SCHOOL AUDIOLOGIST STATE STANDARDS CHECKLIST Aurora Public Schools Induction Program

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The Aurora Public Schools (APS) Induction Program is designed to assist School Audiologists in meeting the Colorado Department of Education Colorado Licensing Act of 1991. This checklist serves as documentation of successful demonstration of the state standards listed. New Audiologist Name Date Hired Mentor Name Type of Certificate/License Site Administrator Name Performance-Based Standards for School Audiologist The following serve as standards for the licensing of school Audiologist candidates in Colorado and reflect the knowledge and skills required of beginning School Audiologists. To be endorsed as a school Audiologist, for ages birth to 21, an applicant shall hold a master s, or higher degree from an accepted institution of higher education; a clinical doctorate, for candidates who graduate after 2007; have successfully completed an approved program in school audiology; have successfully completed a practicum or internship in a school setting, equivalent to a minimum of 8-weeks, full-time, under the supervision of a professionally-licensed or masters -level licensed audiologist; and have passed a national audiology exam. The School Audiologist is knowledgeable about and able to demonstrate the competencies specified below. Mentor marks Yes OR No and enters the date the protégé demonstrated each of the competencies and standards. 1. The school audiologist is knowledgeable about the procedures necessary to identify hearing loss in children/students, including, but not limited to the following, and is able to: DATE Mark Yes OR No 1a. Perform identification audiometric procedures, including pure tone audiometric screening, immittance measurements, otoacoustic emissions, and other electrophysiological measurements. 1b. Establish, administer, and coordinate hearing and/or auditory processing disorders (APD) identification programs. 1c. Train and supervise audiology support, or other personnel, as appropriate to screening for hearing loss and/or APD. 1d. Maintain accurate and accountable records for referral and follow-up of hearing screenings. Audiologist State Standards Checklist Updated July 2013 Page 1 of 6

2. The school audiologist is knowledgeable about and is able to effectively implement the procedures necessary to assess hearing loss in children/students, including, but not limited to: DATE Mark Yes OR No 2a. Performing comprehensive audiologic evaluations, including pure tone air and bone conduction measures; speech reception and word recognition measures, such as, situational functional hearing measures; immittance measures; otoscopy and other tests, including interpretation of electrophysiological measures; and differential determination of auditory disorders, and/or APD, to determine the range, nature, and degree of hearing loss and communication function. Performing comprehensive educationally and developmentally relevant audiologic assessments of 2b. children/students, ages birth to 21, using bias-free procedures, and appropriate to receptive and expressive ability, and behavioral functioning. Providing recommendations for appropriate medical, educational, and community referrals for other services, 2c. as necessary, for the identification and management of children/students with hearing loss and/or apd, and their families/guardians. Interpreting, in writing and verbally, audiologic assessment results, functional implications, and management 2d. recommendations, to educational personnel, parents/guardians, and other appropriate individuals, including physicians and professionals, as part of a multidisciplinary process. 2e. Selecting, maintaining, and calibrating audiologic equipment. 2f. Providing access to assessment information, through interpreters/translators. 3. The school audiologist is knowledgeable about procedures of evaluation and provision of amplification instrumentation to children/students in school, and is able to: DATE Mark Yes OR No 3a. Determine children s/students needs for, and the appropriateness of, hearing aids, cochlear implants, and other hearing-assistance technology. 3b. Perform the appropriate selection, verification, and maintenance of hearing-assistance technology, including ear mold impressions and modifications 3c. Evaluate situational functional communication performance, to validate amplified or electrically-stimulated hearing ability. 3d. Plan and implement orientation and education programs, to assure realistic expectations, and to improve acceptance of, adjustment to, and benefit from hearing aids, cochlear implants, and hearing-assistance technology. Audiologist State Standards Checklist Updated July 2013 Page 2 of 6

3e. Assess whether hearing aids, cochlear implants, and other hearing-assistance technology, as used in school, are functioning properly. 3f. Notify parents/guardian when a repair, and/or maintenance, of personal hearing-assistance devices is required. 4. The school audiologist shall be knowledgeable about, and is able to: DATE Mark Yes OR No 4a. Identify appropriate intervention methods, necessary levels of service, and vocational and work-study programming, as part of a multidisciplinary team process, integrating: 4a.1 Auditory skill development, aural rehabilitation, and listening-device orientation and training; 4a.2 Speech skill development, including phonology, voice, and rhythm; 4a.3 Visual communication systems and strategies, including speech-reading, manual communication, and cued speech; 4a.4 Language development, i.e. expressive and receptive oral, signed, cued and/or written language, including pragmatics; 4a.5 The selection and use of appropriate instructional materials and media; 4a.6 The structuring of learning environments, including acoustic modifications; 4a.7 Case management and care coordination with family/parent/guardian, school, and medical and community services; 4a.8 Habilitative and compensatory skill training, to reduce academic deficits, as related to, but not limited to, Yes reading and writing; 4a.9 Social skills, self-esteem, and self-advocacy support and training; 4a. 10 The transition between, but not limited to levels, schools, programs, and agencies; 4a. 11 Support for a variety of education options, for children/students with hearing loss and/or apd. Develop and implement treatment plans that facilitate communication competence, which may include, but 4.b not be limited to, speech-reading; auditory/aural development; communication strategies; and visualcommunication systems and strategies. 4c. Provide and/or make recommendations with regard to assistive technology, such as, but not limited to hearing aids and hearing-assistance technology, to include radio/television, telephone, pager, and alerting convenience. Audiologist State Standards Checklist Updated July 2013 Page 3 of 6

4d. Provide developmentally-appropriate aural (re)habilitation services, including, but not limited to programming in the child s natural environment, if appropriate, in the areas of speech-reading, listening, communication strategies, use and care of hearing aids, cochlear implants, hearing-assistance technology, and selfmanagement of hearing needs. 4e. Provide information and training to teachers, administrators, children/students, parents/guardians, and other appropriate professionals and individuals, regarding hearing and auditory development; hearing loss and/or apd, and implications for communication, learning, psychosocial development, and the setting and meeting of vocational goals; hearing aids, cochlear implants, and hearing assistance devices; effective communication strategies; effects of poor classroom acoustics and other environmental barriers to learning; and ehdi (early hearing loss detection and intervention) programs and resources. 4f. Apply appropriate instructional modifications and classroom accommodations to curricula delivery and academic methodology, materials, and facilities. 4g. Conduct analyses of classroom acoustics, and make recommendations for improvement of the listening environment, utilizing principles of classroom acoustics, acoustical measurement, and acoustical modifications. 5. The school audiologist is knowledgeable about the parameters of information counseling and advocacy, and is able to: DATE Mark Yes OR No Counsel families/guardians, and children/students with hearing loss and/or apd, to provide emotional 5a. support; information about hearing loss and the implications thereof; and strategies to maximize communication, academic success, and psycho-social development. Assure that parents/guardians receive comprehensive, unbiased information regarding hearing loss; 5b. communication options; educational programming; and amplification options, including cochlear implants, in cases of severe to profound hearing loss. 5c. Demonstrate sensitivity to cultural diversity and other differences in characteristics, including those found among individuals, and within family/guardian systems, and including deaf culture. 5d. Demonstrate effective interpersonal communication skills, in a variety of settings, for a variety of circumstances. Audiologist State Standards Checklist Updated July 2013 Page 4 of 6

6. The school audiologist is knowledgeable about the parameters associated with hearing conservation, and is able to: DATE Mark Yes OR No 6a. Develop, implement, and/or manage programs for the prevention of hearing loss. 6b. Provide education, when appropriate, as related to, and regarding access to, hearing protection devices. 7. The school audiologist is knowledgeable about ethical conduct, and is able to: DATE Mark Yes OR No Comply with federal and state laws, regulations, and policies, including local district and school policies, 7a. and relevant case law, regarding referral, assessment, placement, related processes, and the delivery of service(s). 7b. 7c. 7d. 7e. 7f. Effectively articulate the role of the school audiologist, as part of the special education team, within the learning community. Incorporate knowledge of school systems, multidisciplinary teams, and community, national, and professional resources, into planning. Effectively collaborate with teachers, parents and related personnel, in case management, with flexibility, and in a professional manner. Utilize a range of interpersonal communication skills, such as, but not limited to consultation, collaboration, counseling, listening, interviewing, and teaming, as appropriate, in the identification of, prevention of harm to, assessment of, and/or intervention with children/students suspected of, or identified as, having auditory disabilities. Mentor and supervise audiology support personnel, so that the auditory needs of children/students are effectively addressed. 7g. Maintain accurate records and data, as relevant to the planning, management, and evaluation of programs. 7h. 7i. Educate other professionals and the community about implications of hearing loss. Initiate requests, or network, to acquire support when needed. Audiologist State Standards Checklist Updated July 2013 Page 5 of 6

Recommendation (mentor initials one) This new School Audiologist has successfully demonstrated effectiveness on the state standards listed above. OR This new School Audiologist has not successfully demonstrated effectiveness on the state standards listed above. Will need to continue the induction process with a mentor in the following school year to complete the Aurora Public Schools requirements for induction if staying in the district. Please contact the Director of Professional Learning, Laurie Marcellin lamarcellin@aps.k12.co.us to communicate a plan for further mentoring. The information on these pages is accurate and complete to the best of my knowledge. (Please print) New Audiologist Name: Mentor Name: Administrator Name: New Audiologist Signature: Mentor Signature: Administrator Signature: This form should be submitted to Gloria Preciado at the Office of Professional Learning in ESC 2 by April 15, 2014. If an extension is necessary, please contact Gloria Preciado (glpreciado@aps.k12.co.us) PRIOR TO APRIL 15 to arrange for an approved completion date of the induction process. Audiologist State Standards Checklist Updated July 2013 Page 6 of 6