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Pi,'R�JSE: EN'I'�R INrI'c� AGR.,F'r'�III�IT ��IITH COi,L�E OF NURSING OF `.�f� UNIVERSITY OF
�'TI SCOIvS IN-C�I-iiCOSH
I'vITIA_`I'F'D BY • DEPAt`�I�IIEEEN'I' OF HF'�ALT�i I�'�ID U7F.LFr�RF
BE IT RESOLVID by the Con-urnn Council of the City of Oshkosh tnat
the proper City officials are hereby authorized and directed to enter into
a.n approDriate agreerr�nt with the COLLEGE OF NURSING OF THE UNIVERSITY OF
V,'ISCONSIN-OSHKOSH, in acco.rdance with the attached E�iibit "A", beginning
on June l, 1977 and continuing until June l, 1978.
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UNIVERStTY OF WISCOiVSIN-OSHKOSH,
��� 1� tL�� .�err_er
?�l:?'j? S�..I�8-V1.SOi
�JS�? :OS'S2 :�°?lttl &
L> > CS1L2Z'C�
June 8, 1977
Wel�are Department
Gs°�*::os?-�, T�i. 5c901
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COLLEGE OF NURSING
�FFICE OF TF1E DEAN
OSHtCOSH, WISCONS{1V 54901
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Er_c?osed ror the designated signatures are four
�c�_es o= tne I977-78 agYee��nt with your agency re-
g��di�?g c�inical exper�ences ior our undergraduate
s�-�d���s. �lease retuYn the s?gned original and two
c�r�ons �o us and keep 4he fourth copy for your f ile.
r' � : �'.� ��o-� .
i:�is year we have estab?ished uniformity and
s__-.�1? c? ��,� i?-z these agr2em.er_�s while adhering to the
ca-� co„ _e�? �. Apart � ro?-! tne contract, occasionally
_�� c�Y�c�o� o= r_ursing has additiona�. requests which
c= :�� ?-�ler���ted by our �aculty and students through-
��.:_ ��� l��ar sir.:�ly by making �hem known. These usualZy
�r� ^o� o= ti:� �azure r�quir�ng inclusion in the contract.
;;e aYe very gratel�al for the continuing contribution
c= _-ou G�;? your staff to our educational program.
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Sincerely,
i�� �.i_w' 1,� :y_�l-�.�-^
Hildegarde Siegel, R.N_, Ph.D.
Dean �
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An Equ31 UpGC�;ur,iiy�i-�iiirrr�b;ivd ACiiGi ���>uw.�v��
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CQLLEG� 0� i�SIi1G
UidI�TERSITY G� 'r�ISCOVSI�"1—OS:-L�{OS�i
OSIL�OS�i HE�T T'r? c� ��'I�.F�i�E DEPART_'•��3T
AGREEP•SEPiT
JUI`� Z� 1�l1
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'�he University of �lisconsin-Os'ti�cosn College of P��zrsing hereinafter
referred to as "'Ihe College. t'
'�'ne Oshkosh Health &��+�lfare D�par�ment, Osh�osh, Wisconsin
hereinafter referred to as "lne Agency.11
r�� � �t=SS�H:
�;:� �9S, Zhe College r�ust provide instruction in clinical areas
of nursing for all students in order to achieve its objectives, and
�;�R�AS, '1�e Agency is ��rilling to �ce its facilities available
to The College for this instruction.
';��a, T��'c REF'ORE,
l. Ti�e Collegz a.�rees to:
a. Assign the studen�s to ihe Agency for the purpose of
obt�ining clincal experience in nursing as needed in
aoreement witn bo�h parties for s�er session, fall,
and spring ser�es��r.
b. r:otify Tne �.gency not� la�er tnan r�.y 1 of each calendar
year o� ihe r�u:_.�b�r of students :ahich it expects to assign
for instruction durino the ensuing stun.mer session and
Augus� 1 for the a�ade�ic year.
c. Assign students k'�o 'r?ave co�ple�ed their pre nursing
�roora�.
d. A�si�n nursir.o faculty to superrvise the clinical experience.
e. On contract t•rith t'�e Un�sersity the instructors snall:
(1) Partici,r,a.te i� �he sa�� activities and assume the
sarc� res�nsibilit? es as otner facul_ty of the
University. .
(2) �aork in coop�ra�ion with The Ag�ncy personnel in
plannin� clinical. experience w�ich are in con-
formity �aitn lt�e Colleoe policies governing elinical.
experience.
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AGREE�^�CTtT
COLLEGE OF NURSITIG
OSHKOS:� �L�ALTH & Gl�'LFARE DEPARTP�PIT
2
(3) Accept the fact that the official channels of
ecr_rmunicaticns between The College and The A.gency
in the daily working rela�ions'nips will be betwee
th� responsible faculty member and The Agency's
� rec�or of Nursing Services. In matters of major
policy, the official cnannel shall be between The
College's Dean and �e Agency's Director of Nursina
�r-✓ices.
(�) F� responsible far all Colle�e records, including
eopies which The Agency may wish to inelude in its
files.
f. Co�ply with the requests of The Ageney regarding health
ex�inations, ir��nizations, or cultures deemed necessary.
before ad�ission to clinical experiences and provide health
records The Aoency m�y require.
g. Provide liability insurance on all College participants.
?, !he Aozncy �rezs to:
a. �'roJide space for the student in The Colle�e rather than
in lne �ency.
b, Per�it A.gency pzrsonnel to participate in the program as
follot; s :
(1) join� conferences
(2) plarLn�d discussions with studen�s as arranged by
instructor and staff
(3) allo��ance of tir!e for head nurses io plan jointly
t�ri �h the instructors for clinical assignments for
s�udents.
3. S�ud�r_t �es,..orsibilities:
a, lne s�udent is expected to meet th� require�en�s of the
clirical experience as established hy the faculty member
and T'ne College.
b. Stud�n�s are under the direct assigr�ent and supervision
oi ��e faculty member.
c. Tn° student will ��rear the regulation Lmiform of The College
a.�d cc�ply with 'i'he A�ency's dress code.
d. The �ency will not be responsible for any.accidents to
studzn�s which m�y occur as the resu7.t of students' clin-
ica2 exg�rience.
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e.
���L�rrr
a�r��F oF r�sr�rc
OS��OSH HEALTH & WELFARE DE AR �NT
3
Stude��s a:»e �d��iszd to carry individual liability insurance
i.n 2�d_tion to �'��� � provided by the University.
:_``�� ��0'TISIOiIS
=.� �� �_^e �1ie�e ��d � �� Aoeney �re eq �ua1 opportunity �ployers. Eoth
��_ _'��ncj� and the t;niversity �„� ro� io discrininate against any employee
v„ ���? icz�t for e�nlo;�ent brca}.ise of sex, race, religion, color, or
��_�r?� orioin. 'Ih�.s provision s'na11 include, but not be li.mited to the
=� � i�.ri ^�: enploy�ent, upgradi�, d�otions or transfers, recruitnent or
:�-�-.`���nt adver�isino, layoif or ter��i�.�a.tion, rates of pay or other
^���.:� �� ons, arzd selection for tr3? rlLn� includino apprentieeship. The
�»o;� s�.o� o" the nondiscriminat�on clause sha7..l b� posted in a conspicuous
___��, a�r�� labl;: ta ��loyees �nd applic��ts for e�ployment.
"�z s�r��ent s2all continue ?n force between the pa.rties for a period of
�-�� Y�?r b�t�ree:� Ju.�e Z, 1977 'co J•ane ?, 1978 and thereafter fY�aa year to
-- ��.�-�� �ss six mon�ns prior to t�a e�!d of any one year one oi the parties
___���� s^�.1L b° o1V21'l ri�ritten no�ice oi revision or termination whereupon
��=s v,r�=�went s.�all bs revis� or �er-�Linaued as of the then current year.
_`� ��=_'_;=..� ��T�'REO�', `1'ne Colle�e nas executed this aore�en� i�nieh, when
�__������ b� �he p�rticipa�ino ���cy, s'�.all bind all parties to the tertns
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C�ITVEPS!`i Y O� 6tIS�'�;S ���-0�L�jOSH COLLEGE OF NURSING
�1'-�� _i �,�`-�,�,� .�, '� �-�-' ,.�_ '� ,u,,.,� (,{ l `��l'�
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_ ���=�ue J.- S�eo�l, Il;;a.t~��
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Date
Date
OS�:'r:OSH HEriL`�'�-i & j•i�LFARE DEPARTMENT
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"�_-� : nn t•,err.er, '�urse Sup�rvisor
-:_��or P.ossing, Direc�or
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