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ii. In the event it becomes necessary for the organization personnel to initiate
                              telephone communication with an individual who is hearing or communicatively
                              impaired, “Relay Service” can be utilized.


               4. For patients who require an interpreter:

                       a. When patients with other languages are taken under care, patient’s family members or
                       friends could provide interpretation, if requested by the patient.


                       b. VNSNY Home Care has a multicultural program and the staff in these programs speak
                       the dominant non-English language in these programs


                       c. The organization will maintain a list of organization personnel who speak languages
                       other than English to assign an interpreter to non-English speaking patients.

                       d. If an interpreter in the required language is not available, the AT&T Language Line
                       may be used.  Directions for the use of this service can be accessed by calling AT&T.

                       e. Face to face interactions with the patient who is hearing or communicatively impaired,
                       will be facilitated by utilizing sign language, as listed under “American Sign” if needed.

                       f. If a certified sign language interpreter is required, the resource list should be
                       consulted.  As much advance notice as possible is preferred.


               5. For communicatively impaired patient:

                       a. Patient with expressive or receptive language deficits should have a consult with a
                       speech therapist to determine appropriate, effective use of assistive devices such as flash
                       cards, communication board, etc.

                       b. Physician approval for the consultation will be obtained.
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