Winona State University

Athletic Training Education Program

Supplemental Community-Based Health Care Experiences

Observation Agreement

CMH ER and OR, Rushford Clinic, Winona Area Ambulance Services, Inc.,

SE MN Sports Medicine & Orthopaedic Surgery,

CMH Physical Therapy, and Sport & Spine Physical Therapy

 

Objectives for Athletic Training Students:

1. Observe patient intake, processing, and discharge procedures.
2. Observe roles, responsibilities, and interaction of physicians, nurses, and other allied health care professionals.
3. Observe appropriate methods for obtaining general medical history and the role the medical history takes in the scheme of medical care.
4. Observe the role of diagnostic testing, diagnosis, treatment, and prescription in the scheme of medical care.
5. Observe the role of referrals and rechecks in the scheme of medical care.

 

Athletic Training Student Responsibilities:

1. Sign and adhere to each facility’s confidentiality agreement.
2. Maintain patient confidentiality at all times.
3. Maintain confidentiality of medical procedures, personnel, and facility at all times.
4. WSU nametag will be worn at all times.
5. Students participating in this program will be required to dress professionally. Tennis shoes, sweatshirts, jeans, etc. will not be worn during clinical hours.
6. Patients being observed by the student will be asked for their permission for the student observation.
7. Students have a strict obligation to keep confidential all patient information. Unauthorized release of confidential information will result in the observation experience being terminated.
8. Students will provide record of experiences to WSU Program Director or Clinical Coordinator for practicum grade.
9. In the PT setting, the student, as possible, will be given the opportunity to assist with assembly of hydroculator packs, filling of whirlpools, and adjusting of crutches, canes, walkers, and wheelchairs or any other duties the PT feels appropriate.
10. Students are not employees while doing their observation experience. They are acting in the capacity of a student volunteer under the clinical affiliation agreement. Should an injury occur, students are not covered by workers compensation and agree to hold the clinic or hospital harmless.

 

Record of Experience:

Student ____________________________________ Date ________________________

 

Facility ____________________________________ Supervisor ___________________

 

Confidentiality Agreement Signed ________ Times of Observation _________________

 

Supervisor Comments _____________________________________________________

________________________________________________________________________

 

Supervisor Signature _____________________________Date _____________________

Contact Information: Shellie F. Nelson, Ed.D ., ATC/R, Athletic Training Program Director, 117 Memorial Hall, WSU, Winona , MN 55987 , 507-457-5214 Office, snelson@winona.edu Email