what's your story
what's your problem
How you doin'?
A little tricky
Are we there yet?
100
Keep npo. Rescreen every shift
What to do if a patient is unable to participate in swallow screen due to decreased level of alertness?
100
Food and /or medication residue is found in patient's mouth
What is a sign that the patient does not have adequate oral hygiene?
100
90 degrees
What position should you place patient in to perform swallow screen?
100
0977
What is the speech main pager number?
100
Food/liquid or other pathogen that enters the lungs
What is aspiration?
200
Complete during admission assessment prior to giving any oral intake including medication
When is the RN swallow screen completed?
200
Gurgly wet voice, weak cough
What are signs that sensation in the throat is reduced and airway protection is poor?
200
Upper airway congestion that patient is not able to clear with a cough.
When do you discontinue swallow screen because of poor secretion management?
200
Coughs when swallowing teaspoon of water
When does patient fail RN swallow screen when taking po trials?
200
Refer to Speech Pathology for formal swallow evaluation.
What to do if patient fails any part of the RN swallow screen or does not tolerate po diet ordered.
300
Complete with all CVA/TIA patients ONLY
What is the RN swallow screen?
300
Drooling saliva from one side of the mouth
What is a sign that the patient may not be swallowing spontaneously? or What is a sign that patient cannot move lips properly?
300
Yankauer, tubing, suction canister
What is set up prior to administering po trials.
300
half of a styrofoam cup
How much is approximately 3 ounces of water?
300
Brainstem CVA
What medical diagnosis is an automatic fail on the RN swallow screen?
400
Patient with Parkinson's disease who drinks honey thick liquids
What type of patient would fail the RN swallow screen as a result of this condition?
400
Sounds like patient has marbles in his mouth when he speaks
What is slurred speech? or What indicates that patient's tongue does not move properly?
400
Drink it all at once
What instructions do you give when giving the patient 3 ounces of water.
400
Start NDD1 (puree) diet with thin liquids
What type of diet is ordered for a patient who passes the screen but has only a few or no teeth.
400
3 times per minute
How many times do we swallow our saliva per minute?
500
NRB/VM/BIPAP
What types of respiratory support would result in an automatic fail on the RN swallow screen?
500
Pocketing, drooling, limited chewing, speaking with food in mouth
What are some signs/symptoms of oral phase dysphagia?
500
Larynx moves up
What do you observe, feel, listen for when patient swallows?
500
Observe first meal for tolerance of diet ordered
What do you do if patient passes RN swallow screen and receives his first meal tray?
500
delayed swallow, multiple swallows, coughing, throat clearing, wet voice
What are signs and symptoms of pharyngeal phase dysphagia?
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