Collie Wells, Education Administrator

HEALTH SCIENCE

CLINICAL MANUAL

2012

Collie Wells, Education Administrator

Mylinda Brown, Education Specialist

Staci Gardner, Gadsden City High School Health Science

HEALTH SCIENCE CLINICAL INTERNSHIP

Definition

Health Science Clinical Internship is a structured component of the Career and Technical Education Health Science curriculum that provides a supervised experience in an approved setting. Health Science Clinical Internship is designed to be completed in a hospital, extended care facility, rehabilitation center, medical office, imaging laboratory, or other approved setting(s). The Health Science Clinical Internship standards are identified in the Alabama Course of Study: Career and Technical Education as part of the coursework for Health Science.

Purpose/Objective: Occupational Preparation

Health Science Clinical Internship provides an opportunity for students to gain knowledge and apply previously learned theory and skills in an actual health care setting. These experiences are uniquely designed to meet students’ career objectives through supervised experiences, which are coupled with related classroom instruction.

Prerequisites

Successful completion of a minimum of one credit in Health Science coursework is required prior to placement of a student in Health Science Clinical Internship.

Related Instruction

Students must be enrolled in a Health Science course. The student shall participate in Health Science Clinical Internship for a maximum of three (3) days a week. Students must participate in classroom instruction a minimum of two days per week for mastery of content standards, documentation of technical skill attainment, and discussion of internship experiences. The number of days for clinical and classroom instruction can be used as an average number of days per week.

Student Selection/Qualifications

Health Science Clinical Internship student must:

• Be at least sixteen years of age.
• Meet the prerequisites for enrollment and have declared a Health Science career objective.
• Complete a Health Science Program Application for Clinical Enrollment.
• Be capable of performing the tasks of the clinical placement.
• Be classified as an eleventh or twelfth grader.
• Be in good academic standing and have an acceptable discipline record as determined by the Health Science teacher.

Roles and Responsibilities

Health Science Clinical Internship requires time, commitment, collaboration of the following partners:

• Students must arrive at the clinical site at the appropriate time and in the appropriate dress. Students must comply with the rules and regulations of the school district, school, and clinical site.

• Parents/guardians shouldprovide ongoing support to the student and assume the responsibility for the conduct of the students. Parent/guardian is responsible for transportation arrangements for the student to and from the clinical site and will be responsible for any liability involved.

• Health Science Teachers shallsecure appropriate clinical site(s) based on the student’s career objective. The teacher shall work with the clinical site(s) to develop a training plan for the student. The teacher will monitor student progress through visits and/or communication with clinical site preceptor(s) or their designee. The teacher shall meet with the student regarding his/her progress, behavior, attitude, academics, etc. and is responsible for the student’s final grade for clinical experience. The teacher is also responsible for reinforcing clinical site experiences with related classroom instruction.

• Healthcare Clinical Preceptor(s) shallprovide opportunities and placements for students to apply previously learned theory and skills in healthcare settings, as well as a safe learning environment. Clinical Preceptor(s) will evaluate student performance and report to Health Science teacher.

Appropriate Placement

Health Science Clinical Internship provides opportunities for a student to meet their career objective and train in areas outside of their primary objective in order to gain a broader perspective. Clinical placements must also meet federal and state Child Labor Laws.

Credits Earned

Credits will reflect the course requirements in which the clinical internship is incorporated.

Hour Requirements

Student must successfully complete 140 hours that include both classroom and clinical instruction to earn one course credit.

Supervision/Coordination Requirements

The Health Science teacher will monitor student progress through visits and/or communication with clinical site preceptor(s) or their designee.

Placement Restrictions or Limitations

Student may not participate in a hazardous occupation as defined by Alabama and Federal Child Labor Law. Student may be rotated to a different clinical site based on a student’s career objective or area of interest at the discretion of the Health Science teacher.

Required Documentation and Forms

The following documentation or forms must be completed and placed in the student file with the Health Science teacher for each student participating in Health Science Clinical Internship. The documents and forms must be kept on file a minimum of 5 years.

Prior to Enrollment

• Career Interest/Aptitude Inventory (Assessment used to be determined by the LEA)
• Health Science Program Application

• School/LEA Clinical Regulations and Policies (To be established and approved by the LEA)

Prior to Placement of Student

• CPR Certification (American Red Cross or American Heart Association)
• Health Science Clinical Internship Training Agreement
• Health Science Clinical Internship Time Sheet
• Health Science Clinical Internship Evaluation of Student Performance
• Student Confidentiality Statement
• Other Forms/Documents as required by the Health Science Teacher, Local Education Agency, or Training Site

Wages

Health Science Clinical Internship is unpaid work experiences.

Insurance Coverage/Immunizations

All participants in Health Science Clinical Internship must provide proof of the following:

• Current health insurance coverage
• Liability insurance coverage

• Automobile liability insurance (if student provides own transportation)
• Hepatitis B Vaccine
• Varicella Vaccine (or diagnosis of varicella or verification of history of varicella disease)

Current TB Skin test

• Other Forms/Documents as required by the Health Science Teacher, Local Education Agency, or Training Site

REQUIRED DOCUMENTATION AND FORMS

(SAMPLES ON FOLLOWING PAGES)

PROGRAM APPLICATION

SAMPLE

(Sample)

Health Science

PROGRAM Application

Please check your appropriate grade level for the upcoming school year

9th grade _____

10th grade _____

11th grade _____

12th grade _____

Please check all the following that apply to the upcoming school year

I will be a 1st year Health Science student _____

I will be a 2nd year Health Science student _____

I will be a 3rd year Health Science student _____

I will be a 4th year Health Science student _____

I am applying for Health Science Clinical Internship _____

State your Career Objectives

First Career Objective ______Second Career Objective ______

Student Information

Name ______Age ______Date of Birth ______Date ______

Home School ______Home Address ______

Home Phone ______Cell Phone ______

Mother’s Name/Legal Guardian ______Phone ______

Father’s Name/Legal Guardian ______Phone ______

Are you employed? ______If so, where? ______

Graduation Exam Passed _____ yes _____ no ACT Score ______Current GPA ______

How many days were you absent this school year? ______If over 5, please explain ______

Do you have any health problems or allergies? ______If yes, explain ______

No person shall be denied employment, be excluded from participation in, be denied the benefits of, or be subjected to discrimination in any program or activity on the basis of disability, gender, race, religion, national origin, color, age or genetics. Ref: Sec. 1983, Civil Rights Act, 42 U.S.C.; Title VI and VII, Civil Rights Act of 1964; Rehabilitation Act of 1973, Sec. 504; Age Discrimination in Employment Act; The Americans with Disabilities Act of 1990 and The Americans with Disabilities Act Amendments Act of 2008; Equal Pay Act of 1963; Title IX of the Education Amendment of 1972; Title II of the Genetic Information Nondiscrimination Act of 2008: Title IX Coordinator, P.O. Box 302101, Montgomery, Alabama 36130-2101 or call (334) 242-8165.

Attach the following

Please write a paragraph describing what you hope to gain from the Health Science program and why you decided on your career objective.

TRAINING AGREEMENT

SAMPLES

Health Agency

and

Hospital

(sample)

Health Science

Clinical INTERNSHIP Training Agreement

Training Agreement Between Health Science Program and Health Agency

THIS AGREEMENT, made and entered into this ______day of ______, 20____, by and between ______in ______, party of the second part.

WITNESSETH:

WHEREAS, ______(school name), is desirous of establishing a healthcare education opportunity at ______(Health Agency) in which students will observe and perform such duties as permitted, and

WHEREAS, the party of the second part is desirous of improving the quality of trained employees and recognizes the need for such healthcare education experience.

NOW, THEREFORE in consideration of mutual covenants hereinafter set forth, ______

______(school name), and party of the second part do hereby agree as follows:

1. Students shall be subject to the rules and regulations of the establishment of the party of the second part at all times and during the periods of observing and performing practical experiences on the premises, shall be under the supervision, control, and direction of the party of the second part and any student failing to conduct himself/herself accordingly is subject to dismissal from the program by either party of the first part or party of the second part.

1. The student shall have liability insurance coverage that meets approval of the party of the second part.

1. The number of hours that the student will spend on the premises of the party of the second part and the duties to be performed shall be agreed upon by both parties.

1. Students shall receive instruction in the aforementioned duties prior to assignment by either the training program or the party of the second part, or both. The students will strictly abide by the compliance policies and procedures and agrees to report any compliance issues to the appropriate parties.

1. Students shall maintain confidentiality at all times. Breach of confidentiality will result in dismissal from the program by either party of the second part or party of the first part.

1. Neither party shall discriminate on the basis of race, color, creed, sex, national origin or ancestry, disability, or age in access to, treatment in or benefits under this agreement.

1. Transportation both to and from the premises will not be provided by either party and will be the student’s responsibility unless otherwise agreed upon.

1. The second or first party reserves the right to terminate this agreement at any time, if the rules and regulations stipulated herein are violated.

1. The second or first party will not be held liable for accidents that may occur while the student is in or on the premises of the clinical site.

1. If any of the provisions of the Agreement are in conflict with any applicable statue, rule or law, then such provision shall be deemed inoperative to the extent they conflict herewith and shall be deemed to be modified to conform to such statute and rule.

1. No person shall be denied employment, be excluded from participation in, be denied the benefits of, or be subjected to discrimination in any program or activity on the basis of disability, gender, race, religion, national origin, color, age or genetics. Ref: Sec. 1983, Civil Rights Act, 42 U.S.C.; Title VI and VII, Civil Rights Act of 1964; Rehabilitation Act of 1973, Sec. 504; Age Discrimination in Employment Act; The Americans with Disabilities Act of 1990 and The Americans with Disabilities Act Amendments Act of 2008; Equal Pay Act of 1963; Title IX of the Education Amendment of 1972; Title II of the Genetic Information Nondiscrimination Act of 2008: Title IX Coordinator, P.O. Box 302101, Montgomery, Alabama 36130-2101 or call (334) 242-8165.

______

School Administrator

______

Health Science Teacher

______

Administrator, Party of the Second Part (Agency or Department as designated)

(SAMPLE)

HEALTH SCIENCE CLINCAL INTERNSHIP

TRAINING AGREEMENT

BY AND BETWEEN______HOSPITAL AND______SCHOOL

This agreement entered into this _____ day of ______, 20 ____, by and between the ______City Board of Education, for ______High School, hereinafter referred to as “______” and the Health Care Authority of the City of ______, hereinafter referred to as “______Hospital.”

WHEREAS, ______Hospital operates as a hospital in ______, Alabama with facilities available for education and training in health careers; and

WHEREAS, ______provides training in health careers; and

WHEREAS, both parties benefit from an agreement regarding use of ______Hospital facilities for education and training opportunities,

NOW THEREFORE, in consideration of the foregoing, it is agreed as follows.

1. RELATIONSHIP. The relationship between the parties is that of two independent entities. No agent, employee or servant of ______Hospital shall be or shall be deemed to be an employee, agent, or servant of ______, ______Schools or the State of Alabama, and no agent, employee or servant of ______or ______Schools shall be deemed to be an employee, agent or servant of ______Hospital, except that both parties agree to comply with privacy and confidentiality requirements of each other. ______Hospital will be solely and entirely responsible for the acts of its agents, employees, servants, and contractors during the performance of this agreement. ______will provide to ______Hospital

a copy of student information sheet to include dates and specific rotation experience required at ______Hospital. ______will indemnify and save ______Hospital from any liability or damage the facility may suffer as a result of claims, demand, or costs or judgment against it arising out of the operation of this agreement.

2. FACILITIES. ______Hospital will provide its facilities to ______for the education and training of students from ______regarding preparation for a health career. ______Hospital will make available, so far as possible and reasonable, access ______parking for students. It is expressly understood, however, that all costs of food service and parking are to be borne by the students and are not the responsibility of ______Hospital. ______Hospital will follow internal protocol in case of injury to students during training. Cost of any such care will be the sole responsibility of the student.

3. INSTRUCTION. ______Hospital will provide the cooperation of its staff for instruction to ______students. ______will be responsible for oversight, guidance, grading, record keeping, and instruction of all students.

4. MATERIALS. ______High School will provide all students’ instructional materials and supplies at no cost to ______Hospital.

5. UNIFORMS. Student uniforms, shoes, and scrubs are the responsibility of the student and cost will not be borne by ______Hospital without mutual agreement between ______Hospital and student.

6. INSURANCE. ______will bear the sole responsibility to ensure that student professional liability insurance meets hospital requirements ($1 million per occurrence or $3 million aggregate minimum). A certificate evidencing acceptable insurance for this program will be provided upon request. ______has full worker’s compensation insurance as required by law.

7. RULES AND REGULATIONS. ______Hospital may from time to time issue non- discriminatory rules and regulations regarding this program. Such rules and regulations will be discussed with representatives from ______before implementation. Once implemented all such rules and regulations shall be enforced by ______and ______Hospital on students and faculty of ______participating in the program. ______Hospital has ultimate responsibility of the quality of care given to patients and thus reserves the right to refuse access to any student or faculty member of ______who does not meet ______employee standards for safety, health, or ethical behavior. ______Hospital may resolve any dispute or problem situation in favor of its’ patients, or staff, or ______Hospital’s welfare, and restrict access of any student or faculty member of ______until such dispute or problem can be resolved. ______personnel and ______students shall not engage themselves in matters relating to the internal operation of ______Hospital. ______and ______Hospital reserve the right to evaluate and if necessary temporarily interrupt or terminate educational experiences under this agreement if the existing conditions are not conducive to good educational and patient care practices. The students will strictly abide by ______Hospital’s compliance policies and procedures and agrees to report any compliance issues to the appropriate parties.

8. HEALTH CARE. Prior to acceptance for participation in this program students and faculty of ______shall have; a) a skin test (to be repeated annually) and, if indicated, a chest x-ray; b) immunization for diphtheria and tetanus; c) a Hepatitis B immunization unless accepted by ______Hospital upon submission of a notarized declination form; and d) proof of immunity to rubella, varicella, and rubeola. Students and faculty of ______shall be responsible for their own medical expenses. Any service provided by ______Hospital for the student or faculty member is the responsibility of the student or faculty member. Documents evidencing these responsibilities will be provided upon request. ______agrees that each participating student shall be subject to drug/alcohol screening policy in effect at ______Hospital during the time of the clinical experience.

9. GOVERNANCE. The laws of the State of Alabama and rules and regulations issued pursuant thereto, shall be applied in the interpretation, execution, and enforcement of this agreement.

10. DISCRIMINATION AND AFFIRMATIVE ACTION. Neither ______Hospital nor ______shall discriminate on the basis of race, color, creed, sex, national origin or ancestry, disability, or age in access to, treatment in or benefits under this agreement.

11. STUDENT/TRAINEE REQUIREMENTS. ______Hospital reserves the

right to require the following, at its’ sole option: (Optional)

a. Each new student may be interviewed and approved by a designated

representative of ______Hospital prior to the student’s assignment.

b. The vita and qualifications of each student are submitted.

c. Each student submits documentation of skills and knowledge required by

______Hospital or its’ designated representative prior to placement

at ______Hospital for supervised clinical internship.

d. A clinical rotation schedule will be provided to ______Hospital

with student name, date, time, and hospital area/department.

12. REGULATORY AND ACCREDITATON REQUIREMENTS. ______Hospital and ______agree to comply with all applicable federal and state laws, regulations, policies, and accreditation requirements. ______Hospital and ______specifically agree to comply with all requirements set forth by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) as required by this relationship. The students will receive training related to ______Hospital Exposure Control Plan for Blood borne Pathogens prior to being in the clinical setting at ______Hospital, as required by OSHA. The student or ______Hospital personnel must inform patients of the student’s presence and participation during exams, procedures, and treatments (may be verbal and/or name badge identification indicating position, title, and affiliation).