Practice Resources
Standards of Practice
Under section 19 of the Health Professions Act, the College Board may “establish standards, limits or conditions” for the practice of registrants. The College’s standards of practice and associated Clinical Decision Support Tools (CDST) are described in the Standards of Practice.
The Standards of Practice outline the minimum level of acceptable performance for registrants. The standards are enforceable under governing legislation as well as the core competencies for each profession regulated by the College. There are two types of standards:
Professional Standards
These are statements about levels of personal performance that registrants are required to achieve when practising. Professional Standards:
- Reflect the values of professions regulated by the College
- Clarify expectations of registrants as health care professionals
- Represent the criteria against which practice in BC can be measured by clients, employers, colleagues, other registrants, and members of the public
- Attaining & Maintaining Practice Competence (PDF) – Effective July 1, 2025, health professionals regulated by CHCPBC will not have to report legacy Quality Assurance Program (QAP) requirements to the College. This is to facilitate the design and development of a new QAP to improve client/patient outcomes, and support health professionals’ learning and performance. In 2026, registrants will participate in transitional activities that will introduce the new approach. The College appreciates registrants’ patience as we update website content to reflect the new QAP.
- Certified Practice & Above Entry Level Practice (PDF)
- Duty to Report (PDF)
- Indigenous Cultural Safety, Cultural Humility, & Anti-Racism (PDF)
- Inter-Professional Collaborative Practice (PDF)
- Marketing (PDF)
- Professional Accountability & Responsibility (PDF)
- Registrant Code of Ethics (PDF)
- Registrant Code of Ethics (Annotated) (PDF)
- Unique & Shared Scope of Practice (PDF)
Clinical Practice Standards
These are statements designed to guide a registrant’s practice with clients and set out levels of performance that registrants are required to achieve when practicing. The Clinical Practice Standards are complementary to the Professional Standards. Specific practice standards apply to clinical aspects of practice and to certain types of diagnoses, disorders, or conditions.
Notices to the Professions
The College has advised registrants of profession-specific information in the following Notices to the Professions:
- April 3, 2024: Certification now requires practice hours reporting as a condition of renewal
- December 19, 2023: Maintaining confidentiality of CSHBC examination contents
- October 25, 2023: Frequently asked questions: Inter-professional collaborative practice, and providing feeding and swallowing management care to clients
- October 12, 2023: Renew registration on time to avoid having your registration cancelled – 10 serious consequences if your license to practice is cancelled and you become a former registrant
- August 29, 2023: RSLPs are not authorized to teach, train, or supervise members of other regulated professions on how to manage feeding and swallowing disorders as part of their clinical practices
- August 29, 2023: Reminder to registrants: QAPP Program requirements apply to Non-practising registrants
- April 26, 2023: Modified application process for Certified Practice certificates now in effect
- April 12, 2023: CSHBC modifies application process for Certified Practice certificates
- September 28, 2022: Information for registrants about the new CSHBC Standard of Practice for Indigenous Cultural Safety, Cultural Humility, & Anti-Racism
- August 4, 2022: CSHBC publishes updated Certification Program & Application forms
- May 5, 2021: Inter-professional collaborative practice in case of students who are deaf/Deaf or hard of hearing – Request for additional feedback
- March 24, 2021: Website Marketing Requirements
- May 29, 2020: Inter-professional collaborative practice in care of students who are deaf/Deaf or hard of hearing – Request for feedback
- May 5, 2020: CSHBC statement on hearing aids dispensed directly from manufacturers to clients
- April 9, 2020: Providing Virtual Care during COVID-19 Pandemic – Update
- April 3, 2020: Employment Roles that Conflict with Professional Obligation
- February 26, 2020: Regulation of Personal Sound Amplification Products
- December 12, 2019: Interjurisdictional Practice
- August 21, 2019: Disclosure of Information for Non-health Purposes
- August 17, 2019: Billing: Use of Communication Health Assistants & Charitable Grants
- July 5, 2019: Certificate E: Flexible Endoscopic Evaluation of Voice and Swallowing (FEEVS) for Adults for RSLPS – Transition Session for Certificate F Holders & Trainees and Appendix
- March 1, 2019: Information about CSHBC’s Administration of BC’s Criminal Records Review Program
- December 5, 2017: Use of Naloxone for Opioid Overdose
- October 16, 2017: Issuing & Receiving Orders
- February 17, 2016: Use of Nasal Decongestants for Fiberendoscopic Evaluation of Swallowing (FFES)
Quality Assurance
Effective July 1, 2025, health professionals regulated by CHCPBC will not have to report legacy Quality Assurance Program (QAP) requirements to the College. This is to facilitate the design and development of a new QAP to improve client/patient outcomes, and support health professionals’ learning and performance. In 2026, registrants will participate in transitional activities that will introduce the new approach. The College appreciates registrants’ patience as we update website content to reflect the new QAP.
Questions about the QAP should be directed to qaprograms@chcpbc.org.
Online Learning Courses
CHCPBC online learning courses cover essential knowledge about regulatory requirements to support registrants and Communication Health Assistants (CHAs).
Professional Practice Advisors
The College’s Professional Practice Advisors (PPAs) provide professional practice information to registrants to ensure adherence to regulatory requirements, and to provide guidance on how practice standards and related documents can be implemented in practice. For more information on PPAs click here.
Competency Profiles
The College has agreed in principle to accept the following profile as core standards of practice for RAUD:
The profiles harmonize the registration processes of audiologists and speech-language pathologists across the regulated jurisdictions in Canada, enabling standardized outcomes, enhanced public safety, and improved labour mobility.
The competency profile includes a set of essential competencies and their related sub-competencies. Together, the components of the competency profiles detail the professional competencies required of each clinician upon entry-to-practice in Canada, with the goal of safe and effective practice.
Registered Audiologists
Registered Audiologists (RAUDs) are experts in the prevention, identification, assessment, treatment, and (re)habilitation of auditory and vestibular difficulties. Audiologists preserve and (re)habilitate auditory and vestibular functioning in individuals across the lifespan to improve their quality of life and maximize their participation in society.
After completion of a master’s degree in audiology, audiologists entering practice in Canada have the knowledge, skills, and judgment to provide services related, but not limited, to:
- Auditory function
- Vestibular function
- Hearing conservation
- Tinnitus, hyperacusis, and misophonia
- Auditory processing disorders
- Cerumen management
- Prescribing and dispensing hearing aids (regulated separately in BC)
- Assistive listening and alerting devices
- Implantable hearing devices
Clinical Policies, Practice Guidelines, & Protocols
Clinical Policies
The following clinical policies are important resources for registrants to consult on a range of topics relevant to the practice of audiology, hearing instrument dispensing, and speech-language pathology:
- Communication Health Assistants (Titles & Credentials)
- Ear Impressions
- Hearing Assessment & Hearing Instrument Fitting & Dispensing
- Medical Assistance in Dying (MAiD)
- Reserved Titles & Credentials
- Sale of Supplies & Equipment
Clinical Practice Guidelines and Protocols
Clinical practice guidelines and protocols provide recommendations to RAUDs, RHIPs, and RSLPs on delivering safe, high quality, and appropriate care to the public. The guidelines and protocols are developed under the direction of the College’s Quality Assurance (QA) Committee.
While the guidelines and protocols are mainly for RAUDs, RHIPs, and RSLPs, others such as health educators, health authorities, allied health organizations, and other regulated health professionals may also find them to be useful resources.
- Adult Ear-Related Red Flags: Referral Criteria for Medical Clearance
- Audiologic Management of Adult Hearing Impairment
- Auditory Processing Disorders in Children and Adults (English)
- Auditory Processing Disorders in Children and Adults (French)
- Client Abuse, Neglect, and Family Violence
- Clinical Masking for Audiometric Testing in Adults
- Clinical Supervision Skills Review Tool
- Communication Health Assistants: Verifying Education, Training, & Competence
- Delegating Ear Impressions to Non-registrant IATs
- Documentation & Records Management
- Ear Impressions
- Fitting of Remote Microphone Hearing Assistance Technology to Children in an Educational Setting
- Health Care Providers’ Guide to Consent to Health Care
- Infection Prevention & Control Guidelines for Audiology
- Infection Prevention & Control Guidelines for Speech-Language Pathology
- International Dysphagia Diet Standardisation Initiative (IDDSI) Framework
- Real Ear Probe Microphone Measurement Verification of Hearing Aids in Adults
- Where’s the Line? Professional Boundaries in a Therapeutic Relationship
Infection Prevention & Control In The Practice Environment
The College has transitioned from providing registrants with guidance from provincial agencies for practising during the COVID-19 pandemic, to providing a set of fundamental safety practices that address overall infection prevention and control of communicable diseases in the practice environment.
Registrants are expected to take steps to prevent the transmission and infection of communicable diseases, including COVID-19, in the practice environment, including adhering to the following guiding principles and safety practices.
Guiding principles of infection prevention & control
Recommended guiding principles of infection prevention and control include:
- Clients must not enter the clinic if they are sick and/or show signs of communicable disease.
- Registrants must not enter the clinic and provide in-person care if they are sick and/or show signs of communicable disease.
- Staff must not enter the clinic if they are sick and/or show signs of communicable disease.
- Registrants and staff must follow proper hand hygiene.
- A clean work environment must be maintained in the practice environment.
- Adequate ventilation must be maintained in the practice environment.