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Student / Intern Acknowledgment of Policies & Procedures

Confidentiality and HIPAA Acknowledgment

Volunteers, Interns or individuals participating in a shadowing experience have hthe obligation to treat all information about Scotland County Health Department (SCHD) patients and clients in a strictly confidential manner. In the course of your interactions at SCHD you may be given information from a variety of sources including staff, patients, clients or external partners. You are prohibited from discussing or sharing information with anyone who has no need to know the information. Discussing or electronically sharing confidential information with neighbors, friends, or relatives is prohibited. 

Should you be approached by the media or be requested to speak to the media no information should be shared in reference to SCHD patients or clients. When discussing positive aspects of your volunteer, internship or shadowing experience, please keep confidentiality in mind at all times and do not share names or other confidential information. No pictures of patients or clients should be provided or taken by the media. 

Furthermore, I also give SCHD permission to reproduce pictures or news articles pertaining to my internship or volunteer program as long as it is not a confidential matter. 

In certain circumstances you may be made aware of PHI (Protected Health Information). Understand that federal and state law, including the Health Insurance Portability and Accountability Act ("HIPAA"), protects and confidentiality of "protected health information" ("PHI").

PHI is defined as any information that identifies an individual and that relates to the past, present or futre physical or mental health or condition of an individual or the provision of health care to an individual. 

I agree to keep all confidential information, including PHI specific to SCHD patients and clients in strict confidence. I understand that failure to do so will result in termination of my participation in the volunteer, internship or job shadowing experience and may expose me to potential legal liability.

Dress Code Policy Acknowledgment

I have been informed about the content, requirements and expectations of the Dress Code Policy for volunteers and interns. I agree to abide by the policy guidelines as a condition of my clinical rotation, internship or volunteer program. I further understand that if I have questions at any time regarding the Dress Code policy or any other policy that governs SCHD, I will consult with my immediate preceptor, department coordinator, supervisor or department Human Resources representative. 

Risk and Consent Form

I understand that there are certain dangers, hazards and risks associated with my participation in the internship activity(s) described above. I further understand that all risks cannot be prevented. I have considered the risks associated with participating in this internship and knowingly and voluntarily assume all said risks. 

I hereby agree to indemnify, hold harmless, release from liability and waive any legal action against Scotland County Health Department, its governing board and employees for any personal injury, death, or property damage I may suffer. I represent that I am covered by adequate medical/health/accident insurance for any injury that I may suffer at the internship site. In the event I require medical services due to an injury suffered during the internship, I understand and agree that Scotland County Health Department is under no obligation to provide transportation for me to obtain medical services. 

 

Safety Orientation:

Please watch the following YouTube video on Health Care safety in the workplace.

I have watched the above video on healthcare safety and understand the hazards I may encounter.  If I have questions or concerns about these hazards, I will discuss them with my internship site coordinator, the agency Safety Officer or the Health Director.  

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