[Dysphagia] Re: RN Dysphagia Screen

[cclikes at yahoo.com (Creighton Likes)]

Many of you have emailed me about difficulty opening the RN screen attachment.  I have copied and pasted it below (please note that some of the check boxes did not transfer and the format has changed a little). 
I also was asked if the RN's are good about consulting us if appropriate.  At the end of this screen, you will see check boxes "yes" and "no" to response of SLP consult warranted.  If they check on "yes", then it is interfaced with a computer system in rehab to alert us.  Our rehab tech then goes and places a sticker in the chart to alert the MD team that this particular patient was screened at risk for aspiration and would benefit from a SLP consult.  (It is kind of set up like a nutritional or fall assessment).  
Let me know if you have any questions!
Christa P. Likes, MSR, CCC-SLP
  
RN Dysphagia Scn          Assessment Phase           zinitial    zre-assessment
Pre-Swallow Scrn
          Pt Awake/alert?                    yes, cont   no, stop

          Position upright                   yes, cont   no, stop

          Can pt cough?                    yes, cont   no, stop

          Control saliva?                    yes, cont   no, stop

          Lick both lips?                    yes, cont   no, stop

          Breathe freely?                     yes, cont   no, stop

          Crisp clr voice?                   yes, cont   no, stop
Swallow screen
          1st tsp H20 spoon            problems, stop          no problems,cont

          2nd tsp H20 spoon           problem, stop            no problems,cont

          3rd tsp H20 spoon           problems, stop          no problems,cont

          3oz/90ml H20 cup           problems, stop          no problem,cont

Problems ID?d                    yes           no        unsure       see attached

SLP consult                        yes           no

 
		
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