This course is intended to increase the participant’s ability to problem solve a range of conditions that may occur when working with patients who have indwelling tracheostomy tubes. Each problem scenario presented is based on clinician experience along with the solutions that worked in specific cases. Photos and videos are provided so that the participant can observe how tracheostomy tubes differ and how selected speaking valves function. Learn to identify symptoms that could indicate that a patient may benefit from a different type of tracheostomy tube. Discussed will be tracheostomy tube variables such as tube angle, length, flexibility, and neck plate configuration. References for related topics are included. Offered for 0.15 ASHA CEUs – 1.5 contact hours.
Run Time: 1:33:07
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.
Roxann Diez Gross, PhD, CCC-SLP, ASHA Fellow, is a leading expert, accomplished researcher, and frequently invited national and international lecturer. Her areas of expertise include swallowing function, esophageal dysphagia, and management of patients with tracheostomy tubes and speaking valves.
Currently, Roxann is Director of Research at The Children's Institute in Pittsburgh, PA. Prior to this position, she was Director of the Swallowing Disorders Center at the University of Pittsburgh Medical Center and Assistant Professor of Otolaryngology in the School of Medicine. She is now an adjunct assistant professor in the Department of Communication Science and Disorders at the University of Pittsburgh.
Roxann has published several scientific papers and clinical book chapters. Her primary area of research examines interactions between breathing and swallowing in neurologic and respiratory disease. Over the past 7 years, Roxann has expanded her clinical work and research to include non-pathologic forms of esophageal dysphagia.
Financial — Roxann Diez Gross is a presenter of online CEU courses by Northern Speech Services; receives royalties.
Financial — Roxann Diez Gross is the author of "Quick Pocket Reference for Tracheostomy Tubes and Speaking Valves" published by Northern Speech Services; receives royalties.
Nonfinancial — Roxann Diez Gross 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 pictures were helpful & presentation was well organized." L.W. (July 2021)
"The method of delivery was concise and easy to follow for the most part. Great basic information to let me get started. Access to the private facebook group for follow up questions is nice too." S.S. (May 2021)
“This course provides a very realistic/functional approach to managing tracheostomy patients, listing a problem and how to troubleshoot it. It gave me more confidence as a clinician starting with trach care in a city with minimal-to-no guidance.” – D.C. (Feb. 2021)
“I enjoyed the visual representation of airway configurations and how each tube could be used for the specific needs of patients.” – K.S. (Nov. 2020)
“I think problem-solving in general is great for daily practice. This was very indicative of what a day in the life of a speech-language pathologist is like when working with patients with tracheostomy tubes. I was looking for more experience in this area of the practice and was given some helpful tips. I liked that we were given specific examples and that the instructor walked through potential solutions for each problem.” – A.D. (Aug. 2020)
"I appreciated the review of trachs in general and the convenience of the course." – M.H. (July 2020)
"I think problem-solving in general is great for daily practice. This was very indicative of what a day in the life of a speech-language pathologist is like while working with patients with tracheostomy tubes. I was looking for more experience in this area of the practice and was given some helpful tips that I can now refer back to. I liked that I was given specific examples and that the instructor walked through potential solutions for each problem. This was very practical." – A.D.P. (June 2020)
"The problem solving scenarios and videos were very helpful. Specific patient cases are always helpful." – K.K. (May 2020)
"The most useful for me will be the information regarding temporary trach management and problem-solving. I liked the clear, concise language. I LOVED the real-world format of presenting a problem and discussing both successful and unsuccessful attempts to address the problem." – C.D. (Apr. 2020)
"I liked the problem based learning." – A.B. (Mar. 2020)
"I found the discussion of different tubes - their component parts and various branding - most beneficial to enable a better fitting trach tube for better results rather than just the go to tubes we have available in my facility." – N.M. (Feb. 2020)
"I enjoyed the information about cuff deflation/inflation, talking about trachs, and the suction aid. I liked the ease of the presentation and organization of info. However, I expected more actual tx techniques & demonstrations." – R.H. (Jan. 2020)
"The description of different tracks and rationale for their use was most helpful. I liked learning about fenestrated and XLT trachs." – M.S. (Dec. 2019)
"Great course for those of us that rarely deal with this population. The handouts were very helpful and will be saved for future reference." – G.E. (Nov. 2019)
"I liked the case studies, problem scenarios and effective solutions discussed for each problem. I liked how the presenter spoke about actual clinical experiences. I expected more on dysphagia treatment with tracheotomy patients." – A.S. (Oct. 2019)
"This is one of the best trach courses I've taken if not the best. The videos were a great help. The speaker explained options well." – C.J. (Sept. 2019)
"I enjoyed the discussion re: speaking trachs and education needed for PMV, inner canulas, and caps. I liked the various pt cases and videos explaining the difference between the different trachs." – K.V.Z. (Aug. 2019)
"I appreciated how it brought awareness on other possible configurations of tracheostomy tubes and brands out there aside from Passy-Muir and Shiley that cater to those customizations. I like that it emphasizes how we should respect the uniqueness of each tubed patient. I appreciate the videos and pictures but most of all the shared experiences of the clinician. Thank you." – J.S. (July 2019)
"I liked the way the speaker stated a problem and followed by solutions. The information about the talking trachs for patients on vents and just about the entire course was beneficial." – T.L. (June 2019)
"I appreciated the options for patients who do not have the ability to have their cuff deflated. I liked the focus on the more complex scenarios, as those are the ones that I often encounter in pediatric acute care. I loved the video at the end." – A.S. (June 2019)
"Directly relevant to both communication and swallowing therapy. Thorough and well explained with appropriate clinical relationships/examples. Appreciate the plentiful visuals of the trach types as therapists across the world use a variety of kinds." – K.W. (May 2019)
"Very good course, relevant information, excellent discussion about what is in our scope of practice relating to trachs. Very good examples; the pictures and videos were excellent." – C.B. (May 2019)