Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2150 - State Board of Registration for the Healing Arts › Chapter 4 - Licensing of Speech-Language Pathologists and Audiologists › Section 20 CSR 2150-4.201 - Supervision Requirements

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule details the supervision
				  requirements for speech-language pathology assistants.
(1) All applications for registration to
				practice as a speech-language pathology assistant must include a statement from
				a speech-language pathologist holding current, unrestricted licensure to
				practice in the state of Missouri pursuant to section
				345.015(10),
				RSMo, acknowledging acceptance of the legal and ethical responsibilities for
				supervising the assistant. A speech-language pathologist practicing with a
				provisional license pursuant to section
				345.022, RSMo, shall
				not be the supervisor for a speech-language pathology assistant.
(2) The supervising speech-language
				pathologist is responsible for the clinical activities of the
				assistant.
(3) The supervising
				speech-language pathologist has the responsibility of ensuring and protecting
				the interests of all patients and/or clients and/or students at all times
				during which the assistant is practicing and/or interacting with patients
				and/or clients and/or students; this responsibility includes the supervisor's
				and the assistant's compliance with the ethical standards of practice as
				specified in rule
				20 CSR
				2150-4.080.
(4) The supervising speech-language
				pathologist shall provide the assistant with information in writing specifying
				the assistant's role and function as well as specifying the role and function
				of the supervising speech-language pathologist. Such information shall be
				maintained by the supervisor and assistant for a period of eight (8)
				years.
(5) The supervising
				speech-language pathologist shall provide written direction for continuing
				education activities to ensure that the speech-language pathology assistant's
				practices are current and skills are maintained. Such information shall be
				maintained by the supervisor and assistant for a period of eight (8)
				years.
(6) The supervising
				speech-language pathologist shall directly supervise the assistant's initial
				contact with each patient/client/student. Thereafter, direct supervision shall
				be provided for each assistant supervised a minimum of one (1) hour per week or
				one (1) out of every three (3) sessions for each patient/client/student. Direct
				supervision is defined as realtime observing and viewing the assistant and
				patient/client/student when the treatment is being provided. If an alternative
				arrangement is necessary, the supervising speech-language pathologist must
				submit a proposed plan of supervision for the review of the advisory commission
				and board to determine if the supervision plan is acceptable. Supervision shall
				be distributed across the patient/client/student caseload as appropriate to
				ensure adequate oversight.
(7) The
				supervising speech-language pathologist must be available for the purpose of
				providing guidance and support to the assistant at all times, which can include
				but is not limited to, telephone, facsimile, or other electronic communication;
				face-to-face communication; or other appropriate communication means. If the
				supervising speech-language pathologist is temporarily unavailable, a qualified
				speech-language pathologist alternate may be designated to meet this
				requirement. Written communication shall be provided by the supervising
				speech-language pathologist to the assistant that identifies the alternate and
				the period of temporary supervision.
(8) The supervising speech-language
				pathologist shall review and sign all patient/client/student documented
				progress notes written by the speech-language pathology assistant.
(9) The supervising speech-language
				pathologist shall assign and the assistant shall accept only those duties and
				responsibilities for which the assistant has been specifically trained and is
				qualified to perform, pursuant to the judgement of the supervising
				speech-language pathologist, and in compliance with the provisions of Chapter
				345, RSMo.
(10) The speech-language
				pathology assistant shall maintain supervisory logs and the speech-language
				pathologist shall sign verifying the hours of supervision per month, such logs
				shall be made available to the board within thirty (30) days upon receipt of a
				request for such logs from the board.
(11) The maximum number of speech-language
				pathology assistants supervised by one (1) speech-language pathologist shall
				not exceed three (3) at one (1) time.
*Original authority: 345.015, RSMo 1973, amended 1986,
					 1995, 1998, 2004, 2005, 2007; 345.022, RSMo 1995, amended 1998, 2005; and
					 345.030, RSMo 1973, amended 1981, 1995, 1998,
					 2007.