Common use of Volume Control Clause in Contracts

Volume Control. A. Telephones required to have a volume control shall be identified by a sign containing a depiction of a telephone handset with radiating sound waves. These signs shall comply with the requirements set forth in Section III.B., above. B. Public area and patient room telephones required to have a volume control shall be capable of a minimum of 12 dbA and a maximum of 18 dbA above normal volume. If an automatic reset is provided then 18 dbA may be exceeded. Exhibit 1 Model Communication Assessment Form __________________ Date __________________ am/pm Time ________________________________________ Name of Person with Disability (deaf, hard of hearing, or speech impairment) ________________________________________ Patient's Name Nature of Disability: ___ Deaf ___ Hard of Hearing ___ Speech Impairment ___ Other: __________________________ Relationship to Patient: ___ Self ___ Family Member ___ Friend/Companion ___ Other: __________________________ Do you want a professional sign language or oral interpreter? ___ No. I do not use sign language and do not use interpreters to lip read. ___ No. I prefer to have family members/ friends help with communication. ___ Yes. Choose one (free of charge): ___ American Sign Language (ASL) interpreter ___ ▇▇▇▇▇▇▇ Signed English interpreter ___ Signed English interpreter ___ Oral interpreter ___ Other. Explain: _____________________________________ Which of the following would be helpful for you? (free of charge) ___ TTY/TDD (text telephone) ___ Assistive listening device (sound amplifier) ___ Qualified note-takers ___ Writing back and forth ___ CART: Computer-assisted Real Time Transcription Service ___ Other. Explain: _____________________________________ If you, or the Patient who you are with, is ADMITTED to the hospital, which of the following will you want in the patient room? (free of charge) ___ Telephone handset amplifier ___ Telephone compatible with hearing aid ___ Closed caption decoders for television set (Note: any standard fee for television service applies) ___ TTY/TDD ___ Flasher for incoming calls ___ Paper and pen for writing notes ___ Other. Explain: ______________________________________ We ask this information so we can communicate with you effectively. All communication aids and services are provide FREE OF CHARGE. If you need further assistance, please ask your nurse or other hospital personnel. Any questions? Please call our Effective Communication Program Office, ______________(voice), ______________ (TTY), or visit us during normal business hours. We are located in room ________________________________. EXHIBIT 2 ST. LUKE'S COMPLIANCE REPORT Date ______________ The following information is submitted pursuant to Paragraph 66 of the Agreement entered into by the United States and St. Luke's Hospital and Health Network. Defined terms herein have the meanings given in the Agreement. Section references below correspond to the same Sections of the Agreement.

Volume Control. A. Telephones required to have a volume control shall be identified by a sign containing a depiction of a telephone handset with radiating sound waves. These signs shall comply with the requirements set forth in Section III.B., above. B. Public area and patient room telephones required to have a volume control shall be capable of a minimum of 12 dbA and a maximum of 18 dbA above normal volume. If an automatic reset is provided then 18 dbA may be exceeded. Exhibit 1 Model Communication Assessment Form ________________am/pm __ Date ___________________ am/pm Time _______________Date _________________________ Name of Person with Disability (deaf, hard of hearing, or speech impairment) ________________________________________ Name of Person with Disability Patient's ’s Name (deaf, hard of hearing, or speech impairment) Nature of Disability: ___ Relationship to Patient: Deaf ___ Hard of Hearing ___ Speech Impairment ___ Other: __________________________ Relationship to Patient: ___ Self ___ Family Member ___ Friend/Friend / Companion ___ Other: __________________________ Do you want a professional sign language or oral interpreter? ___ No. I do not use sign language and do not use interpreters to lip read. ___ No. I prefer to have family members/ friends help with communication. ___ Yes. Choose one (free of charge): ___ American Sign Language (ASL) interpreter ___ ▇▇▇▇▇▇▇ Signed English interpreter ___ Signed English interpreter ___ Oral interpreter ___ Other. Explain: ___________________________________________ Which of the following would be helpful for you? (free of charge) ___ TTY/TDD (text telephone) ___ Assistive listening device (sound amplifier) ___ Qualified note-takers ___ Writing back and forth ___ CART: Computer-assisted Real Time Transcription Service ___ Other. Explain: _________________________________________ If you, or the Patient who you are with, is ADMITTED to the hospital, which of the following will you want in the patient room? (free of charge) ___ Telephone handset amplifier ___ Telephone compatible with hearing aid ___ Closed caption decoders for television set (Note: any standard fee for television service applies) ___ TTY/TDD ___ Flasher for incoming calls ___ Paper and pen for writing notes ___ Other. Explain: ___________________________________________ We ask this information so we can communicate with you effectively. All communication aids and services are provide FREE OF CHARGE. If you need further assistance, please ask your nurse or other hospital personnel. Any questions? Please call our Effective Communication Program Office, ______________(voice), ______________ (TTY), or visit us during normal business hours. We are located in room ________________________________. EXHIBIT 2 ST. LUKE'S SOUTH FLORIDA BAPTIST HOSPITAL COMPLIANCE REPORT Date ______________ The following information is submitted pursuant to Paragraph 66 67 of the Agreement entered into by the United States and St. Luke's Hospital and Health NetworkSouth Florida Baptist Hospital. Defined terms herein have the meanings given in the Agreement. Section references below correspond to the same Sections of the Agreement.