[Dysphagia] Modified Barium Swallow (MBS)

[drolfe at nsccahs.health.nsw.gov.au (Deanna Rolfe)]

Hi Karen,

We were having the same problem at our facility. We made it part of our
policy that a patient should be seen at "bedside" prior to the MBS to
assess the need for it.
However, this often doesn't happen and the MBS is done at first point
of call due to staff shortages and it being quicker just to do the 1
occasion of service rather than 2 if MBS is required (and of course
follow-up is done after that if required).

We don't have the same number of referrals as you seem to be getting,
so it has been manageable.
Will be interesting to hear what others do,

Deanna

>>> Karen Kerr <speechie33 at hotmail.com> 6/06/2007 2:48:22 PM >>>

At our facility we run 2-4x MBS per week. Of late we have received a
lot of referrals from GP which haven't been appropriate (really didn't
need a MBS, could have been managed at bedside). As a result the
radiologists have not been happy with us and we are finding it harder to
arrange MBS clinics. 

What we have considered doing as a result of this is conduct bedside
swallowing assessments on all patients referred for a MBS from GPs. If
they still require a MBS, then we will arrange it for them. If a MBS is
not required, we will negotiate with the GP the need for the MBS. 

What I was wondering is if any one has any thoughts on this? Does
anyone else do a similar thing? If so, what is your reasoning behind it?
Also is there any literature on screening prior to MBS & possibly a
selection criteria to assist in selecting the right patients for an
MBS.

Thank you in advance.

Karen. 
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