16 Tex. Admin. Code § 111.91 - Assistant in Audiology License-Supervision Requirements
(a) A licensed assistant in audiology
(assistant) must be supervised by a licensed audiologist who has been approved
by the department to serve as the assistant's supervisor
(supervisor).
(b) A supervisor must
agree to assume responsibility for all services provided by the assistant. The
supervisor must comply with the requirements set out in the Act and
§111.154.
(c) Supervisory
Responsibility Statement Form. A Supervisory Responsibility Statement Form
shall be submitted in a manner prescribed by the department by both the
applicant and the proposed supervisor. The proposed supervisor must meet the
requirements set out in the Act and §111.154.
(1) Approval from the department shall be
required prior to practice by the licensed assistant in audiology. The
Supervisory Responsibility Statement for an Assistant in Audiology Form shall
be submitted upon:
(A) application for a
license;
(B) any changes in
supervision; and
(C) addition of
other supervisors.
(2) If
more than one audiologist agrees to supervise the assistant, each proposed
supervisor must submit a separate Supervisory Responsibility Statement Form in
a manner prescribed by the department.
(3) The assistant may not practice without an
approved Supervisor Responsibility Statement Form. The supervisor may not allow
an assistant to practice before a Supervisor Responsibility Statement Form is
approved.
(4) The assistant shall
only provide services for the caseload of the assistant's supervisors who have
current Supervisor Responsibility Statement Forms on file with the
department.
(5) If the supervisor
ceases supervision of the assistant, the supervisor shall notify the
department, in a manner prescribed by the department, and shall inform the
assistant to stop practicing immediately. The supervisor is responsible for the
practice of the assistant until notification has been received by the
department.
(6) If the assistant's
supervisor ceases supervision, the assistant shall stop practicing immediately.
The assistant may not practice until a new Supervisor Responsibility Statement
Form has been submitted to and approved by the department.
(d) A supervisor shall assign duties and
provide appropriate supervision to the assistant.
(e) Client Contacts.
(1) All diagnostic contacts shall be
conducted by the supervisor.
(2)
Following the initial diagnostic contact, the supervisor shall determine
whether the assistant has the competence to perform specific non-diagnostic and
non-prohibited duties before delegating tasks as referenced in
§111.92(c).
(f)
Amount and Type of Supervision. Each supervisor must provide a minimum of ten
(10) hours per week, or forty (40) hours per calendar month, of supervision to
the assistant. This subsection applies whether the assistant is employed
full-time or part-time.
(1) At least one (1)
hour per week, or four (4) hours per calendar month, must be direct
supervision.
(2) The remaining
hours may be performed using indirect supervision.
(3) If fewer than four (4) weeks are worked
in a calendar month, then the number of hours of supervision provided will be
based on the number of weeks worked. Ten (10) hours of supervision must be
provided for each week worked, including one (1) hour of direct
supervision.
(4) Tele-supervision
may be used for direct and indirect supervision.
(5) When determining the amount and type of
supervision, the supervisor must consider the skill and experience of the
assistant as well as the services to be provided. The supervision hours
established in this paragraph may be exceeded as determined by the
supervisor.
(g)
Delegating Clinical Tasks.
(1) Although the
supervisor may delegate specific clinical tasks to an assistant, the
responsibility to the client for all services provided cannot be
delegated.
(2) The supervisor shall
ensure that all services are documented and provided in compliance with the Act
and this chapter.
(3) The
supervisor shall:
(A) in writing, determine
the skills and assigned tasks the assistant is able to carry out under
§111.92. This document must be agreed upon by the assistant and the
supervisor;
(B) notify the client
or client's legal guardian(s) that services will be provided by a licensed
assistant; and
(C) maintain
responsibility for the services provided by the assistant.
(h) Records. The supervisor shall
maintain the following records.
(1)
Supervisory records shall be maintained by the supervisor for a period of three
years which verify regularly scheduled monitoring, assessment, and evaluation
of the assistant's and client's performance. Such documentation may be
requested by the department.
(2)
The supervisor shall keep job descriptions and performance records. Records
shall be current and be made available upon request to the
department.
(i)
Supervision Audits. The department may audit a random sampling of assistants
for compliance with this section and §111.154.
(1) The department shall notify an assistant
and the supervisor in a manner prescribed by the department that the assistant
has been selected for an audit.
(2)
Upon receipt of an audit notification, the assistant and the supervisor, who
agreed to accept responsibility for the services provided by the assistant,
shall provide the requested proof of compliance to the department in a manner
prescribed by the department.
(3)
The assistant and the supervisor shall comply with the department's request for
documentation and information concerning compliance with the audit.
(j) Notwithstanding the
supervision provisions in this section, the department may establish
procedures, processes, and mechanisms for the monitoring and reporting of the
supervision requirements.
Notes
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