2019 Seminars

Strategies for Assessment and Treatment Following Tracheostomy: An Interactive Seminar

Open to all Professionals Caring for Patients with Tracheostomy

Date: Saturday, January 12, 2019 8:00am-4:30pm

Bethesda Health, Bethesda Hospital East
Clayton Conference Rooms – North
2815 Seacrest Blvd
Boynton Beach, FL 33435

Class Size: Space is limited and registrations will be accepted in the order received.

Handouts will be given at site upon registration and are included in the cost of course.

Parking Information: Parking is available on site. Specific information will be sent in reminder email one week prior to seminar date.


This seminar is designed to provide clinical information regarding the basics of a tracheostomy, including the physiologic impact of tracheostomy on a patient’s respiratory, speech, and swallowing functions. Clinicians will learn step-by-step strategies to assess the use of a no-leak speaking valve to restore communication, improve swallow, improve secretion management, and restore subglottic pressure in patients who require tracheostomy. The basics for successful assessment and placement of a no-leak speaking valve in-line during mechanical ventilation will be demonstrated. Attendees will have an opportunity for advanced learning in one of two breakout sessions: (1) advanced session to review ventilator settings, best practice procedures, and safe alarm practice when using a speaking valve; or (2) advanced session on dysphagia assessment and intervention while treating patients with tracheostomy. Attendees will learn the importance of early intervention and strategies for utilizing a no-leak speaking valve through case studies. Learning is enhanced through hands-on training sessions, patient videos, and group discussion.

Learning Outcomes

At the conclusion of the seminar, the attendee should be able to:

  1. Explain why the timing of the tracheotomy procedure and tracheostomy tube selection play a key role in successful use of a no-leak speaking valve.
  2. Identify several types of tracheostomy tubes and recognize the differences in cuffs, sizing, and materials.
  3. Describe physiologic changes to the airway secondary to the tracheostomy procedure and use of an inflated cuff.
  4. Describe anatomy and physiology of the respiratory system, including the upper airway.
  5. Hands-on training:
    1. Demonstrate two methods of proper cuff inflation and deflation techniques.
    2. Describe how the inability to communicate may impact safety and quality of life.
  6. Describe three methods of non-verbal communication.
  7. Describe the clinical benefits of the no-leak speaking valve and its application on patients who require a tracheostomy.
  8. List assessment, placement, and transitioning steps to facilitate successful use of the no-leak speaking valve.
  9. List step-by-step procedures for evaluation of the patient prior to placement and during placement of the no-leak speaking valve.
  10. Identify the benefits of using a no-leak speaking valve for successful implementation of various treatment strategies requiring a closed respiratory system and oral exhalation.
  11. List steps for upper airway assessment to determine potential for use of a no-leak speaking valve during mechanical ventilation.
  12. List various ventilator settings and steps to safe alarm management.
  13. Breakout Session A: Advanced Ventilator Application
    1. Discuss patient selection guidelines and benefits of no-leak speaking valve use by patients who require mechanical ventilation.
    2. List appropriate steps to maintain adequate ventilation in the cuff deflated condition with no-leak speaking valve in place.
    3. Describe the benefits of early use of a no-leak speaking valve during mechanical ventilation.
  14. Breakout Session B: Advanced Dysphagia Evaluation and Treatment
    1. List the primary considerations for evaluating and treating patients with dysphagia who have a tracheostomy and mechanical ventilation.
    2. Identify aspects of mechanical ventilation which may impact swallowing.
    3. Discuss appropriate interventions and swallowing strategies to be used based on deficits and diagnosis.
  15. Identify each speaking valve by color and describe the design and benefits of a no-leak valve.
  16. Demonstrate proper placement and removal of a no-leak speaking valve, oxygen adapter, and Secure-It®.
  17. Describe the use of a no-leak speaking valve as a diagnostic tool and as a rehabilitation strategy.
  18. List appropriate interventions for various case studies based on diagnosis.


Gail M. Sudderth, RRT has extensive experience in a variety of clinical settings as a respiratory therapist. As a lead therapist at a large teaching hospital, she worked with medically complex patients who required tracheostomy and mechanical ventilation, where her expertise was to manage patients who were considered difficult to wean. In her role, she worked closely with the speech-language pathologists and developed training competencies for suctioning and cuff management. Gail has developed and co-developed web-based presentations and on-site seminars for medical professionals who care for patients with tracheostomy. A recognized and invited speaker, she has presented in the United States and internationally at hospitals, as well as state and medical professional meetings, on the topic of airway and ventilator management and the application of the Passy Muir® Valve. In addition, she has presented and published articles on the importance and development of multidisciplinary airway management teams. She is currently a full-time clinical specialist for Passy Muir.

Financial – Employee of Passy-Muir Inc.
Nonfinancial – No relevant nonfinancial relationship exists.

Kristin King, PhD, CCC-SLP, has been a speech-language pathologist in a variety of settings since 1995. She earned her PhD in Communication Sciences and Disorders from East Carolina University in 2008, specializing in cognitive-communication and swallowing disorders with medically complex patients of all ages. She has trained SLPs in FEES and VFSS and developed programs for the management of patients on ventilators and use of the Passy Muir® Valve. She also developed programs for assessment, treatment, and management of patients with TBI. She has published peer-reviewed articles; is a recognized and invited speaker both domestically and internationally on the use of speaking Valves, evaluation and treatment following TBI, and swallowing disorders; and has served as an expert witness. She currently conducts research in these areas and maintains clinical skills through consultative services. She also participates in the development of multimedia education on topics relevant to speech-language pathology, respiratory therapy, and nursing, among other clinical professions. She is the Vice President of Clinical Education and Research for Passy Muir.

Financial – Employee of Passy-Muir Inc.
Nonfinancial – No relevant nonfinancial relationship exists.



7:30 – 8:00 Registration (Light Refreshments)
8:00 – 8:45 Trach 101
8:45 – 9:30 Hands-On Learning
9:30 – 10:00 Importance of Effective Communication
10:00 – 10:15 Break
10:15 – 11:45 Application of the No-Leak Speaking Valve
11:45 – 12:00 Break
12:00 – 13:00 Lunch and Learn – (Lunch Provided)
FAQs, Troubleshooting, Overcoming Barriers
13:00 – 13:45 Basics of Ventilator Application of the No-Leak Speaking Valve
13:45 – 14:30 Breakout Sessions (Choose One to Attend)
A. Advanced Ventilator Application of the No-Leak Speaking Valve
B. Advanced Dysphagia, Assessment and Intervention
14:30 – 15:30 Hands-On Learning
15:30 – 16:30 Early Intervention in ICU, Rehab and Case Studies
16:30 – 16:45 CEU Information & Adjourn

CEU Information

Continuing education credit offered for RTs, SLPs, and RNs. All others will receive a Certificate of Attendance.

This seminar is offered for 0.8 ASHA CEUs (Intermediate level, Professional area).

Application for continuing education credit has been made to AARC for 8 CEUs.

Passy-Muir, Inc. is an approved provider of continuing education by the California Board of Registered Nursing (Provider #CEP11239). Each webinar seminar is 8 contact hours.

Passy-Muir, Inc. has developed and patented a licensed technology trademarked as the Passy Muir® Tracheostomy and Ventilator Swallowing and Speaking Valve. This presentation will focus primarily on the bias-closed position Passy Muir Valve and will include little to no information on other speaking valves.

Registration / Cost

Space is limited and registrations will be accepted in the order received.

Regular Registration: $119.00 if registered before December 22, 2018; $149.00 beginning December 22, 2018

Student Registration: Please contact for information.

Print outs: Handouts will be given on registration and are included in the cost of the course.

Cancellation policy: All cancellations must be in writing by January 9, 2019 to An admin fee of 10.00 will be deducted from the refund amount. Refunds will not be granted past this date. Cancellation of the event by Passy-Muir, Inc. will result in a full refund of monies received. Passy-Muir, Inc. is not responsible for the refund of travel or hotel expenses under any circumstances. Passy-Muir, Inc. reserves the right to cancel or change any programs for due cause. In the event of a course cancellation, participants will be notified via email & contact phone number listed on the registration form. Please fill out all information in registration form.

Assistance: All participants in Passy-Muir, Inc. Continuing Education Courses are entitled to an accessible, accommodating, and supportive teaching and learning environment. Please inform us of any specific needs so that we may assist you.

Questions: Gail M. Sudderth via or call 949-783-3752.