NICU to Nursery: Tracheostomy and Gastrostomy Tube Care

NICU to Nursery: Tracheostomy and Gastrostomy Tube Care

  • add an accredited certificate for this course here
Purchase Continuing Education Credit: 


Accredited Course

Cost: $25

Courses that have the CE logo on the image have a designated number of certified continuing education credits associated with the course. These courses have a fee, and upon completion, the learner will receive a certificate with their designated credits which can be used for re-licensure. The continuing education credits available are physician credits, MOC II points, risk management credits, and nursing contact hours.

Accreditation/Designation Statements

In support of improving patient care, Boston Children's Hospital is accredited by the American Nurses Credentialing Center (ANCC), the Accreditation Council for Pharmacy Education (ACPE), and the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for the healthcare team.


Boston Children’s Hospital designates this live activity for a maximum of 0.75 AMA PRA Category 1 Credits ™. Physicians should claim only credit commensurate with the extent of their participation in this activity. AAPA accepts AMA category 1 credit for the PRA from organizations accredited by ACCME.

Risk Management

NICU to Nursery: Tracheostomy and Gastrostomy Tube Care meets the requirements of 0.75 Risk Management Credit as prescribed by the Massachusetts Board of Registrations in Medicine and defined in 243 CMR 2.06(5)(d) I. 


American Board of Pediatrics

Successful completion of this CME activity, which includes participation in the activity, with individual assessments of the participant and feedback to the participant, enables the participant to earn 0.75 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABP MOC credit.


Boston Children’s Hospital designates this activity for 0.75 contact hours for nurses. Nurses should only claim credit commensurate with the extent of their participation in the activity.

Course Information


This course reviews how to effectively and safely care for a tracheostomy and gastrostomy tube, including how to perform routine care and how to troubleshoot common complications. The course is intended for physicians and nurses who provide care for infants and children who may require a gastrostomy tube or tracheostomy tube. It addresses the need for improved healthcare provider education on caring for children with medical complexity.

Instructional Time

0 hours, 41 minutes


  • Accredited Course: $25

Target Audience

  • Physicians
  • Nurses

Expiration Dates

  • Approved: 09/27/2019
  • Released: 10/29/2019
  • Expires: 09/27/2022

Course Format

Self-paced, using text and video, with post-test assessments. Requires 80% or higher score to earn CME credit. Online course assessment. Requires Safari (v6 or higher), Chrome (v38 or higher), Internet Explorer (v11 or higher), or Firefox (v23 or higher).

Privacy Policy

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Learning Objectives

  • Describe the types and components of a gastrostomy tube
  • List the steps involved in routine care activities for a gastrostomy tube including cleaning, stabilizing and checking the water in the balloon
  • Describe an approach to managing common gastrostomy tube issues including clogging and dislodgement
  • Describe the types and components of tracheostomy tubes
  • List the equipment required to ensure safety of a child with a tracheostomy tube
  • List the steps involved in routine care for a tracheostomy tube including site care, changing tracheostomy ties and replacing the tracheostomy tube


Course Director(s)

Michele DeGrazia, PhD, RN, NNP, FAAN
Director of Nursing Research, Neonatal Intensive Care
Neonatal Nurse Practitioner, Division of Newborn Medicine
Boston Children's Hospital


Denise Casey, RN, MS, CCRN, CPNP
Advanced Practice Nurse II
Boston Children's Hospital

Janelle Nobrega, MSN, RN, CPNP
Clinical Nurse Specialist
Boston Children's Hospital

Lauren Perlman, BS, RRT
Registered Respiratory Therapist
Boston Children's Hospital


In accordance with the disclosure policy of Boston Children's Hospital and the standards set forth by the Accreditation Council for Continuing Medical Education, course planners, speakers and content reviewers list below any relevant relationships they or their spouse/partner have to companies producing, marketing, re-selling or distributing health care goods or services consumed by or used on patients.

Course Director(s)

No disclosures to report:

Michele DeGrazia, PhD, RN, NNP, FAAN


No disclosures to report:

Denise Casey, RN, MS, CCRN, CPNP; Janelle Nobrega, MSN, RN, CPNP; Lauren Perlman, BS, RRT

Course Reviewer(s)

No disclosures to report:

Kathleen Huth, MD, MMSc; Sara Drumm, RN, CCRN; Emily Hamilton, MSN, CCRN, NP-C

Course Planner(s)

No disclosures to report:

Sonja Lehmann, BS

Commercial and Financial Support Disclosure

This program receives no commercial support.