[Dysphagia] How many speech pathologists in the room during the swallow study

[AnnaMaria.Koo at sjhc.london.on.ca (AnnaMaria Koo)]

In our facility we have a fairly unique set up in that there are trained
radiology technicians who work with the S-LP-one does feeding and one
captures the images and provides some commentary on any abnormal
anatomical structures.  These images are then sent to the Radiologist to
review and the MBS tape may be sent to the Radiologist to review for
expert opinion on abnormal structure or physiology.

Anna Maria Koo
Speech-Language Pathologist
Specialized Geriatric Services & NRC
SJHC, Parkwood Site
ext.42205

>>> "Kurt R. Daniels" <krd at ameritech.net> 02/15/07 10:05 PM >>>
Maria
   
  First off, I am not aware of any "standards" with respect to this
issue.  
   
  As for my situation, I have to say that I work in a rather unique
setting - albeit somewhat antiquated in terms of the equipment utilized
in our radiology department as compared to the typical hospital.  None
the less, I have been doing swallow studies for 12 years now and it has
always been our rule that while I am conducting the test, I am looking
at a monitor watching what is going on.  The radiologist is sitting
right next to me running the equipment - watching the same monitor. 
Then there is another SLP in the room who watches a separate monitor
while running the vcr/dvd recorder and taking notes for me.  Not
counting any other SLPs who attend the testing with their patients, we
have a minimum of 3 sets of eyes watching each test - after which I
write a brief report summarizing what we saw.  Then after testing is
concluded for the day, I review the tapes and write a secondary more
formal report.  The radiologist co-signs both reports with me.  I hope
this
 information helps.
   
  Kurt R. Daniels, MS, CCC-SLP/L

msgroislp at optonline.net wrote:
  Hello all,
This board has been a wonderful avenue to learn and grow in the field
of dysphagia. My question is for everyone. Do you know if there is a
Standard of Care re: how many speech pathologists conduct the study,
i.e. 2 vs. 1. In my facility and some of the local hospitals, the norm
is that there are 2 speech pathologists in the room (one feeding and one
viewing the video). We do not get any input from the radiologists, even
with prompting and several attempts to "get them involved in
diagnosing", etc)., therefore, we believe that "2 sets of eyes are
better than one".

I would appreciate any input and thanks again for sharing your
knowledge. 

Maria Sgroi, M.S., CCC-SLP
Speech-Language Pathologist
msgroislp at optonline.net 
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