Lexington Medical Center
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Contract for Clinical Experience at Lexington Medical Center
School Year __________________________
This agreement sets forth the conditions under which students enrolled in Health Occupations Program offered by _____________________________ in Lexington or Richland School District ______may use the facilities of Lexington Medical Center for clinical experiences.
Lexington Medical Center agrees to:
1. Permit students who have completed the required work to be assigned to selected units.
2. Select clinical experiences for students.
3. Maintain responsibility of patient care.
4. Provide emergency medical assistance for students in the event of an accident during the
clinical experience at the expense of the student.
5. Orient faculty to the facility and to policies and procedures used at LMC facilities.
Lexington or Richland School District_______agrees to:
1. Provide a qualified, currently licensed health care professional or certified health care educator to be responsible for the guidance of the students in the program.
2. Provide blood borne pathogen training to the students.
3. Ensure that all students have Mantoux tuberculin skin testing and other immunizations
as required by facility’s student experience policy.
4. Require all students to wear an identification badge and appropriate dress while
completing clinical experiences.
5. Each student will have been instructed on confidentiality. Ensures that a confidentiality
statement provided by Lexington Medical Center is signed by the instructor and all
students who are participating in clinicals prior to clinical experience.
6. Provide objectives and list of student duties when requesting clinical experiences.
Students are allowed to perform only those duties that are agreed upon. No invasive
procedures are to be performed by the students or any procedure not taught during school
curriculum.
7. Students are covered by school liability insurance.
8. Instructors must be on site for all clinicals with the exception of physician offices.
Instructors must contact designated physician office staff at least weekly to check on
student progress/issues.
_____________________________________ ______________________________
Vice President Patient Care Date Superintendent Date
Lexington Medical Center ______________________________
Principal Date
_____________________________ Instructor Date
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