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BEGIN:VEVENT
DTSTAMP:20251016T135134Z
LOCATION:Riverside East
DTSTART;TZID=America/Chicago:20251014T173000
DTEND;TZID=America/Chicago:20251014T183000
UID:HFESAM_ASPIRE 2025_sess131_POST167@linklings.com
SUMMARY:Diagnosing Barriers to Radiation Safety Knowledge and Practice Amo
 ng Speech-Language Pathologists Performing Videofluoroscopic Swallowing St
 udies (VFSS): A Single-Center Quality Improvement Initiative
DESCRIPTION:Laurel Chen and Lauren Ernest (Medical College of Wisconsin); 
 Ann Graber (Froedtert Health); Alice Chen (Duke University); and Yonggang 
 Lu, Matthew Scanlon, and Kathleen Bhatt (Medical College of Wisconsin)\n\n
 The videofluoroscopic swallowing study (VFSS) is used by speech-language p
 athologists (SLPs) to assess swallowing under fluoroscopy, introducing rad
 iation risk to patients and SLPs. Challenges with routine practice, work-a
 s-prescribed (WAP), are not well-studied among SLPs. We aimed to identify 
 barriers in safe radiation practices among SLPs performing VFSS and sugges
 t methods to reduce radiation exposure. We conducted a single-center study
  of SLP-led VFSS (Jan. 2024-May 2025). Data collection included surveys, o
 bservations, an educational intervention, a focus group, and dosimetry. As
 sisting patients directly in the fluoroscopy field-of-view (FOV) resulted 
 in increased reliance on personal protective equipment (PPE) and dosimetry
 . Badge compliance was inconsistent, and ancillary PPE (e.g., lead glasses
 , gloves) was often ill-fitting or absent. The safety of SLPs was dependen
 t on the availability of better-fitting PPE and administrative and enginee
 red controls: distancing, dosimetry compliance, and appropriate lead shiel
 ding. These recommendations should be explored to improve radiation safety
  among SLPs during VFSS.\n\n
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