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SOUTHEASTERN LOUISIANA UNIVERSITY
CLINICAL SKILLS COMPETENCY CHECKLIST
Student:
________________________________
W #: ___________________________________
Indicate
number codes in the appropriate column: 1 = Articulation 2 =
Fluency 3 =Voice 4 = Language 5 = Hearing 6 = Swallowing 7 =
Cognitive Aspects
8 = Social Aspects 9
=Communication Modalities
Skills
Section
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Semester/Year
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1.
Assessment: |
500 |
510 |
617 |
611 |
603 |
630 |
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a. Conduct screening and prevention
procedures (including prevention activities).
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b.
Collect case history information and integrate information
from clients/patients, family, caregivers, teachers, relevant
others, and other professionals.
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c. Select
and administer appropriate evaluation procedures, such as
behavioral observations, non-standardized and standardized
tests, and instrumental procedures.
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d. Adapt
evaluation procedures to meet all client/patient needs.
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e.
Interpret, integrate, and synthesize all information to
develop diagnosis and make appropriate recommendations for
intervention.
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f. Complete administrative and
reporting functions necessary to support evaluation.
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g. Refer client/patient for
appropriate services.
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2.
Prevention/Intervention: |
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a.
Develop setting-appropriate intervention plans with measurable
and achievable goals that meet client/patient needs.
Collaborate with clients/patients and relevant others in the
planning process. |
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b. Implement intervention plans
(involve clients/patients in the intervention process).
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c. Select
or develop and use appropriate materials and instrumentation
for prevention and intervention.
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d. Measure and evaluate
client’s/patient’s performance and progress.
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e. Modify intervention plans,
strategies, materials or instrumentation as appropriate to
meet the needs of the clients/patients.
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f. Complete administrative and
reporting functions necessary to support intervention.
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g. Identify and refer clients/patients
for services as appropriate.
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3.
Interaction and Personal Qualities: |
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a.
Communicate effectively, recognizing the needs, values,
preferred mode of communication, and cultural/linguistic
background of the client/patient, family, caregivers and
relevant others. |
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b. Collaborate with other
professionals in case management.
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c. Provide counseling regarding
communication and swallowing disorders to clients/patients,
family, caregivers, and relevant others.
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d. Adhere to the ASHA Code of Ethics
and behave professionally.
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Course
letter grade (see Adapted CBS form for details)
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Guidelines for supervisors: If a student
did not have an experience with a competency, indicate “NA” in the
column. If a student had experience with a competency, but is not
yet competent, indicate “PE” (Proficiency Expectations) in the
column.
500:
Setting_______________________ Student
Signature________________________ Supervisor
Signature_______________________________ Date__________
510:
Setting_____________________ Student
Signature___________________________ Supervisor
Signature_______________________________ Date__________
510:
Setting________________________ Student
Signature___________________________ Supervisor
Signature_______________________________ Date__________
617:
Setting_________________________ Student
Signature___________________________ Supervisor
Signature_______________________________ Date__________
611:
Setting________________________ Student
Signature___________________________ Supervisor
Signature_______________________________ Date__________
603:
Setting________________________ Student
Signature___________________________ Supervisor
Signature_______________________________ Date__________
630:
Setting_________________________ Student
Signature___________________________ Supervisor
Signature_______________________________ Date__________
___:
Setting________________________ Student
Signature___________________________ Supervisor
Signature_______________________________ Date__________
M: KASA/southeastern
clinical skills checklist 6/12/06
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