| (a) A licensed assistant in audiology (assistant) must
be supervised by a licensed audiologist who has been approved by the
department to serve as the assistant's supervisor (supervisor).
(b) A supervisor must agree to assume responsibility
for all services provided by the assistant. The supervisor must comply
with the requirements set out in the Act and §111.154.
(c) Supervisory Responsibility Statement Form. A Supervisory
Responsibility Statement Form shall be submitted in a manner prescribed
by the department by both the applicant and the proposed supervisor.
The proposed supervisor must meet the requirements set out in the
Act and §111.154.
(1) Approval from the department shall be required
prior to practice by the licensed assistant in audiology. The Supervisory
Responsibility Statement for an Assistant in Audiology Form shall
be submitted upon:
(A) application for a license;
(B) any changes in supervision; and
(C) addition of other supervisors.
(2) If more than one audiologist agrees to supervise
the assistant, each proposed supervisor must submit a separate Supervisory
Responsibility Statement Form in a manner prescribed by the department.
(3) The assistant may not practice without an approved
Supervisor Responsibility Statement Form. The supervisor may not allow
an assistant to practice before a Supervisor Responsibility Statement
Form is approved
(4) The assistant shall only provide services for the
caseload of the assistant's supervisors who have current Supervisor
Responsibility Statement Forms on file with the department.
(5) If the supervisor ceases supervision of the assistant,
the supervisor shall notify the department, in a manner prescribed
by the department, and shall inform the assistant to stop practicing
immediately. The supervisor is responsible for the practice of the
assistant until notification has been received by the department.
(6) If the assistant's supervisor ceases supervision,
the assistant shall stop practicing immediately. The assistant may
not practice until a new Supervisor Responsibility Statement Form
has been submitted to and approved by the department.
(d) A supervisor shall assign duties and provide appropriate
supervision to the assistant.
(e) Client Contacts.
(1) All diagnostic contacts shall be conducted by the
supervisor.
(2) Following the initial diagnostic contact, the supervisor
shall determine whether the assistant has the competence to perform
specific non-diagnostic and non-prohibited duties before delegating
tasks as referenced in §111.92(c).
(f) Amount and Type of Supervision. Each supervisor
must provide a minimum of ten (10) hours per week, or forty (40) hours
per calendar month, of supervision to the assistant. This subsection
applies whether the assistant is employed full-time or part-time.
(1) At least one (1) hour per week, or four (4) hours
per calendar month, must be direct supervision.
(2) The remaining hours may be performed using indirect
supervision.
(3) If fewer than four (4) weeks are worked in a calendar
month, then the number of hours of supervision provided will be based
on the number of weeks worked. Ten (10) hours of supervision must
be provided for each week worked, including one (1) hour of direct
supervision.
(4) Tele-supervision may be used for direct and indirect
supervision.
(5) When determining the amount and type of supervision,
the supervisor must consider the skill and experience of the assistant
as well as the services to be provided. The supervision hours established
in this paragraph may be exceeded as determined by the supervisor.
(g) Delegating Clinical Tasks.
(1) Although the supervisor may delegate specific clinical
tasks to an assistant, the responsibility to the client for all services
provided cannot be delegated.
(2) The supervisor shall ensure that all services are
documented and provided in compliance with the Act and this chapter.
(3) The supervisor shall:
(A) in writing, determine the skills and assigned tasks
the assistant is able to carry out under §111.92. This document
must be agreed upon by the assistant and the supervisor;
(B) notify the client or client's legal guardian(s)
that services will be provided by a licensed assistant; and
(C) maintain responsibility for the services provided
by the assistant.
(h) Records. The supervisor shall maintain the following
records.
(1) Supervisory records shall be maintained by the
supervisor for a period of three years which verify regularly scheduled
monitoring, assessment, and evaluation of the assistant's and client's
performance. Such documentation may be requested by the department.
(2) The supervisor shall keep job descriptions and
performance records. Records shall be current and be made available
upon request to the department.
(i) Supervision Audits. The department may audit a
random sampling of assistants for compliance with this section and §111.154.
(1) The department shall notify an assistant and the
supervisor in a manner prescribed by the department that the assistant
has been selected for an audit.
(2) Upon receipt of an audit notification, the assistant
and the supervisor, who agreed to accept responsibility for the services
provided by the assistant, shall provide the requested proof of compliance
to the department in a manner prescribed by the department.
(3) The assistant and the supervisor shall comply with
the department's request for documentation and information concerning
compliance with the audit.
(j) Notwithstanding the supervision provisions in this
section, the department may establish procedures, processes, and mechanisms
for the monitoring and reporting of the supervision requirements.
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