Get Once Upon A Swallow Worksheet

Filling out the Once Upon A Swallow Worksheet online can be a straightforward process when you understand each section of the form. This guide provides step-by-step instructions to help you accurately complete the worksheet, ensuring all necessary information is recorded.

Follow the steps to complete your worksheet effortlessly.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred online document editor.
2. Begin by entering the patient’s name in the designated field at the top of the worksheet. Ensure accuracy to maintain proper records.
3. Provide the date of birth of the patient in the corresponding field, which is essential for identification.
4. Fill in the date and time of the assessment. Use the correct format to avoid confusion.
5. Enter the medical record number to link this worksheet with the patient's existing medical history.
6. Identify the radiologist and speech pathologist responsible for the assessment by entering their names.
7. State the acute, outpatient, or rehabilitation diagnosis as it applies to the patient in the specified section.
8. Select the view of the study, either lateral or anterior-posterior, based on the specific procedure conducted.
9. Evaluate the oral phase, selecting from normal, mild, moderate, severe, or profound; provide specific observations in the space provided.
10. Assess the pharyngeal phase similarly and record details in the designated space.
11. Document any penetration noted with various food consistencies such as thin, nectar, honey, puree, soft, or solid.
12. Record any aspiration observed, using the same food consistency options as before.
13. Provide recommendations based on your assessment in the comments section, ensuring clarity and relevance.
14. Enter any additional comments that may assist in understanding the patient's condition or treatment.
15. Fill in the barium lot numbers for the different consistencies used, along with their expiration dates.
16. Review all entries for accuracy. Once complete, you can save changes, download, print, or share the worksheet to ensure it is properly documented.

Complete your Once Upon A Swallow Worksheet online today for efficient documentation.