Speech Therapy Equipment List

APPENDIX 2: SPEECH THERAPY EQUIPMENT NEEDS PER LEVEL OF CARE Communication equipment needed CHC Board maker plus yes yes District Hospital yes yes Various types of switches yes yes yes yes All levels of health care can order for purposes of issuing to patients (from the Provincial tender). Single message devices yes yes yes yes All levels of health care can order for purposes of issuing to patients (from the Provincial tender). Multi-message devices (with and without scanning options) yes yes yes yes All levels of health care can order for purposes of issuing to patients (from the Provincial tender). Desktop with internet access (minimum windows 7) no no yes yes External microphone for desktop Colour Printer (and toner refills) yes yes yes yes yes yes yes yes Internet required for activating user licences of AAC software. For purposes of message banking Laminator (and pouches) yes yes yes yes Digital camera yes yes yes yes Alternative & Augmentative Communication CD player Eye gaze units Switch adapted toys No No no no Secondary Hospital yes yes no no Tertiary Hospital yes yes Comments yes yes Mounting plates yes yes yes yes Mounting arms yes yes yes yes Foam wedges AAC communication software yes no yes no yes no yes yes Eye gaze units can only be issued at tertiary clinics Switch adapted toys only required for tertiary ax clinics. Not for issuing. All levels of health care can order for purposes of issuing to patients (from the Provincial tender). All levels of health care can order for purposes of issuing to patients (from the Provincial tender). For purposes of mounting This is only for tertiary as it requires a tablet/ipad for compatibility. It is not possible to procure tablets at any level of health (but donations have been received at tertiary hospitals). Early communication Adult Speech Therapy Cause & effect toys Noisemakers Construction toys/Constructive Play Toys Water play- Think we can remove these 2 Sand play Books- real pictures, touch and feel books, adapted books, puzzle books, interactive books Toys for sensory input – water, sand Play dough Stacking cups- Fall under constructive Toy telephone- symbolic play toys Themed Toys • Animals • Transport • Kitchenware • Furniture- household objects • Family • Getting ready for school • Meal Time • Sandwich making • Bathing/ bath Time • Going to the shops Blocks- constructive Paint & brushes- colouring in books, pencils and crayons Box sets for discourse, semantics, sequencing, matching, categorization, differentiation, reasoning, Colour Printer yes yes yes yes yes yes yes yes yes yes yes yes yes yes yes yes yes yes yes yes yes yes yes yes yes yes yes yes yes yes yes yes yes yes yes yes yes yes yes yes yes yes yes yes yes yes yes yes yes yes yes yes Yes Yes yes yes yes yes yes yes Laminator yes yes yes yes Colour cards (verbs, nouns, everyday objects) yes yes yes yes Therabite jaw motion rehabilitation yes yes Yes yes Cuff manometers no yes yes yes Spirometers yes yes yes yes Eye protection goggles no yes Yes yes Laryngeal mirrors yes yes yes yes Wall mounted headlight no no no yes Paediatric Stethescope yes yes yes yes Pulse Oximetres yes yes yes yes Acoustic voice equipment eg CSL no no yes yes Video voice equipment eg HD Stroboscopy no no yes yes Vocastim no no yes yes Ipad with preloaded apps (tactus apps) for aphasia therapy, apraxia therapy, cognitive therapy and dysphagia therapy no yes yes yes yes yes yes yes Real objects: * clothing * kitchen utensils * toiletries Feeding Equipment that is needed CHC Secondary Tertiary Yes Yes Yes Yes No Depends on Xray dept equipment No Yes yes no no yes yes DVD recorder TV Yes yes Yes yes Yes yes Yes yes For recording videofluoroscopy results Seating ( Paediatric/Adults) Yes Yes Yes Dependant on above Therapy mats Yes Depends / yes Yes Yes Yes Physio balls Wedges Yes Yes Yes Yes Yes Yes Yes Yes Rollers Yes Yes Yes Yes Benches Yes Yes Yes Yes Portable mirror Yes Yes Yes Yes Laryngeal mirror Teats( silicone, latex, fast, medium and slow flow, ages) Mead Johnson Bottles Yes Yes Yes Yes Yes Yes Yes Yes Yes yes yes yes Cups (Cut out, sippy, normal) Yes Yes Yes Yes Spoons (graded depth) Yes Yes Yes Yes Electric toothbrush/ z vibe(talk tools) Yes Yes Yes Yes Talk tools (bite blocks, grabbers, honey bear, horn program, sensory bean bags, straw programme, cut out cups) Adaptive / adjustable seating? Yes yes yes yes Yes yes yes yes NUK stimulator set- Starter toothbrush set- for finger brush, gum massager, toothbrush - doesn’t need to Yes Yes Yes Yes Multi view Videofluoroscopy unit No Videofluoroscopy unit No FEES and digital swallow workstation Neuro Muscular Electrical Stimulation units with electrodes District No Comments Secondary: dependant on radiology services & patient population demands be this brand Oral stimulator set- Starter toothbrush set- for finger brush, gum massager, toothbrush Hand held vibrator Sterilization - / Milton Torch Yes Yes Yes Yes Yes Yes Yes Yes Room types for Speech Therapy activities Observation complex A three-room observation complex consisting of the following: • A central 3m X 5m room with chairs for observers. • A 5m x 5m room, carpeted, with a plug point, intercom system, 1-way mirror with curtains or shutters between it and the adjoining room, temperature control and dimmable lights. • A 4m x 5m room, with a washable floor, basin, plug point, intercom system, 1-way mirror with curtains or shutters between it and the adjoining room and dimmable lights. • It is envisaged that in smaller institutions this complex would be shared with other professions, e.g. OT, Psychology, MOP outreach, etc. • This complex would be used for observation of caregiver-child interactions, group therapy including multi-disciplinary groups/clinics, observation by students and group training sessions. • The complex should be situated near the waiting area, to allow for easy access by patients coming for multidisciplinary clinics. • Video and voice recorder allowing for visual and audio feedback Consulting room • Standard specification with carpet, basin, plug point, desk and four chairs. • Must be quietly situated. Office • Office: shared between three therapists, with 1 network point and plug point per desk and an extra double plug point (for heater, vacuum-cleaner, etc.). • Single office for Assistant Director, with 1 network point and plug point and an extra double plug point (for heater, vacuum-cleaner, etc.). Generic and shared spaces • Waiting area with chairs, table for information, complaints box, and 1.5m x 2m pin board. • Reception area with double plug point and network point per receptionist. Fax/photocopier must be sound-shielded from receptionist and must not be accessible to children in the waiting room. • • • • • • • • • Staff room for meetings, training, etc.; size will depend on staff complement, but should accommodate at least 50% of Rehab staff on chairs around a central table. Staff kitchenette with sink, kettle, mini-oven, fridge and microwave near the staff room Lockable storeroom with shelves. Lockable file storage room for patient records. Disability-friendly bathroom with plinth for changing nappies on children and disabled adults. Staff ablutions with toilets and basin(s). Student office for 3-6 students; size will depend on facility; only necessary in secondary/tertiary/academic hospitals. Dormitory-style accommodation for caregivers needing training in the care of a permanently disabled person, or for block therapy; no nursing care or other staffing needed. 4x4 vehicle modified for Rehabilitation outreach: with inverter for electrical supply to double plug point for audiology equipment, storage cupboards, seating space for private consultation and awning for waiting patients. The number and availability of these vehicles would depend on the number of outreach venues and the surrounding terrain. Location of Speech Therapy and Audiology departments • Speech Therapy and Audiology departments must be part of an Allied Health or Rehabilitation complex: o Occupational Therapy o Physiotherapy o Human Nutrition (Dietary) o Medical Social Work o Psychologist o (Podiatrist) o (Biokineticist) • Rehabilitation must be near: o Public transport drop-off point/parking area o Pharmacy o X-rays o Wards o Paediatric Out-Patients Department? Doctors Minimum profession-specific areas per profession at different levels of healthcare Type of room PHC Diagnostic Audiology and VRA Diagnostic electrophysiology Vestibular room Observation complex Treatment room 1 shared Consultation room 1, reserved for visiting professionals; shared Office Student office 4x4 Rehab vehicle District hospital Regional hospital 1 1 per 8 patients to be tested per day 1 shared with other Rehab 1 shared with other Rehab 1 1 1 per three therapists 1 per three therapists 1 per 5 outreach destinations requiring 4x4 to access 1 per 5 outreach destinations requiring 4x4 to access 1 1 per three therapists per profession 2°/3°/ academic hospital 1 per 8 patients to be tested per day 1 TB hospital 1 1 1 to 2 1- This seems too little across all levels 1 per three therapists per profession 1 per three therapists + 1 for AD 1, possibly shared 1 per 5 outreach destinations requiring 4x4 to access; may not require 4x4 function on outreach vehicle 11 1 Possible determination of the number of Audiology booths and Audiologists needed: assuming that 5% of the population experiences some kind of hearing loss and they need to be diagnosed/retested/screened every three years, then theoretically 1.67% of the population served by a particular hospital would need behavioural diagnostic audiology per year. This number can be divided by 200 (approximate number of working days per year) to determine the average daily demand for Audiology services. This number can be increased by up to 50% for referral hospitals with ENT services, as well as hospitals performing Occupational Health & Safety hearing assessments, as they would refer additional patients.