ASSIST COMPETENCY ASSESSMENT: RESPONSE FORM Developed and prepared by E Katalinic and C Quinn, Prince of Wales Speech Pathology Department
ASSIST COMPETENCY ASSESSMENT: RESPONSE FORM
ASSIST – ACUTE SCREENING OF SWALLOW IN STROKE/TIA
COMPETENCY ASSESSMENT
NAME:
A SSIST – A
C U
TE SC R
EEN IN
G O
F SW A
LLO W
IN STR
O K
E/TIA C
O M
PETEN C
Y A SSESSM
EN T R
ESPO N
SE FO R
M
POSITION:
FACILITY:
DATE:
Step 1: Ensure you have completed an introductory ASSIST training workshop before proceeding with this competency assessment. Please see your Speech Pathologist or Nurse Unit Manager if you have not yet attended this training.
Step 2: Ensure you have a copy of the ASSIST screening tool at hand as you answer these questions.
Step 3: Play ASSIST Competency Assessment PDF/DVD now.
SCORE
1.What pre-feeding skills are required before screening can commence? a) Able to maintain adequate alertness b) Able to maintain upright sitting posture c) Able to hold head erect d) All of the above
/1
Are these sitting positions adequate for screening? 2.Position one: Yes No 3.Position two: Yes No 4.Position three: Yes No
/3
Do these patients have ‘facial weakness/droop’? 5.Patient one: Yes No 6.Patient two: Yes No 7.Patient three: Yes No 8.Patient four: Yes No 9.Patient five: Yes No
/5
Do these patients have slurred speech? 10.Patient one: Yes No 11.Patient two: Yes No 12.Patient three: Yes No
/3
13.Why is it important to check a patient’s ability to cough?
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
/1
Do these patients have a hoarse voice? 14.Patient one: Yes No 15.Patient two: Yes No 16.Patient three: Yes No
/3
ASSIST COMPETENCY ASSESSMENT: RESPONSE FORM Developed and prepared by E Katalinic and C Quinn, Prince of Wales Speech Pathology Department
ASSIST COMPETENCY ASSESSMENT: RESPONSE FORM17.Why would this patient ‘fail’ the screen? a) Not able to maintain adequate alertness b) Not wearing dentures c) Slurred speech & drooling saliva d) None of the above – OK to proceed
/1
18.Would you progress to testing this patient with a sip of water? Yes No /1 19.Would you progress to testing this patient with a cup of water? Yes No /1 20.Observe the nurse testing the patient with a sip of water.Should the nurse continue with screening?Yes No
/1Read the following scenario. The stroke unit nurse is getting handover from the ED nurse about a new admission. Name 5 risk factors for dysphagia this patient is likely to exhibit.
21.__________________________________________________________________________
22.__________________________________________________________________________
23.__________________________________________________________________________
24.__________________________________________________________________________
25.__________________________________________________________________________
/5
26.Observe the nurse testing the patient with a sip of water. What should the nurse do now? a) STOP here b) Give the patient another sip of water c) Proceed to give the patient a full cup of water
/1
27.What is meant by Nil By Mouth? a) Oral medications may be given with a sip of water b) Oral fluids are allowed but not food or medications c) No medication, food or fluid to be given orally
/1
Name 3 indicators of swallowing difficulty for a patient who has commenced an oral diet
28.__________________________________________________________________________
29.__________________________________________________________________________
30.__________________________________________________________________________
/3
TOTAL SCORE
/30