HomeMy WebLinkAboutRES 15-081RESOLUTION NO.15-081
BE IT RESOLVED BY THE CITY COUNCIL
OF THE CITY OF BEAUMONT:
THAT the City Manager be and he is hereby authorized to, execute all documents
necessary to enter into an Affiliation Agreement between the City of Beaumont EMS
Division and Lamar State College - Orange for clinical experience and educational
purposes under the supervision of the Beaumont EMS Division. The Affiliation Agreement
is substantially in the form attached hereto as Exhibit "A" and made a part hereof for all
purposes.
PASSED BY THE CITY COUNCIL of the City of Beaumont this the 28th day of April,
2015.J
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AFFILIATION AGREEMENT
AN AGREEMENT FOR THE USE OF CLINICAL FACILITIES
FOR THE EDUCATION
OF
EMERGENCY MEDICAL SERVICES CREDIT COURSE STUDENTS
between
LAMAR STATE COLLEGE - ORANGE
and
CITY OF BEAUMONT EMS
201.5-2016
EXHIBIT "A"
AFFILIATION AGREEMENT
EMERGENCY MEDICAL SERVICES PROGRAM
The following Affiliation Agreement is entered into between Lamar State College
- Orange, Orange, Texas, for and on behalf of the Emergency Medical Services
Program, hereinafter referred to as "College", and City of Beaumont EMS
hereinafter referred to as "Clinical Affiliate," on behalf of "College" students
enrolled in the Emergency Medical Services Program. It is agreed by both parties
to be of mutual interest to give students an opportunity to utilize the hospital as a
clinical facility for educational purposes. The "College" and "Clinical Affiliate"
agree to accept the responsibilities and duties stated herein.
1. It is mutually agreed by the "Clinical Affiliate" and the "College" that the
educational program and curricula of the Emergency Medical. Services
Program is and shall be the responsibility of, and shall be carried out under
the direction of personnel of the "College."
It is.rnutually agreed that clinical experiences and supervision for students
enrolled in the Emergency Medical Services Program will be provided at
"Clinical Affiliate," by the "College."
It is mutually agreed that the "College" will select and assign learning
experiences for students, and will further provide for teaching, evaluation,
overall supervision, and record keeping of students. "Clinical Affiliate"
instructors will adhere to policies as agreed upon by the two parties and
will monitor students' adherence to policies mutually agreed upon.
4. It is mutually agreed that "College" and "Clinical Affiliate" do not, and
will not discriminate against any student, employee or applicant for
participation in the learning experience because of race, religion, sex,
color, creed, marital status, age or national origin.
5. It is mutually agreed that the period of assigninent, and the number and
distribution of students among divisions of the "Clinical Affiliate" will be
determined by representatives of the "College" and "Clinical Affiliate."
6. It is mutually agreed that representatives of the "College" and "Clinical
Affiliate" shall meet regularly to discuss issues of mutual concern, and to
make such suggestions and changes as are needed. Both parties will share
information pertinent to the Affiliation Agreement.
11
To carry out these general areas of agreement, the "College" is responsible for and
agrees to:
I . Protect the health and safety of all parties by:
a. Requiring student to obtain professional liability insurance of no
less that $1,000,000 per occurrence and in the aggregate and to
provide "Clinical Affiliate" proof of such insurance:
b. Requiring an annual health and physical examination at no cost to
"Clinical Affiliate"
c. Requiring compliance with Center for Disease Control, Texas
Department of State Health Services, and "CIinical Affiliate"
rules as regarding health, safety, dress, and conduct and
d. Providing, or otherwise arranging for, faculty and student
orientation to "Clinical Affiliate," its major policies, rules and
regulations.
Make arrangements with the Medical Director, and specified designates,
for clinical learning experiences needed for students prior to each
semester. The "College" representative will provide these parties with:
a. Name(s) of students;
b. Nanie(s) of faculty;
C. Dates, days, times of clinical learning experience as previously
agreed upon (in 1, S.).
Arrange for clinical personnel to participate in evaluation of student
performance.
4. Make the individual student responsible for equipment damaged or broken
due to the student's negligence
Make the individual student responsible for their own health needs
including emergency care or follow-up in any accidents (i.e. needle sticks)
at the clinical sites.
G. Assure that each instructor and student signs an agreement (see
Attachment A, incorporated herein by reference) which states that
"Clinical Affiliate" has the absolute right and responsibility to terminate
an individual's clinical rotation at "Clinical Affiliate" based on attitude
and behavior. Such right of "Clinical Affiliate" is not negotiable or subject
to discussion. Withdrawal from "Clinical Affiliate" of a student or faculty
of the "College" may be requested by "Clinical Affiliate." "Clinical
Affiliate" has the right to remove a student from participation under this
agreement with or without cause.
Make the following affirmations to ensure Fair Labor Standards Act
requirements are met:
o The special regulations in the Fair Tabor Standards Act covering "student -
learners" enrolled in a bona fide technical program are applicable to
Program students;
® The "College" is accredited by the Commission on Colleges of the
Southern Association of Colleges and Schools to award associate of arts,
associate of science, associate of applied science degrees and certificates
of completion;
® No hourly compensation is applicable to the student -learner while in the
Program in the learning experience at "Clinical Affiliate's " site and
A student is not considered an employee of "Clinical Affiliate," and not
eligible for Workers' Compensation.
8. Assure confidentiality of patient and "Clinical Affiliate" matters by:
e instructing faculty and students to maintain the confidentiality of patient
and "Clinical Affiliate" information and records:
Assuring each student and faculty member execute a confidentiality
agreement (Attachment A, incorporated herein by reference) before
beginning rotation at "Clinical Affiliate" and
o Agreeing that any breach of confidentiality will result in the immediate
expulsion from "CIinical Affiliate" of the person(s) responsible for the
breach and may result in termination of the entire affiliation.
III
The "Clinical Affiliate" is responsible for, and agrees to:
Permit the use of clinical facilities by students enrolled in the Emergency
Medical Services Program for the purpose of clinical education.
2. Maintain approval by the appropriate state and/or properly designated
accrediting body, and inform the "College" of any changes in that
approval.
Inform the "College" and participate in joint planning, prior to accepting
Emergency Medical Services students from any other institutions.
4. Provide to the extent possible, conference rooms for student counseling,
and locker rooms or other secure space for students to store coats, books,
etc.; while on duty.
5. Allow students and faculty access to, and use of, facilities maintained by
the "Clinical Affiliate" following its specific policies, fees or charges, such
as Library and Cafeteria.
6. Charge no fees for clinical laboratory experience.
Collaborate with Emergency Medical Services educators to influence
curricula, including clinical and/or managerial learning experiences, when
"Clinical Affiliate" provides clinical facilities for the Emergency Medical
Services education program.
8. Assist in evaluating student performance.
IV
TFRIvM OF AGREEMENT:
Only insofar as it is authorized by law to do so, the "College" agrees to hold the
"Clinical Affiliate" harmless from and against any and all liability for
personal injury, including injury resulting in death, or damage to property,
or both, resulting directly or indirectly from the use by the College of the
"Clinical Affiliate's" clinical facility.
Nothing in this Affiliation Agreement is to be construed as transferring financial
responsibility from one party to another,
The terms of this Agreement may be modified upon mutual consent of the parties.
Plans to initiate termination of the Agreement may be instituted by either party
upon no less than ninety (90) days written notice by mail of its intent to
terminate the agreement at the end of a current program session. The
plans for termination must include specific procedures to assure that there
will be no adverse affect to the rights and privileges of students actually
enrolled in the program, as long as they are making normal progress
toward completion. No new students will be accepted into the program
after notice of termination has been given.
Animal review of the Agreement will be made.
FOR THE COLLEGE:
LS -0 President .
Director ofAllied Health
merger�fedicaI Services
Program nurse Coordinator
Date Completed
FOR THE CLINICAL AFFILIATE:
Chief Administrator
Date Completed
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STATEMENT Or AGREEMENT AND UNDERSTANDING
a (select one) [ j student [ faculty membcr
of the Emergency Medical Services Program at Lamar State College -Orange ("College"),
as a condition of participation in the clinical rotation at City of Beaumont EMS, ("Clinical
Affiliate"), agree as follows:
Attitude and Behavior. 7 understand and agree that, based on unacceptable attitude
and/or behavior, "Clinical Affiliate" has the absolute right and responsibility to terminate
my clinical rotation. I understand and agree that "Clinical Affiliate's" right is not
negotiable or subject to discussion.
Confidentiality: T shall maintain the confidentiality of and shall not disclose any
information relating to patients or the "Clinical Affiliate." 1 understand and agree that any
breach in confidentiality will result in my immediate expulsion from the clinical rotation at
"Clinical Affiliate."
Signature:
Printed name:
Date:
ANNUAL REVIEW OF AFFILIATION AGREEMENT
between
LSC -0 EMERGENCY MEDICAL SERVICES CREDIT COURSE PROGRAM
and
CITY OF BEAUMONT EMS
The Affiliation Agreement existing between City of Beaumont EMS and the Emergency
Medical Services program has been thoroughly reviewed. The terms of agreement
continue to be satisfactory.
FOR THE COLLEGE: FOR THE CLINICAL AFFILIATE:
LSC -O president Chief Administrator
Director of Allied health Date Completed
Emergency Medical Services
Course Coordinator
Date Completed
2015-2016