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CLINICAL PRACTICUM HANDBOOK MASTER OF SCIENCE SPEECH-LANGUAGE PATHOLOGY PROGRAM A GUIDE FOR GRADUATE CLINICIANS AND CLINICAL FACULTY IN SPEECH-LANGUAGE PATHOLOGY 2021-2022 ACADEMIC YEAR DEPARTMENT OF SPEECH, LANGUAGE, AND HEARING SCIENCES COLLEGE OF HEALTH AND HUMAN SCIENCES LYLES-PORTER HALL 715 CLINIC DRIVE, WEST LAFAYETTE, IN 47907

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Page 1: CLINICAL PRACTICUM HANDBOOK MASTER OF CIENCE SPEECH

CLINICAL PRACTICUM HANDBOOK MASTER OF SCIENCE SPEECH-LANGUAGE PATHOLOGY

PROGRAM

A GUIDE FOR GRADUATE CLINICIANS AND CLINICAL FACULTY

IN SPEECH-LANGUAGE PATHOLOGY

2021-2022 ACADEMIC YEAR

DEPARTMENT OF SPEECH, LANGUAGE, AND HEARING

SCIENCES

COLLEGE OF HEALTH AND HUMAN SCIENCES

LYLES-PORTER HALL 715 CLINIC DRIVE,

WEST LAFAYETTE, IN 47907

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Table of Content Speech, Language, Hearing Sciences Faculty and Staff Abbreviated List .......................................................... v CHAPTER 1: GENERAL PROGRAM INFORMATION ........................................................................................ 6 Department Mission Statement .......................................................................................................................................... 6 Masters of Science in Speech-Language Pathology (MS-SLP) Program ............................................................. 6 Clinical Education Overview ................................................................................................................................................ 6 Professional Protocol for Clinical Practice ..................................................................................................................... 7 SLHS MD Steer Clinics ............................................................................................................................................................. 7 Clinic Accessibility and Parking .......................................................................................................................................... 7 MD Steer Speech & Language Clinic Services ............................................................................................................... 7 MD Steer Speech and Language Clinic Programs ........................................................................................................ 8

CHAPTER 2: THE CLINIC .......................................................................................................................... 13 Student Resources ................................................................................................................................................................. 13 SLHS Administrative Offices ............................................................................................................................................. 13 Health and Human Sciences Information Technology (HHS IT) ........................................................................ 13 Graduate Lounge Area ......................................................................................................................................................... 13 Mailboxes .................................................................................................................................................................................. 13 Copying/Scanning Machines............................................................................................................................................. 13 Resource Room ....................................................................................................................................................................... 14 Key/Building Access ............................................................................................................................................................. 14 SharePoint and BrightSpace ............................................................................................................................................. 14 SpeechPathology.com .......................................................................................................................................................... 14 Diagnostic/Treatment Resource (DTR) Room .......................................................................................................... 14 Client Files ................................................................................................................................................................................ 14 Point and Click Electronic Solutions Health Records System ............................................................................. 15 Clinic Materials ....................................................................................................................................................................... 15 Check-out and Returns: Diagnostic Tests .................................................................................................................... 15 iPad Usage ................................................................................................................................................................................ 16 Check-out and Returns: Materials .................................................................................................................................. 16 Resource Room Employees and Bulletin Board ....................................................................................................... 16 Therapy Rooms ...................................................................................................................................................................... 17 Therapy Room Reservations ............................................................................................................................................ 17 Therapy Room and Furniture ........................................................................................................................................... 17 Video Equipment ................................................................................................................................................................... 18 Recording Sessions ............................................................................................................................................................... 18 Observation and Recording Viewing Rooms .............................................................................................................. 18 Clinic Procedures ................................................................................................................................................................... 19 Scheduling an Appointment .............................................................................................................................................. 19 New Clients .............................................................................................................................................................................. 19 Client Information Letter ................................................................................................................................................... 19 Client Scheduling Policy ...................................................................................................................................................... 19 Description of Services ........................................................................................................................................................ 20 Consultations ........................................................................................................................................................................... 20 Speech/Language Screening ............................................................................................................................................. 20 Diagnostic Evaluation .......................................................................................................................................................... 20 Therapy Services ................................................................................................................................................................... 20 Audiological Services ........................................................................................................................................................... 20 Client Waiting Room ............................................................................................................................................................ 21 Cancellation of Appointment by Clients ....................................................................................................................... 21

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Fee Charge and Payment Information .......................................................................................................................... 21 Speech and Language Clinic Fees .................................................................................................................................... 21 Clinic Billing Procedures .................................................................................................................................................... 21 Client Payment Instructions ............................................................................................................................................. 21 Discount Procedures ............................................................................................................................................................ 22 Community Assistance Procedures................................................................................................................................ 22 Refund, Return, and Cancellation Policy ...................................................................................................................... 23 Emergency Preparedness Guide ..................................................................................................................................... 23 Risk Management Procedures.......................................................................................................................................... 24 Biohazardous Waste Material .......................................................................................................................................... 24 If Bloodborne Exposure Occurs ....................................................................................................................................... 24 If an Injury Occurs ................................................................................................................................................................. 25

CHAPTER 3: THE CLINICAL PRACTICUM EXPERIENCE ............................................................................. 26 General Information ........................................................................................................................................... 26 Clinical Practicum Seminar ............................................................................................................................................... 26 Brown Bag ................................................................................................................................................................................ 27 Clinical Practicum .................................................................................................................................................................. 27 Observation Prerequisite ................................................................................................................................................... 28 Clinical Requirements .......................................................................................................................................................... 28 Counting Clinical Hours ...................................................................................................................................................... 28 Clinical Participation Requirements .............................................................................................................................. 29 Dress and Personal Appearance Guidelines ............................................................................................................... 30 Scheduling Procedures for Clinical Assignments ..................................................................................................... 31 Master Schedule ..................................................................................................................................................................... 33 Reduced Clinic Load ............................................................................................................................................................. 33 Externships .............................................................................................................................................................................. 33 Eligibility for Externships .................................................................................................................................................. 34 Attendance ............................................................................................................................................................................... 35 Record Keeping ...................................................................................................................................................................... 35 Tracking Clinical Hours ....................................................................................................................................................... 35 Student Evaluation Procedures ....................................................................................................................................... 35 Supervisor Feedback ............................................................................................................................................................ 37 Lines of Communication ..................................................................................................................................................... 37 Remediation Plan .................................................................................................................................................................. 37 Probation Status ..................................................................................................................................................................... 38 CHAPTER 4: CLINICAL FACULTY GUIDELINES .......................................................................................... 39 Clinical Faculty Overview ................................................................................................................................................... 39 Clinical Educator Requirements ...................................................................................................................................... 39 Supervision of Practicum ................................................................................................................................................... 39 Clinic Scheduling for Students.......................................................................................................................................... 40 Clinic Scheduling for Patients ........................................................................................................................................... 39 End-of-Semester Paperwork ............................................................................................................................................ 40 Clinical Education Tracking System............................................................................................................................... 40 Verifying Hours ...................................................................................................................................................................... 40 Student Evaluation Procedures ....................................................................................................................................... 41 Student Evaluation of Clinical Educators .................................................................................................................... 42 Professional Infractions ...................................................................................................................................................... 42 Faculty Meetings .................................................................................................................................................................... 43 54900 Clinical Practicum Seminar: Clinical Faculty ............................................................................................... 43 Materials Request .................................................................................................................................................................. 43

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Advising ..................................................................................................................................................................................... 43 Part-time Supervisors .......................................................................................................................................................... 43

APPENDICES ............................................................................................................................................... 46 Appendix A ............................................................................................................................................................. 47 Directions to the Clinic ........................................................................................................................................................ 48 Professional Protocol for Clinical Practice .................................................................................................................. 49 Notice of Privacy Practice .................................................................................................................................................. 52 Confidentiality and Security Agreement ...................................................................................................................... 57 Appendix B ............................................................................................................................................................. 59 Client Bill of Rights ................................................................................................................................................................ 60 Frequently Asked Questions ............................................................................................................................................. 61 Remediation Plan .................................................................................................................................................................. 63 Appendix C ............................................................................................................................................................. 64 Application for Additional Clinical Assignments ...................................................................................................... 65 Claipso Instructions for Students.................................................................................................................................... 67 Calipso Instructions to Upload Documents ................................................................................................................ 72 Calipso Rating Scale .............................................................................................................................................................. 74 Clinical Record and Practicum Plan ............................................................................................................................... 75 Placement Preference .......................................................................................................................................................... 76 Professional Infraction Notice .......................................................................................................................................... 77 Summary Information of Graduate Hours .................................................................................................................. 78 Schedule Pages ....................................................................................................................................................................... 79 Appendix D ............................................................................................................................................................. 81 Calipso Instructions for Clinical Educators................................................................................................................. 82 Population Tracking Form ................................................................................................................................................. 87 Workload/Caseload Report .............................................................................................................................................. 88

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SPEECH, LANGUAGE, AND HEARING SCIENCES FACULTY AND STAFF (ABBREVIATED LIST)

Preeti Sivasankar, Ph.D., CCC-SLP, Professor, Department Head, [email protected] Jennifer Simpson, AuD., CCC-A, Clinical Professor, Associate Head, [email protected] Elizabeth Strickland, Ph.D., CCC-A, Professor, Graduate Chair, [email protected]

SPEECH-LANGUAGE PATHOLOGY CLINICAL FACULTY & EARLY CHILDHOOD STAFF

Jaime Bauer-Malandraki, M.S., CCC-SLP, BCS-S, Clinical Assistant Professor, [email protected]

Tamar Greenwell, M.S., CCC-SLP, Clinical Assistant Professor, [email protected] Anne Gritt, M.S., CCC-SLP, Clinical Assistant Professor, [email protected] Michelle Gutmann, Ph.D., CCC-SLP, Clinical Professor, [email protected] Lydia Kruse, M.S., CCC-SLP, Clinical Assistant Professor, [email protected] Jeanette Leonard, M.S., CCC-SLP, CCC-A, Clinical Professor Emerita [email protected] Chenell Loudermill, Ph.D., CCC-SLP, Clinical Professor, Director of Clinical Education in

Speech-Language Pathology, [email protected] Christi Masters, M.S., CCC-SLP, Clinical Associate Professor, Clinic Director in Speech-

Language Pathology, [email protected] Kalie Standish, M.A. Ed., Early Childhood Specialist, [email protected] Dawn Wetzel, M.S., CCC-SLP, Clinical Associate Professor, [email protected]

SLHS ADMINISTRATIVE STAFF

Vicki Black, Graduate Program Secretary, [email protected] Katherine Martin, Secretary to the Head/Marketing and Social Outreach Coordinator,

[email protected] Susan Loughner, Business Clerk, [email protected] Teasha McKinley, Administrative Assistant to the Department and Office Supervisor,

[email protected] Melissa Ridgley, Clinic Secretary, [email protected] Amanda Warmbold, Clinic Secretary, [email protected] Jennifer Hendrickson, Business Manager, [email protected]

SLHS ELECTRONICS SHOP STAFF

Kevin Berry, Research Technology Specialist, [email protected] Milton Moy, HHS IT Specialist, [email protected]

SLHS FULL FACULTY LIST

https://healthprofessions.uams.edu/wp-content/uploads/sites/9/2019/08/2019-2020-Speech-Language-Pathology-Clinic-Handbook.pdf

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CLINIC POLICIES ACKNOWLEDGEMENT FORM I, the undersigned, acknowledge that I have received and are responsible for reviewing the clinic handbook, professionalism agreement, and essential functions document (in the SLP graduate handbook). I agree to the terms and will adhere to the standards and policies set forth in these documents. I am also aware that these documents can all be found online on the Purdue SLHS website. Additionally, I have had an opportunity to clarify any questions I might have concerning the provisions of the aforementioned documents. Name: ________________________________________________________________ (Printed) Name: ________________________________________________________________ Date ________________________ (Signature)

Please sign and upload to Calipso.

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CHAPTER 1: GENERAL PROGRAM INFORMATION DEPARTMENT MISSION STATEMENT The Department of Speech, Language, and Hearing Sciences emphasizes the study of human communication sciences and disorders. All aspects of communication – including speech, language, and hearing – as well as essential functions of swallowing and balance are explored through all stages of the lifespan. The Department provides excellence in education across undergraduate, graduate professional (MS-SLP and AuD), and research programs (PhD). Evidence-based practice and research are central emphases of all the department’s programs. As future clinicians and developing scientists, students study all aspects of normal and pathological communication, as well as normal and disordered swallowing, and balance. The Department embraces a state, national, and international character in its student enrollment, its reputation, and placement of its graduates. The mission of the department fits well with the missions of both the University and the College of Health and Human Sciences. (https://www.purdue.edu/hhs/slhs/about/index.html) MASTERS OF SCIENCE IN SPEECH-LANGUAGE PATHOLOGY (MS-SLP) PROGRAM The M.S. program in Speech-Language Pathology at Purdue is designed so that graduates can meet all academic, clinical certification, licensure, and credentialing requirements of the American Speech-Language Hearing Association (ASHA), the Indiana Speech-Language Pathology and Audiology Board (ISLPAB), and the Indiana Department of Education Communication Disorders License. Graduates typically go on to pursue careers as clinical speech-language pathologists in schools, hospitals or private practice. In some instances, students may choose to not participate in the clinical program and receive the non-clinical degree. The master’s education program in speech-language pathology at Purdue University is accredited by the Council on Academic Accreditation in Audiology and Speech-Language Pathology (CAA) of the American Speech-Language-Hearing Association, 2200 Research Boulevard #310, Rockville, Maryland 20850, 800-498-2071 or 301-296-5700. CLINICAL EDUCATION OVERVIEW Clinical education is as an integral and parallel part of the program. Clinical practicum allows students to experience, first hand, the process in providing clinical services in the field of speech-language pathology under supervision and acquire the different skill sets needed to become a licensed, certified speech-language pathologist. Clinical practicum experiences take place on the Purdue University campus as well as in numerous off-campus clinical sites. Clinical practicum allow students to obtain experiences in a variety of clinical sites with clients with diverse disorders, differing severity levels, and backgrounds. Students will increase their knowledge of the discipline into which they have entered and learn to function as a team member within the field. At Purdue University, our goal is to provide the high quality clinical experiences and ensure students are able to meet Knowledge and Skills Acquisition (KASA) standards required by the Council on Academic

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Accrediation (CAA) and Council for Clinical Certification (CFCC). See www.asha.org for specific program and certification requirements with regard to each of the Big 9 areas. PROFESSIONAL PROTOCOL FOR CLINICAL PRACTICE Graduate clinicians and clinical supervisors in the Speech, Language, and Hearing Sciences Clinics abide by the M.D. Steer Ethical Practices, ASHA Code of Ethics, ISHA Code of Ethics, according to ASHA’s scope of practice in speech-language pathology. For more information regarding the Scope of Practice and ASHA and ISHA code of ethics see Appendix A. SLHS M.D. STEER CLINICS The department supports two full-service teaching clinics that are open to the public. The M.D. Steer Clinics are located in Lyles-Porter Hall on the Purdue University campus. Directions to the clinic can be found in Appendix A. The clinic is open Monday – Friday, 8:00 am-6:00 pm. Our clinics serve as a resource to the community and a training facility for students in our undergraduate and graduate programs. Student clinicians rotate through placements in the clinics, working under the supervision of faculty with clinical certification. In addition to individual therapeutic services, the clinics also offer a variety of on-and off-site group therapy opportunities. CLINIC ACCESSIBILITY & PARKING Clinic facilities are accessible to individuals with physical disabilities through a ground level entrance. Parking is available for clients at designated areas in the Harrison Street Parking Garage. The parking ticket received on entrance to the Harrison Street Parking Garage must be validated in the SLHS Clinic Reception area or the client will be charged when exiting. Clients may park in any open spot designated for “A” parking permits. An elevator is located in the main entrance in the building for access to the 2nd and 3rd floors. All of the therapy rooms in the clinic accommodate wheelchairs. M.D. STEER SPEECH & LANGUAGE CLINIC SERVICES The clinical education mission includes the provision of excellent services to clients as well as the highest quality of clinical training for graduate students. The Speech-Language Clinic has a rich tradition of providing a variety of clinical services to the community and Purdue University. The Speech and Language Clinic offers services related to the prevention, assessment, and treatment of communication and swallowing disorders as well as elective services related to communication. Services are offered for children and adults in individual and group settings through a variety of programs in the Steer Clinic and situated throughout the greater Lafayette area. A listing of our program is as follows:

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M.D. STEER SPEECH-LANGUAGE CLINIC PROGRAMS

Adult Language Diagnostic and Treatment: Evaluation and treatment of speech,

language, and cognitive disorders in clients with varying neurologic diagnoses

including but not limited to post-stroke aphasia, traumatic brain injury, dementia,

and neurodegenerative disorders (e.g., ALS, Parkinson’s disease, other dysarthria or

motor speech disorder) are provided. Clients are seen weekly for individual and/or

group therapy. Therapy focuses on improving communication skills via a multi-

modal approach. Michelle Gutmann, Ph.D., CCC-SLP supervises.

Augmentative and Alternative Communication (AAC) Clinic: Evaluation and treatment services for severe speech and language disorders in adults with varying neurologic diagnoses such as aphasia (post-stroke language impairment) and neurodegenerative disorders such as ALS, Parkinson’s disease, dysarthria or other motor speech disorders are provided. Both technological and non-technological solutions are examined to support communication across environments. Prescription for a speech-generating device (SGD) may be made following evaluation. Therapy will address set-up and training for implementation of a client’s AAC device. Michelle Gutmann, Ph.D., CCC-SLP supervises.

Aural Rehabilitation for Children and Adults: Assessment and intervention

services are provided in conjunction with audiologists for individuals with hearing loss from infancy through adulthood. Individual and/or group intervention focuses on optimizing amplification with hearing aids and/or cochlear implants and other assistive technology. In addition, comprehensive treatment to improve or develop auditory perception and comprehension skills, vocabulary and expressive communication skills, as well as effective participation in a variety of interactive situations is provided. Anne Gritt, M.S., CCC-SLP; Jillian Hubertz, AuD, CCC-A; Lata Krishnan, Ph.D., CCC-A; Jeanette Leonard, M.A., CCC-SLP/A; Melissa Newell, AuD, CCC-A; Anne Sommer, AuD, CCC-A; Christi Masters, M.S., CCC-SLP; and Shannon Van Hyfte, AuD, CCC-A supervise.

Birth-Three Program: This program provides early intervention services for

children age three or younger and their families. Individual and group therapy

sessions focus on collaborating with caregivers and sharing strategies associated

with the development of communication skills in young children. Children with

communication delays and their parents participate in a naturalistic, play-based

setting. Christi Masters, M.S., CCC-SLP supervises.

Brain Builder’s Group: The program seeks to maximize thinking, memory, and

communication in a social setting for those demonstrating mild memory losses and

who may have been diagnosed with Mild Cognitive Impairment (MCI). Group

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cognitive-communication therapy is held weekly at Purdue University in West

Lafayette, IN in person or via telepractice. Individuals with more severe memory

impairments due to dementia may also access services in the event that the need

arises. Michelle Gutmann, Ph.D., CCC-SLP supervises.

Child Speech-Language Diagnostic and Treatment: Children and adolescents

who experience communication difficulties are scheduled for a comprehensive

speech and language evaluation. For those who are diagnosed with a speech and/or

language disorder, weekly individual or group therapy services may be

recommended. Tamar Greenwell, M.S., CCC-SLP; Anne Gritt, M.S., CCC-SLP; Chenell

Loudermill, Ph.D., CCC-SLP; and Christi Masters, M.S., CCC-SLP supervise.

Gender Affirming Voice and Communication Training Program: The Gender Affirming Voice and Communication Training program within the Purdue Center for Voice serves gender diverse and trans individuals seeking to adapt their voice and communication in a way that is safe and authentic, resulting in communication patterns that are congruent with their gender identity. Clients are guided to establish healthy and achievable goals, and they are in the driver’s seat when it comes to determining progress. Skilled training is provided in a structured approach in order to transfer new communication skills to everyday situations. This clinic provides affirmative therapy; a non-pathologizing approach to clinical practice that accepts and validates all experiences of gender. The lead Speech-Language Pathologist is registered on OutCare as a LGBTQ+ competent healthcare provider. Lydia Kruse, M.S., CCC-SLP supervises.

Imaging, Evaluation, and Treatment (I-EaT) Swallowing Research Clinic: The

Purdue I-EaT Swallowing Research Clinic is a highly specialized clinic whose mission is to: provide high-quality assessments and treatments to patients, hands-on training to clinical graduate students, and to lead cutting-edge clinical research. This clinic features a c-arm for videofluoroscopic swallow studies (VFSS), a fiberoptic endoscopic evaluation of swallowing (FEES) station, surface electromyography (sEMG), respiratory physiology biofeedback devices, respiratory muscle strength training devices, oral manometers (IOPI), and numerous other evaluation and treatment materials. Jamie Bauer Malandraki, MS, CCC-SLP, BCS-S supervises and is a board-certified specialist in swallowing and swallowing disorders.

Indiana University Health-Arnett-Greenbush: Diagnostic and therapy services

are provided for adults in the areas of voice, dysphagia (swallowing), neurological,

and motor speech problems in an outpatient clinic setting. Videostroboscopy is

performed by speech-language pathologists. The program is held at the IU Health

Arnett Clinic on Greenbush Street. The program is held at the Indiana University

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Health-Arnett Clinic on Greenbush Street in Lafayette, IN. Jaime Bauer Malandraki,

M.S., CCC-SLP supervises.

Indiana University Health-Arnett Hospital: The program is held at the IU Health

Arnett Hospital in Lafayette, IN, where students evaluate and treat clients in an

acute care and outpatient setting. Assessment and intervention services are

provided for adults in the areas of dysphagia, motor speech, cognitive-linguistics,

and trach/vent. Videofluoroscopic swallowing studies are performed in

collaboration with the Radiology Department. The program is held at the Indiana

University Health-Arnett Hospital in Lafayette, IN. Dawn Wetzel, M.A.T., CCC-SLP

supervises.

Kindergarten Screenings: To assist the Greater Lafayette Area Special Services

(G.L.A.S.S.) in their child find efforts, each fall MS-SLP students conduct speech and

language screenings for kindergarten students in Tippecanoe County. Tamar

Greenwell, MS, CCC-SLP and Chenell Loudermill, Ph.D., CCC-SLP supervise.

Laryngology Clinic: Voice and upper airway diagnostics and therapy are conducted with both children and adults in a medical private practice setting. Collaborative evaluations with the physician and SLP include videostroboscopy and/or Fiberoptic Endoscopic Evaluation of Swallowing (FEES). Acoustic assessment, as well as respiratory muscle strength testing and training, is performed within the clinic. Evaluation and management of patients for tracheoesophageal prosthesis (TEP) after total laryngectomy is provided. Clinical supervisor is LSVT certified and registered on OutCare as a LGBTQ+ competent healthcare provider. This program is held at Lafayette Otolaryngology Associates (Drs. Berner & Hillsamer), a multidisciplinary private medical practice in Lafayette, Indiana. Lydia Kruse, M.S., CCC-SLP supervises.

Literacy Lab: Literacy Lab integrates traditional speech and language therapy with Orton-Gillingham based, multi-sensory/multimodal literacy instruction. Literacy Lab is designed to improve literacy skills in students who demonstrate difficulty with reading (decoding, word recognition, and comprehension), writing, and spelling. Instruction is heavily focused on phonemic awareness, phonics, morphological awareness, vocabulary, oral reading fluency, and comprehension utilizing evidence-based practice to build literacy skills in a fun and effective learning environment. The Literacy Lab is co-led by two licensed, certified speech-language pathologists who are highly trained in prevention, assessment, and treatment of reading difficulties and the science of reading.Tamar Greenwell, M.S., CCC-SLP and Chenell Loudermill, Ph.D., CCC-SLP supervise.

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Pragmatic Language Groups: Pragmatic Language Groups are offered to provide

opportunities for children, teens, and adults with social communication difficulties to

interact with peers, learn and practice skills for social interaction, and develop/maintain

friendships/relationships. Weekly, 90-minute sessions usually include interactive

activities, outdoor time, crafts, whole group, small group, and/or individual time with the

assigned clinician. Social skills lessons are developed based on the needs of the

participants and may include skills such as turn-taking, topic maintenance,

compromising, accepting no, interruption, etc. whereby both direct teaching and practice

occurs. Different groups are available at different times throughout the year for specific

age groups.Tamar Greenwell, M.S., CCC-SLP; Anne Gritt, M.S., CCC-SLP; and Chenell

Loudermill, Ph.D., CCC-SLP supervise.

Preschool Language Program: The Preschool Language Program (PLP) is a play-based language-focused preschool for children ages 3-5 with developmental language disorders, or developmental language disorders in conjunction with other diagnoses such as speech sound disorders or hearing impairment. It is co-led by an early childhood specialist and speech-language pathologist. Language intervention is provided through daily classroom routines (e.g., group meeting time, snack time, outdoor play) and pull-out small group sessions. Each semester, enrolled children receive comprehensive and individualized speech/language assessments to monitor their progress and inform treatment. Peer models without developmental language disorders also attend PLP. PLP is a clinical program, which provides clinical education for graduate students in the Department of Speech, Language, and Hearing Sciences. The program meets Monday through Thursday mornings from 8:30-11:25 am, and program follows Purdue University’s academic calendar. The program also closes for orientation of graduate clinicians the first week of classes each semester. Kalie Standish, M.A. and Anne Gritt, M.S., CCC-SLP supervise.

Preschool Speech-Language-Hearing Screenings: Speech, language, and hearing screenings are performed at various preschools in the community, on-site at the M.D. Steer Speech and Language Clinic, or virtually during the academic calendar year. Christi Masters, M.S., CCC-SLP supervises.

Purdue Center for Voice: The Purdue Center for Voice is a comprehensive voice and upper airway clinic within the MD Steer Speech and Language Clinic on the campus of Purdue University. The latest technology for acoustic and aerodynamic assessment is utilized to thoroughly evaluate a wide range of organic, neurogenic, and functional voice disorders, as well as upper airway disorders (i.e., chronic recalcitrant cough, paradoxical vocal fold motion/VCD). Individualized treatment plans are aimed at restoring optimal voice production, vocal health, and coordination of respiration and laryngeal valving. The lead Speech-Language Pathologist is LSVT certified. Lydia Kruse, M.S., CCC-SLP supervises.

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Stuttering Clinic: The clinic offers a variety of programs for people who stutter and

their families. Therapy is designed to meet clients' individual needs. Therapy with

preschool and grade school children consists of individual sessions combined with

parent support/training groups. Adolescents and adults may receive both

individual and group therapy. Treatment emphasizes changes in speech patterns,

and reducing the fear and embarrassment commonly experienced by those who

stutter. Lydia Kruse, M.S., CCC-SLP and Christi Masters, M.S., CCC-SLP supervise.

Summer Child Language Treatment/Research Program (Summer Fun): Each

summer, a four-week child language intervention and research program takes place

from mid-June to mid-July. Four- and five-year-old children who meet the criteria

established for research protocols participate in data collection tasks and

intervention activities three mornings each week. Anne Gritt, M.S., CCC-SLP and

Jeanette Leonard, M.A., CCC-SLP/A supervise.

Summer Speech Treatment/Research Program: Summer Speech combines

research on speech sound production and perception with speech therapy for 4- &

5-years old children with speech delays. Eligible children have a significant delay in

speech development without accompanying medical problems, hearing impairment

or other developmental delays, but may have language difficulties may be present.

Children participate in individual and group intervention activities and data

collection tasks two mornings a week. Chenell Loudermill, PhD., CCC-SLP and

Christi Masters, M.A., CCC-SLP supervise.

Quick Articulation! Program: The Quick Articulation! program provides

assessment and intervention for kindergarten students who are at risk for or

demonstrate mild speech sound disorders. The program uses an individual high

frequency/high dose service delivery model and incorporates phonemic and

morphological awareness to support speech, language, and literacy development.

The Quick Articulation! Program is held at a local elementary school in West

Lafayette. Tamar Greenwell, MS, CCC-SLP and Chenell Loudermill, Ph.D., CCC-SLP

supervise.

Wellness Screenings: Purdue employees and retirees may have their speech,

language and hearing screened on advertised days throughout the calendar year.

Dawn Wetzel, M.S., CCC-SLP and Jaime Bauer Malandraki, M.S., CCC-SLP supervise.

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CHAPTER 2: THE CLINIC

STUDENT RESOURCES SLHS ADMINISTRATIVE OFFICES The SLHS Administrative Offices are located in Lyles-Porter Hall, Suite 3048 A-E. Offices for the Department Head, Dr. Preeti Sivasankar, Secretary to the Head, Meridith Helderle, Graduate Secretary, Vicki Black, and Administrative Assistant to SLHS, Teasha McKinley are in this suite. The SLHS Business office is located in Suite 3026. HEALTH AND HUMAN SCIENCES INFORMATION TECHNOLOGY (HHS-IT) The electronic shop is located in Lyles-Porter Hall, Room 3080. More sophisticated equipment is stored, assembled, restored and repaired by the Electronic Shop staff. Milton Moy is the engineer responsible for the electronic shop and Kevin Berry, Room 3078, is the building engineer. Students in need of assistance with technology should contact Milton Moy at [email protected] or [email protected]. Students in need of assistance related to the building or large items inside the building should contact Kevin Berry at [email protected]. GRADUATE LOUNGE AREA The graduate lounge area is located on the third floor of Lyles-Porter Hall, Room 3091. Lockers are available in Room 3091A for graduate clinicians. Other gathering areas are located throughout Lyles-Porter Hall and are available for use by graduate students. MAILBOXES All graduate student clinicians will be assigned mailboxes at the beginning of each semester. The mailboxes are located in Lyles-Porter 2138. Faculty and staff mailboxes are located in Lyles-Porter, Room 3028. Additional mailboxes for clinical faculty are located in room 2159. COPYING/SCANNING MACHINES Copy machines are located in several locations throughout the department: Room 3048A, Room 2159, and Room 1032. For your convenience, students are allowed to use these copy machines for official SLHS business. This includes clinic and SLHS classes. Students are not permitted to use SLHS resources for other duties assigned by outside as assistantships or for personal use. Please DO NOT abuse this privilege. Students should keep in mind that copying is not free. Additional copy/scan machines are available in the university libraries and the Purdue Memorial Union.

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RESOURCE ROOMS The resource rooms are located in Rooms 2138, 2161 and 1018K. Clinic resources are available for student use. Adequate resources are essential to clinical training and service provision. Students are responsible for the upkeep of the resource rooms and the resources. It is imperative students follow guidelines outlined regarding clinic resources. Please do not abuse your privilege to have unrestricted access to clinic resources. KEYS/BUILDING ACCESS Keys are provided to graduate students for the therapy rooms, observation rooms, Test Resource Room, and Therapy Resource Rooms at the beginning of the program. Keys must be returned prior to graduation, preferably prior to leaving for educational externship. Students are able to enter the building outside of normal business hours and on weekends. Entrance into Lyles-Porter Hall is accessible by scanning a valid Purdue ID from the parking garage. SHAREPOINT & BRIGHTSPACE

SharePoint is used store and share information and resources necessary for clinical experiences. Information regarding specialty clinics, schedules, job opportunities, etc. can be found on SharePoint. Students also have a personal page that can be used to store and/or submit clinic documents. Students can access the SharePoint at https://www.purdue.edu/hhs/slhs/info/current.html. BrightSpace is used to support the seminar portion of 54900 and for assignment submission. It is strongly suggested that students explore and become familiar not only with the site navigation, but with content and resources available on both sites. SPEECHPATHOLOGY.COM SpeechPathology.com is an online continuing education resource center that provides continuing education and resources for practicing professionals in speech-language pathology. As students enrolled in the graduate program, students are granted educational access to this sites content. Although continuing education hours are not granted through the education access site, valuable learning opportunities and educational material can be accessed on this site.

DIAGNOSTIC/TREATMENT RESOURCE ROOM Diagnostic and treatment resources are also stored in Room 2138 for student use. Materials are organized by area and should be maintained as such. Proper protocol should be used when checking out materials. The DTR room should remain locked at all times for

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security purposes. Each graduate student is issued a key to this room for access. Procedures outlined below must be followed. CLIENT FILES Client files are accessed through the Point and Click Electronic Health Solutions Record System (PnC). Records for clients evaluated or treated prior to 2016 are located in a file cabinet in 1042. Physical client files may be signed out by filing out a file placeholder out card located on top of the cabinet in Room 1042 during regular business hours. Files may be taken only to the graduate offices, to the supervisors' offices or to the graduate DTR room and returned the same day. Client folders may be taken to 2138 for use by graduate students between 8:00 a.m. and 6:00 p.m. but should never leave the building. POINT AND CLICK ELECTRONIC SOLUTIONS HEALTH RECORD SYSTEM (PNC) Point and Click is the web-based electronic healthcare system that is used to store clinic records. Students receive training on this system and are issued a username and temporary password to gain access during orientation. Once you have logged in, you will then create your own password. Be certain you know what it is. We cannot retrieve it for you. Point and Click training videos are located on SharePoint in the Resources folder. CLINIC MATERIALS

The department provides a wide variety of therapy materials for use in the Clinic. These include stimulus materials, formal tests and speech and language therapy programs. This presents the students with a variety of materials to enhance the learning process during the clinical practicum. Purchasing and maintaining materials is an expensive task. To ensure that materials are not misplaced and that they are maintained in the best possible condition, specific borrowing procedures have been developed. These procedures are outlined in the following paragraphs. Use of materials in the resource room is a privilege that may be revoked if procedures are not followed. CHECK-OUT AND RETURNS: DIAGNOSTIC TESTS There are many diagnostic tests available for your use in clinical practicum. Diagnostic tests and forms are kept in LYLE 2138. The tests are color coded by areas (i.e., adult language, cognition, speech sound disorders, fluency, swallowing and oral motor, social aspects, literacy and in alphabetical order. A comprehensive list of available tests is on SharePoint. The tests are organized in the spreadsheet by the nine areas and are cross-referenced for location on the shelf for your convenience. Please follow the guidelines when checking out diagnostic tests.

Sign out all diagnostic tests on the specified checkout laptop located in 2138.

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(Directions for checking out tests are posted on the clipboard near the laptop.) Clinicians should reserve needed tests materials before the diagnostic session. Tests may be checked out for two hours at a time. Tests may not leave Lyles-Porter Hall between 8 a.m. and 5 p.m. You may check out

a diagnostic test after 5:00 p.m. for overnight use, but it must be returned by 7:30 a.m. the following day. You may need to return the test and check it out later to complete scoring after administering the test.

When checking out diagnostic tests, take the entire bin (not just the manual or test plates inside the folder) and return it to the proper place on the metal shelves.

Tests and therapy materials are not to be use in externships unless approval is provided by a SLHS faculty or staff person.

Diagnostic test forms are very expensive. To prevent waste of forms, clinicians should use worksheets, photocopies and/or other recording sheets for initial data collection. This data can then be transferred to the test protocol form. Only use one form per client. IPAD USAGE iPads are stored in LYLE 2138 in the lock and charge box on top of the file cabinets. Sign-out is imperative as well as a quick return. iPads can be checked out and returned following the same procedure as diagnostic tests. Charge iPads upon return. IPADS ARE NOT FOR PERSONAL USE and should not be taken home. PLEASE DO NOT REMOVE THE CHARGERS FROM THE ROOM. CHECK-OUT AND RETURNS: MATERIALS Therapy materials may be checked out of the resource room for daytime or overnight use. You must check out the materials by completing the check-out sheets in the checkout binder kept in the second-floor resource room. Please complete the checkout sheets with all requested information. Legibly write your name, not the name of the research project or program. Clinic materials are stored in room 2161. All materials must be checked out and returned to their original location at the end of each session. Return materials to the resource room as soon as you are finished. If materials are checked out for overnight use, they must be returned to the resource room by 7:30 am the following day. Specific guidelines for returning materials are posted in each resource room in order to keep the resource rooms neat. Please return all materials to the location where you found them. RESOURCE ROOM EMPLOYEES AND BULLETIN BOARD The department employs clinical administrative assistants to maintain materials in the resource room and to ensure the upkeep of room. A Clinical Faculty member has over-all responsibility for the operation of the Resource Rooms. Please let a resource room employee know of damaged or missing items from the resource room by emailing the clinic

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assistant. Please help to keep the resource room neat. The Resource Room door must stay locked at all times. Use your key to access the room. NOTE: Due to the high demand for certain materials, removing items from the Resource Room for individuals other than clients (i.e., brothers and sisters) should be discouraged. Parents should be encouraged to bring favorite toys/books from home for any accompanying children or use those toys in the waiting room. Under no circumstances should parents or accompanying children be allowed to help themselves in the Resource Room. If it becomes necessary to check-out some materials for a client's siblings, then the clinician is responsible for ensuring their safe return. Resource Room materials should not be taken down to the Waiting Room at any time.

THERAPY ROOMS

THERAPY ROOM RESERVATIONS Room reservations for the semester need to be scheduled with the receptionist in LYLE 1042 by emailing the receptionists at [email protected]. Do not use a vacant therapy room for any reason without first checking with the receptionist who schedules all of the therapy rooms. As a courtesy, there is a sheet with room reservations that is located on the outside of the door of each room. It is helpful to write your name in the time block you have reserved the room. For special one-time occasions, reserve the room with the receptionist, who will note the date, time and room for the specific appointment. In order to maintain current schedules for all therapy rooms, please coordinate room changes with the receptionist and the supervisor you are working with if an assignment changes during the semester. THERAPY ROOMS AND FURNITURE Therapy rooms are located on the second floor of Lyles-Porter Hall. Four of the rooms are observable via two-way mirror. Video recording and observation equipment is located in all rooms. Each therapy room contains furniture appropriate for each room. Furniture should remain in that room but if removal is necessary, return it to the proper location immediately after the therapy session. In most cases it is preferable to change rooms rather than to move furniture. Keep supervisors aware of any room changes. Students are expected to keep therapy rooms as neat as possible. Do not use tape on the walls, spill liquid on the carpets, etc. After each therapy session, follow proper protocol for cleaning. Please see the SLHS Clinic Safety Procedures for proper cleaning instructions. As needed, clean up the floor with the Dust-buster or broom (available in the Resource Room), and wipe off the mirrors with paper towels and plain water. If there is a room that needs further attention, leave a note on the door for housekeeping to clean the room that

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evening. There is a bio-hazardous kit in each therapy room. Each kit is equipped with a bottle of Bioesque solution, rubber gloves, paper towels, etc. Please let the Clinical Administrative Assistant know when these need to be replenished. VIDEO EQUIPMENT SLHS uses Video, Audio, Learning Tool (VALT) to support student learning and engagement in clinical practicum. This tool allows students, families, and clinical faculty to observe and record sessions. Students and faculty can annotate session for later review. Viewers will receive passwords to access the system. All students are expected to follow HIPAA guidelines and protect patient confidentiality. If there are problems with the equipment, please request help from a supervisor or the shop staff. Headphones are available in the observation room for private listening by parents or other observers. Please turn the monitors off when finished with them. RECORDING SESSIONS Students are encouraged to record sessions to support learning. In select rooms, recordings can be initiated using the start/stop button. These rooms are as follows: 1018J, 1018L, 1018M, 2113, 2115, 2123, 2129, 2130, 2134, 2135, and 2151. The button must be set to “green” to initiate recording. In all other rooms, recordings should be initiated using the VALT software. OBSERVATION (LIVE) AND RECORDED VIEWING ROOMS Observation rooms are limited in number and need to be used to everyone's best advantage. All interested clinicians and the clients' parents/families are encouraged to observe. Graduate students should not use the observation room but instead leave it available for caregivers. Caregivers should be reminded of the following rules when observing: 1) Be quiet. If communication is necessary, step away from the window, whisper, and keep it brief; 2) Do not leave hallway doors open, as light from the hallways can be seen in the therapy rooms through the one-way mirror; 3) Do not lean too closely to the mirror, as shadows can be seen in the therapy rooms; and 4) Use the headphones available at each observation window if others need to observe a different room from that location. Four rooms are directly observable: 2155, 2136, 2135, and 2111. Rooms 2155 and 2136 are observable from 2138, and 2135 and 2111 are observable from 2137; however, we encourage caregivers to utilize the VALT observation room. All other therapy rooms in Lyles-Porter Hall are observable through the web-based VALT system. Students who wish to observe sessions should do so using the observation system from a different location.

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CLINIC PROCEDURES SCHEDULING AN APPOINTMENT Clients or families interested in services at the M.D. Steer Clinic may call to inquire about services. The receptionists will input the information into the PnC waitlist and notify the supervisor who handles cases of the type requested. Individuals who wish receive services will be contacted by the appropriate speech-language pathologist and scheduled for a diagnostic evaluation or therapy. NEW CLIENTS New clients wishing to enroll in speech and language services must complete required clinic forms. Supervisors or clinic receptionists may send new clients the required documentation. Required forms can be found on SharePoint in the Required Forms folder on the Forms page and are listed below.

Case History Form Address and Emergency Contact Information Client Patient Publicity Consent Consent to Electronic Communication Informed Consent and Release Patient Disclosure Financial Responsibility Form Authorization Form Notice of Privacy Practices

Additional forms found on the forms page are available for use but not required. Those forms are to be used when needed. Forms should be updated any time there is a break in services. CLINIC INFORMATION LETTER Each client should be given a copy of the SLHS Clinic Information Letter at the beginning of each semester. This letter provides information about about scheduled therapy appointments and summarizes the attendance policy. The clinician and/or clinical supervisor fills this form out to either mail to the client prior to the first visit or to give to the client on the first visit if it is a returning client. Clients should also be offered a copy of the Client Bill of Rights (see Appendix B). CLIENT SCHEDULING POLICY It is the policy of the Purdue Speech-Language Clinic to schedule clients for services based on their waiting list order. This order is determined by the date of the client's request for services. Exemptions are made to this policy. Exemptions may take into consideration the nature and severity of certain communication disorders, research/grant needs and the clinical

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requirements of students as reflected by the accreditation policies of the American Speech-Language-Hearing Association. DESCRIPTION OF SERVICES CONSULTATIONS Individuals who have concerns regarding theirs or a family member’s communication and/or swallowing abilities may arrange for a consultation with a licensed, certified speech-language pathologist. A consultation may last no more than 15 or 20 minutes. It can be done via phone or in person. Individuals may receive recommendations for screening or further testing or may be provided with a list of community resources. SPEECH/LANGUAGE SCREENING A screening procedure usually lasts no more than 15 or 20 minutes. It consists of brief observations of the person's speech, language, and hearing functions. Screening is to determine if additional evaluation is warranted to diagnose a communication disorder. Screening services are billed and should be paid for at the time services are rendered.

DIAGNOSTIC EVALUATION This procedure consists of in-depth assessment of all aspects of the client's communication difficulties. It involves gathering detailed information about the individual, including a case history using a questionnaire and interviews. A battery of tests is usually administered to the client for determining the nature, consistency and severity of the communication impairment and to identify the basis of the problem. The purpose of a diagnostic evaluation is also to ascertain the client's candidacy for therapy. In the Speech-Language Clinic, a diagnostic evaluation may last one to two hours. The student writes an extensive report following the diagnostic session. For a list of frequently asked questions about diagnostic evaluations please see Appendix B. Diagnostic services are billed and should be paid for at the time services are rendered. THERAPY SERVICES Communication disorders generally necessitate prolonged treatment. The therapy program consists of individual or group sessions between the client and the clinician, for the recommended time per week, for a full semester or more. Counseling of the client's parents, caregiver, or significant others is also an integral part of the program. Therapy services are billed and should be paid for at the time services are rendered. AUDIOLOGICAL SERVICES

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Impedance testing or complete audiological testing may be arranged through the M.D. Steer Audiology Clinic. Appointments are made with the receptionist in Room 1042. Be sure to discuss all fees with clients’ families prior to scheduling appointments. Audiological services are billed and should be paid for at the time services are rendered. CLIENT WAITING ROOM The client waiting room is located in Room 1042. Clinicians should arrange to meet their clients in the waiting room prior to each therapy session, unless special arrangements are made in advance. Parent conferencing should not take place in 1042 or the hallway. Important therapy-related information should be discussed only in the privacy of a therapy room. Clients are asked to check in at the receptionist’s desk and then wait in the clinic waiting area. Clients are also asked to pay for services at the receptionist’s counter. Clinicians should refer to the SLHS Clinic Safety Protocol for additional waiting room procedures due to COVID-19. CANCELLATION OF APPOINTMENTS BY CLIENTS When a client cancels a session, this information is forwarded to the Clinical Faculty by phone message by the Clinical Reception staff. Graduate clinicians are notified as soon as possible.

FEE CHARGES AND PAYMENT INFORMATION SPEECH-LANGUAGE CLINIC FEES All rates for services in the M.D. Steer Speech Language Clinic, whether group or individual, and for the Preschool Language Program (PLP) are listed on the fee schedule in PNC. A full explanation of services in the clinic is provided in the Description of Services section of this handbook. In the event that a client is not financially able to fully pay for therapy, scholarships may be an option if funds are available at that time. Additionally, Purdue University students, employees, and retirees receive a discount on diagnostics and/or therapy services. In either of these situations, the client fills out the Application for Community Assistance Discount.

BILLING PROCEDURES Clients must be billed for services through the PnC system. The bill is created when the client’s encounter note has been discharged by the Clinical Faculty assigned to the case.

All clients who receive flat rate services (PLP) will routinely be billed the entire amount for the semester on the first encounter

Clients who pay a per-session rate receive a bill to pay at the end of each session if the encounter note has been discharged

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Clients who choose to have their claims submitted through their insurance should speak with our front office staff

Payment plans can be arranged upon request by the client Clients should not be enrolled for services if they have a balance from a previous

semester CLIENT PAYMENT INSTRUCTIONS Payments can be made using cash, check or credit card. Payments can be given to the Clinic’s Appointment Secretary in the SLHS main office, LYLE 1042. The client will receive a printed receipt for the payment. Payments should be received at the time of services. Payments not received at the time of services can be paid using one of the following methods:

Contact Purdue University Accounts Receivable at 765.494.9459 to make a credit card payment by phone

Pay online using Biller Direct On-Line Payment System at https://www.purdue.edu/billerdirectpayments

Mail checks or certified funds to: Purdue University 24025 Network Place Chicago, IL 60673-1240

Charges must be paid in full in order in order for services to be continued the following semester. Only the Purdue University Receivables and Collections Office can assist clients who have an outstanding account balance or $500 or greater. Clients should contact this office at [email protected] or 765.494.5350 to pay their balance or make payment arrangements. DISCOUNT PROCEDURES When financial hardship limits access to therapy services, the client should request an application for Community Assistance. (See procedures below.) The form is submitted to the Director of the Speech-Language Clinic for review and processing. Purdue University full-time employees, retirees, and Purdue University students are eligible for discounted services. COMMUNITY ASSISTANCE PROCEDURES

The Federal Poverty Guideline Schedule is a sliding scale used to determine a client's contribution to their clinic charges. The remainder is to come from Community Assistance Fund (formerly The Indigent Endowment Fund) or be forgiven by the SLHS Clinic.

An updated Federal Poverty Guideline Schedule is given to the Director of Clinical Operations at the start of each academic year by the SLHS business office.

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Community Assistance Forms are given to clients or their parents or legal guardians by their clinical supervisors upon request.

The Community Assistance Form is filled out and signed by the client or his/her parent or legal guardian and then given to the client’s clinical supervisor. Clients/parents/guardians must also submit a copy of the front page of their most recent tax 1040, 1040-Easy form or copies of other types of household income which show gross family income and number of dependents. These forms will be filed in the client medical file in a secure location.

The clinical supervisor gives the Community Assistance Form to the Clinical Operations Manager. If she/he is unavailable, the form is given to the Director of Clinical Education in Speech-Language Pathology.

The Clinical Operations Manager reviews the form and approves/does not approve the request based on current federal poverty guidelines.

The Community Assistance Form is returned to the clinical supervisor who gives the top, white copy to the Clinic Appointment Secretary/Clerk to be scanned into the PnC system under Registration/Eligibility.

The Clinical Operations Manager uses the Federal Poverty Guideline Schedule to determine a client’s contribution to his/her clinic charges.

Continuing clients must submit a new Community Assistance Form and copy of last tax form every 12 months.

REFUND, RETURN AND CANCELLATION POLICY Fees paid for professional services provided in the M.D. Steer Speech-Language Clinic are non-refundable. EMERGENCY PREPAREDNESS GUIDE AND RISK MANAGEMENT In the event of a major campus emergency, course requirements, clinic assignments, deadlines and grading percentages are subject to change. This may be necessitated by a revised semester calendar or other circumstances beyond the instructor’s control. Please read the “Purdue University Emergency Procedures Guide” and the “Risk Management Handbook,” which explain procedures and important information on what to do in the case of a major emergency. In the case of pandemic emergency periods as declared by the Center for Disease Control, DO NOT COME TO CLASS OR YOUR CLINICAL ASSIGNMENT IF YOU EXHIBIT SIGNS AND SYMPTOMS OF THE VIRUS. Students should report any signs or symptoms of COVID-19 to Protect Purdue (https://protect.purdue.edu/), their direct supervisor, and the director of clinical education. To access the Purdue University Emergency Procedure Guide, please visit: https://www.purdue.edu/ehps/emergency_preparedness/flipchart/index.html To access the Risk Management Handbook, please visit: https://www.purdue.edu/hhs/slhs/graduate/handbooks.html

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Be sure to notify your direct clinical educator and the DCE below in case of an emergency.

Director of Clinical Education:

Chenell Loudermill, Email: [email protected], Phone: (765) 496-0151

SLHS Clinic Phone Number: (765) 494-4229 Below are ways to get information about changes in the graduate program:

Protect Purdue web page: https://protect.purdue.edu/

Purdue University’s web page: www.purdue.edu

SLHS web page: www.purdue.edu/hhs/slhs

RISK MANAGEMENT POLICY AND PROCEDURES For detailed information regarding Risk Management, refer to the separate handbook related to Risk Management. BIOHAZARDOUS WASTE MATERIAL:

Kits, available in each therapy room, contain all materials needed for proper waste removal (disposable biohazardous material bags, rubber gloves, disposable wipes, antiseptic towelettes, alcohol pads, band aids)

Rubber gloves should be worn when blood, vomit/other bodily secretions are present

Adhere to guidelines outlined in the SLHS Clinic Safety Protocol for disinfecting materials and surfaces within the clinic

If material is contaminated by blood, clean with a solution of ¾ cup Clorox® Regular-Bleach per gallon of water. Bleach is located in room 2159

When decontaminating equipment or other objects, leave disinfectant in place for at least 10 minutes before continuing the cleaning process

Any materials used to clean up the biohazardous waste material (mops, sponges, re-usable gloves, buckets, etc.) must also be immediately decontaminated

Place contaminated materials in an orange/red biohazardous trash bag The bio-box for biohazardous material is located in room 2159 Fill out the R.E.M. pick-up form

https://www.purdue.edu/ehps/rem/home/forms/biohaz.pdf and attach it to the top of the biohazard box

Immediately call R.E.M. for waste pick-up at 494-0121 If there are any questions contact Kevin Berry in room 3078 Lyles-Porter Hall

IF BLOODBORNE EXPOSURE OCCURS:

Immediately: o Wash area vigorously with soap and clean water

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o Flush splashes to nose, mouth, or skin with clean water o Irrigate eyes with clean water, saline, or sterile irrigates o Report exposure to Chenell Loudermill (496-0151) or Shannon Van Hyfte

(496-6570)

IF AN INJURY OCCURS:

Fill out and return the following forms (found in the forms drawer file cabinet in the main office) to the SLHS Business Office:

o Report of Personal Injury for Students or Visitors o Worker’s Compensation Witness Report Form (only if the event was

witnessed) o First Report of Injury

Direct questions regarding workman’s compensation or insurance claims to the SLHS Business Office in room 3026 Lyles-Porter Hall.

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CHAPTER 3: THE CLINICAL PRACTICUM EXPERIENCE-54900, 64800, and 64900 GENERAL INFORMATION

The primary purpose of the clinical practicum experience is to provide clinical training opportunities that allow students to demonstrate and enhance their knowledge and skills in communication and swallowing disorders. For this reason, continuous enrolled in clinical practicum during the duration of the graduate program is required. Students engage in seminars and hands-on, interprofessional, experiential learning and become competent in the assessment and treatment of of communication and swallowing disorders. During the first three semesters of the graduate program, all clinicians will be required to obtain clinical hours under the direct supervision of the Purdue clinical faculty to ensure an appropriate level of clinical competence prior to being awarded off-campus clinical assignments. During the second fall and spring, students may apply for part-time clinical placements supervised by community SLPs. During the last two semesters, students will participate in full time externships. Although the faculty has a responsibility to assist the students in obtaining adequate experience to be eligible for ASHA certification and state licensure, students are responsible for keeping track of their clinical needs and informing the Director of Clinical Education of such needs. Students are expected to continuously self-reflect on their experiences and skills acquired to ensure they are making adequate progress with regard to their clinical competencies. When making clinical assignments, clinical faculty work collaboratively in their efforts to accommodate students' particular interests and career aspirations, and ensure students meet program requirements.

Although ASHA no longer requires the speech-language pathology graduate students to obtain a specific number of clinical clock hours in certain categories, the accreditation and certification standards require “broad clinical experiences including across the life span, diverse backgrounds, and many types of disorders and differences.” Under the standards, all students must show evidence of skill mastery in the nine disorder areas which are as follows: Cognition, Communication Modalities (AAC), Fluency, Hearing, Language (receptive, expressive, written), Speech Sound Disorders, Social Aspects, Swallowing/Feeding, Voice/Resonance. The goal is for each student in the program to earn a minimum of 5 hours in each area and show at least 50 practicum hours earned in three different types of clinical settings. Those settings include Community Clinic, Home Health, Hospital-Inpatient/Outpatient, Hospital-Rehabilitation Center, School, Skilled Nursing Facility, Private Practice, or University Clinic. CLINICAL PRACTICUM SEMINAR Student clinicians are assigned to a seminar class that meets weekly during the fall and spring semesters. The class is divided into two sections with first-year graduate students in one, and second-year graduate students in the other. During the spring semester, the

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second-year students attend the first 6-8 weeks prior to leaving campus for their first externship placement. Class attendance and full participation is required. Relevant topics are identified based on the needs of the cohort. The syllabi for the current semester can be found on SharePoint and BrightSpace. SLHS WEEKLY SEMINAR As a part of clinical practicum, all graduate students enrolled in 54900 are required to attend SLHS Weekly Seminars when possible and log their continuing education participation. SLHS Weekly Seminar is held on Mondays from 12:30-1:30 in room 1150 or may be held virtually. Students should log their attendance and upload their documentation to Calipso. CLINICAL PRACTICUM Students in the MS-SLP program are assigned direct clinical experiences during the first semester of the graduate program. Clinical assignments are deferred for students needing to complete pre-requisite. The amount of direct client contact assigned varies based on a rotation schedule. Students are typically assigned to two clinical faculty each semester and rotate through the clinical faculty teams throughout the graduate program. The rotation allows students to receive clinical experience in the each area offered by Purdue clinical faculty. A preset schedule for the two-year program is uploaded to SharePoint prior to the first fall semester. The preset schedule is the minimum clinical requirement for each semester. Additional clinical assignments with Purdue clinical faculty may become available and can be requested by interested students by completing the Application for Additional Clinical Assignment (Appendix C ). This application can be found on SharePoint on the Forms page in the Student Forms folder. If a student has circumstances that necessitate a change from the typical clinic load requirements, written approval from the Director of Clinical Education in Speech-Language Pathology and from their graduate committee is required. Requests for changes in clinic loads are approved for one semester only and may be for reduced clinic loads or no clinic assignment. Students should discuss the modification and its implications for the plan of study with their advisors and the Director of Clinical Education in Speech-Language Pathology before making any request. The basic clinical timeline is below.

Semester Timeline

SLHS Clinical Course Clinic Practicum Clinic Level

Fall 1 SLHS 54900 (Seminar 1) Purdue Clinics Hours vary; clinic level I Spring 1 SLHS 54900 (Seminar 2) Purdue Clinics Hours vary; clinic level I

Summer 1 SLHS 54900 (No Seminar)

Purdue Clinics Hours vary; clinic level II

Fall 2 SLHS 54900 (Seminar 3) Purdue Clinics Hours vary; clinic level II

Spring 2 SLHS 54900 (Seminar 4); SLHS 64800

Purdue Clinics; Educational or

8-10 weeks full-time; clinic level III

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Healthcare Externship

Summer 2 SLHS 64900 Healthcare Externship

8-10 weeks full-time; clinic level III

OBSERVATION PREREQUISITES Prior to participating in hands-on clinical training, new graduate students must present documentation of 25 hours of guided observation of therapy and/or assessments. Documentation must include the signature of the undergraduate program clinic/program director and ASHA number. If entering graduate students have not completed guided observation hours, they will be afforded the opportunity to do so in the M.D. Steer Clinic. The master schedule with clinical assignments are posted in SharePoint during the first few days of the semester. Clinicians needing observation hours should check the master schedule and make arrangements with clinical faculty to obtain observation hours. CLINICAL REQUIREMENTS Requirements for the Certificate of Clinical Competence by ASHA include the completion of a minimum of 400 clock hours of supervised clinical experience with individuals who present a variety of communication disorders. This includes the following breakdown:

1. A minimum of 25 observation hours prior to beginning the graduate program or during the graduate clinical experience. These required observation hours may be completed through enrollment in SLHS 44900.

2. Up to 50 hours of required clinical experience may be accrued in an undergraduate accredited program and counted towards the total hour requirement.

3. A minimum of 325 hours of clinical experience must be accrued at the graduate level.

4. At least 375 clock hours must be earned through direct client/patient contact. 5. If the student’s final clinical grade falls below B, or if the student withdraws from

any portion of their clinical practicum (SLHS 54900/64900), clinic hours accumulated for that semester will not be counted towards the 325 graduate clinic hours or the 400 hours required for ASHA certification.

COUNTING CLINICAL HOURS The SLHS clinical faculty work to provide rigorous and exceptional clinical training. Time spent

in the clinical education setting do not always equate to clinical clock hours; however, any time

spent in clinical education training facilitates students’ ability to meets clinical competencies.

When counting clinical clock hours, only time spent by the graduate clinician providing direct

therapy services or evaluations can be recorded. Hours spent in supervisory conferences or peer

meetings in which evaluation, treatment, and/or recommendations are discussed or formulated

may not be counted towards clinical clock hours. That also includes observations, report writing,

and planning. Time spent with the client or caretaker engaging in information-giving,

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counseling, or training for a home program may be counted as direct contact time if the activities

are directly related to an evaluation and/or treatment.

Although multiple students may be assigned to one client, only the student providing the direct

services may be credited with the clock hours. Students working on a team should count their

time directly involved with the client/patient. Under circumstances in which one student is

working with the client and one student is working with the family, both students may count the

time. A provision provided as of COVID-19 allows up to two students to count all time spent in

direct contact with fact-to face clients and for multiple students to count all time earned via

telepractice regardless of the number of clients. Students who are not sure how much time to log

should consult their clinical supervisor.

CLINICAL PARTICIPATION REQUIREMENTS

The following list includes requirements for enrollment in the SLHS clinical practicum:

Physical examination: A physical examination by a licensed physician prior to beginning 54900. You may bring a copy of the physical required for admissions to the Purdue University Graduate School.

TB test, Chest x-ray or Quantiferon Gold Test: You will receive a form to complete regarding this test during the Risk Management Training during orientation. You can complete the testing either on campus (PUSH) or at a physician’s office. You may decline the TB testing; however, some clinical training sites require TB testing and, if you decline, you may not be allowed to go to that training site. There is a place on the Medical History Form you complete for enrollment for TB Test information. The form states that a TB Test is ONLY required for international students, but if you have it done before you come to campus, please have your PCP add this to your Medical History Form.

Adult Tetanus, Diphtheria, Pertussis: Confirmation of the adult tetanus, diphtheria, and pertussis immunization will be required for some clinical sites. Please have you PCP note this on your medical form. If you are not able to show proof if this immunization, you may not be allowed at your clinic training site.

Hepatitis B Vaccination: You may decline the vaccination, but individual clinical training sites may require the vaccine or documentation that you are declining. The vaccinations are a series of 3 inoculations and can be completed on campus (PUSH) or through your physician.

5 Panel Drug Screen: This will be required for your externship placements. You will be notified when this needs to be completed and can do so at the Indiana University Health-Arnett Hospital in Lafayette, IN.

Proof of Vaccination and/or Disease for Measles, Mumps and Chicken Pox (Varicella), and Vaccination for Rubella: Confirmation of the measles, mumps and rubella are included on the Purdue Medical History form. Please have your PCP add the chicken pox information if the information is available. If you do not know whether you’ve had chicken pox or the vaccine, you will be required to have a titer to determine this information if you are assigned to one of the clinical rotations that require it.

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Flu Vaccination: Flu vaccinations are required at various health care assignments. The vaccine is available in the fall only, so students should plan ahead for this. The cost of the vaccination is the responsibility of the student.

CPR-American Heart Association’s Basic Life Skills for Healthcare Providers: The American Heart Association’s Basic Life Support (BLS) for Healthcare Providers course is required for all SLP and AuD graduate students.

Criminal Background Check: Prior to the commencement of your first semester, you will receive an email with further instructions from the graduate program secretary. There is a fee that you must pay when submitting a request for a criminal background check.

Liability Insurance: Proof of liability insurance needs to be obtained before your practicum can begin (54900). The policy is good for one year, from August 1 to July 31. The fee is included in the SLHS 54900 Clinic Lab Fee.

DRESS AND PERSONAL APPEARANCE GUIDELINES

It is important that clinicians dress in a way that is conducive to providing diagnostic or therapy services that do not distract the client from the services provided. Any student who is not dressed appropriately will not be allowed to participate in clinic. It may be beneficial to keep a change of clothing, sweater etc. in your locker to use if needed. If inappropriate attire occurs frequently, a Professional Protocol Notice (Appendix C) will be written and and noted on the CSCF. Students are allowed to wear black scrubs in the clinic. These guidelines should be viewed as the minimum requirement for all off-campus clinical placements and externships. Individual facilities may have additional or more stringent guidelines. Name Badge:

Clinicians must wear their name badge when providing services to clients/patients.

All clothing:

All clothing should be clean, neat, in good condition, and fit professionally.

Pants: Denim jeans, Capri length pants or shorts are allowed only with

permission from your supervisor. Any pants/skirt/shirt combination must cover the midriff when the

arms are raised and also cover the back when bending over. No bib overalls, sweatpants, or spandex.

Skirts/Dresses: Skirts must be of a reasonable length and fit for your setting. No spaghetti-strap dresses.

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Shirts/Blouses: No unauthorized T-shirts or tank tops. Low-cut tops that show cleavage or shirts that are see- through are

not allowed. Shoes:

Shoes should look professional. Flip-flops are not allowed. Tennis shoes are allowable only with supervisor’s consent.

Nails: Length must be moderate and pose no danger to others.

Body Art/jewelry: Clinicians are permitted to wear jewelry or to display tattoos during

clinic within the following guidelines. Factors that supervisors will consider to determine whether jewelry or tattoos may pose a conflict include:

Personal safety of self or others Productivity or performance expectations Offensiveness to colleagues or clients based on racial, sexual,

religious, ethnic or other characteristics or attributes of a sensitive or legally protected nature.

Fragrances:

Clients, other students, faculty or staff may have an allergic reaction to fragrances. No fragrances may be used at Lafayette ENT, IU Health Arnett, extended care facilities or in the Purdue Speech, Language and Hearing Clinics. We are a fragrance-free clinic.

If it is determined that personal appearance may present a conflict, the clinician will be assisted to identify appropriate options, such as removal of excess or potentially harmful jewelry, covering of offensive tattoos or other reasonable means to resolve the conflict.

SCHEDULING PROCEDURES FOR CLINICAL ASSIGNMENTS Near the end of each semester, each student is asked to fill out a schedule indicating availability to participate in clinical activities during the upcoming semester. This schedule should include information pertaining to courses (numbers and times), work assignments, and family commitments (Appendix C). Each student in the SLP clinical training program must also update the “Clinic Record and Practicum Plan,” which includes caseload requests for the new semester (Appendix C) every semester. Deadlines for submitting updates typically occur during the second half of each semester. Remember that all forms must be kept up to date and all changes are to be given to the schedule coordinator as soon as they occur. Students are responsible for notifying the DCE and their assigned clinical educator of scheduling conflicts that arise after the schedule had been developed. Students should keep in mind that their graduate education take precedent over other commitments, with the consent of their assigned supervisor.

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Clinical training programs are obligated to provide a breadth of clinical experiences in order to train well-rounded clinicians and to satisfy ASHA requirements. Accordingly, every semester, the supervisory staff carefully examines each student's previous clinical practicums to ensure that each clinician has been exposed to and/or has demonstrated mastery of:

o Working with pediatric and adult clients o Providing individual and group intervention o Utilizing indirect and direct therapy intervention techniques o Whenever possible, clinical faculty also attempt to supply:

Diagnostic experience Counseling opportunities (e.g., via parent training, fluency support

groups, adult language groups, etc.) Scheduling of clinical practicum is done by the SLP Clinical Faculty. Students are placed on teams and a rotation schedule to ensure a variety of experiences across the program. In some cases, additional clinical assignments may be requested or necessary to meet the needs of the students. Students may complete an application for an additional clinical assignment at any point during the program. Consideration of all requests will be given and applications will be reviewed and rated by the clinical faculty. The following information should be provided and will be considered when making the determination:

Grades in clinic Met/Not Met marks Current schedule Discuss the reason placement requested Discuss why you are a good fit for the requested placement

In some instances, a decision to change the the rotation schedule may be deemed necessary by the Director of Clinical Education and Clinical Faculty. Factors governing the changes are numerous and may be weighed differently depending upon the perceived needs of the individual student. If such a change is necessary, any of the following factors may be considered:

Disorder courses taken: Situations may occur in which students may be assigned a placement prior to having a course. In the event this happens, students will be appropriately oriented to the placement.

Clock hours previously accrued in graduate clinical placements o Each student's clinical hours are logged in CALIPSO. The scheduling team

uses summary sheets from this database showing each student's number of hours accrued toward the goal of 5 client contact hours in each of the nine disorder areas specified by ASHA. Those areas include Speech Sound Disorders, Fluency, Voice and Resonance (including respiration and phonation), Receptive and Expressive Language, Hearing (including the impact on speech and language), Swallowing (including feeding), Cognition, Social Aspects, and Communication Modalities.

Clock hours projected in current clinical assignments

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Anticipated date of graduation: Students demonstrating shortages in any of the designated areas of clinical concentration and who are enrolled in their last semester in the Purdue Clinic receive top priority in scheduling of clinical assignments. For detailed information regarding the hours required for certification by ASHA, see “Clinical Practicum Overview.”

Future plans for healthcare/school externships (i.e., semester planned, type of clientele, etc.)

Previous supervisors and locations of clinical assignments Prioritized list of desired clinical placements for the following semester Participation in specialized departmental training grant programs

MASTER SCHEDULE The Master schedule of clinic assignments is typically posted on SharePoint for students and clinical faculty in a HIPAA compliant manner. Students will receive notification when the schedule is posted. In the event that changes and additions to clinical assignments are made, students will be notified. REDUCED CLINIC LOAD Students requesting a reduced clinical caseload must complete a written statement petitioning the Graduate Committee to grant that request. Requests must be turned in with the Clinical Record and Practicum Plan at the end of the preceding semester or at least one month prior to the start of the semester for which the change in caseload is being requested. See the Graduate Handbook for details on this process. Students should discuss a request to drop practicum with the clinic supervisors. Before it can be approved, the drop slip (Form 23) should be obtained from the graduate secretary and must be signed by the Department Head and Director of Clinical Education regardless of when the drop is requested during the semester. EXTERNSHIPS SLHS 64800, the practicum experience in a public school (Education Externship), is arranged

and coordinated by the Department of Speech, Language, and Hearing Sciences (SLHS). This

experience prepares graduate students to receive speech-language pathology clinical training in

preparation for working with school-age children should consider this externship when planning

a course of study. Students who wish to complete the Educational Externships are required to

successfully complete SLHS 54400 School Clinical Methods prior to their externships

For an education externship assignment, the following guidelines are considered: o Student teaching placement typically occur in the spring semester but may

occur in the fall. o In order to be considered for an education externship, students are required

to have completed the following graduate courses: Speech Disorders in Children, Language Disorders in Children, and School Clinical Methods.

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o Prior to being approved for an education externship placement, students must have had at least 2 semesters of clinical assignments working with children and have accrued clock hours working with this population, and grades of "B" or better.

o Students must have an overall GPA of at least 3.0 to be approved to go out on an education externship.

o Students must work with the SLHS Educational Externship Coordinator to arrange their practicum.

For more information on the Educational Externship, please refer to the Educational Externship Handbook. SLHS 64900, the practicum experience in a healthcare setting (Healthcare Externship), is the last component of the MS-SLP clinical program. Students complete all on-campus

coursework and all other clinical assignments before the Healthcare Externship is commenced.

This clinical assignment should be at least 8-10 weeks (full time) in length to meet the

requirements of the Dept. of Speech, Language, and Hearing Sciences clinical practicum

guidelines. Students enroll in SLHS 64900 for a minimum of two credits (P/F). Arrangements

for this externship are made between Purdue University and the Healthcare Facility. Graduate

students who wish to receive speech-language pathology clinical training in preparation for

working in the healthcare setting should consider this externship.

ELIGIBILITY FOR EXTERNSHIPS An overall clinical practicum grade of B or better must be obtained in the two semesters immediately prior to participating in an externship. If a grade of B- or lower is earned in any of these semesters, it will delay and may preclude an externship if adequate improvement is not demonstrated within the specified time period listed in the Remediation Plan as described in the “Clinical Practicum: Student Evaluation Procedures” section. Successful completion of the first externship with a grade of B or better must be achieved to advance to the last externship. If a grade of B- or lower is received, remediation of the knowledge and skills or professional protocols is required before advancing, which may require additional training at the Purdue University Clinic or a repeat of the externship with a remediation plan. This will extend the time for completion of the Master’s program by at least a semester if the student wants to continue with a clinical master’s degree. If the student has previously completed two remediation plans in previous semesters, their clinical privileges will be terminated. The student will be counseled to obtain a non-clinical Master’s degree. ATTENDANCE Students are to be available to for clinic the first week of classes and should expect to remain available for clinic until the official end of the semester. Students registering for the clinical practicum (SLHS 54900/64800 or 64900) are expected to complete the entire semester. Clinic assignments are based upon the enrollments at the beginning of the

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semester. A student may find it necessary to drop the practicum after the semester has begun because of unusual circumstances. When this happens, however, it becomes very difficult to reassign the clients to someone else and treatment may suffer as a consequence. The Department’s policy requires that graduate student clinicians attend all scheduled appointments with clients and all class sessions. Personal illness or any sign of COVID-19, death of an immediate family member, or pre-approved extenuating circumstances will be considered an excusable absence and a reason for canceling an appointment with clients. RECORD KEEPING

The SLHS department uses the CALIPSO software to manage documentation for student clinicians and clinical supervisors. All users have private, password-protected access to view their personal information at any time. Students are required to pay the one-time fee of $85 during orientation. All documents pertaining to clinical education are stored in Calipso. Students are responsible for uploading required documents to Calipso and maintaining up-to-date records for the duration of the program. For the list of required documents and instructions on how to upload, see Appendix C. TRACKING CLINICAL HOURS It is expected that students log clinical hours weekly and submit them to their supervisor for approval. Students are responsible for correctly logging hours (number and type of hours obtained) and logging hours in a timely fashion. Students are also responsible for monitoring the type of hours earned over the course of the graduate program. Specific instruction on how to log hours in CALIPSO are reviewed during orientation. See Appendix C for instructions on how to use CALIPSO. When logging hours students should add additional information in the comment box regarding the service provided. Such information should include the following:

Specific clinic/treatment area Client’s initials Dates of service

STUDENT EVALUATION PROCEDURES

Students enrolled in clinical practicum will be formally evaluated on their clinical performance

at least twice each semester using the Clinical Skills Competency Form (CSCF) in Calipso.

Clinical Practicum grades will be derived from a combination of attendance in the seminar,

approach to clinical work, and demonstrated clinical growth of skills in the areas of evaluation,

treatment, professional practice, interaction and personal qualities. The Calipso performance

evaluation allows the student to be rated in the following areas:

Evaluation

Intervention

Preparedness, Interaction, and Personal Qualities

Approach to Clinical Work (met not met section)

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Calipso ratings are based on a 5-point scale. Please refer to Appendix C for the rubric. A

graduated grading scale based on expected skill level is used to determine the overall rating and

grade for clinical performance. See scale below. Level I (Fall 1, Spring 1) Level II (Summer 1,

Fall 2) Level III (Spring 2, Summer 2). Students must earn a letter grade of B or better to receive

a passing grade for the semester and to count hours for a specific clinical placement. A letter

grade of B- will result in a remediation plan and hours may not be counted.

SLHS 54900-1 Practicum 1 Fall 1 SLHS 54900-2 Practicum 2 Spring 1

SLHS 54900-3 Practicum 3 Summer 1 SLHS 54900-4 Practicum 4 Fall 2

3.20 5.00 A+ 4.15 5.00 A+ 2.95 3.19 A 3.80 4.14 A 2.73 2.94 A- 3.46 3.79 A- 2.43 2.72 B+ 3.10 3.45 B+ 2.20 2.42 B 2.85 3.09 B 1.00 2.19 B- in need of remediation 1.00 2.84 B- in need of remediation

SLHS 64900-5 SLHS 64800-Ed SLHS 64800-HC SLHS 64900

Practicum 5 Spring 2 Education Externship Spring 2 Healthcare Externship Spring 2 Healthcare Externship Summer 2

4.50 5.00 A+ 4.16 4.49 A 3.80 4.15 A- 3.40 3.79 B+ 3.00 3.39 B 1.00 2.99 B- in need of remediation

Students who receive a “not met” in the Professional Practice/SLHS Core Values Section will receive hours for the semester but will be counseled by their clinical educator. This information will be shared with the next assigned clinical educator for monitoring during the next clinical placement. If the student receives a “not met” in the same category during a different semester, the student will be required to meet with the DCE and a remediation plan will be developed. The student will not count those hours from the placement in question, which will most likely result in the need for an additional semester of clinical practicum. Although clinical educators are responsible for rating student performance, and grades are derived based on supervisor ratings, the DCE, as instructor of record, has the final determination of all practicum grades. SUPERVISOR FEEDBACK At the end of each semester, students are given an opportunity to provide written feedback to

clinical supervisors regarding their clinical experience through the university course evaluation

tool. This method of feedback is useful to clinical faculty and in improving clinical education.

Supervisor feedback should be submitted prior to the end of the semester.

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LINES OF COMMUNICATION In the event that the student has a concern regarding the clinical education support and/or clinical performance, the student may do the following in a hierarchical order: Step 1: The student should directly discuss the concern with the clinical educator. A discussion with the clinical educator should include information about individual learning style and suggestions about the most beneficial learning style for the individual student clinician. If the concern is not resolved: Step 2: The student should contact the Director of Clinical Education in Speech Language Pathology, who will in turn hold a meeting with the clinical educator and the student. The Director will act as a facilitator and may include the Clinic Director in this, or subsequent meetings. If the concern is in regard to the Director of Clinical Education for Speech Language Pathology, the student should contact their faculty advisor to act as the facilitator. If the concern is not resolved: Step 3: The student may negotiate with the Director of Clinical Education in Speech-Language Pathology regarding additional people who can participate in a meeting with the Director and the clinical educator. Additional people may include other faculty, the faculty advisor, and/or the graduate student representative or a student colleague. If the concern is not resolved: Step 4: The student should contact the Department Head. Additional meetings with the supervisor, the Director of Clinical Education, and the Clinic Director may take place. REMEDIATION PLAN

A Remediation Plan is developed when a student clinician is not demonstrating knowledge and skills

commensurate with the expectations for the student’s current level in clinical practicum. This clinician

will typically have earned a grade of B- or lower in clinical practicum and/or have received a Not Met on

one or more of the Professional Practice/SLHS Core Values Standards. This is a plan developed by the

Director of Clinical Education in SLP along with the Clinical Faculty who are currently supervising a

student clinician. The Remediation Plan will include:

Description of expected knowledge and skills, which are not being demonstrated by the

clinician.

Specific goals and behaviors that must be demonstrated to indicate knowledge and skills

appropriate for current practicum level.

Period within which these improvements must be demonstrated and consistently

maintained.

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A maximum number of two Remediation Plans will be developed for a student clinician

during the MS-SLP program. Should a student earn a grade of B- or consistent ratings of

not met for Approach to Clinical Work during a practicum experience following the

completion of two plans, his/her clinical privileges will be terminated.

PROBATION STATUS

The Probation status given to a student clinician who is working under the guidelines of a current Remediation Plan.

A student clinician who has successfully completed a Remediation Plan is no longer on Probation. However, the skills delineated in the Remediation Plan must be maintained and if they are not, the student clinician will automatically be returned to Probationary status and another Remediation Plan will be developed and clinical privileges may be terminated.

Student clinicians who are on probation must obtain a grade of B or better in all clinical assignments and must obtain a rating of “met” on all professional protocols from all Clinical Faculty currently supervising this student in order to be removed from Probationary status.

A student clinician who does not successfully complete the Remediation Plan within the specified time frame will either have the Remediation Plan extended or have clinical privileges terminated.

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CHAPTER 4: INFORMATION FOR CLINICAL EDUCATORS CLINICAL FACULTY OVERVIEW Clinical Faculty focus principally on excellence in instruction and engagement providing clinical education and experiences in their areas of specialty. Clinical faculty have autonomy in designing and developing clinical experiences for students that are consistent with program and professional standards. In addition to instructional responsibilities on campus, clinical faculty also may be professionals in a practice site and provide clinical education of students; collaborate and develop professional relationships with industry and governmental agencies; and/or coordinate internships, co-ops, service learning and other student activities outside the classroom. CLINICAL EDUCATOR REQUIREMENTS Individuals providing clinical education must meet degree requirements, hold the Certificate of Clinical Competence (CCC) from ASHA, state license, two hours of professional development in clinical supervision, and 9 months of full-time clinical experience post clinical fellowship. Clinical educators are responsible for completing the risk management packet (which includes HIPAA and FERPA training) and submitting the required documents to the department administrative assistant. Additionally, proof of certification and licensure should be uploaded into Calipso. Completion of professional development should be verified through the ASHA website by each clinical educator. SUPERVISION OF PRACTICUM Students are distributed as evenly as possible among the clinical faculty each semester and assigned to approximately two supervisors during each semester of practicum. At least 25% of each session, including screening, identification and treatment, requires direct supervision by an SLP who holds the CCC in the appropriate area; however, the program recommends 50-100% direct supervision for new graduate clinicians. More frequent supervision will be dependent upon clinician needs as determined by the supervisor. For more information on clinical supervision, please visit https://www.asha.org/policy/TR2008-

00296.htm. CLINIC SCHEDULING FOR STUDENTS Clinical faculty are responsible for scheduling students that have been assigned to them in their respective clinics. Clinical faculty may access student scheduling documents via SharePoint when notified by the DCE. Once clinical faculty make individual clinical assignments, a master schedule will be published for students to access. Clinical faculty will also inform students of requirements for their individual clinics. Should scheduling problems arise, clinical faculty should notify the DCE as soon as possible to resolve the problem.

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Clinical faculty are responsible for orienting students to their respective clinics. Clinical faculty are also responsible for providing written documentation of expectations, conducting midterm and final evaluations, and providing verbal and/or written feedback. CLINIC SCHEDULING FOR PATIENTS Clinical faculty are responsible for facilitating client appointments. This may include sharing information about clinical services offered and recruiting clients for services offered. Clinical faculty can find necessary client information in the electronic medical records system, PNC. Utilizing the assistance of front office staff is encouraged. When scheduling clients for services, clinical faculty should ensuring clients do not have a balance from a previous semester. If clients have an unpaid balance, they should be referred to the SLHS business office. END-OF-SEMESTER PAPERWORK At the end of the semester, clinical educators are responsible for submitting the required clinic paperwork to document clinical competencies met by students. Additionally, clinical educators are responsible for submitting information on the number of clients seen during the semester using the population tracking form (Appendix D), and their tentative workload report/schedule for the upcoming semester semester (Appendix D). CLINICAL EDUCATION TRACKING SYSTEM The SLHS department uses the CALIPSO software to manage documentation for clinical education experiences. Clinical educators should provide their ASHA number and email address to the DCE in order to generate the PIN to be used for registration. Once clinical educators receive a PIN, he/she will be able to register as a clinical educator for CALIPSO. Instructions for registering as a user of CALIPSO will be attached in the email containing the registration PIN. All clinical educators must register as a user for the specific program in which he/she is supervising. Having access to CALIPSO via one graduate program does not grant access to other programs. Clinical faculty are also provided with administrative access to Calipso. VERIFYING CLINICAL HOURS

Clinical educators are expected to approve clinical hours tracked and submitted by students on a weekly basis through Calipso. Hours are submitted to clinical educators by students should contain the appropriate identifying information. Hours submitted should be closely monitor by clinical educators for accuracy. Instructions on how to use Calipso can be found in Appendix D. Clinical educators should keep in mind that clock hours will be credited to a clinician’s practicum experience when they obtain a grade of B or better in each practicum experience. Clock hours will not be recorded for practicum experiences in which a grade of B- or lower is obtained. If a grade of B- or lower is obtained during a

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practicum experience, a Remediation Plan may be developed as described in the “Clinical Practicum: Student Evaluation Procedures” section. STUDENT EVALUATION PROCEDURES The Clinical Skills Competency Form (CSCF) was designed to collect information regarding a student’s professional and interpersonal skills. Students enrolled in clinical practicum will be formally evaluated on their clinical skills competency at least twice each semester through CALIPSO. Clinical educators and clinicians complete the appropriate sections of the form at mid-term and at the conclusion of the semester to determine a rating which reflects the independence and competence of the clinician during each practicum experience. The CSCF ratings/grades will be used to determine attainment of the competencies on the KASA. Grades of B or better will indicate attainment of the appropriate KASA knowledge and skills. However, grades of B- or lower will indicate that those competencies have not been attained. Clinical Practicum grades will be derived from a combination of demonstrated clinical growth and the evaluation of skills in the areas of preparation, clinical behavior during therapy/assessment sessions, evaluation skills, interpersonal relationships, personal qualities, and SLHS Core Values. Students will receive mid-term and final evaluations. The CALIPSO performance evaluation allows the student to be rated in the following areas:

Evaluation Intervention Preparedness, Interaction, Personal Qualities, and SLHS Core Values

CALIPSO ratings for Evaluation; Intervention; and Preparedness, Interaction, and Personal Qualities are based on a 5-point scale: 1 = Not Evident/Not Met: Skill has been taught; however, specific repeated direction from supervisor does not alter unsatisfactory performance, or specific repeated direction/demonstration is required to perform clinical skills and to accurately evaluate self/client (Skill is present <25% of the time) 2 = Emerging/Not Met: Specific supervisory direction results in some generalization and application of knowledge to perform competently and to accurately evaluate self/client (Skill is present 26-50% of the time) 3 = Present/Met: General and some specific supervisory direction results in competence and accurate evaluation of self/client (Skill is present 51-75% of the time) 4 = Consistent/Met: Demonstrates independence but some supervisory direction needed to perform competently and accurately evaluate self/client (Skill is present 76-90% of the time)

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5 = Exceptional/Met: Demonstrates independence by taking initiative; displays superior competencies and accurately evaluates self/client (Skill is present >90% of the time) Calipso ratings for Professional Practice/SLHS Core Values Standards are based on a “Met or Not Met” rating. If a student earns a mark of “Not Met” in this section, the clinical educator is responsible for counseling the student regarding the unsatisfactory performance and sharing that information with the upcoming clinical educator team and the DCE. The new clinical education team is responsible for closely monitoring that specific skill to ensure student success. Should the student continue to demonstrate unsatisfactory performance with the same skill and receive another mark of “Not Met”, the student will be required to meet with the DCE and a remediation plan will be developed. The overall SLHS 54900 practicum grade is determined by averaging and weighing the individual ratings scores based on number of hours obtained from clinical educators. A graduated grading scale based on expected skill level is used to determine the overall rating and practicum grade for clinical performance. The CSCF ratings/grades will be used to determine attainment of the competencies on the Knowledge and Skills Assessment (KASA). Grades of B or better will indicate attainment of the appropriate KASA knowledge and skills. However, grades of B- or lower will indicate that those competencies have not been attained. If a grade of B- or lower is obtained during a practicum experience, a Remediation Plan will be developed (See Appendix C).

STUDENT EVALUATION OF CLINICAL EDUCATORS Clinical supervisors are evaluated at the end of the semester by graduate clinicians. These evaluations are submitted through the university’s course evaluation tool. Purdue course evaluation have a delayed release and may take a year to release results. Supervisors are expected to monitor and adjust teaching styles to meet the needs of the students. Supervisors who receive consistently poor ratings may be asked to complete professional development geared toward effective teaching/clinical supervision and submit proof of training to the DCE. PROFESSIONAL INFRACTION Students are expected to know and abide by the standards outlined in the Clinic Handbook as

well as the ASHA Standards and Code of Ethics. Students who are non-compliant may receive

written notice of any violations while in clinical practicum via the Professional Protocol

Infraction Form (Appendix C). Clinical educators should complete the form by describing the

nature of the violation. A copy of this form should be given to the student, the academic advisor,

and uploaded into Calipso. The DCE should also be notified of the infraction. Any infraction

given to a student should be reflected in Calipso on the final evaluation.

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FACULTY MEETINGS Clinical faculty typically meet once or twice a month to discuss issues related to clinical

education. Day and time of clinical faculty meetings vary by semester. Department faculty

meetings are held once a month on the first Tuesday of each month. Clinical faculty are expected

to attend faculty meeting. 54900 CLINICAL PRACTICUM SEMINAR As a part of 54900 Clinical Practicum, weekly seminars are held during the fall and spring semesters. The class meets on Fridays from 12:30 pm-1:20 pm. Clinical faculty share the load in facilitating discussion and delivering lectures during this class period. MATERIALS REQUESTS Clinical faculty in need of resources/materials for their particular clinic may request items using the materials request form located on SharePoint under Resources. Clinical faculty can enter their request in the spreadsheet or notify the clinic assistants of the materials needed. The request will be reviewed and approved by the DCE and the clinic AA will place the order. ADVISING Clinical faculty are paired with tenure-track faculty to advise MS-SLP students. Advising teams should meet with their students once a semester to provide guidance on the Plan of Study and ensure students are on track to meet program requirements. PART-TIME CLINICAL EDUCATORS The following guidelines apply to all off-campus clinical educators (CE):

The off-campus clinical educator is expected provide the student with clinical orientation, observation, and practicum that is as consistent as possible with the student’s clinical interests, needs and capabilities and with the facility’s caseload, space, equipment, staff, and client management policies and procedures.

The off-campus clinical educator to whom the student is assigned is expected to hold a current ASHA Certificate of Clinical Competence in the appropriate area. ASHA requires that we obtain verification of each educator’s current ASHA membership and state licensure. The clinical educator is expected to update this information in CALIPSO.

The clinical educator at the facility is expected to supervise a minimum of 25% of the work being done by the student clinician. However, our program encourages at least 50% direct supervision.

Supervision should be appropriately scheduled throughout the duration of the off-campus assignment.

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The off-campus educator is expected communicate with the assigned department liaison for monitoring of the supervisory process and if necessary, schedule phone calls or face-to-face visits for review of the student’s performance and progress.

The off-campus clinical educator should expect access to risk management information and liability insurance.

The off-campus clinical educator understands that the student, while not being considered an employee of the facility, will be subject to all of the facility’s policies and procedures and will be directly responsible to the off-campus clinical educator and/or the department liaison.

The off-campus clinical educator is expected to monitor and approve hours submitted via CALIPSO.

The off-campus clinical educator is expected provide frequent and consistent feedback to students regarding their clinical performance. Supervisors will also provide formal evaluations at midterm and the end of the semester.

The off-campus clinical educator is expected to have 2 hours of professional development/continuing education in clinical instruction/supervision prior to mentoring.

The off-campus clinical educator can request a copy of the Practicum Supervisor Evaluation from the DCE.

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APPENDICES

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APPENDIX A

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DIRECTIONS TO THE M.D. STEER SPEECH-LANGUAGE CLINIC

Directions to Lyles-Porter Hall on Purdue University’s Main Campus 715 Clinic Drive, West Lafayette, IN 47907

Phone: (765) 494 – 4229 Fax: (765) 494 – 0771

www.purdue.ed/hhs/slhs

Clinic check-in is located on the ground floor, Room 1042

From the Chicago Area: 165 South to Exit 193, US-231 S Right onto US 231S to US-52 Left onto US 52 for 4 miles Right onto US 231 to Martin Jischke

Dr Left onto Martin Jischke Dr Right (first exit) off the roundabout

onto Harrison St Let onto University Dr Left onto Clinic Dr Building and parking garage will be

on your left

From the Indianapolis Area: 1-65 North to Exit 172, State Rd 16 State Rd 26 becomes State St Left onto University Dr Right onto Clinic Dr Building and parking garage will be

on your left

Once in the Harrison Street Parking Garage, stay on the FIRST floor to remain on the same

floor as the Speech-Language Clinic. Once parked, enter the building through the double doors on the FIRST floor. Clinic registration is on the left at the end of the hall (Rm 1042).

For a detailed West Lafayette Campus map, please visit https://www.purdue.edu/campus_map/

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M.D. STEER SPEECH-LANGUAGE CLINIC PROFESSIONAL PROTOCOL FOR CLINICAL PRACTICE

ETHICAL PRACTICES

Revised 2012

The Graduate Clinician: A. ETHICAL PRACTICES

Conducts all clinical work in accordance with the Purdue University Professional Protocol and the Code of Ethics set forth by the American Speech-Language Hearing Association

See Purdue University SLHS-54900 Attendance Policy (Revised Summer 2009)

B. DEPENDABILITY Prepares for and conducts clinical services as assigned Prepares for and conducts meetings/conferences/consultations (reviews

appropriate files, develops questions and/or key points for discussion) Carries out all duties to accomplish total case management (e.g., forms, phone

calls, referrals, etc.) Makes appropriate arrangements and notifies all concerned regarding any

schedule/location change or cancellation

C. PUNCTUALITY Conducts clinical contacts within appropriate period Therapy should begin promptly and end promptly in order to allow sufficient

time for clean-up and setting-up the next session Appointments will not be canceled without supervisor approval In case of clinician illness, it is the clinician’s responsibility to:

a. Notify supervisor first b. Discuss with supervisor arrangements for make-up appointments

Please be certain that supervisors are notified in advance of any anticipated absences from professional responsibilities

Submits all written assignments (e.g., lesson plans, test results, reports, letters, goals, etc.) in acceptable form (appropriate grammatical usage, paragraph structure, punctuation, and spelling) by scheduled deadlines

Attends all meetings/conferences/consultations promptly

D. CONFIDENTIALITY Retains patient folders in assigned locations in office or therapy rooms Utilizes discretion concerning patient information in written and oral

communication with others

E. PERSONAL APPEARANCE

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Utilizes discretion in dress and behavior in professional activities Wears name badge Maintains and promotes a professional image Expanded Dress and Personal Appearance Code (Ethics page 26)

F. COMMUNICATION

Utilizes appropriate communication in all professional activities Provides appropriate communication model for patient and family Appropriate written and oral communication is used with all persons involved in

the case including supervisor, co-clinicians, and other professionals Contact supervisor regarding inability to complete work by designated deadline Check mailbox at least once per day

G. ACCOUNTABILITY

A working folder (including lesson plans and patient-clinician analysis) is kept up to date for the full semester during which the patient is seen for services

Documentation (test results, data on specific goals, correspondence, release of information, etc.) is updated and kept in working folder

Appropriate billing forms are filled out in a timely manner Information in the Purdue University Speech Clinic Handbook and Voice Manual

is reviewed and used on a daily basis Uses universal safety precautions whenever necessary Uses HIPAA compliance standards whenever necessary

H. ELECTRONIC COMMUNICATION DEVICES:

Cell phone, pagers, and other electronic communication devices should be turned off during class and clinical assignments

I. STUDENTS WITH DISABILITIES:

Any student who has a disability that will require some modification of seating, testing, or other class requirements is urged to immediately seek such an accommodation. Students with disabilities must be registered with the Disability Resource Center in the Office of the Dean of Students before classroom/clinical accommodations can be provided. In order to activate the accommodations for which the student is eligible the student must initiate a meeting with the instructor/supervisor of record to make the necessary accommodations.

J. STUDENT RIGHTS, COMPLAINTS, AND ACADEMIC MISCONDUCT:

The official policies of the University concerning student rights and complaints, honesty and academic misconduct can be found in the Academic Procedures Manual, and in the University Regulations, available from the Office of the Dan of Students. In general, a complaint(s) should be brought first to the instructor(s), the Director of Clinical Education, Prof. Claudia Mornout, and then, if the complaint(s) cannot be resolved, to the Departmental Chair. The Chair of SLHS is Professor Keith R. Kluender, Ph.D.

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K. Campus Emergency:

In the event of a major campus emergency, course requirements, deadlines, and grading percentages are subject to changes that may be necessitated by a revised semester calendar or other circumstances. We will e-mail you any changes and/or post information on the Purdue Blackboard class sites for 54900-1, 2, 3, 4, and 5

Failure to meet these standards will result in probationary status to be determined by the Clinical Supervisor(s) directly involved and Director of Clinical Education. The result may be lowering of the semester clinical grade and/or termination of clinical responsibilities.

AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION CODE OF ETHICS SEARCH LINK

Revised 2016

http://www.asha.org/Code-of-Ethics/

INDIANA SPEECH-LANGUAGE HEARING ASSOCIATION CODES OF ETHICS SEARCH LINK

Revised 2014

https://islha.org/Bylaws

AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION SCOPE OF PRACTICE IN SPEECH-LANGUAGE PATHOLOGY

Revised 2016

https://www.asha.org/policy/SP2016-00343/

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NOTICE OF PRIVACY PRACTICES FOR PURDUE’S HEALTH CARE PROVIDERS

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED, AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. If you have any questions about this Notice, please contact: Privacy Officer Purdue University West Lafayette, IN Telephone: (765) 494-7113 E-mail: [email protected] WHO MUST COMPLY WITH THIS NOTICE This Notice applies to the following departments that provide health care services to students, faculty, and others, including but not limited to: the Purdue University Student Health Center in West Lafayette, the Purdue Pharmacy, and Purdue’s SLHS Audiology and Speech-Language Clinics. It also applies to the following portions of the University that provide business support to the listed health providers: Accounts Receivable, Internal Audit, Information Technology at Purdue (partial), Student Services Workstation Technology, Public Records Office, Printing Services, Insurance Services Enterprise, Environmental Health, Pharmacy, Nursing and Health Sciences Technical Services, SLHS Business and Main Offices, Bursar, Business Services Computing, University Collections-Loans, and SLHS Electronics and Technical Support. For convenience, the listed health care providers and the listed business support groups will be referred to in this Notice as “Health Care Providers.” The full list of covered components at Purdue University may be found at the following web site: http://www.purdue.edu/hipaa. This Notice does not apply to the remainder of Purdue’s departments and schools. Purdue’s Health Care Providers are legally required to protect the privacy of your health information and to provide you with a notice of privacy practices. This Notice describes how the Health Care Providers may use and disclose your protected health and medical information. It also describes some rights you have regarding your health information. Health information is information about you that is received, used, or disclosed by Purdue’s Health Care Providers concerning your physical or mental health, health care services provided to you, or your health insurance benefits and payments. Protected health information may contain information that identifies you, including your name, address, and other identifying information. HOW WE MAY USE AND DISCLOSE YOUR PROTECTED HEALTH INFORMATION Mental health information, including psychological or psychiatric treatment records, and information relating to communicable diseases, including HIV records, are subject to

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special protections under Indiana law. We will generally only release such records or information with your written authorization or with an appropriate court order. Alcohol and drug abuse treatment information is also subject to special protections under federal law. We will usually need to get your written authorization or an appropriate court order before we release this information. Except where there are special protections under Indiana law or other federal laws, we may use and disclose your health information without your authorization for the following purposes: For treatment. The Health Care Providers may use and disclose your health information to provide or assist with your treatment. For example, we may provide your health information to a laboratory in order to obtain a test result important for diagnosing or treating a condition you may have. To obtain payment for health care services. We may use and disclose your health information in order to bill and collect payment for the treatment and services provided to you. For example, we may provide limited portions of your health information to your health plan to get paid for the health care services we provide to you. We may also provide your health information to our business associates who assist us with billing, such as billing companies, claims processing companies, and others that process our health care claims. We will only disclose the minimum amount of information needed to obtain payment. For health care operations. Your health information may also be used or disclosed to improve and conduct health care operations. For example, we may use your health information in order to evaluate the quality of health care services that you received, or to evaluate the performance of the Health Care professionals who provided health care services to you. We may also provide your health information to our auditors, attorneys, consultants, and others in order to make sure we are complying with the laws that affect us. We may also use a sign-in sheet at registration or other appropriate areas, and we may call you by name in waiting and service areas. When a disclosure is required by federal, state, or local law, judicial or administrative proceedings, or law enforcement. For example, we make disclosures when a law requires that we report information to government agencies and law enforcement personnel about victims of abuse, neglect, or domestic violence; when dealing with gunshot and other wounds; or when ordered in a judicial or administrative proceeding. Public health activities. For example, we report required information about various diseases to government officials in charge of collecting that information, and we may provide coroners with necessary information relating to an individual’s death. Health oversight activities. For example, we will provide information to assist the government when it conducts an investigation or inspection of a health care provider or organization. Research purposes. In certain limited circumstances, we may provide health information in order to conduct medical research. Use of this information for research is subject to

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either a special approval process, or removal of information that may directly identify you. In most instances, we will require your written authorization prior to using or disclosing health information for research purposes. Avoiding a serious threat of harm. In order to avoid a serious threat to the health or safety of a person or the public, we may provide health information to law enforcement personnel or persons able to prevent or lessen such harm. Certain government functions. We may disclose health information of military personnel and veterans in certain situations, as well as for national security purposes or when required to assist with governmental intelligence operations. Workers’ compensation. We disclose health information in order to comply with workers’ compensation laws. Appointment reminders and health-related benefits or services. We may use health information to provide appointment reminders, or give you information about treatment alternatives, other health care services or benefits we offer. Business Associates. We will share your health information with business associates that assist our Health Care Providers. Business associates include people or companies outside of Purdue who provide services to our Health Care Providers. For example, health information may be disclosed by the Student Health Center to a bill processing company to obtain payment for services rendered. We have agreements with our business associates to protect the privacy of your health information. Disclosures to family, friends, or others. In very limited cases, we may provide health information to family members, or close friends who are directly involved in your care or the payment for your health care, unless you tell us not to. For example, we may tell a friend who asks for you by name where you are in our facility, and we may allow a friend or family member to pick up a prescription for you. We may also contact a family member if you have a serious injury or in other emergency circumstances. We may discuss medical information in the presence of a family member or friend if you are also present and indicate that it is okay to do so. All other uses and disclosures require your prior written authorization. In any other situation not described above, we will ask for your written authorization before using or disclosing any of your health information. If you do sign an authorization to disclose your health information, you can later revoke that authorization in writing. This will stop any future uses and disclosures to the extent that we have not taken any action relying on the authorization. RIGHTS YOU HAVE REGARDING YOUR HEALTH INFORMATION The Right to Request Limits on Uses and Disclosures of Your Health Information. You have the right to ask that Purdue’s Health Care Providers limit the use and disclosure of

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your health information. We will consider your request, but we do not have to accept it. If we do, we will put any limits in writing and abide by them except in emergency situations where the information is needed. You may not limit the uses and disclosures that we are legally required to make. The Right to Choose How We Send Health Information to You. You have the right to ask that we send your health information to you at an alternate address (for example, sending information to your work address rather than your home address) or by alternate means (for example, by fax instead of regular mail). We must agree to your request if we can easily provide it in the format you requested. The Right to See and Get Copies of Your Health Information. In most cases, you have the right to look at or get copies of your health information that we have, but you must make the request in writing. If we do not have your health information but we know who does, we will tell you how to get it. We will respond to you within 30 days after receiving your written request. In certain situations, we may deny your request. If we do, we will tell you, in writing, our reasons for the denial and explain your right to have the denial reviewed. If you request copies of your health information, we will charge you a reasonable fee as permitted by Indiana law. Instead of providing the health information you requested, we may provide you with a summary or explanation of the health information. We will only do this if you agree to receive information in that form and if you agree to pay the cost in advance. The Right to Get a List of Certain Disclosures We Have Made. You have the right to request a list of instances in which we have disclosed your health information. The list will not include uses or disclosures made for treatment, payment, and health care operation, or information given to your family or friends with your permission or in your presence without objection. It will also not include disclosures made directly to you or when you have given us a written authorization for the release of health information. The list will also not include information released for national security purposes or given to correctional institutions. To obtain this list, you must make a request in writing to the Privacy Officer identified above. The list we will give you will include disclosures made in the last six years unless you request a shorter time, but will not include any disclosure that occurred before April 14, 2003. We will provide the list to you upon request once each year at no charge The Right to Amend or Update Your Health Information. If you believe that there is a mistake in your health information or that a piece of important information is missing, you have the right to request that we amend the existing information. You must provide the request and your reason for the request in writing to the Privacy Officer identified above. We may deny your request in writing if the health information is: 1) correct and complete; 2) not created by us; 3) not allowed to be disclosed, or 4) not part of our records. Our written denial will state the reasons for the denial and explain your right to file a written statement of disagreement with the denial. If you do not file a statement of disagreement, you have the right to ask that your request and our denial be attached to all future disclosures of your health information. If we approve your request, we will make the

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change to your health information, tell you that we have done it, and tell others that need to know about the change to your health information. The Right to Get This Notice by E-Mail. You have the right to get a copy of this Notice by e-mail. Even if you have agreed to receive Notice via e-mail, you also have the right to request a paper copy of this notice. CHANGES TO THIS NOTICE Purdue’s Health Care Providers are required to abide by the terms of this Notice of Privacy Practices. However, we may change our notice at any time. The new notice will be effective for all protected health information maintained by the covered Health Care Providers of Purdue. A revised Notice of Privacy Practices will be posted at the main entrances to our covered healthcare provider areas, may be requested from the Privacy Officer listed above, and may be found on our website at www.purdue.edu/hipaa. WHAT TO DO IF YOU BELIEVE YOUR PRIVACY RIGHTS HAVE BEEN VIOLATED If you think that we may have violated your privacy rights, or you disagree with a decision we made about your health information, you may file a complaint with our Privacy Officer at the telephone number or e-mail address listed at the top of this notice. You also may send a written complaint to the Secretary of the Department of Health and Human Services. Further information about how to file a complaint is available from the Privacy Officer. We will not punish you or retaliate against you if you file a complaint about our privacy practices. EFFECTIVE DATE OF THIS NOTICE. This notice applies to uses and disclosures of your health information beginning on August 1, 2009. INADVERTENT DISCLOSURE OF PROTECTED HEALTH INFORMATION: Please refer to HIPAA presentation from 54900-1 regarding current procedure.

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M.D. STEER SPEECH-LANGUAGE AND AUDIOLOGY CLINIC EMPLOYEE/STUDENT CONFIDENTIALITY AND SECURITY AGREEMENT

As an employee, student-employee/student clinician, I acknowledge that I may have

access to highly sensitive and confidential personal, medical, student, or workplace information. I may receive this information directly from individuals or indirectly from third parties who may provide this to me for work related purposes. I further agree that I will maintain the confidentiality of personal medical information and information contained in patient/student records. Information I receive of a confidential or personal nature will be used or disclosed to others only when it is legally permissible to fulfill the essential requirements of my job/clinical practicum assignment, and then on a strict need-to-know basis. As a condition of my employment/participation in clinical practicum, I agree that I will NOT do any of the following:

Remove any records, reports or copies of documents containing confidential or personal information from their storage location except as needed for the performance of my duties;

Release my user identification code(s) or password(s) to anyone or allow anyone to access or alter information under my identity;

Access, use or disclose confidential information for any personal purpose or out of curiosity, or allow others to do so by giving them my access codes, passwords or use of my equipment for any purposes not essential to my work or theirs;

Take patient information from the premises in paper or electronic form unless all identifying information has been deleted or appropriately coded.

Access electronic patient information in the presence of others. I further agree that I WILL:

Only use confidential and personal medical or student information as needed to perform my job and will only disclose this information to those authorized to receive it;

Report unauthorized disclosures of personal, medical or student information to my supervisor;

Comply with email, telephone and fax procedures designed to protect the confidentiality of information being transmitted;

Abide by all procedures and policies established to protect the privacy and confidentiality of personal, medical or student information;

Abide by all procedures and policies established to manage the use of the software, network, reporting, and use of components that comprise the Human Resource data management system;

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Keep personal information about staff, faculty, students or any member of the University community including information in databases and hard copy files secure and ensure that it is not readily accessible to others.

I further agree that:

I am expected to be familiar with and abide by policies and procedures applicable to me concerning the privacy and security of personal, medical or student information;

I am responsible for logging out of information systems and will not leave unattended a display device to which I have logged on;

My user identification code and password are the equivalent of my signature and that I am accountable for all entries and actions recorded under them;

My obligation to maintain the confidentiality of personal medical information and information contained in patient/student records under this agreement will continue after termination of my employment/clinical practicum and my privileges are subject to periodic review, revision and renewal;

Violations of this agreement will be subject to sanctions up to and including termination of employment/loss of clinical privileges.

By signing this, I agree that I have read, understand and will comply with this agreement. Signature: _________________________________________________________ Date: _______________________________________________________________ Printed Name: _____________________________________________________

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APPENDIX B

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CLIENT BILL OF RIGHTS AUDIOLOGY OR SPEECH-LANGUAGE PATHOLOGY SERVICES M.D. STEER AUDIOLOGY AND SPEECH-LANGUAGE CLINICS

PURDUE UNIVERSITY Clients as consumers receiving audiology or speech-language pathology services have:

1. THE RIGHT to be treated with dignity and respect;

2. THE RIGHT that services be provided without regard to race or ethnicity, gender, age, religion, national origin, sexual orientation, or disability;

3. THE RIGHT to know the name and professional qualifications of the person or

persons providing services;

4. THE RIGHT to personal privacy and confidentiality of information to the extent permitted by law;

5. THE RIGHT to know, in advance, the fees for services, regardless of the method of

payment;

6. THE RIGHT to receive a clear explanation of evaluation results, to be informed of potential or lack of potential for improvement, and to express their choices of goals and methods of service delivery;

7. THE RIGHT to accept or reject services to the extent permitted by law;

8. THE RIGHT that services be provided in a timely and competent manner, which

includes referral to other appropriate professionals when necessary;

9. THE RIGHT to present concerns about services and to be informed of procedures for seeking their resolution;

10. THE RIGHT to accept or reject participation in teaching, research, or promotional

activities;

11. THE RIGHT, to the extent permitted by law, to review information contained in their records, to receive explanation of record entries upon request, and to request correction of inaccurate records;

12. THE RIGHT to adequate notice of and reasons for discontinuation of services; an

explanation of these reasons, in person, upon request; and referral to other providers if so requested.

Adopted by ASHA 11/93

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FREQUENTLY ASKED QUESTIONS ABOUT DIAGNOSTIC EVALUATIONS

What is the purpose of the appointment? The purpose of the appointment is to evaluate speech, language and hearing skills, to learn whether or not there is a problem, to study the nature of the problem, to determine whether or not therapy is indicated at this time, to make preliminary plans for therapy if it is recommended and to provide helpful suggestions. How long will it take? You can expect to spend approximately 1 ½ to 3 hours at our facility on the first visit. How much will it cost? You will be charged a fee of $235.00 for this service. This fee includes all speech-language testing as well as pure-tone and tympanometric screening if appropriate. In some instances, insurance claims may be submitted. What will be done during the evaluation? We will talk with you (and/or your child), observe you (your child) in a variety of tasks, check your (your child's) hearing, and discuss our findings with you. What will you tell me? We will discuss the results of our evaluation with you and indicate whether or not therapy is advisable at this time. If therapy is recommended, we will discuss the alternatives available to you here and elsewhere. What do I have to do to get ready for the appointment? We will schedule the appointment only after we have received the enclosed questionnaire. If you are bringing your child, we need to have an accurate history of his/her development. This takes time, and sometimes it is difficult to search your memory for answers to some questions. You might find it helpful to consult other family members, baby books, etc. We realize that it is often difficult to remember all of the specific information requested, but do your best. Use the spaces marked COMMENT to explain anything you think we should know that was not specifically asked. Fill out the enclosed questionnaire as completely as you can. All information is confidential, for use by the speech and hearing staff only. What is the purpose of the Information Release Form?

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This authorizes us to obtain information, when appropriate, from other agencies or professionals who have seen you (your child). If we receive these reports prior to the appointment, we will have a broader range of information to consider in helping you or your child. Of course, this information will be treated in a confidential manner. What if I find that I cannot keep the appointment after it has been made? Remember, this time is reserved for you alone. If you find that you will be unable to keep your appointment, call us at (765) 494-3789 immediately, so that we can substitute someone else in your place. You can also indicate whether or not you want us to make an appointment for you at a later date. If it is necessary for you to call, please ask to speak with the Speech Diagnostic coordinator you have been in contact with. Where is the Speech and Hearing Clinic located? The clinic is located in Lyles-Porter Hall on the campus of Purdue University. Our building is accessible to the handicapped. A campus map is enclosed for your convenience. Where can I park? Parking is available in the Harrison Street Garage. Please remember to have your ticket validated in 1042 before leaving or you will be responsible for the parking charges.

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REMEDIATION PLAN (CLINICAL)

Student: Clinical Instructor: Date: Statement identifying area/s of concern: Identify plan of action and who is responsible for the action. Provide a generalized timeline to achieve actions.

Action Who is Responsible

Timeline

Failure to successfully remediate the above area/s of concern may result in an unsatisfactory grade at midterm and/or the end of the clinical practicum. The above remediation plan has been discussed with the student. The signatures below provide witness of such action. ____________________________________ ___________________ Student Name Date ____________________________________ ___________________ Clinical Instructor Name Date ____________________________________ ___________________ Director of Clinical Education Name Date

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APPENDIX C

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54900 CLINICAL PRACTICUM

APPLICATION FOR ADDITIONAL CLINICAL ASSIGNMENT

Any student who wishes to request an additional clinical placement outside of their specified clinical rotation should complete the application process. An additional clinical placement includes those that are on campus and off campus. Please refer to the list of possible options for the current semester when making your selection. If you desire an off-campus placement that is not listed you may still submit an application. We will explore that option for you. An application must be completed for each additional placement requested. Submission of an application does not guarantee an additional clinical placement. This application serves as a formal request for additional clinical experiences you hope to gain in a specialty area. The clinical faculty will review all applications and requests will be granted on a case-by-case basis after careful consideration has been given to all known factors that may contribute to successful completion of the requested clinical assignment such as past clinical performance, site availability, student schedule, etc. To complete the application process please do the following:

1. Provide the information requested below. Feel free to use an additional sheet if

necessary.

2. Attach a copy of a detailed schedule including classes, work, and other commitments

for the semester in question.

3. Submit the application to the DCE.

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APPLICATION FOR ADDITIONAL CLINICAL ASSIGNMENT Name: _________________________________________ Date: ___________________________ Email: __________________________________________ Phone: ___________________________

Placement requested: Semester of desired placement

I. Discuss the reason you are requesting this placement.

II. List your clinical education experiences to date and the grade you received.

Clinical Experience Pass (Y/N)

Areas unmet (Y/N)

III. Discuss why you should be selected for this particular placement.

IV. Indicate your availability for an additional placement during the semester

requested.

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CALIPSO INSTRUCTIONS

FOR SLP STUDENTS

Before registering, have available the PIN provided in the CALIPSO registration e-mail.

Go to your school’s unique login URL listed in the header at the top of this page, or go to https://www.calipsoclient.com/purdue

Schools are listed alphabetically; locate your school in the list, and click on the school name link.

Click on the “Student” registration link located below the login button.

Complete the requested information, being sure to enter your “school” e-mail address, and record your password in a secure location. Click “Register Account.”

Please note: PIN numbers are valid for 40 days. Contact your Clinical Coordinator for a new PIN if 40 days has lapsed since receiving the registration e-mail.

To login, go to your school’s unique login URL listed in the header at the top of this page, or go to https://www.calipsoclient.com/purdue, locate your school, and login to CALIPSO using your school e-mail and password that you created for yourself during the registration process (Step 1).

Upon logging in for the first time, you will be prompted to pay the student fee (if applicable) and to provide consent for the release of information to clinical practicum sites.

Click on “Student Information”

Click on “Contact Info” and then “Edit” for each corresponding address.

Enter your local, permanent, and emergency contact info. Enter “rotation” contact info when on externships. Return to this link to update as necessary.

Click “Home” located within the blue stripe to return to the home page.

Before each semester, click on “Student Information” and then “Compliance/Immunizations” to view a record of compliance and immunization records.

Step 2: Login to CALIPSO

Step 3: Enter Contact Information

Step 4: View and Update Immunization and Compliance Records

Step 1: Register as a Student User on CALIPSO

https://www.calipsoclient.com/purdue

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Missing or expired records are highlighted in red.

Upload an electronic file(s) of immunization, training or screening documents as required by your program by clicking on the “Files” link located within the blue stripe at the top of the page.

Click the “Edit Compliance/Immunization data” link located just beneath the blue strip to

enter the effective dates for the immunization, training or screening items as required by your

program. Click in the box to the right of the item for which a date is to be entered, and select

the effective date from the pop-up calendar. Click the “Save the changes below” button to

save the entered dates.

To create a “Health Record” document to save and/or print for clinical placements, click

“Printable view (PDF)” located within the blue stripe.

Click “Home” located within the blue stripe to return to the home page.

Within “Student Information,” click the Clinical Assignments link to view information pertaining to the current semester’s placement, including contact information for your Supervisor.

Note the details of your assignment’s Semester, Clinical Course, Site and Clinical Setting; when entering clock hours (see Step 7a), be sure to record your clock hour entries to match the assignment.

Additional information about the Site may be available under “Site Information Forms” Click the “Home” link to return to the Lobby page, then click View > Site Information Forms.

To view available information, identify the desired site and click “View” located in the fifth column under submitted. [Please note: “In progress” forms are not accessible to students; only “submitted” forms are accessible to students.]

The file management feature allows you to upload any type of file (e.g. Word, PDF, JPEG, audio/video) to share with your clinical supervisor or clinical administrator.

From the Lobby, click on “Student Information” and then “Documents” to upload your own file and/or view a file uploaded by your supervisor or clinical administrator.

First, select a folder by clicking on the folder name or create a new folder or subfolder.

To create a new folder or subfolder, type in desired folder name in the "Add folder" field and

press "create."

Upload a file by pressing the “Browse” button, selecting a file, completing the requested

fields, and clicking "upload." The upload fields will display if you have selected an

unrestricted folder. Set the file permission by choosing “public” for supervisor and clinical

administrator access or “private” for clinical administrator access only.

Move files by dragging and dropping from one folder to another.

Rename folders by clicking the "rename" link to the right of the folder name.

Delete files by clicking the “delete” button next to the file name. Delete folders by deleting

all files from the folder. Once all the files within the folder have been deleted, a “delete” link

will appear to the right of the folder name.

Step 6: View/Upload Documents and Clinical Placement Files

Step 5: View Clinical Assignments & Site Information Forms

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Click on the “Clockhours” link located on the lobby page or the “Student Information” link then “Clockhours.”

Click on the “Daily clockhours” link located within the blue stripe.

Click on the “Add new daily clockhour” link.

Complete the requested information and click “save.”

Record clock hours and click “save” located at the bottom of the screen. You will receive a

“Clockhour saved” message.

To add clock hours for a *different* supervisor, clinical setting, or semester:

Repeat above steps to enter additional clock hours gained under a different supervisor,

clinical setting, or semester.

To add additional clock hours to the *same* record:

Click on the “Daily clockhours” link located within the blue stripe.

Select the record you wish to view (posted by supervisor, semester, course, and setting)

from the drop-down menu and click “Show.”

Click the “Copy” button located next to the date of a previous entry.

Record the new clock hours (changing the date if necessary) and click “save” located at

the bottom of the screen. You will receive a “Clockhour saved” message.

To view/edit daily clock hours, click on the “Daily clockhours” link located within the blue

stripe.

Select the record you wish to view (posted by supervisor, semester, course, and setting) from

the drop-down menu and click “Show.”

Select the desired entry by clicking on the link displaying the entry date located along the top

of the chart. Make desired changes and click save.

Please note: Supervisors are not notified and are not required to approve daily clock hour

submissions.

Click on the “Daily clockhours” link located within the blue stripe.

Select the record you wish to view (posted by supervisor, semester, and course) from the

drop-down menu and click “Show.”

Check the box (located beside the entry date) for all dates you wish to submit for approval

then click “Submit selected clockhours for supervisor approval.” Clock hours logged for the

dates selected will be consolidated into one record for supervisor approval. The designated

supervisor will receive an automatically generated e-mail requesting approval of the clock

hour record.

Please note: Daily entries cannot be edited once approved. However, if you delete the entry

from the “Clockhour list” link prior to approval, daily hours may be resubmitted.

Step 7a: Enter Daily Clock Hours

Step 7b: Submit Clock Hours for Supervisor Approval

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View consolidated clock hour entries by clicking “Clockhours list” located within the blue

stripe.

Click on “Student Information” and then “Evaluations.”

As clinical performance evaluations are completed on you by your supervisors, the evaluations will automatically post to this link.

View a desired evaluation by clicking on the “current evaluation” link highlighted in blue.

Click on “Student Information” and then “Cumulative evaluation” to view a summary of your clinical competency across the 9 disorder areas.

Upon graduation, you must demonstrate competency for all clinical competencies listed on the form.

Please make note of any areas of deficiency which are highlighted in orange.

Click on “Student Information” and then “KASA” to view your progress in meeting the academic and clinical requirements for graduation. KASA stands for Knowledge and Skills Acquisition, which is a “roadmap” of academic and clinical standards toward certification requirements.

Upon graduation, all requirements should have been met, represented with a green check

mark.

Click on “Student Information” and then “Performance summary” to view a summary of your clinical performance across all clinical courses to date.

Step 9: View Cumulative Evaluation

Step 11: View Performance Summary

Step 8: View Clinical Performance Evaluations

Step 12: View My Checklist

Step 10: View KASA

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Click on “Student Information” and then “My Checklist” to view your progress in meeting the clinical requirements for graduation.

Upon graduation, all requirements should have been met, represented with a green check

mark.

At the completion of each clinical course or as directed by your Clinical Coordinator, complete a self-evaluation.

From the lobby page, click on the “Self-evaluations” link.

Click on “New self-evaluation.”

Complete required fields designated with an asterisk and press “save.”

Continue completing self-evaluation by scoring all applicable skills across the Big 9 using the provided scoring method and saving frequently to avoid loss of data.

Once the evaluation is complete, check the “final submission” box and click “save.”

Receive message stating “evaluation recorded.”

Please note: you may edit and save the evaluation as often as you wish until the final submission box is checked. Once the final submission box is checked and the evaluation saved, the status will change from “in progress” to “final”.

To view the evaluation, click “Evaluations list” located within the blue stripe.

At the completion of each clinical course or as directed by your Clinical Coordinator, complete feedback for each clinical supervisor.

From the lobby page, click “Supervisor feedback forms.”

Click “New supervisor feedback.”

Complete form and click “Submit feedback.”

Your completed feedback form will be posted for Clinical Coordinator approval. Once approved, feedback will be posted for the clinical supervisor to view. Until approved, the feedback may be edited by clicking on “View/edit.”

At the completion of each clinical course or as directed by your Clinical Coordinator, complete feedback for each off-campus placement.

From the lobby page, click “Student Evaluation of Off Campus Placement.”

Click “New off campus placement evaluation.”

Complete form and click “Save.”

Step 13: Complete Self-Evaluation

Step 14: Complete Supervisor Feedback Form

Step 15: Complete Evaluation of Off Campus Placement

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CALIPSO INSTRUCTIONS TO UPLOAD DOCUMENT

Below are the instructions for you to upload a number of documents into CALIPSO that showcase your training and immunization information. If you have trouble, please get your 2nd year mentor to help you with this. Step 1: Entering Data 1. Gather all compliance documents 2. Log in to CALIPSO 3. Click on Student Information 4. Go to the Compliance/Immunizations tab 5. Click on Edit Compliance/Immunization data (at the top of the page) 6. Enter all the information in the first 2 tables 7. For the remaining tables, enter the effective dates for the trainings you received (Effective date = the date in which the training was completed) 8. Use the comment box only if necessary 9. Save changes Once you have entered this information, you may proceed to step two, scan and upload your documents by following the directions below. Step 2: Uploading Data 1. Log in to CALIPSO 2. Select "Student Information" from the Lobby options 3. Select “Clinical Placement” 4. Create a folder titled “Compliance Documents” in the add folders box. Click create. 5. Be sure the compliance folder is highlighted. 6. Upload the document 7. Give the document an identifying title (ex. Liability Insurance). This step is required despite what it says on CALIPSO. 8. Select "Other" from the "What is it?" drop-down menu 9. Select "Public" access from the drop-down menu 10. Make sure you have steps 5-9 correctly and then click "Upload" 11. The page should update and you will be able to see your upload in the folder 12. Repeat steps 5-10 until you have all of the following uploaded:

Liability Insurance CPR Training (when you receive it) HIPAA Training Risk Management Training Background Check Five Panel Drug Screen Proof of Immunization, (MMR, Rubella titer, Hepatitis B series, Varicella titer, Flu vaccination TB testing (chest x-rays, QuanitFeron Gold)

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IUHA Signed Documents (Clinical Rotation Affirmation, Consent and Liability Release) Note: These forms may be provided at a later date. Clinic Policies Acknowledgement Form MD Steer Confidentiality and Security Agreement

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CALIPSO PERFORMANCE RATING SCALE

1 Not Evident/Not Met: Skill has been taught; however, specific repeated direction from supervisor does not alter unsatisfactory performance, or specific repeated direction/demonstration is required to perform clinical skills and to accurately evaluate self/client. (Skill is present <25% of the time)

2 Emerging/Not Met: Specific supervisory direction results in some generalization and application of knowledge to perform competently and accurately evaluate self/client. (Skill is present 26-50% of the time)

3 Present/Met: General and some specific supervisory direction results in competence and accurate evaluation of self/client. (Skill is present 51-75% of the time)

4 Consistent/Met: Demonstrates independence but some supervisory direction needed to perform competently and accurately evaluate self/client. (Skill is present 76-90% of the time)

5 Exceptional/Met: Demonstrates independence by taking initiative; displays superior competencies and accurately evaluates self/client. (Skill is present >90% of the time)

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CLINICAL RECORD AND PRACTICUM PLAN

Name: _____ Semester/year you began 54900-1: Expected Graduation Date: ___________ Phone number:

E-Mail address: _____Are you fluent in another language? Yes No If yes, what language?___________________

Please indicate your supervisor’s name and the type and location of your past clinical experiences which you will have completed by the end of the current semester (e.g., in house, PLP, 0-3, etc.)

54900-1 Sem: Year:

54900-2 Sem: Year:

54900-3 Sem: Year:

54900-4 Sem: Year:

54900-5 Sem: Year:

54900-6 Sem: Year:

Check courses taken as undergrad or in grad program

Undergrad or Pre-Requisite

Graduate Program

54900-1 54900-2 54900-3 54900-4 54900-5 54900-6

Core Disorders Courses (required)

52100: Speech Disorders in Children

52300: Language Disorders in Children

53100: Language Disorders in Adults

53900: Dysphagia

Special Emphasis Disorders Courses

51800: Counseling in SLP/AUD 52500: Autism Spectrum Disorders 52900: Stuttering

53200: Voice Disorders

53300: Medical Speech-Language Path.

53800: Motor Disorders in Speech

53800: Motor Disorders of Speech

54000: Augment. & Alternative Comm.

54400: School Clinical Methods

55000: Aural Rehabilitation

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[SEMESTER]PLACEMENT PREFERENCE CLASS OF

Name: Email Address: Please indicate your preferred interest within this rotation. For example, if one of your supervisors has multiple placement options, which placement do you prefer?

Please list any other comments that would be helpful for your team supervisors to know:

- Including any preference over in-person clinical placements or teletherapy

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Professional Infraction Notice

To: __________________________________, Graduate Clinician

From: __________________________________, Clinical Supervisor

Date: __________________________________

On___________ (date), you ______________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

This behavior is not consistent with the standards of clinical behavior at Purdue

University’s Speech-Language Clinic. Please review the Protocol of Professional Behavior,

and the Written and Oral/Nonverbal Communication Protocols described in the Clinical

Skills Competency Form. If you have questions following that, please make an appointment

to discuss them with me.

You will be notified if probation and a remediation plan are appropriate. We will meet to

formulate this plan in consultation with either the Director of Clinical Education in Speech-

Language Pathology, or the Speech-Language Clinic Director.

Please review the Graduate handbook, which describes in detail Clinical Practicum

Privileges, Policies and Implementation: Evaluation of Clinical Practicum Performance and

Progress.

Please indicate that you have read this memo by signing and dating this memo and leaving

it immediately in my mailbox.

_________________________________ ________________________________

Graduate Clinician Date

__________________________________ ________________________________

Clinical Supervisor Date

Cc: Chenell Loudermill, Ph.D., CCC-SLP, Clinical Professor, Director of Clinical Education in

Speech-Language Pathology Revised 08/2019

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SUMMARY INFORMATION OF GRADUATE HOURS

Area Target # of hours

# of hours obtained to

date

# of hours remaining

Articulation 5 Fluency 5 Voice and Resonance (including respiration and phonation) 5 Receptive and Expressive Language 5 Hearing (including the impact on speech and language) 5 Swallowing (including feeding) 5 Cognition 5 Social Aspects 5 Communication Modalities (including augmentative and alternative)

5

Note: According to 2017 CAA Standards, the program must provide sufficient breadth and depth of opportunities for students to obtain a variety of clinical education experiences in different work settings, with different populations, and with appropriate equipment and resources in order to acquire and demonstrate skills across the scope of practice in speech-language pathology, sufficient to enter professional practice. In order to do so, our program goal is 5 hours in each of the nine areas. Students are expected to monitor their hours to ensure every attempt is made to acquire clinical training in each area.

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Fall-Spring Schedule Sheet NAME: TERM: ADDRESS: PHONE:

Hour Monday Tuesday Wednesday Thursday Friday

7:30-8:20

8:30-9:20

9:30-10:20

10:30-11:20

11:30-12:20

12:30-1:20

1:30-2:20

2:30-3:20

3:30-4:20

4:30-5:20

5:30-6:20

Special Requests

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Summer Schedule Sheet

NAME: TERM:

ADDRESS: PHONE:

Hour

Monday

Tuesday

Wednesday

Thursday

Friday

7:30

8:40

9:50

11:00

12:00

1:00

2:00

3:00

4:00

Special Requests

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Appendix D

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CALIPSO

INSTRUCTIONS FOR

CLINICAL SUPERVISORS

Before registering, have available your 1) CALIPSO Registration PIN (provided via “CALIPSO registration” email sent by [email protected] or perhaps alternatively provided by the program Clinical Coordinator), 2) ASHA card, 3) state licensure card, and 4) teacher certification information if applicable. If possible, have available scanned copies of your certification and licensure cards for upload during the registration process.

Go to your student’s school unique login URL listed in the header at the top of this page, or go to https://www.calipsoclient.com/purdue

Schools are listed alphabetically; locate your student’s school, and click on the school name link.

Click on the “Supervisor” registration link located below the login button.

Complete the requested information and click “Register.”

On the following screen, again complete the requested information and click “Save” at the bottom of the page. A “Registration Complete” message will be displayed and you will automatically be logged into CALIPSO.

For subsequent logins, go to your student’s school unique login URL listed in the header at the top of this page, or go to https://www.calipsoclient.com/purdue, locate your student’s school, and login to CALIPSO using your 8-digit ASHA number and password that you created for yourself during the registration process (Step 1).

From the Supervisor’s lobby page, use the class selection dropdown menu at the top of the page to choose the appropriate class/cohort for your student and click Change to activate that cohort.

Click the View > Student Information link.

Click the Clinical Assignments link to view contact information and other details about a new student assignment.

Or, to locate your student if not assigned via Clinical Assignments, use the “Add Student of Interest” dropdown menu to select your student and then click Add.

Step 1: Register as a Supervisor on CALIPSO (Clinical Assessment of Learning, Inventory of Performance, and Streamlined Office-Operations)

Step 2: Login to CALIPSO

Step 3: View Clinical Assignment / Select Student

https://www.calipsoclient.com/purdue

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Click on “Clockhours” then “Experience Record” to view a summary of clock hours obtained and clock hours needed.

Students may be required to gain a minimum of (20) hours in the evaluation and treatment of children and adults for both speech and language disorders which is summarized in the table at the bottom of the page.

Please note the student’s Clinical Competency Level (I, II, or III) on the page header if applicable.

Print/save clock hour record by clicking “Print Experience Record.”

Click “Student Information” located within the blue stripe to return to the student list.

Click on “Cumulative evaluation” to view a summary of your student’s clinical competency across the 9 disorder areas.

Upon completion of the clinical program, students must obtain a competency score set by the program for all clinical skills listed on the form.

Please make note of any areas of deficiency (highlighted in orange.)

Click “Student Information” located within the blue stripe to return to the student list.

Click “Compliance/Immunizations” to view a record of compliance and immunization documents.

To create a document to save and/or print, click “PDF.”

An electronic file of the original documents can be accessed, if necessary and if uploaded by the Clinical Coordinator, by clicking “Files” located within the blue stripe.

Click “Home” located within the blue stripe to return to the home page.

!This form will take approximately 20 minutes to complete. The bulk of the information

requested is used by the graduate program to maintain their ASHA accreditation. This form

only needs to be completed once unless the requested information changes.

From the home page, click on the “Site Information Forms” link under the Management

header.

Click “Add new form.”

Complete the requested information. Click “Save.”

The new site form will post to a table. To finish completing, click on the “Edit” link in the

Basic Info column. Check to see that all of the information is complete, and check the box

that states “Check here to mark this section as complete.”

Step 5: View Student Cumulative Evaluation

Step 6: View Student Immunization and Compliance Records

!Step 7: Complete Site Information Form

Step 4: View Student Clock Hour Records

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Continue to complete the remaining 5 sections of the form by clicking on each remaining tab

(Facility/Department/Student/Misc./Appendix VI-B*) and complete the requested

information. After completing the information in each section, check the box that states

“Check here to mark this section as complete”. Click “Save.” [*Note: Appendix VI-B tab

only needs to be completed if the program you are supervising for is a new program in

candidacy)

After all tabs have been completed, click on the “Site Form List” link located near the top of

the page or on the “Site Forms” link located within the blue strip.

If any sections are incomplete, they will be flagged with a red explanation point. To

complete those fields, just click on “edit” and make the necessary changes.

Once each section is assigned a green checkmark, a “Submit” link will display within a

column of the table. Click “Submit” and verify that the status changes to “Submitted.”

To Edit/Update a Submitted Form:

To edit a previously submitted form, simply click the “Copy” link located in the next to the last column. Edit each section as necessary by clicking on the “Edit” link for the corresponding section, making changes, and clicking “Save.” Once editing is complete, click “Submit” and verify that the status changes to “Submitted.” Delete the older version by clicking on the red “X”.

The file management feature allows you to upload any type of file (e.g. Word, PDF, JPEG, audio/video) pertinent to the clinical experience for a specific student.

Select the desired student and then click on the “Documents” link to upload your own file and/or view a file uploaded by your student.

First, select a folder by clicking on the folder name or create a new folder or subfolder. To create a new folder or subfolder, type in desired folder name in the "Add folder" field and

press "create."

Upload a file by pressing the “Browse” button, selecting a file, completing the requested

fields, and clicking "upload." The upload fields will display if you have selected an

unrestricted folder. Set the file permission by choosing “public” for student and clinical

administrator access or “private” for clinical administrator access only.

Move files by dragging and dropping from one folder to another.

Delete files by clicking the “delete” button next to the file name. Delete folders by deleting

all files from the folder. Once all the files within the folder have been deleted, a “delete” link

will appear to the right of the folder name.

!Step 7 Cont’d: Complete Site Information Form

Step 8: Upload Documents for Student or Clinical Administrator (optional)

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Login to CALIPSO (step two)

Select the desired “Class” and click “change.”

Click “New evaluation”.

Complete required fields designated with an asterisk and press save.

Continue completing evaluation by scoring all applicable skills across the Big 9 using the provided scoring method and saving frequently to avoid loss of data.

Once the evaluation is complete, review it with the student. Type his/her name with the corresponding date as well as your name with the corresponding date located at the bottom of the page.

Check the “final submission” box located just below the signatures.

Click “Save.”

Receive message stating “evaluation recorded.”

Please note: you may edit and save the evaluation as often as you wish until the final submission box is checked. Once the final submission box is checked and the evaluation saved, the status will change from “in progress” to “final”. Students will then have access to view the submitted evaluation when logged into the system.

To view the evaluation, click “Student Information” located within the blue stripe then “evaluations” located to the right of the student’s name.

Login to CALIPSO (step two)

Select the desired “Class” and click “change.”

Click “Student Information” then “evaluations” located to the right of the student’s name.

Identify the evaluation completed at midterm and click on “Make a duplicate of this evaluation.”

The duplicated evaluation will appear in the evaluations list.

Identify the duplicate (noted as “in progress”) and click on the “current evaluation” link highlighted in blue.

Change “Evaluation type” from midterm to final.

Complete evaluation by changing and/or adding scores for applicable skills across the Big 9 using the provided scoring method and saving frequently to avoid loss of data.

Once the evaluation is complete, review it with the student. Type his/her name with the corresponding date as well as your name with the corresponding date located at the bottom of the page.

Check the “final submission” box located just below the signatures.

Click “save.”

Receive message stating “evaluation recorded.”

At the completion of the rotation or as often as directed, your student will log their clock hours.

An automatically generated e-mail will be sent notifying you that clock hours have been submitted and are awaiting approval.

Step 9: Complete Midterm Evaluation

Step 10: Complete Final Evaluation

Step 11: Approve Clock Hours

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Login to CALIPSO (step two.)

Click “clockhour forms pending approval.”

Identify your current student’s record.

Click “View/Edit” in the far-right column.

Review hours, making changes if necessary.

Complete the % of time the student was observed while conducting evaluations and providing treatment.

Approve clock hours by selecting “yes” beside “Supervisor approval” located at the bottom of the page.

Click “Save.”

If it is determined that there are errors in the clockhour form that the student should correct, exit the form by clicking on the “Clockhours List” link at the top of the page in the blue stripe to return to the student’s Clockhours List. Click on the “Un-submit” button towards the right end of the line for the clockhour form in question. This returns the form to the student’s Daily Clockhours for the student to edit and re-submit.

For an official record of this supervisory experience (past or present), click on the “Supervision summary” link located under the Management header on the home page.

Select “Printable view (PDF)” to create a document to save and/or print.

At the completion of the rotation, your student will complete a supervisory feedback form in CALIPSO.

An automatically generated e-mail will be sent stating that you have feedback available to view.

Login to CALIPSO (step two)

Select the desired “Class” and click “change.”

Click “Supervisor feedback forms.”

Click “View/Edit” in the far-right column.

Update e-mail address changes, name changes, certification expiration dates with corresponding scanned copies of your card by logging into CALIPSO (step two.)

Click “Update your information.”

Make changes and click “save” and/or click “Edit licenses and certification.”

Update information and upload supporting files and click “save” located at the bottom of the

screen.

Step 12: View Your Supervisory Summary

Step 13: View Your Supervisory Feedback

Step 14: Update Your Information

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M.D. Steer Speech-Language Clinic Population Tracking Form

Semester/Year

Clinical Faculty: _______________________________________________

Clinical Program: _____________________________________________

Note: Use the tab key to move between cells. Total Number of Treatment Visits:

On-going Clients:

Total Number of Diagnostic Visits:

New Clients:

Total Number of Screenings:

Total Number of clients:

Total Number of Visits:

Total Number of Consultations:

Clinical Program: _____________________________________________

Note: Use the tab key to move between cells. Total Number of Treatment Visits:

On-going Clients:

Total Number of Diagnostic Visits:

New Clients:

Total Number of Screenings:

Total Number of clients:

Total Number of Visits:

Total Number of Consultations:

Clinical Program: _____________________________________________

Note: Use the tab key to move between cells. Total Number of Treatment Visits:

On-going Clients:

Total Number of Diagnostic Visits:

New Clients:

Total Number of Screenings:

Total Number of clients:

Total Number of Visits:

Total Number of Consultations:

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WORKLOAD/CASELOAD WORKSHEET

Caseload/Workload Worksheet

Clientele/Practicum & Student(s)

Age/Age Range

Treatment Area

Day & Time

# of ASHA hours

generated per week

Time Requirement

Total ASHA hours:

Subtotal Clinical Hours:

Admin Responsibilities:

Teaching Faculty Meetings Professional Development Service/Committee Assignments 549 Lectures

Subtotal Admin Hours:

TOTAL Hours: