Or. Admin. Code § 335-095-0050 - Requirements for Supervising Licensed Speech-Language Pathology Assistants
(1) The amount and
type of supervision required will be based on the skills and experience of the
speech-language pathology assistant. Speech-language pathologists and
speech-language pathology assistants are equally responsible for developing a
collaborative plan for supervision. The speech-language pathologist is
ultimately responsible for the implementation of appropriate and adequate
supervision, but the speech-language pathology assistant also has the
responsibility to seek and obtain the appropriate supervision to ensure safe
and effective speech and language therapy service delivery.
(a) A minimum of one hour per month of
consultative supervision time must be documented per each speech-language
pathology assistant.
(b) Every 60
days the speech-language pathologist must treat, or co-treat with the SLPA,
every patient/client/student on the SLP's caseload.
(c) The supervising speech-language
pathologist must be able to be reached throughout the work day. A temporary
supervisor may be designated as necessary.
(d) If the supervising speech-language
pathologist is on extended leave, an interim supervising speech-language
pathologist who meets the requirements stated in 335-095-0040 must be
assigned.
(e) The caseload belongs
to the supervising speech-language pathologist who retains full legal and
ethical responsibility for the individuals on the caseload. Speech-language
pathology assistants may not have a caseload; and may not provide services to
students/clients/patients of non-supervising speech-language pathologists. The
supervising speech-language pathologist is responsible to make all diagnostic
and treatment related decisions for all clients on the caseload, and to
supervise any speech-language pathology assistants assigned to assist with that
caseload.
(2) The
supervising speech-language pathologist may not supervise more than the
equivalent of two full-time speech-language pathology assistants.
(3) The supervising speech-language
pathologist must co-sign each page of records.
(4) Supervision of speech-language pathology
assistants must be documented. The supervising speech-language pathologist will
document an annual supervision plan for each speech-language pathology
assistant supervised. The supervision plan must include the following elements:
date, discussion of speech-language pathology assistant's competencies, and the
plan for direct and consultative supervision. The supervising speech-language
pathologist and the speech-language pathology assistant will both sign the
supervision plan annually. The supervision plan must be completed within two
weeks of beginning supervision of a speech-language pathology assistant. The
supervision plan may be amended as needed by the speech-language pathologist
and the speech-language pathology assistant and must be kept on file with all
associated documents at the site.
(a)
Consultative documentation must include the following elements: date, focus of
discussion, areas where the SLPA is doing well, areas where the SLPA needs
support, specific student/client/patient discussion, data review and treatment
planning, and direct or consultative supervision hours. Clinical logs
documenting supervision must be completed and supervision hours calculated
every 60 days. Each entry should be initialed by the supervising
speech-language pathologist. Each page of documentation should include the
supervising speech-language pathologist's signature and license numbers issued
by this Board and the Teacher Standards and Practices Commission if applicable.
Supervision documentation must be retained by the both the supervising
speech-language pathologist and the speech-language pathology assistant for
four (4) years.
(b) Documentation
must be available for audit requests from the Board.
(5) A speech-language pathologist who employs
or otherwise uses the services of a speech-language pathology assistant shall:
(a) Ensure that persons who receive services
from a speech-language pathology assistant receive prior written notification
that services are to be provided by a speech-language pathology assistant and
that it is documented in the student/client/patient record;
(b) Verify that the speech-language assistant
is certified with the Board under ORS
681.360.
(6) A speech-language pathology assistant who
does not receive adequate supervision as required by this section for two
consecutive months shall immediately (within 10 days) file a report with the
Board explaining the lack of supervision.
(7) In remote geographic areas of the state
or in other situations with severe shortages of licensed personnel, where
Direct Supervision requirements cannot be met by an on-site Speech-Language
Pathologist, educational facilities may apply for a one year exemption from
certain requirements for supervision of certified Speech-Language Pathology
Assistants.
(a) This exemption allows
educational facilities to use the review and evaluation of audio- or
video-taped records or live audio- or video-conferencing of clinical
interactions, or a combination thereof, to provide a portion of the required
Direct Supervision hours, up to a maximum of 75% of the required Direct
Supervision hours.
(b) During the
exemption period, a licensed Speech-Language Pathologist may supervise up to
four full-time equivalent certified Speech-Language Pathology
Assistants.
(c) This exemption will
expire on July 31st of the year in which it is granted. An exemption shall only
be granted for a maximum of two years out of each consecutive five year
period.
Notes
Statutory/Other Authority: ORS 681.360, 681.370, 681.375, 681 420 & 681.460
Statutes/Other Implemented: ORS 681.360, 681.370 & 681.375
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