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  • Resources & Links
    a Doctor Patients Visitors Your Child s Hospital Stay Pay Your Bill Financial Assistance Medical Records Health Information Exchanges MyChart About Us Who We Are Newsroom Patient Stories Research Get Involved Events Publications Health Safety Health Library Ask Your Nurse Videos Safety Store at Rady Children s Rethink Your Drink Injury Prevention Growing Up Columns Locations Main Campus Satellite Locations Emergency Urgent Care Programs Services Children s Hospital Emergency Transport CHET Resources Links Children s Hospital Emergency Transport CHET Resources Links Children s Hospital Emergency Transport CHET About CHET CHET Mission Vision Resources Links Pediatric Transport Team Neonatal Transport Team Resources Links Medical APPS Links http www imedicalapps com 2011 01 top free android medical apps healthcare professionals http blog softwareadvice com articles medical the best android apps for doctors nurses and health care professionals 1062810 Blog written by Chris Thorman of Software Advice Helpful Links for CHET Staff Text Paging PICU website Rady Children s Web Email Rady Children s CHEX Site Free Continuous Education for Nurses Free Continuous Education Links http ce nurse com FreeCE aspx https www medlineuniversity com CHEX log on steps Name CHSD in capital letters employee Password Your LAST NAME in upper case Example

    Original URL path: http://www.rchsd.org/programs-services/chet/resources-links/ (2015-03-26)
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  • Pediatric Transport Team
    Health Safety Health Library Ask Your Nurse Videos Safety Store at Rady Children s Rethink Your Drink Injury Prevention Growing Up Columns Locations Main Campus Satellite Locations Emergency Urgent Care Programs Services Children s Hospital Emergency Transport CHET Pediatric Transport Team Children s Hospital Emergency Transport CHET Pediatric Transport Team Children s Hospital Emergency Transport CHET About CHET CHET Mission Vision Resources Links Pediatric Transport Team Neonatal Transport Team Pediatric

    Original URL path: http://www.rchsd.org/programs-services/chet/pediatric-transport-team/ (2015-03-26)
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  • Neonatal Transport Team
    Newsroom Patient Stories Research Get Involved Events Publications Health Safety Health Library Ask Your Nurse Videos Safety Store at Rady Children s Rethink Your Drink Injury Prevention Growing Up Columns Locations Main Campus Satellite Locations Emergency Urgent Care Programs Services Children s Hospital Emergency Transport CHET Neonatal Transport Team Children s Hospital Emergency Transport CHET Neonatal Transport Team Children s Hospital Emergency Transport CHET About CHET CHET Mission Vision Resources Links Pediatric Transport Team Neonatal Transport Team Neonatal Transport Team Rady Children s Hospital Emergency Transport CHET Neonatal Team provides emergency neonatal advanced life support to more than 800 infants every year throughout Southern California We provide immediate response for delivery room resuscitation and stabilization of newborns and infants to hospitals in San Diego Imperial and Riverside Counties Modes of transport are ambulance fixed wing airplane or helicopter The Advanced Life Support team consists of an advanced trained NICU R N and NICU RT who are certified to provide assessment resuscitation and stabilization of the newborn The team is able to perform intubation arterial puncture umbilical line insertion thoracentesis and administration of emergency medications and maintain communication with an attending neonatologist A neonatal nurse practitioner or neonatal physician may be

    Original URL path: http://www.rchsd.org/programs-services/chet/neonatal-transport-team/ (2015-03-26)
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  • NICU Protocols
    Health Safety Health Library Ask Your Nurse Videos Safety Store at Rady Children s Rethink Your Drink Injury Prevention Growing Up Columns Locations Main Campus Satellite Locations Emergency Urgent Care Programs Services Children s Hospital Emergency Transport CHET Resources Links NICU Protocols Children s Hospital Emergency Transport CHET NICU Protocols Children s Hospital Emergency Transport CHET About CHET CHET Mission Vision Resources Links Pediatric Transport Team Neonatal Transport Team NICU

    Original URL path: http://www.rchsd.org/programs-services/chet/resources-links/nicu-protocols/ (2015-03-26)
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  • Team
    the Audiology team in 2004 She is the lead audiologist for the Cochlear Implant team She received her doctorate in audiology in 2006 from PCO Salus University her master of arts degree in audiology from the University of Colorado at Boulder in 2002 and her bachelor of arts degree in 1999 from Louisiana State University Baton Rouge She holds a certificate of clinical competency from the American Speech Language Hearing Association is a fellow of the American Academy of Audiology and is licensed by the state of California for audiology and hearing instrument dispensing She is also a member of AG Bell Association and of the American Cochlear Implant Alliance She works at our Main Campus location Daniela Cherbowski M A CCC SLP Spanish English Bilingual Speech Language Pathologist Credential Daniela Cherbowsky has been a speech language pathologist since 2012 and joined the Speech team at Rady Children s Hospital San Diego when she began her career She received her bachelor s degree in speech language and hearing sciences and her master s degree in speech language pathology with a specialization in bilingualism at San Diego State University Daniela holds a certificate of clinical competence from the American Speech Language Hearing Association and is licensed by the state of California Catherine Dabasinskas M A CCC SLP Catherine has been a speech language pathologist and has worked at Rady Children s Hospital San Diego since 2001 She specializes in working with children with hearing loss cochlear implants articulation difficulties multiple disabilities autism and dyspraxia Catherine uses American Sign Language and augmentative alternative communication with children to enhance their communication skills She received her master s degree in speech language and hearing sciences from the University of Colorado Boulder Catherine is licensed by the state of California holds a certificate of clinical competence from the American Speech Language Hearing Association ASHA and is a current member of ASHA Christiana David M A CCC SLP Christiana joined Rady Children s Hospital San Diego in 2011 as a speech language pathologist She has special interests in aural re habilitation autism augmentative alternative communication acquired traumatic brain injury childhood apraxia of speech cognitive rehabilitation early childhood language and feeding disorders Shereceived her bachelor s and master s degrees in speech language and hearing sciences from San Diego State University in 2009 and 2011 She is licensed by the state of California holds a certificate of clinical competence from the American Speech Language Hearing Association ASHA and is a current member of ASHA Christiana is trained in PECS Picture Exchange Communication System and is conversationally fluent in American Sign Language She is a member of the Cochlear Implant Inpatient Rehabilitation and Feeding teams She provides speech and language therapy at our Main Campus and the Helen Bernardy Center for Medically Fragile Children Valerie Dorfman M S CCC SLP Valerie joined Rady Children s Hospital San Diego in 2008 and has been a speech language pathologist since 2005 Originally from Peru Valerie is a native Spanish speaker

    Original URL path: http://www.rchsd.org/programs-services/cochlear-implant-program/team/ (2015-03-26)
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  • Evaluation
    if a child is a candidate for a cochlear implant a comprehensive evaluation is conducted by a multidisciplinary team of surgeons audiologists speech language pathologists developmental psychologists and an educational liaison This evaluation consists of the following Audiological Evaluation Otoscopy Visual inspection of the ear canal and tympanic membrane ear drum Immittance testing tympanometry Tympanometry measures the mobility of the eardrum to assess eardrum integrity and middle ear function Acoustic Reflex Testing Provides information regarding the integrity of the auditory and facial nerves in addition to middle ear function Otoacoustic Emissions Testing Assess cochlear outer hair cell function Auditory Brainstem Evoked Response ABR BAER Evaluation Measures a child s general auditory system from the mid high frequencies Auditory Steady State Response Evaluation ASSR A frequency specific measurement of a child s auditory sensitivity from the low to high frequencies 500 4000Hz Pure tone air and bone conduction testing Ear specific frequency specific testing Often requires numerous appointments to obtain consistent and reliable results especially in young children Speech Perception Testing Dependent upon child s speech spoken language level Testing completed to determine the child s ability to understand speech via listening alone Often looks at both single words and sentences as well as in quiet and or simulated noise Speech Language Evaluation Assessment to determine each child s communication levels prior to cochlear implantation Developmental Evaluation Assessment conducted to evaluate the child s cognitive levels attention and behavior Requires both parents to attend Conducted to assess the family structure and support as the family s involvement in the process is imperative to maximize the child s potential for success with a cochlear implant Educational Evaluation An evaluation of the child s support and placement within the educational system is obtained in order to insure that the child is placed in

    Original URL path: http://www.rchsd.org/programs-services/cochlear-implant-program/evaluation/ (2015-03-26)
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  • Frequently Asked Questions
    pneumococcal vaccinations that also apply to other groups at risk Q Can my child have an MRI with a cochlear implant A In most cases the magnet from the cochlear device must be surgically removed prior an MRI exam Med El s design allows for an MRI with a magnet strength up to 1 5 tesla without surgical removal of the cochlear magnet Q Are there alternatives to cochlear implants A Yes cochlear implant surgery is considered elective surgery and not medically necessary Our team believes that amplification and communication choices are a personal decision and our goal is to ensure that families have information about all of the alternatives in order to make an informed decision Among the most common options are continued use of hearing aids reliance upon assistive listening devices use of real time translation and use of a sign language such as American Sign Language or Cued Speech For more on cochlear implant alternatives see the Parent Resources section Q What does a cochlear implant evaluation involve A The cochlear implant evaluation is completed by a multidisciplinary team of surgeons audiologists speech language pathologists developmental psychologists and an educational liaison Many factors must be taken into consideration in determining whether a child is a candidate for the procedure Candidates will most likely receive an audiological evaluation Auditory Brainstem Evoked Response Auditory Steady State Response Test speech perception test battery speech language evaluation developmental evaluation educational evaluation medical evaluation with CT and MRI scans vision testing vaccinations and genetic testing Q How soon after the procedure will I notice a change in my child And what should I expect from therapy A It may take six months or longer after the procedure for a child to become used to the new sounds he or she hears Therapy is an ongoing process and how soon a change is noticed depends on the age of the child the needs of the child and the services the child is receiving in school For the implant to be successful it is critical that the gains made in therapy be carried over to the home environment Q How many hours a day will my child need to wear the implant A For maximum benefit the child should wear his or her processor during all waking hours A hearing child hears every waking minute and it is important that a cochlear implant child model a hearing child The equipment also must be checked often to ensure that it is working properly Q Will my child hear normally with a cochlear implant A Hearing is not restored to normal and the way a person hears with a cochlear implant is different Lip reading sign language may still be necessary for language comprehension and while your child may be able to understand speech without lip reading he or she might need to rely on visual cues which may require your child to look at you to understand speech Background noise may interfere with hearing and

    Original URL path: http://www.rchsd.org/programs-services/cochlear-implant-program/frequently-asked-questions/ (2015-03-26)
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  • Resources
    Oral Communication Alexander Graham Bell Association for the Deaf and Hard of Hearing www agbell org Oral Deaf Education www oraldeafed org Auditory Verbal Therapy Aural Re Habilitation What is Auditory Verbal Therapy Learning to Listen to Sounds Auditory Verbal Practice Today The Dos and Don ts of Reading Aloud Pragmatic Language Medical and Surgical Considerations Risks associated with surgery and anesthesia www fda gov medicaldevices productsandmedicalprocedures implantsandprosthetics cochlearimplants ucm062843 htm MRI contraindications with Mel El exception up to 1 5 Tesla www medel com Increased risk of meningitis with cochlear implants www cdc gov vaccines vpd vac mening cochlear dis cochlear gen htm Cochlear Implant Manufacturers Cochlear Corporation www cochlear com wps wcm connect us home about us and hearing loss about us and hearing loss Advanced Bionics www advancedbionics com us en your journey advantages of abscochlearimplants html gclid CIe8psDNlb0CFYY7MgodpmEA5g Med El www medel com us for parents Training and Therapy Expectation of improved hearing with a cochlear implant www hearinglosseducation com treatments cochlear implants Listening activities to help with the re habilitation process www hearingjourney com Listening Room preview cfm langid 1 Selecting a Communication Mode and Impact on Performance Organization promoting oral only communication www oraldeafed org Organization promoting use of total communication www handsandvoices org comcon articles aud oral edu htm Organization providing a variety of information for parents raising hearing impaired children www raisingdeafkids org communicating choices tc php Accommodation Assistive Devices Provision of access in public areas by the ADA www nad org issues civil rights ADA Use of telephone by cochlear implant users http hope cochlearamericas com listening tools telephone training Communication Access Real time Translation CART services www nad org issues technology captioning cart Company specializing in devices for cochlear implants www tecear com Suppliers of assistive listening devices www audiolinks

    Original URL path: http://www.rchsd.org/programs-services/cochlear-implant-program/resources/ (2015-03-26)
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