Speech Language Pathology
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1 P A G E 1 Speech Language Pathology Professional Practice Leader (Interim) (West 5 th, Charlton) Bonnie Reaburn-Jones, MSc, Reg. CASLPO Number of Members of Discipline Charlton West 5th 12.7 FTE.4 FTE Scope of Practice: The practice of speech-language pathology is the assessment of speech and language functions and the treatment and prevention of speech and language dysfunctions or disorders to develop, maintain, rehabilitate or augment oral motor or communicative functions Clinical Practice Achievements Quality & Safety Implemented the use of two patient identifiers for each patient visit. Documentation of two patient identifiers occurs on first visit with patient/client. Audit of compliance of documentation was 99% across the pediatric and adult Speech Language Pathologists. Sustained use of Transfer of Accountability (TOA) across the pediatric and adult Speech Language Pathologists. Audit revealed 99% compliance. Adult Speech Language Pathologists are members of Quality Councils for General Internal Medicine, Rehab, Complex Care, Ambulatory Therapeutics and Thoracics. Adopted an evidence-based standardized assessment, analysis and reporting protocol for Videofluroscopic Swallowing Studies, the Modified Barium Swallow Impairment Profile (MBSImP) Co- lead and member of the Pneumonia Working group, an interdisciplinary working group addressing the use of oral care for adult patients who are at risk for aspiration Member of the General Internal Medicine patient bedside board implementation team. The team is supporting the interdisciplinary use of a patient bedside board to improve communication at the bedside. Advocate for obtaining funding for alternative communication devices for patients on the Head and Neck Unit. In collaboration with infection control, reviewed and revised infection control protocol, including personal protective equipment, with the head and neck. The Adult Speech Language Pathology team was the recipient of the Professional Advisory Committee (PAC) Team Clinical Practice Award of Excellence
2 Active member of the Therapeutic Seniors Care Education Team which included identified topics and speakers for monthly Lunch and Learn sessions. P A G E 2 Co-Chair of Day Therapy Initiative which promoted education regarding Day Therapy services to stakeholders Received an overall satisfaction rating of 100% in the Outpatient Speech-Language Pathology Service, as per results on the Ambulatory Therapeutics Patient Satisfaction Survey. Achieved hand hygiene compliance of 93.3% in the outpatient Speech-Language Pathology Service, as per results on the Ambulatory Therapeutics Patient Satisfaction Survey. The pediatric Speech Language Pathology team implemented strategies to improve attendance. Change Standardized all adult Speech Language Pathology reports. Standardized the organization and the location of the pediatric outpatient charts to improve accessibility. Community Supported building leadership within adult and pediatric Speech Language Pathology teams through annual rotation of team leader and attendance at the Emerging Leaders Program. Participated in the employee engagement survey. Established a journal club for the Adult Speech Language Pathology team Interconnection Collaborated with the Early Words Regional team, the Hamilton-Wentworth District School Board and the Hamilton-Wentworth Catholic District School Board to establish an intentional transition model for successful transitions between Early Words, school boards and Community Care Access Centres (CCAC) of Hamilton, Niagara and Haldimand Provided community-based Speech Language Pathology services to target the hard to service though participation in the Community Support Team and New Choices Participated in the Integration of Rehabilitation Services planning table for the Special Needs Strategy in Hamilton. Academic Pursuits Formal Teaching Four learners completed clinical placements (students in Speech-Language Pathology, Communicative Disorders Assistant and Cognitive Linguistic programs as well as a High School CO-OP student) One Speech-Language Pathologist is a part-time professor in the Occupational Therapy Assistant and Physical Therapy Assistant Program at Mohawk McMaster Institute for Applied Teaching
3 Internal Teaching P A G E 3 Provided Gentle Persuasive Approach (GPA) refresh sessions to allied health team members. Collaborated on an interdisciplinary poster presentation at Partnering with Patients and Families Event at SJHH. Poster was entitled Improving Communication with Patients and Families: An Interprofessional Approach in General Internal Medicine Provided orientation and education sessions for staff across various clinical programs and services: Volunteer orientation regarding the role of the Speech-Language Pathologist in communication and dysphagia Role of the Speech-Language Pathologist for new hires in General Internal Medicine Role of the Speech-Language Pathologist, dysphagia and communication for clinical clerks in nephrology Role of the Speech-Language Pathologist and dysphagia for nurses on the Senior Mental Health Unit Oral care for Personal Support Workers on the ALC unit Different Liquid viscosities and their impact on swallowing for Personal Support Workers on the ALC unit Clinical Teaching: Job shadowing experiences- 5 provided Volunteers-12 university students who required this experience for application to Graduate School in Speech Language Pathology Provided a number of job shadowing opportunities to cooperative education students and therapeutic students while on placements at SJHH Participated in Take your Kids to Work Day Education to families in Seniors Mental Health regarding: Swallowing and Communication in Dementia Education to inpatients and outpatients on the Respirology Rehabilitation Program regarding COPD, Pneumonia and Oral Care (8 times per year) Scholarly Pursuits Research One Speech Language Pathologist is participating in a student research study regarding service delivery and treatment models to support management of pediatric Speech Language Pathologist waitlist. One Speech Language Pathologist is pursuing research possibilities in the area of maternal mental health and its influence on the child s speech and language development. Continuing Education Emerging Leader s Program Motor Speech Treatment for Neurodenerative and Neuromuscular Diseases: A Systems Approach PROMPT training Niagara Literacy Conference Auditory Verbal Therapy Education: Interest group and sound intuition workshops Early literacy skill GPA refresh Modified Barium Impairment Profile (MBSImP), standardized assessment protocol for Videofluroscopic Swallow
4 P A G E 4 Leadership Co-Chair of Pneumonia working group. Adult and Pediatric Team Leaders participated in Emerging Leaders sessions External Committees Hamilton Regional Speech and Audiology Council (HRSLAC) Hamilton Stroke Community Re-Engagement Network Speech-Language Pathology of Ontario Oncology Network (SPOON) Greater Toronto Area Speech-Language Pathology Professional Practice Leaders Group Integrated Rehabilitation Planning for the Hamilton Special Needs Initiative Early Words, The Hamilton Preschool Speech and Language Services: Administrative Management Early Literacy Hamilton Infant Parent Waitlist Management Forms Review Parent Groups Transition to School Planning Infant Hearing Program Committee External Presentations Co-presented at a Spiritual Care conference. Following Our Surprises focused on collaboration and the power of community in enhancing communication and quality of life for patients who were primarily nonverbal. Collaborated on an interdisciplinary poster presentation at Stroke Congress as a member of the Hamilton/ Burlington Stroke Community Re-Engagement Network. The title of the poster was Building a Stronger Community Network Through Language Appropriate Documentation Facilitator at the Interprofessional education (IPE) day through the McMaster Program for Interprofessional Practice, Education and Research Voice and Voice Disorders, ENT residency program Provided Gentle Persuasive Approach (GPA) sessions to Personal Support Workers from St. Joseph s Homecare
5 Discipline Goals 2016 Quality & Safety Sustain use of two patient identifiers for each patient/client visit across all Speech Language Pathology services Sustain hand hygiene rates at the corporate targets for the outpatient Speech Language Pathology service Sustain use of MBSImp across all adult Speech Language Pathologists Maintain an accurate and sufficient consignment of voice prostheses to service the laryngectomee Establish an approach to oral care for patients who are at risk for aspiration in the mental health Change Evaluate the impact of change in the pediatric Speech Language Pathology Discharge and Re-evaluation reports Evaluate the impact of strategies to improve client attendance for the outpatient pediatric SLP service Interconnection Standardize the process for obtaining pre-admission swallowing history and transferring swallowing discharge status and discharge swallowing care plans from and to Longterm Care Facilities Research & Education Educate healthcare team at the West 5 th Site regarding swallowing in the Huntington s Develop a patient education brochure on Videofluroscopic Swallow Studies Review and update education materials in the area of dysphagia P A G E 5
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