(a)

1. (1)

   1. (A) A total of at least thirty percent (30%) direct and indirect supervision is required and must be documented for the first forty-five (45) work days.
   2. (B) For thirty (30) hours of direct client contact this would be nine (9) hours for both direct and indirect supervision.
2. (2) Documented direct supervision of patient/client care shall be required no less than twenty percent (20%) of the actual patient/client contact time weekly for each SLPA.
3. (3) During each week, data on every patient/client seen by the SLPA must be reviewed by the supervisor.
4. (4) In addition, the twenty percent (20%) direct supervision must be scheduled so that all patients/clients seen by the SLPA are directly supervised in a timely manner.
5. (5) Supervision days and time of day (morning/afternoon) may be alternated to ensure that all patients/clients receive direct contact with the speech-language pathologist at least once every two (2) weeks.

6. (6) Information obtained during direct supervision must include data relative to:

   1. (A) Agreement (reliability) between the SLPA and the supervisor on correct/incorrect recording of target behavior;
   2. (B) Accuracy in implementation of screening and treatment procedures;
   3. (C) Accuracy in recording data; and
   4. (D) Ability to interact effectively with the patient/client.
7. (7) After the first forty-five (45) work days, the amount of supervision can be adjusted if the supervising speech-language pathologist determines the SLPA has met appropriate competencies and skill levels with a variety of communication and related disorders.
8. (8) Minimum ongoing supervision must always include documentation of client contact provided by the SLP to each student, patient, or client at least every thirty (30) calendar days.
9. (9) A minimum of one (1) hour of direct supervision weekly, or a minimum of ten percent (10%) (for SLPAs treating less than ten (10) hours per week) and as much indirect supervision as needed to facilitate delivery of quality services must be maintained.
10. (10) Documentation of all supervisory activities, both direct and indirect, must be accurately recorded.
11. (11) Further, one hundred percent (100%) supervision of SLPAs for medically fragile students, patients, or clients is required.

(b)

1. (1) Indirect supervision does not require the supervising speech-language pathologist to be physically present or available via telecommunication in real time while the SLPA is providing services.

2. (2) Indirect supervisory activities may include:

   1. (A) Demonstration tapes;
   2. (B) Record review;
   3. (C) Review and evaluation of audiotaped or videotaped sessions; and/or
   4. (D) Supervisory conferences that may be conducted by telephone and/or live, secure webcam via the internet.
3. (3) The speech-language pathologist will review each plan of care as needed for timely implementation of modifications.

4. (4) After the initial forty-five-day work period, the amount of supervision may be adjusted depending on the:

   1. (A) Competency of the assistant;
   2. (B) Needs of the patients/clients served; and
   3. (C) Nature of the assigned tasks.

(c)

1. (1) A supervising speech-language pathologist must be able to be reached by personal contact, phone, or other immediate means at all times when direct patient/client care is being rendered.
2. (2) If, for any reason (i.e., extended leave, illness, change of jobs), the supervisor is no longer available to provide the level of supervision stipulated, the SLPA may not perform direct patient/client care until a qualified and licensed speech-language pathologist has been designated as the SLPA’s supervisor and the Board of Examiners in Speech-Language Pathology and Audiology has advised approval of the change.