-
penalty in PA for not getting all CEUs
Fine of $50 per month fine for up to 12 months (major violation after that)
Fine of $100 for each CE hour you are short of the required 20 hrs/2 years
-
Ethical Responsibilities of professional
Assuring the quality of services
Offer clients freedom of choice and providing information needed for informed choices
Maintaining inter- and intra-professional relationships that are in the best interests of clients/patients
- Never transferring our ethical responsibilities to employers,
- administrators, or supervisors to whom we report
-
Milgram’s Obedience Studies
Shocking someone for answering questions incorrectly
- 60% increased the shock all the way to 450 volts
-
- Males and females were equally likely to inflict pain
-
- Tendency to devalue the “learners” when increasing voltage
-
When are we most vulnerable?
- Beginning of Practice
- Eager to find and maintain income
- High paying CF may be attractive in face of high student loan debt
- May believe that ethics is all talk and no action
- Unfamiliar with the responsibilities of a practicing professional
- Mid-Career
- May not be familiar with changes to codes
- Financial demands of family responsibilities may be peaking
- May want to demonstrate loyalty for possible promotion
- Latter Part of Career
- Retirement pension may be linked to same employer
- Fear of employer seeking reason to eliminate higher paid employees
- May not have maintained contemporary knowledge and skills
-
Possible Misuse of Ethics Code
- Intent to embarrass, frustrate, or damage a colleague (e.g., former employer, employee, partners, or competitor) with whom you have “issues”
-
- Attempt to eliminate undesirable word
-
- Attempt to elevate one’s status
Knee-jerk response based on limited information and/or heightened emotional state
Create rules that don’t affect you, but impact on your competition or enemies
-
Who's covered in the ASHA Code of Ethics?
- Members of ASHA
- Individuals with current CCC
- Applicants for ASHA membership and/or certification
- Clinical fellows
-
ASHA Board of Ethics members
- 6 SLPs
- 5 audiologists
- 1 public member
- Director of Ethics (Ex Officio)
-
- -3 year term
- -Volunteers
-
disclosed only to the violator and the complainant
reprimand
-
violation is published in ASHA Leader and sent to credentialing agencies
censure
-
take away ASHA membership/certification for a period of time, then reinstatement
Revocation
-
take away membership/ certification briefly
suspension
-
membership/certification taken away for up to 1 year (for CFs and other new applicants)
withholding
-
Reprimand
Censure
Revocation
Suspension
Withholding
-
Pennsylvania Board of Examiners in Speech, Language, and Hearing board members
- 2 public members
- 1 SLP
- 1 audiologist
- 2 teachers of the hearing impaired
- 2 members at large
- 2 physicians
- Commissioner
- Can be an SLP, audiologist or teacher of the HI, but no profession can have more than two reps
-
badges must include:
name of agency, recent photo, name, and job title
-
Subchapter C: Standards of Practice and Conduct
4 principles
- Preparing, maintaining and retaining records
- Code of Ethics
- Unprofessional conduct
- Fraud or deceit
-
ASHA Principles and Rules
-
PA Principles and Rules
- 6 principles
- 22 rules
- 16 proscriptions
-
Examples of Unprofessional conduct
- Failing to provide necessary care or products
- Advertising professional services in a misleading way
- Guaranteeing effectiveness of services for individual
- Being disciplined by a license of another state
- Committing act of gross negligence
- Withdrawing services without informing person
- Harassing/abusing person served
- Practicing with a suspended license
- Knowingly aiding something without license
- Misrepresenting material
- Being convicted or pleading guilty to a felony
- Providing services or promoting sale of products to person who won’t benefit from them
- Failing to comply with the act
- Failing to comply with rule adopted by the board
- Misrepresenting credentials
-
When is supervision needed?
- Graduate students in clinic
- Clinical fellows
- Support personnel
- B.A. level clinicians in schools providing services to children
- eligible for Medicaid
-
Appropriate Responsibilities for SLPA
- Assist with screenings with interpretation
- Assist with informal documentation
- Follow documented TP
- Document patient performance
- Assist during assessment
- Clerical duties
- Perform checks and maintenance of equipment
- Assist with research, in service training, and PR
- Assist with departmental operations
- Recording, charting, graphing or otherwise displaying of data which reflects the performance of individual
- Preparing clinical materials including ear molds
- Testing hearing aids
- Participating with the licensee in research projects, in service
- training, public relation programs
-
supervisor qualifications include
- CCC-SLP and state licensed
- Wants to employ support personnel
- 2+ years of experience post initial CCC
- At least one course or CEU in supervision (recommended)
- Minimum of 20% direct and 1-% indirect supervision weekly for first 90 days for each SLPA
- Direct contact with all patients at one 1X every 2 weeks
- Weekly review of data on every patient seen be the SLPA that week
- Maximum of three SLPAs at one time
-
Pennsylvania Board of Examiners in Speech, Language, and Hearing
-
American Academy of Speech Correction
1925
-
Establishment of the Code of Ethics
1935
-
First issue of the Journal of Speech Disorders
published
1936
-
American Speech and Hearing Association (ASHA)
1947
-
Certification standards established
1952
-
Master’s degree becomes minimal standard for ASHA
membership; accreditation begins
1965
-
American Speech-Language-Hearing Association (still ASHA)
1978
-
Audiology and SLP officially recognized as separate professions
1989
-
14 member Board of Directors and SLP and Audiology Advisory Council
o Change from Legislative Council
2008
-
ASHA located in
Rockville, MD
-
Advisory Council includes
- 53 SLPs (1 from each state, 1 DC, 1 international, and 1 NSSLHA)
- 53 audiologists (1 from each state, 1 DC, 1 international, and 1 NSSLHA)
-
ASHA's Four Strategic Themes
- Two professions, one discipline
- Scientifically based professional practices
- Advocacy
- Member experience
-
Specialty Commission on Fluency Disorders established
o First specialty area
1997
-
ASHA Special Interest Groups Must:
- Publish 1-4 issues of Perspectives annually
- Offer CEUs via self-study from Perspectives
- Affiliates only email list and forum area on ASHA website
- Offer one short course and on invited seminar at ASHA convention
- Hold general meeting annually
-
pros to speciality areas
- Higher quality of care provided to patients/clients
- Practitioners with advanced knowledge and skills can be recognized by consumers, colleagues, referral and payor sources, etc.
- Career ladders- people want to be able to advance
-
Requirements for Clinical Specialists
- ASHA certification
- Post CCC education and experience
- Assessment of knowledge and skills in the specialty area (exam or portfolio review)
- Mechanism for renewal
-
3 areas you can become a specialist in
- swallowing
- fluency
- child language
|
|