AQI Services LLC

AQI © 2019

Billing Address: PO Box 269
Chatsworth, GA  30705

Phone: 813.785.1214  :   877.687.5151

AQI Services LLC - Redefining the Culture of Communication

Absolute Quality Interpreting (AQI) - Interpreter Owned


  • American Sign language is NOT English
  • Allow more time for communication. In general, communication with a person who has a hearing loss is more effective if you speak more slowly, rather than loudly with exaggerated mouth movement.
  • In any waiting area, locate and approach the patient rather than calling out a name. Gently tap a patient’s shoulder or arm to get attention, if necessary.

Patient Interactions

  • Note “Hard of Hearing” or “Deaf” on the patient’s chart. Most individuals with a hearing loss prefer these terms to “hearing impaired.”
  • Note communication preferences in the patient’s chart. Make certain to note the agency that is used.  Examples might include sign language interpreting, specialized telephones (videophone, amplified phone, voice carry-over phone), real-time captioning, note writing, or speechreading (lipreading).
  • Note the on patient’s chart assistive equipment such as hearing aids or cochlear implants.
  • Allow patients to keep hearing aids, or speech processors (the external portion of a cochlear implant) and extra batteries handy, and provide the opportunity to access them before initiating communication.
  • Communication with a patient with hearing loss depends significantly on the ability to see. Move into the patient’s line of sight and maintain eye contact. If the patient wears glasses, make sure they are accessible. Be sure lighting is sufficient and remove surgical masks before talking to the patient.
  • Avoid restricting both hands at any time! Even patients who do not use sign language often gesture to communicate. Ask in advance the patient’s dominant hand and, if possible, avoid that arm for IV insertion or placement of blood pressure cuff.
  • If you give important instructions, get verification that they are understood. Do not assume your patient understands something just because it is written down or there is a head nod—which might indicate an acknowledgment that you are speaking.

Staff Interactions

  • Staff members should be made aware that a qualified/certified professional sign language interpreter needs to be present for any significant interaction, if this is the patient’s preferred mode of communication. Wait for the interpreter before discussing complicated medical concerns, including consent for specific treatments. Family members or friends are not appropriate to serve in this role, as they lack the ability to participate in a neutral capacity.

Interpreter Interactions

  • When working with a sign language interpreter, speak and look directly at the patient. Do not talk to the interpreter, using words such as “tell him/her.”


  • Date with Start & End Times
  • Patient’s Full Name
  • Reason for Patient’s Appointment
  • Location (details where interpreter should report)
  • Requester’s Full Name, Phone Number & Email Address
  • Confirmation Information (Name & Email Address or Fax #)
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