Web_ASSIST Assessment_PPT_EN_200129_V01

Instructions
ASSIST Education Presentation
This is a Power Point presentation to be given by a
speech pathologist to educate clinicians on the ASSIST
tool. To open this Power Point, please click on file
number 2-ASSIST Education Presentation and Select
Read-only to open the presentation.
ASSIST Competency Assessment Tool
To open, click on file number 3-ASSIST Competency
Assessment Tool. Then, right click on the file named
Video_TS and open in DVD Media Player (Microsoft
Windows 2010 or later).
Alternatively:
Open your usual program to play a DVD.
Select Open File > Open ASSIST COMPETENCY
ASSESMENT > Open VIDEO_TS Folder > Select the first
video> click Open. This will Load the DVD into the DVD
Player.
Please note: Once the Assist Competency Assessment Please click
file opens, please use the arrows embedded (as circled here to
in red in screen shoot below) in the screen to navigate navigate
through the assessment. through the
assessment
Any problems or questions please e-mail the QASC
team at qasc@acu.edu.au

Managers of Great Metropolitan Speech Pathology Services in NSW Health. Stroke Dysphagia Framework. Sydney, 2004.
ASSIST COMPETENCY ASSESSMENT
Developed and prepared by E Katalinic and C Quinn, Price of Wales Hospital Speech Pathology
Department, Sydney, NSW
Supported by the Quality in Acute Stroke Care (QASC) Implementation Project Team
The QASC Implementation Project created by the NSW Agency for Clinical Innovation (ACI) in
partnership with the Nursing Research Institute (NRI), a joint initiative between St Vincent’s & Mater
Health Sydney and the Australian Catholic University
Before proceeding with this assessment:

ENSURE YOU HAVE COMPLETED

AN INTRODUCTION ASSIST
TRAINING WORKSHOP

ENSURE YOU HAVE A COPY OF THE

ASSIST SCREENING TOOL

ENSURE YOU HAVE A COPY OF THE

ASSIST COMPETENCY ASSESSMENT
RESPONSE FORM

www.acu.edu.au/qasc
QUESTION 1

What pre-feeding skills are required

before screening can commence?

PLEASE REFER
TO QUESTION 1
OF THE RESPONSE
FORM
QUESTIONS 2-4

Are these sitting positions adequate

for screening?

PLEASE REFER
TO THE FOLLOWING
VIDEOS
QUESTION 2
POSITION 1:
Is this sitting position adequate for screening?
QUESTION 3
POSITION 2:
Is this sitting position adequate for screening?
QUESTION 4
POSITION 3:
Is this sitting position adequate for screening?
QUESTIONS 5-9

Do these patients have facial

weakness / droop?

PLEASE REFER
TO THE FOLLOWING
VIDEOS
QUESTION 5
PATIENT 1:
Does the patient have facial weakness / droop?
QUESTION 6
PATIENT 2:
Does the patient have facial weakness / droop?
QUESTION 7
PATIENT 3:
Does the patient have facial weakness / droop?
QUESTION 8
PATIENT 4:
Does the patient have facial weakness / droop?
QUESTION 9
PATIENT 5:
Does the patient have facial weakness / droop?
QUESTIONS 10-12

Do these patients have

slurred speech?

PLEASE REFER
TO THE FOLLOWING
VIDEOS
QUESTION 10
PATIENT 1:
Does the patient have slurred speech?
QUESTION 11
PATIENT 2:
Does the patient have slurred speech?
QUESTION 12
PATIENT 3:
Does the patient have slurred speech?
QUESTION 13

Why is it important to check a

patient’s ability to cough?

PLEASE REFER
TO QUESTION 13
OF THE RESPONSE
FORM
QUESTIONS 14-16

Do these patients have

a hoarse voice?

PLEASE REFER
TO THE FOLLOWING
VIDEOS
QUESTION 14
PATIENT 1:
Does the patient have a hoarse voice?
QUESTION 15
PATIENT 2:
Does the patient have a hoarse voice?
QUESTION 16
PATIENT 3:
Does the patient have a hoarse voice?
QUESTION 17

Why would this patient

‘Fail’ the screen?

PLEASE REFER
TO THE FOLLOWING
VIDEO
Question 17
PATIENT 1:
Why would he fail the screen?
QUESTION 18

Would you test this patient

with a sip of water?

PLEASE REFER
TO THE FOLLOWING
VIDEO
Question 18
PATIENT 1:
Would you test this patient with a sip of water?
QUESTION 19

Would you test this patient

with a cup of water?

PLEASE REFER
TO THE FOLLOWING
VIDEO
QUESTION 19
PATIENT 1:
Would you test this patient with a cup of water?
QUESTION 20

Observe the nurse testing the

Patient with a sip of water.
Should the nurse continue with screening?

PLEASE REFER
TO THE FOLLOWING
VIDEO
QUESTION 20
PATIENT 1:
Should the nurse continue with screening?
QUESTIONS 21-25

Read the following scenario

(next page)

PLEASE REFER
TO QUESTIONS
21-25 OF THE
RESPONSE FORM
The stroke unit nurse is getting handover from
the Ed Nurse about a new admission

“George is aonset
78 year old man who presented this moring with sudden
of nystagmus, ataxia and a hoarse voice.
His MRI has shown an acute infarct in the medulla oblongata.
He’s been coughing quite a bit, and is gurgly in the upper airway.
Oxygen saturation is 95% on 4L O2 via nasal prongs…
”
NAME 5 RISK
FACTORS FOR
DYSPHAGIA THIS
PATIENT IS LIKELY
TO EXHIBIT
QUESTION 26

Observe the nurse testing the

Patient with a sip of water.
What should the nurse do now?

PLEASE REFER
TO THE FOLLOWING
VIDEO
QUESTION 26
PATIENT 1:
What should the nurse do now?
QUESTION 27

What is meant by
‘Nil by mouth’?

PLEASE REFER
TO QUESTION 27
OF THE RESPONSE
FORM
QUESTIONS 28-30

Name 3 indicators of swallowing

difficulty for a patient who
has commenced an oral diet

PLEASE REFER
TO QUESTIONS
28-30 OF THE
RESPONSE FORM
END

www.acu.edu.au/qasc