CLINIC POLICIES AND PROCEDURES For Beginning Graduate Students

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  • Slide 1
  • CLINIC POLICIES AND PROCEDURES For Beginning Graduate Students
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  • CLINICAL SERVICES Complete diagnostic and therapeutic services are provided for children and adults with speech, hearing, and language problems. Complete diagnostic and therapeutic services are provided for children and adults with speech, hearing, and language problems.
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  • Hearing services include Hearing screenings Hearing screenings Hearing testing and counseling Hearing testing and counseling Hearing aid evaluation and counseling Hearing aid evaluation and counseling Hearing aid sales, orientation, and repair Hearing aid sales, orientation, and repair Speechreading and auditory training Speechreading and auditory training Speech and hearing conservation Speech and hearing conservation Individual and family counseling Individual and family counseling
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  • Speech-language services include Speech and language testing for Speech and language testing for Sound production problems Sound production problems Voice disorders Voice disorders Fluency disorders Fluency disorders Language delays and disorders Language delays and disorders Swallowing and other oro- pharyngeal disorders Swallowing and other oro- pharyngeal disorders Speech and language therapy Speech and language therapy
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  • Settings for our services ASU Communication Disorders Clinic ASU Communication Disorders Clinic Watauga Medical Center Watauga Medical Center Two Rivers School Two Rivers School Foothills Correctional Institute Foothills Correctional Institute
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  • Other settings we use Watauga County Schools Watauga County Schools Alexander County Schools Alexander County Schools Burke County Schools Burke County Schools Caldwell County Schools Caldwell County Schools North Carolina School for the Deaf North Carolina School for the Deaf
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  • Other settings we use Blue Ridge Speech Pathology children Blue Ridge Speech Pathology children Guardian Healthcare adults Guardian Healthcare adults J. Iverson Riddle Developmental Center adults J. Iverson Riddle Developmental Center adults Wilkes Senior Village geriatric Wilkes Senior Village geriatric Aegis geriatric adults Aegis geriatric adults
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  • HIPAA FEDERAL LAW
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  • ASHA Code of Ethics Individuals shall honor their responsibility to hold paramount the welfare of persons they serve professionally. Individuals shall honor their responsibility to hold paramount the welfare of persons they serve professionally.
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  • Individuals shall not reveal, without authorization, any professional or personal information about the person served professionally, unless required by law to do so, or unless doing so is necessary to protect the welfare of the person or of the community.
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  • The client charts are protected by: ASHA Code of Ethics ASHA Code of Ethics State Laws State Laws Federal Laws (HIPAA) Federal Laws (HIPAA)
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  • Client charts contain protected health information. Which is any health information that identifies a client.
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  • Each client in the Clinic has a chart. Student clinicians are responsible for helping to maintain these charts.
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  • Each chart is arranged in chronological order And all charts must contain specific information.
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  • Clear and Comprehensive Documentation is needed in each chart To justify need for treatment To justify need for treatment To document the effectiveness of treatment To document the effectiveness of treatment To have a legal record of events To have a legal record of events
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  • Client records are confidential.
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  • They are not to be divulged to anyone other than members of the Clinic staff involved with the case unless a signed written release is in the chart.
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  • Client records are not to be taken out of the Clinic areas. They must be protected at all times.
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  • Areas interpreted to be in the Clinic: Designated treatment rooms assigned to the clinic Designated treatment rooms assigned to the clinic Student Prep Room Student Prep Room Professional staff offices Professional staff offices Student Lounge Student Lounge
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  • A chart must never be left unattended. If a student must leave the clinic area, return the chart!
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  • Do not scratch out information if you make a mistake in the client record. Draw a single line through the error. Draw a single line through the error. Write Error. Write Error. Initial the mistake. Initial the mistake.
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  • The penalties for a breach of confidentiality are severe Student could receive a reprimand. Student could receive a reprimand. Student could receive a lower grade for class. Student could receive a lower grade for class. Student could be removed from the clinic setting totally (resulting in a failing grade). Student could be removed from the clinic setting totally (resulting in a failing grade).
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  • QUESTIONS?
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  • INFECTION CONTROL
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  • Outpatient and inpatient health care facilities provide a unique setting that is conducive to the transmission of infectious agents.
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  • What can be done to prevent the transfer of infectious pathogens in the health care workplace? Constant cleaning of equipment, furniture and common use items and surfaces Constant cleaning of equipment, furniture and common use items and surfaces Consistent use of barrier precautions and protective equipment Consistent use of barrier precautions and protective equipment Frequent handwashing Frequent handwashing
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  • What are Bloodborne pathogens? Pathogenic microorganisms Pathogenic microorganisms Present in human blood Present in human blood Can cause disease in humans Can cause disease in humans Include, but not limited to: Include, but not limited to: Hepatitis B (HBV) Hepatitis C (HCV) Human Immunodeficiency Virus (HIV)
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  • Universal precautions vs Standard precautions Universal precautions treating all patients the same, all blood and other potentially infectious material as if infectious. Universal precautions treating all patients the same, all blood and other potentially infectious material as if infectious. Standard precautions treating all body fluids as if infectious (ASUs recommended practice) Standard precautions treating all body fluids as if infectious (ASUs recommended practice)
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  • Bloodborne pathogen transmissions are Highly preventable through Highly preventable through Common sense Universal or standard precautions Not sharing personal items Barrier methods for sex Eliminating needle sharing
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  • Treat all human body fluids as potentially infectious
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  • Preventative measures
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  • Handwashing Most effective method to prevent transmission of illnesses Most effective method to prevent transmission of illnesses Wash hand thoroughly even if wearing gloves Wash hand thoroughly even if wearing gloves Pay special attention between fingers and around nails Pay special attention between fingers and around nails Wash for 30 seconds Wash for 30 seconds Let water run down toward finger tips Let water run down toward finger tips
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  • Handwashing Use paper towel to turn off water and open door Use paper towel to turn off water and open door Dont touch sides of sink Dont touch sides of sink If wearing re-usable gloves, wash and disinfect before removing from hands If wearing re-usable gloves, wash and disinfect before removing from hands If water not available, use waterless antiseptic hand cleaner, until you can wash If water not available, use waterless antiseptic hand cleaner, until you can wash
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  • General Principles It is prudent to minimize all occupational exposure to human body fluids. It is prudent to minimize all occupational exposure to human body fluids. Risk of exposure should never be underestimated. Risk of exposure should never be underestimated. Facilities should institute as many controls as possible to eliminate or to minimize exposure to bloodborne pathogens. Facilities should institute as many controls as possible to eliminate or to minimize exposure to bloodborne pathogens.
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  • Personal protective equipment (PPE) Must be provided to you at no cost, including training Must be provided to you at no cost, including training Impermeable gloves are used anytime you might contact body fluids, avoid vinyl gloves (allows tiny holes) Impermeable gloves are used anytime you might contact body fluids, avoid vinyl gloves (allows tiny holes) Goggles should be worn if in danger of splashing of body fluids or when mixing and using disinfectant solutions Goggles should be worn if in danger of splashing of body fluids or when mixing and using disinfectant solutions
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  • Gloves Latex Latex Nitrile Nitrile Chloroprene Chloroprene Avoid vinyl Avoid vinyl
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