The Speech Clinic - Harding University

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Harding University Speech Clinic


Clinic Handbook







Jan Traughber, M.S., CCC
-
SLP

Clinic Director




Revised September 18,

2012



2


Preface


Welcome to the Harding University Speech Clinic

(HUSC)

and to the practical application
portion of your education
.


The faculty and staff of the HUSC attempt

to live a life consistent
with Christian ideals while
striving

to use the blessings that our God h
as bestowed upon us
, to
serve

those individuals that would benefit from the skilled therapy provided by a speech
-
language pathologist or audiologist
,

and to teach you, a student clinician, to do the same
.
This
manual is d
esigned to aid
students
during the transition
from

speech
-
language pathology

student

into the role
of

student clinician
.
It

contains
information pertaining to the clinical policies
and
procedures of
the
practicum experience
and is intended

to
serve as an instructional guideline
.

While no manual is all

inclusive, this document
should serve
as a suppleme
nt to classroom
instruction
and

the teaching/
mentorship
of
the

Clinical Supervisor
s.



Each insti
tution of learning, as well as many
employment settings
,
has

variations in the

meth
ods,
procedures,
policies and
guidelines

used
during the

provision
of clinical services
.
Although
implemented
different
ly
, all facilities strive t
o adhere to specific guidelines
set forth by the
American Speech
-
Language and Hearing Association (ASHA)
, the Occupational Safety and
Health Administration (OSHA), the
Health Insurance Portability and Accountability Act
(HIPAA),

and
federal and state educational laws
,

as well as mandated procedures from the
specific institution
s

and
/or

accrediting bodies
.
T
he policies and procedures contained in this

manual should
not
be interpreted

as
the
only methods used in the field of speech pathology,

but
rather should serve as documentation to the ways in which the HUSC strive
s

to meet its
guidelines.

The policies an
d procedures
of the University, the D
epartment

of Communication
Sciences and Disorders
,
ASHA, OSHA, HIPAA
or
those of
the
off
-
site
practicum

facilities

may
supersede the policies of the HUSC
.


It is the intention of the faculty and
Clinical Supervisor
s
of
the HUSC that

students
be exposed to
a clinical experience that is both pleasant an
d productive; however, the well
being of each client
is paramount and

is

the clinic’s primary responsibility. As we all work together, may we serve
the client’s needs and c
ontinue in service to the glory of our Lord.







“Be devoted to one another in
扲潴桥牬y潶攮† 潮潲o潮e⁡湯瑨敲
a扯癥 y潵牳o汶e献†乥ver⁢ 慣歩kg⁩渠
zea氬⁢畴 e瀠y潵爠獰楲楴畡氠晥牶潲Ⱐ
獥牶楮r⁴ e i潲搮†_e y晵氠楮⁨潰fⰠ
灡瑩e湴⁩渠n晦汩c瑩潮Ⱐ
a湤n
fa楴桦畬⁩渠
prayer. Share with God’s people who
are in need.”



Romans 12:
10
-
13

3


Table of Contents


The Speech Clinic

Clinical Staff


Department Chair


Clinic Director


Externship Director

Clinical Supervisors

Clinic Secretary

Student Clinician

Students who speak English with Accents and Non
-
Standard Dialects

Clinic Facilities

Equipment and Materials

Confidentiality/HIPAA

Communication

Clinician Attendance and Punctuality

Professional Appearance and Personal Hygiene

Clock Hour Requirements

Documentation of Clinical Clock Hours

Observation Policy

Client Files and Numbers

Sequence of a Speech
-
Language Diagnostic Evaluation Assignment

Sequence of a Speech
-
Language Therapy Assignment

File Contents and Organization

Clinician Evalua
tions

Off
-
Site Practicum


Infraction of Professionalism

Client Policies

Basic Fees

Parking

Staff and Client Safety

Infection Control Policy

Emergency Policy and Procedures


Appendix A

Essential Skills



Appendix B

DX and TX
File Forms

Client Telephone Intake Form


Diagnostic Evaluation Checklist

Admission Contract for Clinical Services

Case History Form

Adult

Case
History Form
---
Child

Authorization to Request Healthcare Information

Authorization to Release Healthcare Information

Allergy Alert Form

Release for the Administration of Emergency Medication

Permission to Audio/Video Record Form

Involvement and Means of Communication Form

4


Child Custody Release Form

Emergency Contact Information Form

DX Observation Information

Form

Oral Peripheral Examination Form

Oral Peripheral Examination Form for the Y
oung Child

Hearing Screening Protocol


Hearing Screening Results Form


Diagnostic Evaluation Result Form


Diagnostic Evaluation Template


File Content Form

HA Permission for Therapy

New Clients

HA Permission for Therapy

Returning Clients

HA Notice of Therapy

Client Contact

Form

Photography Release Form

Session Plan Template

Treatment Plan Template

Semester

Summary
Template

Caregiver Session Review


Appendix C

Office Forms

Diagnostic Evaluation Assignment Form

Therapy Assignment Form


Diagnostic Evaluation Appointment Notification letter

Diagnostic Evaluation Report follow
-
up letter


Therapy Appointment Notification letter


Accounting of Disclosures of Protected Health Information Form

Confidentiality a
nd Ethical Conduct Statement Form


Request for Letters of Recommendation


Incident Report for Infractions of Professionalism

Evaluation of Clinical Services


Appendix D

TX and DX Clock Hour Forms


Semester Summary of Observation Hours


Obse
rvation Report Form


DX and TX Clock Hour Semester Summary Form


Record of Diagnostic Hours


Daily TX Clock Hour
s Form



5


The Mission

The mission of the Harding University Speech Clinic is to prepare highly competent speech
-
language pathologists in a rigorous academic curriculum with an emphasis on Christian living.
The program is designed to reflect the university’s goal of integrating

faith, learning and living in
order for the students to function within professional and global communities.


The Speech Clinic

The
Harding University Speech Clinic (HUSC) is operated by the

Department of
Communication Sciences and Dis
orders

(CSD)

and is

housed within

the College of Allied Health

at Harding University. Participation as a student clinician in the HUSC is for
grad
uate students
pursuing a Master

of Science degree in speech
-
language pathology as well as for undergraduate
students pursu
ing

th
e clinical degree in Communication Sciences and Disorders
.
Undergraduate
students serving as stude
nt clinicians must
have
met the prerequisite requirements in order to
enroll in a clinic practicum course.
The HUSC is
a
private
clinic
,

servi
ng individuals

across the
life s
pan in
all areas of
the field of speech pathology
.

There are presently three

divisions of the
clinic: 1) the on
-
site clinic located on the Harding University campus,
2) off
-
site services
supervised by the faculty of the

Department of

C
o
mmunication
S
ciences and
Disorders,
and 3
)
the off
-
site externship program
.
In each of these divisions,
the
Clinical Supervisor
s assume full
responsibility for the welfare and treatment of each client
.

Student clinicians conduct a
ll
evaluation and
t
herapy
services
completed at the HUSC
under the direct supervision of

a
state

licensed and
ASHA
certified speech
-
language
pathologist
.






T
he Clinical

Staff


T
he HUSC

staff

is comprised

of

the
CSD Department Chair,
Clinic Director
,
Externship
D
irector
,

CSD faculty

serving
as
Clinical
Supervisor
s,
Clinic Secretary
,

and
undergraduate and
graduate

student clinicians
.


The
CSD Department C
hair

is responsible for:



Overseeing the department’s academic and clinical
c
urriculum
.




Assigning
academic credit to
the
academic and
practicum experience
s
.




M
aintaining accreditation standards of the University

and those required by
ASHA
.



Overseeing the HUSC staff
.




“Hold on to instruction, do not let it
g漻og畡牤

it well, for it is your life.”


Proverbs 4:13

6


The
Clinic Director

is responsible for
:



Establishing and maintaining community contacts that serve as referral s
ources for the
HUSC.



Establishing and maintaining contacts with local facilities that receive screening services.



Scheduling

and
placement

of
all
on
-
site
and off
-
site
therapy and evaluation
services that are
supervised by the staff of t
he HUSC.



Communicating with
Supervisor
s before, during and after clinical practicum experiences.



Ensuring that student clinicians and HUSC staff

adhere

to the policies an
d procedures
outlined within
.



Meeting regularly with students enrolled in CSD 385, 386, 619, 6
29 to guarantee quality of
the practicum experience
.



A
warding
course
grades for
clinical practicum courses (
CSD 385, 386, 619, & 629
)
.



Assisting students with the
d
ocumentation of clinic
al hours obtained during the HUSC
practicum experience
.



Implementing

and collecting assessment data in order to assign grades.


The
Externship
Director

is responsible for:



Placing and overseeing
undergraduate and graduate students in a clinical externship.



Establishing and maintaining contacts to secure an affiliation agreement with all externship
sites.



Ensuring that all contracts are prepared and maintained
.



Communicating with
Supervisor
s before, during and after the placements
.



Meeting regularly with stu
dents enrolled in CSD 421, 649, 659 to guarantee quality of off
-
campus experiences
.



A
warding course grades for clinical practicum courses (
CSD 63
9,
649 & 65
9)
.



Assisting students with documentation of hours
.



Visiting the facilities to observe the student’s

work and confer with the
Supervisor

regarding
the student’s performance and progress made

toward fulfilling objectives.



Collect
ing

documentation for certification and licensure
.



Collect
ing

evaluations in order to assign grades.


Th
e
Clinical Supervisor
s

i
n any practicum
fulfill

a critical role in the teaching and training of
the
student
clinicians while
assum
ing
the primary
responsibility for the services provided to the
clients.
As a part of the training process, t
he
Clinical Supervisor
s utilize a direct teaching
model
to equip the student clinicians

in their
acquisition of knowledge

and skills as the
se skills
relate to
the field
of communicative disorders
.
As defined by ASHA, the
Supervisor
s are
respon
sible for
:



Establish
ing

and mainta
in
ing an

effective working relationship with the supervisee
.



Assist
ing

the supervisee in developing clinical goals and objectives
.



Assist
ing

the supervisee in developing and refining clinical management skills
.



Demonstrating for and participating

with the
sup
ervisee in the clinical process.



Assist
ing

the supervisee in observing and analyzing assessment and treatment sessions
.



Assist
ing

the supervisee in the development and maintenance of
Clinical Supervisor
y
records
.



Interact
ing

with the supervisee in plann
ing, executing and analyzing
Supervisor
y
conferences
.



Assist
ing

the supervisee in evaluation of clinical performance
.



Assist
ing

the supervisee in developing skills of verbal reporting, writing, and editing
.

7




Shar
ing

information regarding ethical, legal, regulatory
,

and reimbursement aspects of the
professional practice
.



Modeling

and facilitat
ing

professional conduct
.



Demonstrating

research skills in the clinical or
Supervisor
y processes
.



Directly observ
ing

a minimum of 50% of each diagnostic session conducted by a graduate
clinician and 100% of each diagnostic session conducted by an undergraduate clinician.



Directly observing

a minimum of 25% of each therapy session conducted by a graduate
clinician and a

minimum of 50% of each session conducted by an undergraduate clinician.

(Adapted from ASHA Clinical Supervision in Speech
-
Language Pathology and Audiology
position statement
www.asha.org
)


In order to aid in transitio
ning the student clinician from being a dependent clinician to a more
independent clinician the Anderson’s Continuum of Supervision is suggested:



* Each student and supervisor may adjust as needed based on the level of clinical
experience and severity
of case load.


The
Clinic Secretary

is responsible for:



A
ssisting

in the
daily operation of the HUSC

by i
nitiating and maintaining
client
correspondence,
scheduling

appointments

for services
, scheduling student observers,
managing
client

and clinician file
s

and maintaining inventories of diagnostic and therapy
materials
.



A
ssisting in the m
aintenance of HIPAA regulations
.



Assisting in OSHA compliance
.



S
upervising the
use of clinic materials
.


The
Student Clinician

is responsible for
:



Uphold
ing

the

HUSC policies and procedures as well as the
ASHA Code of Ethics
.



M
aintain
ing

confidentiality as defined by the

HIPAA guidelines

and adhering to OSHA
guidelines
.



Meeting

the
Essential Skills

as defined in the
CSD handbook

and Appendix A
.

8




Wear
ing

a
n

HUSC student clinician
nametag when engaging in practicum experiences
.



Maintain
ing

communication

and relationship with HUSC staff
.



Maintaining documentation for clinical hours and the KASA form.



Maintain
ing

the formative assessment notebook (undergraduate only)

that will include the
following:


o

Curriculum Plan (undergraduate only)

o

Request for Degree (undergraduate only)

o

Degree Audit (undergraduate only)

o

Observation Hours *

o

Experience record printed from Calipso

o

Course Syllabi

o

Examples of Written Work

o

Professiona
l Goals

o

Clinic Manual

o

KASA

o

Exit Interview


Note: Students much submit their clinic notebook to the Clinic Director or the Externship
Director for review each semester before receiving a grade in practicum.





Students who spea
k English with Accents and Non
-
S
tandard Dialects


In compliance with ASHA Code of Ethics, the Harding University Communication and Sciences
and Disorders department will not discriminate against studen
ts who speak English with an
accent or non
-
standard dialect. It is expected that the student be able to provide modeling of
target phonemes, grammatical features, and any other aspect of speech and language that is
essential in the treatment of a client.

Per ASHA recommendations, writing skills and other
competencies will not be altered for students who speak with a dialect or accent.







“Whatever you do, in word or deed, do
e癥ry瑨tng⁩渠 桥 浥映瑨f i潲搠
g
e獵猬⁧楶i湧⁴桡湫猠瑯⁇潤⁴桥⁆
a瑨t爠
through Him. “



Colossians 3:17


9


Clinic

Facilities


Clinic Office:

The clinic office is to be used for official clinic business only.
S
tudent
clinicians

and/or student observers will not be
allowed to enter the office.
All supplies
located in the office
(client/clinician files, assessment materials, audio/visual equipment)
may be obtained on request
from
the
Clinic Secretary
,
a graduate a
ssista
nt
(GA)
or the student worker
.
Any item that is
remov
ed from the
office
must

be signed out

(white binder) upon removal and
signed in

upon
its
return
.
The supplies that are checked out from the clinic office should be returned to the office
before 4:45 p.m
. on the same day and should not leave the HUSC facility without direct
permission from a
Clinical Supervisor

or the
Clinic Director
. The materials typically found in
the office may not be checked
-
out for extended periods and they should not be stored in
the
student workspaces (mailboxes) or with a clinician’s personal belongings.


Materials
:

The HUSC offers a wide variety of therapy
resources,
materials

and supplies

for use

during
evaluations and therapy
. The materials are located

in the
designated
materials room
,
on
the bookshelves in the audiology suite
,

in the undergraduate and graduate workrooms

or in the
departmental office
.
All of the HUSC materials are organized and maintained by
a
GA, but the

student clinicians are expected to maintain the
q
uality
of the materials
and
the
organization

of

each of the areas
.
The items in the materials room

and workrooms

are sorted by category and the
children’s literature

books located
in the audiology suite are organized with an alpha
-
numeric
system.


All o
f the therapy materials should be considered community property and must remain available
to all staff/clinicians.
Materials should only be removed for the time of direct client use.
The
HUSC the
rapy materials must remain in

the HUSC or in the workrooms.

The therapy materials
may not be checked out for overnight use and they
may not be stored

in the personal belongings
or the clinic boxes of the student clinicians.
When student clinici
ans are finished with
material
s,
they

should be immediat
ely returned to
designated
storage

area

or placed in the
identified
box
es

loca
ted in the
student
workroom
s

for re
-
shelving
.


Student Workroom
s
:


The student workrooms
serve as

multi
-
purpose
room
s

for

the
student
clinicians to prepare for therapy
, complete

documentation
,

and to study
.
Due to the confidential
material
available
,

only clinic staff and student clinicians are allowed in the student
workrooms.



Therapy Rooms:

The t
herapy rooms are a
ssigned by the
Clinic Director

and/or
requ
ested by a
Clinical

Supervisor

to best meet the needs of the client.
Each therapy room is equipped with
supplies for cleaning
the surfaces following each session

according to protocol
. T
he student
clinician
s are

responsible for vacating a therapy room on tim
e so that the n
ext clinician can

ha
ve
time to set
-
up/
prepare for their
session. All furniture should be kept in the therapy room
s
. If
furniture is removed to accommodate

a clie
nt, the student clinician is responsible for

return
ing

it
to its proper place immediately following the session.
Each therapy room is equipped with a
table and chairs. Rooms that offer specialized equipment are as follows:



Room 3: Pediatric pendulum swing


Room 6: Computer


Room 7: Nasometer


Room 8:
Computerized Speech Lab and Digital Swallow Station

10


Equipment and
Materials


Office Equipment:

Students are
permitted to use the HUSC

printers, phone, fax, or copier
s

for
official clinic business

only
.

This equipment is not available for cla
ss assignment
s or personal
use.
Items that need to

be printed on HUSC letterhead
should be e
-
mailed to the
Clinic
Secretary
.



Therapy Materials
:

Therapy materials are stored in the clinic office, the materials room, the
student workroom
s, in
faculty offices and in the departmental office.
Materials should be
removed for the therapy session only and should be returned as soon as possible following the
session. For early morning therapy sessions at off
-
site facilities (Harding Academy, Harding

Place), student clinicians may check t
he materials out after 5:00 p.m.
on the day before therapy.
Except for off
-
site sessions, the therapy materials
may not leave

the HUSC facility without
permission from a
Clinical Supervisor

or the
Clinic Director
.
Materials needing to be re
-
shelved
may be placed in the identified boxes in the workrooms. Therapy materials
may not be stored

in clinician mailboxes or with personal belongings.
All materials and equipment must be
returned in good condition and in proper

working order. This includes returning all components
and pieces of materials, as well as having cleaned and disinfected all parts using the policy stated
in this manual. Student clinicians will be held responsible for negligent use and any damage or
lo
ss of clinic property. The use of the materials room may be revoked at any time if these
procedures are not followed.


The HUSC provides each student clinician with a box of consumable therapy supplies, but
additional therapy materials are available in t
he materials room for use by the student clinicians.
GAs or
clinic student worker
s

will copy any worksheets needed for therapy
. Any request for
copies should be clearly m
arked and placed in the box marked “to be copied” which is

locat
ed

on
the table near the entrance
to

the undergraduate workroom. Items needing to be copied should
be placed in the box
well in advance

(1
-
2 days)

of the therapy session

in which

it will be needed
.
The c
opies will be returned to the student clinician
’s mail
box

and the original item will be
returned to the shelves.


Video and Audio Equipment:

Video
cameras, digital recorders,
tape recorders
, SD cards,
headphone
s and VCR tapes
are
available in

the clinic office
.
This
equipment must be checked
out (white bind
er) and signed back in upon return.
To maintain HIPAA compliance, i
t is the
student

clinician’s

responsibility to remove/file the information and to return the equipment
fully
charged and with data removed
.
The HUSC iP
ad
s are stored in the departmental office and must
be signed out prior to each use and signed in at the completion of therapy.


Evaluation Materials:

Assessmen
t instruments and protocols

are available in the clinic office.
All materials and equipment
must

be checked out

(white binder) and signed in upon return.
These materials
may

not

leave the
HUSC

facility

with
out express permission from a
Clinical
Supervisor

or the
Clinic Director
.

Materials must be returned immedia
tely following use and
may not

be s
tored

in
clinician mai
lboxes or with
personal belongings
.






11


Confidentiality
/HIPAA


Clinical staff and student clinicians are expected to
respect

the client’s right to confidentiality, as
stated in the ASHA Code of Ethics, Principle I, and the rules and regulations of
the
HIPAA

mandates
.
Supervisor
s and student clinicians are expected to monitor both written and verbal
communication to ensure that

patient rights are upheld. The following guidelines will help
ensure client confidentiality:




Do not discuss a client with anyone besides the HUSC clinical staf
f without expressed
written permi
s
sion

to release information.



Never discuss clients by name
except with the clinical staff of the HUSC or when an
expressed written consent to release information has been obtained. When necessary, use the
term “my client” or “
TX
/DX #13” for all other occasions.



Never discuss clients in a public area. This incl
udes speaking with parents (in clinic lobby).
If a conference is needed, use a more private location (empty therapy room,
Supervisor
’s
office, etc.).



Never leave written information containing client information unattended, uncovered, or in
an area that
is not within HIPAA compliance (workrooms, personal computers/storage). The
clinic rules regarding checking out and returning client folders should be strictly followed.



Never remove a client folder from the HUSC and do not remove any information from a

client folder.


At the beginning of each semester of clinical practicum, students will be asked to sign a form
stating that they have read the ASHA Code of Ethics and the HIPAA procedures, that they will
uphold them and that they fully understand that b
reach of these could result in a lowering of
their course grade, dismissal from the program, or dismissal from the University.






Communication


Communication is
the
foundation to the successful operation of any organization.
Throughout
the semester, on
-
site clinicians participate in meetings scheduled
by

the
Supervisor
.
In addition
to
these

ap
pointments,
clinicians are expected to be active participants in the
Supervisor
y
relationship. Clinicians should:




䡥⁷桯⁧ua牤猠桩猠r潵瑨⁡湤⁨楳t
tongue keeps himself from calamity.”

Proverbs 21:23


12




F
eel comfortable with clearly defined levels of expectation and responsibilities. Ask for
clarification if needed.



Ask questions and seek
feedback from the
Supervisor

when needed.



Communicate

with
their

Supervisor

in a professional, non
-
judgmental manner

should they
encounter a problem.

You may need to use examples to help communicate your problem.




N
o
t
perform a task if
they

feel it is an unethical task
,

or
is
a task
they

do not feel qualified to
perform.
Student clinicians must

meet
with their

Supervisor

about the situatio
n. S
hould
the
issue remain unresolved,
the clinician

should report it to the
Clinic Director
/Externship

Director
.



Remember that

social media sites are NOT private and that your professional
ism is reflected
in all that is

post
ed
.



Demonstrate
professional
w
ritt
en communication (monitor the greetings, punctuation, use of
text language etc.)


Other forms of c
ommunication

offered to student clinicians

include email, clinician mailboxes,
and notice boards
. It is imperative that
all three be checked each day.




Email:

Students should check their “harding.edu” email for information from the
Clinic
Director

or their
Clinic Supervisor

on a daily basis. This
includes (
and should link to) any
messages sent through Moodle. This is the preferred method of communication for most
Supervisor
s.



Clinician Mailboxes:

Mailboxe
s have been provided for each clinician

in the workrooms.
These can be used to store clinician’s individual materials and personal belongings, but
individual communication from the clinical staff may also be placed in these boxes. It should
NEVER contain therapy materials that belong to the c
linic.



Notice Boards:

When the
Supervisor

or
Clinic Director

wishes to contact all or several
clinicians, it is typical to place a note on the notice boards located in the workrooms. This is
also where client cancellations will be posted.






Clinician

Attendance

and Punctuality


The
off
-
site practicum sites and the HUSC should be viewed as professional health care agencies

or educational clinic
s
. To accommodate this,
the HUSC adhere
s

to the
ASHA
guidelines for
student clinician

supervision and will provide substitute supervision as needed. T
he
s
tudent
clinicians are expected to
:


“May the

睯w摳映fy潵瑨⁡湤⁴桥
浥摩瑡瑩潮映my⁨ a牴⁢e⁰汥 獩sg⁩渠
yo畲⁳ug桴Ⱐ传i佒䐬y⁒潣欠k湤y
Redeemer.”

Psalm 19:14


13




A
rrive in plenty of time to complete any responsibilities

and/or preparation for the day.
Tardiness or being unprepar
ed for a session may result in the lowering of the clinical
practicum grade.



Attend all therapy sessions. Only extreme circumstances should prevent a clinician from
conducting a regularly scheduled session.

o

Student clinicians should not ask for special

accommodations for personal schedule.

o

Unexcused absences may result in a failing grade and are considered grounds for
a
clinician to be
re
moved from practicum.



Request an absence only for medically excused illnesses, school related requirements, family
em
ergencies or other approved circumstances.



Submit documentation for all absences.



Discuss
planned absences

with the
Supervisor

and make arrangements for a substitute
clinician. Clinicians should provide the materials and lesson plan for the substitute clinician
prior to the absence.



P
rote
ct the welfare of the clients. S
tudent clinicians should not conduct therapy unless they
ha
ve been fever free for a minimum of 24 hours and are judged to be free from other
communicable illnesses.



Communicate via office phone, cell phone and/or e
-
mail with their
Supervisor

immediately if
an
unplanned absence

is needed.

o

Clinicians in an off
-
site practicum should also communicate with the Externship
Director.

o

On
-
site clinicians should communicate with the
Clinic Director

if

a
Supervisor

was
unreachable.



A
ssume responsibility for the scheduled session by:

o

Confirming with t
he clinical staff
t
o

determine if a substitute clinician should be used
or if
the session should be cancelled.
Student Clinicians may not cancel therapy or
assume it to be cancelled without prior consent from the
clinical staff
.


o

Securing a substitute clinician
as determined by clinical staff
and supplying the lesson
plan/materials for the scheduled session.

o

Contacting

the
Clinic Secretary

to inform o
f
substitute clinician or approved

cancellation
.



Fulfill the requirements of the practicum course for the entir
e semester.
Students may not
withdraw from a clinical practicu
m experience without receiving a
grade
once

the experience
has begun. If a student ends a practicum experience once it has begun, a grade will be
recorded for that practice experience and will

be computed in the GPA for that semester.
After beginning a practicum experience, the grade of “W” can be recorded only in cases of
illness or extreme circumstances that make it necessary for the student to completely
withdraw from school.



Student clin
icians
that conduct themselves in an unprofessional manner during a session
(using cell phone
/computer for non
-
therapy tasks
, being unprepared) may be considered
“absent”

for the day. C
onsequences equal to an unexcused absence will be implemented.






f渠n癥ry瑨t湧⁳e琠t桥洠m渠nxa浰me
by⁤潩 g⁷桡琠t猠g潯搮


Titus 1:13

14




Professional Appearance a
nd Personal Hygiene


“All members of the HUSC staff are expected to maintain standards of modesty

and decency in
dress appropriate to the Christian lifestyle and consistent with professional employment
expectations. For these reasons, students are expected to adhere to a
n established dress
code.”
(
CSD Handbook
)

While the following information will be enforced at the HUSC, all
clinicians are required to
adhere to the dress code of the facility in which they are placed. Off
-
site clinicians should ask their
Supervisor

about dress code req
uirements
prior to the first day of
practicum
.


Men and Women
:



Clothing should be neat, clean, and free of the tattered and worn look.

o

Do not wear perfumes, aftershaves or other scented products.

o

Clothing should be completely smoke free.



Garments designe
d as underwear or sleep

wear are not permitted as outerwear
.



Shorts or jeans are not permitted
.



Unusual/unnatural hair color is

not permitted
.



Solid color or printed medical scrubs
may be worn with closed
-
toe shoes.



Athletic type shoes
that are similar t
o those worn in the medical setting

may be worn with
scrubs.



Printed or screened t
-
shirts, or shirts w
ith cartoons, mascots or logos (
except for HU or CSD
)

are not permitted.




Clothing must accommodate all of the activities of evaluation/intervention.

o

D
resses or
skirts
must remain modest in length when sitting or bending
.

o

P
ants
must be styled to avoid skin exposure when sitting, leaning, or bending
.

Long shirts or t
-
shirts underneath should be strongly considered.


o

If scrubs are too loose fitting, we
ar a t
-
shirt underneath to avoid inappropriate skin
exposure.



Caps, hats and do
-
rags are not permitted.



Regular dress pants and appropriate shirts

are allowed
.
Opened
-
toe
dress
shoes

(not flip
flops)

may be worn with regular clothes.



The HUSC student c
linician nametag should be worn at all times.


Men
:



Shirts must be worn at all times. Tank tops, body shirts and sleeveless shirts are not
permitted.



Hair should be neatly trimmed off the collar and free of extreme styles such as ponytails.
Beards are to be neatly trimmed.



Piercing is limited to the earlobes and the wearing of small earrings or studs.


Women
:



Tops must have at least 2
-
inch shoulder st
raps. Clothing must not be low cut and may not
reveal cleavage or the midriff. Halter
-
tops are not permitted.



Piercings are limited to the wearing of earrings and a small nose stud (not allowed in many
medical settings and may need to be removed with so
me clients)

15



HUSC scrub tops/jackets are available

to those clinicians who desire to wear them. Scrub jackets
are located in the audiology suite (room 9).



Clock Hour Requirements


ASHA Standard IV
-
C: The applicant for certification in speech
-
language
pathology must
complete a minimum of 400 clock hours of supervised clinical experience in the practice of
speech
-
language pathology. Twenty
-
five hours must be spent in clinical observation, and 375
hours must be

spent in direct client/patient contact
(200
5).


ASHA Standard IV
-
D: At least 325 of the 400 clock hours must be completed while the
applicant is engaged in graduate study in a program accredited in speech
-
language pathology by
the Council on Academic Accreditation in Audiology and Speech
-
Languag
e Pathology (2005).

While 400 hours are required by all states, individual states may have specific requirements
regarding the number and type of hours that must be obtained to qualify for licensure.
Many
states require individuals desiring to apply for
positions as speech
-
pathology aid
e
s to have
completed observations of evaluation/therapy services. The individual requirements may vary
from state to state. As such, students wishing to pursue this form of employment should obtain
the information regarding employment requirements for the

specific states in which they are
pursuing employment. The HUSC will make every effort to assist in this
endeavor;

it is the
student’s responsibility to verify and to meet the requirements of the state in which they will be
seeking licensure.


The curre
nt Standards require observation before direct clinical contac
t;
however
,

the number of
observation hours required before a student encounters an initial client is no longer specifi
ed.
Previously, many graduate programs
required all 25 hours of observatio
n
to be completed
before
any
direct
client contact

occurred
. Although this is no l
onger
stipulated
, many grad
uate schools
cont
inue to uphold this requirement.
With this in mind, the Harding University CSD program
recommends that each student
clinician
ob
tain 25 observation hours prior to
their
enrollment in
CSD 385 or CSD

619
.
All 25 hours are now available

as a part of the undergraduate academic
curricu
lum (CSD 215, 230, 250, 325,
326
,
and 380
). If the
required

hours
of observation ha
ve

not been completed, students will be expected to sign a release indicating that they were
informed about the current Standards and graduate school expectations.


For students to achieve the most benefit from the observation experiences, a variety of sett
ings,
disorders and severity levels should be observed. While observation hours may be obtained in
the HUSC, students are encouraged to obtain these hours in off
-
campus facilities. The HUSC
will accept observation hours conducted on the Master Clinician
website if the student is
affiliated with the HUSC and completes

the associated observation assessment
on the website.
The HUSC does NOT allow students to obtain observation hours from videos unless they were
viewed in a course or previously approved b
y t
he HUSC staff
.






16


Documentation of Clinical Clock Hours


Clock hours may only be accrued

for the amount of time that the student clinicians
remain in

direct client/family contact for the purpose of
observation,
evaluation, treatment, counseling
and/
or training. It is the student clinician’s responsibility to maintain an accurate record of clock
hours and to appropriate the hours according to age of client and type of service(s)
observed/
provided.
The

HUSC uses the Calipso software

to
assist in the
documentation
of all
clock hours

associated with clinical observation, evaluation
,

and intervention
. This software
allow
s

the HUSC to monitor each clinician’s individual experience in regards to the number of
hours obtained, the types of evaluations/thera
pies conducted and the age
ranges of clients
encountered.


For each
observation or
session conducted
, the student c
linicians are expected to document

their
time in Cali
pso
,

a
nd to submit their record of time for approval to

the appropriate course
instruc
tor or
Clinical Supervisor

for each session.
For clinical practicum courses, the
Clinical
Supervisor
s may approve

the time spent by approving the hours on Calipso, but

clini
cal clock
hours are not verified
until the final grade in the clinical course is de
termined. S
tudent clinicians
are required to achieve a grade of an “A” or a “B” in the clinical courses (CSD 385, 386, 421,
619, 629, 639, 649 and 659) for which they were enrolled

to count the hours accrued towards the
400 clinical hours required
.
Failu
re to achieve a
t least a

“B” in any clinical course will result
in a revocation of the clock hours
accrued

during that semester

and students must retake
the course for the successful completion of the program
.
If this occurs, t
he student may
achieve cours
e credit for the class if a passing grade is achieved, but will not have passed the
competency required to count the clock hours towards the required 400 hours.
Undergraduate
students earning a “C” in CSD 386 will not be allowed to enroll in CSD 421 until

they have
successfully passed

(earned a grade of “A” or “B”)

in
CSD 385 and 386. Graduate students
must earn a grade of an “A” or a “B” in CSD 619 and 629 in order to progress to the next clinical
experience and participate in off
-
campus clinical experi
ences.


Students seeking observation hours

should:



Plan
to conduct the observations before the last month of the semester
.



Call to s
chedule an appointment and inquire about the

dress code and other requirements
(background checks, immunizations)
.

If observing at the HUSC, students should schedule an
appointment through the clinic office.



Obtain some background about the client and the disorder.



Demonstrate respect throughout the session (remain quiet, discrete; refrain from using the
cell phone f
or any reason).



Complete an
Observation
Report
Form
:

A
detailed
summary of each ses
sion observed
should be completed by the student clinician

and signed by the practicing SLP
or supervising
clinician.
If observation was conducted through the Master Clini
cian website, the completed
quiz should be attached or sent
electronically
to the
Clinic Director
.



Complete an
Observation

S
ummary
F
orm
:

This form serves as a mathematical summary of
all of the time documented within the individual
O
bservation
Report
F
orms
.

o

If observation

hours were completed as a course assignment, the time recorded on
the
individual
Observation
Report
Forms should be tallied on an Observation
Summary Form. This data should then be entered in Calipso and submitted to the
instructor
of the course that required the observation. On the due date of the
assignment

(or before)
, the individual Observation
Report
Forms and the
17


Observation Summary Form should be submitted to the course instructor that
required the observations. Following th
e due date of the assignment, the course
instructor will approve the hours in Calipso based on the written documentation
provided and submit the written documentation to be filed in the student
clinician’s permanent file.
Student clinicians are

strongly

e
ncouraged to make
copies of their observation documentation prior to submitting it for the class
assignment.

o

Students that completed observation hours that were NOT completed as a class
assignment, but that were completed in pursuit of the 25 hours of req
uired
observation, should complete the Observation
Report
Forms for each session
observed. The
time recorded on the individual

Observation
Report
Forms should
be tallied on an Observation Summary Form. This data should then be entered i
n
Calipso and submi
tted to the
Clinic Director

for approval. The student should
then submit the individual Observation
Report
Forms and the Observation
Summary Form
to the
Clinic Director

to be reviewed and signed. Following a
review of the documentation, the
Clinic Direct
or

will approve the hours in
Calipso based on the written documentation provided and submit the written
documentation to the
Clinic Secretary

to be filed in the student clinician’s
permanent file.
Student clinicians are
strongly
encouraged to make copies
of
their observation documentation prior to submitting it
to the
Clinic Director
.



Enter the clinical observation hours into Calipso.



Copy the Observation Report Forms for personal files.



Submit the Observation Report Forms and Observation Summary Form to the appropriate
individual.


While Calipso

is a useful documentation tool, the HUSC realizes that not all clinicians are
comfortable with software and recognizes that not all off
-
site the
rapists have convenient
computer access. To accommodate these individuals, the HUSC will provide paper
documentation for daily clock hours for evaluations and therapy as needed. The forms required
(
Daily Clock Hours Form, Record of Diagnostic Hours, and
the Semester Summary Form
)

are
available upon request.





Observation Policy




Observation space is limited. To accommodate the HUSC staff, all observations conducted
at the HUSC must be coordinated through the Clinic Secretary.



All observation
s

must be approved by the client or client’s parent/guardian through
paperwork signed at the beginning of the semester.

“So do not throw away your
c潮晩摥湣e㬠X琠睩t氠扥⁲楣桬y⁲ 睡牤e搮†
You need to persevere….”


Hebrews 10:35
-
36

18




The
Clinical Supervisor

and/or the Clinic Director

have the right to deny observational
opportunities of specific clients.



O
bservation
s conducted at the
Harding University Speech Clinic must be coordin
ated
through the
Clinic Secretary
.



The
Clinic Secretary

has the authority to request an observer (family member or student) to
leave at any time.



Students observing in the HUSC must be dressed according to the clinic dress code. A copy
is available in

the clinic office and posted in the workroom. Any student not dressed
accordingly will
be asked to leave the clinic and will
not be allowed to conduct
the scheduled
observations

until appropriate attire is obtained
.



Observation may NOT be conducted in
the
Supervisor
’s observation room. Thi
s room will
be utilized by the
Clinical Supervisor
s and will not be available for observation of an entire
session.



Students and family members observing in the HUSC must not interfere in any way with the
therapy sessions in progress.
Any disturbance of sessions may

result in a request to leave

the
HUSC
. If
disturbances occur repeatedly, the individual
(s)

responsible
may not be allowed to
participate in observation through the HUSC.






Client Files and Numbers


To protect client confidentiality, each client is assigned an individual file and corresponding
client number. Clients receiving an evaluation are assigned a diagnostic file number (DX #) and

are stored in blue files

in the clinic office
. Clients receiving therapy services are assigned a
therapy file number (
TX

#) and are stored in manila files

in the clinic office
. Only the
Clinic
Director

or the
Clinic Secretary

is authorized to assign clie
nt numbers. Student clinicians
wishing to remove a client file from the file storage must sign the record of access form (white
binder). No files should leave the HUSC. All files must be returned to the clinic office by 4:45
p.m. on the same day and
mus
t be
signed in by the student clinician.


There are three classifications of files:




Diagnostic Files:

Information pertaining to new clients scheduled for

an evaluation
, prior to
enrolling in

treatment
services
,

will be placed in a blue diagnostic fil
e unti
l the assessment is
completed. At that time, the completed DX file closed and
is
either
transferred to a
TX

file
or an inactive file.



Active Therapy Files:

Those clients who are currently receiving therapy services
.

“Let the wise listen and add to their
汥l牮楮g⁡湤整⁴桥⁤楳ne牮楮r ge琠
g畩摡uce

.”

†††††††††††
Proverbs 1:5


19




Inactive Files:

The files of c
lients who have been seen previously in the clinic for an
evaluation or therapy, but are no longer enrolled.





Sequence of a
Speec
h
-
Language Diagnostic Evaluation

Assignment


Clients referred to the HUSC

include all age ranges and represent a variety of disorders and
levels of severity
. F
aculty members, speech
-
language pathologists, educators,
early
-
intervention
specialists, physicians, and individuals from within the community

serve as the primary referral
sources for the HUSC
. The HUSC is available, without charge, to any individual that would
benefit from the services offered. The HUSC does

not require a formal referral or a specified
severity level in order for a client to be eligible

to receive an evaluation. The steps of a
diagnostic evaluation include:



Prior to the session
:

1.

Appointment is scheduled
and
the Clinic Secretary completes
a Client Telephone Intake
Form
.

2.

Intake paperwork is mailed to the client/caregiver

3.

Clinicians r
eceive diagnostic assignment from the
Clinic Director

4.

Clinicians schedule staffing c
onference with
Diagnostic Supervisor


5.

Clinicians follow
-
up on intake
paperwork and review chart as information becomes available

6.

Based on information available, clinicians present DX plan to
Supervisor

7.

Clinicians prepare for session according to the approved plan

(monitor chart)

8.

Clinic Secretary

confirms appointment


Day of

the session
:

9.

Introductions of DX
Supervisor

and clinicians

10.

Plan for the assessment is presented to client/caregiver

11.

Interview of client or caregiver

12.

Observation of client and/or caregiver interactions

13.

Administration of diagno
stic tests

14.

Exit Conference wit
h client/caregiver (Review of general findings, r
ecommendation
s and
follow
-
up plan)

15.

Exit staffing with
Supervisor

16.

DX room and materials cleaned and returned according to protocol.


After the session
:

17.

Tests scored and data/protocols filed in chart

18.

Clock ho
ur information documented in Calipso and submitted to
Supervisor

19.

Rough draft of w
ritten report
submitted to
Supervisor

one
-
week from date of evaluation.

“But everything should be done in a
fitting and orderly way.”

††††
1Corinthians 14:40

20


20.

Supplementary information gathered (if needed)

21.

Exchange of drafts between
Supervisor
/clinician

22.

Final dr
aft printed to letterhead two weeks from date of evaluation.

23.

Final draft
, thank
-
you letter

(and supplementary info. if needed) mailed to client/caregiver

24.

Diagnostic
follow
-
up form submitted to
Clinic Director

25.

Clinic Secretary

closes/transfers file to
TX

fi
le or inactive files.

26.

Clinicians complete
Supervisor

evaluation in Calipso
---
one per semester/
Supervisor


Diagnostic
Evaluation Assignments:

Clinicians will receive a

D
iagnostic
Evaluation
A
ssignment
F
orm

including initial in
formation regarding the
client,

scheduled date and time, and assigned
Supervisor
. Clinicians will be assigned in pairs. One clinician will be designated as the lead
clinician for each evaluation; the other as the assisting clinician.
The lead clinician assumes the
primary res
ponsibility, but he/she is expected to delegate the tasks

and

oversee the test
administrations, data collection, and written report of the assistant clinician
. He/she is also to

conduct the follow
-
up procedures with the
Supervisor
.


Diagnostic
Evaluation

Checklist:

This form
will allow the
HUSC staff
to track the progress of
the evaluation.
This form serves as a flowchart for the evaluation process, but also provides
documentation as to when each even
t

occurred and which staff member was responsible for

the
completion of each step.
It is to remain in the diagnostic file at all times.


Staffing Conference:
The
clinicians should c
ontact the assigned
Supervisor

to schedule a
conference time
. The student clinicians should be familiar with the case, the
areas that require
assessment
,

and be able to present some instruments that may be used
.
These appointments
should be made
at least

two weeks prior to the scheduled evaluation.


Written Reports:

The rough draft of the evaluation is due no later than 7 days following the date
of the evaluation.
Quality work is expected on the rough draft. As such, the knowledge/skill
demonstrated on the rough draft will comprise a major portion of the DX grade ass
igned for each
session.
The final draft
(printed on letterhead)

should be mailed from the clinic no later than 14
days after the evaluation is completed. Clinicians should expect several revisions on these
reports and should adjust their schedules to ac
commodate multiple drafts within the 14 day
period. Any extensions for completing diagnostic reports will be made by the
Supervisor
.


Diagnostic Follow
-
Up Form
:

This form serves as a brief summary of the evaluation and
recommendations and allows the Clin
ic Director to schedule the client for treatment, if
recommended/desired. This form
must be completed and submitted to the
Clinic Director

within
14 days of the evaluation’s completion.





f⁰ a楳攠y潵⁢oca畳u f a洠晥a牦畬uy
a湤⁷潮摥r晵汬y慤e⸠.奯畲

睯w歳k
are wonderful, I know that full well.”

Psalm 139:14

21





Sequence of a Speech
-
Language Therapy Assignment


Prior to the session
:

1.


The HUSC staff will complete a Client Telephone Intake From
.

2.

The
Clinic Director

will make clinical assignment
(s), assign a room number for
each session
,

and place a Therapy Assignment Form in the clinician mailbox.

3.

The
clinician
s should read and familiarize themselves

with

the
ENTIRE
client file
.
TX

clients may be new to the HUSC
,

or returning from a previous semester of treatment
services.
Some
TX

clients will have already had a DX evaluation at t
he HUSC or another
facility. For new clients without a prior DX
, the intake information that is available will be
in the
TX

chart.

4.

C
linicians should begin to research the disorder, evidenced based therapy approaches,
specific procedures
,

and unfamiliar terms from the case history or DX reports.

5.

Clinicians should be able to discuss:

a.

Diagnostic information that is available (what does
it mean?)

b.

Treatment that has been conducted

i.

What type of therapy was it?

ii.

What approach was used?

iii.

What goals/objectives were implemented (met/not met?)

iv.

What recommendations were made?

v.

What procedures were beneficial?

vi.

What reinforcement techniques were usefu
l?

vii.

What activities/behavior modifications were preferred?

viii.

What generalization/homework has been established?

6.

Clinician
s

should
prepare therapy forms and a pro
posed general outline of therapy

7.

Meetings with
Supervisor
(s) to discuss therapy plan and procedur
es are conducted

8.

Lesson plans are formed and submitted to
Supervisor
(s)

9.

Materials are gathered


For the session
:

10.

Clinicians arrive and set up TX room

11.

Introduction of
Supervisor

and clinician to client/caregiver

12.

Client paperwork is completed

13.

Client is escor
ted to
TX

room

14.

Therapy sessions are initiated
according to lesson plan

15.

Clinicians evaluate client’s response to therapy
, general level of functioning,
strengths/weaknesses
,

and stimulability

16.

Data is collected

17.

Attendance is recorded


After the session
:

18.


TX

room is cleaned and materials returned according to protocol.

19.

S
.
O
.
A
.
P
.

note is written

20.

Copy of lesson plan
and

S.O.A.P.

note is placed in working file.

21.

Clock hour information entered into Calipso and submitted to
Supervisor
.

22


22.

Clinician receives, reads
and implements changes from Supervisor feedback.


During the semester
:

23.

Treatment P
lans are formed

based on past/
current data, client’s response to therapy and
Supervisor

feedback
. Treatment P
lans are filed in client’s permanent chart.

24.

Therapy proceeds

wit
h weekly lesson plans and session summaries being reviewed by
Clinical
Supervisor
. Therapy will be adjusted based on client’s response to therapy, degree
of progress, and feedback from
Supervisor
. All clock hours continue to be recorded in
Calipso and su
bmitted to
Supervisor
.

25.

Clinicians form Semester S
ummaries, completing individual portions on assigned due dates
.
Drafts are completed until approved by
Supervisor
.

26.

Clinicians complete s
elf
-
assessments
and video analysis from their sessions and submit to

Supervisor

for review/approval
.


27.

Supervisor
s complete mid
-
term evaluations

of student clinicians
. Self
-
assessment and video
analysis goals are reviewed.

28.

Clinicians complete
S
emester
S
ummaries/
D
ischarge
S
um
maries and submit to
Supervisor
s
.

Drafts are completed until
Supervisor approves final copy
.

29.


Supervisors complete final evaluations of clinical performance
. Self
-
assessment and video
analysis goals are reviewed.

30.

Supervisors approve clock hours
.

31.

Clinicians complete
Supervisor

evaluati
ons in Calipso
.

32.

S
emester
S
ummaries/
D
ischarge
S
um
maries
are
printed on letterhead and
filed

in client’s
chart
.

33.

Close out file

if client is being dismissed from the HUSC
.

34.

Submit necessary documentation to
Clinic Director

at clinic check
-
out
.


Therapy
Assignments:

Clinicians will receive a
T
he
rapy
A
ssignment
F
orm
that

will provide
information for regarding the date and time of therapy as well as

the assigned
Supervisor
.
Therapy assignments will be made to accommodate the clients, the schedule of the
HUSC
,

and
the student clinicians. Efforts will be made to accommodate work/personal choices of the
clinicians, but are not guaranteed.
Enrollment in a clinical practicum course assumes
priority
.


Client/Clinic Forms:

Gather and prepare
the
form
s needed

to initiate treatment. When
completed by client/caregiver, forms are filed in the client’s chart as directed.


Initial
Therapy
Supervisor
y Conference:

Contact the assigned
Supervisor

for a conference time.
Clinicians should be prepared to discuss the
general type of therapy and some appropriate
therapy approaches to be considered. Graduate students should come prepared with research
pertaining to some specific therapy techniques and have a proposal ready to present to the
Supervisor
.


Lesson Plans and

S.O.A.P notes
:

Using the provided template, Lesson P
lans
and S.O.A.P. notes
should be submitted on Moodle, unless specified by the
Clinical
Supervisor
. If Moodle is not
operational, the student clinicians should e
-
mail the documentation to the
Clinical
S
upervisor
s.
All clinical documentation is due on Friday afternoons at 3:00p.m.

Feedback from the
Supervisor
s may be

retur
ned via M
oodle or e
-
mail. When uploading documentation for
23


Supervisor
s, the following format should be used:
Supervisor
s initials
-
TX
/DX #
-
Clinicians first
initial and last name
-
LP/SN
-
Date (JT
-
TX
999
-
MMouse
-
LP
-
September 10, 2012)


Objectives and Procedures Conference:

This conference may be scheduled by the
Clinical
Supervisor

or the student clinician in order to discuss the client’s goa
ls and objectives as well as
the most effective approach/procedures to meet the desired objectives.


Sem
ester Treatment

Plan
: This document is completed at the beginning of the semester and
serves as a general outline for the course of therapy. The cli
ent’s goals and objectives should be
identified a
nd the evidenced
-
based approach
e
s

that will be used sho
uld be documented. S
pecific
therapy procedures and techniques
,

as well as the reinforcement schedules and behavior
management plans that will be implem
ented should be described.


Semester Summary:

This document will be completed in portions, but will culminate with the
final document being submitted at the end of the semester. This document will include a
summary of the client’s relevant history, essen
tial background pertaining to recent assessment
information, and the client’s goals/objectives will be documented. Additionally, a synopsis of
therapy, documentation of the client’s response to intervention, a record of family involvement
and generalizati
on as well as future recommendations should be included.


Discharge Summary
:

This document will

be completed in portions, but will culminate with the
final document being submitted at the end of the semester. This document will serve as a
discharge fr
om services through the HUSC and will include a summary of the client’s relevant
history, essential background pertaining to recent assessment information, and the client’s
goals/objectives. Additionally, a synopsis of therapy, documentation of the client
’s response to
intervention, a record of family involvement and generalization as well as future
recommendations should be included.


Client

Conference:

This conference may be scheduled at the discretion of the
Clinical
Supervisor

or the Student Clinic
ian
. If elected, this conference
is held with the client

s caregiver
present and
should be
conducted
at mid
-
term or
within the last two weeks of
therapy.
Conferences should be clinician led, with the
Supervisor

present, and should review the progress
the
client achieved during the semester and recommendations for future services. If needed, the
Supervisor

may elect to conduct additional conferences with the client/caregiver throughout the
semester.


Discharge Conference
: This conference may be scheduled

at the discretion of the
Clinical
Supervisor

when a client has completed therapy services through the HUSC. If elected, this
conference should be conducted within

the two weeks
of therapy.
These conferences
should be
clinician led, with the
Supervisor

present, and should review the client’s progress, current level
of functioning and recommendations following therapy services

with the caregiver
/teacher etc.



Final
Supervisor
y Conference:

This conference may be scheduled at the discretion of the
Clinic
al Supervisor

or the student clinician. This conference is designed to review performance
for the semester and to make a plan for the continued acquisition of clinical knowledge and
skills. If needed, documentation of clinical clock hours should be revie
wed, approved and
signed by
Clinical Supervisor
.


24


Clinic Check Out:

This process will occur during dead week and/or finals week of every
semester. The student clinicians will schedule a time to meet with the
Clinic Director

and the
Clinic Secretary

to s
ubmit all of the documentation completed for the semester. Clinicians
should have completed all reports and have achieved approval on all clock hours prior to
attending this meeting.



File Contents

and Organization


Diagnostic (DX) and therapy (
TX
)
files
co
ntain
confidential information pertaining to the client
and should be handled in accordance to the rules and regulations of HIPAA. T
he

HUSC files
contain the

following information
, but i
tems marked with an asterisk (*) may not be needed in all
fil
es.
Files are organized in reverse
-
chronological order with the most current infor
mation being
the most accessible

(filed on top)
.
Each of the files should be organized in the

following order
:



For DX Files:


Left

Side of
DX
File

(Top to bottom)



Diagnostic Evaluation Checklist



Intake Paperwork

o

Admission Contract for Clinical Services

o

Case History Form

o

Authorization to Request Healthcare Information Form
*

o

Authorization to Release Healthcare Information

Form
*

o

Accounting of Disclosures of Protected H
ealth Information Form*

o

Involvement and Means of Communication Form

o

Allergy Alert Form

o

Release for the Administration of Emergency Medication
*

o

Permission to Audio/Video Record Form

o

Child Custody Release Form

o

Emergency Contact Information Form


Right Side o
f DX File

(Top to bottom)



Diagnostic Evaluation Result Form


(
completed by student
--
inserted by Clinic Director or
Clinic Secretary)



Diagnostic Report

from HUSC DX evaluation



Test Protocols and observations from HUSC DX evaluation



Client Reports from other

agencies

(if provided)



Client
Telephone
Intake Information Form


For TX files:


Left Side of TX File
(Top to bottom)



File Content Form



Client Contact

Form



Intake Paperwork


o

Admission Contract for Clinical Services
OR

HA
Permission of Therapy
AND

HA
Notice

of
Therapy

o

Case History Form

25


o

Authorization to Request Healthcare Information Form*

o

Authorization to Release Healthcare Information Form*

o

Accounting of Disclosures of Protected Health Information*

o

Involvement and Means of Communication

o

Allergy
Alert Form

o

R
elease for the Administration of Emergency Medication*

(Not used at HA)

o

Permission to Audio/Video Record Form

o

Photography Release

(Not used at HA)

o

Child Custody Release Form

(not used

at HA)

o

Emergency Contact Information Form

(Not used

at HA)


Righ
t Side
of TX File (Top to Bottom
)



Semester Summaries (SS)
--
current sem. on top

If DX completed before SS, file
baselines/protocols behind the SS and summarize information in the SS.



Treatment plans (TP)
--
current semester on top

If DX completed before TP, file
bas
elines/protocols behind the TP and summarize information in the TP.



DX information from the HUSC*



DX information from other agencies*



Client Telephone Intake Form

(Not used at HA)





Clinician Evaluations


During each practicum experience, a HUSC student clinician will participate in self
-
assessments
to improve their awareness of their personal strengths and areas of difficulty. Additionally, each
clinician will receive
an evaluation from their Supervisor a
t
mid
-
term and
at the end of the
semester
. The e
valuations
conducted by the Supervisors will be focused on the

clinical
knowledge and

skill of each clinician
.
The Supervisors evaluations can be viewed on Calipso.



Based on the
assessment rubric completed

by the Clinical Supervisor
, each student clinician
receives a total score from each
Supervisor
. This score
reflec
t
s

all aspects of clinical
performance. The total scores from each
Supervisor

are weighted according to the amount of
time the student clini
cian spent on each clinical assignment. These total scores are compiled and
factored into the final grade in the clinical practicum course for which the student clinician was
enrolled.


Offsite Practicum



“But the fruit of the Spirit is love,
joy, peace,
patience
, kindness,
goodness, faithfulness, gentleness
and
self
-
control
….”


Galatians 5: 22
-
23

26


Undergraduate clinicians must earn an A or B in
CSD 385 and 386 to be eligible for a clinical
externship (CSD 421). Graduate clinicians must have earned an A or B in CSD 619 and 629
before enrolling in CSD 639.
The externship director will arrange all off
-
site placements
. Most
students will need to c
ommute up to an hour and a half and are expected to provide their own
transportation. Once assignments are made, it will not be possible to change placement
locations.


In order to ensure the quality of external facilities an ongoing evaluati
on of each s
ite will be
conducted
. The ongoing evaluation will be comprised of information provided by the facility
describing their typical caseload, service offerings, and physical environment. Also, the
Externship Director conducts on
-
site visits. In addition, stud
ents are required to complete an
evaluation of each externship supervisor and facility. Based on the information received from
these sources the department of CSD continually evaluates the appropriateness of each external
facility. Contracts are establishe
d or reestablished with approved facilities that have been
determined to meet the needs of the program.



If a student wishes to request a specific site
,

they must inform the Externship Director by e
-
mail
well before the assignments are made. The e
-
mail m
ust include the name of the desired site, the
contact person, a phone number
,

and an e
-
mail address.
In the event that more than one student
has requested the same site, the
Externship
Director will take into consideration several factors
including
:

who made the request first
,

the knowledge and

skills

of the clinician
s, t
he needs of the
practicum site, and
the individual needs of the clinicians (educational and personal).



When an externship site is established, the HUSC signs a contract with the
facility/supervisor
defining the roles of each party. As a part of that agreement, the student clinician will remain at
the site for the entire semester. Therefore, a

student’s practicum does NOT end when he/she has
accumulated the minimum number of clo
ck hours for the semester. All clock hours accumulated
during a given semester may count towards the student’s overall total number of hours.



A suggested time
-
frame for off
-
site clinical practicum is as follows:


Skill/Activity







Timeline for Ach
ievement*



Orientation






within 2 weeks



Therapy Observation





within 2 weeks



Chart/file Review






within 2 weeks



Provide therapy part
-
time





within 2
-
3 weeks



Accurate completion of billing




within 3 weeks

(as needed)



Selections of appropriate di
agnostic tools


within 3 weeks



Provide therapy full
-
time





within 3
-
4 weeks



Accurate diagnosis of clients/patients



within 4 weeks


* Each student and supervisor may adjust as needed based on the level of clinical
experi
ence and severity of casel
oad.



Infractions of Professionalism


27


If a student is found to have breached the policies established by the HUSC, an Incident Report
for Infractions of Professionalism Form will be completed.
A student clinician’s lack of
compliance with any of the policies di
scussed in the clinic manual may result in the lowering of
the letter grade for each violation
, a suspension (as outlined in the CSD student handbook) or
dismissal from the clinical courses. These violations include unexcused absences from therapy,
breach

of confidentiality, client maltreatment and/or inadequate performance.
The Clinical
Supervisor and/or Clinic Director will monitor c
onsistent patterns of inadequate performance
(tardy lesson plans, inappropriate dress, lack of prep
aration, late to therap
y, etc.)
If the
unacceptable performance/behaviors continue, measures may be taken to remove the

clinician
from therapy
,

which will result in an “F” for the course and the voiding of any clock hours
earned that semester.


HUSC Client Policies


The HUSC
is a training facility associated with Harding University. As such, the HUSC follows
the primary schedule of the University (two semesters per year, holidays, conferences etc.).
Each client of the HUSC will be provided with a schedule of dates that the H
USC will be
available for services each semester. To accommodate the needs of the clients and clinicians, the
following additional policies have been implemented:




Client Attendance:

A client that demonstrates two absences or routine tardiness (more than

three tardies or equal to one session) may be dropped from services at the HUSC. The
decision to terminate therapy will be made by the
Clinical Supervisor

and/or the
Clinic
Director
. If a client must miss therapy, the HUSC should be notified prior to sc
heduled
therapy time. If a client misses a session without contacting the clinic, the
clinic staff should
contact the client.



Client Punctuality:

Student clinicians are required to wait for one
-
third of the designated
session time before considering an
appointment cancelled. For evaluation appointments,
students are required to wait for 15 minutes before considering an appointment cancelled.
For clients that arrive late to therapy, the session cannot extend past the designated time due
to subsequent th
erapy sessions in the therapy rooms and the regulations pertaining to client
supervision.



Inclement Weather:

If the Searcy School District is closed due to inclement weather, the
HUSC will also be closed. If inclement weather occurs during the day, but d
oes not cancel
school, the HUSC reserves the right to cancel afternoon therapy sessions. In the case of a
clinic closure, the HUSC will attempt to contact all clients via phone and/or e
-
mail.


Each of these policies should be presented to the client or c
lient’s parent
/guardian

upon the first
session of therapy. They should be included in the contract of therapy or letter from the
Clinic
Director

and accompanied with a clinic calendar providing information regarding rel
evant
dates for the semester.



Ba
sic Fees


At the current time, the HUSC does not charge for clinical services. The clinic’s goal is to serve
the children and adults who may not qualify for other available services or who have a
28


connection with Harding University. A yearly grant from the Arkansas

Scottish Rite Masons
covers clinic expenses at this time. An equipment fee to cover the use of disposable medical
equipment will be charged, as needed, to clients participating in services for dysphagia.