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 2150-4.110 - Supervision Requirements

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule details the supervision
				  requirements for speech-language pathology and audiology aides.
(1) All applications for registration to
				practice as a speech-language pathology aide 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 willingness to provide on-the-job training and acceptance
				of the legal and ethical responsibilities for supervising the aide.
(2) All applications for registration to
				practice as an audiology aide must include a statement from an audiologist
				holding current unrestricted licensure to practice in the state of Missouri
				pursuant to section
				345.015(1), RSMo
				acknowledging willingness to provide on-the-job training and acceptance of the
				legal and ethical responsibilities for supervising the aide.
(3) The supervising speech-language
				pathologist and/or audiologist is responsible for all of the aide's activities.
(A) It is the responsibility of the
				supervising speech-language pathologist or supervising audiologist (respective
				of aide's registration) to protect the interests of all patients and/or clients
				at all times during which the aide is practicing and/or interacting with
				patients and/or clients; this responsibility includes the supervisor's and the
				aide's compliance with the ethical standards of practice as specified in rule
				20 CSR
				2150-4.080.
(B) The supervising speech-language
				pathologist or supervising audiologist (respective of aide's registration)
				retains, at all times, the primary role in determining the competency level of
				the aide.
(C) When the
				speech-language pathology aide or audiology aide is involved in diagnostic
				and/or intervention activities, the aide must be directly supervised. Direct
				supervision is defined as on-site, in view of the aide and
				patient/client.
(D) It is the
				responsibility of the supervising speech-language pathologist or supervising
				audiologist (respective of aide's registration) to determine the amount of
				indirect supervision to be provided to the aide based on the following factors:
1. The skill and experience of the
				aide;
2. The skill and expertise
				required for the task assigned;
3.
				The individual needs of the patient and/or client receiving services;
4. The setting in which the delivery of
				services is/will be performed.
(E) The supervising speech-language
				pathologist or supervising audiologist (respective of aide's registration)
				shall ensure that the scope and intensity of training for the aide encompasses
				all activities assigned to the aide.
(F) The supervising speech-language
				pathologist or supervising audiologist (respective of aide's registration)
				shall provide continual opportunities to ensure that the aides' practices are
				current and his/her skills are maintained.
(G) The supervising speech-language
				pathologist or supervising audiologist (respective of the aide's registration)
				shall provide the aide with information specifying the aide's role(s) and
				function(s).
(H) The number of
				aide's supervised by a speech-language pathologist and/or audiologist shall be
				consistent with the delivery of appropriate quality services.