1. Medical and School Externships 2018
Part 2

2. Why are we here? Make externship placements go more smoothly.
Learn where to find the answers to the most commonly asked questions.
Hear about the required paperwork.
Answer your questions.

3. Timeline
Now
Week prior
First week
Throughout

4. What should I do now? Register for class for winter term
Schools - CDS 625 (15 credits)
Medical – CDS 609 Medical Externship (15 credits)
If you haven’t sent your school SLP an initial , do so ASAP
to introduce yourself or say hello, express enthusiasm, ask about assessments and/or interventions they would like you to review prior to starting, find out the start day, time, location and share your cell number.
For medical settings:
Contact SLPs after consulting with Elise
Know the calendar where you are going to work.
Winter term January 8th- March 16th
Spring term April 2nd – June 8
This does not include registering for EBP – please be sure to follow your program plan.
We want to be sure you have had contact with all winter term SLPs prior to the end of the term. Is there anyone here who has not been in contact with their winter term SLP(s) and heard back?
Does everyone know who their spring term SLP(s) are?

5. What should I do now cont.
Review your competencies (cummulative eval in Calipso)
Know what you need that relates to where you are going prior to starting.
Ask questions if you are uncertain.
See Jen if you have issues with meeting certain competencies (e.g. need adult hours but going to all peds settings)
Gather assessment and intervention information needed for your externship.
You asked and you should deliver.
Organize your notes – determine any needs.
Preparation will help everything.
Make sure all hours are accounted for in the system. If there is an error (observation hours missing, competency not counted, etc…) go see Jen before the term is over. This is the time to sort out any and all issues – much harder from a distance.
After everything is in place – relax and enjoy your well-deserved break.

6. What should I do the week prior to starting?
Go to infoCDS. Read the section related to the externship you are doing (medical or schools)
Read the entire handbook (before you start).
Watch for any updates via from Sara and Elise as well as your site.
Update your knowledge of common tests and interventions for the population you will be serving.
Review class notes.
Organize materials for easy access.
Be sure to specifically review the ones requested by your cooperating SLP(s).
Prepare a notebook or other system - GSCs should arrive equipped to work on the first day.
Will track hours daily on paper (forms on infoCDS/medical and schools).
Make list of needs – hours/competencies.

7. Oregon Health Authority (OHA) prerequisites
Immunizations:
Evidence requires documented receipt of vaccine or documented immunity via titer or valid history of disease, or a record from the Oregon ALERT Immunization Information System. Per CDC guidelines.
Required Hepatitis B (Hep B)
Required Measles, mumps and rubella (MMR)
Required Tetanus, diphtheria, pertussis (Tdap)
Required Varicella
Recommended Polio
Recommended Influenza (seasonal flu)
Screenings:
Tuberculosis (TB) o Facility choice of skin test or IGRA Blood test in accordance with CDC guidelines
Substance Abuse o 10-panel drug screen, which must include screens for the following eight substances: Amphetamines, including methamphetamines; Barbiturates; Benzodiazepines; Cocaine; Marijuana; Methadone; Opiates; Phencyclidine.
Criminal Background Check:
Must include Social Security Number trace, state/national criminal background history, sex offender registry check, and OIG LEIE check.

8. OHA cont.
Trainings:
CPR/Basic Life Support (BLS) for healthcare providers. It is recommended that trainings comply with the American Heart Association standard
Bloodborne Pathogen training (OSHA)
OSHA-recommended safety guidelines, including the following. Schools must verify student familiarity or exposure to topics:
Fire and electrical safety; o Personal protective equipment; o Hazard communications; and o Infection prevention practices.
Site-specific privacy and confidentiality practices. May need additional facility specific training.
Site-specific orientation and on-boarding. For example, facility-specific protocols for safety, security, standards of behavior, etc. Will occur at EACH facility.

9. OHA cont. Insurance and Liability Coverage:
Students or health profession programs must demonstrate that students have:
Professional liability insurance coverage and general liability insurance coverage, or ü A combined policy that includes professional and general liability coverage
The coverage must remain in place for the entire duration of each placement. The health profession program may offer coverage for students through a self-insurance program or the student may obtain coverage individually. It is also recommended but not required that the student obtain some form of health insurance coverage.

10. What should I do the first week?
Read s and complete any requested tasks.
Come prepared to work – take notes.
Help your SLP get registered on Calipso/show them infoCDS.
Discuss hours & competency needs with SLP.
Communicate last day to SLP(s).
Ask questions if you have them.
Bring your lunch.

11. What do I do for the remainder of term?
Continue to check for announcements from Sara and Elise.
Follow dates in handbooks and s. Check weekly to be sure you are on track.
Record hours daily (or weekly). Do not stop.
Continue to seek new information in areas of need – use/share the university library connections.
Plan for a final meeting during finals week.

12. What counts as a clockhour?
Standard V-C
The applicant for certification in speech-language pathology must complete a minimum of clock hours of supervised clinical experience in the practice of speech-language pathology. Twenty-five hours must be spent in clinical observation, and 375 hours must be spent in direct client/patient contact.
Implementation: Guided observation hours generally precede direct contact with clients/patients. The observation and direct client/patient contact hours must be within the ASHA Scope of Practice in Speech-Language Pathology and must be under the supervision of a qualified professional who holds current ASHA certification in the appropriate practice area. Such supervision may occur simultaneously with the student's observation or afterwards through review and approval of written reports or summaries submitted by the student. Students may use video recordings of client services for observation purposes.

13. What counts as a clockhour?
Applicants should be assigned practicum only after they have acquired sufficient knowledge bases to qualify for such experience. Only direct contact with the client or the client's family in assessment, intervention, and/or counseling can be counted toward practicum. Although several students may observe a clinical session at one time, clinical practicum hours should be assigned only to the student who provides direct services to the client or client's family. Typically, only one student should be working with a given client at a time in order to count the practicum hours. In rare circumstances, it is possible for several students working as a team to receive credit for the same session, depending on the specific responsibilities each student is assigned. For example, in a diagnostic session, if one student evaluates the client and another interviews the parents, both students may receive credit for the time each spent in providing the service. However, if student A works with the client for 30 minutes and student B works with the client for the next 45 minutes, each student receives credit for only the time he/she actually provided services—that is, 30 minutes for student A and 45 minutes for student B. The applicant must maintain documentation of time spent in supervised practicum, verified by the program in accordance with Standards III and IV.

14. Count all of your hours.
1. Time you spend providing direct clinical services to the client or client’s family.
IEP/care conference/discussion with docs – all do not count if they happen without the patient and/or family
If the patient is there you can count the time you spend leading the discussion – not the time listening to others.
2. Time you spend providing clinical services while working with your cooperating SLP.
Early on be sure to jump in.
May only count a portion of the session.
Take data as you watch.
3. You cannot get hours for selecting assessments/scoring assessments or any sort of report writing or prep.