Highly driven Speech Language Pathologist with 20 years experience serving medically complex pediatric patients eager to contribute to superior patient outcomes and to corporate growth. Driven to lead therapy department by utilizing strong organizational skills, adept interpersonal skills, and sound understanding of staff clinical needs. Certified in swallowing disorders by the American Board of Swallowing & Swallowing Disorders and bilingual provider (English/Spanish).
· Provided speech-language assessment and therapy to children ages birth to 21 years of age. Completed bilingual evaluations (Spanish/English) and provided therapy to patients from birth to adolescences.
· Member of the Cochlear Implant Team which included collaboration with team members (audiology/otolaryngology) and providing assessments and therapy in both English and Spanish.
· Provided language-learning evaluations to school age children with reading and writing difficulties in collaboration with educational diagnostician.
· Provision of dysphagia services during entire tenure with full time emphasis on dysphagia services for 15 years in outpatient and inpatient setting.
· Provision of imaging exams including videofluoroscopic swallow studies (VFSS).
· Developed Flexible Endoscopic Evaluation of Swallowing (FEES) program for speech pathology.
· Educated/trained department SLPs in administration of VFSS and FEES for inpatient and outpatient.
· Provide feeding services to infants in a level II, III and IV Neonatal Intensive Care Unit (NICU) with a variety of diagnoses.
· Provided services in all inpatient units including Cardiovascular Intensive Care Unit, Surgery Intensive Care Unit, Neurologic Intensive Care Unit, Transitional Intensive Care Unit, and step-down units.
· Lead SLP on outpatient specialty clinics including Airway Clinic, Swallowing Disorders Clinic, Infant Feeding Clinic, and Aerodigestive Clinic, and Head and Neck Tumor Program.
· Consulted with multidisciplinary team members including pediatricians, intensive care specialists, neonatologists, neurologists, otolaryngologist, gastroenterologists, pulmonologists, advanced practice practitioners (NP/PA) and nursing.
· Provided Passy-Muir Speaking Valve evaluations/treatment in level IV NICU, Pediatric ICU, & Cardiovascular ICU and outpatient. Assessment for patient on and off ventilators.
· Provided cognitive evaluations and therapy in intensive care units and step-down units.
· Provided motor speech evaluations.
· Trained and mentored SLPs across the IDS in the areas of feeding-swallowing, airway/tracheostomy, VFSS and FEES, and bilingual speech-language services.
· Developed speech pathology competencies for feeding-swallowing related areas, FEES, and tracheostomy/speaking valve related areas for entire IDS.
· Member of multidisciplinary ST/PT/OT Therapy Practice Councils with effort focusing on standardization of practice patterns, documentation, and education/training across the IDS.
· Developed documentation templates for speech pathology to increase efficiency and productivity.
· Re-organized outpatient feeding-swallowing team scheduling and staffing allocation to increase efficiency.
· Developed new inpatient staffing model to increase specialized skills set and staff competency while also increasing productivity and increasing referrals.
· Created “Urgency Matrix” for outpatient speech pathology to facilitate more efficient scheduling across the IDS.
· Member of Inpatient ST/PT/OT Therapy Council designed to improves processes across campuses.
· Lead speech pathologist involved in quality improvement program to improve Inpatient Tracheostomy process using EBP.
· Speech Pathology representative on weekly Tracheostomy Rounds with multidisciplinary team including otolaryngology and pulmonology.
· Created inpatient weekend speech pathology service to ensure appropriate care for hospitalized patients.
· Developed an outpatient Swallowing Rehabilitation Lab. Instrumental in the requesting core equipment such as the Iowa Oral Pressure Instrument and sEMG biofeedback specifically developed for swallowing rehabilitation (Synchrony biofeedback).
· Developed the Swallowing Disorders Clinic with otolaryngology; a clinic that treats patients with swallowing disorders using a collaborative approach with otolaryngology and speech pathology. Swallowing Disorders Clinic has grown to full capacity and now occurs twice a week.
· Screened all resumes and lead interview process for potential employees with manager.
· Member of multidisciplinary International Dysphagia Diet Standardization Initiative (IDDSI) campus-wide task force aimed to transition from NDD to IDDSI.
· Student supervisor and CFY mentor.
-Created syllabus, developed course content, and administered all assignments/grades in a timely manner.
- Incorporated “hands-on” lab to foster learning and translation to clinical use.
-Course content covered pediatric dysphagia from infancy to adolescence. Instruction provided on: prematurity (NICU), infant swallowing, developmental processes of feeding, causes of feeding and swallowing disorders, sensory-based disorders, motor-based disorders, structural anomalies impacting swallowing, respiratory disorders impacting swallowing, and neurologic disorders impacting swallowing. Course also included analysis of VFSS and FEES, and Passy Muir Speaking Valve assessments.
-Instruction provided live during 2017, 2018, 2019 academic years and virtual for 2020, 2021.
-Adapted instruction from live to on-line for 2020 and 2021 courses.
-Provided clinical swallow evaluations and therapy for adults with dysphagia stemming from a variety of diagnoses including stroke, traumatic brain injury, Parkinson's and dementia.
-Provided assessment and therapy for adults with motor speech disorders including apraxia of speech and dysarthria.
-Provided assessment and therapy for adults with acquired language disorders including receptive aphasia, expressive aphasia, global aphasia, agraphia and alexia.
-Developed treatment plans and maintained appropriate documentation.
-Collaborated with physicians and registered nurses regarding appropriate treatment plans.
Completed all required documentation in a timely manner.
-Dysphagia Research Society Member 2017-current
-Aerodigestive Society Member 2019 -current
-American Board Swallowing & Swallowing Disorders 2014-current
-American Board Swallowing & Swallowing Disorders-Education Committee Member 2019-current
· Developed and authored pediatric continuing education series for their on-line CEU inventory.
· Audited and evaluated previous virtual continuing education presentations for ASHA CEU certification.
-Society of Ear Nose and Throat Advancement in Children-Program Committee 2018-2020
· Assisted in developing programming focusing on feeding-swallowing in a multidisciplinary conference
· Increase SLP attendance by 300%
-Society of Ear Nose and Throat Advancement in Children-Board Member 2019- current
-ASHA Convention Planning Committee- Feeding & Swallowing 2021
-Narawane A, Rappazzo C, Hawney J, Eng J, Ongkasuwan J. Videofluoroscopic Swallow Study Findings and Correlations in Infancy of Children with Cerebral Palsy [published onlineahead of print, 2021 Jun 21]. Ann Otol Rhinol Laryngol. 2021;34894211026741. doi:10.1177/00034894211026741
-Narawane A, Eng J, Rappazzo C, et al. Airway Protection & Patterns of Dysphagia in Infants with Down Syndrome: Videofluoroscopic Swallow Study Findings & Correlations. Int J Pediatr Otorhinolaryngol. 2020;132:109908. doi:10.1016/j.ijporl.2020.109908
-Wong NS, Feng Z, Rappazzo C, Turk C, Randall C, Ongkasuwan J. Patterns of Dysphagia and Airway Protection in Infants with 22q11.2-Deletion Syndrome. Laryngoscope. 2020;130(11):2532-2536. doi:10.1002/lary.28317
-Rappazzo, C and C Turk (2018), Clinical Swallow Evaluation: An Introduction for the Healthcare Provider, In: J. Ongkasuwan and E.Chiou (Ed.), Pediatric Dysphagia (1st ed. pp. ) New York, NY: Springer.
-Rappazzo, C and C Turk (2018), Videofluoroscopic Swallow Study: Challenges and Controversies In: J. Ongkasuwan and E.Chiou (Ed.), Pediatric Dysphagia (1st ed. pp. ) New York, NY: Springer.
-Ongkasuwan J, Turk CL, Rappazzo CA, Lavergne KA, Smith EO, Friedman EM. The effect of a speaking valve on laryngeal aspiration and penetration in children with tracheotomies. Laryngoscope. 2014;124(6):1469-1474. doi:10.1002/lary.24457
-Invited Lectures: Numerous and available upon request
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