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Quiz 1 Flashcards

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1
Q

What does professionalism entail?

A

-conduct oneself in manner that maintain as standards expected of that profession
-following ethical standards
-treat all people with respect and dignity
-listening to others
-act responsible and kind even when emotions are high

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2
Q

Professionalism includes

A
  1. Physical appearance of the office
  2. Demeanor of the office staff
  3. Appearance of the therapist
  4. Language of the therapist
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3
Q

Scope of professionalism extends to:

A
  1. Physical properties
  2. Nonverbal communication
  3. Verbal communication
  4. Written communication
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4
Q

what professional written communication include?

A
  1. Diagnostic reports
  2. Daily treatment plans
  3. Treatment reports
  4. Progress notes
  5. Professional correspondence
  6. Electronic communication
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5
Q

Diagnostic reports - clinical report

A

results of
Formal assessment
Includes standardized and nonstandardized tests

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6
Q

Daily treatment plans

A

Detailed agenda for a session
goals, procedures, cues, behavioral modification

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7
Q

Treatment reports

A

Summarizes progress, address changes in behavioral

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8
Q

Progress notes

A

Short synopses written on a session-by-session, weekly or monthly basis

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9
Q

Who is Professional correspondence written to?

A

To referral sources
Parents
Family members

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10
Q

Electronic communication

A

Used to relay clinical information

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11
Q

What is the clinical record?

A

-communication tool to coordinate care
-report that represents the quality of services provided by SLP
-Influence decisions regarding best course of action
-May be required by insurance co for continued treatment

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12
Q

Documentation purposes

A
  1. support diagnosis and treatment
  2. describes client progress
  3. Justify discharge
  4. Support reimbursement for services
  5. Communicate with other professionals
  6. Justify clinical decisions
  7. Protect legal interests
  8. Serve as evidence in court
  9. Provide data for research
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13
Q

Professional writing expectations

A

-use professional terminology
-write in appropriate format
-write specific descriptions of client’s performance
To report assessment or treatment results

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14
Q

What are students graded on in clinical practicum?

A

Paperwork turned in on time
Content
Completeness of report
Paperwork appropriateness for each setting

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15
Q

Professional writing process

A

1.Standards vary by supervisor
—based on personal preferences and facility requirements
2.Standards vary by setting
3. Professional writing is learned through trial and error
——-students adjust from one experience to the next
——-flexibility and willingness to learn are essential for success

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16
Q

What is the purpose of professional verbal communication?

A

To make a good first impression
establish oneself as competent and respectable

This is crucial in forming initial relationships with clients.

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17
Q

How do relationships typically begin in a professional context?

A

Formally

Formal interactions help establish trust and credibility.

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18
Q

What may happen to the style of interaction after rapport is built?

A

Interactions might become less formal

This shift depends on the clients’ preferences.

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19
Q

What type of interactive style may place some clients at ease after rapport and trust is built?

A

An informal interactive style

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20
Q

What type of interactive style may reassure clients of a clinician’s competence?

A

A formal interactive style

Formality can convey professionalism and expertise.

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21
Q

What should skilled clinicians do regarding their communicative methods?

A

Adapt their professional communicative methods to meet client needs

Flexibility in communication fosters better client relationships.

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22
Q

What should students do in terms of communication style?

A

Follow the supervisor’s lead

This is important for learning effective communication in a professional setting.

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23
Q

Areas of verbal professional communication

A

Diagnostic interviews
Patient and caregiver counseling
Staffing (team meetings/rounds)
Professional contacts
Communicating with supervisors

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24
Q

What is diagnostic interview

A

How interaction with client begins.
Goal is to obtain and gather information
Explain assessment results

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25
Describe patient and caregiver counseling
Talk about diagnosis Treatment progress, referrals, enlisting help Can be sensitive area Be aware of client’s background and level of understanding
26
Describe staffing
Each professional communicates information in a unique way regarding the client. Expected guidelines
27
Describe professional contacts
Will need to give summary of assessment to Treatment and referral information as well
28
What are the shared components of professional communication?
Professional terminology Accuracy of information Organization Respect Objectivity Sensitivity to context
29
What considerations to make with professional terminology
Consider context and to whom speaking When using discipline specific terminology In written reports, explain discipline-specific terminology
30
What does accuracy of information entail?
Always refer to data or test results if not sure Double check when scoring ——read assessment manuals prior to performing evaluation Consult report for information person is seeking Provide in timely manner Use test scores and description of behavior to provide assessment and treatment info
31
Describe organization
Communication should be orderly in written and verbal modalities Clinical reports have unique format but ALL highly organized Verbal stuffings organize as follows: Background info Summary of assessment info Outline of treatment goals Discuss progress toward meeting goals
32
Describe respect in communication
Hallmark of communication Not a courtesy Demanded by code of ethics Take into account feelings Address clients as Mr. Or Mrs. Listen to the opinions of others Listen to patient concerns Respect is also showing in the facility and accomodations Use surname for supervisors unless they instruct you to use another name
33
Objectivity in professional communication
Present objective facts in Unbiased manner During assessment gather info and objectively interpret data Provide description of behaviors that cause concern Make referrals as necessary in place of making suppositions
34
Describe sensitivity to context in communication
1. Setting - written report and progress notes are formatted differently based on clinical setting 2. Person talking to (audience) - different persons have different levels of familiarity with discipline-specific terms Adjust format and vocab when needed Use information given to help you know where additional info is needed Explain professional terminology in reports Include parent friendly summary or phone call in addition to report
35
How students gain professional verbal skills
Observe clinical supervisors and more experienced student clinicians Model clinical supervisors behaviors Accept supervisor guidance in planning meetings w/clients and when having verbal interactions Adjust behavior based on feedback
36
What is the significance of ethics, confidentiality etc?
SLP is a service profession Well-being of clients comes first Confidentiality and safeguarding of info is required
37
What does HIPAA require
Health care providers to maintain security and privacy of healthcare info Law from 1996 Health information portability and accountability act
38
What is considered to be protected health information (PHI)
Protects info and who has access Name, address, name of employer Any date, phone & fax number, email SSN and medical records
39
What is FERPA?
Family educational rights and privacy act of 1974
40
What does FERPA state?
Clients and caregivers have the right to read any report containing info about themselves or family SLPS have to keep accurate data related to client progress FERPA also protects the privacy of adult students.
41
SLPS are governed by?
ASHA - American speech-language-hearing association Different state licensing boards
42
ASHA expectations
Accurate communications w/ clients and other professionals Follow professional standards Accurate representation of SLPs clinical practice
43
Outline of principle of AHSA’s code of ethics
Principle 1: responsibility to individuals who receive services and research participants Principle 2: responsibility for one’s professional competence Principle 3: responsibility to the public Principle 4: responsibility for professional relationships
44
Personal privacy preferences
DO NOT HAVE A PLACE IN our professional decision making
45
What is the fundamental right of all clients seeking clinical services?
The right to privacy ## Footnote This principle ensures that clients can seek help without their personal information being disclosed.
46
What type of training is frequently required for students, faculty, and staff in clinical settings?
HIPAA training ## Footnote HIPAA stands for the Health Insurance Portability and Accountability Act, which sets the standard for protecting sensitive patient information.
47
What types of paperwork are created in a university clinic?
Drafts and final paperwork related to assessment, treatment, and student training ## Footnote These documents are crucial for maintaining proper records and student learning.
48
What challenges do students face when handling paperwork?
New responsibilities, busy schedules, sleep deprivation, feeling overwhelmed ## Footnote These factors can hinder their ability to manage confidentiality effectively.
49
What can make it difficult for students to achieve their daily goals?
Being busy, sleep deprivation, feeling overwhelmed ## Footnote These conditions can impact their performance and attention to confidentiality.
50
Potential breaches in confidentiality
Daily notes and treatment plans Formal treatment reports Formal diagnostic reports Test forms Info on flash drives Electronic transmissions Authorization forms signed by clients Therapy schedules Verbal discussions Video/audio recordings
51
What are the necessary parts of the daily routine in a university clinic?
Student clinicians write treatment plans before sessions and progress notes after sessions.
52
What does a treatment plan detail?
A treatment plan details the clinician's session plan, including: * Client goals * Planned procedures * Planned cueing * Planned reinforcement
53
What is the purpose of progress notes in a university clinic?
Progress notes provide accountability for clinical sessions.
54
What documentation is included in each progress note?
Each progress note includes: * Data collection * Evaluation of client performance * Plans for future sessions
55
True or False: Student clinicians write treatment plans after their sessions.
False
56
Fill in the blank: Student clinicians write _______ after sessions.
progress notes
57
What does a University Clinic formal treatment report typically include?
Personally identifying information, treatment data, and summary of client performance for an extended period of time ## Footnote Usually covers one semester.
58
List examples of personal information included in treatment reports.
* Client name * Date of birth * Address * Contact information * Referring physician * Diagnoses
59
How is confidential information managed in a University Clinic?
It is created, read, and reviewed outside the view of others.
60
True or False: Many universities provide computer labs for graduate students to create and edit confidential information.
True
61
What is another name for a diagnostic report?
Assessment or evaluation report
62
What kind of report contains more personal info than any other clinical report? university
Diagnostic
63
What clinical report contains historical information related to client and family universitiy
Diagnostic report
64
What info is included in diagnostic/assessment/evaluation report? university
Test results from SLP (standardized, etc.) Test results from informal SLP testing (language sample) Interpretation of results Diagnosis Prognosis Recommendations - including referrals
65
Info on flash drives - university
-some universities allow -info cannot identify client -in small towns if rare disorder could still identify - requires special care Some universities don’t allow —-have designated labs —-secured w/in facility —students cannot plug into their device
66
Electronic transmission - university
Encrypt files Can reference by client appointment date and time If outside organization as to call
67
Authorization form -university
Scan as soon as possible to avoid anyone other than clinical staff from viewing it
68
Therapy schedules - university
Appointments and cancellations are confidential Aware of arrivals b/c work in the clinic-reserve room, prepare and clean up Students will observe others being treated, confidentiality must be maintained Wait until in room to discuss confidential info with client
69
Verbal discussions - university
Be mindful what discuss with other students as others may overhear Academic classroom are appropriate places to ask about specific procedures and goals -ask without disclosing confidential information IF YOU HAVE ANY DOUBT ABOUT WHETHER TO DISCUSS INFORMATION ABOUT A CLIENT, THEN DON’T
70
audio and video recordings - university
Various devices are used for data collection, analysis of session w/ supervisor, self-analysis and client feedback Protect privacy by: -listen or watch in private location with few interruptions -delete recording immediately after using for purpose
71
Medical setting
Chart differed in that many different professionals have access to and document in the chart Charts are stored in a central location Hospitals, rehab centers, long-term care facilities, nursing homes, skilled nursing facilities
72
HIPAA - medical setting
Know medical facility policies related to patient confidentiality and sharing client info Discuss patients ONLY with others involved in patients care If non communicative cannot advocate for self - may still be aware of what others are saying Should communicate with each patient as if fully aware - provides dignity
73
What must you always be conscious of when regulated by HIPAA in medical setting?
Who, what, where, and when: know WHO you can talk to, WHAT you can talk about, WHERE you can talk about it, and WHEN it is appropriate to talk about it
74
Paperwork in a school setting
Drastically different from University clinic, private practice clinic and medical setting Impacted by federal regulations that govern schoo and Service delivery method provided in schools
75
IDEA in school setting
Reauthorized school services in 1990 renamed to IDEA 3-21 diagnosed with communicative disorder entitled to Free and appropriate individualized services Child must qualify based on extensive evaluation IEP is written if qualified, unique to school setting IEP qualification standards differ from university and private practice clinical standards
76
IEP copies
Originals keep in student’s file in admin office Parents receive copies at meetings or upon request Can be sent to other professionals at paren’ts request Graduate practicum clinicians implement goals under supervision of school SLP Teachers and other professionals involved get IEP copy
77
What is listed in IEP
Classroom accommodations and modifications Goals
78
confidentiality and ethics - IEP
Failure to implement stated goals is a violation of federal law Each person working with child is accountable Graduate clinicians should learn safeguarding policies used at the school and follow
79
Clinical folders for students include - school setting
IEP Test results Treatment plans Progress notes Copies of diagnostic report Therapeutic materials Correspondence Work samples List of students likes and dislikes Parent contact info Recordings
80
Recording permissions - school
Most require parental consent At graduate clinic ONLY record if received permission from school SLP first

Professional Writing (1 decks)

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