Clinic Handbook - Healthscience.iusb.edu

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Indiana University South BendSpeech-LanguagePathologyMaster’s ProgramClinicHandbook2020-2021

ContentsSection 1: Introduction and Overview . 4Welcome . 4CAA Statement . 4Codes of Ethics . 4ASHA’s Scope of Practice . 42020 Standards . 4Statement of Non-discrimination . 5Non-Standard Dialect . 5Reasonable Accommodations. 5Structure of Clinical Practicum. 5Process of Determining Placements . 6Section 2: Clinical Policies and Procedures . 7Americans with Disabilities Act (ADA) Policy . 7Indiana University’s Non-Discrimination Policy . 7Information and Information System Incident Reporting, Management, and Breach Notification. 7Affiliation Agreement Request and Review . 7Biosafety / Bloodborne Pathogens . 7Confidentiality . 7Cardiopulmonary Resuscitation (CPR) . 8Criminal Background Check . 8Student Drug Screens. 8Immunizations . 8Social Networking . 8Cancellations and Tardy Clinic Clients . 8Clinical Clock Hours . 8Client Files . 8Client Gifts and Gratuities . 8Clinic Materials Checkout . 8Clinician Absences and Cancellations . 8Formal Complaint Process . 8Injury in Clinic. 9Locked Areas . 91

Observation. 9Cleaning of Rooms and Materials . 9Process of Determining Clinical Placements . 9Professional Attire . 9Professional Liability Insurance. 9Punctuality . 9Recording Sessions. 9Socializing with Clients . 9Supervision. 9Test Checkout and Reservation . 10Verification of Clinical Experience . 10Client Dismissal . 10Referrals and Waitlist. 10Section 3: Record Keeping and Reporting. 10FERPA . 10HIPAA . 10EMR Overview. 10VALT Overview . 11Report Formats . 11SOAP Note Format . 11Client/Family/Medical Provider Contacts . 11Shredding . 11Section 4: On-Campus Practicum Experiences . 12Clinical Assignments. 12Diagnostic Practicum Experiences . 13Meeting with Supervisors . 13Client Check-In and Waiting Room . 13Clinic Rooms . 13Observation. 14Maintenance of Equipment . 14Section 5: Offsite Clinical Practicum Experiences . 14Goals of the Experiences. 14Minimum Requirements . 142

Part-Time Placements . 15Full Time Externships . 15Participants of the Clinical Experience. 15Section 6: Clinical Grades and Evaluation . 15Clinical Feedback. 15Clinical Grading . 16Clinical Remediation Plan and Clinical Probation . 17Section 7: Documenting Clinical Hours and Tracking Knowledge and Skills. 17CALIPSO Overview . 17Competencies . 17Hours: What Counts and What Doesn’t. 18Daily Clinical Hours Log . 18Completion. 18Section 8: Risk Management. 19Professional Liability Insurance. 19Universal Precautions . 19Emergency Preparedness . 19Weather Related Closures . 19Tornado Alarm . 20Fire Alarm . 20Code for Shooter . 20Child and Adult Protective Services . 20Section 9: Additional Information . 20IU South Bend Counseling Center (SCC) . 20Attendance and Calendars . 21Section 10: Appendices . 22Appendix I: Placement Request FormAppendix II: Select Indiana University PoliciesAppendix III: Select Dwyer College of Health Sciences PolicesAppendix IV: MS-SLP Clinical PoliciesAppendix V: Calipso Student Performance EvaluationAppendix VI: Performance Rating ScaleAppendix VII: CALIPSO Clock Hours Log Form3

Section 1: Introduction and OverviewWelcomeWelcome to Indiana University South Bend’s Master of Science in Speech-Language Pathology (IUSB MSSLP) program! The clinical and diagnostic practicum experiences encompass a wide variety of academicand clinical tasks that take place outside the classroom over the course of your graduate career.Augmenting your coursework, this practicum will prepare you to be an independent, thoughtful,analytic, and confident clinician.Our faculty and staff have partnered with the community to provide you with challenging andtransformative clinical experiences that begin in your very first semester. For the growth of our clinicalprogram, the Clinical Director welcomes feedback regarding any and all clinical matters, includingpolicies, procedures, materials, equipment, and community opportunities. This handbook serves as aresource for clinical information and requirements, a location for clinical policies and procedures, andthe Appendices provide you with forms and additional information. You are responsible for theinformation in this handbook. Questions may be directed to the Clinical Director.Again, welcome! I look forward to seeing your clinical growth over the next two years!Jerin Burch, Clinical DirectorCAA StatementThe MS-SLP program is currently an applicant for candidacy for accreditation.Codes of EthicsAll student clinicians are responsible for reading American Speech-Language Hearing Association's(ASHA's) Code of Ethics. . The Code educates professionals in the discipline, as well as students, otherprofessionals, and the public, regarding ethical principles and standards that direct professional conduct.As you begin clinical practicum, it is essential that you recognize the ethical obligations that you haveassumed in regards to clients and their families. Violations of clinical conduct will be brought before theProgram Director.Student clinicians should also be aware that individual states may also have a code of ethics in statute orregulation. Indiana Speech-Language Hearing Association’s (ISHA’s) Bylaws and Code of Ethics shouldbe reviewed by student clinicians.ASHA’s Scope of PracticeASHA’s Scope of Practice in Speech-Language Pathology document is an official policy defining thebreadth of practice within the profession of speech-language pathology. Students are encouraged toread the Scope of Practice .2020 StandardsThe 2020 Standards and Implementation Procedures for the Certificate of Clinical Competence inSpeech-Language Pathology (CCC-SLP) went into effect on January 1, 2020 and did include somechanges from the previous standards.4

Statement of Non-discriminationThe Indiana University South Bend Master of Science in Speech-Language Pathology (IUSB MS-SLP)department and clinical program operate within IU’s non-discrimination policy that prohibitsdiscrimination on the basis of age, color, disability, ethnicity, sex, gender identity, gender expression,genetic information, marital status, national origin, race, religion, sexual orientation, or veteran status.IU’s complete policy statement can be found in Section 2 of this handbook.Violation of the non-discrimination policy will result in disciplinary action.Non-Standard DialectAt IUSB, inclusiveness and acceptance of diversity is extended to practitioners and students fromculturally and linguistically diverse populations who may not speak Mainstream American English (MAE).In cases where a student has an accent and/or uses MAE, the department references ASHA’s positionstatement, Students and Professionals Who Speak English with Accents and Nonstandard Dialects:Issues and Recommendations.Reasonable AccommodationsStudents with accommodations are encouraged to speak with IUSB's Disability Support Services .Clinical experiences will honor reasonable accommodations whenever able; however, it is important tonote that the standards cannot be modified and all students must be able to demonstrate competencyin these standards by the time of graduation.Structure of Clinical PracticumFall 1: For clinical practicum, student clinicians will be paired with a partner from his/her cohort and willcomplete a part-time, supervised placement at a site in the community. Students should anticipatespending up to 3-4 hours/day at their site 2 days per week. Clinical placements will generally targetearly intervention, preschool, elementary, and pediatric outpatient experiences, though otherexperiences may occur. Diagnostic practicum will be held on Fridays. For this first diagnosticpracticum, emphasis will be on completion of preschool and kindergarten speech and languagescreenings as well as hearing screenings. Students may not participate in screening opportunities eachweek. Diagnostic opportunities may take place in the on-campus clinic or at a community site.Spring 1: Clinical practicum opportunities will continue to occur in community sites on a part time basis,targeting the sites from Fall 1 as well as a focus on increasing opportunities for placements working withadult populations (specifically, skilled nursing facilities and adult outpatient therapy). Students shouldanticipate spending up to 6-8 hours, 2 days per week on site and can expect to take on a greater loadthan in Fall 1. Students may also be assigned to a support group. Diagnostic practicum will continue tooccur on Fridays and will expand to include full pediatric and adult evaluations. Students will notparticipate in an evaluation each week. Diagnostic opportunities may take place in the on-campus clinicor at a community site.Summer: Students will complete a 10 week, full time fieldwork placement (also referred to as“externship”) at a community site. It is anticipated that students should work up to carryingapproximately 60-75% of the caseload by the time this externship ends. Medical placements aretargeted during this placement.5

Fall 2: For clinical practicum, student clinicians will complete a final part-time community placement,again increasing the clinical load compared to prior semesters. Students can anticipate spending up to6-8 hours, 2-3 days per week on site. Site placement w

By graduation, student clinicians must be able to document attainment of at least 375 clinical clock hours of supervised clinical experience in the practice of speech-language pathology and 25 observation hours. Up to 75 of the direct contact hours may be obtained through clinical simulation. The clinical

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