[Dysphagia] FYI: Neuro exam infants andchildrenvideopresentations online

[EThompson at mountnittany.org (Thompson, Elana)]

What makes a puree diet with honey-thickened liquids safe?
Is there evidenced-based data that that is a clinically safer diet?
 
Thanks for helping to clarify that,
 
Elana Thompson, MS, CCC-SLP

________________________________

From: dysphagia-bounces@b9.com on behalf of Erin Powazek
Sent: Tue 8/8/2006 12:03 PM
To: eripley@yahoo.com; jsaunt@hotmail.com; dysphagia@b9.com
Subject: RE: [Dysphagia] FYI: Neuro exam infants andchildrenvideopresentations online



I previously worked at a trauma hospital where we had 3 full time SLPs and
per diem coverage.  We had speech coverage 365 days a year.  We would all
sign up for 1-2 weekend days a month, for which we were paid a per diem
rate.  Saturday was a  regular day and Sunday was an on call day.  If an
order came through the charge RN would call an answering service that would
page the on call therapist.  We were required to come in if an eval come
through before 1:00.  I found it very beneficial to have coverage on
weekends.  Because of all the traumas we did many cognitive-linguistic evals
on weekends and were able to provide info on s/s of mild TBI to pts who were
being d/c pending our eval and ed.  I now work at a couty hospital where I
am the only SLP, so there is no weekend coverage.  If there is concern on
the weekend about a pt then the MD will either make them NPO or place them
on a puree diet w/ honey thick liquids until an eval can be completed on
Monday.

I hope this helps,
Erin Rohde, MA, CCC-SLP

----Original Message Follows----
From: Irene Campbell-Taylor <eripley@yahoo.com>
To: L S <jsaunt@hotmail.com>, dysphagia@b9.com
Subject: RE: [Dysphagia] FYI: Neuro exam infants and
childrenvideopresentations online
Date: Mon, 7 Aug 2006 12:06:33 -0700 (PDT)

These days, I do only teaching, writing and consultations all over the
place. I have worked in acute care, geriatric hospitals and facilities for
children and adults with DD.
   I have never been able to see the need for weekend coverage at all.

L S <jsaunt@hotmail.com> wrote:
         How do you cover dysphagia evaluations on weekends?
   Does your facility have any weekend coverage?  Is it one or both days?
   If not, what happens with your dysphagia evaluations?
   Do your nurses do dysphagia screens?
   If you are on call how does it work and how does the on call individual
get reimbursed?
   What type of facility is yours?

   If you don't have coverage on both weekend days, how do your physicians
react?  And if you have any suggestions regarding education of physicians
and/or nursing staff, please share if you will.

   Several years ago I asked colleagues in the San Diego area, but realize I
need an update.

   The official policy of our medical center is to cover Mon-Friday, with
the exception of acute rehab, which we cover on Saturdays.  Since we are
there on Saturdays, as a courtesy to the patients and physicians, we
complete as many dysphagia evals as possible on Saturdays.  Most of the time
this works well, but occasionally we have some dissatisfaction and I'd like
to reply with what the practice is out there.  Additionally, we may have to
consider changing our practice depending upon the responses I get.

   I appreciate your time,

   Leslie








Dr I Campbell-Taylor
Clinical Neuroscientist
Exclusive Distributor:
www.interactivetherapy.com
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