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POLICY & PROCEDURE MANUAL DATE: 02/2019 PAGE 1 OF 5 POLICY: It is the policy of the Public Health Trust to accept physicians, resident physicians, registered nurses, other health professionals or students desiring to participate as an preceptee in clinical areas at Southeast Florida AIDS Education Training Center (SE AETC). The individual desiring to participate must provide the required documentation to the appropriate office for approval. This policy covers preceptorship requests for all inpatient and outpatient locations and other designated facilities in the Southeast Florida AIDS Education Training Center (SE AETC). To define preceptee and length of an preceptorship To clarify the role of an preceptee To describe necessary qualifications and requirements To outline the application process for an preceptorship DEFINITION An preceptee is a health care professional or student who will not provide patient care or have direct patient contact. Preceptees differ from students in an academic program in that the preceptorship is not an educational requirement of any academic program. Preceptorships may last up to 4 weeks (1 month), longer if written approval by the department is obtained. Preceptorships may be in an inpatient or outpatient setting and must be approved by the Southeast Florida AIDS Education Training Center (SE AETC) facility’s department(s) director(s) of the area being observed. He/she may be one of the following: Physicians (foreign or domestic) Registered Nurses (foreign or domestic) Other health professionals (e.g. Radiology, Respiratory Therapy, Psychology, Pharmacy Technicians etc.) Students not covered under an existing affiliation agreement Email: [email protected] Ph: 443.606.4616 PURPOSE

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Page 1: POLICY & PROCEDURE MANUAL - University of Miamihivaidsinstitute.med.miami.edu/documents/AETC_PRECEPTROSHIP_FORM.pdfPOLICY & PROCEDURE MANUAL DATE: 02/2019 PAGE 1 OF 5 POLICY: It is

POLICY & PROCEDURE MANUAL

DATE: 02/2019 PAGE 1 OF 5

POLICY:

It is the policy of the Public Health Trust to accept physicians, resident physicians, registered nurses, other health professionals or students desiring to participate as an preceptee in clinical areas at Southeast Florida AIDS Education Training Center (SE AETC). The individual desiring to participate must provide the required documentation to the appropriate office for approval. This policy covers preceptorship requests for all inpatient and outpatient locations and other designated facilities in the Southeast Florida AIDS Education Training Center (SE AETC).

• To define preceptee and length of an preceptorship• To clarify the role of an preceptee• To describe necessary qualifications and requirements• To outline the application process for an preceptorship

DEFINITION

An preceptee is a health care professional or student who will not provide patient care or have direct patient contact. Preceptees differ from students in an academic program in that the preceptorship is not an educational requirement of any academic program. Preceptorships may last up to 4 weeks (1 month), longer if written approval by the department is obtained. Preceptorships may be in an inpatient or outpatient setting and must be approved by the Southeast Florida AIDS Education Training Center (SE AETC) facility’s department(s) director(s) of the area being observed.

He/she may be one of the following:

• Physicians (foreign or domestic)• Registered Nurses (foreign or domestic)• Other health professionals (e.g. Radiology, Respiratory Therapy, Psychology, Pharmacy

Technicians etc.)• Students not covered under an existing affiliation agreement

Email: [email protected] Ph: 443.606.4616

PURPOSE

initiator:[email protected];wfState:distributed;wfType:email;workflowId:1853a30dad61554f86a622e9a0d3795e
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Preceptees may be permitted in the operating room with the permission of the service/attending surgeon and subsequent approval of the Director of Perioperative Services. Requests must be made in advance of the surgery.

PROCEDURE:

I.

Fill out applicationSubmit via email

II. The following documents are required:

a. Applicationb. Signed confidentiality agreementc.

d.Copy of valid driver’s license

e.Copy of medical license (if applicable)Copy of passport and visa (if applicable)

Subject to the patient’s permission, preceptees may watch procedures, surgeries, patient interviews. Preceptees may attend patient rounds, teaching conferences, grand rounds, and non-confidential hospital committee meetings with advance permission from the committee chairperson. Preceptees may not participate in any patient care activities or research. Preceptees may not question or examine any patient. Preceptees may not access or review a patient’s medical record without the permission of their sponsor.

ROLE OF AN PRECEPTEE

a.b.

a. If the preceptorship is less than 1 week he/she must obtain a paper ID badgefrom the information desk at no charge.

b. If the preceptorship is to be more than 1 week a badge must be obtained fromsecurity services. The ID badge will indicate PRECEPTEE status and include relevant dates.A $10 processing fee will be charged.

III. Upon approval of the application, a letter of acceptance will be sent to thepreceptee, clinical service and security services.

IV. All preceptees must wear a valid identification at all times during the preceptorship.

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V. The department providing approval will maintain a tracking system of all preceptees with names and dates of the observation.

VI. All preceptees must sign a confidentiality agreement (attached).

REQUIREMENTS

An application must be submitted to the sponsoring department head (addendum I)

All preceptees must wear valid identification badges at all times during the preceptorship

in the Southeast Florida AIDS Education Training Center (SE AETC).

Preceptees must comply with surgical attire policy while in the operating room.

No photography is permitted at any time.

All preceptees must sign and comply with the SE AETC Confidentiality Agreement (addendum II).

Failure to comply with these requirements will result in an immediate end to the preceptorship.

APPROVED: Martia West, Martia West, MHPCenter AdministratorComprehensive AIDS ProgramSE AIDS Education Training and EducationCell: 305-582-2233

Venada Altheme,Program CoordinatorSoutheast AIDS Education & Training CenterComprehensive AIDS ProgramUniversity of MiamiCell: 443-606-4616, Fax: 305-243-5550

PROGRAM COODINATOR

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Preceptorship

Application Form

Your Name:

Work Mailing Address: Zip:

Work Phone: Work Fax:

E-mail:

What is your preferred contact method?

E-mail Work Phone Work Fax Other (please specify):

My professional discipline is best described as:

Physician Physician Assistant Nurse Dentist Nurse Practitioner Pharmacist

Indicate specialty (if applicable):

Other (specify):

Professional License Number: State:

The Following are HIV/AIDS-related topics

Indicate if encountered in your work

Rate your current knowledge/skill level

Novice Beginner Competent Proficient Expert

I would like training in this area

01. Treatment Adherence Yes Yes

02. Antiretroviral Treatment Yes Yes

03. Clinical Manifestations of HIV Disease Yes Yes

04. Co-Morbidities Yes Yes

05. Hepatitis A, B, C Yes Yes

06. Opportunistic Infections Yes Yes

07. Viral Resistance Yes Yes

08. Risk Reduction Yes Yes

List three (3) objectives for your preceptorship experience:

1.

2.

3.

DATE: 02/2019 PAGE 4 OF 5

Start/End Date of Observation

ADDENDUM I

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DATE: 02/2019 PAGE 5 OF 5

CONFIDENTIALITY OF CLIENT INFORMATION

MEMORANDUM OF UNDERSTANDING

□ I understand and agree to abide by these confidentiality provisions.

____________________________________________________

Employer's Signature Date

____________________________________________________

Print Name

The purpose of this Memorandum of Understanding is to emphasize that all information held in health records is confidential, with access governed by state and federal laws.Information, which is confidential, includes a client's name; address; medical, social and financial data; and services received. In addition, the fact that someone has had an HIV test is confidential, whether the result of that test is positive or negative. Data collection by interview, observation or review of documents should be conducted in a setting that protects the client's identity from unauthorized individuals. Client information should not be discussed outside the agency, except in the performance of referrals to other agencies for client care.

Section 384.29, Florida Statutes, addresses the need for special discretion in the handling of sexually transmissible disease information. Sexually transmissible diseases, by their nature, involve sensitive issues of privacy and confidentiality to the client.

Section 381.004 (3), Florida Statutes, deals with confidentiality of HIV test results. There are penalties for violating this statute. These penalties range from disciplinary action by the agency to a criminal misdemeanor.

Email: [email protected] Ph: 443.606.4616

ADDENDUM II