3E Clinic McMaster Children's Hospital
Phone: 905-521-5013 (or 905-521-2100 x. 75013)
Our clinic focuses on children with complex medical needs, nutritional issues, and safety with oral feeding.
During your first appointment you can expect to:
Meet the nurse, occupational therapist, dietitian and/or pediatric gastroenterologist
Review your child’s feeding and swallowing problems in the context of your child’s overall health and medical needs
Discuss your concerns and receive support
Feed your child, if appropriate, so that the occupational therapist can watch and learn about your child’s difficulties
Discuss the assessment and plan for further evaluation if needed
Make a plan to address your child’s specific needs around feeding
Your child may be sent for additional testing after your initial appointment with the FAST clinic. For example, an abdominal x-ray or blood work may be ordered and can be completed on the day of your visit. Other tests need to be booked at a later date.
Please note, your child may need a swallow study. This is a videotaped x-ray of your child’s feeding and swallowing. These studies are done on Thursdays in the Diagnostic Imaging Department, second floor by the yellow elevators. Your child WILL NOT be having a swallow study at their initial assessment with the FAST clinic. If deemed appropriate and necessary, it would then be booked for a later date.
The hospital is located at 1200 Main St. W., Hamilton, ON, L8N 3Z5.
3E Clinic, McMaster Children's Hosital
3rd Floor, between the red and yellow section elevators
When you arrive to the clinic please check in with the Business clerk at the reception desk. The Business Clerk will let the team know that you have arrived.
Staff will do their best to make sure you are seen at your appointment time. If you feel you have been waiting a long time please speak with a business clerk at the reception desk.
Referrals can be faxed directly to the clinic as noted on the referral form
All referrals need to be signed by a physician.
All referrals are reviewed by the clinic co-ordinator/occupational therapist and prioritized with input from the team.
The goal is to see all patients as a multidisciplinary team
Please note that the FAST clinic has a specific referral form that prompts you to fill out important details to assist us in booking the appointment.
The clinics are not for emergencies. If your child needs to be seen on an urgent basis, please contact your family doctor or go to your local emergency department.
FAST Clinic Hours occur on Friday mornings from 8:30 a.m.- 12:00 p.m.
Please call the clinic if you need to change or cancel your appointment.
If the patient is ill with any antibiotic resistant organism, MRSA, a communicable disease (such as Chicken Pox), or a respiratory infection, please notify reception staff prior to your scheduled appointment.
Health card, The Ministry of Health requires us to validate your Health card at every clinic visit
Medications your child takes regularly (names and dosages)
A typical meal
A variety of foods with different textures, foods that your child does well with and those that cause difficulty
Things your child usually uses during meal times: bottles, cups, spoons, nipples
Any special seating or wheelchair your child uses. The clinic does have a regular highchair with reclined position available
Please bring 3 days of solid food and liquid records
Please bring enough food/drink and play entertainment as it is anticipated that your visit may take up to two hours
The Pediatric Gastroenterologist will review your child’s medical history and identify issues that impact on feeding and swallowing. A specific focus will be on GI issues, such as reflux and constipation.
The dietitian will help identify your child’s caloric intake (oral or by tube), rate of weight gain or loss, fluid requirements and vitamin and mineral needs. She/he will then determine your child’s caloric requirements and may help to make adjustments to your child’s tube feeding schedule if appropriate. The clinic dietitian can liaise with your community dietitian to ensure continuity of care and effective communication of recommendations related to feeding, intake and growth.
The nurse is part of the multi-disciplinary FAST clinic. She/he will help assess your child and family needs. The nurse helps with communication to the physician and other team members, including any change of status in between follow up visits. She/ he provides information and support to help manage your child’s health at clinic visits and over the phone.
Occupational Therapist/Clinic Co-ordinator:
The clinic co-ordinator receives and triages all referrals and is available as a contact to review the services the FAST clinic can provide. The occupational therapist will conduct a clinical feeding and swallowing assessment, provide recommendations to improve safety or transition to more developmentally appropriate foods. If the safety of your child’s swallow is of concern, the occupational therapist will arrange for a swallow study in radiology and be present to facilitate this assessment. The occupational therapist can liaise with your community therapists to ensure continuity of care and effective communication of recommendations related to feeding and swallowing.
Our philosophy is family-centered care. We strive to provide the best care possible.