Self Assessment
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Do you have any experience with this skill?
Are you competent performing the following?
Competency for the Speech-Language Pathologist
Proficiency Required
Evaluation Method
Competency Validation Indicated by Preceptors Initials and Date
Yes
No
Yes
No
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A. Demonstrates ability to process paperwork and associated functions necessary to facilitate :
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1. Knowledge of Assessment Process :

a. Health history and physical exam

b. Development of problem list

c. Development and revision of care plan

d. Assesses response to treatment

e. Establishes and revises goals

f. DC planning

g. Conducts complete initial evaluation

h. Other :

2. Documentation Skills: (accurate, timely, complete and legible)

a. 485, 486, 487

b. Progress notes, flow charts

c. Summary reports

d. Incident reporting

e. Other :

3. Adheres to Plan of Care (POC) :

a. Reviews POC prior to care

b. Performs services as ordered

c. Documents according to POC

d. Communicates/coordinates as appropriate

e. Other

4. Knowledge of Medicare/State Guidelines :

a. Criteria for participation

b. Skilled reimbursable visit

c. Other

5. Reports and documents key information to Physician, Discharge Planner, Other Clinicians, Supervisors (Administrator and Occupational Therapist5. Reports and documents key information to Physician, DC Planner, Clinician, Pharmacist, Supervisor

6. Participates as team member

7. Submits written summary reports as indicated

8. Attends/participates in case conference as required

9. Supervision of Ancillary Personnel :

a. HHA

10. Supply/HME requisition and management

11. Infection Control Practices :

a. Hand washing

b. Personal protective equipment

c. Exposure control plan

d. Equipment care, as appropriate

e. Other

12. Patient home safety

13. Other :

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B. Patient Education
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1. Determines learning needs

2. Sets objectives

3. Develops/implements teaching plan

4. Evaluates effectiveness of teaching

5. Revises teaching plan

6. Documents patient response

7. Other :

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C. Clinical Skills—General
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1. Vital Signs/I & O

2. Other

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D. Assessment and Evaluation
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1. Verbal expression

2. Auditory comprehension

3. Non-verbal expression

4. Graphic expression

5. Reading comprehension

6. Speech intelligibility

7. Visual comprehension

8. Voice

9. Prosody

10. Latency of response

11. Cognitive function

12. Arithmetic skills

13. Oral/motor/vegetative functions

14. Functional skills

a. Loss of food/drooling

b. Bolus control

c. Transit time

d. Swallowing reflex

d. Swallowing reflex

f. Vocal quality – post intake

g. Pocketing/stasis

15. Other tests

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E. Skilled Treatments/Interventions
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1. Speech articulation disorder :

a. Dysarthria (oral-motor exercises, auditory/visual sounds, words, cues, self-monitoring)

b. Apraxia (auditory, tactile, visual cues with/without mirror, speech, melody, rhythm practice

2. Language Disorder: Aphasia (multi-sensory stimulation, auditory comprehension strengthening, picture/word board/gestures)

3. Dysphagia (oral sensitivity training, positioning, swallowing, diet, exercises, safety program, compensation techniques)

4. Rhythm (voicing control, breath steam)

5. Voice Disorder (Compensatory techniques, vocal hygiene, prosthesis-artificial larynx, palatal lift)

6. Hearing deficit (evaluate and referral)

7. Teach non-oral communication skills (sign, board, electric or mechanical, gestural)

8. Other interventions/teaching

9. Other