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LIST OF EXHIBITS LASS

EXHIBIT LASS 1.19

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 

Semester/Year

 

 

 

 

 

 

 

 

1. Assessment:

500

510

617

611

603

630

 

a.  Conduct screening and prevention procedures (including prevention activities).

 

 

              

 

 

 

 

 

 

b. Collect case history information and integrate information from clients/patients, family, caregivers, teachers, relevant others, and other professionals.

 

 

 

 

 

 

 

 

c. Select and administer appropriate evaluation procedures, such as behavioral observations, non-standardized and standardized tests, and instrumental procedures.

 

 

 

 

 

 

 

 

d. Adapt evaluation procedures to meet all client/patient needs.

 

 

 

 

 

 

 

 

 

e. Interpret, integrate, and synthesize all information to develop diagnosis and make appropriate recommendations for intervention.

 

 

 

 

 

 

 

 

f.  Complete administrative and reporting functions necessary to support evaluation.

 

 

 

 

 

 

 

 

 

g.  Refer client/patient for appropriate services.

 

 

 

 

 

 

 

 

 

2. Prevention/Intervention:

 

 

 

 

 

 

 

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.

 

 

 

 

 

 

 

b.  Implement intervention plans (involve clients/patients in the intervention process).

 

 

 

 

 

 

 

 

 

c. Select or develop and use appropriate materials and instrumentation for prevention and intervention.

 

 

 

 

 

 

 

 

d.  Measure and evaluate client’s/patient’s performance and progress.

 

 

 

 

 

 

 

 

 

e.  Modify intervention plans, strategies, materials or instrumentation as appropriate to meet the needs of the clients/patients.

 

 

 

 

 

 

 

 

f.  Complete administrative and reporting functions necessary to support intervention.

 

 

 

 

 

 

 

 

 

g.  Identify and refer clients/patients for services as appropriate.

 

 

 

 

 

 

 

 

 

3.  Interaction and Personal Qualities:

 

 

 

 

 

 

 

a.  Communicate effectively, recognizing the needs, values, preferred mode of communication, and cultural/linguistic background of the client/patient, family, caregivers and relevant others.

 

 

 

 

 

 

 

b.  Collaborate with other professionals in case management.

 

 

 

 

 

 

 

 

 

c.  Provide counseling regarding communication and swallowing disorders to clients/patients, family, caregivers, and relevant others.

 

 

 

 

 

 

 

 

d.  Adhere to the ASHA Code of Ethics and behave professionally.

 

 

 

 

 

 

 

 

 

Course letter grade (see Adapted CBS form for details)

 

 

 

 

 

 

 

 

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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