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[Dysphagia] Dysphagia assessments in acute care
This topic was covered in a session of the ASHA conference this week:
http://convention.asha.org/handouts.cfm
Look up Session 1956 - NPO Unit Dysphagia Screen?
You might need to be an ASHA member to access it.
"Archambault, Wendy" wrote:
> Hi,
>
> I am working in an acute care facility in which we have variable wait times
> for patients to be seen for a bedside swallowing assessment dependent on
> caseload and coverage. When fully staffed we generally see patients within
> 2-3 days of the referral date if orders have been entered correctly in our
> system. When understaffed our wait time can be up to 1 week.
>
>
>
> Our stroke steering committee has proposed that we develop a "screening"
> tool that would allow nursing to determine what diet stroke patients can be
> placed on after they have been NPO for 24hrs as per stroke orders, while
> they await their swallowing assessment by the SLP. In addition, they have
> suggested using the "train the trainer" method for educating all of our
> stroke nurses as SLP are limited.
>
>
>
> I am wondering if anyone has been involved in a similar situation and what
> was done. The problem that has been identified by our SLP group is that
> nursing is asking for an assessment not a screening. Does anyone know of any
> tools and/or programs that are available that may be appropriate for this
> "preliminary" mini assessment that is being requested? There has been a lot
> of work done locally to try and develop such a tool and previous attempts
> have failed at the training level.
>
>
>
> Thanks!
>
> Wendy
>
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