EMS Student Contract with NICCMasterpiece on the Mississippi
TO: The Honorable Mayor and City Council Members
FROM: Michael C. Van Milligen, City Manager
SUBJECT: EMS Student Contract with NICC
DATE: December 29, 2010
MCVM:jh
Attachment
cc: Barry Lindahl, City Attorney
Cindy Steinhauser, Assistant City Manager
E. Daniel Brown, Fire Chief
Michael C. Van Milligen
Dubuque
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All- AmmicaCity
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2007
Fire Chief Dan Brown is recommending authorizing the City Manager to execute the
Emergency Medical Services Student Contract with Northeast Iowa Community
College.
I concur with the recommendation and respectfully request Mayor and City Council
approval.
Masterpiece on the Mississippi
TO:
FROM:
SUBJECT:
DATE:
Attached please find the EMS student program contract from NICC for your review and
signature. This contract has been reviewed and approved by Barry Lindahl.
This is a continuation of the contract that we've had in place for several years and it
provides for EMS students to receive field experience on our medic units under the
supervision of preceptors who are paramedics on our department.
I respectfully request your approval and signatures to activate this contract.
EDB /jI
Michael C. Van Milligen, City Manager
E. Daniel Brown, Fire Chief g e
EMS Student Contract with NICC
December 28, 2010
Dubuque
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AU4medcaCity
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2007
student driven...community focused
Peosta Campus
NORTHEAST IOWA 10250 Sundown Road • Peosta, IA 52068 -9703
COMMUNITY COLLEGE 563.556.5110.800.728.7367 • Fax 563.556.5058 • www.nicc.edu
November 18, 2010
Wayne Dow
Dubuque Fire Department
11 West Ninth Street
Dubuque, IA 52001
Dear Wayne:
Enclosed is a contract for our Emergency Medical Services students who will be completing a
portion of their clinical education at your facility. Please obtain the appropriate signature(s) and
return one copy in the enclosed envelope.
We appreciate your assistance in the clinical education of our students. If you have any
questions, please feel free to contact me at (563) 556 -5110 or (800) 728 -7367 Ext. 209 or by
email burdsk @nicc.edu.
Sincerely,
Enc.
Kathleen Nacos -Burds RN, MS, ABD
District Wide Head of Nursing &
Dean of Allied Health, Peosta Campus
/11/7-da/5 /-/5/46)
Calmar Campus • Peosta Campus
NICC Centers: Chickasaw County • Cresco • Dubuque • Oelwein • Town Clock • Waukon
Program Agreement
between
NORTHEAST IOWA COMMUNITY COLLEGE
and
DUBUQUE FIRE DEPARTMENT
THIS AGREEMENT entered into by and between NORTHEAST IOWA COMMUNITY
COLLEGE (the "College "), and DUBUQUE FIRE DEPARTMENT (the "Facility ").
1. The Programs. This Agreement covers those Programs listed below which are
indicated by a check mark:
❑ Nursing
❑ Respiratory Care
❑ Radiologic Technology
❑ Computed Tomography
V EMT/Paramedic .
❑ CNA
❑ HIT
2. Purpose of Agreement. The College offers the Program(s) listed above to its
students. The students are in need of clinical experience in order to satisfactorily
complete the Program. The College and the Facility have agreed to cooperate in
providing clinical experience to the students on the terms and conditions set forth in this
Agreement.
3. Term of Agreement. This Agreement shall commence on the 1st day of December
2010. This Agreement shall continue from year to year unless modified or terminated by
either party giving the other 90 days advance written notice.
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4. College Responsibilities.
A. The College will plan, implement and administer the Program(s) in cooperation
with the Facility.
B. The College shall coordinate any necessary visits, consultations, conferences, and
planning sessions with the Facility, and shall arrange clinical instruction
schedules in consultation with the Facility.
C. The College will provide the Facility with (i) the purpose and goals of each
Program (ii) the names and proficiency levels of the student (iii) a schedule of the
times that the students will be at the Facility and the type of instruction needed
and (iv) identity of the College faculty member responsible for each Program and
the students supervision.
D. The College faculty member supervising the students shall obtain and maintain
for the duration of their involvement with each Program any license, registration,
or certification required by law or regulation.
E. The faculty members and students participating in each Program shall have been
informed and will abide by the infection control policies of the facility. The
College will maintain immunization files for each faculty member and student.
F. The faculty members and students shall be informed by the College of the
importance and requirements for maintaining confidentiality of medical records
and of patients at the Facility. The College shall provide HIPPA awareness
training to its faculty members and student prior to participating in each Program
or validate completion of training from an approved agency.
G. The College agrees that upon written notice to the College the Facility may
refuse to accept or may terminate from participation in each Program any student
whose work, conduct, or health or other cause may have a detrimental effect on
the patients or personnel of the Facility.
H. The College will assure that criminal history and adult and child abuse registry
checks of students enrolled in each Program will be completed and the College
shall furnish the Facility with the information made available to the College by
the appropriate government agencies. The Facility may conduct its own
background checks.
The College, its students and faculty shall observe and comply with the rules and
regulations of the Facility.
J. The College shall be responsible for its own negligent or tortious acts or those of
its faculty or students during their participation in each Program and the College
shall indemnify and save harmless the Facility, its board members, its employees
and agents from loss, damage, expenses, attorney's fees and costs on the count of
the death, personal injury, and property damage to any persons caused by the
negligent or tortious acts of the faculty or students during participation in each
Program.
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K. The College shall maintain general liability insurance in the amount of at least
$2,000,000 per occurrence which shall provide coverage for its faculty and
students while participating in the Program. The College also shall maintain
professional liability insurance in the amount of $2,000,000 per occurrence
providing insurance coverage for the faculty and students while participating in
the Program. The College will provide the Facility with a certificate of insurance
upon request.
Facility Responsibilities.
A. The Facility and its clinical instructors and supervisors shall participate in good
faith in any consultations, conferences, and planning sessions that are organized
by the College with regard to each Program.
The Facility shall provide space for the College students and faculty to conduct
on -site conferences. The College may record these conferences via any medium
it chooses, subject to any good -faith concerns on the part of the Facility as to
patient privacy or other matters.
C. The Facility shall provide the College students and faculty with a thorough
orientation of the Facility.
D. The Facility's instructors and supervisors shall maintain communication with the
College as to the performance and progression of the students and shall provide
the College with a written evaluation of each student group at the completion of
the clinical rotation and at any other intervals requested by the College. The
Facility shall complete and promptly return to the College specific evaluation
forms provided by the College.
E. The responsibility for patient care is retained by the Facility. The Facility shall
not rely on the students for patient care, however students may be permitted to
perform procedures when subject to careful supervision. The Facility shall
provide the supplies required for patient care.
F. The Facility shall provide the College with current written copies of its policies,
guidelines, and similar documents, and shall provide updated copies of the same
in the event of any change thereto.
G. The Facility is responsible for informing the managers of each department and
unit of the Facility as to the Program and the student schedules.
H. The Facility shall be responsible for its own negligent or tortious acts of its
employees and the Facility shall indemnify and save harmless the College, its
employees and agents from loss, damage, expenses, attorney's fees and costs on
account of the death, personal injury or property damage to any person because
of the negligent or tortious acts of the Facility or its employees.
I. The Facility shall maintain general liability insurance covering its employees and
professional services liability insurance for its employees.
6. Joint Responsibilities.
A. The College will select the instructors employed by the College. The College
and the Facility shall participate in the selection and approval of Facility /College
preceptors /supervisors. Both parties agree that the instructors and supervisors
will function within guidelines agreed upon by both parties.
B. The College and the Facility shall cooperate in the development of student
schedules and shall maintain communication as to the curriculum and instruction
of each Program so as to provide the students with a thorough clinical
experience.
C. The maximum number of students assigned to the Facility at any one time during
a Program shall be established by mutual agreement.
D. The College and Facility shall each be responsible for their own adherence to
federal, state and local non - discrimination laws. The College and the Facility
agree that each will not discriminate against the faculty, students or employees
who participate in the program.
E. The College faculty and Facility personnel shall cooperate in the assignment of
students to learning experiences with objectives communicated verbally to
Facility staff.
7. General Terms.
A. This Agreement shall not be assigned by either party.
B. This Agreement shall be governed by the laws of the State of Iowa.
IN WITNESS WHEREOF, the parties have executed this Agreement on the date set forth
below.
Northeast Iowa Community College The Facility
B ��`"/ �2 By:
Y•
Position: President Position:
Date: ll' 76 Date:
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