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Emergency Information 
Pediatric Aspiration and Aerodigestive Clinic   at
Stollery Children's Hospital
Specialty: Pediatric Otolaryngology
Connect Care Department: EDM STO WMC PED ASPIRATION
Estimated time to routine appointment: Within 1 month
Alberta Health Services - Edmonton Zone
SERVICE DESCRIPTION
This program specializes in managing swallowing and airway problems.This is a multidisciplinary program that manages infants and children who may have an airway and swallowing disorders.

Services that this clinic may offer include:
  • Structured clinical assessment
  • Instrumental tests of swallowing called Fiberoptic Endoscopic Evaluation of the Swallow (FEES) or Video Fluoroscopic Swallowing Study (VFSS - a.k.a. Modified Barium Swallow or MBS), Impedance testing to evaluate a child's ability to eat and swallow safely and comfortably
  • Investigations into any associated breathing awake or asleep including sleep studies, airway or gastro-intestinal endoscopies.
  • Management options which may include medical treatment, modification of feeding (e.g. changing the thickness of liquids or type of nipple or bottle, surgical need for further investigations or the need for involvement of other specialists
There are two tiers for the program
  • The Aspiration Clinic where the assessment is managed by the Speech Language Pathologist and the Otolaryngologist. For more information visit our website.
  • The Aerodigestive Clinic where a Pediatric Respirologist and Gastroenterologist joining the other members to provide their services. Additionally Dieticians and Occpation Therapy services are often sought and their members join the team
  • The program works closely with Home Nutrition Support Program.
Visit the PEAS (Pediatric Eating and Swallowing) website to find relevant information for families and care providers of children with an eating, feeding and swallowing disorder.
This program specializes in managing swallowing and airway problems.This is a multidisciplinary program that manages infants and children who may have an airway and swallowing disorders.

Services that this clinic may offer include:
  • Structured clinical assessment
  • Instrumental tests of swallowing called Fiberoptic Endoscopic Evaluation of the Swallow (FEES) or Video Fluoroscopic Swallowing Study (VFSS - a.k.a. Modified Barium Swallow or MBS), Impedance testing to evaluate a child's ability to eat and swallow safely and comfortably
  • Investigations into any associated breathing awake or asleep including sleep studies, airway or gastro-intestinal endoscopies.
  • Management options which may include medical treatment, modification of feeding (e.g. changing the thickness of liquids or type of nipple or bottle, surgical need for further investigations or the need for involvement of other specialists
There are two tiers for the program
  • The Aspiration Clinic where the assessment is managed by the Speech Language Pathologist and the Otolaryngologist. For more information visit our website.
  • The Aerodigestive Clinic where a Pediatric Respirologist and Gastroenterologist joining the other members to provide their services. Additionally Dieticians and Occpation Therapy services are often sought and their members join the team
  • The program works closely with Home Nutrition Support Program.
Visit the PEAS (Pediatric Eating and Swallowing) website to find relevant information for families and care providers of children with an eating, feeding and swallowing disorder.
ELIGIBILITY REQUIREMENTS
A legal guardian must be present during your consultation.
Children, toddlers and infants under 17 years of age who are not under the care of The Cleft Lip and Palate Clinic or the Glenrose Rehabilitation Hospital Feeding and Swallowing Clinic - except by direct consultation of either team.
The profile of patients may include:
  1. Clinical Problems: chronic stridor (>4 weeks in the absence of infective symptoms), increased WOB, recurrent chest infections, blue spells, apparent life-threatening episodes, daily chocking during feeding, chronic cough.
  2. Background of ex-prematurity at birth, intubation at birth, Gastroesophageal reflux disease, suspicion of chronic lung disease or pre-school asthma should increase suspicion
  3. Two years of age and younger take priority and is the commonest age of presentation
The Aerodigestive clinic remains a higher tier of referral that is reserved for the judgment of the aerodigestive team members.
Common findings and conditions managed primarily or secondarily:
  1. Laryngomalacia
  2. Laryngeal mobility disorders
  3. Subglottic stenosis
  4. Tracheal and bronchiole stenosis and malaria
  5. Obstructive sleep apnea
The programs collaborate with the Tracheal surgery, Pediatric Cardiovascular and Home nutrition Support Programs at the Stollery Children’s Hospital. It supports children managed after laryngotracheal reconstructions, slide tracheoplasties, laryngeal cleft repairs, laryngeal electromyography and supraglottoplasties.
A legal guardian must be present during your consultation.
Children, toddlers and infants under 17 years of age who are not under the care of The Cleft Lip and Palate Clinic or the Glenrose Rehabilitation Hospital Feeding and Swallowing Clinic - except by direct consultation of either team.
The profile of patients may include:
  1. Clinical Problems: chronic stridor (>4 weeks in the absence of infective symptoms), increased WOB, recurrent chest infections, blue spells, apparent life-threatening episodes, daily chocking during feeding, chronic cough.
  2. Background of ex-prematurity at birth, intubation at birth, Gastroesophageal reflux disease, suspicion of chronic lung disease or pre-school asthma should increase suspicion
  3. Two years of age and younger take priority and is the commonest age of presentation
The Aerodigestive clinic remains a higher tier of referral that is reserved for the judgment of the aerodigestive team members.
Common findings and conditions managed primarily or secondarily:
  1. Laryngomalacia
  2. Laryngeal mobility disorders
  3. Subglottic stenosis
  4. Tracheal and bronchiole stenosis and malaria
  5. Obstructive sleep apnea
The programs collaborate with the Tracheal surgery, Pediatric Cardiovascular and Home nutrition Support Programs at the Stollery Children’s Hospital. It supports children managed after laryngotracheal reconstructions, slide tracheoplasties, laryngeal cleft repairs, laryngeal electromyography and supraglottoplasties.
Referral instructions for primary care, community care, private
providers etc. who do not send referrals via Connect Care.
REFERRAL PROCESS - FOR NON-CONNECT CARE USERS
Refer directly to either:
  • Dr. H. El-Hakim or Dr. A. Isaac by faxing a consult note to the service using the contact information in this profile.
  • To the Stollery Pediatric Outpatient Feeding and Swallowing Service by completing and faxing the Outpatient Services Feeding and Swallowing Referral form to the service using the contact information in this profile.
Refer directly to either:
  • Dr. H. El-Hakim or Dr. A. Isaac by faxing a consult note to the service using the contact information in this profile.
  • To the Stollery Pediatric Outpatient Feeding and Swallowing Service by completing and faxing the Outpatient Services Feeding and Swallowing Referral form to the service using the contact information in this profile.
REFERRAL PROCESS - FOR CONNECT CARE USERS
Send an Internal Referral using the Ambulatory Referral Order to Pediatric Otolaryngology, type EDM STO WMC PED ASPIRATION in the “To Department” section and complete order.
Send an Internal Referral using the Ambulatory Referral Order to Pediatric Otolaryngology, type EDM STO WMC PED ASPIRATION in the “To Department” section and complete order.
ADDITIONAL SERVICE DETAILS
Hours of operation:
  • Aspiration clinic - this is held Tuesday mornings
  • Aerodigestive clinic - this is held 2 Wednesday mornings per month
Hours of operation:
  • Aspiration clinic - this is held Tuesday mornings
  • Aerodigestive clinic - this is held 2 Wednesday mornings per month
COMMUNICATION PROCESS
  • Referral receipt to referring source within 7 days.
  • Acceptance via appointment details or wait list status letter to referring source and patient within 7 days.
  • Appointment outcome to referral source within 14 days.
 
PHONE
780-407-8629
FAX
780-407-2004
REFERRAL PHONE
780-407-8629
REFERRAL FAX
780-407-6586 Outpatient Feeding and Swallowiing Service
REFERRAL FORM
Outpatient Services Feeding and Swallowing Referral Form
All patients referred will undergo a clinical Feeding and Swallowing Assessment prior to attending the Aspiration Clinic.
Outpatient Services Feeding and Swallowing Referral Form
All patients referred will undergo a clinical Feeding and Swallowing Assessment prior to attending the Aspiration Clinic.
CLICK + TO VIEW REFERRAL GUIDELINES
+-
Routine Reason for Referral
Access Targets convey the clinically appropriate timeframe patients should be seen within, by reason for referral and priority level.
Access Target
Required Information/Investigations
Investigation Timing
Additional Details
+-
Airway care management
A legal guardian must be present during your consultation.
 
Current
Past medical history
 
Within 1 month
Medication List (dose, frequency, route)
 
Within 1 month
Investigations into any associated breathing or other problems.
+-
Fiberoptic endoscopic evaluation of swallowing
A legal guardian must be present during your consultation.
 
Current
Past medical history
 
Within 1 month
Medication List (dose, frequency, route)
 
Within 1 month
Evaluate a childs ability to eat and swallow safely and comfortably.
PATIENT APPOINTMENT INFORMATION
Email
Print
 
MISSED APPOINTMENT GUIDELINES
If you are unable to attend a scheduled appointment, please contact the clinic a minimum of 48 hours in advance.
If you are unable to attend a scheduled appointment, please contact the clinic a minimum of 48 hours in advance.
 
HOURS OF OPERATION
Monday:
Tuesday: 8:00 am - 12:00 pm
Wednesday:
Thursday:
Friday:
Description:
This clinic is held 2 Tuesday mornings per month.
   
 
ADDRESS

Unit 2C3.57 Walter MacKenzie Centre


8440 112 Street
Edmonton Alberta
T6G 2B7
PATIENT APPOINTMENT INSTRUCTIONS
A parent or legal guardian must attend the appointment with the child, if this is not possible on the date you have been assigned call the office to reschedule to an appropriate date.
You will need to bring the patient’s valid Alberta Healthcare card with you.
If the patient is on any medications, nasal sprays or ear drops – make sure you know what they are and how much is being used.

If further involvement from other specialists is needed the child is invited to the Aerodigestive Clinic where a Pediatric Respirologist and Gastroenterologist provide their services.

What to Expect - For Aspiration Clinic, Pediatric
A clinic visit may take approximately 30 minutes and your child might be seen by a physician and a speech language pathologist. The purpose of the clinic is to assess patients with possible airway issues as well as feeding and swallowing issues.
The care team may propose to use a telescope to look into the nose and throat of your child. This does not require him/her to be asleep.
  • Make sure your child does NOT eat or drink 1 ½ - 2 hours before this appointment, as a child who is hungry is more likely to drink during this visit.  All medications should be taken at regularly scheduled times.
  • Bring your child’s feeding utensils (favorite bottles/nipples, pacifiers, cups etc.). Depending on your child’s age and feeding experiences, bring along something for your child to drink. If you are currently adding thickener to your child’s drinks, bring something to drink at the current consistency that your child is drinking, as well as something that is UNTHICKENED. Arrive with your child’s drinks prepared (mixed, warmed up if needed, etc.) and ready to drink. 
Interpreters speaking many different languages are available to assist you through our multicultural program. Should you require language interpreter services for your child’s clinic visit, please schedule this service in advance so an interpreter can attend with you.
It is imperative that a parent or guardian attends this appointment with the patient.
The Stollery Children’s Hospital is a teaching hospital. Be aware that we often have learners in our clinic, so you may also see medical residents and healthcare students as members of your child’s care team.
A parent or legal guardian must attend the appointment with the child, if this is not possible on the date you have been assigned call the office to reschedule to an appropriate date.
You will need to bring the patient’s valid Alberta Healthcare card with you.
If the patient is on any medications, nasal sprays or ear drops – make sure you know what they are and how much is being used.

If further involvement from other specialists is needed the child is invited to the Aerodigestive Clinic where a Pediatric Respirologist and Gastroenterologist provide their services.

What to Expect - For Aspiration Clinic, Pediatric
A clinic visit may take approximately 30 minutes and your child might be seen by a physician and a speech language pathologist. The purpose of the clinic is to assess patients with possible airway issues as well as feeding and swallowing issues.
The care team may propose to use a telescope to look into the nose and throat of your child. This does not require him/her to be asleep.
  • Make sure your child does NOT eat or drink 1 ½ - 2 hours before this appointment, as a child who is hungry is more likely to drink during this visit.  All medications should be taken at regularly scheduled times.
  • Bring your child’s feeding utensils (favorite bottles/nipples, pacifiers, cups etc.). Depending on your child’s age and feeding experiences, bring along something for your child to drink. If you are currently adding thickener to your child’s drinks, bring something to drink at the current consistency that your child is drinking, as well as something that is UNTHICKENED. Arrive with your child’s drinks prepared (mixed, warmed up if needed, etc.) and ready to drink. 
Interpreters speaking many different languages are available to assist you through our multicultural program. Should you require language interpreter services for your child’s clinic visit, please schedule this service in advance so an interpreter can attend with you.
It is imperative that a parent or guardian attends this appointment with the patient.
The Stollery Children’s Hospital is a teaching hospital. Be aware that we often have learners in our clinic, so you may also see medical residents and healthcare students as members of your child’s care team.
 
DIRECTIONS
Clinic Direction: The Pediatric Aspiration Clinic is located in the Oilers Ambulatory Clinic, located on the second floor on the north side of the Stollery Children’s Hospital. From the 112th street entrance walk straight towards the elevators and go to the second floor.
The clinic is located in 2E within the Edmonton Oilers blue and orange painted entrance.
Check in with one of our clerical staff at the front desk. Once checked in, please have a seat in the waiting room. One of our staff will greet you soon after this.

The Stollery Children’s Hospital is located in the Walter C. Mackenzie centre located on the University of Alberta campus. There is a patient drop-off and pickup area at the main entrance of the hospital on the east building on 112th street and 84th avenue, directly north of the University of Alberta and Stollery Children’s Hospital’s emergency departments.                                                                                     
Bus stops at 112 and 114 St
LRT Health Sciences station is located west across 114 St.
Clinic Direction: The Pediatric Aspiration Clinic is located in the Oilers Ambulatory Clinic, located on the second floor on the north side of the Stollery Children’s Hospital. From the 112th street entrance walk straight towards the elevators and go to the second floor.
The clinic is located in 2E within the Edmonton Oilers blue and orange painted entrance.
Check in with one of our clerical staff at the front desk. Once checked in, please have a seat in the waiting room. One of our staff will greet you soon after this.

The Stollery Children’s Hospital is located in the Walter C. Mackenzie centre located on the University of Alberta campus. There is a patient drop-off and pickup area at the main entrance of the hospital on the east building on 112th street and 84th avenue, directly north of the University of Alberta and Stollery Children’s Hospital’s emergency departments.                                                                                     
Bus stops at 112 and 114 St
LRT Health Sciences station is located west across 114 St.
 
PHONE
780-407-8629
 
PARKING INSTRUCTIONS
Rates apply 24 hours per day, and are in effect for all public parkers, including those with provincially issued placards for persons with disabilities. Public parking is GST exempt.
Pay by Plate machines accept Canadian coins or credit card (Visa, MasterCard, American Express). Maximum 28 Canadian coins per transaction, no pennies.
Machines provide no change.Pay on Foot machines accept Canadian coins and bills, or credit card (Visa, MasterCard, American Express). These machines will provide change.
Parking Office accepts payment by cash, credit card, debit or cheque.
Rates apply 24 hours per day, and are in effect for all public parkers, including those with provincially issued placards for persons with disabilities. Public parking is GST exempt.
Pay by Plate machines accept Canadian coins or credit card (Visa, MasterCard, American Express). Maximum 28 Canadian coins per transaction, no pennies.
Machines provide no change.Pay on Foot machines accept Canadian coins and bills, or credit card (Visa, MasterCard, American Express). These machines will provide change.
Parking Office accepts payment by cash, credit card, debit or cheque.
 
EMAIL
hamdy.elhakim@ahs.ca
VIRTUAL APPOINTMENT INFORMATION
Virtual appointments are not offered for this service
Virtual appointments are not offered for this service
 
 
WHEELCHAIR ACCESSIBILITY
Yes

The primary purpose of the All Locations list is to let the user easily access any location of a healthcare service without going back to the main search screen.

The locations listed have 3 background colors:
  • Green means the healthcare service@location has referral information attached to it.
  • Brown means the healthcare service@location never had referral information attached to it, or it has unpublished referral information.
  • Red means
    • IA changed the healthcare service@location's status to something other than Current
    • It was deleted if it is an ARD healthcare service@location.
Green  and Brown are always at the top of the list. These are the Healthcare Service@Locations with the status of Current.
The Red list at the bottom consists of non-current Healthcare Service@locations that once had Published referral information in the ARD.
If the referral information was never published in ARD the Healthcare Service@location will not show in the Red list.

The secondary purpose of the All Locations list is to allow ARD Administrators to recover (copy) referral information from the non-current Healthcare Service@Locations to ones that are current.

Common Scenario:
A Healthcare Service moves from one location to another. In this case the IA Healthcare Service@Location record will be made defunct (non-current) and a new Healthcare Service@Location record will be created with a current status. In this scenario the captured referral guidelines in ARD can become "orphaned" as they are not attached to any current IA healthcare service.

Categories of non-current or orphaned referral guidelines: INDIVIDUAL and COMMON.
The REFERRAL GUIDELINES section of the profile has the prefix INDIVIDUAL or COMMON to help you choose the method below when transferring referral guidelines from a non-current Healthcare Service@Location to a current healthcare service@location.

Individual referral process
  1. Click on a non-current (Red) Healthcare Service@Location at the bottom of the All Locations list.
  2. The non-current referral info is displayed with the link Copy this Referral Process to another Healthcare Service@Location link on the upper right hand corner. Click on the copy link.
  3. Choose a current location (Green or Brown) from the All Locations list. This will be the Healthcare Service@Location you are pasting the referral info into.
  4. The system will display the Edit Referral Info screen populated with the referral info from the non-current Healthcare Service@Location you viewed in the first step.
  5. Click Save and the referral info is transferred from the non-current Healthcare Service@Location to the current one.
  6. Repeat these steps for each Healthcare Service@Location that needs attention.

Common referral process - 2 sub cases.
Case 1: At least 1 current Healthcare Service@Location with common referral info is with current status for this healthcare service; One or more Healthcare Healthcare Service@Locations where replaced by new one.
  1. Click on any current Healthcare Service@Location whether it has referral info (Green) or not (Brown).
  2. The healthcare service location opens in the Edit Referral Info screen populated with the current common referral info.
  3. Save it. 
  4. All locations will be updated with the common referral information, including all the locations that don't have referral info yet (Brown). The non-current referrals (Red) will also be updated.
Case 2:  All Healthcare Healthcare Service@Locations for a healthcare service are set to a non-current status and replaced by new ones. In this case there is no current additional referral info to copy from, so the only alternative is to pick up the non-current common referral process (Red). Follow the steps described in the section Individual Referral Process above to copy/paste the non-current common referral info to the current healthcare service locations.
Generally we want to replicate current common referral info to new or replaced healthcare service locations. We only resort to copying non-current common referral info if there is no other option.

Remember: Some fields can be location specific with the common referral process:
Parking Instructions, Directions, Parking Map, Wait Time, Referral Phone or Referral Fax.
To update these items you have to edit each Healthcare Service@Location separately.

ADDITONAL NOTES:
  • The info icon after the All Locations drop down will be visible to ARD Administrators.
  • The system doesn't allow you to copy referral information from one non-current Healthcare Service@Location to another.

 

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