Section 24.23.01.200 - PRACTICE STANDARDS01.Provisional Permits.a. Scope. The Board may issue a provisional permit to allow an applicant to engage in the supervised practice of a profession regulated by Title 54, Chapter 29, Idaho Code, to allow a person to engage in the supervised practice of audiology or speech language pathology while completing either the required postgraduate experience or a comparable doctoral program in audiology. The Board may issue a permit to allow a person to engage in fitting and dealing hearing aids or sign language interpretation while pursuing passage of an examination or certification for licensure.b. Supervisor. A provisional permit holder must be supervised by a licensee in good standing for the profession corresponding to the permit, except that a hearing aid dealer and fitter may be supervised by an audiologist or a hearing aid dealer and fitter.c. Supervision. The supervisor is responsible for all practice of the permit holder.i. Personal contact each workday to review any assignments, client contacts, and hearing aid fittings for the first sixty (60) days of practice. The nature of the supervision and contact must allow for immediate feedback and includes audio/visual, in person, or telephone contacts.ii. After the first sixty (60) days of practice, personal contact as described in Subsection 200.01.c. must be made no less than once in each calendar week throughout the remaining period of the permit.iii. In the event a permit holder fails the licensing examination two (2) consecutive times and is eligible to maintain a permit, the supervisor and the permit holder must reinstate contact in person each workday as set forth in Subsection 200.01.c.d. Training Agreement and Reports. Training may be performed in accordance with an agreement that identifies the parties to the agreement, the applicant's scope of practice authorized, and, if necessary, any monitoring parameters. The applicant will submit the agreement to the Board. i. A plan of training for hearing aid dealing and fitting or a sign language interpreter must cover all sections of the license examination(s).ii. Quarterly reports must be on forms approved by the Board, attested to and signed by the permit holder and approved supervisor(s), and include, a log of clients and supervisor contact, supervisor's statement of completed training assignments by the permit holder. For a sign language interpreter, certification of attendance of any workshop or training session that the permit holder attended. For a hearing aid dealing and fitting permit holder, a copy of test results for all persons tested by the permit holder whether a sale occurred and a copy of each hearing aid order for all fittings including specifications of instruments ordered.iii. Quarterly reports are due on or before April 10th, July 10th, October 10th, and January 10th for the three (3) calendar month period preceding the month due. If the permit has not been in effect for the entire quarter, the report is due for that portion of the quarter in which the permit was in effect. If quarterly reports are not received by the specified due date, are inadequate, or document inadequate progress or incompetent practice the permit may be suspended or revoked upon notice and an opportunity to be heard.e. Change in Supervision. A supervisor must report termination of supervision in writing to the Board within ten (10) days. The permit holder must have a new supervisor in place before resuming practice.f. Cancellation. A permit is cancelled if the holder obtains a license or fails to submit a new application within thirty (30) days of a change in supervision.g. Expiration. Following the approval of a permit holder's original application, a provisional permit expires after twenty-four (24) months. Following expiration of the permit, the permit holder may apply to the Division for an extension. The Division may extend the time period for good cause that prevented the permit holder from completing the supervision within the twenty-four (24) month time period.02.Hearing Evaluation. a. Testing. Pre-Fitting and Sound Field Testing must be conducted in accordance with the standards set forth by the American National Standard Institute (ANSI). Verification of benefits must be conducted within 6 weeks.b. Records. The licensee will maintain a record of test data for one (1) year after sale.c. Exemptions. The testing requirements of this rule do not apply to consumers who cannot respond to acceptable audiological tests.03.Contracts. a. Contract form. Any person who practices the fitting and sale of hearing aids must enter into a written contract with the person to be supplied with the hearing aid, which is signed by the licensee and the consumer. The contract must be given to the consumer at the time of sale and must contain the following: i. License number, business address, and specifications as to the make, model, and manufacture date of the hearing aid;ii. Full terms of sale, including a minimum of a thirty (30) day trial period for a refund of at least seventy-five (75) percent of the monies paid.iii. Serial number upon delivery;iv. Be clearly marked as "used" or "reconditioned" if applicable;v. Address and telephone number of the Division of Occupational and Professional Licenses;vi. A disclosure that the contract is void if the hearing aid is not delivered to the consumer within thirty (30) days of signature, and, if that occurs, the licensee will promptly refund the full purchase price.b. Cancellation and Refund. The contract must grant the consumer a nonwaivable thirty (30) day right to cancel the purchase and obtain a refund. The thirty (3) day period commences from either the date the contract is signed, or the hearing aid is delivered to the consumer, whichever is later.c. Dealer cancellation. If the licensee cancels the contract, the licensee must promptly refund the full purchase price.04.Support Personnel: Audiology.a. The supervising audiologist is responsible for training and evaluating the performance of audiology support personnel, and for approving all orders and directives. The supervising audiologist must assign tasks which are consistent with the training, education, and experience of audiology support.b. The number of audiology support personnel that an audiologist may supervise at any one time must be consistent with the delivery of appropriate, quality service, and Title 54, Chapter 29, Idaho Code.c. Direct supervision requires in-view real-time observation and guidance while an assigned activity is performed. This requirement can be met when the supervisor is providing supervision from a distant site using two-way video and audio transmission. The supervising audiologist will document and retain a record of all direct supervision period.i. When not providing supervision, the supervising audiologist must provide direction and supervision to audiology support personnel while support personnel are providing audiology services to a patient by making themselves accessible to the support personnel by telephone, video conferencing or in person.d. The supervising audiologist is responsible for maintaining a written record of completed training activity. i. Training will be conducted pre-service (before tasks are assigned) and in-service (after tasks are assigned).ii. Supervising audiologists should provide audiology support personnel with a written description of their roles and functions. Audiologists should provide personnel with ongoing training opportunities to ensure that audiology practices are current, and skills are maintained.05.Newborn Hearing Screening Tests.a. A person who is not an audiologist or audiology support personnel may conduct a newborn screening test if the test is conducted using equipment that produces a pass/fail response. A Licensed Audiologists will review the results.Idaho Admin. Code r. 24.23.01.200