North Carolina State Hearing Aid Dealers and Fitters ... - Nchalb.org

North Carolina State Hearing Aid Dealers and Fitters Board CONTINUING EDUCATION REPORT OF PROGRAM ATTENDANCE (F24-CER) Reporting Fee: $15.00

N o t e : 21 NCAC 22F Section .0200 CONTINUING EDUCATION contains all NC rules about obtaining and reporting continuing education to meet license renewal requirements. Licensees are responsible for reviewing and understanding regulatory requirements. 22F .0202(b): The CEU Accrual Period for each license renewal shall be the calendar year preceding license renewal. 22F .0201(3): "CEU reporting deadline" means the tenth day of January which immediately follows the CEU Accrual Period.

Follow Rule 21 21 NCAC 22F .0207 RECORDING CEU CREDIT Complete the online CEU Verification Report and print confirmation sheet as a cover sheet to mail form or payment. Electronically submitted forms should not be mailed -- keep the form for your records until credits are posted online. Mail form and fee to: NC Hearing Aid Dealers & Fitters Board, 3801 Lake Boone Trail, Ste 190, Raleigh, NC 27607 Course ID #:

Title: Licensee Signature:

Print Name:

(“I attended as shown below”)

License Number: Date Completed

SESSION TITLE

CEUs

Online ID #

Accrediting Organization(s)

Category 1 or 2

21 NCAC 22F .0203 Content Category Reference

02/01/2017

Sample one-hour infection control course

0.10

478992

AAA, HIS

2

C9

1 2 3 4 5 6 7 8 9 10 In order to receive credit, ATTACH the TRASCRIPT showing your score on quiz, date course completed, title of course, and CEUs offered. A report without a transcript or a transcript without a complete report form will not be processed. * See Page two for instructions to complete “21 NCAC 22F. 0203 Content Category Reference” column.

Total number of CEUs earned in CATEGORY 1:___________ and in CATEGORY 2____________ [format 0.10]

FOR BOARD USE ONLY: EU ____

Category 1: ______

Category 2: ______

[format: 0.10]

GENERIC Course ID: ___________

Transcript Verified__________ Content ___ Fee _______ Pmt Id _____________License No.

_______________ F24-CER (Updated 12/2013)

IDENTIFYING TOPIC USING BOARD CONTENT CATEGORIES F2 3 -S S R ( Up d a ted 1 2 /2 0 1 3 ) I d en ti fy t he co nt e nt o f t he s el f - s t ud y p r o gr a m u si n g t he le tt er a nd n u mb er fro m R ul e 2 1 N C AC 2 2 F .0 2 0 3 th at b e st d es crib es t he s el f - st ud y s es s io n. Yo u c an wr ite re fer e nce wi t h o r wi t ho ut ( ) aro u nd re fere nce .

21 NCAC 22F .0203 CONTENT CATEGORIES (a ) S es sio n s a s sig n ed to Ca t eg o ry 1 o r Ca teg o r y 2 , a s d e sc r ib ed h e r ein , sa ti sf y th e co n tin u in g ed u ca t io n req u i re men t f o r l ic en s e ren e wa l. Ca t e g o ry 0 s es s io n s, a s d e sc rib ed h e re in , d o n o t sa t i sf y a n y p a r t o f th e co n t in u i n g ed u ca t io n req u ir em e n t. ( b) Ca teg o ry 1 i s f o r a mp l i f ica t io n a n d hea ri ng r eha bi lita tio n i s s ue s , a n d sha ll be a s s ig n ed to co nt in ui ng ed uca t io n s es sio n s w h ic h a re co mp ri se d o f t he fo llo w i ng t o pi cs: (1 ) h ear i n g a id t ec h no lo g y: i n str u me nt ci rc ui tr y and aco u st ic p er fo r ma n c e d at a; (2 ) ear mo ld o r s he ll co u p li n g s ys t e ms : d e s i g n, s elec tio n , mo d i fic at io ns , and ear i mp re s sio n s ; (3 ) h ear i n g a id sel ect io n p r o ced ur e s, v eri fic at io n , fit ti n g a nd ad j u st me n t tec h n iq ue s, a nd s er vi ci n g o r rep ai rs ; a nd (4 ) a ura l re hab il it at io n u s i n g a mp l i fi ca tio n : a ud ito r y tra i ni n g, h ear i n g a id o ri e nta tio n a nd co u n se li n g te c h niq u es, a nd h ear i n g aid val id a tio n tec h n iq ue s. ( c) Ca t eg o ry 2 i s f o r he a ri ng lo s s, r eg u la t io n s, a n d co ns u me r - re la te d is s ue s, a n d s ha ll be a s s ig n ed to co nt in ui ng ed uca t io n s es sio n s w h ic h a re co mp ri se d o f t he fo llo w i ng t o pi cs: (1 ) b io lo g ica l, p h ys i ca l, an d b e ha v io ra l b a se s u n d erl yi n g no r ma l a nd p at ho l o gic al h ear i n g p ro ce ss es ; (2 ) d ete ct io n, a s se s s me n t, o r mo n ito r i n g o f h eari n g i mp a ir me n t ( s uc h as me a s ure me n t tec h n iq ue s and te s t i n ter p r eta tio n) , in cl ud i n g i n trao p era ti ve mo n ito r i n g; (3 ) co c hl ear i mp la nt s o r i mp l a ntab le h ear i n g d e vi ce s; (4 ) ce nt ral a ud i to r y p r o c es si n g ; (5 ) as s is ti v e l i ste n i n g d ev ice s, i nc l ud i n g F M S y st e ms a nd a n ci ll ar y wi re le ss d e vi ce s; (6 ) tec h n iq ue s fo r d e ve l o p me n t o f sp eec h a nd l a n g ua g e i n c hi ld re n wi t h he ari n g lo ss , o r au g me n t at i ve a nd al ter n ati v e co m mu n i c at io n str ate g ie s fo r c hi ld re n o r a d ul t s wi t h hear i n g lo s s ; (7 ) cer u me n ma n a ge me n t, d i zzi n e ss, o r t i n ni t u s as it d ire ct l y p er tai n s to p erso n s wi t h he ari n g lo s s; (8 ) h ear i n g i mp air ed co n s u mer s ' vie ws o f t he he ari n g he al t h c are i nd us tr y a n d co n s u mer co mp l ai nt s ; (9 ) i n fe ct io n co n tr o l i ss ue s fo r t he hear i n g he al t h c are p ro fe ss io n; (1 0 ) p ro fe ss io na l co nd u ct a nd r e g ul ato r y i ss u e s p erta i ni n g to t he fit ti n g and s el li n g o f h ear i n g a i d s; and (1 1 ) h ear i n g a id b u si ne s s p r a ct ice s s uc h a s hea ri n g aid o ffice ma na g e me nt , sal e s co nt rac ts , a nd he ari n g aid mar ke ti n g o r i nd us tr y tr e nd s. ( d) Ca teg o ry 0 s ha ll be a s sig ne d t o a ll u na pp r o v ed se s sio n s i n a co n ti nu i ng e du ca tio n pro g ra m, inc l ud i ng s e ss io n s co mpri s ed o f t h e f o llo w i ng pro g ra ms , a ctiv iti es a n d to pic s: (1 ) fi na n cia l p la n ni n g u nr e la ted to t h e fi tt i n g o r p ro gr a m mi n g o f he ari n g i ns tr u me n t s; (2 ) co mp ut er tr ai n i n g u n r ela ted to t h e fi tt i n g o r p ro gr a m mi n g o f hear i n g i ns tr u me n t s; (3 ) e mp lo y me n t co ntr ac t s; (4 ) b ala n ce me c ha n i s m o r ti n n it u s, i f no t d ir ect l y p erta i ni n g to p erso n s wi t h hear i n g lo s s ; (5 ) cer u me n ma n a ge me n t, i f no t d ir ec tl y p er tai n i n g to p er so n s wi t h hear i n g lo s s ; (6 ) tra i ni n g d es i g ned f o r lic e n se e x a mi n at io n p re p arat io n; (7 ) fac to r y to ur s, p o s ter se s sio n s, o p e n fo r u m se s sio n s, a nd p o s ter - t yp e s es sio n s co nd uct ed a t a C E P ro gra m wh er e p ar ti cip a nt s ar e f r ee to d e ter mi n e t he a mo u nt o f t i me t hat t he y i nte rac t wi t h mu l ti p le p res e nter s ; a nd (8 ) al l o t h er to p ic s no t l is ted as ap p r o ved fo r Ca te go r y 1 o r C at e go r y 2 . Hi sto ry No te: Au th o r ity G.S . 9 3 D - 3 (c ); 9 3 D - 1 1 ; Eff. S ep t emb er 1 , 2 0 1 3 .