An oral mechanism examination, an essential part of every speech/language and swallowing assessment, contributes information for the medical evaluation of every client. It is designed to assess the physical condition and function of the mouth and related structures. When performed as part of a cranial nerve exam, it can be used to diagnose the causes of many different kinds of speech/language and swallowing disorders and drive therapeutic interventions. Offered for 0.15 ASHA CEUs - 1.5 contact hours.
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The content of this online CE course does not focus exclusively on any specific proprietary product or service. Presenter financial and non-financial disclosures may be found in the Presenter & Disclosures area.
Video PowerPoint presentation with author narration & downloadable handouts, including test protocol and sample reports.
Kellyn Dailey Hall, PhD, CCC-SLP, has worked over 30 years as a clinician, clinical specialist, and clinical manager in medical settings. Currently, she is an Associate Professor at North Carolina Central University in Durham, NC where she teaches courses in Medical Speech-Language Pathology. She is a member of the North Carolina Speech-Language-Hearing Association’s Professional Affairs Subcommittee on Healthcare and has presented at state and national conventions on Medicare documentation and ethics. Her current research focuses on the development and implementation of dining culture change practices for SLPs working in SNFs.
Financial — Kellyn Hall is a presenter of online CEU courses sponsored by Northern Speech Services; receives royalties.
Nonfinancial — Kellyn Hall has no relevant nonfinancial relationships to disclose.
This program is offered for 0.15 ASHA CEUs (Intermediate Level; Professional Area).
ASHA CEUs: NSS online courses are registered with ASHA and are offered for ASHA CEUs. The number of ASHA CEUs is noted above. Note that 0.1 ASHA CEU = 1 contact hour = equals 1 CEE.
ASHA CE Registry: During the enrollment process, if you select to receive ASHA credit for this course and if you provide your ASHA number, NSS will automatically submit your CEU information to the ASHA CE Registry after successful course completion (80% on post test). This submission happens once per month, during the first week of the month. For example, if you complete your course on November 7th, NSS will submit all November online course CEUs to ASHA during the first week of December. When ASHA inputs the information into their database, they will mark the course as completed on the last day of the month in which it was completed, so November 30th using this example. The certificate of completion available for you to print immediately, however, will reflect the actual completion date, November 7th in this example. Due to ASHA processing procedures please allow 2-3 weeks, from the submission date, for the course to appear on your ASHA transcript.
ASHA CEUs: Attendees must meet at least one of the following conditions in order to be eligible to earn ASHA CEUs:
If an attendee is not an ASHA member or CCC holder but meets any of the above criteria, they may inform the ASHA CE Registry of their eligibility by visiting this site.
Licensing Boards: Most state licensing boards DO accept CEUs earned online (usually classified as home-study credits). Some state boards do, however, place a limit to the number of credits that can be earned via home study/online courses. For the most current information, we suggest that you contact your licensing board or agency to verify acceptance policies and/or any credit limits related to home-study courses prior to registering for this course.
Additional accrediting agencies by which Northern Speech is an approved CE provider:
Course Completion Timeframe:
You have unlimited time to complete our online courses. You may log off and log on as often as you’d like to in order to complete all sections of a course.
However, completion dates are based on Eastern Standard Time. Therefore, if you need your CEUs by a certain date, be sure to complete the course test before 11:59pm EST on that date. For example, if you need CEUs before January 1st, you will need to complete the course test before 11:59pm EST on December 31st.
Access to course materials and content does not expire, even after completing the post test. You may continue to review course material by logging into your NSS account, clicking the My Online Courses tab, and then viewing your desired course.
Certificate of Completion:
On successful completion of the post test (80%), a certificate will be immediately available for download and/or printing. This certificate will include your name, date of completion (based on Eastern Time Zone, USA/Canada), and number of contact hours (CEUs / CEEs). Please note that CEUs are awarded on the date of successful test completion, not the date of course enrollment. Please ensure that you successfully complete the post test prior to any licensure renewal dates.
ASHA CE Registry Submission:
During the enrollment process, if you select to receive ASHA credit for this course and if you provide your ASHA number, NSS will automatically submit your CEU information to the ASHA CE Registry after successful course completion (80% on post test). This submission happens once per month, during the first week of the month. For example, if you complete your course on November 7th, NSS will submit all November online course CEUs to ASHA during the first week of December. When ASHA inputs the information into their database, they will mark the course as completed on the last day of the month in which it was completed, so November 30th using this example. The certificate of completion available for you to print immediately, however, will reflect the actual completion date, November 7th in this example. Due to ASHA processing procedures please allow 2-3 weeks, from the submission date, for the course to appear on your ASHA transcript.
Purchase orders are currently not accepted for online orders, if you wish to submit a purchase order please do so at firstname.lastname@example.org or fax to 888-696-9655.
What is an Online Course?
Our Online Courses consist of video, audio, and/or text content and are offered for ASHA CEUs. Unlike a webinar, which requires participants to be logged on and at a computer at specific times, our Online Courses are available to you at any time, from any device, via your NorthernSpeech.com online account. You may work at your own pace and start and stop your course as you wish. Your course will conclude with a short post test. On successful completion of the post test (>80%), a printable certificate of completion is presented to you.
Northern Speech is an ASHA CE Provider and our online courses are registered with ASHA and offered for ASHA CEUs. Please note that successful completion of the online post test is required prior to the awarding of CEUs. Please contact your state licensing board for acceptance policies related to CEUs earned online. Please note that courses offered for university students are not applicable for CEUs.
Registering for an online course:
You may browse all online courses by clicking the Continuing Education tab above, then Online Courses. Once you find a course, click Enroll Now, and you will be asked to either log into your existing Northern Speech account or create a new online account. Once you’ve entered your account information and provided your credit card payment, your course will be immediately available to you.
Accessing your purchased course or returning to a purchased course:
You will be able to access your online course by logging into your Northern Speech account and then clicking the My Online Courses tab on your profile screen. Click the course you would like to start or to resume. From there, proceed through the course sections until you are ready to complete the post test. You do not have to complete your course all at once. You may log on and off as you wish.
Each online course concludes with a post test consisting of multiple choice or true & false questions. Scores of 80% or greater are required for successful course completion and awarding of CEUs. You may revisit course materials and retest as needed to achieve a passing score.
Number of CEUs offered:
We offer courses from 1 to 21 contact hours. Each course will note the number of CEUs offered. Please note that 0.1 CEU = 1 contact hour = 1 CEE.
State licensing boards and online CEUs:
NSS is an ASHA CE Provider and most state licensing boards DO accept ASHA CEUs earned online (usually classified as home-study credits). Some boards do, however, place a limit to the number of CEUs that can be earned via home study/online courses. For the most current information, we suggest that you contact your licensing board or agency to verify acceptance policies and/or any CEU limits related to home-study courses prior to enrolling in an online course.
Our course formats include: text, audio, video, and PowerPoint with author narration. Each course will note the format on the course description page. Most courses include closed captioning.
Most of our online courses provide a link to download the accompanying handout as a PDF file.
Groups of 3 or more are eligible for a 20% discount on each registration on most of our online courses. To receive this discount, registrations need to be processed together via the "Group Rates" tab on the Online Course of your choice.
For our online courses to function best, we recommend that you update your computer to include the newest version of your Internet browser (Safari, Chrome, Firefox, Edge, Internet Explorer, etc.) and newest version of your computer's operating system. Also a high-speed Internet connection is recommended (cable or DSL). Speakers or headphones will be required for many of our courses as many contain audio components.
Course Cancellation Policy:
A purchased online course can be exchanged, refunded, or transferred to another individual if contact is made with NSS (via phone or email) within 30 days of purchase and the course materials have not been viewed or downloaded.
Please click here for any special needs requests, and we will do our best to accommodate them.
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"The step by step breakdown of cranial nerves assessed through each oral motor task were helpful for my daily practice. I liked the format and accessibility." S.S. (Oct. 2021)
"So much information, although it will have limited use for me with my caseload of general education and Mild-moderate special ed kids." J.C.-G. (Sept. 2021)
"Esophageal dysphagia, Managing trach/vent patients with dysphagia & dysphagia in neurodegenerative diseases, Aspiration pneumonia, oropharyngeal strengthening & hydration management. I feel like many aspects were covered & research I've never heard about in the section New Devices to Manage Sensory Loss." K.L. (Sept. 2021)
"It is so interesting to learn how the brain works to help move our muscles, swallow, eat, etc. I have always had a hard time learning all the cranial nerves and what each one innervates, so this was a wonderful refresher course for me. It was enjoyable to listen to and easy to follow. It was most interesting to learn about how to complete a thorough oral mechanism exam. Usually, the oral mechanism part of an evaluation is something I gloss over, but since taking this course, I see a greater importance for it. Thank you!" A.H. (Sept. 2021)
"Practical application of a CN exam in written form was beneficial for my daily practice." K.S. (Aug. 2021)
"I appreciated the review of cranial nerves with the pictures of different patients/clients. I liked the variety of pictures and videos the presenter used to get her points across. It greatly helped my application of the knowledge to have lots of examples." E.L. (Aug. 2021)
"The cranial nerve examination was beneficial for my practice and the presenter gave lots of examples." B.S. (June 2021)
"The actual testing of the nerves. The speaker was thorough and simplified it. I was thinking back to graduate school and wished I had a professor like her who makes learning the CNs functional. I wished there was a video clip of true tongue fasciculations. More pictures and examples." B.U. (June 2021)
"I thought this course was great!" D.S. (June 2021)
"The example of the OPE exam/ checklist and the corresponding CN involvement." K.V. (June 2021)
"Tongue movement. Very organized and easy to understand." M.A.H. (June 2021)
"Separating each cranial nerve and talking about function and testing" T.J. (June 2021)
"Actual videos demonstrations of OME and how to assess resonance with no tech/ low tech proceduresI was able to sustain attention throughout the entire course. Speaker kept me engaged" K.P. (June 2021)
“I found the examination form and the report samples to be very helpful!” – T.M. (Mar. 2021)
“I loved the detailed explanations and visuals.” – B.A. (Feb. 2021)
“The information about completing OME with adults was insightful since I work in the acute care setting and the little known facts about each CN.” – A.W. (Dec. 2020)
“The example of the OPE exam/checklist and the corresponding CN involvement were very helpful.” – K.V. (Nov. 2020)
“Relation of cranial nerve sensory/motor control to speech/swallowing/voice function was helpful. It is nice to have examples of OME reports and a test protocol.” – J.T. (Oct. 2020)
“The summary chart at the end, which summarizes all of the cranial nerves and their relevance to swallowing and speech, was helpful! I also enjoyed learning about the common pathologies associated with specific OME deficits.” M.S. (Sep. 2020)
“I think the most recent research regarding literacy and bilingualism was very insightful. I also liked that it was presented in a text format that I could easily read along with.” – J.D. (Aug. 2020)
“Excellent review of Cranial Nerves and what to look for in Oral Mech eval. It included interesting power points for both auditory and visual learning.” – S.W.F. (Jul. 2020)
“I liked the handout for the assessment of cranial nerves, as it was thorough and systematic. It was a well thought out presentation.” – N.R.P. (May 2020)
"It was an excellent course. The speaker was great. The material was covered in depth and I finally feel competent in administering an in depth test of the cranial nerves." – B.M. (Apr. 2020)
"I appreciated her thorough review and explanation, videos, and esp the OME handout. I liked her jokes! And, of course I liked all of the handouts which will be very useful. I liked that she went through the entire examination handout and gave examples of some deficiencies. Very knowledgeable speaker! I would recommend the course to others." – R.B. (Apr. 2020)
"Best review I have seen on cranial nerve assessment and functional reasons for doing so. Very comprehensive w/good rationale for performing the complete OME. Needed a refresher!!" – R.A. (Mar. 2020)
"I really enjoyed the review of the cranial nerves because I really had not reviewed these since graduate school. I loved the different visual examples of each assessment and what to look for." – L.M. (Feb. 2020)
"The whole presentation will be beneficial. The review of the cranial nerves was a helpful review. I appreciated that the presenter went through every step of the exam, providing a thorough description of what nerve is being tested, how to test it, and what to look for." – A.S. (Jan. 2020)
"Wonderful photos of pt's to demonstrate observation of symptoms. I like the presenter's sense of humor and clarity of information presented with depth of knowledge." – C.W. (Dec. 2019)
"I enjoyed the sample examination and the chart of how it relates to each Cranial Nerve. The course was very practical and can be used across populations. I would like more examples on a child and how it relates to different populations, such as people with Cerebral Palsy, children with tongue ties and other disorders prevalent in pediatrics." – J.P. (Dec. 2019)
"All of the information provided was beneficial and gave further insight into an adequate oral mech exam and its importance. The flow was great and information was very organized." – K.G. (Nov. 2019)
"I appreciated the presenter going through the specific tasks for an oral mechanism exam and what they indicate. It was a good review of the reasons you would complete the tasks in the oral mech exam and how to interpret results." – A.M. (Nov. 2019)
"I enjoyed getting more current on what can be discovered with an exam. I like the way the presenter worked a little humor into her presentation." – K.H. (Oct. 2019)
"A great review of cranial nerves to help with diagnostics of swallow and speech. Presenter very knowledgable." – S.D. (Oct. 2019)
"Excellent review of the cranial nerves. I liked that it is immediately applicable to daily practice." – L.S. (Sept. 2019)
"Very nice review of Cranial nerves and how they relate to oral mech exams." – S.H. (Aug. 2019)
"I like that it provided information on how to test not just what cranial nerves to test." – A.S. (Aug. 2019)
"I appreciated going over the oral motor function tests. I liked the cranial nerve exam summary sheet included." – B.V. (July 2019)
"Very thorough description of how to implement in real life with limited materials with an excellent handout." – S.E. (June 2019)
"The discussion of how to evaluate each nerve looking at various structures was beneficial. The video examples of an OME were very helpful." – B.B. (June 2019)
"It provided an in depth understanding about the CN and how important they are in an OME. Also, the materials that were provided were phenomenal." – G.M. (May 2019)
"The step-by-step of how she conducts her own OMEs was most beneficial. It's a clear cut course, and it covered more than I expected!" – H.R. (Apr. 2019)
"This was a good refresher of the cranial nerves and a fresh look at an OME. The speaker was very articulate and delivered a great overview of cranial nerves in relation to oral motor function." – M.M. (Apr. 2019)
"This was a GREAT review. The presenter had an "easy to listen to voice" and a good sense of humor." – J.T. (Mar. 2019)
"Excellent examples of testing for specific CN function and what it all means. I especially appreciated covering the testing of the hypoglossal nerve and all the potential meanings for tongue deviation to one side." – B.P. (Feb. 2019)
"I liked the review of the cranial nerves and a reminder of what they do. I appreciate the importance of an oral mechanism exam and feel more confident now administering them to my clients." – S.P. (Jan. 2019)
"I liked Dr. Hall's great teaching style. She imparted vast knowledge and experience in a down-to-earth friendly manner. I also appreciate her sharing her resources and many photos, illustrations, and diagrams with us." – M.M. (Dec. 2018)
"The speaker tied everything together so nicely. She explained the information well. I have a better understanding of what may be happening when I observe certain characteristics, symptoms, weaknesses, etc." – S.N. (Nov. 2018)
"The actual Oral Mech Exam form along with explanations of each step were most helpful. I also liked the examples of how to report findings." – L.C. (Sept. 2018)
"Good mix of anatomy/physiology but also practical application." – S.L. (July 2018)
"I enjoyed the pictures of what the CN effects looked like clinically." – C.B. (June 2018)
"The way the course was structured was very helpful, it began with an overview of the cranial nerves and then went on to do an oral mech exam. Every topic discussed was very beneficial as it directly relates to what I will be doing in practice." – R.N. (May 2018)
"I found the PowerPoint with an in-depth description, review of cranial nerves, their function, and what it may indicate very helpful." – J.L. (May 2018)
"The overall review of how to quickly assess the nerves related to speech and swallowing was very beneficial. I liked the focus on practical and efficient testing methods." – A.W. (Dec. 2017)
"The review of the cranial nerves and their functions as well as the importance of a thorough oral mechanism examination were quite good, because it is so easy to overlook in a school setting. A review of the techniques was also useful so that I can adapt them for school-aged children. The presentation overall and the knowledge brought to the course was excellent. I appreciated that the presenter has worked in a variety of settings and across the spectrum of populations. I thought this was an in-depth course." – E.F. (Dec. 2017)
"The review of the cranial nerves necessary for articulation and swallowing was helpful. Easy to understand, quick and comprehensive review of an important exam." – M.C. (Nov. 2017)
"I appreciated the photos - it is rare to find ones that highlight the EXACT facial feature I need to assess. I learned a lot from her handout. I like that I am walking away with a very thorough Oral Mechanism/Cranial Nerve Examination. I would have liked a few more examples that involve children." – J.S. (Oct. 2017)
"Very practical and dense information. Handouts were excellent. I like that it is already compiled in a way that I can use the exam handouts and information immediately in clinical practice." – E.V. (Sept. 2017)
"I enjoyed the review of cranial nerves and practical administration of the OME. The instructor was excellent in her presentation - gave practical and thorough explanations at a good learning pace." – L.R. (Aug. 2017)
"I felt the whole course was a good refresher/review of the CNS as well as the protocols for a thorough oral mech exam. As a student, I haven't had much/any experience doing oral mechs, but I feel the specific things included to watch out for and pay attention to were really helpful." – H.A. (July 2017)
"I thought having the Oral Mech/Cranial Exam form was very helpful to follow along with the instructor. This is an area that is somewhat intimidating for SLPs because it feels very subjective. We often have a quick overview in grad school, but not much more. I thought the insructor did a great job reducing the subjectivity by explaining each portion of the exam and relating it immediately back to the Cranial Nerve being assessed." – A.S. (Mar. 2017)