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Jean Bergo 12/19/2017
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Jean Bergo 12/19/2017
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Last modified
12/26/2017 11:34:39 AM
Creation date
12/26/2017 11:34:32 AM
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Contracts
Contractor's Name
Jean Bergo
Approval Date
12/19/2017
End Date
12/31/2018
Department
Senior Center
Department Project Manager
Bob Kvorak
Subject / Project Title
Nurse Wellness Services
Tracking Number
0001007
Total Compensation
$30,000.00
Contract Type
Agreement
Contract Subtype
Professional Services
Retention Period
6 Years Then Destroy
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EXHIBIT A <br /> SCOPE OF WORK <br /> Specific Requirements-Nurse Wellness Services <br /> Service Provider must be a registered nurse currently licensed to practice nursing in the State of Washington. <br /> Service Provider may not provide Work unless Service Provider's license is current and active. <br /> 1. The purpose of this Agreement is to assist and educate seniors in good health practices.To this end Service <br /> provider may provide the following services: <br /> -Assistance with case management doctor appointments,and referrals to physicians and/or Emergency <br /> Room as needed <br /> -Vitals checks(e-g.blood pressure)and education; <br /> -Basic first aid;and <br /> -Health assessments(including weight checks and dietary recommendations),related counseling and <br /> coordination of health programs and promotions at the Carl Gipson Senior Center as needed. <br /> 2. Hours. The Service Provider may work 4 hours per day three days per week and as necessary to <br /> substitute for the other nurse wellness provider.The work week will consist of Monday through Friday, <br /> 9AM-1PM. <br /> 3. Service Provider is responsible for the professional quality,technical accuracy and the coordination and <br /> provision of all Work furnished under this agreement. <br /> 4. Under no circumstance whatsoever may Service Provider provide services under this Agreement that are <br /> outside the usual and ordinary practice of nursing. <br /> 5. Service Provider shall comply with patient information privacy laws including without limitation the <br /> Health Insurance Portability and Accountability Act. <br /> Page 12 <br /> (Form Approved by City Attorney's Office January 7,2010,updated November 21,2016) <br />
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