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MEDICAL CENTER
City of Pleasanton
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CITY CLERK
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LONG TERM AGREEMENT
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ALAMEDA COUNTY
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MEDICAL CENTER
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2/2/2015 1:46:27 PM
Creation date
5/13/2004 2:55:34 PM
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LONG TERM AGREEMENTS
LONG TERM AGREEMENTS - DOCUMENT DATE
10/30/2002
LONG TERM AGREEMENTS - NAME
ALAMEDA COUNTY MEDICAL CENTER
LONG TERM AGREEMENTS - TYPE
MISC AGMT
LONG TERM AGREEMENTS - RECORD SERIES
704-06 (Long Term Agreements)
LONG TERM AGREEMENTS - DESTRUCTION DATE
5YAE
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Comply with ail applicable laws, ordinances and codes of Federal, State and Local <br />government. <br /> <br />In the event of the concurrent negligence oft.be student, the liabiliry for any and all claims <br />for injuries of the student shall be the responsibility of the School, as, the School (or the <br />State for California State Universiw) shall carry Worker's Compensation for the student. <br /> <br />~ection 3. The Specific Responsibility of the Student <br /> <br />a) Shall submit a program proposal to the Associate Nurse Executive or desi~_o-nee for approval. <br /> <br />b) Shall provide to Nursing Administrtion a completed Student Health Record/Securi~- <br /> Clearance form prior to beginning the clinical rotation demonsn'ating: <br /> 1 ) Proof of an annual s'kin test (intradermal PPD) is on file Mth the School mad must show <br /> the date of the test and the results. Proof shall be furnished on a physician's letterhead. <br /> lab form, or a form aqth a physician's (or person author/zed by a physician) signature. If <br /> the employee is known to be PPD positive (s-kin test positive for tuberculosis), a written <br /> statement from a physician verifying a recent negative chest X-ray and completion of a <br /> Tuberculosis QuestiormaJre is required. Thereafter, the student is required to complete <br /> on an annual basis the Tuberculosis Health Questiorma/re enclosed. <br /> 2) Proof of antibodies or immunit3, to rubella and rubeola or a vaccination is on file with <br /> the school. Results must be a physician's statement of immunity on physicimn's <br /> letterhead, lab form, or form with physician's (or personnel authorized by a physician) <br /> signature. Verbal screening for var/cella is required. Serological evidence ofkn.munity <br /> for those udthout a strong history, is recommended. <br /> 3) Compliance ,~Sth eSI-lA Regulation 29 CFR, Part 1910.10_30 Coloodbome pathogen <br /> exposure): <br /> <br />OSHA h~s made a determ/nation that health care workers face a significant health risk as <br />the result of occupational exposure to blood and other potentially infectious materials, <br />because they may contain bloodbome pathogens, including Hepatits B and human <br />immunodeficiency vires. It i~ therefore imperative that students participate in a training <br /> <br /> <br />
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