This course discusses the colonization of oral pathogens and how oral pathogens contribute to the development of aspiration pneumonia (AP), healthcare acquired pneumonia (HAP) and ventilator associated pneumonia (VAP). Reviewed will be current oral care practices and the evidence-based research supporting the need for improved oral care in the at-risk patient. Development of oral care guidelines for assessment and treatment in various institutional settings will be discussed. Offered for 0.15 CEUs – 1.5 contact hours.
Course Run Time 1:50:11
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 handout.
Tom is nationally known for the role he has played in the development of the Free Water Protocol, and he routinely provides consultation to hospitals and other institutions on establishing heartburn and swallowing disorders centers, on developing free water protocols, and on implementing oral hygiene programs. Currently, Tom is a practicing clinician in Temple, TX.
Financial — Tom Franceschini is the presenter of online CEU courses by Northern Speech Services; receives royalties.
Nonfinancial — Tom Franceschini has no relevant nonfinancial relationships to disclose.
This program is offered for 0.15 ASHA CEUs (Intermediate level; Professional area).
Offered for 1.5 CEEs. Northern Speech Services' continuing education activities are eligible for Speech-Language and Audiology Canada (SAC) Continuing Education Equivalents (CEEs) in speech-language pathology. An activity's eligibility for CEEs does not imply SAC's endorsement of its content or any associated products or procedures.
Content Disclosure: 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 by clicking on the Presenter & Disclosures tab.
ASHA CEUs: NSS online courses are registered with ASHA and are offered for ASHA CEUs. The number of CEUs is noted above. Note that 0.1 CEU = 1 contact hour = equals 1 CEE.
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.
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.
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 email@example.com 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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“I liked the amount of research backing up this study; it was also full of real-life examples making it easy to understand.” – B.S. (Mar. 2021)
“This was a simple, straight forward, realistic course that provided great information.” – D.C. (Feb. 2021)
“This course provided the components of a good oral hygiene program and how to foster buy-in by other members who will be involved in the execution of the program. The provision of data supporting the recommendations and components of a good oral hygiene program was helpful.” – S.L. (Jan. 2021)
“The discussion on the different topics of pneumonia and the practices to assist patient's w/oral hygiene will benefit me the most when working in the nursing home. I enjoyed learning about the statistics with each pneumonia in these settings and how much it can cost the institution. The outline of the course is a nice refresher to use as a reference when working with patients in this population.” – H.B. (Dec. 2020)
“Great research and methods were presented and will be utilized to support the program framework at my hospital.” – S.M. (Oct. 2020)
"I enjoyed the relevant statistics and sources for impacts of oral hygiene on health and risk for aspiration pneumonia. I liked the provision of many citations, studies, etc., supporting the importance of oral care." – K.S. (July 2020)
"I enjoyed the oral care recommendations." – H.G. (June 2020)
"I appreciated gaining a more thorough understanding of acquiring pneumonia and setting up an OH program. Very clinically relevant to my setting (acute care)." – E.C. (May 2020)
"Very practical information with specific guidelines to provide to facility and health care providers. Excellent information presented in an organized and concise manner." – A.D. (Apr. 2020)
"I appreciated the emphasis on the provision of a protocol of oral hygiene and the importance of better communication with relevant health practitioner regarding oral hygiene. The course was comprehensive." – A.A. (Mar. 2020)
"I liked the excellent examples of oral care protocols. The detailed discussion of different types of pneumonia was most beneficial." – R.M. (Feb. 2020)
"I enjoyed the section on oral care; will apply to early intervention - especially with immune compromised, etc, clients and their parents." – G.A. (Jan. 2020)
"All of the information was helpful as I am a SLP working in a SNF environment with the constant struggle for stressing the importance of oral care. I liked the evidenced based practice and the research to support the importance of oral care, which I plan to review as I am considering a presentation at work to facilitate improve oral care at the main SNF where I work." – N.A.P. (Dec. 2019)
"I appreciated going over the specific amount of times per day that are most beneficial to complete oral care for optimal oral hygiene and the explanation and recommendations for a comprehensive approach; i.e. use of swabs between brushing, moisturizing oral mucosa, elevating the head of bed for eating, etc." – K.A. (Oct. 2019)
"I liked the practical info and the specifics for improving oral care & rationale." – B.H. (Sept. 2019)
"I truly learned so much about oral care. The content was wonderful with very specific info on how to execute in practice." – J.J. (Aug. 2019)
"Extremely informative, highly relevant, very useful. Good presenter! All of the material was beneficial, particularly the research evidence and the practical tips about supplies, protocols, etc." – J.S. (Aug. 2019)
"I enjoyed the aspects of developing an oral care program in my hospital - and especially the emphasis on inter-colleague involvement. The course was very interesting, practical, and useful. Thank you." – T.P. (July 2019)
"I appreciated the info about the cost in extra days and dollars of pneumonia as well as the info about components of an oral care program. The course was clearly presented, had good references, and had practical information that can be implemented readily." – J.M. (July 2019)
"It provided a great combination of numbers/statistics/research along with practical application for management." – K.F. (June 2019)
"Going over the importance of an oral care program in reducing rates of pneumonia was most beneficial. The course was a good mix of research and practical tips." – B.B. (June 2019)
"I appreciated the discussion on setting up an oral care program in my facilities. I expected a little more on the benefits of the frazier water protocol." – H.R. (May 2019)
"Implementing the OHAT upon admission and utilizing it over time to address concerns or make referrals is what I found to be most beneficial. I liked the financial perspective as it better relates to administration to demonstrate the importance of oral care." – A.M. (Apr. 2019)
"I work in a rehabilitation hospital and educate my patients on the importance of oral hygiene. This course has made me much more aware of the importance of a thorough oral exam and complete and effective oral hygiene. I liked the practical information about oral exams and the detailed discussion about oral hygiene practices." – K.H. (Mar. 2019)
"I liked the resources for oral assessment, photos of oral assessment, and emphasis on teamwork in the hospital setting." – T.C. (Mar. 2019)
"The discussion on the treatment and products available to assist in a good oral hygiene program was most beneficial. The course covered a very important topic that gets mostly overlooked at the facilities I provide services to. However, I expected treatment suggestions and options for those patients that are resistive to oral care." – A.M. (Feb. 2019)
"The course was great. I am motivated to implement a few of the details right away and research others as time goes on." – N.G. (Feb. 2019)
"The discussion on the rapid growth of bacteria and the factors that lead to aspiration pneumonia was most beneficial." – S.W. (Jan. 2019)
"I enjoyed going over the connection between oral care and people with vents or g-tubes. I liked the photographs of the parts of the mouth...normal and abnormal." – B.N. (Dec. 2018)
"The research discussed and the references/articles cited will be helpful in making a case for setting up and implementing an oral-care program. The oral assessment tool cited is a tool I can begin to use now, which is quite helpful." – A.P. (Dec. 2018)
"I liked that the course provided printable materials. Also, I found the frequency needed for oral care stats interesting." – J.C. (May. 2018)
"I appreciated the procedures for effective oral hygiene. I liked that the course was self-paced." – A.D. (Dec. 2017)
"Going over the Hygiene Protocols and research to support recommendations was most beneficial. I liked that the course was very lengthy and thorough with good references." – J.D. (Nov. 2017)
"I liked the explanation of the difference between types of PNA as well as the ideas for how to implement oral hygiene procedures in long-term care setting." – S.C. (Nov. 2017)
"The clinical research connecting poor oral care in ICU with increased PNA cases as well as the practical suggestions on an effective oral care regimen was most helpful. I liked that the material was at a great level for both research support and practical clinical information. Great melding of research and daily relevance." – H.T. (Oct. 2017)
"I loved the specific oral care techniques (e.g., brushing vs. swabbing and different solutions). The studies showing proof of the benefits of oral care will help me develop an in-service and put in place my facility's first oral care protocol. Very practical course." – D.N. (Aug. 2017)
"I appreciated the information regarding reducing external risk factors of PNA such as contaminated tubes and products that may reduce this risk." – M.S. (Apr. 2017)
"The discussions on oropharyngeal colonization and oral care protocols were most beneficial. I liked the research-based conclusions." – L.T. (Feb. 2017)
"I appreciated being reminded that more than one discipline can be responsible for monitoring oral hygiene." – M.R. (Jan. 2017)
"I liked that the course was comprehensive and included practical tips." – J.T. (Dec. 2016)
"The portion on the need for oral hygiene in long term care was very helpful. I liked the specific ideas for use." – M.R. (Dec. 2016)
"I found the topic of oral care assessment to be most beneficial. I liked that I could take this course at my own pace and found it to be very interesting." – C.R. (Nov. 2016)
"Comprehensive, fact based, practical. I especially appreciated the discussion on risk factors." – S.W. (Oct. 2016)
"I liked the tips for daily oral care." – K.E. (Oct. 2016)
"The discussion of the components to successful oral assessment was really useful." – J.P. (Oct. 2016)
"The entire discussion was helpful." – S.P. (July 2016)
"It was very well put together." – M.V. (June 2016)
"I appreciated the LTC protocols." – C.P. (June 2016)
"The components of an oral care program were excellent." – L.R. (June 2016)
"I especially enjoyed the section on the importance of brushing in addition to the swabbing." – S.S. (Apr. 2016)
"I liked the statistics about current oral hygiene practices and formal protocols." – V.G. (Apr. 2016)
"Very informative and good research information. The oral care protocol preventing Pneumonia was the most beneficial discussion." – C.J. (Apr. 2016)
"I liked the results from studies and that the course thoroughly covered oral care to pneumonia incidence." – S.H. (Mar. 2016)
"The components of oral care, rationale and study citations were all very helpful." – B.B. (Feb. 2016)
"I liked that this course was concise and offered relevant research to support the claims it made. The discussion on implementing an oral hygiene protocol in an acute care setting was really beneficial." – E.M. (Jan. 2016)