| Knowledge Required: The candidate will describe-- |
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| Scope of SLP manometry practice as defined by state and national professional guidelines and regulations |
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| Indications and contraindications for a manometric examination in oropharyngeal dysphagia |
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| Appropriate dosage, risks associated with and contraindications of use of topical anesthetic during manometric examination |
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| Signs of appropriate and inappropriate functioning of manometric and recording equipment |
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| Troubleshooting strategies for catheter placement and manometric sensor functioning |
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| Normal and abnormal manometric findings in terms of swallowing anatomy and physiology |
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| Evidence-based practice related to use of HRM in diagnosis and treatment of oropharyngeal dysphagia |
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| Role of HRM in biofeedback and education of patients, family and caregivers |
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| Appropriate timing for re-evaluation of swallowing pressures with manometric examination |
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| Skills Required: The candidate will demonstrate-- |
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| Operation, maintenance and disinfection of HRM equipment |
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| Rationale for HRM in a specific patient as based on obtaining complete medical, surgical and swallowing history |
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| Preparation of bolus media in accordance with facility-specific protocol, with appropriate consideration of individual aspiration risk |
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| Patient instruction regarding the goals for HRM examination |
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| Safe and effective application of topical anesthetic |
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| Catheter insertion technique that prevents complications and causes minimal patient discomfort |
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| Patient instruction of protocol tasks for efficient and complete examination |
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| Administration of bolus volumes/types in a measured and logical presentation |
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| Evaluation of swallowing physiology as represented by spatiotemporal plots and manually derived pressure and impedance measures |
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| Assessment of postures and maneuvers based upon imaging and manometric findings |
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| Monitoring of possible risks related to the examination |
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| Manometer catheter removal technique that prevents complications and causes minimal patient discomfort |
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| Interpretation and documentation of HRM findings in a written report |
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| Ability to integrate HRM findings into dysphagia diagnosis and treatment plan |
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