<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".06" citation="COMAR 10.41.11.06" title_num="10" subtitle_num="41" chapter_num="11" heading="Speech-Language Pathology Assistant Scope of Practice.">
  <paragraph num="A.">
    <text>A speech-language pathology assistant may provide only services which assist the direct services provided by a supervising speech-language pathologist, and not services which are alternatives to direct services.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Activities within the scope of practice of a speech-language pathology assistant or an audiology assistant shall include the following:</text>
    <paragraph num="(1)">
      <text>Engaging only in those duties planned, designed, and supervised by a supervising speech-language pathologist or audiologist;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Following treatment plans or protocols developed by the supervising speech-language pathologist or audiologist who maintains professional responsibility for the plans of care;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Adhering at all times to the code of ethics of the Board;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Identifying the licensee as a speech-language pathology assistant or an audiology assistant to consumers and co-professionals;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Following specified screening protocols developed by the supervising speech-language pathologist or audiologist when conducting speech-language or audiology screenings; and</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Reporting documented evidence of treatment and non-interpretive data regarding the client’s performance to the supervising speech-language pathologist or audiologist.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Activities within the scope of practice of a speech-language pathology assistant or an audiology assistant may include the following:</text>
    <paragraph num="(1)">
      <text>Performing preparation of materials;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Scheduling activities;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Preparing charts, records, graphs, and other clerical duties;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Performing checks and maintenance of equipment;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Participating with the supervising speech-language pathologist or audiologist in research projects, in-service training, and public relations programs;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Assisting the speech-language pathologists or audiologists during patient assessments; and</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Assisting the audiologists with basic diagnostic tests, such as audiometry and tympanometry.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Activities not within the scope of practice of a speech-language pathology assistant or an audiology assistant include:</text>
    <paragraph num="(1)">
      <text>Performing or interpreting the results of diagnostic evaluations;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Participating in parent conferences, case conferences, or interdisciplinary team meetings without the presence of the supervising speech-language pathologist or audiologist, or other licensed speech-language pathologist or audiologist designated by the supervising speech-language pathologist or audiologist;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Providing client or family counseling;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Selecting clients for services;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Discharging a client from services;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Making referral recommendations;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Disclosing clinical or confidential information either orally or in writing to anyone other than the supervising speech-language pathologist or audiologist; or</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Providing specialized treatment that requires advanced knowledge and training.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Audiology assistants may not perform any task:</text>
    <paragraph num="(1)">
      <text>Without the express knowledge and approval of the supervising audiologist; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>That may be prohibited by state or federal law.</text>
    </paragraph>
  </paragraph>
</regulation>