Pediatric Aspiration Clinic   at
Stollery Children's Hospital

Alberta Health Services - Edmonton Zone



Estimated time to routine appointment: Within 1 month
SERVICE DESCRIPTION
This clinic specializes in swallowing and airway problems and evaluates and manages children with dysphagia and risk of aspiration.
This clinic uses a team approach to assess and manage infants and children who may have an airway disorder that makes it difficult to swallow.
Services that this clinic may offer include:
  • An assessment called the Fiberoptic Endoscopic Evaluation of the Swallow (FEES) to evaluate a child’s ability to eat and swallow safely and comfortably
  • Investigations into any associated breathing or other problems
  • Possible management options which may include medical treatment, modification of feeding (e.g. changing the thickness of liquids or type of nipple or bottle), the need for further investigations or the need for involvement of other specialists
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.
For more information visit our website.
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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
Please direct patients to the nearest Emergency Department or Urgent Care Facility.
Please direct patients to the nearest Emergency Department or Urgent Care Facility.
URGENT REFERRAL PROCESS
Physicial referral required.  Refer directly to either:
  • Dr. H. El-Hakim by faxing a consult note to (780) 407-2004 or use the Connect Care Referral Form
  • Wendy Johannsen, SLP in the Stollery Pediatric Outpatient Feeding and Swallowiing Service by completing and faxing Outpatient Services Feeding and Swallowing Referral  form to (780) 407-6586
Physicial referral required.  Refer directly to either:
  • Dr. H. El-Hakim by faxing a consult note to (780) 407-2004 or use the Connect Care Referral Form
  • Wendy Johannsen, SLP in the Stollery Pediatric Outpatient Feeding and Swallowiing Service by completing and faxing Outpatient Services Feeding and Swallowing Referral  form to (780) 407-6586
ROUTINE REFERRAL PROCESS
Physicial referral required.  Refer directly to either:
  • Dr. H. El-Hakim by faxing a consult note to (780) 407-2004 or use the Connect Care Referral Form
  • Wendy Johannsen, SLP in the Stollery Pediatric Outpatient Feeding and Swallowiing Service by completing and faxing the Outpatient Services Feeding and Swallowing Referral form to (780) 407-6586.
Physicial referral required.  Refer directly to either:
  • Dr. H. El-Hakim by faxing a consult note to (780) 407-2004 or use the Connect Care Referral Form
  • Wendy Johannsen, SLP in the Stollery Pediatric Outpatient Feeding and Swallowiing Service by completing and faxing the Outpatient Services Feeding and Swallowing Referral form to (780) 407-6586.
ELIGIBILITY REQUIREMENTS
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,
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. Subgltotic stenosis
4. Tracheal and bronchiole stenosis  and malaria
5. Obstructive sleep apnea

The programs collaborates 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.
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REFERRAL FORM
All patients referred will undergo a clinical Feeding and Swallowing Assessment prior to attending the Aspiration Clinic.
All patients referred will undergo a clinical Feeding and Swallowing Assessment prior to attending the Aspiration Clinic.
REFERRAL PHONE
780-407-8629
REFERRAL FAX
780-407-2004
PHONE
780-407-8629
FAX
780-407-2004
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 care management
Medication List (dose, frequency, route)
| Within 1 month
Past medical history
| Within 1 month
Investigations into any associated breathing or other problems.
+-
Fiberoptic endoscopic evaluation of swallowing
Medication List (dose, frequency, route)
| Within 1 month
Past medical history
| Within 1 month
Evaluate a childs ability to eat and swallow safely and comfortably.
ADDITIONAL SERVICE DETAILS
Hours of operation: This clinic is held 2 Tuesday mornings per month.

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.
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 7 calendar days.
 
Communication of initial appointment outcomes to referral
source will occur within 14 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 clinic is located in 2E.

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 clinic is located in 2E.

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 2C3.57 Walter MacKenzie Centre
8440 112 Street
Edmonton Alberta
T6G 2B7
HOURS OF OPERATION
Monday:
Tuesday: 8:00 am - 12:00 pm
Wednesday:
Thursday:
Friday:


Description:
This clinic is held 2 Tuesday mornings per month.
   
WHEELCHAIR ACCESSIBILITY
Yes
EMAIL
hamdy.elhakim@ahs.ca

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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