Professional Issues

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  1. 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
  2. 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
  3. 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
  4. 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
  5. 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
  6. 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
  7. ASHA Board of Ethics members
    • 6 SLPs
    • 5 audiologists
    • 1 public member        
    • Director of Ethics (Ex Officio)
    • -3 year term
    • -Volunteers
  8. disclosed only to the violator and the complainant
  9. violation is published in ASHA Leader and sent to credentialing agencies
  10. take away ASHA membership/certification for a period of time, then reinstatement
  11. take away membership/ certification briefly
  12. membership/certification taken away for up to 1 year (for CFs and other new applicants)
  13. Reprimand
  14. 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
  15. badges must include:
    name of agency, recent photo, name, and job title
  16. Subchapter C: Standards of Practice and Conduct
    4 principles
    • Preparing, maintaining and retaining records
    • Code of Ethics
    • Unprofessional conduct
    • Fraud or deceit
  17. ASHA Principles and Rules
    • o   4 principles
    • o   44 rules
  18. PA Principles and Rules
    • 6 principles
    • 22 rules
    • 16 proscriptions
  19. 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
  20. 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       
  21. 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
  22. 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
  23. Pennsylvania Board of Examiners in Speech, Language, and Hearing
  24. American Academy of Speech Correction
  25. Establishment of the Code of Ethics
  26. First issue of the Journal of Speech Disorders
  27. American Speech and Hearing Association (ASHA)
  28. Certification standards established
  29. Master’s degree becomes minimal standard for ASHA
    membership; accreditation begins
  30. American Speech-Language-Hearing Association (still ASHA)
  31. Audiology and SLP officially recognized as separate professions
  32. 14 member Board of Directors and SLP and Audiology Advisory Council
    o   Change from Legislative Council
  33. ASHA located in
    Rockville, MD
  34. 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)
  35. ASHA's Four Strategic Themes
    • Two professions, one discipline       
    • Scientifically based professional practices  
    • Advocacy    
    • Member experience
  36. Specialty Commission on Fluency Disorders established
    o   First specialty area
  37. 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
  38. 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
  39. 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 
  40. 3 areas you can become a specialist in
    • swallowing
    • fluency
    • child language
Card Set:
Professional Issues
2012-11-05 03:34:22

professional issues exam 2
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