65 yo Asian Female Hypertension
65yoAsianFemaleHypertension
She's been taking pts off for little stuff so I sent the template and instructions she keeps referencing again. as well
MEMORANDUM OF UNDERSTANDING FOR
HEALTH CARE CLINICAL EXPERIENCE
This Agreement for Clinical Experience (the “Agreement”) is entered into by and between Herzing University, Ltd. (hereafter “University”), and Mindful Health
(“Facility”).
RECITALS
The University wishes to provide clinical experiences for students (hereafter “Students”) enrolled in the program(s) selected on Appendix A of this document (hereafter “Program”) . The Facility operates a healthcare facility and has the capability, through its medical records, clinical, or medical administration departments, to provide settings for
clinical experiences required by such Students and desires to provide a setting for such clinical experiences in
cooperation with the University in order to support quality education for health professionals in the community and
the delivery of appropriate health services to the community.
NOW, THEREFORE, the parties agree as follows:
1. Responsibilities of the Facility. The Facility agrees to serve as a cooperating health care facility and
provide clinical experiences for Students at the Facility enrolled in University’s Program. This will
be accomplished by allowing Student participation in patient care as set forth in this Agreement.
The University, in consultation with the Facility, shall schedule and arrange for the number and
timing of such experiences. The Facility hereby agrees that it will provide certain services as follows:
a Facility agrees to observe the non-discrimination policy of the University and to not
discriminate against Students as to race, sex, religion, age, color, creed, national or ethnic
origin, disability, sexual orientation, gender identity or expression, or disabled and/or
Vietnam era veteran status subject to the Facility’s right to terminate clinical experience as
set forth in subparagraph 3-d.
b. Facility shall maintain all applicable accreditation requirements and certify such compliance
to the University or other entity as requested by the University. The Facility shall also permit
authorities responsible for accreditation of the University’s curriculum to inspect the
Affiliate’s clinical facilities and services, as necessary.
c. Facility will, upon request, assist the University in the assessment of the learning and
performance of Students by completing assessment forms provided by the University and
returning them to the University in a timely fashion.
d. Facility will ensure appropriate space, personnel, and resources are provided at designated
sites in order to provide sufficient clinical experiences for the assigned Students.
e. Facility will not use Students to replace or substitute for the Facility staff and will not allow
Students to render service except as identified in the jointly planned clinical experience. A
member of the staff of the Facility will supervise contact between a Student and a patient,
and the Facility will be responsible for all patient care at all times.
f. Facility shall ensure that Students are provided with an educational experience and are not
assigned tasks unrelated to their educational focus.
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g. Facility will provide emergency outpatient treatment to Students while participating in a
clinical at Facility sites in case of accident or illness, at Students’ cost.
h. Facility will provide for the orientation of University’s participating students as to the Facility’s policies, rules, regulations, and procedures, including, but not limited to, informing Students
of Facility’s protocol for incidents, injury, hazardous waste, and other things.
i. Facility shall ensure that any health-related data collected by the Facility from the Students
is collected, processed, and maintained in accordance with Health Insurance Portability and
Accountability Act of 1996 as codified at 42 U.S.C. Section 1320 (“HIPAA”) and any current
and future regulations promulgated thereunder.
j. Facility shall maintain general and professional liability insurance coverage of $1,000,000 per
occurrence and $3,000,000 in the aggregate for itself and its employees covering acts/or
omissions by Facility, its employees and agents during practicum experiences hosted by the
Facility. The Facility shall also maintain workers compensation insurance for its employees.
2. Responsibilities of University. The University agrees that it will comply with the following:
a. University will instruct Students on, and require all Students to comply with, the personal,
ethical and professional standards required of employees of the Facility and consistent
with the applicable professional Codes of Ethics applicable to the Students’ Programs.
b. University will provide general liability insurance coverage of $1,000,000 per occurrence and
$3,000,000 in the aggregate and professional liability insurance coverage of $2,000,000 per
claim and $6,000,000 in the aggregate covering acts/or omissions by Students during
practicum experiences hosted by the Facility. The University shall immediately notify the
Facility of any changes, limitations, or termination of insurance coverage and provide
evidence of such insurance upon request by the Facility.
c. University will require Students to comply with the Facility's policies and procedures
governing mandatory reporting of child and dependent adult abuse, infection control, and
hazardous materials management. Upon the Facility’s request, any Student that the Facility
believes to be in violation of its policies and procedures shall be removed by the University.
d. University will provide, if required by the facility, evidence that the assigned Students meet
all applicable requirements of CPR certification, hepatitis A and B vaccination, TB Mantoux
test, Varicella and MMR immunity, Td/Diphtheria prevention, full course COVID-19
vaccination as defined by Center for Disease Control, and compliance with OSHA
requirements for prevention of transmission of bloodborne pathogens and TB. Any
noncompliance with requirement will be communicated to the Facility by the University prior
to Student being accepted by the Facility for clinical placement. University will provide proof
of compliance to site-specific requirements if required by Facility.
e. University shall advise all Students assigned to the Facility regarding HIPAA and the
confidentiality of patient/client records and patient/client information imparted during the
clinical experience. The University will also advise all Students that the confidentiality
requirements survive the termination or expiration of this Agreement. The University agrees
that any patient/client records and/or information to which the University or Students
receive or come into contact with under this Agreement or which University becomes aware
of during the course of its performance hereunder are confidential and proprietary to Facility
and shall be protected in accordance with applicable law.
f. University will appoint University faculty or professional staff to coordinate the Clinical with
the Facility, including the assignment of Students participating in the clinical experience.
3. Conditions. This Agreement shall be continuously subject to the following conditions accepted by each
of the parties:
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a. The parties will agree periodically during the term of this Agreement on the number of
Students eligible to participate in the clinical experience; provided, however, that the Facility
may reduce the number of Students eligible to participate in the clinical experience at any
time, with prior notice to the University and adequate time for the University to reassign the
Student(s) to another clinical site.
b. The Facility, University and Students are independent contractors in their relationships to
one another. It is understood that Students are not employees of the Facility, do not receive
compensation or benefits in connection with their activities at the Facility, are not provided
workers’ compensation insurance unless otherwise required by law, and shall not act as
agents or employees of the Facility.
d. The University may remove a Student at any time from the clinical experience at the
Facility. The University will notify the Facility of such removal in writing.
The Facility may immediately remove any Student participating in the clinical experience
from the Facility’s premises for behavior that the Facility deems to be an immediate
threat to the health or welfare of the Facility’s patients, staff members, visitors or to the
Facility’s operations. The Facility will notify the University in writing of its actions and the
reasons for its actions as soon as practicable. If the Facility desires to remove a Student
for any other reason, Facility will notify the University in writing of the reasons for the
removal and will consult with the University before removing the Student; however,
decision for removal shall ultimately remain with the Facility.
e. The Facility and University shall indemnify and hold each other harmless, their agents,
Students, and employees, from any and all third-party liability, damage, expense, cause
of action, suits, claims or judgments arising from injury to person or personal property or
otherwise which arises out of the act, failure to act, negligence, or breach of this
Agreement by the Facility or University, its agents and employees, in connection with or
arising out of the activity which is the subject of this Agreement.
4. Term and Termination. This Agreement shall be effective when fully executed by both parties and
shall remain in effect for one (1) year. This Agreement shall renew automatically for additional
one (1) year periods, until either party notifies the other party hereto in writing of its intent not to
renew. Either party may terminate this Agreement at any time upon thirty (30) days’ notice to the
other party. In the event of a termination of the Agreement, any Student(s) currently completing
a clinical experience at Facility will be allowed to complete their clinical experience as previously
agreed to by both parties.
5. Notice to Parties. Any notices under this Agreement will be in writing to the following addresses, or to
such other address as either party may specify in writing from time to time:
If to the Facility:
Clinical Experience Contact
Facility:
Address:
City, State, Zip:
Attention:
Title:
Email/Phone:
Legal or Contractual Concerns
Facility:
Address:
City, State, Zip:
Darren Holton Mindful Health
774 Eayrestown rd Lumberton NJ 08048
Suite202
Office Manager 609-850-4489
–
Mindful health 774 Eayrestown rd Lumberton NJ 08048
Suite202
4
Attention:
Title:
Email/Phone:
If to the University:
Clinical Coordinator
Herzing University, Ltd.
275 W. Wisconsin Avenue, Suite 210
Milwaukee, WI 53203
Attention: Heather Schiedermayer
Title: Graduate Clinical Coordinator
Email/Phone: [email protected] / 414-212-3110
Legal or Contractual Concerns
Herzing University, Ltd.
275 W. Wisconsin Avenue, Suite 210
Milwaukee, WI 53203
Attention: Clinical Contracts
Email: [email protected]
6. General. The following additional conditions apply to this Agreement:
a. Severability. In the event one or more of the provisions contained in this Agreement are
declared invalid, illegal, or unenforceable in any respect, the validity, legality, and
enforceability of the remaining provisions shall not in any way be impaired thereby unless
the effect of such invalidity is to substantially impair or undermine either party's rights and
benefits hereunder.
b. Successors and Assigns. This Agreement shall be binding upon and shall inure to the benefit
of the parties hereto and their respective permitted successors and permitted assigns.
c. Assignment. This Agreement is personal to the parties and may not be assigned or
transferred without written consent of the other party.
d. Waiver. The failure of either party to insist in any one or more instances upon performance
of any terms or conditions of this Agreement shall not be construed as a waiver of future
performance of any such term, covenant, or condition; but the obligations of such party with
respect thereto shall continue in full force and effect.
e. Recitals. The recitals are intended to describe the intent of the parties and the circumstances
under which this Agreement is executed and shall be considered in the interpretation of this
Agreement.
f. Amendment. This Agreement may be amended only by written agreement of the parties.
g. Applicable Law. This Agreement shall be interpreted according to the law of the state of
Wisconsin.
h. Entire Agreement. This Agreement constitutes the entire agreement between the parties
pertaining to the subject matter hereof and subsumes and incorporates all prior written and
oral statements and understandings.
Office manager [email protected] 6098504489
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i. Headings. The headings in this Agreement are for reference only and shall not affect the
interpretation of this Agreement
j. No Third-Party Beneficiaries. This Agreement is for the sole benefit of the parties hereto and their
respective successors and permitted assigns and nothing herein, express or implied, is intended to or
shall confer upon any other person or entity any legal or equitable right, benefit, or remedy of any
nature whatsoever under or by reason of this Agreement.
k. Counterparts. This Agreement may be executed in counterparts, each of which shall be deemed an
original, but all of which together shall be deemed to be one and the same agreement. A signed
copy of this Agreement delivered by facsimile, email or other means of electronic transmission shall
be deemed to have the same legal effect as delivery of an original signed copy of this Agreement.
IN WITNESS WHEREOF, the parties have executed this Agreement in duplicate on the dates set opposite their respective
names.
University: Herzing University, Ltd. Facility:
Signature: Signature:
Printed Name: Alicia Stevens Printed Name:
Title:
Paralegal, Contract & Compliance
Administrator Title:
Phone Number: (866) 508-0748 ext. 01930 Phone Number:
Email Address: [email protected] Email Address:
Date: Date:
Mindful Health
Darren Holton
Office manager 609-850-4489
[email protected] 4/23/25
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APPENDIX A – PROGRAM ADDENDUM
Please indicate the program(s) your Facility can accommodate by checking the box(es) below, per this Agreement:
☐ ALL Programs
☐ ALL Nursing Programs
☐ Prelicensure Nursing Programs Healthcare
☐ Practical Nursing ☐ Dental Hygiene
☐ Associate of Science/Associate of Applied
Science in Nursing ☐ Dental Assisting
☐ Bachelor of Science in Nursing ☐ Emergency Medical Technician – Paramedic
☐ Master of Science in Nursing – Direct
Entry ☐ Health Information Management
☐ Health Science
☐ MSN or PMC Programs ☐ Healthcare Administration
☐ Family Nurse Practitioner ☐ Insurance Billing and Coding Specialist
☐ Psychiatric Mental Health Nurse
Practitioner ☐ Medical Assisting
☐ Adult Gerontology Acute Care Nurse ☐ Medical Coding
☐ Adult Gerontology Primary Care Nurse ☐ Physical Therapist Assistant
☐ Nursing Education (Nurse Educator) ☐ Surgical Technology
☐ Nursing Leadership and Administration ☐ Radiologic Technology
☐ Doctor of Nursing Practice
Behavioral Health
☐ Social Work
x
X X X
X
X
,
MEMORANDUM OF UNDERSTANDING FOR
HEALTH CARE CLINICAL EXPERIENCE
This Agreement for Clinical Experience (the “Agreement”) is entered into by and between Herzing University, Ltd. (hereafter “University”), and Mindful Health
(“Facility”).
RECITALS
The University wishes to provide clinical experiences for students (hereafter “Students”) enrolled in the program(s) selected on Appendix A of this document (hereafter “Program”) . The Facility operates a healthcare facility and has the capability, through its medical records, clinical, or medical administration departments, to provide settings for
clinical experiences required by such Students and desires to provide a setting for such clinical experiences in
cooperation with the University in order to support quality education for health professionals in the community and
the delivery of appropriate health services to the community.
NOW, THEREFORE, the parties agree as follows:
1. Responsibilities of the Facility. The Facility agrees to serve as a cooperating health care facility and
provide clinical experiences for Students at the Facility enrolled in University’s Program. This will
be accomplished by allowing Student participation in patient care as set forth in this Agreement.
The University, in consultation with the Facility, shall schedule and arrange for the number and
timing of such experiences. The Facility hereby agrees that it will provide certain services as follows:
a Facility agrees to observe the non-discrimination policy of the University and to not
discriminate against Students as to race, sex, religion, age, color, creed, national or ethnic
origin, disability, sexual orientation, gender identity or expression, or disabled and/or
Vietnam era veteran status subject to the Facility’s right to terminate clinical experience as
set forth in subparagraph 3-d.
b. Facility shall maintain all applicable accreditation requirements and certify such compliance
to the University or other entity as requested by the University. The Facility shall also permit
authorities responsible for accreditation of the University’s curriculum to inspect the
Affiliate’s clinical facilities and services, as necessary.
c. Facility will, upon request, assist the University in the assessment of the learning and
performance of Students by completing assessment forms provided by the University and
returning them to the University in a timely fashion.
d. Facility will ensure appropriate space, personnel, and resources are provided at designated
sites in order to provide sufficient clinical experiences for the assigned Students.
e. Facility will not use Students to replace or substitute for the Facility staff and will not allow
Students to render service except as identified in the jointly planned clinical experience. A
member of the staff of the Facility will supervise contact between a Student and a patient,
and the Facility will be responsible for all patient care at all times.
f. Facility shall ensure that Students are provided with an educational experience and are not
assigned tasks unrelated to their educational focus.
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2
g. Facility will provide emergency outpatient treatment to Students while participating in a
clinical at Facility sites in case of accident or illness, at Students’ cost.
h. Facility will provide for the orientation of University’s participating students as to the Facility’s policies, rules, regulations, and procedures, including, but not limited to, informing Students
of Facility’s protocol for incidents, injury, hazardous waste, and other things.
i. Facility shall ensure that any health-related data collected by the Facility from the Students
is collected, processed, and maintained in accordance with Health Insurance Portability and
Accountability Act of 1996 as codified at 42 U.S.C. Section 1320 (“HIPAA”) and any current
and future regulations promulgated thereunder.
j. Facility shall maintain general and professional liability insurance coverage of $1,000,000 per
occurrence and $3,000,000 in the aggregate for itself and its employees covering acts/or
omissions by Facility, its employees and agents during practicum experiences hosted by the
Facility. The Facility shall also maintain workers compensation insurance for its employees.
2. Responsibilities of University. The University agrees that it will comply with the following:
a. University will instruct Students on, and require all Students to comply with, the personal,
ethical and professional standards required of employees of the Facility and consistent
with the applicable professional Codes of Ethics applicable to the Students’ Programs.
b. University will provide general liability insurance coverage of $1,000,000 per occurrence and
$3,000,000 in the aggregate and professional liability insurance coverage of $2,000,000 per
claim and $6,000,000 in the aggregate covering acts/or omissions by Students during
practicum experiences hosted by the Facility. The University shall immediately notify the
Facility of any changes, limitations, or termination of insurance coverage and provide
evidence of such insurance upon request by the Facility.
c. University will require Students to comply with the Facility's policies and procedures
governing mandatory reporting of child and dependent adult abuse, infection control, and
hazardous materials management. Upon the Facility’s request, any Student that the Facility
believes to be in violation of its policies and procedures shall be removed by the University.
d. University will provide, if required by the facility, evidence that the assigned Students meet
all applicable requirements of CPR certification, hepatitis A and B vaccination, TB Mantoux
test, Varicella and MMR immunity, Td/Diphtheria prevention, full course COVID-19
vaccination as defined by Center for Disease Control, and compliance with OSHA
requirements for prevention of transmission of bloodborne pathogens and TB. Any
noncompliance with requirement will be communicated to the Facility by the University prior
to Student being accepted by the Facility for clinical placement. University will provide proof
of compliance to site-specific requirements if required by Facility.
e. University shall advise all Students assigned to the Facility regarding HIPAA and the
confidentiality of patient/client records and patient/client information imparted during the
clinical experience. The University will also advise all Stude
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