2. Deer Valley
In February 2009, Deer Valley
John C. Lincoln Deer Valley Hospital was presented with the
Hospital is a 202-bed, not-for- Arizona Pioneer Award for Quality
profit community hospital. The by the Arizona State Quality
hospital serves the north Alliance. The prestigious award
Phoenix metropolitan area as honors organizations that have
well as communities including established and deployed
New River, Black Canyon City, fundamental quality systems within
Anthem and others further their operations, attaining high
north along Interstate 17. levels of performance excellence
process implementation.
19829 N. 27th Ave.
Phoenix, AZ 85027 More than 900 dedicated
healthcare professionals work the highest national accreditation
623-879-6100 together at the hospital to offer a
range of services, including: 35-
possible for emergency cardiac
care Inpatient and Outpatient
bed Emergency Department , The Surgery , A new 32-bed Critical
Virginia G. Piper Pediatric Care Unit Cardiac care,
Center of Excellence, which including a 30-bed Progressive
includes Mendy's Place, the Cardiac Care Unit, Orthopedic
North Valley's only children's services, including 30 bed Unit
emergency center, An accredited Vascular services Interventional
Chest Pain Center with PCI radiology Inpatient/Outpatient
(percutaneous cardiac rehabilitative services and
intervention, also known as medical imaging
angioplasty),
3. North Mountain
John C. Lincoln North
Mountain Hospital provides
a comprehensive range of More than 1,200 dedicated
services to meet patients' healthcare professionals
needs in ways few other work together to ensure our
hospitals can match. The patients receive the highest
hospital is the first in the quality of health care
Phoenix area to be granted possible. The hospital
Magnet Designation, the features 266 beds and offers
highest national designation services including:
for excellence in nursing
care.
250 E. Dunlap Ave.
Phoenix, AZ 85020 Inpatient and outpatient
surgery
602-943-2381 A 24-hour Emergency &
Level I Trauma Center
Extensive heart care services
Primary Stroke Center
An accredited Chest Pain Orthopedic unit
Center with PCI
Oncology unit
(percutaneous cardiac
intervention, also known as Inpatient and
angioplasty), the highest outpatient medical imaging
national accreditation for Intensive care and
emergency cardiac care cardiovascular intensive care
units
4. Students who do not comply with JCLHN policy and all the below requirements will not
utilize JCLHN for clinical rotations.
Patient Confidentiality:
Everything you see and hear regarding patients is considered confidential. Please remember
to be mindful of your surroundings when discussing patient information pertinent to your
job and refrain from discussing patient information when you leave the hospital. If a patient
confides in you, only that information concerning their patient care needs be passed on to the
nursing staff. Anything else is to be considered confidential -- keep it to yourself.
Illness:
Student/instructor may not work while ill or when an open, draining lesion is present on the
hands, face, neck or arms.
1) Students shall be required to comply with and complete the appropriate safety training by
completing the following:
A) Open the link in blackboard to the PDF Entitled-JCL_MASH. Read the all the information
in the Mandatory Annual Safety and Health Requirements (MASH). Then open the PDF
Entitled-JCL_Signed_Statement. Go to B).
B) Take the test, record answers on the Student Responsibility Statement. Print out the
Student Responsibility Statement Document with test answers and turn the completed signed
document in to your clinical coordinator. See the next slide for an example of the document to be turned in…
5. STUDENT RESPONSIBILITY STATEMENT
In order to meet the requirements of Section I. of the Affiliation Agreement for Clinical Practicum and/or Internship/ Externship Education,
students shall read the following and indicate their understanding by signing below. This Student Responsibility Statement is in addition to the
course syllabus, and the student is responsible for being familiar with the content of both documents. The signed document shall be kept at the
college/university.
In consideration of the opportunity to enter into a clinical education/internship educational program, I agree to:
A.Complete and be responsible for the cost of providing all health forms and certificates requested by John C. Lincoln Health Network.
•Provide liability coverage for myself for the term of the clinical/internship education assignment if my school does not provide it. I will
be responsible for providing proof of coverage that I have obtained individually before my clinical rotation can start.
•Secure my own housing, if needed.
•Follow the policies, rules and regulations of John C. Lincoln Health Network, including those regarding confidentiality of protected
health information or other confidential information pertaining to client and patient records.
•Conduct myself at all times, both at John C. Lincoln Health Network and outside normal business hours, in a personally and
professionally ethical manner.
•Conform in my attire and appearance to the accepted standard of John C. Lincoln Health Network, and procure the appropriate and
necessary attire required, if any, but not provided by John C. Lincoln Health Network.
•Provide my own transportation to and from John C. Lincoln Health Network and any reasonable special assignment by the faculty of
John C. Lincoln Health Network. I will never transport patients.
•Conform to the agreed schedules between John C. Lincoln Health Network and the School. Each individual school will follow its own
policies for make-up time, but such time must be approved by JCLHN.
•Notify John C. Lincoln Health Network and the Clinical Program Coordinators if I learn of or develop an injury or illness or condition
that may require accommodations for my own personal safety or that of the persons around me during my clinical rotation and /or
externship. Such accommodations must be approved by JCLHN and the School.
•Obtain prior written approval from John C. Lincoln Health Network and the Clinical Program before publishing or presenting any
material relating to the clinical experience outside normal educational settings of the program.
Student Name: (Please print)___________________________Date_____________________________
Signature: __________________________________________________Place Answers to Test Below
1 / / / / 3 10 17 24
2 4 11 18 25
3 5 12 19 26
4 6 13 20 27
5 7 14 / / / / / / / / 21
6 8 15 22
7 9 16 23
6.
7.
8. Review the Rules & Regulations Manual
At not time will any student perform any skill
learned in class, outside of class, or in a
scheduled clinical or vehicular shift without
direct preceptor supervision.
All clinical orientation material must be
completed before scheduling rotations.
For questions and concerns do not hesitate to
speak to the lead instructor, clinical scheduler,
or program director.
