2014/02/05 Council Agenda Packet

� 5 AFFILIATION AGREEMENT This Agreement is made and entered into between the University of Washington School of Nursing at Seattle, at Bothell and at Tacoma ("School"), located in Washington, and Everett Fire Department(Training Site"), located in the State of Washington. The purpose of this Agreement is for Training Site, which is committed to training health care professionals, to provide desirable clinical learning experiences and facilities for School, which desires clinical learning experiences and facilities for its students. In consideration of the mutual covenants and agreements contained herein, School and Training Site agree as follows GENERAL PROVISIONS 1. School and Training Site agree that contemporaneous with or following execution of this Agreement and within the scope of its provisions, School and Training Site will agree on the operational details of the clinical education program. These details include, but are not limited to,the following: • Beginning dates and length of experience; • Number of students eligible to participate in the clinical education program; • Specific days, hours and locations for the clinical education program; • Specific learning objectives and performance expectations for students; • Specific allocation of responsibilities for the School's faculty Liaison, and Training Site's clinical education Supervisor and Preceptors, if any, identified elsewhere in this Agreement; • Deadlines and format for student progress reports and evaluation forms. 2. School and Training Site may develop letter agreements to formalize the operational details. Any such letter agreements will be considered to be attachments to this Agreement, will be binding when signed by authorized representatives of each party, and may be modified by subsequent letter agreements signed by authorized representatives of each party. Any conflict or inconsistency in this Agreement and its attachments will be resolved by giving the documents precedence in the following order: (1) this Agreement; (2) attachments to this Agreement in reverse chronological order. 3. School and Training Site will jointly plan the clinical education program and jointly evaluate students. Exchange of information will be maintained by on-site visits, letter, telephone, or other means of communication. 4. School and Training Site will instruct their respective faculty, staff, and students participating in the clinical education program, to maintain confidentiality of student and patient information as required by law and by the policies and procedures of School and Training Site. GenAffiliationAgreement02—8-02 Page 1 62