← Document menuNursing Home · DiraChart1. Purpose and clinical relevance
DiraChart Clinical Reference
Section NavigationPart 12 of 15PreviousNext Smart phrases
EMR dot-phrases; replace merge fields in braces. These supplement — never duplicate — the clinical-reference and overlay smart phrases.
.SWAL_SAFE Swallowing: diet {IDDSI level}, liquids {consistency}, precautions {upright/small bites/chin tuck}. No coughing/wet voice/pocketing. Silent-aspiration signs {none}. Intake {adequate}. Skilled swallowing management to prevent aspiration required. Supports Section K; swallow goal {###}. (Nutrition reference.) |
|---|
.SWAL_WORSE New/worsening dysphagia: {coughing/wet voice/pocketing} (or {silent-aspiration signs}). Intake held; positioned/monitored; SLP/provider notified; swallow re-eval + diet modification ordered; precautions reinforced; respiratory watch. Reassess {when}. Supports Section K. |
|---|
.SWAL_EVENT Aspiration event during a meal: coughing/choking with {color change/congestion}. Meal stopped; positioned/suctioned; SpO₂/lungs assessed; provider notified; chest film ordered; precautions intensified; representative notified. Reassess {when}. (Respiratory reference.) |
|---|
Section NavigationPart 12 of 15PreviousNext