MEMORANDUM OF AGREEMENT BETWEEN THE UNIVERSITY OF KANSAS MEDICAL CENTER School of Nursing (Office of Academic Affairs) 3901 Rainbow

Boulevard MS 4043 Kansas City, Kansas 66160-7502 AND XXXXXXX Address City, State Zip Phone XXXXXXXX (hereinafter Agency) and THE UNIVERSITY OF KANSAS MEDICAL CENTER through its SCHOOL OF NURSING (hereinafter School of Nursing) agree to collaborate in promoting educational experiences for the nursing students in the Baccalaureate, Masters Degree, Midwifery and/or Doctor of Nursing Practice Programs. The Agency retains full responsibility for the care of clients, including all administrative and professional functions. The School of Nursing accepts responsibility for the educational aspects of the clinical portion of the program(s) conducted at the Agency. The School of Nursing agrees: 1. To assume responsibility for the educational program of students participating in programs covered herein. 2. To provide written assurance or evidence, upon request, of health and professional liability insurance coverage for students. 3. To provide qualified instructors to be responsible for selection, assignment, supervision, and evaluation of learning experiences of the students working with personnel at a given site. 4. Not to discriminate against any employee or applicant for employment or registration in the course of study: (1) because of race, color, creed, sex, or national origin; (2) on the basis of handicap in violation of Section 504 of the Rehabilitation Act and applicable regulations; or (3) for any other unlawful reason. 5. The School of Nursing agrees that THE AGENCY shall not be responsible for claims, expenses, damages, and liability for personal injury or damage to property, real or personal, directly or indirectly arising from the negligent or wrongful act of School of Nursing. Claims against the School of Nursing are subject to, and may be pursued in accordance with the provisions of the Kansas Tort Claims Act, K.S.A. 75-6101 et seq. The Agency agrees: 1. To provide clinical facilities and opportunities for an agreed number of students to observe and participate in various health activities. 2. To provide necessary orientation, written administrative guides and procedures and other media as may be reasonably necessary to the learning experiences of students. 3. To maintain administrative and professional supervision of students insofar as their presence affects the operation of the agency and/or the care of clients. 4. Not to discriminate against any employee or applicant for employment or registration in the course of study: (1) because of race, color, creed, sex, or national origin; (2) on the basis of handicap in violation of Section 504 of the Rehabilitation Act and applicable regulations; or (3) for any other unlawful reason. 5. THE AGENCY agrees that School of Nursing shall not be responsible for claims, expenses, damages, and liability for personal injury or damage to property, real or personal, directly or

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indirectly arising from the negligent or wrongful act of the Agency, its officers, employees, agents, and volunteers while any student is participating in the clinical experiences at THE AGENCY. XXXXXXXXX Page 2 Contract This Memorandum of Agreement will be ongoing unless terminated by either party. Termination shall be preceded by written notification to the other party of intention to terminate one semester prior to the termination date. However, both parties may mutually agree to review, amend or modify this Memorandum of Agreement at any time. This Memorandum of Agreement and the rights of the parties hereto shall be construed and governed in accordance with the laws of the State of Kansas. This Memorandum of Agreement shall be effective this 01 day of JANUARY, 2013, and shall continue thereafter, as provided herein. IN WITNESS WHEREOF, the parties hereto have caused this agreement to be executed this 01 of JANUARY, 2013. XXXXXXXXXX CENTER THE UNIVERSITY OF KANSAS MEDICAL

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_______________________________________ KAREN L. MILLER, RN, PhD, FAAN Senior Vice-Chancellor and Dean

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[Rev. 1/22/2013]

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