Speech-Language Pathology Evaluation Checklist
Comprehensive speech-language pathology evaluation including communication, cognition, and swallowing assessment.
- Industry: Healthcare
- Frequency: Initial evaluation
- Estimated Time: 45-60 minutes
- Role: Speech-Language Pathologist
- Total Items: 29
- Compliance: ASHA Practice Guidelines, CMS Documentation Requirements, State Practice Act
Case History
Relevant history
- Medical history documented?
- Prior communication level documented?
- Chief concern documented?
Communication Assessment
Speech and language
- Speech production assessed?
- Receptive language assessed?
- Expressive language assessed?
- Voice quality assessed?
Cognitive-Communication
Cognitive assessment
- Attention assessed?
- Memory assessed?
- Problem-solving assessed?
Swallowing Assessment
Dysphagia evaluation
- Clinical swallow evaluation completed?
- Diet recommendations documented?
- Instrumental evaluation needed?
Treatment Plan
Intervention planning
- Goals established?
- Treatment frequency documented?
Pre-Assessment Information
Initial assessment documentation and patient/facility identification
- Assessor Name / Credentials
- Assessment Date
- Department / Unit
- Assessment Type (Routine/Annual/Complaint)
- Previous assessment findings reviewed?
Infection Prevention & Control
Verify infection control practices per CDC and Joint Commission standards
- Hand hygiene compliance observed?
- Appropriate PPE available and properly used?
- Isolation precautions properly implemented?
- Sharps containers available and not overfilled?
- High-touch surfaces properly disinfected?
Patient Safety & Identification
Verify patient safety protocols and identification procedures
- Two patient identifiers used before procedures?
- Fall risk assessment completed?
- Call light within patient reach?
- Bed in lowest position with brakes locked?
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Why Use This Speech-Language Pathology Evaluation Checklist?
This speech-language pathology evaluation checklist helps healthcare teams maintain compliance and operational excellence. Designed for speech-language pathologist professionals, this checklist covers 29 critical inspection points across 8 sections. Recommended frequency: initial evaluation.
Ensures compliance with ASHA Practice Guidelines, CMS Documentation Requirements, State Practice Act. Regulatory-aligned for audit readiness and inspection documentation.
Frequently Asked Questions
What does the Speech-Language Pathology Evaluation Checklist cover?
This checklist covers 29 inspection items across 8 sections: Case History, Communication Assessment, Cognitive-Communication, Swallowing Assessment, Treatment Plan, Pre-Assessment Information, Infection Prevention & Control, Patient Safety & Identification. It is designed for healthcare operations and compliance.
How often should this checklist be completed?
This checklist should be completed initial evaluation. Each completion takes approximately 45-60 minutes.
Who should use this Speech-Language Pathology Evaluation Checklist?
This checklist is designed for Speech-Language Pathologist professionals in the healthcare industry. It can be used for self-assessments, team audits, and regulatory compliance documentation.
Can I download this checklist as a PDF?
Yes, this checklist is available as a free PDF download. You can also use it digitally in the POPProbe mobile app for real-time data capture, photo documentation, and automatic reporting.