AGP: transnasal endoscopy; rigid is not considered aerosol generating

Marie - do you have a reference for that for documentation purposes?

Apparently these are the latest AAOHNS guidelines per my colleagues

OK thanks - will look for it

as I understand it endoscopy is not aerosol generating unless the patient coughs or sneezes, a reality particularly for flex endoscopy

That said, we are wearing N95/face shield/gown for all endoscopy

Hi Sarah. I'm surprised to hear that voice therapy is not considered to be an AGP. Do you agree with this assessment?

Starr, We are doing almost all therapy remotely

with the screening questions, what are people doing when if the answers indicate they may have been exposed or have traveled? covid test, reschedule? how long?

Can you please elaborate on the reason for not doing FEES on COVID positive patients?

Downtime in rooms if transnasal endoscopy, but no downtime if rigid. We do have HEPA filters that are connected to our vent system as well as a negative pressure room

We are also doing all therapy remotely. we have no way to mitigate risk in our therapy rooms (no HEPA, no negative pressure).

What about Respiratory Muscle Strength Training: EMST and IMST in therapy-AGP?

We are also doing nearly all therapy remotely, although if manual therapy is needed, we will sometimes schedule a single in person session, and will wear full PPE for this

What’s the timeframe btw COVID test and clinic visit?

48 hours for us

EMST and IMST is AGP

how often are you all personally being COVID tested

what is your facility doing for SLPs evaluating/treating tracheostomy patients? we are required to wear N95 for ALL tracheostomy patients regardless of ventilator vs trach collar vs speaking valve vs capping.

Full PPE for trachs and laryngectomies

At UWMC we are using full PPE for all trachs and laryngectomies as well

UCSF too

At Brigham and Dana Farber we are doing full PPE for trach and laryngectomy

Thoughts on use of air purifiers in clinic rooms?

I think purifiers not helpful unless connected to outside

we have HEPA filters installed in clinic rooms and hooked up to the ventilation. they’re pretty loud.

we can choose to be tested at anytime - antibodies and/or PCR

So is anyone doing in person voice therapy at this point WITHOUT wearing an N95?

Duke is doing in-person therapy (when needed) wearing surgical masks and faceshields.

And 6 ft distance.

yes

We are wearing N95 face shield with all in person visits

DRS?

Dysphagia Research Society

Ah, thanks! Been away from the rest of the field for too long...

Thumbs up:)

Thank you friends & colleagues for a wonderful panel! This was clarifying & reassuring.

Sarah, when you use the vented mask for your endoscopic procedures, are you venting the mask that the patient is wearing to your clinic or are you cutting the vent in a new mask?

Thanks All! Super helpful for all of us.

Thank you for an excellent panel.

Wonderful panel !! Thanks to everyone

Thanks to all for sharing this very important info!

Thanks everyone!

Really appreciate all the information and collaboration!

Yes, thanks everyone! Nice to see your faces!

thank you for all of your information!

Thank you everyone and Claudio I appreciate your comments about how you sometimes forget to do some sanitizing, etc. we are all fallible

Thank you for a wonderful panel.

Thank you everyone for such informative session.

more is more. over protection should be allowed. we all have to feel safe.

Thank you! Appreciate the perspective and guidance.

yes to physician champions! lots of support for decision making especially telehealth

Thank you for an informative session.

thank you everyone.

thank you! great discussion

Informative helpful session! Thank you all

great information! thank you

Thank you all!

Thank you very much!

Thank you for sharing. Very helpful.

Thanks for the great discussion

Thank you

Thank you!!

Thank you!

Thank you all!

Wonderful. Thank you!

You may consider using videos as training or prompts for clients to teach how to.....e.g. placements of articulators. (instead of removing your own mask).

Thanks everyone! It was excellent.

Yes, thank you for all the information!

Thanks so very much!

thank you so much! it was very informative! it also helps to know that we are not alone! stay safe everyone!

Thank you for sharing such valuable information with all of us!

Thank you for the wonderful information!

Would you follow up on the previous question asked about how to use the vented mask for the endoscopy.

Thank You all for sharing

Also how to access the plastic mask over the mouth???

Thank you for all your effort! Especially appreciated Claudio's comments about "missing a step"