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[Dysphagia] cc: Re: FEES Protocol
Can anyone please tell me why I am not receiving any messages from this listserve???
John
-----Original Message-----
From: cmolrine at edinboro.edu
To: lobsterpam at aol.com
Cc: jdlemma at comcast.net; joanne.wisely at genesishcc.com; dysphagia at b9.com; SLEdgar at lancastergeneral.org
Sent: Thu, 30 Nov 2006 2:39 PM
Subject: [Dysphagia] cc: Re: FEES Protocol
Hi Pam,
As PSHA's VP for Governmental Relations I am working to get the licensure act
rewritten. In fact, David Tive, the lobbyist, and I are going before the State
Board of Speech-Language and Hearing Examiners in February to apprise them of
changes we are proposing in the redraft. I am looking for advocates to get
state representatives and senators on board when we reintroduce the bill in the
house and senate. Also, if you have ENTS/ORLs who support our passing the scope
who are willing to write letters of endorsement, that would really help.
Although what you said is not incorrect, I just want to caution others that the
only way a licensee can find out if he/she is allowed to perform a certain
function is to do it. If it is challenged, and he/she is brought up before the
board on charges, then the board can make a determination of whether it is
allowed or not.
In the last couple of years, the legal team, in conjunction with the
laryngologists, at the Hospital of the University of Pennsylvania concluded that
nasendoscopy was viewed as a tool. In the hands of a laryngologist, the use of
this tool resulted in a medical diagnosis. However, in the hands of an SLP, the
use of the same tool resulted in a functional diagnosis. They concluded that a
nasendoscopy trained SLP is not in violation of the licensure act as long as the
SLP continues to provide functional diagnosis of speech, voice and/or swallowing
disorders. Our lobbyist indicated that their
interpretation has no legal effect whatsoever and that anyone who moves forward
on doing nasendoscopy, based on the opinion from Penn, could still be subject to
sanction from the board. On the other hand, if someone is willing to take a risk
and be a "test case,? that could give the board the opportunity to say that it
is allowable to do a nasendoscopy.
Believe me, I am working to get this changed so we can perform instrumental
procedures. It seems so unfair that those excluded from the licensure title
act, e.g., VA SLPs, can pass the scope, perform VFSS with just a radio tech, and
even prescribe therapy. I would love the help and was going to be contacting
your committee in January to see if we could rally forces. Glad we are getting
the discussion out there.
Char
On Thursday, November 30, 2006 12:10 PM, lobsterpam at aol.com wrote:
>
>Date: Thu, 30 Nov 2006 12:10:13 -0500
>From: lobsterpam at aol.com
>To: SLEdgar at lancastergeneral.org, dysphagia at b9.com
>Subject: Re: [Dysphagia] FEES Protocol
>
> Hello list:
>
> I wish to clarify the PA SLP title act. This is something that our state
association worked on for quite some time, to attempt to get new legislation
passed to specify items in the SLP scope of practice for state licensure. It was
stymied for various reasons that aren't pertinent here. The current act (which
isn't a practice act but merely a title act) does not address endoscopy - or any
other instrumental assessment - at all. It also doesn't mention
videofluoroscopy, nor stroboscopy. It's not correct to state that the SLP in PA
canNOT pass the scope... the current statutes simply do not address it. It
doesn't say you can't, but it doesn't say you can, either. Some have interpreted
this more conservatively than have others, but there are individuals doing
endoscopic swallowing assessments in Pennsylvania. The regulations don't
preclude it outright.
>
> That said, it remains an important issue from a regulatory standpoint here in
PA.
>
> Pam Smith, Ph.D.
> Bloomsburg University
>
> -----Original Message-----
> From: SLEdgar at lancastergeneral.org
> To: dysphagia at b9.com
> Sent: Thu, 30 Nov 2006 11:24 AM
> Subject: [Dysphagia] FEES Protocol
>
> Does anyone out there have a protocol that they are using in an acute
>care hospital for FEES? We are looking into starting this procedure
>here at my hospital and I am gathering as much information as I can. I
>practice in PA, where we are NOT able to pass the scope; however, I do
>have an ENT that is willing to team up with us to complete the studies.
>
>Any policies/procedures/protocols you may have will be welcomed!
>
>Thank you for your time.
>
>Happy Holidays!
>
>Sheri Edgar, MACCC/SLP
>Lancaster General Hospital
>Manager for Speech Pathology
>544-5369
>sledgar at lancastergeneral.org
>
>
>
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Charlotte J. Molrine, Ph.D., CCC-SLP
Chairperson/Graduate Program Head
Speech, Language, Hearing Department
Compton Hall 115A
Edinboro University of Pennsylvania
Edinboro, PA 16444
814.732.2432
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