HomeMy WebLinkAboutRES 21-042RESOLUTION NO. 21-042
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 a Clinical Affiliation Agreement between the City of Beaumont
and School of EMS for clinical experience and educational purposes under the
supervision of the Fire/EMS Department. The Clinical Affiliation Agreement is
substantially in the form attached hereto as Exhibit "A" and made a part hereof for all
purposes.
The meeting at which this resolution was approved was in all things conducted in
strict compliance with the Texas Open Meetings Act, Texas Government Code, Chapter
551.
PASSED BY THE CITY COUNCIL of the City of Beaumont this the 23rd day of
February, 2021.
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DocuSign Envelope ID: D3277EB0-F12F-4654=9873-FCBFEF6A2AEE
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SCHOOL OF
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NOMEEMS
CLINICAL AFFILIATION AGREEMENT
City of Beaumont Fire/EMS
And
School of EMS
This agreement made and entered into this (Date). March 1, 2021 by and between (Clinical Site) City of Beaumont
Fire/EMS (hereinafter referred to as the "clinical site") and the School of EMS (hereinafter referred to as "School of EMS")
and will continue until the agreement is terminated by either party.
I. PURPOSE
The clinical site shall provide the School of EMS students with practical experience in EMS -based patient care activities
through the clinical site's owned entities and the School of EMS shall provide the student with academic experience.
II. RESPONSIBILITIES OF THE CLINICAL SITE
The clinical site shall:
A. Provide cooperation to ensure students of the School of EMS receive an effective clinical experience.
B. Provide a suitable clinical experience situation as prescribed by the curriculum provided by the School of EMS
and outlined by the National Highway Traffic Safety Administration.
C. Assist with clinical teaching and supervision of agreed upon number of students of the School of EMS.
D. Ensure the standards of patient care established by the clinical, site remain in control of the employees.
E. Reserve the right to determine the manner in which the clinical site's owned equipment and supplies shall be
used and operated.
F. Provide a contact person for the School of EMS at the clinical site so as to facilitate interaction between the
training program and our system.
III. RESPONSIBILITIES OF THE SCHOOL OF EMS
The School of EMS shall:
A. Ensure that students who use the clinical site's facilities will abide by the clinical site's policies.
B. Ensure students -of the School of EMS will have professional liability insurance in the appropriate amount prior
to beginning clinical experience with the clinical site.
C. Ensure each student has been provided infection control training as outlined by the Department of
-Transportation knowledge objectives for EMS courses.
D. Ensure each student has been provided HIPAA training in accordance with the Federal and State guidelines.
E.' Ensure each student has been cleared through a background check to include the federal inclusion/exclusion
list.
F. Ensure each student has passed a 10-panel drug screen.
G. Ensure that documentation has been established by the School of EMS on how students are determined to
be proficient in both basic and advanced skills which are expected to be utilized in the clinical internship
setting.
H. Provides each student a Competency Check List so that the student may present this to the clinical site's
facility they are assigned to during all internship assignments.
1. Consider promptly any complaint made by the _clinical site against a student in accordance with the School of
EMS standards and procedures of disciplinary action.
J. Shall provide preceptor training to, relevant clinical site staff at the. clinical locations) or via online services.
IV. HOLD HARMLESS
i"The School of EMS agrees and is bound to hold the clinical site whole and harmless against any and all claims for
damages, costs and expenses to persons or property that may arise out of or be occasioned by this contract or any
activities or from any act or omission of any teacher or student involved in the School of EMS.
EXHIBIT "A"
DocuSign Envelope ID: D3277EB0-F12F-4654-9873-FCBFEF6A2AEE
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V. RESPONSIBILITIES OF THE CLINICAL SITE AND THE SCHOOL OF EMS
The clinical site and the School of EMS shall:
A. Agree upon the number of students to be placed at the clinical site for clinical rotations.
B. Revise and modify this contract in writing if both parties agree to the revision or modification.
VI. TERMINATION
This contract may be terminated by either party upon thirty (30) days written notice to the other party by registered mail,
return receipt requested. The termination shall not take effect until students who are enrolled at the time such notice is
given have completed the courses in which they are enrolled.
VII. DISCRIMINATION
The clinical site and the School of EMS shall not lawfully discriminate in theirrespective: performance of this contract.
Vill. CONTACT PERSONS
The contact person and authorized designee of the School of EMS for the purposes of this agreement is:
Name:
Vicky LaMay
Title:
Director of Clinical Services
Email:
rcfaschoolofems.orQ
Address:
115 Jordan Plaza Blvd.
Tyler, Texas 75704
Phone Number: (903) 399-1463
il-he contact person and authorized designee of the Clinical Site for the purposes of this agreement is:
Name: Max Nguyen -
Email: Max.Nguyen@BeaumontTexas.gov
Address:3040 College Street .
Beaumont, Texas 77701
Phone Number: (409) 880-3922
EXECUTED on1/29/2021 . The clinical site and the School of EMS have executed this agreement by and through one of
its duty authorized officers, thereby binding themselves, their successors and assignees and representatives for the
faithful and full performance of the terms and provisions of this contract.
City of Beaumont School of EMS
Signature: Signature:`
Name: Kyle Hayes Name: Vicky LaMay
Title: ' City Manager Title: Director of Clinical Services
Signature: Signature: it NU/&4
Aame: Name: TC Howard
Title: Title: Chief Operating. Officer