1. Safe Swallowing Program

2. Safe Swallowing Goals: Identification Prevention Treatment

3. What is Swallowing? Modified Barium Swallow Study (MBSS)

4. Aspiration Overt Aspiration Silent Aspiration

5. Aspiration Precautions Positioning at 90 degrees –Head of the resident –Head of the patients bed, Geri Chair, W/C Remain in that position 30-45 min after all po intake – hydration pass –med pass –meals et. snacks

6. Thicken Liquids N – Nectar H – Honey P-Pudding

7. If patient is on a thicken liquid… NO –Straw –Ice Cream –Sherbet Yes –Spoon –Magic Cup

8. BEE Alert Bees on doors Orange Armbands –N –H –P Orange Napkins Swallowing Guides Orange Jackets

9. Remember to BEE.. Alert Safe Smart Happy