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1989-13579-Order No. 89-037 Recorded 6/8/19894 89-13579 RM LIC BEFORE THE BOARD OF COUNTY COMMISSIONERS OF DESCHUTES Cot" An order Authorizing the Emergency Repair of American Lane Bridge Guardrail, as a Single Project, ORDER NO. 89-037 CCU 1�q S�rt 1� ITY, OREGON 0095 1670 WHEREAS, the County Road official has recommended the expenditure of County Road Funds to repair the American Lane Bridge Guardrail because the guardrail was damaged by an auto- mobile accident; and WHEREAS, the emergency created by the damage justifies the expenditure proposed; and WHEREAS, the Board of County Commissioners may authorize the work in accordance with ORS 368.031 for this local access road in the same manner as a County road; now, therefore, THE BOARD OF COUNTY COMMISSIONERS OF DESCHUTES COUNTY, OREGON, ORDERS as follows: Section 1. That the County Road Official repair the guard- rail on the local access road known as American Lane as recom- mended by the Public Works Director as an emergency. Section 2. That the work authorized herein shall be a single project. DATED this day of 1989. 10ARD OF COUNTY COIJMISSI NER OF WSCHUTES COUNTY, OREGON LOIS T EL S e ord' Secr4 D cordinag Secretary L ORDER NO. 89-03T,___ '­�MED � --)Hl. PRANTE, Chair IV, qwPaLpsioner , Cbrmdissioner r a 0095 1671 R 7-V: - W ED CENTRAL OREGON COMMUNITY COLLEGE I!`-1314� 1989 to 1990 School Yearr-,--. a CLINICAL AFFILIATION AGREEJE General Terms This agreement between Central Oregon Community College and Deschutes County Health Department will be effective for one year following the present day. Prior to the date of termination, the agreement will be reviewed by both parties to the agreement. If terms and operation have been satisfactory, it will be assumed that no barriers exist to continued cooperation and a new agreement will be signed for the succeeding year. If either party requests changes, these will be negotiated and included in a new agreement. Item 1: That Deschutes County Health Department and Central Oregon Community College hereby mutually and formally agree that they freely and willingly undertake a relationship in which both institutions constantly seek to improve and strengthen the following nursing education programs offered by Central Oregon Community College. (See Appendix I for description of each program) Length of Program Program 100 hrs. Nurse Assistant 3 terms Practical Nursing 45 cr. 6 terms Associate Degree Nursing 93 cr. Determined by Other Nursing courses course needs as needed by community Classroom Clinic/Lab Hours Hours 60 40 290 510 (150 nursing; (390 nursing; 180 non-nsg.) 120 non-nsg.) 610 930-960 (270 nursing; (810 nursing; 340 non-nsg.) 120-150 non-nsg.) Revised 5/88 2 - 0095 1672 In pursuit of that goal, we agree to the following specific responsibilities: Specific Responsibilities of Central Oregon Community College A. To assume full responsibility for planning and execution of the programs listed, including the programming, administration, curriculum content, faculty appointment, faculty administrators and the requirements for matriculation, promotion and graduation. B. To abide by the existing rules and regulation of the Deschutes County Health Department. C. To provide student supervision and instructors required in the program, unless in specific instances other provisions are made, e.g. obstetrics, recovery room, operating room, intensive care, or coronary care unit. In these instances joint supervision and instruction will be shared by the clinical instructor and a qualified departmental supervisor. D. To notify Deschutes County Health Department in advance the planned schedule of student assignments to facility areas including dates, number of students and type of experience. This schedule will require approval by Deschutes County Health Department. This includes requests for any classroom or meeting room space. E. To cover trainees with worker's compensation, liability, and malpractice insurance under policies held by the College. F. To cover trainees by malpractice insurance under a policy held by Central Oregon Community College. -3- 0095 1673 Specific Responsibilities of Deschutes County Health Department A. To provide a suitable environment for clinical learning and practice. The institution or center will assure clinical resources, physical facilities and supportive services appropriate to each program which are consistent with the objectives of the specific nursing education programs covered by this agreement. B. To promote acceptance of each specific nursing education program by the institution's or center's professional and administrative staff and to foster coordinated relationships between the college and the various departments of the institution or center. C. To provide that under no circumstance is any student or instructor or faculty member to be considered an agent or employee of Deschutes County Health Department but rather will be considered as a visitor or licensee. The institution or center connected with the program is responsible for the total care rendered to patients. Mutual ResDonsibilities A. The institution or center and the college will share the responsibility for continuing evaluation in order to insure the quality and standards of the overall educational program. To this end, responsible personnel of each party of this agreement will meet together once each College term on a regular basis and on other occasions if requested by either party, to evaluate and deal with any problems developing with the program. Signed De4n,;�f Busine,-.A Affairs, COCC Signed 4� X4A.:e—zA*J Chair Administrator Deschutes County Commission Institution or Center 5-17-89 Date 0095 1674 APPENDIX I Description of Nursing Education Programs Covered By This Agreement: 1. Nursing Assistant Training. Separate 100 hr. -certificate course offered on demand in several locations within the College District. Instructors of these separate courses will be adjunct instructors of the College and will be responsible to the College Coordinator of Nursing for campus instruction and practice and supervising of clinical practice as specified under terms of this agreement. 2. Associate Degree.Nursing. This is a career ladder program of 2 year duration and is offered on the Bend campus with clinical practice in sites of cooperating institutions or centers. In the career ladder students have the following capabilities: Satisfactory completion of first term -Nursing Assistant level (Eligible for certificate of completion) Satisfactory completion of first year (Eligible for State P.N. License Exam) Satisfactory completion of second year (Eligible for State R.N. License Exam and Associate of Science Degree in Nursing) Instructors of these students are regular college instructors or joint appointment instructors responsible to the college coordinator of Nursing for campus instruction and practice and supervision of clinical practice within cooperating institutions or centers. 3. LPN/RN Re-entry Training. These special courses are required by State of Oregon Board of Nursing for renewal of expired licenses. Included are 80-100 hours of classroom instruction and 160 hours of clinical practice. These courses are offered on demand. Instructors in the Re-entry courses are usually adjunct faculty or part-time on temporary appointment. 4. Incidental In-service Courses. These special courses are coordinated by the college upon request of particular groups. The college will provide course outlines, seek and employ instructors, advertise the course and register students. Certificates of satisfactory completion may be provided upon request. Revised 5/88 0095 1675 APPENDIX II Description of Nursing Program Faculty: 1. College Coordinator of Nursing. A full-time employee of the College, responsible to the Chairman of the Department of Science, Math, and Nursing for organization and coordination of nursing programs offered through the College. This person should be the liaison contact between the College and the institution or center and shall be responsible for organizing and coordinating the campus instructional program and activities conducted at the institution or center, as outlined with individual programs included under the Nursing Education Curricula of the college. 2. College Regular Nursing Faculty. Full-time employees of the college, responsible through the college Coordinator of Nursing to the Chairman, Division of Science, Math, and Nursing. Responsible for planning and conducting on -campus learning activities and supervision of student nurses in clinical instruction in the cooperating institutions or centers which are party to this agreement, except in instances where specific arrangements are made; e.g. obstetrics, recovery room, operating room, intensive care, or coronary care units. In these instances joint supervision and instruction will be shared by the college instructor and a qualified departmental supervisor. 3. College Clinical Instructor. A part-time employee of the college with duties and responsibilities similar to college regular nursing faculty except primary duties are to instruct and supervise clinical practice. 4. College Adjunct Instructors. Part-time or temporary employees of the college with duties and responsibilites similar to college regular nursing faculty, except that they are limited to specific courses or assignments as specified in their Notice of Appointment; e.g. RN Re-entry Instructor, Nursing Assistant Instructor, Nursing In-service Course Instructor. Revised 5/88 I I %I . Clidical Affiliation Agreement Appendix II Continued - 0095 1676 Page 2 5. Joint Ap_pointment Instructors. These are part-time or temporary employees of the college who are selected for their specific, current expertise in some clinical area and who are regular employees of the cooperating institution or center. They will be assigned by the institution or center with agreement by the college coordinator, to teach specific units in Nursing Care, and/or to supervise clinical practice of skills contained in the units. However, for the period of the joint appointment, they will be paid by and responsible to the college.