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[DYSPHAGIA] A Question for Hospital SLPs
Like I said in my response, we do not have 7 days a week because I refuse to work 7 days a week. I was working 6 days a week every other week which is still unreasonable. We finally found 1 other on call person after a couple years. We just do not have the availability of SLP's around here. Everyone has been pretty understanding.
Francesca
>>> "Connors, William A" <connorswa@ph.upmc.edu> 03/09/01 11:22AM >>>
I have yet to hear a convincing response to the question of why SLP coverage
(given the medical nature of dysphagia work) would be anything but a 7 day a
week hospital service. Hospital care is a 24-7 deal. Why should any
patient be NPO for example for a period of time such as 24 hours
unnecessarily while waiting for us to show up sometime Monday morning? What
if Monday is a holiday? How can any of us claim to be "Medical SLPs" while
discriminating against patients who are admitted on Saturday or Sunday?
JCAHO regs are clear about consistent levels of care for all patients at all
times. I could see, perhaps, postponing evaluation and treatment of
language-impaired patients given that the literature seems to be equivocal
about early intervention benefits (e.g., AJSLP, Vol. 10, No. 1 Feb 2001).
Nutrition, however, is a bird of a different feather incorporating basic
human rights and comfort, LOS, medical care and institutional ethics. That
having been said, I'm sure that not many of us want to work on a Sunday.
We are a 240 bed community hospital with a 24 bed SNU in Western PA
Bill C
-----Original Message-----
From: Jana Rodgers [mailto:janarodgers@hotmail.com]
Sent: Thursday, March 08, 2001 10:21 PM
To: dysphagia@medonline.com
Subject: [DYSPHAGIA] A Question for Hospital SLPs
My supervisor requested that I post the following questions to the list:
1. Does your facility provide seven-day (weekend) SLP services?
we are planning on 7 day coverage soon
2. If so, do you treat all patients? only acute? only rehab? only new
consults?
unsure yet certainly new consults that are emergent in nature (e.g., NPO,
vent)
3. If not, have you had any problems with third party reimbursement due to
not providing seven days of treatment?
not yet but sooner or later the sophistication level of the reimbursement
3rd party staff will rise and they will begin to realize what is happening
I would appreciate responses from as many of you as possible. Please
include the size and general location of your hospital. Thanks in advance
for your time!
JMR
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