[Dysphagia] RE: Dysphagia Digest, Vol 30, Issue 8

[McGowanE at mlhs.org (McGowan, Eileen)]

I have worked at a few facilities that let RD change diet orders. In terms of SLP writing orders, I have covered facilities that let us write a TVO which the RN later calls in; or we could advance or reduce the solid or liquid level of a diet if the pt was already ordered a diet.  We could not go from NPO to a diet or diet to NPO without MD order.  Where I am currently at many MDs write "diet per Speech".  

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From: dysphagia-bounces@b9.com on behalf of dysphagia-request@b9.com
Sent: Wed 5/10/2006 2:10 PM
To: dysphagia@b9.com
Subject: Dysphagia Digest, Vol 30, Issue 8



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Today's Topics:

   1. Continuing Education Suggestions (LSterling@aol.com)
   2. writing orders  (Patti Larghi)


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Message: 1
Date: Tue, 9 May 2006 19:15:41 EDT
From: LSterling@aol.com
Subject: [Dysphagia] Continuing Education Suggestions
To: dysphagia@b9.com
Message-ID: <20f.164f3df5.31927c9d@aol.com>
Content-Type: text/plain; charset="US-ASCII"

Hello Colleagues!
The Continuing Education Committee of ASHA's Division 13 would like to 
solicit your suggestions for continuing education topics.  We would like to 
identify the areas where you and your colleagues feel you need continuing  education
support.  For example, one issue that has been discussed is a  "back to
basics" series that reviews anatomy and physiology of the  swallow.  Another is
evidenced based support for therapeutic  strategies.  We are looking at
suggestions for topics to be covered in  short courses/seminars at the annual
convention, web forums, fact sheets  etc.  These materials would be available to all
ASHA members and not just  Division 13 members. 

Please forward these to me privately.  If the list is interested in  the
topics collected, I will post. 

Thanks!
Laurie Sterling, M.S. CCC-SLP
Member, Div 13 CE Committee



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Message: 2
Date: Tue, 09 May 2006 20:45:10 -0400
From: "Patti Larghi" <plarghi@msn.com>
Subject: [Dysphagia] writing orders
To: Dysphagia@b9.com
Message-ID: <BAY103-F6C3D28156F0ADDDE37A2CACAE0@phx.gbl>
Content-Type: text/plain; format=flowed

I think this topic has been addressed on this list serve before but I would
like to reviist it.  I work in an acute care hospital setting. I am often
faced with the problem of making a simple diet texture and or liquid
consistency adjustment by obtaining a telephone order from a difficult to
reach physician. It has always been my understanding that this can only be
done with a physician's order and physicians are the only ones allowed to
write orders.That being said our dietary department recently wrote a policy
stating that a registered dietician could adjust diet texture or write
orders for supplements. This was approved by the Pharmacy and Therapeutics
Comittee and then by the Medical Review Board.
Orders are now written by dietician to adjust diet textures, po supplements
etc. This is only after a diet has been intiated by the physician.
I would like to do something similiar to this which would allow the Speech
Pathologists to write orders to change the texture of an existing diet and
the viscosity level of  liquids. This would be referenced to the national
dysphagia diet standards.
Now for the question. Has any one had success with implementing this type of
protocal?  I realize we all  have physicans  that we work with regularly
which give us blanket telephone orders priviledges,but I would like to make
this avaliable as a protocal which pertains specifically to the SLP staff to
make this change independently.
Thanks in advance for any feed back.
Patti Larghi
Speech Pathologist
Memomrial Health Care System




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End of Dysphagia Digest, Vol 30, Issue 8
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