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Illinois SLP Rigid Laryngoscopes

A speech-language pathologist may perform an endoscopic procedure using a rigid laryngoscope for the sole purpose of observing and obtaining images of the pharynx and larynx if all of the following requirements have been met:

Observing and Supervised Procedures

The speech-language pathologist has observed five (5) procedures performed by either:

    • A physician who has been granted hospital privileges to perform these procedures or
    • A speech-language pathologist who has met the requirements in a licensed health care facility or a clinic affiliated with a hospital, university, college, or
    • ASHA-approved continuing education course that has emergency medical backup and a physician available or in the office of a physician who is available or in the office of a speech-language pathologist provided that he or she maintains cardiopulmonary resuscitation (CPR) certification.

The speech-language pathologist has successfully performed ten (10) procedures under the direct supervision of a physician who has been granted hospital privileges to perform these procedures; provided, however, that the physician may delegate the supervision of the procedures to a speech-language pathologist who has met the requirements above or below. The supervising physician shall provide written verification that the speech-language pathologist in training has successfully completed the requirements demonstrating the ability to perform these procedures. The speech-language pathologist shall have this written verification on file and readily available for inspection upon request by the Board.

The speech-language pathologist has completed a hands-on university or college course, or a hands-on seminar or workshop in endoscopy as a technique for investigating speech and swallowing, which qualifies for continuing education credit with the American Speech-Language-Hearing Association (ASHA).

Standard of Care

If the patient has a voice disorder or vocal cord dysfunction, he or she must be examined by a physician who has been granted hospital privileges to perform these procedures and the speech-language pathologist must have received from that physician a written referral and direct authorization to perform the procedure.

If the patient has a swallowing disorder or a velopharyngeal disorder, he or she must be examined by a physician licensed to practice medicine in all its branches and the speech-language pathologist must have received from that physician a written referral and direct authorization to perform the procedure.

The speech-language pathologist must send a written report or recorded copy of the observations recorded during an evaluation to the referring physician, and if the speech-language pathologist performs any procedure and observes an abnormality or the possibility of a condition that requires medical attention, the speech-language pathologist shall immediately refer the patient to the referring physician for examination.

In no instance may the speech-language pathologist use a laryngoscope to perform any procedure that disrupts living tissue.

The speech-language pathologist is using the rigid laryngoscope in

    • A licensed healthcare facility or clinic affiliated with a hospital, university, college, or ASHA-approved continuing education course that has emergency medical back-up and a physician available,
    • An office of a physician who is available, or
    • In the speech language pathologist's office provided that he or she maintains cardiopulmonary resuscitation (CPR) certification.

Reference

225 ILCS 110/9.3

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