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

[Sharon.Cameron at rvh.nb.ca (Cameron, Sharon (R3))]

I find this discussion interesting for sure.  I am a Dietitian in Canada
and our swallowing studies are done with 1 Speech, 1 Dietitian and
radiology tech as the radiologists gave up participation some time ago.


It is a team effort and depending on the perspective of the Speech, they
may be seated next to the tech with the dietitian assisting the patient
or they may also do the feeding.  Duties are divided with one person
taking notes while the other is more attentive to the food delivery.
Our images are captured digitally and automatically so no need to be
involved in running the recording machinery  No report is done on the
spot so to speak but the DVD is taken from the recorder, reviewed by
Dietitian and Speech and detailed report written.  

As a dietitian, I find it much easier to be able to ensure that patients
receive the proper texture of food when I see the actual consistency
that they receive as well as seeing how they are able to handle the
swallowing process.

Sharon





-----Original Message-----
From: dysphagia-bounces at b9.com [mailto:dysphagia-bounces at b9.com] On
Behalf Of Erin Powazek
Sent: Friday, February 16, 2007 10:16 AM
To: DRolfe at nsccahs.health.nsw.gov.au; krd at ameritech.net;
dysphagia at b9.com; msgroislp at optonline.net
Subject: Re: [Dysphagia] How many speech pathologists in the room
duringtheswallow study

It is just myself in the room w/ the radiologist (who gives input).  I'm
the 
only SLP at our hospital so there isnt another option.  If I have a
question 
I just review the tape.

Erin

----Original Message Follows----
From: "Deanna Rolfe" <DRolfe at nsccahs.health.nsw.gov.au>
To: "Kurt R. Daniels" <krd at ameritech.net>, <dysphagia at b9.com>,        
<msgroislp at optonline.net>
Subject: Re: [Dysphagia] How many speech pathologists in the room
during 
theswallow study
Date: Fri, 16 Feb 2007 15:58:16 +1100

We also have 2 SPs and a radiologist. A radiographer is also present.

We get input from the radiologist, but amount of input depends on who
it is.

Deanna

 >>> "Kurt R. Daniels" <krd at ameritech.net> 16/02/2007 2:05 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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