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[Dysphagia] Dysphagia Digest, Vol 39, Issue 15
- Subject: [Dysphagia] Dysphagia Digest, Vol 39, Issue 15
- From: jk2 at cardinalhill.org (Jill Kobak)
- Date: Fri, 16 Feb 2007 10:50:55 -0500
I worked in a large acute care setting in Denver, CO. The radiologists were present in the department and were available to us on an on-call basis. If we needed their input we would page them and they would come to answer questions but did not routinely participate in the studies. We rarely needed to call and it typically was due to potential tumors, etc. The SLP and the rad tech would sit outside of the radiology suite and the therapy aide would feed the patient during the study. The tech ran the equipment and the SLP would guide the study and view the monitor. The therapy aides had gone through competencies and were educated on radiation safety, textures, compensations, etc. They would only do what they were instructed to do by the SLP. It was a great system and much more cost effective than having more than one SLP present. All studies were taped for review as needed. Just another potential MBS set-up for consideration.
Jill Kobak, MEd, CCC/SLP
Program Coordinator
Center for Outpatient Services
Cardinal Hill Rehabilitation Hospital
Lexington, KY 40504
jk2 at cardinalhill.org
-----Original Message-----
From: dysphagia-bounces at b9.com [mailto:dysphagia-bounces at b9.com]On
Behalf Of dysphagia-request at b9.com
Sent: Friday, February 16, 2007 9:32 AM
To: dysphagia at b9.com
Subject: Dysphagia Digest, Vol 39, Issue 15
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Today's Topics:
1. Re: free water protocol (apdfried at juno.com)
2. How many speech pathologists in the room during the swallow
study (msgroislp at optonline.net)
3. Re: How many speech pathologists in the room during the
swallow study (Kurt R. Daniels)
4. Re: How many speech pathologists in the room during the
swallow study (Deanna Rolfe)
5. Re: How many speech pathologists in the room during the
swallow study (AnnaMaria Koo)
6. Re: How many speech pathologists in the room during
theswallow study (Erin Powazek)
7. How many speech pathologists in the room during the swallow
study (Cameron, Sharon (R3))
----------------------------------------------------------------------
Message: 1
Date: Thu, 15 Feb 2007 20:28:44 GMT
From: "apdfried at juno.com" <apdfried at juno.com>
Subject: Re: [Dysphagia] free water protocol
To: swlslp at yahoo.com
Cc: dysphagia at b9.com
Message-ID: <20070215.122846.28.2207289 at webmail04.lax.untd.com>
Content-Type: text/plain
Sandi, We use our own version of the water protocol and have had good success on specific units that we have trained to be flexible and accurate with dysphagia management. We are a hospital based group and we have used this on both acute and rehab patients. Dave Friedlander
------------------------------
Message: 2
Date: Fri, 16 Feb 2007 01:25:28 +0000 (GMT)
From: msgroislp at optonline.net
Subject: [Dysphagia] How many speech pathologists in the room during
the swallow study
To: dysphagia at b9.com
Message-ID: <e265fdd47ab3.45d50808 at optonline.net>
Content-Type: text/plain; charset=us-ascii
Hello all,
This board has been a wonderful avenue to learn and grow in the field of dysphagia. My question is for everyone. Do you know if there is a Standard of Care re: how many speech pathologists conduct the study, i.e. 2 vs. 1. In my facility and some of the local hospitals, the norm is that there are 2 speech pathologists in the room (one feeding and one viewing the video). We do not get any input from the radiologists, even with prompting and several attempts to "get them involved in diagnosing", etc)., therefore, we believe that "2 sets of eyes are better than one".
I would appreciate any input and thanks again for sharing your knowledge.
Maria Sgroi, M.S., CCC-SLP
Speech-Language Pathologist
msgroislp at optonline.net
------------------------------
Message: 3
Date: Thu, 15 Feb 2007 19:05:10 -0800 (PST)
From: "Kurt R. Daniels" <krd at ameritech.net>
Subject: Re: [Dysphagia] How many speech pathologists in the room
during the swallow study
To: msgroislp at optonline.net, dysphagia at b9.com
Message-ID: <260592.95670.qm at web80210.mail.mud.yahoo.com>
Content-Type: text/plain; charset=iso-8859-1
Maria
First off, I am not aware of any "standards" with respect to this issue.
As for my situation, I have to say that I work in a rather unique setting - albeit somewhat antiquated in terms of the equipment utilized in our radiology department as compared to the typical hospital. None the less, I have been doing swallow studies for 12 years now and it has always been our rule that while I am conducting the test, I am looking at a monitor watching what is going on. The radiologist is sitting right next to me running the equipment - watching the same monitor. Then there is another SLP in the room who watches a separate monitor while running the vcr/dvd recorder and taking notes for me. Not counting any other SLPs who attend the testing with their patients, we have a minimum of 3 sets of eyes watching each test - after which I write a brief report summarizing what we saw. Then after testing is concluded for the day, I review the tapes and write a secondary more formal report. The radiologist co-signs both reports with me. I hope this
information helps.
Kurt R. Daniels, MS, CCC-SLP/L
msgroislp at optonline.net wrote:
Hello all,
This board has been a wonderful avenue to learn and grow in the field of dysphagia. My question is for everyone. Do you know if there is a Standard of Care re: how many speech pathologists conduct the study, i.e. 2 vs. 1. In my facility and some of the local hospitals, the norm is that there are 2 speech pathologists in the room (one feeding and one viewing the video). We do not get any input from the radiologists, even with prompting and several attempts to "get them involved in diagnosing", etc)., therefore, we believe that "2 sets of eyes are better than one".
I would appreciate any input and thanks again for sharing your knowledge.
Maria Sgroi, M.S., CCC-SLP
Speech-Language Pathologist
msgroislp at optonline.net
_______________________________________________
Dysphagia mail list: Normal and disordered swallowing information
Dysphagia at b9.com
Manage subscription: http://lists.b9.com/mailman/listinfo/dysphagia
Visit the new Dysphagia Web Forum: http://dysphagia.com/forum
------------------------------
Message: 4
Date: Fri, 16 Feb 2007 15:58:16 +1100
From: "Deanna Rolfe" <DRolfe at nsccahs.health.nsw.gov.au>
Subject: Re: [Dysphagia] How many speech pathologists in the room
during the swallow study
To: "Kurt R. Daniels" <krd at ameritech.net>, <dysphagia at b9.com>,
<msgroislp at optonline.net>
Message-ID: <45D5D498020000C4000038B6 at mail.nsccahs.health.nsw.gov.au>
Content-Type: text/plain; charset=US-ASCII
We also have 2 SPs and a radiologist. A radiographer is also present.
We get input from the radiologist, but amount of input depends on who
it is.
Deanna
>>> "Kurt R. Daniels" <krd at ameritech.net> 16/02/2007 2:05 pm >>>
Maria
First off, I am not aware of any "standards" with respect to this
issue.
As for my situation, I have to say that I work in a rather unique
setting - albeit somewhat antiquated in terms of the equipment utilized
in our radiology department as compared to the typical hospital. None
the less, I have been doing swallow studies for 12 years now and it has
always been our rule that while I am conducting the test, I am looking
at a monitor watching what is going on. The radiologist is sitting
right next to me running the equipment - watching the same monitor.
Then there is another SLP in the room who watches a separate monitor
while running the vcr/dvd recorder and taking notes for me. Not
counting any other SLPs who attend the testing with their patients, we
have a minimum of 3 sets of eyes watching each test - after which I
write a brief report summarizing what we saw. Then after testing is
concluded for the day, I review the tapes and write a secondary more
formal report. The radiologist co-signs both reports with me. I hope
this
information helps.
Kurt R. Daniels, MS, CCC-SLP/L
msgroislp at optonline.net wrote:
Hello all,
This board has been a wonderful avenue to learn and grow in the field
of dysphagia. My question is for everyone. Do you know if there is a
Standard of Care re: how many speech pathologists conduct the study,
i.e. 2 vs. 1. In my facility and some of the local hospitals, the norm
is that there are 2 speech pathologists in the room (one feeding and one
viewing the video). We do not get any input from the radiologists, even
with prompting and several attempts to "get them involved in
diagnosing", etc)., therefore, we believe that "2 sets of eyes are
better than one".
I would appreciate any input and thanks again for sharing your
knowledge.
Maria Sgroi, M.S., CCC-SLP
Speech-Language Pathologist
msgroislp at optonline.net
_______________________________________________
Dysphagia mail list: Normal and disordered swallowing information
Dysphagia at b9.com
Manage subscription: http://lists.b9.com/mailman/listinfo/dysphagia
Visit the new Dysphagia Web Forum: http://dysphagia.com/forum
_______________________________________________
Dysphagia mail list: Normal and disordered swallowing information
Dysphagia at b9.com
Manage subscription: http://lists.b9.com/mailman/listinfo/dysphagia
Visit the new Dysphagia Web Forum: http://dysphagia.com/forum
Please note: Northern Sydney Central Coast Health E-Mail addresses have changed from @doh.health.nsw.gov.au to @nsccahs.health.nsw.gov.au
Please make this change in your address books for my contact details.
Disclaimer: This message is intended for the addressee named and may
contain confidential information. If you are not the intended
recipient, please delete it and notify the sender. Views
expressed in this message are those of the individual sender,
and are not necessarily the views of Northern Sydney Central Coast Health.
<<<< GWAVASIG >>>>
------------------------------
Message: 5
Date: Fri, 16 Feb 2007 09:02:47 -0500
From: "AnnaMaria Koo" <AnnaMaria.Koo at sjhc.london.on.ca>
Subject: Re: [Dysphagia] How many speech pathologists in the room
during the swallow study
To: "Kurt R. Daniels" <krd at ameritech.net>, <dysphagia at b9.com>,
<msgroislp at optonline.net>
Message-ID: <45D573380200008F000013A0 at sjhcgwvs01.sjhc.london.on.ca>
Content-Type: text/plain; charset="US-ASCII"
In our facility we have a fairly unique set up in that there are trained
radiology technicians who work with the S-LP-one does feeding and one
captures the images and provides some commentary on any abnormal
anatomical structures. These images are then sent to the Radiologist to
review and the MBS tape may be sent to the Radiologist to review for
expert opinion on abnormal structure or physiology.
Anna Maria Koo
Speech-Language Pathologist
Specialized Geriatric Services & NRC
SJHC, Parkwood Site
ext.42205
>>> "Kurt R. Daniels" <krd at ameritech.net> 02/15/07 10:05 PM >>>
Maria
First off, I am not aware of any "standards" with respect to this
issue.
As for my situation, I have to say that I work in a rather unique
setting - albeit somewhat antiquated in terms of the equipment utilized
in our radiology department as compared to the typical hospital. None
the less, I have been doing swallow studies for 12 years now and it has
always been our rule that while I am conducting the test, I am looking
at a monitor watching what is going on. The radiologist is sitting
right next to me running the equipment - watching the same monitor.
Then there is another SLP in the room who watches a separate monitor
while running the vcr/dvd recorder and taking notes for me. Not
counting any other SLPs who attend the testing with their patients, we
have a minimum of 3 sets of eyes watching each test - after which I
write a brief report summarizing what we saw. Then after testing is
concluded for the day, I review the tapes and write a secondary more
formal report. The radiologist co-signs both reports with me. I hope
this
information helps.
Kurt R. Daniels, MS, CCC-SLP/L
msgroislp at optonline.net wrote:
Hello all,
This board has been a wonderful avenue to learn and grow in the field
of dysphagia. My question is for everyone. Do you know if there is a
Standard of Care re: how many speech pathologists conduct the study,
i.e. 2 vs. 1. In my facility and some of the local hospitals, the norm
is that there are 2 speech pathologists in the room (one feeding and one
viewing the video). We do not get any input from the radiologists, even
with prompting and several attempts to "get them involved in
diagnosing", etc)., therefore, we believe that "2 sets of eyes are
better than one".
I would appreciate any input and thanks again for sharing your
knowledge.
Maria Sgroi, M.S., CCC-SLP
Speech-Language Pathologist
msgroislp at optonline.net
_______________________________________________
Dysphagia mail list: Normal and disordered swallowing information
Dysphagia at b9.com
Manage subscription: http://lists.b9.com/mailman/listinfo/dysphagia
Visit the new Dysphagia Web Forum: http://dysphagia.com/forum
_______________________________________________
Dysphagia mail list: Normal and disordered swallowing information
Dysphagia at b9.com
Manage subscription: http://lists.b9.com/mailman/listinfo/dysphagia
Visit the new Dysphagia Web Forum: http://dysphagia.com/forum
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------------------------------
Message: 6
Date: Fri, 16 Feb 2007 07:15:42 -0700
From: "Erin Powazek" <epowazek at hotmail.com>
Subject: Re: [Dysphagia] How many speech pathologists in the room
during theswallow study
To: DRolfe at nsccahs.health.nsw.gov.au, krd at ameritech.net,
dysphagia at b9.com, msgroislp at optonline.net
Message-ID: <BAY102-F27D89ADD9196F7F56C8D51D7950 at phx.gbl>
Content-Type: text/plain; format=flowed
It is just myself in the room w/ the radiologist (who gives input). I'm the
only SLP at our hospital so there isnt another option. If I have a question
I just review the tape.
Erin
----Original Message Follows----
From: "Deanna Rolfe" <DRolfe at nsccahs.health.nsw.gov.au>
To: "Kurt R. Daniels" <krd at ameritech.net>, <dysphagia at b9.com>,
<msgroislp at optonline.net>
Subject: Re: [Dysphagia] How many speech pathologists in the room during
theswallow study
Date: Fri, 16 Feb 2007 15:58:16 +1100
We also have 2 SPs and a radiologist. A radiographer is also present.
We get input from the radiologist, but amount of input depends on who
it is.
Deanna
>>> "Kurt R. Daniels" <krd at ameritech.net> 16/02/2007 2:05 pm >>>
Maria
First off, I am not aware of any "standards" with respect to this
issue.
As for my situation, I have to say that I work in a rather unique
setting - albeit somewhat antiquated in terms of the equipment utilized
in our radiology department as compared to the typical hospital. None
the less, I have been doing swallow studies for 12 years now and it has
always been our rule that while I am conducting the test, I am looking
at a monitor watching what is going on. The radiologist is sitting
right next to me running the equipment - watching the same monitor.
Then there is another SLP in the room who watches a separate monitor
while running the vcr/dvd recorder and taking notes for me. Not
counting any other SLPs who attend the testing with their patients, we
have a minimum of 3 sets of eyes watching each test - after which I
write a brief report summarizing what we saw. Then after testing is
concluded for the day, I review the tapes and write a secondary more
formal report. The radiologist co-signs both reports with me. I hope
this
information helps.
Kurt R. Daniels, MS, CCC-SLP/L
msgroislp at optonline.net wrote:
Hello all,
This board has been a wonderful avenue to learn and grow in the field
of dysphagia. My question is for everyone. Do you know if there is a
Standard of Care re: how many speech pathologists conduct the study,
i.e. 2 vs. 1. In my facility and some of the local hospitals, the norm
is that there are 2 speech pathologists in the room (one feeding and one
viewing the video). We do not get any input from the radiologists, even
with prompting and several attempts to "get them involved in
diagnosing", etc)., therefore, we believe that "2 sets of eyes are
better than one".
I would appreciate any input and thanks again for sharing your
knowledge.
Maria Sgroi, M.S., CCC-SLP
Speech-Language Pathologist
msgroislp at optonline.net
_______________________________________________
Dysphagia mail list: Normal and disordered swallowing information
Dysphagia at b9.com
Manage subscription: http://lists.b9.com/mailman/listinfo/dysphagia
Visit the new Dysphagia Web Forum: http://dysphagia.com/forum
_______________________________________________
Dysphagia mail list: Normal and disordered swallowing information
Dysphagia at b9.com
Manage subscription: http://lists.b9.com/mailman/listinfo/dysphagia
Visit the new Dysphagia Web Forum: http://dysphagia.com/forum
Please note: Northern Sydney Central Coast Health E-Mail addresses have
changed from @doh.health.nsw.gov.au to @nsccahs.health.nsw.gov.au
Please make this change in your address books for my contact details.
Disclaimer: This message is intended for the addressee named and may
contain confidential information. If you are not the intended
recipient, please delete it and notify the sender. Views
expressed in this message are those of the individual sender,
and are not necessarily the views of Northern Sydney Central Coast Health.
<<<< GWAVASIG >>>>
_______________________________________________
Dysphagia mail list: Normal and disordered swallowing information
Dysphagia at b9.com
Manage subscription: http://lists.b9.com/mailman/listinfo/dysphagia
Visit the new Dysphagia Web Forum: http://dysphagia.com/forum
_________________________________________________________________
Don't miss your chance to WIN 10 hours of private jet travel from Microsoft?
Office Live http://clk.atdmt.com/MRT/go/mcrssaub0540002499mrt/direct/01/
------------------------------
Message: 7
Date: Fri, 16 Feb 2007 10:31:43 -0400
From: "Cameron, Sharon \(R3\)" <Sharon.Cameron at rvh.nb.ca>
Subject: [Dysphagia] How many speech pathologists in the room during
the swallow study
To: <dysphagia at b9.com>
Message-ID: <EA0C2C83FACF634280C6A0DEAD0156E092F0E1 at RHAEX3.RHA-RRS.CA>
Content-Type: text/plain; charset="utf-8"
I find this discussion interesting for sure. I am a Dietitian in Canada
and our swallowing studies are done with 1 Speech, 1 Dietitian and
radiology tech as the radiologists gave up participation some time ago.
It is a team effort and depending on the perspective of the Speech, they
may be seated next to the tech with the dietitian assisting the patient
or they may also do the feeding. Duties are divided with one person
taking notes while the other is more attentive to the food delivery.
Our images are captured digitally and automatically so no need to be
involved in running the recording machinery No report is done on the
spot so to speak but the DVD is taken from the recorder, reviewed by
Dietitian and Speech and detailed report written.
As a dietitian, I find it much easier to be able to ensure that patients
receive the proper texture of food when I see the actual consistency
that they receive as well as seeing how they are able to handle the
swallowing process.
Sharon
-----Original Message-----
From: dysphagia-bounces at b9.com [mailto:dysphagia-bounces at b9.com] On
Behalf Of Erin Powazek
Sent: Friday, February 16, 2007 10:16 AM
To: DRolfe at nsccahs.health.nsw.gov.au; krd at ameritech.net;
dysphagia at b9.com; msgroislp at optonline.net
Subject: Re: [Dysphagia] How many speech pathologists in the room
duringtheswallow study
It is just myself in the room w/ the radiologist (who gives input). I'm
the
only SLP at our hospital so there isnt another option. If I have a
question
I just review the tape.
Erin
----Original Message Follows----
From: "Deanna Rolfe" <DRolfe at nsccahs.health.nsw.gov.au>
To: "Kurt R. Daniels" <krd at ameritech.net>, <dysphagia at b9.com>,
<msgroislp at optonline.net>
Subject: Re: [Dysphagia] How many speech pathologists in the room
during
theswallow study
Date: Fri, 16 Feb 2007 15:58:16 +1100
We also have 2 SPs and a radiologist. A radiographer is also present.
We get input from the radiologist, but amount of input depends on who
it is.
Deanna
>>> "Kurt R. Daniels" <krd at ameritech.net> 16/02/2007 2:05 pm >>>
Maria
First off, I am not aware of any "standards" with respect to this
issue.
As for my situation, I have to say that I work in a rather unique
setting - albeit somewhat antiquated in terms of the equipment utilized
in our radiology department as compared to the typical hospital. None
the less, I have been doing swallow studies for 12 years now and it has
always been our rule that while I am conducting the test, I am looking
at a monitor watching what is going on. The radiologist is sitting
right next to me running the equipment - watching the same monitor.
Then there is another SLP in the room who watches a separate monitor
while running the vcr/dvd recorder and taking notes for me. Not
counting any other SLPs who attend the testing with their patients, we
have a minimum of 3 sets of eyes watching each test - after which I
write a brief report summarizing what we saw. Then after testing is
concluded for the day, I review the tapes and write a secondary more
formal report. The radiologist co-signs both reports with me. I hope
this
information helps.
Kurt R. Daniels, MS, CCC-SLP/L
msgroislp at optonline.net wrote:
Hello all,
This board has been a wonderful avenue to learn and grow in the field
of dysphagia. My question is for everyone. Do you know if there is a
Standard of Care re: how many speech pathologists conduct the study,
i.e. 2 vs. 1. In my facility and some of the local hospitals, the norm
is that there are 2 speech pathologists in the room (one feeding and one
viewing the video). We do not get any input from the radiologists, even
with prompting and several attempts to "get them involved in
diagnosing", etc)., therefore, we believe that "2 sets of eyes are
better than one".
I would appreciate any input and thanks again for sharing your
knowledge.
Maria Sgroi, M.S., CCC-SLP
Speech-Language Pathologist
msgroislp at optonline.net
_______________________________________________
Dysphagia mail list: Normal and disordered swallowing information
Dysphagia at b9.com
Manage subscription: http://lists.b9.com/mailman/listinfo/dysphagia
Visit the new Dysphagia Web Forum: http://dysphagia.com/forum
_______________________________________________
Dysphagia mail list: Normal and disordered swallowing information
Dysphagia at b9.com
Manage subscription: http://lists.b9.com/mailman/listinfo/dysphagia
Visit the new Dysphagia Web Forum: http://dysphagia.com/forum
Please note: Northern Sydney Central Coast Health E-Mail addresses have
changed from @doh.health.nsw.gov.au to @nsccahs.health.nsw.gov.au
Please make this change in your address books for my contact details.
Disclaimer: This message is intended for the addressee named and may
contain confidential information. If you are not the intended
recipient, please delete it and notify the sender. Views
expressed in this message are those of the individual sender,
and are not necessarily the views of Northern Sydney Central Coast
Health.
<<<< GWAVASIG >>>>
_______________________________________________
Dysphagia mail list: Normal and disordered swallowing information
Dysphagia at b9.com
Manage subscription: http://lists.b9.com/mailman/listinfo/dysphagia
Visit the new Dysphagia Web Forum: http://dysphagia.com/forum
_________________________________________________________________
Don't miss your chance to WIN 10 hours of private jet travel from
Microsoft(r)
Office Live http://clk.atdmt.com/MRT/go/mcrssaub0540002499mrt/direct/01/
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End of Dysphagia Digest, Vol 39, Issue 15
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