HomeMy WebLinkAbout910541.tiff University of Phoenix
eliniversity of Center for Nursing Leadership
14lOeC11X 4615 East Elwood Street
Phoenix,Arizona 85040
602-966-9577
CLINICAL AFFILIATION AGREEMENT
This agreement,entered into this 29th day of May 19 91
between University of Phoenix,hereinafter referred to as THE EDUCATIONAL INSTITUTION,and
Weld County Health Department ,hereinafter referred to as THE AGENCY.
WITNESSETH
It being the intent of THE EDUCATIONAL INSTITUTION and THE AGENCY to affiliate for the
provision of clinical nursing experiences for RN nursing students, it is therefore agreed:
I. THE EDUCATIONAL INSTITUTION will assume full responsibility for the planning
of the educational program in nursing, including programming, administration,
matriculation, promotion,and graduation.
2. THE EDUCATIONAL INSTITUTION will keep all records and reports on students'
clinical experiences for a period of at least four years.
3. THE EDUCATIONAL INSTITUTION will plan with THE AGENCY, in advance, its
schedule of student assignments to clinical areas, including dates and numbers of
students.
4. THE EDUCATIONAL INSTITUTION assumes responsibility that assigned RN students
will comply with all rules and regulations of THE AGENCY, including recognition of
the confidential nature of information on patients and their records.
5. THE EDUCATIONAL INSTITUTION will provide a copy of the performance objectives
for the clinical experience. THE AGENCY, together with THE EDUCATIONAL
INSTITUTION,will make arrangements for evaluating the clinical experience.
6. THE EDUCATIONAL INSTITUTION shall indemnify and save harmless THE AGENCY
from any and all claims,losses,liabilities,costs and expenses,including attorneys fees,
arising in whole or in part,out of any grossly negligent act or omission of any student,
instructor,employee or other representative of THE EDUCATIONAL INSTITUTION.
7. THE AGENCY shall indemnify and save harmless THE EDUCATIONAL INSTITUTION
from any and all claims,losses,liabilities,costs and expenses,including attorneys,fees,
arising in whole or in part, out of any grossly negligent act or omission of any
preceptor,nurse, nurse manager,or other representative of THE AGENCY.
8. THE EDUCATIONAL INSTITUTION shall provide evidence of liability insurance
coverage or of financial responsibility acceptable to THE AGENCY,as assurance of its
accountability for any such losses,claims,liabilities,or expenses on request.In addition,
THE EDUCATIONAL INSTITUTION shall inform its students and faculty assigned to
THE AGENCY of the need to provide evidence of professional liability insurance
coverage of not less than$1,000,000 per occurrence.
9. THE AGENCY shall maintain sole responsibility for the care rendered to the client.
University of Phoenix,Clinical Affiliatic greement
10. The RN students when assigned to THE AGENCY for clinical and/or observation
experiences are responsible to THE AGENCY'S nursing managers.
11. THE AGENCY shall retain the right,in its sole discretion,to exclude any individual at
any time from any clinical area. Students and educational institution personnel shall
promptly and without protest leave a clinical area whenever they are requested to do
so by an authorized AGENCY representative.
12. THE AGENCY shall provide qualified preceptors for students. Preceptors will be
clinical resource persons for students, faculty,and/or faculty extenders in the clinical
setting. THE EDUCATIONAL INSTITUTION shall provide a Preceptor Handbook
delineating preceptor responsibilities.
13. THE AGENCY shall permit the students access to library facilities available to their
nursing personnel. Students may not remove materials from THE AGENCY withouts
appropriate approval.
14. THE AGENCY shall provide THE EDUCATIONAL INSTITUTION with verification
that they are accredited by appropriate state and federal bodies.
15. Neither THE AGENCY nor THE EDUCATIONAL INSTITUTION will discriminate
against any person because of race,color, religion,sex,or national origin.
16. This agreement shall be in effect from 5/29/91 through
5/29/94
ED C IONAL INST TI THE AGENCY:
c c 77j�� � .4,47Si natu Date Sig atur Date
Randy Gordon, M.D. , M.P.H. , Director
Title Name(Print or Type)
BOARD OF COUNTY COMMISSIONERS
University of Phoenix WELD COUNTY, COLORADO
4615 E.Elwood Street
Phoenix,Arizona 85040
(602)966-9577
BY:
Go . L cy hairman p
ATTEST:
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G�4�a�W 7//l
Weld County Clerk t the Board
i
BY 7-12-41-1
Deputy Clerk to the Board ,`
Weld County Health Department
1517 16th Avenue Court
Greeley, Colorado 80631
(303) 353-0586
9/89
Kit� MEMORAnDum
�
Gordon E. Lacy, Chairman
To Board of County Commissioners Date June 13, 1991
COLORADO From Jeannie K. Tacker, Business Manager, Health Department `
Affiliation Agreement with University of Phoenix
Subject: —
Enclosed for Board approval is an affiliation agreement between the Weld
County Health Department and the University of Phoenix.
This is a non-financial agreement and will cover students obtaining a
preceptorship at the Health Department while pursuing a Bachelor of Science
Degree in Nursing.
The term of the agreement shall be from May 29, 1991 through May 29, 1994.
If you have any questions, please feel free to contact me.
JKT/ja
Enclosure
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