These documents are for clinicians in facilities where SBA has a contract to perform CSA. Included are important policy documents that need to be accessible for reference and if requested by a surveyor. There are also clinical resources that referring clinicians will find useful. These documents will be updated as needed.
SBA POLICIES
- Comprehensive Swallow Assessment (CSA)
- CSA Report Template (to be used if electronic form is unavailable)
INFECTION CONTROL
- Cleaning/Disinfecting the Endoscope Caddy Tubes
- Cleaning/Disinfecting the Endoscope
- MSDS Germicidal Wipes
- MSDS OPA
- Additional Infection Control Procedures
SBA FORMS
JUSTIFICATION FOR CSA
- The Case for Instrumental Assessments
- Emerging Areas of Clinical Practice
- Medical Necessity of CPT 92524
- Peer-reviewed Article in The Journal of Clinical Medicine
SWALLOWING RESOURCES
- Bedside Swallow Evaluation Questions
- Modified Masako Task
- Shaker’s Task
- Water and Crushed Ice Protocol
- Tracheotomy Communication and Swallow Interventions
VOICE RESOURCES
- Voice Case History Form
- CAPE-V Procedures and Form
- Voice Handicap Index (VHI)
- Voice Related Quality of Life (VRQOL)
- Standard Reading Passages
- Phonetogram and Basic Acoustic Data
- Videostroboscopy Rating Form
- Evidence-Based Voice Exercises
- Therapy Apps
- Inspiratory/Expiratory Resistive Breathing Therapy (RBT) for Voice/Speech/Swallowing
AUDIOLOGY/AURAL REHAB
- Physicians Order Audiology
- Audiology Infection Control Policy
- Audiology Inservice Slides (Keith Ergle, AuD)
- Audiology Billing Sheet
- Aural Rehab Assessment Tests
- Aural Rehab Guide
- Aural Rehab “Steps to Success”
ASHA DOCUMENTS
- Scope of Practice in Speech-Language Pathology
- The Role of the SLP in Performance and Interpretation of Endoscopic Evaluation of Swallowing
- Vocal Tract Visualization and Imaging
- Code of Ethics (2023)