HAS 6.14(2)(a)(a) “Assist in the practice of audiology” means providing audiology services that include any of the following: HAS 6.14(2)(a)1.1. Conducting hearing screenings including pure tone thresholds. HAS 6.14(2)(a)2.2. Servicing hearing instruments including applying lubrication, making tube changes on ear molds, cleaning and repairing cases or ear mold surfaces, checking battery status and returning hearing instruments to clients after servicing. HAS 6.14(2)(a)3.3. Preparing informal documentation of clients’ responses to treatment or service. HAS 6.14(2)(a)4.4. Performing biological checks, calibrations and regular maintenance of equipment. HAS 6.14(2)(a)5.5. Preparing charts and records, scheduling activities and performing assigned clerical duties. HAS 6.14(2)(b)(b) “Assist in the practice of audiology” does not mean any of the following: HAS 6.14(2)(b)5.5. Signing formal client documents including evaluations and progress notes. HAS 6.14(2)(b)6.6. Disclosing confidential client information unless authorized by the supervising audiologist. HAS 6.14(3)(3) “Direct supervision of unlicensed individuals” means: HAS 6.14(3)(a)(a) For purposes of monitoring unlicensed individuals who assist in the practice of speech-language pathology, providing direct observation and supervision of the clinical services provided by the individual to clients at least 50% of client contact time during the first 90 days of employment and no less than 10% thereafter. Direct supervision shall be scheduled and documented. Documentation of direct supervision shall include all of the following: HAS 6.14(3)(a)2.2. Ensuring that the tasks performed by the individual do not require the exercise of professional judgment or entail interpretation of results or the development or modification of treatment plans. HAS 6.14(3)(a)3.3. Providing appropriate training that is competency-based and specific to job performance. HAS 6.14(3)(a)4.4. Maintaining a record of direct supervision provided by the speech-language pathologist over the unlicensed individual who assists in the practice of speech-language pathology. HAS 6.14(3)(b)(b) For purposes of monitoring unlicensed individuals who assist in the practice of audiology, providing comprehensive, periodic and documented supervision that includes: HAS 6.14(3)(b)2.2. Ensuring that the tasks performed by the individual do not require the exercise of professional judgment or entail interpretation of results or the development or modification of treatment plans. HAS 6.14(3)(b)3.3. Providing appropriate training that is competency-based and specific to job performance. HAS 6.14(4)(4) “Full-time equivalent individual” means an unlicensed individual who, alone or in conjunction with other unlicensed individuals, assists in the practice of speech-language pathology or audiology for a combined total of 40 hours per week. HAS 6.14 HistoryHistory: CR 01-043: cr. Register October 2001 No. 550, eff. 11-1-01; CR 03-025: am. (1) (a) 1. and 2., (b) 5. and 7., (2) (a) 2., (3) (a) (intro.), and 4., renum. (1) (a) 2. a. to d. and 3. (intro.) to be (1) (a) 3., 4., 5., 6. and 7., renum. and am. (1) (a) 4. to be (1) (a) 8., cr. (1) (b) 13., 14. and 15. Register January 2004 No. 577, eff. 2-1-04. HAS 6.15(1)(1) An unlicensed individual may assist in the practice of speech-language pathology or audiology only under the direct supervision of a speech-language pathologist or audiologist, as appropriate. HAS 6.15(2)(2) For purposes of supervising unlicensed individuals who assist in the practice of speech-language pathology or audiology: HAS 6.15(2)(a)(a) A speech-language pathologist may supervise up to 2 full-time equivalent individuals at any given time. HAS 6.15(2)(b)(b) Except as provided in par. (c), an audiologist may supervise up to 5 full-time equivalent individuals at any given time. HAS 6.15(2)(c)(c) In industrial settings, an audiologist may supervise up to 10 full-time equivalent individuals at any given time. HAS 6.15 HistoryHistory: CR 01-043: cr. Register October 2001 No. 550, eff. 11-1-01. HAS 6.16HAS 6.16 Prohibited practice and use of titles. No person may engage in the practice of speech-language pathology or use the title “speech-language pathologist” or any similar title or engage in the practice of audiology or use the title “audiologist”, “clinical audiologist” or any similar title, unless the person holds a current speech-language pathologist or audiologist license, as appropriate, granted by the board. HAS 6.16 HistoryHistory: CR 01-043: cr. Register October 2001 No. 550, eff. 11-1-01. HAS 6.17HAS 6.17 Discipline. A speech-language pathologist or audiologist who supervises an unlicensed individual may be subject to discipline under s. HAS 6.18. HAS 6.17 HistoryHistory: CR 01-043: cr. Register October 2001 No. 550, eff. 11-1-01. HAS 6.175HAS 6.175 Definitions. In this subchapter and in subchapter II of ch. 459, Stats.: HAS 6.175(1)(1) “Cerumen management” means the removal of cerumen from the external auditory canal by the utilization of methods and techniques performed in accordance with minimum standards and procedures established in the audiological profession. HAS 6.175(1m)(1m) “Deceptive advertising” means creating, using, or promoting the use of any advertising material, promotional literature, testimonial, guarantee, warranty, label, brand, insignia, or other representation, however disseminated or published, which is misleading, false, or untruthful. HAS 6.175(2)(2) “Full terms of sale” means the conditions of a sale agreed to by an audiologist and the purchaser of a hearing instrument. HAS 6.175(3)(3) “Personal guarantee” means a promise made by an audiologist to a hearing instrument purchaser to provide the minimum product warranty offered by a manufacturer. HAS 6.175(5)(5) “Unprofessional conduct” means the violation of any standard of professional behavior, which through experience, state statute or administrative rule has become established in the practice of speech-language pathology or audiology. HAS 6.18HAS 6.18 Grounds for discipline. HAS 6.18(1)(1) The board may reprimand a speech-language pathologist, audiologist, temporary licensee or a permittee, or deny, limit, suspend or revoke a license or permit, if it finds that the applicant, licensee or permittee has done any of the following: HAS 6.18(1)(a)(a) Made a material misstatement in an application for a license or permit or for renewal of a license. HAS 6.18(1)(b)(b) Engaged in conduct in the practice of speech-language pathology or audiology which evidences a lack of knowledge or ability to apply professional principles or skills. HAS 6.18(1)(c)(c) Subject to ss. 111.321, 111.322 and 111.335, Stats., been convicted of an offense the circumstances of which substantially relate to the practice of speech-language pathology or audiology. HAS 6.18(1)(e)(e) Advertised, practiced, or attempted to practice under another individual’s name. HAS 6.18(1)(f)(f) Subject to ss. 111.321, 111.322 and 111.34, Stats., practiced speech-language pathology or audiology while the person’s ability to practice was impaired by alcohol or other drugs. HAS 6.18(1)(g)(g) Violated ch. 459, Stats., subchapter II, or any rule promulgated by the board under that subchapter. HAS 6.18(2)(2) In this subchapter and in s. 459.34 (2) (h), Stats., the following, without limitation because of enumeration, are violations of standards of professional behavior that constitute unprofessional conduct: HAS 6.18(2)(a)(a) Subject to ss. 111.321, 111.322 and 111.34, Stats., practicing or attempting to practice speech-language pathology or audiology while the person’s ability to practice is impaired by a mental or emotional disorder. HAS 6.18(2)(b)(b) Using the title “speech-language pathologist,” “audiologist” or any similar title unless the individual holds a current speech-language pathologist or audiologist license granted under s. 459.24 (2) or (3), Stats. HAS 6.18(2)(c)(c) Violating the conditions or limitations placed upon a license or permit by the board. HAS 6.18(2)(d)(d) Engaging in conduct likely to deceive, defraud, or harm an individual or the public in the course of the practice of speech-language pathology or audiology. HAS 6.18(2)(e)(e) Having a license, certificate, permit or registration issued by another jurisdiction to practice as a speech-language pathologist or audiologist limited, suspended or revoked. HAS 6.18(2)(f)(f) Aiding or abetting an unlicensed person, knowingly conspiring with an unlicensed person, or allowing one’s license to be used by an unlicensed person to evade the use of a title prohibited under s. 459.24 (1) or (1m), Stats. HAS 6.18(2)(g)(g) Engaging in sexual intimacies in connection with the practice of speech-language pathology or audiology. HAS 6.18(2)(h)(h) Failing to fully inform persons served of the nature and possible adverse effects of services rendered and products dispensed. HAS 6.18(2)(i)(i) Failing to evaluate the effectiveness of services rendered or products dispensed. HAS 6.18(2)(j)(j) Providing services or dispensing products when benefits cannot reasonably be expected. HAS 6.18(2)(k)(k) Guaranteeing the results of any treatment or procedure, directly or by implication, except that a reasonable statement of prognosis may be made. HAS 6.18(2)(L)(L) Evaluating or treating speech, language, or hearing disorders except in a professional relationship. HAS 6.18(2)(n)(n) Failing to maintain adequate records of professional services rendered and products dispensed for a period of 5 years. HAS 6.18 NoteNote: Speech-language pathologists and audiologists are also required to maintain patient health care records in accordance with ss. 146.81 to 146.84, Stats. HAS 6.18(2)(o)(o) Failing to provide access to records of professional services rendered and products dispensed when requested by the board or its representative in connection with an investigation of a complaint filed against the applicant, licensee or permittee. HAS 6.18(2)(p)(p) Failing to record all of the following information in each client record: HAS 6.18(2)(p)3.3. Information sufficiently legible to allow interpretation by other individuals for the benefit of the client. HAS 6.18(2)(q)(q) Misrepresenting diagnostic information, services rendered, or products dispensed or engaging in any scheme to defraud in connection with obtaining reimbursement. HAS 6.18(2)(r)(r) Using persons in research or as the subject of a teaching demonstration without obtaining their informed consent. HAS 6.18(2)(s)(s) Failing to practice speech-language pathology or audiology within the scope of the licensee’s competence, education, training and experience. HAS 6.18(2)(t)(t) Delegating the provision of clinical services to an unlicensed individual for whom the licensee does not provide direct supervision. HAS 6.18(2)(u)(u) Delegating the provision of clinical services to a temporary licensee for whom the licensee does not provide supervision. HAS 6.18(2)(v)(v) Knowingly permitting any professional staff or unlicensed individual to provide clinical services that exceed that person’s competence, education, training and experience. HAS 6.18(2)(w)(w) Failing to assign credit to persons who have contributed to clinical services, a publication, presentation or product in proportion to their contribution. HAS 6.18(2)(x)(x) Violating any federal or state statute, rule or regulation that relates to the practice of speech-language pathology or audiology, as appropriate. HAS 6.18(3)(3) In addition to the bases for unprofessional conduct set forth under sub. (2), the board may reprimand an audiologist, or deny, limit, suspend or revoke a license or permit, if it finds that the applicant, licensee or permittee has engaged in the following unprofessional conduct: HAS 6.18(3)(a)(a) Violated any federal or state statute, rule or regulation that relates to the practice of fitting and dealing in hearing aids. HAS 6.18(3)(b)(b) Failed to conduct a direct observation of the ear canal of a person for whom a hearing aid is purchased. HAS 6.18(3)(c)(c) Sold a hearing aid for use by a person who was not given tests by a hearing instrument specialist or an audiologist licensed under ch. 459, Stats., or in another state using appropriate procedures and instrumentation or without proper measurement of the functional intensity and range of the person’s hearing.
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