Current through Register Vol. 50, No. 9, September 20, 2024
A. If a facility admits persons with a need
for speech pathology and/or audiology services, these shall be rendered as
appropriate through:
1. direct contact
between speech pathologists, audiologists and the students; and
2. working with other personnel, such as
teachers and direct-care staff, in implementing communication improvement
programs in environmental settings.
B. Speech pathology and audiology services
available to the facility shall include:
1.
screening and evaluation of the persons in care with respect to speech and
hearing functions;
2. comprehensive
audiological assessment of all persons, as indicated by screening results, to
include tests of puretone air and bone conduction, speech audiometry, and other
procedures, as necessary, and to include assessment of the use of visual
cues;
3. assessment of the use of
amplification;
4. provision for
procurement, maintenance and replacement of hearing aids, as specified by a
qualified audiologist;
5.
comprehensive speech and language evaluation of each person, as indicated by
screening results, including appraisal of articulation, voice, rhythm, and
language;
6. participation in the
continuing interdisciplinary evaluation of individuals for purposes of
initiation, monitoring, and follow-up of individualized habilitation
programs;
7. treatment services
interpreted as an extension of the evaluation process, that include:
a. direct counseling with the persons in
care;
b. consultation with
appropriate staff for speech improvement and speech education activities;
and
c. collaboration with
appropriate staff to develop specialized programs for developing the
communication skills of individuals in comprehensive (for example, speech,
reading, auditory training, and hearing aid utilization) as well as expression
(for example, improvement in articulation, voice, rhythm, and language);
and
8. participation in
in-service training programs for direct-care and other staff. Evaluation and
assessment results shall be reported accurately and systematically, and in such
manner as to, where appropriate, provide information useful to other staff
working directly with the resident; and provide evaluative and summary reports
for inclusion in the individual's record.
C. There shall be available sufficient,
appropriately qualified staff, and necessary supporting personnel to carry out
the various speech pathology and audiology services, in accordance with stated
goals and objectives. Staff who assume independent responsibilities for
clinical services shall be licensed, if applicable, by the state in which
practicing, and:
1. shall be eligible for a
certificate of clinical competence in the appropriate area (speech pathology or
audiology) granted by the American Speech and Hearing Association under its
requirements in effect on the publication of this provision; or
2. meet the educational requirements for
certification, and be in the process of accumulating the supervised experience
required for certification.
Adequate, direct and continuing supervision shall be
provided personnel, volunteers, or supportive personnel utilized in providing
clinical services.
D. To provide efficient and effective speech
pathology and audiology services, there shall be adequate space, facilities,
equipment and supplies.
E. Speech
pathology and/or audiology services, when needed, shall be provided through any
reasonable arrangement including, but not limited to, consultation with a
speech pathologist/audiologist.
AUTHORITY NOTE:
Promulgated in accordance with
R.S.
46:1971 through
1980.
