To Register: https://www.passy-muir.com/seminar-sacramento
From Infants to Adults: Use of a No-Leak Speaking Valve to Improve Communication & Swallowing for Tracheostomy and Ventilator Patients
Attend one day or both to meet your needs:
Day One: Foundational Knowledge for Working with Pediatric and Adult Patients Following Tracheostomy
Day Two: Speaking Valve Use and Dysphagia Management in Adult Patients During Mechanical Ventilation
This two-day course has been developed for the experienced practitioner and those who are new to caring for patients with tracheostomy, including both the adult and pediatric populations.
Day One will focus on foundational knowledge related to the physiologic changes that may occur following the placement of a tracheostomy tube in pediatrics and adults. This session also will present: the basics of trach tube selection; the benefits of using of a bias-closed, no-leak speaking valve for voicing, feeding and swallowing, secretion management, and decannulation; and treatment and troubleshooting considerations.
Day Two will emphasize advanced practices with the adult population and how utilizing a no-leak speaking valve early in the hospital course of stay and during mechanical ventilation can impact weaning time, rehabilitation, overall outcomes, and quality of life. An overview of how mechanical ventilation affects the respiratory system and common modes of ventilation will be explained. In addition, attendees will learn modifications for dysphagia assessment and intervention techniques when working with patients following a tracheostomy, with and without mechanical ventilation. How to develop a team approach to evaluation, placement, and strategies to increasthe e successful use of a no-leak speaking valve during mechanical ventilation will also be given. Case studies, patient videos, hands-on sessions and group discussion will be used to enhance learning. Day Two includes one hour on ethical considerations for the healthcare practitioner.
- Explain why the timing of the tracheotomy procedure and tracheostomy tube selection play a key role ithe n successful use of a no-leak speaking valve.
- Describe physiologic changes to the airway secondary to the tracheostomy procedure and use of an inflated cuff.
- Describe how the inability to communicate may impact safety, development, and quality of life.
- Describe three methods of non-verbal communication.
- Demonstrate two methods of cuff inflation and deflation.
- Identify several types of tracheostomy tubes and recognize the difference in cuffs, sizing, and materials.
- Demonstrate and explain trans-tracheal pressure measurement.
- Describe the clinical benefits of a no-leak speaking valve for patients who require tracheostomy.
- Identify assessment, placement, and transitioning steps to facilitathe te successful use of the no-leak speaking valve.
- List step-by-step procedures for evaluation of the patient prior to placement and during placement of the no-leak speaking valve.
- List common therapy strategies to increase no-leak valve wear time.
- Discuss strategies to assess behavioral vs. physiologic barriers especially in young children.
- Describe modifications to consider with feeding & swallowing following tracheostomy.
- Identify each speaking valve by color and describe the design and benefits of a no-leak valve.
- Demonstrate proper placement and removal of a no-leak speaking valve, oxygen adapter and Secure-It®.
- List steps for proper upper airway assessment to predict successful use of a noleak speaking valve during mechanical ventilation, including a review of various ventilator settings and alarm management.
- Describe the benefits of early use of a no-leak speaking valve during mechanical ventilation.
- Describe steps to optimize patient safety through safe alarm practice.
- Discuss appropriate interventions for various case studies based on pre-assessment criteria and evaluation of patient response and tolerance to in-line valve application.
- Demonstrate several methods of connecting a no-leak valve in-line during mechanical ventilation.
- Discuss strategies for maintaining and monitoring adequate ventilation during cuff deflation and in-line speaking valve application using ventilator mannequin.
- Identify physiological swallowing deficits in case studies.
- Discuss appropriate interventions and swallowing strategies to be used, based on deficits and diagnosis, including patients receiving mechanical ventilation.
- 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.
- Describe the use of a no-leak speaking valve as a diagnostic tool and as a rehabilitation strategy.
- Explain the goals of early intervention by the multidisciplinary team (MDT).
- List the benefits of having an MDT.
- Define ethics and identify ethical situations in healthcare.
- Explain ethical considerations related to communication and the rights of patients in a medical setting.
- Define basic terminology used for ventilator settings, modes of ventilation and alarm settings.
- Describe how positive pressure ventilation impacts normal respiratory function, voicing, and swallow.