(a) Limitation on Number of Supervisees. A licensee shall not supervise more than three (3) audiometric technicians or speech-language pathology aides combined, at one time. The licensee may apply for an exception to this requirement by submitting a written request to the Board demonstrating just cause for the exception.
(b) Renewal of Aides and Audiometric Technicians. In order to renew the aide's or audiometric technician's registration, the supervising licensee shall submit an annual competency evaluation for any speech-language pathology aides or audiometric technicians practicing under the licensee's supervision.
(c) Delegable Duties. An aide may assume the following duties under direct supervision of the licensee: - (i) Carry out prescriptive programming for individuals and groups;
- (ii) Provide direct treatment assistance to a caseload of identified clients as prescribed by the licensee;
- (iii) Assist with informal documentation such as tallying notes, preparing materials, and assisting with other clerical duties;
- (iv) Chart and graph clients' progress, record progress, and sign documents only that have been reviewed and co-signed by the licensee;
- (v) Keep daily log of specific problems;
- (vi) Perform simple checks and maintenance of equipment;
- (vii) Participate with the licensee in research projects, in-service training and public relations programs; and
- (viii) Speech-language pathology aides may conduct speech-language screenings (without interpretation) following specified screening protocols developed by the licensee.
(d) Audiometric Technicians may: - (i) Conduct fixed intensity air conduction hearing screening, without interpretation following specified screening protocols developed by the licensee;
- (ii) Perform automatic type tympanometry screening procedures following the specified screening protocols developed by the licensee. The audiometric technician may not interpret tympanometry results;
- (iii) Carry out prescriptive aural habilitation and rehabilitation programming;
- (iv) Perform checks on hearing aids and other assistive listening devices. Conduct routine trouble-shooting activities designed to assist the licensee in the determination and resolution of malfunctions with hearing aids and assistive listening devices;
- (vi) Instruct clients in the use of assistive listening devices; and
- (vii) Assist the licensee in taking earmold impressions.
(e) Non-delegable Duties. The aide or audiometric technician shall not perform any of the following actions: - (i) Any activity that violates AAA, ABA, or ASHA's Codes of Ethics as referenced in Chapter 1;
- (ii) Participate in parent conferences, case conferences, or any interdisciplinary team without the presence of the licensee;
- (iii) Client or family counseling;
- (iv) Write, develop or modify a client's treatment plan in any way without the recommendation, guidance and approval of the licensee;
- (v) Select clients for or discharge clients from services;
- (vi) Make referrals for additional services; or
- (vii) Disclose clinical or confidential information either orally or in writing to anyone not designated by the licensee;
(f) Speech-language pathology aides shall not: - (i) Administer tests, interpret test results or perform diagnostic speech-language evaluations. An aide may serve as a translator when working with clients with limited English proficiency and may assist the licensee during test administration; or
- (ii) Conduct hearing screenings unless specially trained.
(g) Audiometric Technicians shall not: - (i) Administer tests, interpret test results or perform diagnostic auditory or vestibular evaluations. An audiometric technician may serve as a translator when working with clients with limited English proficiency and may assist the licensee during test administration;
- (ii) Conduct speech-language screenings unless specially trained;
- (iii) Discuss confidential information or test results, with the exception of indicating the data simply reveals normal or less than normal hearing sensitivity; or
- (iv) Select, recommend, or dispense a hearing aid or other assistive listening device.
058-11 Wyo. Code R. § 11-5
Amended, Eff. 11/22/2017.