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AGREEMENT FOR FURNISHING CLINICAL EXPERIENCE AND THE USE

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Page 1 of 14
AGREEMENT FOR FURNISHING CLINICAL EXPERIENCE
AND THE USE OF CLINICAL FACILITIES
FOR CABRILLO COLLEGE ALLIED HEALTH PROGRAMS
This Agreement is entered into by and between CABRILLO COMMUNITY COLLEGE DISTRICT
(hereinafter called "COLLEGE") and (hereinafter called
"INSTITUTION"), an INSTITUTION organized and operated pursuant to California Health and Safety Code,
Section 32000, relating to the use of facilities at the INSTITUTION.
IT IS HEREBY AGREED AS FOLLOWS:
A. PURPOSE OF AGREEMENT
The parties intend that this Agreement shall set forth the rights and obligations of each party regarding
clinical and/or field training for its Health Careers Program. The programs covered by this agreement
are specified in Attachment A.
B. TERM OF AGREEMENT
This Agreement shall commence on , and shall continue in full force and effect until
terminated by either party in writing. Either party may terminate or change this Agreement upon
ninety (90) days notice in writing sent by registered mail, postage prepaid, addressed to the other party.
Subject to paragraph D.4 below, any change or termination to this Agreement made pursuant to the
provisions of this paragraph shall not be effective with respect to those students participating at the
Health Services Program at the INSTITUTION’S facilities on the notice date until the end of the
academic semester in which said notice is sent.
C. GENERAL NATURE OF RELATIONSHIP
It is understood that the Health Careers Programs to be conducted pursuant to this Agreement are
training programs of COLLEGE and not of INSTITUTION, and that students participating in the Health
Careers Programs shall be at all times under the exclusive jurisdiction of COLLEGE. Despite the
foregoing, the time, place, and subject matter of all training hereunder, including plans, therefore shall
be subject to the approval of INSTITUTION. The COLLEGE hereby assumes responsibility for
assuring that students observe the rules and regulations of INSTITUTION and that they do nothing that
might prove detrimental to INSTITUTION or to its patients.
In order to provide the coordination and cooperation essential to the conduct of an effective training
program, COLLEGE and INSTITUTION each will appoint one or more persons to work together in
planning and implementing each training program, and while working together will advise one another
of the policies, rules, and regulations of their respective institutions and establish such matters as the
time and place of training, and the number of students to participate in any training program at any given
time. INSTITUTION Health Services shall retain responsibilities for patient care. It is expressly agreed
and understood by INSTITUTION and COLLEGE that this Agreement is not intended and shall not be
Pajaro Valley Unified School District
02/01/2021
Page 2 of 14
construed to create a relationship of agent, servant, employee, partnership, joint venture, or association
between COLLEGE and INSTITUTION. Rather, it is an agreement between a public education
institution and a public Institution, whereby some of COLLEGE’S students may be physically present at
INSTITUTION for a period of time to gain experience while enrolled in COLLEGE’S Health Careers
Program (Specific Academic Programs are described in Attachment A)
.
D. OBLIGATIONS OF COLLEGE
1. The COLLEGE shall be subject to all applicable INSTITUTION rules and regulations controlling
the training activities to be held at the INSTITUTION’S facilities, as well as any reasonable rules
and regulations as formulated by COLLEGE for the continued operations for any Health Careers
Programs on INSTITUTION property.
2. COLLEGE shall designate the students for participation in the training programs hereunder, and the
number shall be mutually agreed upon by the COLLEGE and the INSTITUTION.
3. The COLLEGE shall organize, administer, operate, finance and exercise general supervision over
the educational program on INSTITUTION property.
a. Testing, guidance, and counseling of all students in the program;
b. Provision of qualified instructions to teach all courses in the total curriculum of the Health
Careers Programs, including instruction given at INSTITUTION facilities;
c. Development, organization, implementation of Health Careers Program curriculum;
d. Maintenance of all personnel and academic records of students;
e. Responsibility for the provision and maintenance of the education programs;
f. Arrangement for instructor’s orientation to INSTITUTION; and
g. The COLLEGE will assure the clinical competence of all health services instructors in
accordance with the governing regulations of each discipline.
In accordance with mutually pre-arranged scheduling, INSTITUTION shall make available to
COLLEGE certain clinical areas in INSTITUTION facilities in such manner as mutually agreed
upon so that an effective training program may be carried out by COLLEGE for its Health Careers
Programs.
4. COLLEGE shall designate the students to be enrolled in INSTITUTION clinic subject to the
approval of INSTITUTION; provided, however, INSTITUTION instructors, may remove and
exclude any and all students, instructors, or agents of COLLEGE from its facilities if, in its sole
judgment, such persons may have possible adverse effects on the safe and effective care of patients.
In agreeing to this provision, the parties recognize that INSTITUTION’S primary responsibility is to
the patients in its facilities and this responsibility shall supersede the privilege of any student to use
INSTITUTION’S training facilities.
Furthermore, COLLEGE and INSTITUTION acknowledge that although INSTITUTION may
remove and exclude from its facilities health career students at any time, pursuant to state law, it is
the responsibility of COLLEGE to make decisions as regards the admission, removal, suspension, or
expulsion of its students from its classes and that such decisions may not be delegated to, or
otherwise be made by INSTITUTION. Consequently, the removal and exclusion of any student
Page 3 of 14
from INSTITUTION’S facilities will not affect the admission, removal, suspension or expulsion of
such students to or from COLLEGE’S classes.
5. COLLEGE shall provide and be responsible for the care and control of educational supplies and
educational equipment necessary for instruction that are not customarily available for clinical
experience.
COLLEGE shall insure that students use appropriate safety equipment and receive safety training
where required (i.e., Bio-hazardous/Medical Waste, Hazardous materials, etc.)
6. The COLLEGE shall require that each student designated by the COLLEGE for clinical experience
in Health Careers Program under this Agreement shall meet the minimum qualifications for students
in the Health Careers Program.
7. The COLLEGE agrees to protect, defend, and hold the INSTITUTION harmless from any claim,
loss or liability for injury to person or property resulting from, or connected with, the conduct of
activities of students, their teachers, supervisors and other COLLEGE personnel involved in the
program which is caused directly or indirectly as a result of negligent or intentional conduct by the
COLLEGE, its agents, students, teachers, supervisors, personnel, or employees.
E. OBLIGATIONS OF INSTITUTION
1. INSTITUTION agrees to provide the use of appropriate clinical facilities for the learning
experiences of students enrolled in the Health Careers Program of the COLLEGE, and who are
designated by the COLLEGE and the INSTITUTION for such experience; provided, however, such
INSTITUTION facilities will be offered to the extent that they are available and not used for other
appropriate INSTITUTION functions.
2. INSTITUTION shall permit reasonable access for students and teaching staff as long as such access
causes no disruption to the INSTITUTION’S activities.
3. The INSTITUTION shall permit the medical and/or dental staff of the INSTITUTION to
participate in the student's clinical experience.
4. The INSTITUTION shall exercise complete supervision and control of its employees and agents and
shall hereby agree to protect, defend and hold the COLLEGE free and harmless from any claim, loss
of liability for injury to person or property resulting from or connected with the conduct or activities
of the training program which is caused directly or indirectly as a result of negligent or intentional
conduct by the INSTITUTION, its agents, and employees.
5. Assurance of the availability and appropriateness of the learning environment in relation to the
program’s written objectives.
6. Provision for orientation of faculty and students.
7. A specification of the responsibilities and authority of the facilities’ staff as related to the program
and to the educational experience of the students.
Page 4 of 14
8. Assurance that staff is adequate in number and quality to ensure safe and continuous healthcare services
to patients.
9. Provisions for continuing communication between the facility and the program, and
10. A description of the responsibilities of the faculty assigned to the facility utilized by the program.
F. HEALTH AND SECURITY SCREENING FOR STUDENTS IN TRAINING PROGRAMS
COLLEGE shall furnish INSTITUTION with such evidence as INSTITUTION may require in order to
assure itself that each student assigned for training hereunder is physically fit, is effectively immunized
against such diseases designated by INSTITUTION, and has completed a background check
appropriately designated by INSTITUTION. (Specific Clinical Compliance Requirements are described
in Attachment B)
INSTITUTION shall exercise, on behalf of the COLLEGE, COLLEGE’S responsibility to obtain,
provide or arrange such emergency medical and INSTITUTION care as may be needed by any student
or faculty member while participating in the Health Careers Programs hereunder at INSTITUTION. In
securing or providing emergency medical treatment for students or faculty members, INSTITUTION
will not assume any financial responsibility for treatment or related expenses.
G. FINANCIAL PROVISIONS
COLLEGE and INSTITUTION agree to maintain in full force and effect during the full term of this
Agreement, liability insurance in the amount of at least $1,000,000.00 written by insurance carriers
satisfactory to INSTITUTION and COLLEGE. Upon request, each party shall furnish to the other
certificates of insurance. The certificates of insurance shall provide that the insurer will not cancel the
insurance coverage without thirty (30) days prior written notice to the additional insured party.
COLLEGE shall also provide Worker’s compensation for employees, agents, instructors, and students
employed by the COLLEGE.
H. NOTICES
Notices or communications required or permitted to be given under this Agreement shall be given as of
the date of mailing to the respective parties by certified or registered mail, return receipt requested, at
the following addresses until a party shall notify the other in writing of a change in such address:
INSTITUTION:
COLLEGE: Cabrillo Community College District
Director, Purchasing, Contracts & Risk Management
6500 Soquel Drive
Aptos, CA 95003
Pajaro Valley Unified School District
294 Green Valley Road
Watsonville, CA 95076
Page 5 of 14
I. CONFIDENTIAL AND PROPRIETARY INFORMATION.
a. Confidential Information. INSTITUTION asserts, and COLLEGE acknowledges, the patient-
identifiable, financial, clinical, and management information and other INSTITUTION-specific data that
is not in the public domain, and that is disclosed to COLLEGE by INSTITUTION so that COLLEGE
may provide services pursuant to this Agreement, is highly confidential and that in some cases such
confidentiality is mandated by law. INSTITUTION further asserts, and COLLEGE acknowledges, that
particularly with respect to the financial and clinical information, disclosure of INSTITUTION’s
confidential information could have a severe adverse impact on INSTITUTION’s business and/or
market position. Therefore, COLLEGE warrants and agrees that COLLEGE shall not utilize any of
INSTITUTION’s confidential information for any purpose whatsoever, except to the extent necessary to
provide the services identified in this Agreement and shall not disclose any of INSTITUTION’s
confidential information to any other person, firm, or entity without prior written authorization of
INSTITUTION. COLLEGE may disclose or provide access to INSTITUTION’s confidential
information only to those of COLLEGE’s employees who (i) require access to INSTITUTION’s
confidential information in order for COLLEGE to exercise its rights and perform its obligations
hereunder; and (ii) have executed a Non-Disclosure Agreement in form and substance satisfactory to
INSTITUTION, that effectively prohibits the disclosure and unauthorized use of INSTITUTION’s
confidential information. Notwithstanding any provision in this Agreement to the contrary, in the event
of a breach of this Section, INSTITUTION shall have the right to seek direct damages.
b. Proprietary Information. The parties acknowledge that during the term of this Agreement, each party
shall have access to certain data, procedures, forms, trade secrets, techniques, copyrighted materials, and
trade information of the other party, that such party protects from unrestricted disclosure to others
(hereinafter referred to as “Proprietary Information”). Except as shall be necessary to effectuate the
terms of this Agreement, both parties agree to maintain all such Proprietary Information in strictest
confidence and agree not to publish, divulge, disclose, display, or otherwise make available such
Proprietary Information to any third party (including, without limitation, any governmental agency)
other than to such employees or agents of a party who have a reasonable need to know such information
and who have agreed to hold such information in confidence, without the prior written consent of the
other party or as otherwise required by law, governmental regulation, court order, or subpoena.
c. Return of Proprietary Information. Upon termination of this Agreement for any reason, each party shall,
at its own expense, deliver to the other party all the Proprietary Information of such other party that is in
its possession or under its control, and each party shall promptly destroy or delete from its records
(electronic or otherwise) all Proprietary Information provided to it by the other party.
Page 6 of 14
J. COMPLIANCE WITH MEDICARE ACCESS TO RECORDS LAW.
The purpose of this Section is to evidence compliance with Medicare requirements regarding access to
books, documents and records of subcontractors set forth in Section 952 of the Omnibus Reconciliation
Act of 1980 (P.L. 96-499) codified in 42 USCA §1395x(v)(1)(1) [Section 1861(v)(1)(1) of the Social
Security Act], and the Regulations thereunder, as amended, or any successor law (herein, collectively,
"Medicare Access To Records Law"), if and to the extent applicable. To the extent this Section varies
from any provision required by the Medicare Access To Records Law, now or as hereafter amended, the
applicable required provisions shall be deemed by the parties to be incorporated herein by reference. The
parties agree to comply with the following statutory requirements governing the maintenance of
documentation to verify the cost of services provided under this Agreement:
a. Until the expiration of four (4) years after the furnishing of such services pursuant to this Agreement, the
parties shall make available, upon written request by the Secretary of Health and Human Services or
upon request by the Comptroller General of the United States, or any of their duly authorized
representatives, this Agreement, and books, documents and records of the parties that are necessary to
certify the nature and extent of such costs; and
b. If a party carries out any of the duties of this Agreement through a subcontract with a value or cost of
ten thousand dollars ($10,000) or more over a twelve (12) month period, with a related organization as
that term is defined with regard to a provider in the Secretary's regulations, that until the expiration of
four (4) years after the furnishing of such services pursuant to such subcontract, the related organization
shall make available upon written request by the Secretary of Health and Human Services, or upon
request by the Comptroller General, or any of their duly authorized representatives, the subcontract, and
books, documents and records of such organization that are necessary to verify the nature and extent of
such costs.
K. NON-DISCRIMINATION POLICY
It is expressly understood and agreed that in carrying out this Agreement and the Health Careers
Program, COLLEGE and INSTITUTION agree that they will abide by all applicable state and federal
laws, rules, and regulations. It is further understood that COLLEGE or INSTITUTION shall not
unlawfully discriminate against any student or COLLEGE employee that is enrolled in, instructing, or
otherwise involved in the Health Careers Program.
Page 7 of 14
L. ENTIRE AGREEMENT
This Agreement, including all attachments supersedes all previous agreements between parties and
constitutes the entire agreement between the parties.
IN WITNESS WHEREOF, the parties, through their duly authorized representatives, have caused this
Agreement to be executed.
For Cabrillo Community COLLEGE:
Michael Robins
Date
Director, Purchasing, Contracts & Risk Management
Program Representative or Designee Date
Signature
Print Name
For INSTITUTION Facility:
Signature Date
Print Name Print Title
click to sign
signature
click to edit
Page 8 of 14
ATTACHMENT A
DESCRIPTION OF EDUCATIONAL HEALTH CAREERS PROGRAMS
COVERED BY THIS AGREEMENT
• Associate Degree Nursing Program
• Associate Degree Dental Hygiene Program
• Nurse Residency Program
• Medical Assisting Program – students are to be supervised and unpaid
during their externship.
o Medical Assisting
o Phlebotomy
• Radiologic Technology Program
Page 9 of 14
Attachment B
ADDENDUM TO MASTER AGREEMENT BETWEEN CABRILLO
COMMUNITY COLLEGE DISTRICT (COLLEGE) AND
(INSTITUTION)
DESCRIPTION OF PROGRAM REQUIREMENTS FOR
STUDENTS IN HEALTH CAREER PROGRAMS COVERED BY THIS AGREEMENT
INCLUDING PROOF OF IMMUNITY, BACKGROUND CHECK
AND DRUG SCREEN
REQUIREMENT
TEST/SCREEN TYPE
ALTERNATIVES
SCHEDULE
CURRENT CPR
CERTIFICATION
American Heart Association
Health Care Provider
None
Certification must remain current while
enrolled in program
BACKGROUND
CHECK
Criminal Background Check
through designated online
vendor
None
Background check completed no more
than 90 days prior to start of DH,
Nursing or RT program or start of MA
externship placement or as specified by
program.
DRUG TESTING
Drug-10 screen for drugs of
abuse
None
Annually required within 90 days
prior to start of DH, Nursing or RT
program or start of MA externship
placement or as specified by program.
PHYSICAL EXAM
College physical exam form
signed by medical
professional within 12 mos.
of start of program
•
Any changes in health
status after physical exam
(surgery, pregnancy, etc.)
must be cleared by
treating clinician
Within 12 mos. of start of DH, Nursing
or RT program .or start of MA
externship placement.
SEASONAL
INFLUENZA
•
Documentation of
Seasonal Influenza
Immunization
•
Medical Waiver
Annually in fall
TUBERCULOSIS
(TB) screening (PPD)
Negative 2-stage TB testing
(PPD):
•
PPD skin test with reading
48-72 hours later
•
return 1-3 weeks later and
repeat process
•
Documented annual
negative TB test for the
previous 3 years ( no less
than 12 months and no
more than 13 mo.s apart)
•
If student has had
previous positive TB test
and CAN DOCUMENT
IT (see above): need
negative chest
x-ray
report,
annual symptom
screening and risk-factor
evaluation questionnaire
(from SHS) < 6 mos. prior
to program entry.
Annually (episodic after first negative
two-stage; must be no less than 12
months and no more than 13 months
from prior test, or 2-stage PPD will be
required again)
Annual symptom screening
questionnaire for those with positive TB
test.
Pajaro Valley Unified School District
Page 10 of 14
REQUIREMENT
TEST/SCREEN TYPE
ALTERNATIVES
VACCINATION SCHEDULE
Immunity to
MEASLES
(RUBEOLA),
MUMPS, RUBELLA
(“German” measles)
Positive measles, mumps,
rubella titers (immunity
blood tests)
•
If baseline titers are
negative (non-reactive),
complete vaccination
series required if no
proof of previous series
completed
•
Vaccine series must be in
process before starting
program and completed
according to vaccine
timeline during program
enrollment
MMR: 2 doses
•
# 1: day 1
•
#2: > 1 mo. later
Immunity to
VARICELLA
(CHICKEN POX)
Positive varicella titer
(immunity blood test)
Varicella: 2 doses
(College Student Health Services does
not offer this vaccine, but can draw
blood for immunity titers)
•
# 1: day 1
•
#2: > 1 mo. later
Immunity to
HEPATITIS A AND
HEPATITIS B
•
Verifiable immunization
record showing 2 doses of
hepatitis A vaccine or a
positive titer
•
Positive hepatitis B
titer
(immunity blood
test)
Hepatitis A: 2 doses
•
#1: day 1
•
#2: no sooner than 6 mos. after day 1
Hepatitis B: 3 doses
•
#1: day 1
•
#2: no sooner than 1 mo. later
•
#3: no sooner than 6 mos. after day 1
-------OR-------
Twinrix (combo hep A and B): 3 doses
•
Same as hep B
schedule
Tdap (tetanus
diphtheria, acellular
pertussis) vaccine
Verifiable immunization
record showing Tdap within
last 10 years
•
TD and DTaP are not
substitutes for Tdap.
Tdap: I dose
Page 11 of 14
See notes below regarding students that have immunity blood tests (titers) performed and do not demonstrate proof of
immunity:
Measles, mumps, rubella – Those not immune will require two vaccinations, 1 month apart.
Varicella (chicken pox) – Those not immune will require two vaccinations, 1 month apart.
Hepatitis B – Students who do not demonstrate laboratory evidence of immunity (blood titer) and who have
documentation of three doses of hepatitis B vaccine (the last of which is at least 4-6 weeks prior to the lab titer)
will receive another dose of Hepatitis B vaccine and have another titer done in 4-6 weeks. Those who demonstrate
lab immunity will be considered immune and no further lab titers need to be done. Those with a negative titer will
then need to complete the second series and have another titer drawn 4-6 weeks after the last dose in the series.
Those who remain non-immune after a second full series of hepatitis B vaccination will be considered a “non
responder” after consultation with a medical provider, and will be advised of this status in writing. The student
will be advised to seek IMMEDIATE evaluation following any blood-borne pathogen exposure so that they may
receive hepatitis B immune globulin within the recommended time frame.
STUDENTS WHO ARE NOT IMMUNE FOR ANY OF THE ABOVE MAY BEGIN THEIR
PLACEMENTS ON RECEIPT OF THEIR TITER STATUS OR DOCUMENTATION OF
COMPLETION OF THE FIRST VACCINATION IN THE RELEVANT SERIES. SUBSEQUENT
RECOMMENDED VACCINATIONS AND/OR TITERS WILL BE PROVIDED TO [INSTITUTION’S]
WHEN THEY ARE COMPLETED.
Any non-immune students (those in process with a vaccination series) who are exposed to a blood-borne
pathogen or other infectious material will be removed from clinical placements at [INSTITUTION] for the
length of the incubation period and will require a physician’s clearance to return to extern status.
Page 12 of 14
Attachment C
Radiologic Technology Contract Requirement per JRCERT
Cabrillo College will assume the responsibility for providing instruction leading to an A.S. Degree in Radiologic
Technology.
The College program officials shall participate in the clinical instruction, supervision, evaluation, and counseling of
students and preceptors in the clinical setting.
The College program officials will assist in the evaluation of the students' performance and work in close liaison with
the preceptor in all matters pertaining to the coordination of the clinical education. A College clinical coordinator
will be on site in the clinical setting for a specific amount of time which will be determined and scheduled each
semester/session based on the number of students at the clinical institution.
The Clinical Facility is required to provide a preceptor who meets the qualifications stated in the JRCERT and
California RHB standards. Each preceptor shall be given a formal preceptor job description that describes the
requirements and duties of the position. The preceptor’s compensation will be assumed by the Clinical Facility. The
preceptor’s prime responsibilities should be instructional in accordance with the number of students assigned to the
Clinical Facility to meet the following minimum requirements:
1. Student Conference
Conduct one hour student conference meetings with each student group (1
st
and 2
nd
year) with time allotted for
preparation. Estimated at 0.5 hour per student per week.
2. Orientation
Conduct student orientation to the clinical site, the first day of the semester/session (2-4 hours). This occurs three
times per year (fall, spring and summer terms).
3. Midterm Student Evaluations
Develop and complete midterm student evaluations (2 hours per student). This occurs week 8 of the semester, week
2 of winter-session, and week 6 of summer session.
4. Final Student Evaluations
Develop and complete final student evaluations (2 hours per student). This occurs week 16 of the semester, week 2
of winter-session, and week 9 of summer session.
5. Preceptors Meetings
Schedule and attend preceptors meetings the beginning and end of each semester. Specific dates and times are
posted on the Program Planning Calendar each semester (4 hours per meeting).
6. Staff Communication
Conduct ongoing communication with technical staff and college officials regarding student assignments,
competencies and program procedures (1 hour per week per 1
st
year student, 0.5 hour per week per 2
nd
year student).
Page 13 of 14
Attachment D
MEMORANDUM OF UNDERSTANDING
FOR
(hereinafter called "INSTITUTION”)
and
Cabrillo College Nurse Residency Program
I.
PURPOSE
The purpose of this Memorandum of Understanding ("MOU") which is Attachment D to
the "Agreement for Furnishing Clinical Experience and The Use of Clinical Facilities to
Cabrillo College Allied Health Programs, is to describe Cabrillo's Nurse Residency
Program, and to list the responsibilities of Cabrillo College School of Nursing and
INSTITUTION in the conduct of this MOU.
A.
Program
Through collaboration with Cabrillo College and INSTITUTION, the Nurse
Residency Program will provide a seamless transition for the Cabrillo College
Associate Degree in Nursing (ADN) new graduate into the professional nursing
role. The proposed project is designed to transition new ADN graduates in retaining
their nursing knowledge by providing additional learning and ongoing mentoring
and support to aid them in becoming a more competent professional. Students
accepted into the Nurse Residency Program will have completed their ADN
program at Cabrillo College and gained a solid foundation in nursing, enabling them
to pass the NCLEX-RN exam. College and INSTITUTION will conduct courses for
the Nurse Residency Program utilizing approved curriculum at Cabrillo College
combined with on-site clinical experiences coordinated with various units at
INSTITUTION.
B.
The Principles
College and INSTITUTION will abide by the following principles:
1.
Classes and faculty in the Nurse Residency program course offerings
will
be
of the quality required by the academic curriculum.
2.
Cooperation, timely communication; and submission of required documents are
fundamental to the successful delivery of this program.
C.
Program Schedule
Students complete the program through the following schedule:
1.
Ten additional clinical placements will be available for Cabrillo nursing students
completing their preceptorship and nurse residencies.
2.
After completion of the Cabrillo College ADN program selected students
will
begin
their 435 hour Nurse Residency Program.
3.
Experienced Nurses may also apply for the Nurse Residency Program.
Page 14 of 14
II.
MUTUAL AGREEMENTS AND RESPONSIBILITIES
All Parties have a mutual interest in providing increased access to and student
success in this instructional program and agree as follows:
A.
Cabrillo College AON program agrees to perform the following activities in
support of the Nurse Residency Program:
•
Provide relevant Nurse Residency curriculum that is congruent with the
University Health System Consortium (UHC)/American Association of
Colleges of Nursing (AACN) Post-Baccalaureate Nurse Residency Program
(NRP), and relevant to the units that will be participating in the NRP, for
example the Operating Room.
•
Provide a Resident Coordinator who will organize the activities of the
Nurse Residents and be the liaison with
INSTITUTION
personal involved
with the Nurse Residency Program.
•
Select Cabrillo ADN candidates for the NRP and coordinate their
clinical experiences in preparation for their participation in the NRP.
B.
Cabrillo College ADN program agrees to perform the following activities in
support of selecting candidates for Nurse Residency Program:
•
Advise prospective candidates that the following pre-requisites are
needed: GPA: Nursing Program
GPA
3.0
•
Support a diverse student population by providing relevant in-kind
academic counseling and success strategies while at Cabrillo College.
C.
INSTITUTION
agrees to perform the following activities in support of the
Nurse Residency Program.
•
Provide access for 10 additional Cabrillo nursing students to complete
their preceptorship or nurse residencies.
•
Provide Preceptorship placements for students selected to participate in the NRP.
•
Provide a Resident facilitator who will collaborate with the Cabrillo
College Resident Coordinator in the administration of the NRP.
•
Provide a nurse preceptor for each Nurse Resident to impart clinical
guidance during their Residency experience.
•
Qualified candidates who successfully complete their residency and are
subsequently offered employment at
INSTITUTION
will have their
participation in the residency program factored into starting salary; for
example beginning as
a
Staff Nurse 2.
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AGREEMENT FOR FURNISHING CLINICAL EXPERIENCE AND THE USE

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