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[Dysphagia] Dysphagia Digest, Vol 39, Issue 15
Jill and list, That is exactly what I do and have done for years.It is very
cost effective.
On 2/16/07 10:50 AM, "Jill Kobak" <jk2 at cardinalhill.org> wrote:
>
>
> 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
>
>
> Send Dysphagia mailing list submissions to
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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
> -----------------------------------------
> The information transmitted is intended only for the person or
> entity to which it is addressed and may contain confidential and/or
> privileged material. Any review, retransmission, dissemination or
> other use of, or taking of any action in reliance upon, this
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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/
> -------------RVH DISCLAIMER-------------
>
>
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