02-643 C.M.R. ch. 9, § 4 - Supervision Requirements

1. Following the speech-language pathology assistant's completion of the practicum hours, if applicable, the supervising licensed speech-language pathologist shall determine the frequency and nature of the supervision required by Section 3(1), direct or indirect, to be provided based on the clients' required level of care and the speech-language pathology assistant's caseload, experience and competency.

Supervision schedules must allow for this supervision to be proportionate to the caseload served by the assistant.

2. Documentation

Supervision provided pursuant to subsection 1 above must be documented as follows:

A. The supervision required by subsection 1 above must be documented in a log maintained by the supervising speech-language pathologist. The log must contain the date, hours and type (direct/indirect) of supervision provided. The supervising speech-language pathologist shall retain log entries for a period of 5 years on a rolling basis.

B. Each log entry must include the supervisor's assessment of the quality of the speech-language pathology assistant's performance of assigned tasks and must verify that the clinical activity is limited to tasks specified in the speech-language pathology assistant's scope of responsibilities. Each log entry for direct supervision must include data relative to:

(1) Agreement (reliability) between the assistant and the supervisor on correct/incorrect recording of target behavior;

(2) Accuracy in implementation of screening and treatment procedures;

(3) Accuracy in recording data; and

(4) Ability to interact effectively with the patient/client.

The board may perform an audit of supervision programs to assure compliance with these rules. The supervision log required by this subsection must be provided to the board upon request.

3. The supervising speech-language pathologist must be on-site or accessible by telecommunications at all times when the speech-language pathology assistant is providing client care.

Notes

02-643 C.M.R. ch. 9, § 4