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CLINIC POLICIES AND
PROCEDURES
For Beginning Graduate Students
CLINICAL SERVICES
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Complete diagnostic and
therapeutic services are
provided for children and adults
with speech, hearing, and
language problems.
Hearing services include
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Hearing screenings
Hearing testing and counseling
Hearing aid evaluation and counseling
Hearing aid sales, orientation, and repair
Speechreading and auditory training
Speech and hearing conservation
Individual and family counseling
Speech-language services
include
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Speech and language testing for
Sound production problems
Voice disorders
Fluency disorders
Language delays and disorders
Swallowing and other oropharyngeal disorders
Speech and language therapy
Settings for our services
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ASU Communication Disorders
Clinic
Watauga Medical Center
Two Rivers School
Foothills Correctional Institute
Other settings we use
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Watauga County Schools
Alexander County Schools
Burke County Schools
Caldwell County Schools
North Carolina School for the
Deaf
Other settings we use
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Blue Ridge Speech Pathology –
children
Guardian Healthcare – adults
J. Iverson Riddle Developmental
Center – adults
Wilkes Senior Village – geriatric
Aegis – geriatric adults
HIPAA
FEDERAL LAW
ASHA Code of Ethics
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Individuals shall honor their
responsibility to hold paramount
the welfare of persons they
serve professionally.
Individuals shall not reveal,
without authorization, any
professional or personal
information about the person
served professionally, unless
required by law to do so, or unless
doing so is necessary to protect
the welfare of the person or of the
community.
The client charts are protected
by:
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ASHA Code of Ethics
State Laws
Federal Laws (HIPAA)
Client charts contain
protected health
information.
Which is any health information
that identifies a client.
Each client in the Clinic
has a chart.
Student clinicians are responsible
for helping to maintain these
charts.
Each chart is arranged
in chronological order
And all charts must contain
specific information.
Clear and Comprehensive Documentation
is needed in each chart
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To justify need for treatment
To document the effectiveness
of treatment
To have a legal record of events
Client records
are
confidential.
They are not to be divulged
to anyone other than
members of the Clinic staff
involved with the case
unless a signed written
release is in the chart.
Client records are not to be
taken out of the Clinic areas.
They must be protected at all
times.
Areas interpreted to be in the
“Clinic:”
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Designated treatment rooms
assigned to the clinic
Student Prep Room
Professional staff offices
Student Lounge
A chart must never be
left unattended.
If a student must leave the clinic
area, return the chart!
Do not scratch out information
if you make a mistake in the
client record.
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Draw a single line through the
error.
Write “Error.”
Initial the mistake.
The penalties for a breach of
confidentiality are severe
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Student could receive a
reprimand.
Student could receive a lower
grade for class.
Student could be removed from
the clinic setting totally (resulting
in a failing grade).
QUESTIONS?
INFECTION
CONTROL
Outpatient and inpatient health care
facilities provide a unique setting that
is conducive to the transmission of
infectious agents.
What can be done to prevent
the transfer of infectious
pathogens in the health care
workplace?
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Constant cleaning of equipment,
furniture and common use items and
surfaces
Consistent use of barrier precautions
and protective equipment
Frequent handwashing
What are Bloodborne
pathogens?
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Pathogenic microorganisms
Present in human blood
Can cause disease in humans
Include, but not limited to:
 Hepatitis
B (HBV)
 Hepatitis C (HCV)
 Human Immunodeficiency Virus
(HIV)
Universal precautions vs
Standard precautions
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Universal precautions – treating
all patients the same, all blood
and other potentially infectious
material as if infectious.
Standard precautions – treating
all body fluids as if infectious
(ASU’s recommended practice)
Bloodborne pathogen
transmissions are
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Highly preventable through
 Common
sense
 Universal or standard precautions
 Not sharing personal items
 Barrier methods for sex
 Eliminating needle sharing
Treat all human body fluids as
potentially infectious
Preventative measures
Handwashing
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Most effective method to
prevent transmission of illnesses
Wash hand thoroughly even if
wearing gloves
Pay special attention between
fingers and around nails
Wash for 30 seconds
Let water run down toward
finger tips
Handwashing
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Use paper towel to turn off water
and open door
Don’t touch sides of sink
If wearing re-usable gloves,
wash and disinfect before
removing from hands
If water not available, use
waterless antiseptic hand
cleaner, until you can wash
General Principles
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It is prudent to minimize all
occupational exposure to human
body fluids.
Risk of exposure should never
be underestimated.
Facilities should institute as
many controls as possible to
eliminate or to minimize
exposure to bloodborne
pathogens.
Personal protective equipment
(PPE)
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Must be provided to you at no
cost, including training
Impermeable gloves are used
anytime you might contact body
fluids, avoid vinyl gloves (allows
tiny holes)
Goggles should be worn if in
danger of splashing of body
fluids or when mixing and using
disinfectant solutions
Gloves
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Latex
Nitrile
Chloroprene
Avoid vinyl
Other personal protection
equipment includes
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Surgical masks
Face splash shield/goggles/eye
protection
Lab coat/gown
Rubber or nitrile apron
Disposable booties or rubber
boots
Recognizing tasks that may
be hazardous
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Oral-facial examinations
Changing diapers in the PLCC
Cleaning “mouthed” toys
Use of Nasometer,
Videostroboscopy, or
Laryngograph
Handling hearing aids
There is a written schedule for
cleaning all equipment and working
surfaces.
If eyes, nose, or mouth
are splashed
Irrigate with large amounts of
water for 15 minutes
If an exposure occurs to the
hands or skin
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Wash area for at least 30
seconds
Rinse with running water for at
least 10 seconds
QUESTIONS?
PROFESSIONAL
DRESS
Students are expected to dress for
a professional environment.
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Clothing should not be
potentially embarrassing.
Shoes or sandals must be worn.
Casual shorts, blue jeans, halter
tops, and T-shirts are not
permitted.
Clinical educator has the final
word concerning dress.
All students must wear
name tags.
Including participant observers.
Check with the clinical
educator in charge of the case
if you are not sure of the
appropriate dress.
EXPECTATIONS
FOR PRACTICUM
The first practicum experience
should be a relatively easy one
with ASU clinical personnel.
You should complete:
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Speech and language therapy
hours
Some speech and language
diagnostic hours
Aural rehab/hearing screening
hours
Subsequent semesters
should progressively
become more demanding
And students should demonstrate
more independence.
BY the time you reach the
third semester of clinic
You should be responsible for
establishing your own independence.
.
Inclement weather
policy
Check with your clinical educator
at the beginning of the semester
for the options that you should
consider.
Students are responsible
for placing important
information in their files.
Files are located in the clinic Office.
Student files (in the Clinic)
should contain:
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Clock Hours – Keep an Extra
Copy!
TB Test within one year
Confirmation of HIPAA, infection
control, & CPR training
Student evaluation (grade)
information
Insurance confirmation
Student files (in the Clinic)
should contain:
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Confidentiality statement
Criminal background check
Speech prerequisite results
(sign up today)
The Clinic Office also
maintains contact information
on every graduate student in
the Communication Disorders
Program.
QUESTIONS?
Purchases you need to make
before the beginning of clinic
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Name badge
Lanyard
CPR training
Insurance
Criminal background check
 $95.00
For any questions
concerning policies and
procedures
Check www.cdclinic.appstate.edu