::under �-�.A, t� beca qselO -..c 4or,,:reli9ion,,, no ional..
reem n
rigin
e an U- I rientation
ve n se
h di 0!
p.,.�status.�as
....-.a Vietnam era or ais bled
x a 0
SIN,
nor wi I SO -116,61 o- Tdrriinatl►npl' t or
r ining ii
e enga
-ge in:such� iscrj.I iin their em-0oyrOLP
on e. pq1IP1e$,
P lk
11��RRI -
A �ro C
Sch S it cb,� toth-
�_,Po WH P. :int �to, Trainihg n ino i
v;de
M
Cfirl:the:,s We. -f I
'a -pro rnlo.t
nd the ''
fessional; and a"caae 6 'to' Is of re enua_ Jts Pt
nts at. •Train' iq
"I hili dit appro -redo t i tiled �,fa
�49 nA e priatelV qualifi
ed �an,d 'c' n
P�u e
MeM�.r.� r
'to c d" -as th 'Li i 'ith' T` ire i --��Site...Sth. 0 -ib
....Qor._jn8tO!�and:,.act e 9 son w ra n
Ing Willbe. respo,
h, sAr 'to V .10., for
I Udbl'oh, a -h- d� -" i - "►1 101111
a m n ist ra i :'he students:a em -tat' tb- rare. qn:oft
endo titin p
win
ango ;'d: A Q.. s iaison., S - choo'l
n 01HY Tr 'ni in .-'a' y tK
Site. writi
mg, n
h
of
rqpqse cange U
Will'hav 'the"fina. I
respo., S - I bIst 4 .gbrad n
n
-g-studen't's.
ob,faplt►uwllmt With Tra k *nSitefiniI d t,n
.$ginn g 'and eln
any
U
receptdrs,
If
at t
'he
d u cat"
r ra, m Ft -
n
�e
.,p
P 'd I --t
aq .,,eva. ua the iinic I ed
C a
u c
cation rpgraM Th,,6$
will
p,,ip e .. c. on
'a thei** b"P Pce n, person f pr cfi bleh`�
0
y, e.,e ter p I
Q is
I b le f6, aPring rSpInirM ng
e . _e ings..
proviae e names
h004 wi
-and in.formate on pertaining to tiM
Oa cation
rain . n fir', a H d, n _le th.O:� lihi -:-F d evan
du
c 0. ndl- 1
ts: enrol d, I n,
u e u
Progra
e.
the d1in" dPCatj, n pomr weeks: re'.. the b'O i.h., �!ngae:, of r ra.,;cai :e 8 hool i
rep -b I g' additiona] �-ihform6tionrequited b '''T ua'iainingQ_ W1 nof T(1te fgree al''r a�,iv I 1"M d
fo rt h I n:,t IS A
men., P 10''r: to hL rr a o u ent SO
0
-'go -in a s 'Y
Wn n any,-cna. g6,
or 0 ange
Pr _udent
s status,
iI T46 Hea.Ith A genwi I Ieproviopq With
.4I�tof:"st'U dents veti in tho
f
g� roqu"Irementsor
rp,ll ,h ` _QW.R I went
i.,
a�
a.. knega,iv Tt3: tes e day,thy:h opJI rt,prior to:th . first of t 11pro ..am ort of t Xawra�t e t. and -re - I ease t I o W, ork in-
Pos 1-M dood.m.entation o ches
y wea m n
e.
haire4011inirts.B v H.0tlis. ...Ccn. S.0nes doc
Pm,p-m.
aTion or written de.clinato vaccine.
Jon f
-Hepis B. antibody titer . may -be
done if ►vacci d
ne receive. in past, but
.documentation 'is uh`H cable
aval a e..
0, s e M' n ' on-strabo of Mea -lesM W immuni R y by- (a) physidianftw
umps/Rube" I
diagnosed measles or
mud
.Mps. isease,, or(b) labr r evidence - of
measles,
mumps, or rubella
immunity, arsons who have an
-ndeterml
nate" or
:Oq
:u ivoca ievej upaw, t t 'h'nsidered non
uld be c immune)-
n -es ing s o
o
or (c)
appyopriate vac -MU id rubefla. .
cin agairitt. meamet,
Mps, an
ft
rs
dm I n on r w. er th fi "t birth Ooses -of .1
e
day bf two 2 ive measles
and mU le- t d of Iv
m.ps, vaccines: separated' U-28 d -
ore; a as,
one ose Ive,
rubella vac
cin
d. DemonsttAti n'of cha' kenpox.
'0 Ic
0
immunit
Y..by: 2 doses f Va ri I I
ce- a. vaccine
'given_at- least 28 days p6ft 'b
a - - Od f
or., bora ory evi �ence
o, immunity
Td.orjOa" ''bo. r, i n-11' ears
P W-thi 0 y
[Ouenza -.- 'ac
v aine -fofeutt -, t. -,season,
n;,
9�- Q O"t h6alt carp, provider'lev P
ml .5 . . I � alenx-,
Q, R.�cardorequiv
h# 81gned, -con ride itsali
ty agreement,
L Nagati've L d r -'u
en.
g
1Fale,
in
'School shall -ask each Student ho b "I p_`jc'-ed T,
w rn,p
`7► Y -140 R, _�g it to
w o
ground record from ''ton St'_ te P6tr I
Wash" 9
obtain hi' /h"" btihiina"fl h"
W er:.i iM b e, in
ory ac
ease -a
0 rell Co
0
Or., uant o.:RC I
4� A3 834_ :RCW43,43
Z- * Ift A �� C,,fd to the
h t
trnrillt'reof Ao Training
r z- :th'-
'School' a n d', 'a' th,
u o'i'e-:
_a. record or Qopy..to�:"It
B_
ing 'S 'ho e r -Sit -With th"
6' th'tar'of trairii
est
C. 61 will rovid T'a, ining,
P n any
e q.
u ts-: -who have ftiileit dend -�o r Wh, o..refv -o
...o Ar e "te_ rp or.,
se t authorize
in -ft g -dth"'t, "h:'W`
d
o recor .
e s t6'Tra' Re.: The�s
n -
in orme a w
e
er,or
e
ag, re,pase n,�g
nothey a tin�thote 6ed 6ndg ree o ob
to P.hp I ra
o, and T i Site,
Tra,ai -Sitdu-,the Tr inin $.It
ng _..I. 6,1�'May co ndt h e b ck round `nq
a i uIr d ire. tly A
Y nq tna
Y
rela se-, I ft" d- s nor%d�the re,
p aceme 11t, of a stod 'n W, t "p -o
..quesl Orepords r who has a
record --f
o �pri rzra
1 -1. - , I - I
d!t
ing. ,o it
t" h for
SN' d .t '_.s -,and ag that J1 f I MIa ID "ard d t
e un.. Lpps 4qd,
rees� -at any in o'
M
rolu.91 t
V
& dhooi do
P. c not qerx, Y of
:i-d"th -b -th
-o..Ihasbeen procure
oh Q
if
e '.,e RIP
th.6� red&d§ NO a hd �f n "to oon-dulct'
Provil tk appropriate
rtn rm
_e obli afi
gr,n goAd� dheo. s.
-and: l --he
i a b: i I ify 'Torrmjai," th th re a ins Ahe
ibili W�Ity
jning.
H -S;C'h6oI W1 nor student:pw i I
tficpating in the::cfinical 'education
pr ram m lo ac J -comprehe I a a "d " t J- 'e, that will provide
_qVire ns ve health h cci en nsuranc
confinu
1. ou Vet f s" -'h 'tudent Burinhis.r her partis --co: age o uc. sg oQ ipa tio n in the educati01411 0on
program.. 8chb�. :thrill- inform students that' they , are, ktbon, sibl fr the-irhe-alth
need's, Nea Ith date':dosts, and he'alth'insura'nce,co
. .1 .. verage.
. j=A, Ed =wLr
z
_AIL. l;&iWel Z611 Ulm
!!M
'A. Traini'g: Siloto
I Willido student irable cli I -eclu'dat
pr s with a des,
n io
on
experience. Within the �scope,
of health - ro se, &6,Vid6d _b T__ g S,
ca. rvj es
.1 . - -, - " �.. ' ..- : - - - . in ite, T
p y , rain ralning
ite voll A I n in w
i es tite
recoptoirs if' -any, to be res ponstbI f r: thi� CliniCal
., e
education. rogram ,,and will desig Ato n wi"'
p mllng...ne., rson.asthe cHni eduedtion
P
Supervis-or. W h 0-jaiho 'a
wflliiiAinn aw.. c -!des'Pont bt ith 'the8--to_w.of, ig,n ted Li oh, t
.0 ,...:,.s.su.re.
.,0, in ica d
'at opato-
M-U ua., p -r.evi* w �'of the, e ud ti end
Uon -in and n
,.n pro aM
Is s:l , *sarin,� _*. 9r. t
I Su M
p rog, re
ss Trai in
ni g -Site WHI bruit wr in.g Se Qpl_ I►e. .-academic
h
essoaVand
r-' d
c ei ritials'Ibir"ffie a.. --6jv' ihx_�
clinical educ tioh Su sor. rc ing w. 1.
a
p Qt TV
I ca
c0tors or cl*ni 11
of -ibh-. h- -6 ".4 - h'
8chool J,
in rain any
or p e c he P
ange df� t
S re,
odu-d. ion, "Uo
iv sor.,
Trai#ev
ning � W,
S pro. cle ud-ts.
e wits cesu inA
-Ce
:-prp,9ram_, w., 's. Doliclesnd d' r''
necessary forth, ed Uo6t;16 i"N T -a ----$ 'Pro u ts, d
_in r., �tn in- g Re
C mensurate with obeh"t halob u dt�� a d f 't n'
rig Is, ' cludif g, i rar
n in so rc
'y weria,,!§
t
E. wi available4o::st.. dents b, li:-an eqq, p en
C T ta ion i h '''M ke
t
on program
_e ciinic M fi
neppsspry r ca, ofient. d th
re p
i to 'T i6o., it. in the
MI
ion of -fMlitrnad. CO, d �t:0,0 t6t, Jfe -will make;:ava'I
"g. i able "'o -an,,- nTereno dor
e 'a, et, cholo.[,MCUITY
bI
0, n
_%,;ana, it applic
On any day when a s t d� n-- t i .ri I.A. ng iI n
i the clinical education
PrOgrama- It dilities Training Sjte -id
will pro" -to s� 'h,stioide- C
v e UC n. Tie essary emer''
health tare . fa diliti
or, first a'i d for ac'' � d i d 6 n
Ccur ing in it's es., The. student will be
S h, e rthe Co. S
i1b.11 f6 t ,S
0
..,ny and all:carek
P. rcl In tE jr'willhave-- i.1"i e'- dE: Cxcno h�ra
to u trash trialr surgical er rtuent
* erasrail + the.s � ofd r r � �r '
rr ,,r;,,do
... � Site
rce rrcr trtrrrtal the act�►ri purpose, gat
theclinical '
. • _ in gram.
nQ
. tuderit are ..,,e ere to the. a. �r s, +��� t . � n pe
uir
ul�l
f 'r r� wring th it clinic l uc.ation,pror rr r K
r
Lu nt
will Wit ear al�l�roprfate :Attire rbc r� t s Ohd Fill � r f r to
-thy t
d
_ _w ..r r= n ata t es to [is el ►to [ r h th r. lrr�� l e la n
c ram at �`r in n Ite.,
y t
en. n+ ► it inin [I i will r r it
�h�P ars ell M r� +hit ern : i+ . = raining:- '..
. . e� regni
r Site
does hot ar- ill h6t �iar�e n l i ll l h r ..,
' y ley r l un t ' ' JorlCe :
rrartJecr: fr�Sh
tudetreo, iving.- raining, or
r v lir urs"went 'tc" this tee r t t uts will r r��i4e
�� '
d t r ► n car
er r r u e eti.c 1 fir ,: rv� c erforme , the at r f_r: r� nor r tilt Mfr
• �- war.
ite r th+ rw . l ve �n n r et i it +�r� t 1 r h ent
Virtue ►f this
Ag. nt.
tud+r� dill - r... u;rrd t l r the 'u're '8
r
Mn.., .
r • r � # r
_d R+� +fir , �, e��
N:.:....`.se.■ ,,ASI/ wn
I.,.■.'i� .:< -'! s ,.._ _ , _r
•
c -a
r. or
tc bc�rr�rr1+�r� clrrlarr+re,
Eache to...,
his a r rr nt. ill h res r i le for -thy ne le r t ectOrr i ►r f t h errs :Its: ° E e s E ►r nt : � r
r the,*, +fir.
:.:
re r` r t. � r p r� i* -considered- -th .agent �t tha th r and nith r paity
r ,:., r r
assumes �an
..
r pon t►i l ifiV t the - th r for the + J1' S uenc 9
. ,... � .. ;.. , � �►f ani .t r
�►l! c rsr�,'�fiirr� r rt.r to the _gr_ -Mont
• .J'
Schoolis-cover the tt t +�f' hire Melfi in uren 'r rerr�
h T 1 inn t hapter 1+ iar :-.
-
ai t uh Q[r d its rn l eesi
�c rd a encs in pie.. orrr rOf' t er do inne rhx r r+ n
frI(a
inhjtr �crklty► a�ur�t ,tie, ter l r-'92!.:paid
n t er t a t tie Trainin't studehts will r+� qui red
h r- rye i i mal r ie ' i r l li Oili�y cwN�.. arae rhathar throe thestudent
e iml M� I ", ice n n r; lia i ft l r o er d b -
_.
y y� the ; tta of !'ahl nt,
Qffice OfFinanciai Ma � e� t� RiSKMAna-
sti car oth r ri etine . aini g,. t_, while r+rl�Crr�
g
A.eeMt 'this Agreement con'stitutet, the o ti
Agr
enn
re, a ent,
eem
-gr
ral or Itten agree nMMt
between the.pa&iesIj:a.n prior p
wr
metS.rV CO* Mentr>
i
r on -
'd taact,
nin o " -th cernin
_g e:matters. providedfor herein.
B. dMe e, n
a t
Amen Ill. This, Agreement -may be
modifted,on
Ph tlnay not
itten Agree --_exec "t d b-, thment u eP,Parties. Thirov $110 iYt
described
achmen or agreement -as I b
relsOWh6ror 'this,
-anv Att t 6 M' 0 d NI file''d:
g
A ent.. Pern.
C. Order�of Precedend6,
ny c -m.p.- or j co
merft�'� . .. - - -and
0 Sis encv n is �gre
v6d ni th A ementits ath "ill b"Wnn th f_riice ce- in e oflowng
the docg urnenta.
prerrR
g.r ement.*
2 ,
re, 10 in � r 6' ollogical.orcle. r" _A th
ttachmentl§t
J9
vqr4p c
- WI.. T e pa',
.D. Gover Ph -ft of e hts or obl"ga A
s
__--i vons, reeme
tinder'this
R beco s, r
wig ". . : _ In - d, Pcord n with and an 'M -6f:d uta ye_ in aricel
Y clal is 1"A "' t h e";
reaina
W
:governedb -the; I of th-e. St, N1 b
-
ate.0f'lin►r.
:0fte/Gran't.Gount-
_,Y
�(b) To7rWill�.,
�r� � Iii'
B
_7
hr 3, '' �Otas W
Each rty d t f ad M4
-may esjgna.
e, a, change
0 dress bv notice: in Wri inn
�� ti+ �
ication� AhAt :a,te ndt h a"il-aeuvered 'will be deemndsrequests, or �comnluned nhe, �U
INSM ma 'Postage prepaid4e or upon
.c.olnfir-,mati.on,O'f,successfUI facsim"Itrans i, *6,
ie m sst nA
F. Survival. School and Training Site express 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.
I f
H. Waiver. Neither the waiver by any of the parties hereto of a breach 0, 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 mraiver of
any subsequent breach or default of a similar nature, or as a waiver of any of such
provisions, rights or privileges hereunder.
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. HIP . School voluntarily provides students with training on the
requirements of the Health Insurance Portability and Accountability Act (HIPAA).
Training Site will provide additional training on Training Site's specific HIP policies
and procedures. School will direct its students and faculty to comply with the policies
and procedures of Training Site. No protected healthcare information (PHI) is
anticipated to be exchanged between Training Site and School. Solely for the purpose
of defining students' role in relation to the use and disclosure of Training Site's PHI,
students acting pursuant to this Agreement are defined as members of Training Site's
workforce. However, School's students and faculty shall not be considered to be
employees of Training Site.
COLLE. E
By
Director, Health Education Programs
am
Dr. Sara T. Tweedy President,
Big Bend Community College
MEDICAL CENTER
By
Clini6a-f'R-epresentative'
Iq W
x ib it
MTO�T' SAIL
WAIVES AND RELEASE.FORT DiT NURSES
r'an Coun-ty her iffs Of ce/Grau cunt' � (JAIL?),or "+ + r")located at 35 C tr�et Northwest/
P.Oa Washington,, ht sunurs 'riungte- for the e tIcation
7- E gat _
rrFns for Big Communit Q116e, oto sp�+rt t+el€mtd draati±ri; ftur
a th care profssiors.
In consideration of the valuab►I� t�°ai.n irk a ,,p ie r��c� tb�i "�1Taiv r �i�d ol+, se � .executed
the T ,MEi�Tr,. to cover the �'�� T#s ��� i�aattc�r� alt the JAIL a a
Trainitig Site fo ,a,*g,
j3Pnd Co .itwnit-. .
Th.e.-STUDENTAcwdedges aid W, To khat h 'her n eip ed clinical. Ja net 1 theJAIL
In— lodes r h ar t:rz l , v ll c irna in ludo l��t r��t limited td� th=� fallowing:
Tor i. in rnedical envtronmpp parr es xth t t a s x it t opersona *ury.asWell
a: pot l o oze t ai �n r bioo b rn i G ild lead an
toihfe_cto�u ie such IT T h.ena,OVID'-.►°1r files. The
I ni al l c e t I iri e ndlir Q ar inst urnents or ; th r e(wipment,that
,
could caer�ury if nd handl,d rnry
' r in pit e Ii in of r s �i- a risky such a (trisI osu1tA riots and Other
tri !'' , latile i_uat�i ns that may l a tea n i l ealt :is i e , is 1. in
death:
. . ,_ l r
•
e t% - Jst i'i` v r�. to min%r r e HSks the DE T-� ,., n+e all "ph �� 1 :hd �r�t l h''i h
a
ate n
tlwsk� i ren in.
• W a
particip . n t e e + en r��r ��� �t tl�+�_�rgot�► £+ill W:ill
p r aoils
�n.."ded , J if - taff.
T A T a r s ti the vp un r�i ,a rY to h la+ a is Trai in 't
r
. a
a r es rxs her nt to he ee er�t�� ":0D E T:ac ri , l�e ges t tl a
a t e s=i �r lv d iii this 'rli i lt6, 01ac nen nit a ren ac d pit tbli .
y
Si.
Training
_ s
sirielo, the.'STUDENT
an hl`he legal urdar_ if t T.1
is . Jn r ac +e t the
risKsinherentin the. clinical int ern . -:
ent axed a e s to a i+ e :.�:ii:ru es rind instructions provi
The STUDENTand lgai g+in tin~sr tt I to,a�+enstrclt a:r.r
uls. can. lead.
torem ed faun �thwlernri
g dvrse f n+d a e� ping "tie n er rit rel l� o a +ci ni.c l ;acera�nt � �
p .. .., . , �'. DENT (and
th6: I ' 's legal guardian � .-el "s'a. rn; nor) l r y ref s and ives all cl zrn
insti Its dfce aunt er.ly+s,, an slr as well as +rar pu , , cerof
s,
a + nt , 6rrzpl y e rid as,s gns, r� a' . acti tyar iri. i t: t .i hi - tis stat
a ove the
STUDENTis negligence.-. air the TUDENT's Callure to NI" rule + r,ow ctlons
' 1 I . E . i, the STUDENT, hereb r'waive,end d' h Grant
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Waiver and Reflei-ase I for Student Nurses
Page 2 Of 2
Big Bend Community College Nursing Contract
A TTES T
.bekahKaylor,WSBA #53257
Civil Deputy Prosecuting Attorney
Date: 9J, 412- 13
BOARD OF COUNTY
COMMISSIONERS
GRANT COUNTY, WASHINGTON
Rob Chair
IPA
Cindy Ca r, Vice -Chair
Dahny E. ton
e, Member