Audiology Clinic Handbook Fall 2021 - California State University .
Audiology Clinic HandbookFall 20211
Table of ContentsINTRODUCTION .5Mission Statements.6Equal Access .6Diversity .6Equal Opportunity .6DESCRIPTION OF SERVICES .8OVERVIEW OF CLINICAL EDUCATION.9Sequence of Clinical Education Experiences .9Expected Hours by Clinical Experience for Au.D. Clinical Training . 10CALIPSO . 11Tracking of Progress and Competencies .11PREREQUISITES FOR CLINICAL EXPERIENCE.12ASHA and AAA Code of Ethics.12Mandatory Background Check (Policy) .12Required Immunizations.13Trainings and Certifications.13HIPAA and Universal Precautions Training .13Basic Life Support .14Personal Health Insurance 14Professional Liability Insurance .15Supervision and Training for Second year Student Supervisors .15PROFESSIONAL EXPECTATIONS, CONSIDERATIONS AND BEHAVIORS.16Clinician Attendance .16Dress Code .17Addressing Other Professionals and Patients . 18Cell Phones, Smart Phones, and Other Electronic Devices .18Social Media Guidelines .19Clinician’s Computer Lab .19Sound Booths and Lab Spaces .20GENERAL MJRLSHC AUDIOLOGY CLINIC GUIDELINES AND PROCEDURES .21Patient Confidentiality . 21Digital Recording of Patients . 22Required Documentation. 222
Patient Electronic Medical Records. 23Required Written Reports. 23Report Formatting . 24Receiving a Fax with Request for Patient Information . 25Emailing Patient Documents . 25Patient Report Distribution . 25Patient Attendance . 25Patient Parking . 26Universal Precautions and Infection Control. 26Handling Hearing Aids and Earmolds . 27Emergency Procedures.27Accidents or Injuries .28Non-Life-Threatening Incidents.28Suspected Child or Adult Abuse .28Clinic Keys and Key Fobs.29STUDENT ON-CAMPUS CLINIC EXPERIENCE.30Clinical Assignments .30Supervision .30Meeting with Clinical Instructors .30Student Clinic Evaluation .30Performance Improvement Plans .31Clinic Grade Policy .32Performance Grading Scale .32Student Grievance Procedure .34Clinical Instructor Evaluation.34OFF-CAMPUS CLINICAL INTERNSHIPS .35Eligibility for Off-Campus Clinical Internship.35Site-Specific Pre-Requisite Requirements for Off-Campus Clinical Internships .35Determination of Clinical Assignments.35Preceptor Requirements and Site Selection .36Scheduling of Clinical Internships.37Student Coordination with Off-Campus Clinical Site .37OFF-CAMPUS CLINICAL EXTERNSHIP . 38Eligibility and Pre-Requisites for Clinical Externship . 38Temporary License for Clinical Externship in California Requirement. 383
Clinical Externship Site Information . 39Finding and Establishing Clinical Externship Sites .39Applying for Clinical Externship Placements.39Assessment of Clinical Externships .39Fulfillment of the Clinical Externship.39LICENSURE AND CERTIFICATION .40Licensure Requirements .40Requirements for California Audiology Licensure.40Clinical Practicum Verification Form for California Licensure .40Requirements for California Dispensing Audiology Licensure .40Obtaining the Certificate of Clinical Competence (CCC-A) from ASHA .41Appendix .424
INTRODUCTIONThis handbook has been designed to acquaint students in the Communication Sciences andDisorders Doctor of Audiology (Au.D.) degree program with information about clinical policies andprocedures. It should serve as a reference throughout your clinical experience and explainsresponsibilities of graduate student clinicians during on-campus clinical practica and off-campusinternships. This information is intended to support and supplement classroom instruction andguidance from clinical instructors. It is the student’s responsibility to seek clarification from faculty,staff and/or clinical instructors regarding matters which might remain unclear.The procedures outlined in this handbook are specific to the Maryjane Rees Language, Speech andHearing Center (MJRLSHC) Audiology Clinic and are expected to be followed while a graduatestudent clinician in the Department of Communication Sciences and Disorders. Faculty and staffwithin the department are unbiasedly committed to facilitating an environment which promotes thesuccessful completion of the Au.D. degree requirements. This handbook serves as one tool forhelping you achieve that success.This manual is intended to be used in conjunction with the CALIPSO clinical tracking system, theSacramento State Au.D. Doctoral Student Handbook and the Audiology Clinic Resource Manual.All information should be reviewed by students before beginning their first clinical experience.It should be noted that the policies, procedures, guidelines, and forms are subject to modificationthroughout your program of study. Students will be notified in the event that a modification is madeand an updated copy of the audiology clinic handbook will be made available on the department’swebsite.5
Mission StatementsSacramento State Mission: As California's capital university, we transform lives by preparingstudents for leadership, service, and success.Sacramento State Vision: Sacramento State will be a recognized leader in education, innovation,and engagement.Department of Communication Sciences and Disorders Mission: The Department ofCommunication Sciences and Disorders trains highly competent professionals in the fields ofspeech-language pathology and audiology by providing a rigorous scientific background and diverseclinical experiences while fostering a dedication to lifelong learning and community service.Equal AccessCalifornia State University-Sacramento, Department of Communication Sciences and Disorders,seeks to provide equal access to its programs, services, and activities for people with disabilities. Ifyou have a documented disability and verification from the Office of Services to Students withDisabilities (SSWD), and wish to discuss academic accommodations, please contact your instructoras soon as possible. It is the student’s responsibility to provide documentation of disability to SSWDand meet with a SSWD counselor to request special accommodation before classes start.Sacramento State Services to Students with Disabilities (SSWD) offers a wide range of supportservices and accommodations for students in order to ensure students with disabilities have equalaccess and opportunity to pursue their educational goals. Working collaboratively with students,faculty, staff and administrators, SSWD provides consultation and serves as the informationresource on disability related issues to the campus community.SSWD is located in Lassen Hall 1008 and can be contacted by phone at (916) 278-6955 (Voice) or(916) 278-7239 (TDD only) or via email at sswd@csus.edu.DiversitySacramento State has a strong institutional commitment to the principle of diversity in all areas. Weconsider qualified applicants for our programs without regard to race, color, religion, national origin,age, gender, gender identity/expression, sexual orientation, genetic information, medical condition,marital status, veteran status, or disability. Sacramento State is a Hispanic-serving Institution, anAsian American Pacific Islander-serving institution, thoroughly abides by Title IX, and is a caringcampus where students of all identities and intersectionalities are welcomed.Equal OpportunityThe program adheres to Sacramento State's Policy for ensuring that appropriate corrective action istaken when violations of compliance with non-discrimination laws and regulations occur. Anyviolations of compliance are referred directly to the Equal Opportunity Office.Sacramento State is committed to creating a diverse and inclusive university for all members of ourcampus community. As part of our commitment, Sacramento State and its programs comply with allapplicable laws, regulations, and executive orders prohibiting discrimination towards students,faculty, staff, and persons served in the program’s clinics. This includes prohibitions on6
discrimination based on any category prohibited by applicable law including, but not limited to, age,citizenship, disability, ethnicity, gender identity, genetic information, national origin, race, religion,sex, sexual orientation, and veteran status.California State University Executive Orders 1096 (employee and third parties) and 1097 (students)outline the policy prohibiting, and procedures for addressing complaints of, Discrimination,Harassment and Retaliation. William Bishop, CSU, Sacramento Director of Equal Opportunity, isthe University’s DHR Administrator/Title IX Coordinator. Mr. Bishop’s office is responsible formonitoring, supervising, and overseeing overall Campus-wide implementation of and compliancewith the Executive Orders and state/federal civil rights laws – including coordination of training,education, communications, and administration of complaint procedures for employees, students,and third parties in the areas of discrimination (including sex discrimination), harassment (includingsexual harassment), sexual misconduct, dating and domestic violence, and stalking.7
DESCRIPTION OF SERVICESThe MJRLSHC Audiology Clinic provides services to individuals of all ages with the goal ofimproving communication through diagnostic evaluation and (re)habilitative intervention. An initialappointment for patients new to the clinic typically involves a comprehensive audiologic assessmentto determine hearing status and to characterize the patient’s primary concerns. Based on the resultsofthe initial encounter and the patient’s needs and concerns, recommendations for furtherassessment or (re)habilitation are made to the patient and associated family members.The MJRLSHC Audiology Clinic will dispense hearing aids and assistive listening devices, such asFM systems, personal amplifiers, amplified phones, captioned phones, amplified alarms, etc.Orientationto use of these various devices is provided to both the patient and associated familymembers or caretakers to ensure optimal use of devices.The following services are provided by the MJRLSHC Audiology Clinic: Preschool and school speech, language and hearing screening program Adult hearing screenings Comprehensive pediatric audiologic assessments Comprehensive adult audiologic assessments (Central) auditory processing testing (Seasonal) Ear Mold Impressions for hearing protection, Musician’s Plugs, and Musician’s MonitorsThe following services are expected to be provided by the MJRLSHC Audiology Clinic by 2022: Tinnitus management program Comprehensive vestibular assessments Auditory-evoked potential assessment Pediatric and adult hearing aid evaluation, selection and fitting Assistive listening device evaluation, selection and dispensing Adult aural rehabilitation program8
OVERVIEW OF CLINICAL EDUCATIONThe mission of the Sacramento State Doctor of Audiology program is to prepare students tobecome competent entry-level clinicians and lifelong learners committed to evidence-based practice.Students will acquire discipline-specific requisite knowledge and skills through rigorous didactic andclinical coursework. Throughout the program of study, each student will progress through a varietyof clinical experiences to support and practice what is being learned in the didactic portion of thecurriculum.Students are expected to receive evidence-based clinical training in a variety of clinical settings.Throughout their program of study, students will be exposed to a diverse group of patients acrossthelifespan, working with individuals from different ethnic, cultural, and linguistic backgrounds.Sequence of Clinical Education ExperiencesCommencing with the first semester of the Au.D. program, students will begin to be involved in avariety of clinical experiences involving patient assessment and management that will support thedidactic portion of the program. These experiences are designed to allow students to developmultiple clinical competencies throughout their program of study. The progression of clinicalexperiences is structured so students gradually develop independence and critical thinkingcapabilities to prepare them for an entry level professional position upon completion of theprogram.Throughout their tenure in the program, students will complete on-campus clinical practica, offcampus clinical practica, and a 12-month externship; these clinical experiences and their associatedcourse numbers are summarized in the table below:Sequence of Clinical EducationYear Semester CourseDescription1FallCSAD 610 Introduction to Clinicon-campus observation &participation; screening1SpringCSAD 620C Audiology Clinic IIon-campus participation1SummerCSAD 630C Audiology Clinic IIIon-campus participation2FallCSAD 640C Audiology Clinic IVon-campus participation2SpringCSAD 650C Audiology Clinic Voff-campus participation2SummerCSAD 660C Audiology Clinic VIoff-campus participation3FallCSAD 670C Audiology Clinic VIIoff-campus participation3SpringCSAD 680C Audiology Clinic VIIIoff-campus participation3SummerCSAD 710E Audiology Externship Ioff-campus externship4FallCSAD 720E Audiology Externship II off-campus externship4SpringCSAD 730E Audiology Externship III off-campus externship9
Expected Hours by Clinical Experience for Au.D. Clinical TrainingStudents begin to obtain audiology clinical experiences their first semester and continuouslythroughout the entire four years of the program. Students are expected to spend the followingnumber of hours in the clinic at a minimum:Expected Hours by Clinical ExperienceYear SemesterCourseLocationExpected Hours1FallCSAD 610 Intro to On-CampusObservation/HearingClinicScreening (40)1SpringCSAD 620COn-Campus60Audiology Clinic II1SummerCSAD 630COn-Campus120Audiology Clinic III2FallCSAD 640COn-Campus60Audiology Clinic IV2SpringCSAD 650COff-Campus120Audiology Clinic V2SummerCSAD 660COff-Campus120Audiology Clinic VI3FallCSAD 670COff-Campus120Audiology ClinicVII3SpringCSAD 680COff-Campus120Audiology ClinicVIIISummer, Fall,4CSAD 710, 720,Off-Campus Externship 2000Springand 730 AudiologyExternshipWhile obtaining their minimum required clinical clock hours (2000), students are expected tocomplete a set minimum of supervised patient contact hours in specific areas as determined by theSacramento State Doctor of Audiology program; these are listed in the table below. These minimumpatient contact hours have been established to ensure that students demonstrate skills in providingservices related to prevention, screening, evaluation, amplification and assistive listening technology,as well as outreach and/or volunteerism. Outreach and volunteerism opportunities might includeparticipating in Student Academy of Audiology (SAA) activities, providing hearing screenings as partof the Special Olympics Healthy Hearing program, for schools or event venues, organizing drives,participating in walks, etc. In order for hours to count the student clinician must be supervised by aCSUS clinical instructor. Student clinicians are responsible for tracking and maintaining all clinicalpracticum clock hours in CALIPSO throughout their graduate program. Clinical instructors willapprove clock hours each semester during on-campus clinic rotations, off- campus internships andduring the final off-campus externship.10
Clinical Site Name: MJRSLHC Fall ClinicName and type of facility (e.g., hospital, school, industry, Universitygovernment agency, private practice, college/university,residential healthcare facility, research/science/lab, etc.):Location/distance from campus: Folsom HallIndicate for which component(s) this site will be used– Residentialresidential (Re), distance education (DE) and/or satellite (S)Academic and clinical prerequisites for student placement Completion of 1st year Fall, Spring, andat this facility: Clinical and Academic Program.Passing of the 1st year progressexamination.Estimated number of students per supervisor: 2Types of activities in which students typically will engage: Audiometric Testing and ReportWritingAge range for adults: 18 Age range for children: 6 to 18List the culturally and linguistically diverse population A range of Ethnicity, Race, Culture,served: National Origin, Socioeconomic Status,Gender Identity, Sexual Orientation,Religion, Exceptionality, andCognitive/Physical DisabilityEnglish, English Language Learner.Primary English Dialect, SecondaryEnglish Dialect, Bilingual, Polygot,Gender Identity, Sign Language, andCognitive/Physical Disability.CALIPSOCALIPSO is used to track clinical contact hours, graduate clinician competency evaluations, andrequired document management. There is a one-time cost of 85 to students which allows studentsto have access to CALIPSO throughout the duration of their program of study. Payment issubmitted directly to CALIPSO and is required to set up an account. An orientation to CALIPSO’suse and features will be discussed during CSAD 610.Login to CALIPSO for use with the Au.D. program at CSUS can be found /account/loginTracking of Progress and CompetenciesCALIPSO is used throughout the program to document the student’s progress through the Au.D.clinical curriculum. Clinical instructors will provide ratings for clinical competencies for studentclinicians in clinical courses and experiences. The clinical competencies being evaluated can befound in CALIPSO.11
PREREQUISITES FOR CLINICAL EXPERIENCEPrior to participating in any on or off-campus clinic experiences, students are expected to havereviewed the American Speech-Language-Hearing Association (ASHA) and American Academy ofAudiology (AAA) code of ethics, completed a mandatory background check, submitted proof ofrequired immunizations or proof of immunity, completed HIPAA and Universal precautionscompliance training, and have obtained a Basic Life Support certification. Proof of completion ofthese above-mentioned requirements should be uploaded to CALIPSO, a software used to trackclinical hours and other program requirements. Students will be guided through these requirementsin CSAD 610 during their first semester in the program and during clinic orientation. Moreinformation on the required pre-requisites for clinical education participation by year can also befound in the Clinical Benchmarks PowerPoint on the CSAD Handbooks page ks.htmlASHA and AAA Code of EthicsStudent clinicians in the Sacramento State Au.D. program are expected to adhere to the ASHA andAAA Code of Ethics and conduct themselves in a professional manner in all activities relating to thedepartment and program of study. The codes of ethics can be found in the Appendix of theAudiology Clinic Handbook or on the respective audiology professional bodies’ websites: ASHA Code of Ethics: http://www.asha.org/Code-of-Ethics/AAA Code of Ethics: ocumentlibrary/code-ethicsStudents are required to review both code of ethics documents prior to any patient contact intheclinic.Mandatory Background Check (Policy)The Department of Communication Sciences and Disorders requires all students in clinical andinternship practica courses to complete a background check prior to beginning any clinical coursesin the semester. Please see the instructions below and contact the department if you have anyquestions. The completed background check information will only be revealed to the CSADdepartment chair and the Dean of the College of Health and Human Services. All information willbe kept confidential. No other background screenings may be substituted. Please note that thisinformation is for the sole purpose of background screening for this school only. Unauthorized useof our service is prohibited. This does not take the place of fingerprinting and background checksrequired by some internship or externship sites before internship or externship placements.Instructions for completing a background check are posted on the CSAD department website underCSAD Handbooks: Resources, Forms and Information and can also be accessed ks.html12
Required ImmunizationsEvidence of immunization requirements or titers documenting immunity must be uploaded intoCALIPSO before beginning any clinical practicum. Proof of immunization completion orimmunity should be uploaded to the Compliance/Immunization section of the StudentInformation tab found in CALIPSO. Please ensure that uploaded documentation clearly identifiesthe vaccination administered, date of administration, and identifying information. Each student isresponsible for keeping their immunization status current and updated in CALIPSO. Studentswill not be able to report for clinical rotations if immunizations are not current and uploaded.You will not be able to continue in the program without this documentation.Please see the department immunization policy: communication-sciences-disorders/ internal/ y.pdfTrainings and CertificationsEvidence of the following training completion and certification must be uploaded to CALIPSObefore beginning any clinical practicum. These will be required annually as notified on MySacState.HIPAA and Universal Precautions TrainingCompletion of the following two (2) HealthStream modules is required prior to contact withpatientsin the clinic. Both HealthStream modules
Audiology Clinic II . On-Campus 60 1 Summer CSAD 630C Audiology Clinic III : On-Campus 120 2 Fall CSAD 640C Audiology Clinic IV . On-Campus 60 2 Spring CSAD 650C Audiology Clinic V : Off-Campus 120 2 Summer CSAD 660C Audiology Clinic VI . Off-Campus 120 3 Fall CSAD 670C Audiology Clinic
Audiology Clinic III On-Campus 120 2 Fall CSAD 640C Audiology Clinic IV On-Campus 60 2 Spring CSAD 650C Audiology Clinic V Off-Campus 120 2 Summer CSAD 660C Audiology Clinic VI Off-Campus 120 3 Fall CSAD 670C Audiology Clinic VII Off-Campus 120 3 Spring CSAD 680C Audiology Clinic VIII Off-Campus 120 4 Summer, Fall, Spring
Pathology and a Doctor of Audiology (Au.D.) degree in the area of Audiology 2. To conduct research in the areas of audiology and speech/language pathology 3. To provide clinical services in audiology and speech/language pathology. The information in this clinic handbook includes policies and procedures related to clinical education.
Clinic County Clinic Name Clinic Address Clinic City Clinic Zip Participant County Participant Gender Enrollment Status Fax Received Date BLACK HAWK CHRIST, MEREDITH - IAM 1015 S HACKETT RD WATERLOO 50701 BLACK HAWK Female Unreachable 4/21/2014
4,994 Alamosa VA Clinic 24,091 Aurora VA Clinic 1,430 Burlington VA Clinic 17,685 Denver VA Clinic: 63,884 Golden VA Clinic: 2,311 IDES 15,372 Jewell VA Clinic 4,343 La Junta VA Clinic 1,580 Lamar VA Clinic 172,745 PFC Floyd K. Lindstrom VA Clinic 66,385 PFC James Dunn VA Clinic 583,038 Rocky Mountain Regional VA Medical Center 874 Salida VA .
Audiology Clinic Manual . Auburn University Speech and Hearing Clinic . 1199 Haley Center . Auburn University, AL 36849 (334) 844-9600 . www.aushc.org. This manual is intended for use by students who are enrolled in the residential Doctorate of Audiology (Au.D.) program at Auburn University. Last revised 8/4/2020
A critical component of audiology service is the ever-changing technology involved in assessing and treating individuals with hearing impairments. Each year, the audiology clinic invites major manufacturers of technology (e.g. hearing aids, cochlear implants, and equipment) to address the clinical faculty and students about product development.
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