Ethics for SLPs July 2020 for Handout - ESC19

[Pages:13]Got Ethics? Ethics for SLPs, SLPAs and Audiologists

Jyutika Mehta, PhD., CCC-SLP., FHEA Associate Professor

Texas Woman's University

Leaner Objectives ? ? ASHA Code of Ethics ? Texas Administrative Code/Rules and Regs ? Differentiating Law, Ethics, Professionalism ? Ethical Scenarios ? Violations/Sanctions ? Some Basic Rules of Thumb

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Important Changes due to COVID-19

? SLPs, Audiologists and Assistants can provide services via Telehealth

? Supervision can be conducted via Telehealth ? Need to follow all ethical, legal and safety guidelines and

protocols

HB 2059

? Texas House Bill 2059 (passed during the last legislative session) requires 1 hour (1CEU) human trafficking prevention training as a condition of certain license renewals in Texas. This applies to SLPs, SLPAs and Audiologists.

? All license renewals after September 1, 2020 will have to indicate that this training was completed.

Ethics is NOT ~ o feelings o science o law o religion

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What is Ethics?

? State of Texas Licensure Requirement ? Definition - a system of moral principles ? Sometimes referred to as a group's "code of conduct" ? Describes actions and/or conduct, not people ? Behavior ? how one conducts themselves

Why do we have a code?

? Identifying common, core values ? Communicating the values of the profession to

students and new professionals for the protection of the public ? Gaining public trust by stating what is expected of professionals ? Enforcing ethical behavior through clear statements of expectations

(Chabon & Dunham, 2006)

Differentiating Ethics, law & professionalism

? Law: the principles and regulations established in a community (profession) by some authority and applicable to its people (members), whether in the form of legislation or of custom and policies recognized and enforced by judicial decision

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Differentiating Ethics, law & professionalism

? Professionalism: engaged in a profession and conforming to the technical and/or ethical rules and standards of a profession

Differentiating Ethics, law & professionalism

? Malpractice: failure of a professional person, to render proper services through reprehensible ignorance or negligence or through criminal intent, esp. when injury or loss follows

Code of Ethics For SLPs, SLPAs & Audiologists In Texas

ASHA Code Of Ethics ? Texas Administrative Code Employers Policies and Guidelines

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Regulatory/Governing Agents

State Licensing requirements ? TDLR IDEA, FERPA, HIPAA ASHA Commissioner's Rules Employer/Campus Medicare/Medicaid

Confused ??? Which Code of Ethics Guides Us?

Code Differences?

? The standards of the state licensure law take precedent over any other code of ethics ? Employer's code of ethics may be more stringent than the State and should be followed accordingly

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ASHA

TSHA

TDLR (Texas Licensure)

Membership voluntary

Membership voluntary

License mandatory to provide SLP/Audiology services

Private professional organization

Private professional organization State agency

Represents and advocates for SLPs & audiologists

Represents and advocates for SLPs Licensing board exists to protect consumers & audiologists

Professionals who choose to belong pay annual dues for membership and maintenance of certification

Professionals who choose to belong Professionals who want to practice pay an pay annual dues for membership annual fee for license renewal

ASHA

TSHA

TDLR (Texas Licensure)

Grants certification to practitioners who Does not grant credentials to

meet national standards

practice

Protects public's health, safety & welfare

CCC not required to practice in Texas, but important for employment and 3rd party reimbursement

Does not grant credentials to practice

Illegal to practice without an appropriate license

Certification standards developed and Does not grant credentials to approved by staff and elected members practice

Standards in licensing act set by Texas legislature ; rules developed and implemented by State Board of Examiners

It's our responsibility as a "licensed professional" to know and understand the Texas Rules and Regulations in the Texas

Administrative Code (TAC), to know and understand the ASHA Code of Ethics and to know and understand our employers procedures and guidelines.

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ASHA

? Principle I ? Responsibilities to persons served professionally and to research participants

? Principle II ? Responsibility for one's professional competence

? Principle III ? Responsibility to the public

? Principle IV ? Responsibilities involving inter- and intra-professional relationships

?

New Standards January 1, 2020

? To supervise students or CFs: 9 months' experience post-CF + 2 hours CE in supervision ? To maintain CCC: 1 hour CE in ethics every 3 years

Assistants Code of Conduct June 1, 2020

? Principle I ? Assistants shall honor their responsibility to hold paramount the welfare of persons they serve professionally.

? Principle II ? Individuals shall honor their responsibility to the public by providing accurate information in all communications and by providing services with honesty, integrity, and compassion

? Principle III ? Assistants shall maintain collaborative and harmonious interprofessional and intraprofessional relationships.

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Most ethical Issues that arise are not Right & Wrong.................

Most often ethical issues we deal with are "what's more right" degrees of right!

Is this right, more right? Then do what's MOST right!

16 TAC, Chapter 111, SUBCHAPTER D. RESPONSIBILITIES OF THE LICENSEE AND

CODE OF ETHICS 111.30 Speech-Language Pathology License--Licensing Requirements

. 111.35 Speech-Language Pathology License--Application and

Eligibility Requirements. 111.36 Speech-Language Pathology License--Issuing License 111.37 Speech-Language Pathology License--License Terms; Renewals.

16 TAC, Chapter 111, SUBCHAPTER F. RESPONSIBILITIES OF THE LICENSEE AND

CODE OF ETHICS

111.50. Assistant in Speech-Language Pathology License--Licensing Requirements--Education and Clinical Observation and Experience. 111.51. Assistant in Speech-Language Pathology License--Supervision Requirements. 111.52. Assistant in Speech-Language Pathology License--Practice and Duties of Assistants. 111.55. Assistant in Speech-Language Pathology License--Application and Eligibility Requirements. 111.56. Assistant in Speech-Language Pathology License--Issuing License. 111.57. Assistant in Speech-Language Pathology License--License Terms; Renewals.

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