A Decision Guide for Assessing the Recently Extubated Patient’s Readiness for Safe Oral Intake

Author(s): Waverlyn J. Royals, MS, CCC-SLP, Rita J. Gillis, PhD, CCC-SLP, Jarvis L. Campbell, BA, BSN, RN

Contact Hours 1.00

CERP A 1.00

Expires Feb 01, 2026

Topics: Gastrointestinal

Population: Adult

Role: Staff

Added to Collection

Activity Summary

Required reading for all learners: Implicit Bias impacts patient outcomes

A review of the literature was conducted to determine potential risk factors for dysphagia following extubation and developed a guide based on a number of those factors or indicators as referred to in this article. Implementation of a guide on a medical intensive care unit (MICU) was completed including tracking of the utilization rate as well as the number of referrals to speech-language pathology (SLP) for swallowing assessment. The guide was used successfully because there was a reduction in potentially unnecessary referrals for SLP assessment during the project study period. Utilization of the guide improved efficiency and clarity in decision making on this MICU and this practice could be implemented in other units.


  • Describe health risk factors associated with extubation and dysphagia.
  • Identify key indicators for when patients should be referred to speech-language pathology (SLP) for post-extubation swallowing assessment.
  • Describe how to use a post-extubation swallowing decision guide in a medical intensive care unit.

Continuing Education Disclosure Statement

Successful Completion

Learners must attend/view/read the entire activity, read Implicit Bias impacts patient outcomes, and complete the associated evaluation to be awarded the contact hours or CERP. No partial credit will be awarded.


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Provider approved by the California Board of Registered Nursing, Provider number CEP 1036, for 1.00 contact hours.

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