[Dysphagia] acute care screenings

[bjm at francomm.com (Barbara Morrison)]

I am looking for input regarding screenings
in acute care. JCAHO requires that Rehab
have a means to screen patients for services 
(PT, OT, SLP). We receive ours based
on the information that the nurses fill out during
the nursing admission assessment. If the RN
marks "yes" for the question "Swallow Difficulty?"
or writes anything under the heading "Speech"
(ie., garbled, slurred, etc.), it automatically triggers 
an SLP screening which prints out in our department.
This seemed like a good idea when our
director implemented it earlier
this year, however, we are receiving so many
inappropriate screenings. We are not capturing the
patients that we need to capture. We are looking to
make changes.............I would really appreciate info
on how other acute care facilities screen patients. 
Thank you!