Stollery Outpatient Feeding and Swallowing Clinic   at
Stollery Children's Hospital
Connect Care Specialty: Rehabilitation Connect Care Department: EDM STO WMC PED FEED/SWALLOW
Alberta Health Services - Edmonton Zone





Estimated time to routine appointment: Not Available
SERVICE DESCRIPTION
The Stollery Outpatient Feeding and Swallowing Clinic provides consultation and assessment to children with feeding and swallowing concerns or dysphagia in the absence of an underlying developmental or neurological diagnosis.
Concerns may be due to suspected or known anatomic/physiologic impairments of the mouth, throat, airway, or digestive system. The feeding and/or swallowing concerns may also be due to an underlying medical condition such as a cardiac, gastrointestinal, pulmonary, or oncology related diagnosis.
Presenting concerns may include:
  • weak or uncoordinated sucking
  • trouble coordinating breathing and swallowing
  • impaired growth / nutrition or dehydration
  • noisy breathing or airway congestion during and/or after feeding
  • hoarse/wet voice or throat clearing while eating or drinking
  • changes in color or state during feeding
  • coughing or choking during meals
  • frequent respiratory illnesses or pneumonia suggestive of pulmonary aspiration
Once the referral is received, it is reviewed and triaged by the Speech-Language Pathologist. A parent questionnaire is then mailed to the family to be completed and returned prior to an appointment being scheduled.
A Speech-Language Pathologist will complete the initial clinical feeding and swallowing evaluation and determine the need for further instrumental assessment (i.e., Videofluoroscopic Swallow Study (VFSS) or Flexible Endoscopic Evaluation of Swallowing (FEES)). Follow-up visits will be scheduled as required.
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.
EMERGENCY REFERRAL PROCESS
This is not an emergency service.  If you have concerns that require assessment within 24 hours, please proceed to the nearest Emergency Department or Urgent Care facility.
This is not an emergency service.  If you have concerns that require assessment within 24 hours, please proceed to the nearest Emergency Department or Urgent Care facility.
URGENT REFERRAL PROCESS
Referrals will be triaged and prioritized according to urgency.
Referrals will be triaged and prioritized according to urgency.
ROUTINE REFERRAL PROCESS
Connect Care Department Specialty:  Rehabilitation
Referral must come from an MD or nurse practitioner who agrees to order a feeding/swallowing assessment and management with videofluoroscopy and/or endoscopy.

Referring providers may also complete the paper referral form and fax it to 780-407-6586. Outpatient Services Feeding and Swallowing Referral
Connect Care Department Specialty:  Rehabilitation
Referral must come from an MD or nurse practitioner who agrees to order a feeding/swallowing assessment and management with videofluoroscopy and/or endoscopy.

Referring providers may also complete the paper referral form and fax it to 780-407-6586. Outpatient Services Feeding and Swallowing Referral
ELIGIBILITY REQUIREMENTS
Children 0 to 17 years old.

Exclusion Criteria:
  • For children with a neurological or developmental diagnosis, please refer to the Glenrose Feeding & Swallowing Clinic (Fax: 780-735-7930).
  • For children less than 5 years of age experiencing difficulties with texture progression, feeding refusal, selective eating, sensory issues/gagging, or mealtime family dynamics, please refer to Preschool Rehabilitation Services (Ph: 780-735-3491).  
  • For children with home tube feeds, please refer to the Pediatric Home Nutrition Support Program (Fax: 780-407-8502).

Children 0 to 17 years old.

Exclusion Criteria:
  • For children with a neurological or developmental diagnosis, please refer to the Glenrose Feeding & Swallowing Clinic (Fax: 780-735-7930).
  • For children less than 5 years of age experiencing difficulties with texture progression, feeding refusal, selective eating, sensory issues/gagging, or mealtime family dynamics, please refer to Preschool Rehabilitation Services (Ph: 780-735-3491).  
  • For children with home tube feeds, please refer to the Pediatric Home Nutrition Support Program (Fax: 780-407-8502).

REFERRAL PHONE
780-407-8859
REFERRAL FAX
780-407-6586
PHONE
780-407-8859
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
Timing
Additional Details
+-
Airway structure
Medication List (dose, frequency, route)
| Within 1 month
Past medical history
| Within 1 month
+-
Choking
Medication List (dose, frequency, route)
| Within 1 month
Past medical history
| Within 1 month
+-
Difficulty in swallowing
Medication List (dose, frequency, route)
| Within 1 month
Past medical history
| Within 1 month
+-
Dysphagia
Medication List (dose, frequency, route)
| Within 1 month
Past medical history
| Within 1 month
+-
Oropharyngeal dysphagia
Medication List (dose, frequency, route)
| Within 1 month
Past medical history
| Within 1 month
+-
Pulmonary aspiration
Medication List (dose, frequency, route)
| Within 1 month
Past medical history
| Within 1 month
+-
Suck-swallow incoordination
Medication List (dose, frequency, route)
| Within 1 month
Past medical history
| Within 1 month
+-
Videofluoroscopy swallow
Medication List (dose, frequency, route)
| Within 1 month
Past medical history
| Within 1 month
ADDITIONAL SERVICE DETAILS
COMMUNICATION PROCESS
Communication of referral receipt to referral
source will occur within 7 calendar days.
 
Communication of appointment details or wait list status to patient and referral
source will occur within 14 calendar days.
 
Communication of initial appointment outcomes to referral
source will occur within 30 calendar days.
 
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.
DIRECTIONS
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.
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.
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.
ADDRESS
Unit 1G1.11, Speech and Audiology
8440 112 Street
Edmonton Alberta
T6G 2B7
HOURS OF OPERATION
Monday: 8:00 am - 4:30 pm
Tuesday: 8:00 am - 4:30 pm
Wednesday: 8:00 am - 4:30 pm
Thursday: 8:00 am - 4:30 pm
Friday: 8:00 am - 4:30 pm
   
WHEELCHAIR ACCESSIBILITY
Yes

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

The locations listed have 3 background colors:
  • Green means the service@location has referral information attached to it.
  • Brown means the service@location never had referral information attached to it, or it has unpublished referral information.
  • Red means
    • IA changed the service@location's status to something other than Current
    • It was deleted if it is an ARD service@location.
Green  and Brown are always at the top of the list. These are the Service@Locations with the status of Current.
The Red list at the bottom consists of non-current Service@locations that once had Published referral information in the ARD.
If the referral information was never published in ARD the 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 Service@Locations to ones that are current.

Common Scenario:
A Service moves from one location to another. In this case the IA Service@Location record will be made defunct (non-current) and a new 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 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 Service@Location to a current service@location.

Individual referral process
  1. Click on a non-current (Red) 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 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 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 Service@Location you viewed in the first step.
  5. Click Save and the referral info is transferred from the non-current Service@Location to the current one.
  6. Repeat these steps for each Service@Location that needs attention.

Common referral process - 2 sub cases.
Case 1: At least 1 current Service@Location with common referral info is with current status for this service; One or more Service@Locations where replaced by new one.
  1. Click on any current Service@Location whether it has referral info (Green) or not (Brown).
  2. The 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 Service@Locations for a 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 service locations.
Generally we want to replicate current common referral info to new or replaced 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 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 Service@Location to another.

 

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