2019 Seminars

Strategies for Assessment and Treatment Following Tracheostomy: An Interactive Seminar

Open to All Professionals Caring for Patients with Tracheostomy

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

Providence St Peter Hospital
200 Conference Rooms
413 Lilly Road NE
Olympia, WA 98506

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 interactive seminar provides 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 for the use of a no-leak speaking valve to restore communication, improve swallow, improve secretion management, and restore subglottic pressure in adults who require tracheostomy. Instructions for successful assessment and placement of a no-leak speaking valve in-line during mechanical ventilation will be demonstrated together with a review of ventilator settings, best practice procedures, and safe alarm practice when using a speaking valve. Advanced options for treatment of dysphagia, including while a patient is on mechanical ventilation will be presented. 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

  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. Describe physiologic changes to the airway secondary to the tracheostomy procedure and use of an inflated cuff.
  3. Review anatomy and physiology of the respiratory system, including the upper airway.
  4. Identify several types of tracheostomy tubes and recognize the differences in cuffs, sizing, and materials.
  5. Demonstrate two methods of proper cuff inflation and deflation techniques.
  6. Describe how the inability to communicate may impact safety and quality of life.
  7. Describe three methods of non-verbal communication.
  8. Describe the clinical benefits of the no-leak speaking valve and its application to adults who require a tracheostomy.
  9. Identify assessment, placement, and transitioning steps to facilitate successful use of the no-leak speaking valve.
  10. Provide step-by-step procedures for evaluation of the patient prior to placement and during placement of the no-leak speaking valve.
  11. Apply decision making algorithm in regard to plan of care for adults who requires tracheostomy.
  12. List steps for proper upper airway assessment to predict successful use of a no-leak speaking valve during mechanical ventilation, including review of various ventilator settings and alarm management.
  13. Describe the benefits of early use of a no-leak speaking valve during mechanical ventilation.
  14. Identify physiological swallowing deficits in case studies and the potential impact of a tracheostomy (open system) on swallowing.
  15. Discuss appropriate interventions and swallowing strategies to be used based on deficits and diagnosis.
  16. Identify each speaking valve by color and describe the design and benefits of a no-leak valve.
  17. Demonstrate proper placement and removal of a no-leak speaking valve, oxygen adapter and Secure-It®.
  18. 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.
  19. Describe the use of a no-leak speaking valve as a diagnostic tool and as a rehabilitation strategy.
  20. Discuss 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.



8:00 – 8:45 Tracheostomy: Procedures, Timing and Tubes
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 – FAQ, Barriers & Trouble-shooting
Lunch provided
13:00 – 14:00 Ventilator Application of A No-Leak Speaking Valve
14:00 – 15:00 Advanced Dysphagia: Considering Impact of Tracheostomy and Mechanical Ventilation
15:00 – 15:45 Hands-On Learning – No-Leak Speaking Valves
15:45 – 16:30 Early Intervention, Rehabilitation and Case Studies
16:30 Adjourn & CEU Instructions

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 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 May 18, 2019; $149.00 beginning May 18, 2019

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 June 5, 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.

Download Agenda

If you would like to download a copy of our agenda, click here.