Empowering Early SLP Involvement for Tracheostomy Patients
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What is the purpose of this SLP Nerdcast episode and who are the guests?
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Hello, everyone. Welcome to SLP Nerdcast. I'm so excited for today's conversation. I am in a room with three brilliant human beings who have had me bending over in stitches with laughter for the last 10 minutes. I am very excited today to welcome Sarah Penrod, Dory Forgett, and Lindsay Griffin to talk about a tool they developed related to tracheostomy patients. Welcome, Sarah. Sarah, Dory, and Lindsay.
Thanks. Thanks.
So before we get started today, I wonder if you all could tell us a little bit about yourselves.
Yeah, sure. So I'm Sarah Penrod and we are coming at you from Maine Medical Center in Portland, Maine, a level one trauma and certified stroke center, um, cardiac center of excellence. And Dory is my colleague and work best friend. And we've been here several years, almost almost 10 years for you, a little bit less for me. And um we specialize, we see adult patients, we specialize in dysphagia and tracheostomy care. And um We are really looking forward to talking about this tool.
Yeah.
Agreed.
Dori, do you wanna add anything or should I start talking?
Um you can start talking. Okay. I'm Lindsay Griffin.
I am an associate professor at Emerson College in Boston. And um I my clinical and my research areas of interest are related to dysphagia. Um Sarah and I used to work together clinically many moons ago, which is how I got involved in the project.
Wonderful. And two out of the three of you have been on the nerdcast before, Dory. We're so excited for your first voyage. In Nord in Nerdland. This is gonna be super fun. Um main here. That's awesome. Um, before we get started, I do need to quickly read our learning objectives for the day. Learning objective number one, identify at least four research-based findings that impact the evaluation and treatment of dysphagia in tracheostomy patients. Learning objective number two, analyze clinical indicators impacting appropriateness for oral intake trials for tracheostomy patients. And learning objective number three, discuss the relevance of a decision tree in guiding the care of tracheostomy patients in current clinical practice.
For anyone listening to this episode who would like to learn more about the financial and non-financial disclosure disclosures of everyone on this panel today, including myself, all of that information will be available on the website. And if you would like to use this episode for Asha CEUs, the information to take the post test will be in the show notes and available on our website as well. Okay, without further ado, I would love to start talking about how you all came to develop this tool.
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Chapters
8 chapters
1
What is the purpose of this SLP Nerdcast episode and who are the guests?
0:00–8:52
2
Why did the team notice inconsistencies in tracheostomy patient care and how did that spark the idea for a decision‑tree tool?
8:52–17:59
3
How does the “green‑light” decision‑tree work and what clinical scenarios correspond to green, yellow, and red lights?
17:59–26:14
4
What research design and variables did the team choose to evaluate the tool’s impact?
26:14–34:13
5
What were the main findings regarding timing of SLP evaluation, speaking‑valve use, and oral intake after implementing the tool?
34:13–42:19
6
How did the department roll out the tool, train staff, and achieve buy‑in across the ICU and other units?
42:19–50:45
7
What cultural and practice changes occurred for SLPs after using the green‑light tool?
50:45–58:57
8
What practical advice do the hosts give to listeners who want to adopt or adapt this tool in their own settings?
58:57–1:03:29
Speakers
2 identifiedMore from SLP Nerdcast
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Down Syndrome and AAC Generative Language Intervention
Re-Defining Effective Communication with Black, Disabled AAE-Speaking Children
Chewing as Therapy: Rethinking Oral Preparation and Textures in Dysphagia
SLP Middle Managers: Untapped Champions of Change