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2017-04-18 10:00 AM - Commissioners' Agenda
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Affiliation Agreement
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Last modified
6/13/2018 12:01:28 PM
Creation date
6/13/2018 12:01:00 PM
Metadata
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Template:
Meeting
Date
4/18/2017
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Fully Executed Version
Supplemental fields
Alpha Order
n
Item
Request to Approve an Affiliation Agreement between the University of Washington School of Public Health and the Kittitas County Public Health Department
Order
14
Placement
Consent Agenda
Row ID
36014
Type
Agreement
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9. School will provide the names and information pertaining to relevant education and training for all students enrolled in the <br />practicum experience at least four weeks before the beginning date of the practicum experience. School is responsible for supplying any <br />additional information required by Training Site as set forth in this Agreement, prior to the arrival of students. School will notify <br />Training Site in writing of any change or proposed change in a student's status. <br />10. School will ensure evaluation of students' immune status with regard to current CDC standards for health-care personnel, <br />upon program entry and again each time standards are changed or updated. School will also ensure students receive initial and annual <br />tuberculosis screening according to current CDC guidelines. <br />11. School agrees to request a "Child and Adult Abuse Law" criminal background check (hereinafter CAAL check) through the <br />Washington State Patrol, pursuant to RCW 43.43.830-.842. Upon request, School agrees to provide Training Site with a copy of the <br />CAAL check results School receives from the Washington State Patrol pertaining to each student considered for placement at Training <br />Site. School acknowledges that placement of each student at the Training Site is contingent upon provision of CAAL check information <br />dated less than two years prior to the commencement of the practicum experience. Training Site acknowledges that School is not <br />responsible for the accuracy of the information provided through the CAAL check and that School does not certify the veracity of the <br />results provided. Training Site further acknowledges that School's provision of the CAAL check results does not relieve Training Site of <br />any of its legal obligations related to background checks. <br />12. School will direct students to comply with the policies and procedures established by Training Site. <br />13. School will encourage each student to acquire comprehensive health and accident insurance that will provide continuous <br />coverage of such student during his or her participation in the practicum experience. School will inform students that they are <br />responsible for their own health needs, health care costs, and health insurance coverage. <br />TRAINING SHE'S RESPONSIBILlTlES <br />14 . Training Site will supervise and provide students with a desirable practicum experience within the scope of health care services <br />provided by Training Site. Training Site will designate in writing one person as the Practicum Site Supervisor, who will maintain contact <br />with the School-designated Liaison to assure mutual participation in and review of the practicum experience and student progress. <br />15. Training Site will provide students with access to sources of information necessary for the practicum experience, within <br />Training Site's policies and procedures and commensurate with clients' rights, including library resources and reference materials. <br />16. Training Site will make available to students basic supplies and equipment necessary for practicum experience. Within the <br />limitation of facilities, Training Site will make available office and conference space for students and, if applicable, School faculty. <br />17. Training Site will submit required reports on each. student's performance and will provide an evaluation to School on forms <br />provided by School. <br />18. Training Site retains full responsibility for the care of clients, and will maintain the quality of client care without relying on the <br />students' practical activities for staffing purposes. <br />19. Training Site will have the right to take immediate temporary action to correct a situation where a student's actions endanger <br />client care. As soon as possible thereafter, Training Site's Practicum Site Supervisor will notify School of the action taken. All final <br />resolutions of the student's academic status in such situations will be made solely by School after reviewing the matter and considering <br />whatever written factual information Training Site provides for School; however, Training Site reserves the right to terminate the use of <br />its facilities by a particular student where necessary to maintain its operation free of disruption and to ensure quality of services. <br />20. Students will have the status of learners and will not replace Training Site personnel. Any service rendered by students is <br />incidental to the educational purpose of the practicum experience. <br />21. Students are required to adhere to the standards, policies, and regulations of Training Site during their practicum experience. <br />22. Students will wear appropriate attire and name tags, and will conform to the standards and practices established by School <br />during their practicum experience at Training Site. <br />Agreement between SPH and Kittitas County Health Dept. <br />3/14/17 <br />Page 2
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