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$79.00 USD

90% rating - reviews

0.4  ASHA CEUs

Core Principles For Respiratory Muscle Training (RMT) #e228


Presenter: Harrison Jones, PhD, CCC-SLP

Learn critical background and foundational knowledge for developing and improving clinical RMT programs.


"Very functional course! The content on how to evaluate patients and how to initiate and carry out a treatment program was very concrete and seems easy to apply."

– J.M., prior course participant

Read more comments about this course!

There is increasing interest in the clinical application of Respiratory Muscle Training (RMT) by speech-language pathologists. This course provides critical background and foundational knowledge for developing and improving clinical RMT programs, including:

  • Anatomy and physiology of the respiratory system.
  • Assessment of inspiratory and expiratory muscle strength, including interpretation of maximum inspiratory pressure (MIP) and maximum expiratory pressure (MEP).
  • Strengths and weaknesses of commonly encountered RMT devices.
  • RMT treatment including principles of training.
  • Contraindications.

Offered for 0.4 ASHA CEUs – 4 contact hours.

Course Format

Course Overview – Run Time: 4:10:26

  • Introduction To Respiratory Muscle Training (RMT)
  • The Respiratory System
  • RMT Assessment
  • RMT Treatment
  • Contraindications

"I liked the clinical decision-making in using RMT based on therapeutic targets, contraindications, benefits, clinical judgment, and medical team consultation."

– M.E., prior course participant

Read more comments about this course!

Content Disclosures

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.

Course Format

Video PowerPoint presentation with author narration & downloadable handout. Stop and re-start the course at any point. Learners retain access to course content after completion for ongoing reference and review.

Reviews

Comments From Prior Course Participants

"Lots of examples. Use with patient populations in home health setting." V.F. (Nov. 2024)

"The overall concept of RMT use over the life span in our SLP profession was beneficial." R.G. (Oct. 2024)

"Review of muscles and description of RMT treatment sessions was helpful. The course was thorough on background." C.M. (Oct. 2024)

"A beneficial review of the variety of devices to support the use of IMT and EMT." M.J. (Oct. 2024)

"I liked this affordable option for MIP and MEP testing and the videos." K.H. (Oct. 2024)

"Discussing the use of EMST/IMST for a variety of speech/swallowing deficits was helpful." A.S. (Sep. 2024)

"Discussing how to measure was beneficial." J.T. (Sep. 2024)

"All of the information was helpful. Very detailed with live demonstrations! Very practical training!" E.F. (Sep. 2024)

"The concept of RMT and calibration was beneficial to discuss. The RMT dose and calculation." Y.W. (Sep. 2024)

"All of the RMST education was helpful. This course was very clear and concise." L.Y. (Aug. 2024)

"It was beneficial to discuss some of the different equipment options for RMT. Flexibility to take course at my own pace." C.P. (Aug. 2024)

"Helpful suggestions for how to implement RMT treatment. The slides were very helpful." S.D. (Aug. 2024)

"The videos were good." C.R. (Jul. 2024)

"Beneficial introduction to a variety of therapeutic targets for EMT and IMT, assessment, treatment implementation, dose training leading to maintenance. I liked the course's flexibility." E.C. (Jul. 2024)

"The idea that RMT is so beneficial to swallowing and for such a variety of patients. Introduction and research to support information and also the comparison of devices was beneficial." A.H. (Jun. 2024)

"Measuring MIP AND MEP was beneficial. I liked the demonstrations." B.C. (Jun. 2024)

"Clinical applications were helpful." M.G. (Jun. 2024)

"I enjoyed the review of the respiratory system, as it is something that impacts daily practice. I also liked the physiology review." C.B. (Jun. 2024)

"The review of A/P for respiration was super helpful. Didn't realize there were so many options for training devices." C.T. (May 2024)

"Additional training and exercises for patients were helpful. I liked all of the course, thank you." L.S. (May 2024)

"The discussion on Obtaining MIP and MEP was beneficial. I liked that the course was research supported." C.D. (May 2024)

"The differences between muscles of inspiration and expiration were helpful to discuss." K.R. (Apr. 2024)

"General explanation of RMT was beneficial. I liked all of the course." J.M. (Feb. 2024)

"The final slides on setting dose and reviewing MIP and MEP and contraindications were helpful. I enjoyed thinking about practical implications with patients." J.C. (Jan. 2024)

"The discussion on the muscles involved in respiration was beneficial. I liked learning about the different kinds of devices that can be used either in acute or outpatient settings." A.M. (Jan. 2024)

"RMT as part of a therapeutic program, devices to use were beneficial to discuss. I liked the ability to break into smaller sections." L.C. (Jan. 2024)

"Practical implementation to inpatient caseload: appropriate population, device types, treatment protocols, and contraindication considerations." R.L. (Jan. 2024)

"Discussing the various ways these principles can help patients in dysphagia and dysarthria therapy was beneficial. I liked that I could complete this course at home, and the topic was applicable to my daily work." H.E. (Dec. 2023)

"Measurements of MIP and MEP. Very informative and easy to follow slides." S.F. (Dec. 2023)

"The assessment options and program development information were extremely informative. Also, I will benefit from the information comparing and contrasting the relative appropriateness of RMT administration by SLPs versus other disciplines. My home health team has accepted the concept of RMT as the property of the OT who took a course about using the Breather device without MIP/MEP assessment. I look forward to expanding the team members' understanding of SLP's role, as well as the viability of MIP/MEP in respiratory treatment decisions." C.V. (Dec. 2023)

"The presentation was well-paced and organized in such a manner that the complex flow of information was reasonable and easy to follow. I appreciated the video information." C.V. (Dec. 2023)

"This course was very thorough in explaining principles, procedures, and equipment. Possibly using this training for PD clients for dysphagia and dysarthria (hypophonia)." A.H. (Dec. 2023)

"Beneficial discussion on obtaining baseline information. I liked the course availability." M.C. (Dec. 2023)

"The review of MIP/MEP testing was beneficial. I enjoyed the info on dosing RMT." S.M. (Nov. 2023)

"The treatment targets were helpful. I liked the thorough background and research review." V.N. (Nov. 2023)

"Discussing the treatment dose and frequency was beneficial." K.L. (Nov. 2023)

"Devices that can be used for RMT and affordable options were especially helpful! I liked learning more about how to measure MIP/MEP. Learning about the different devices available for clinicians for RMT." C.S. (Nov. 2023)

"Learning the benefits of RMT in different areas." C.O. (Nov. 2023)

"Thorough explanation of the respiratory system and the fundamentals of RMT. The explanation of contraindications and the use of an analog manometer were beneficial." J.P. (Nov. 2023)

"I liked the research and tools to purchase for my facility." G.S. (Nov. 2023)

"This course was very practical and easy to follow. I really liked the video demonstrations. The slides with specific directions for clinical application were great, and I really enjoyed all of it, including the video demonstrations of measuring MIP/MEP." C.N. (Oct. 2023)

"The presenter was very thorough and explained things well. I am relatively new to EMST and have used it with a few Parkinson's patients, and I wanted a better understanding of RMT. This course has given me more confidence now with my understanding of RMT principles, and I feel that I can explain better now to my patients." J.L. (Oct. 2023)

"Very comprehensive course with good explanations and examples. Assessing RMT, dose/intensity/frequency practices, and contraindications." E.W. (Sep. 2023)

"I liked the education re: MIP MEP, the meaning of terms, and appropriate parameters. And ease of completing the course at home." E.N. (Sep. 2023)

"Increased my knowledge in respiratory training. Learned how to determine MIP/MEP, and to incorporate exercises in therapy." L.L. (Sep. 2023)

"The process for initiating EMST, and creating appropriate treatment protocols/plans was helpful. I liked the content of this course, format, online availability." M.C. (Sep. 2023)

"Easy to navigate and great content! I found that the explanation of what RMT is, as well as how to implement with clients (dose, etc.) was very beneficial." L.C. (Sep. 2023)

"Clinical relevance - I liked the video examples and step by step instructions." C.D. (Aug. 2023)

"Understanding norms and calculating baseline, using a pressure gauge for assessment, and understanding different products on the market were beneficial topics. Liked I was able to review and continue at my own pace." L.C. (Jul. 2023)

"I liked how applicable the course was. Review of anatomy/physiology, review of literature, and instructions for taking MIP/MEP." G.R. (Jul. 2023)

"In-depth information - all you need to know to get started. Discussion of different RMT devices was beneficial. The calibration videos were informative!" L.H. (Jul. 2023)

"I liked the functional application videos. Calculation of MIP and MEP was beneficial." K.K. (Jul. 2023)

"Demonstration of using manometer, information about treatment intensity and frequency were beneficial. I liked the videos/demonstrations." J.K. (Jun. 2023)

"I liked the information regarding the different types of RMT devices. The videos showing how to obtain MIP and MEP were very helpful." D.S. (May 2023)

"Learning how to train and what level to train Pts for home exercise programming was beneficial." K.M. (May 2023)

"Measuring MIP and MEP was beneficial. I liked the review of the respiratory system." N.S. (Apr. 2023)

"Discussed use of various devices, as well as frequency, calibration, and benefits. I liked the presentation manner." J.B. (Apr. 2023)

"Relevant to my current clinical practice needs. EMST information was beneficial." D.M. (Apr. 2023)

"Review of options on the market was beneficial. I liked the demonstration." M.S. (Mar. 2023)

"Info about devices for RMST was beneficial. I liked the video examples." M.W. (Mar. 2023)

"Therapy targets to RMT. Contraindications. Clear content with examples and visuals." C.A. (Feb. 2023)

"Learning dosage and implications of RMT. I liked the demonstration of correct techniques." D.D. (Feb. 2023)

"I liked the RMT assessment, interventions and the videos." L.S. (Jan. 2023)

"I found the discussion of possible contraindications of the Vasalva maneuver and RMT to be beneficial." A.W. (Jan. 2023)

"Very relevant to SLPs. Discussing respiratory system and different devices available was beneficial. I liked being able to control viewing so I could re-watch when needed. Course also had a good range of learning objectives covered." B.M. (Jan. 2023)

"All content was good. I liked the entire course." S.C. (Dec. 2022)

"The device discussion was excellent and unique. I liked that a clinician-scientist was involved. Excellent speaker. Good Notes." K.D. (Dec. 2022)

"I liked the anatomy and physiology of the respiratory system and relationship to SLP practice for RMT, and how to measure MIP/MEP. I liked the video demonstrations." R.K. (Dec. 2022)

"This course served as an overview to RMT with guiding principles and tx suggestions. Charts were helpful as a resource and to share with colleagues." M.J. (Dec. 2022)

"I liked the specifics on how to instruct patients and the demonstrations. This course was very convenient." K.L. (Dec. 2022)

"Learning the basic knowledge and understanding of RMT was beneficial. Very well explained, senior presenter." M.G. (Dec. 2022)

"I liked the respiratory data provided. Anatomy of the respiratory system was beneficial." A.R. (Dec. 2022)

"I liked the video examples." E.P. (Nov. 2022)

"Understanding the importance of ventilation and upper airway. Good examples." T.P. (Nov. 2022)

"Providing additional approaches for supporting various treatment modalities. Liked that the course can be taken at my convenience." L.M. (Nov. 2022)

"The examples of baseline testing of MIP and MEP were helpful. Establishing baseline and how to incorporate various products." E.S. (Nov. 2022)

"Liked comparisons of respiratory training devices. Principles of RMT covered in detail." M.T. (Nov. 2022)

"The video demonstrations were helpful. The course addressed all the questions I had about RMT." K.K. (Oct. 2022)

"Learning how to apply RMT clinically, how to advocate for what is needed to complete my job, how to coach and educate the patient." M.S. (Oct. 2022)

"I liked the information presented on the muscles used during inspiration and expiration. I really enjoyed the speaker. He kept in time with the slides, which made following along with the course much easier." D.Z. (Oct. 2022)

"The whole course was well structured to help understand how RMT is relevant to use with patients who need help improving their breath support. I liked the topic and how it was covered." A.V. (Sept. 2022)

"It was all pretty good. The subject matter is an area of interest to me." S.S. (Sept. 2022)

"I liked the examples of evaluation and treatment. And the topic on more accurate evaluation and treatment for those residents in LTC suffering post-Covid." A.M. (Sept. 2022)

"The demonstrations with a variety of ages were helpful." J.M. (July 2022)

"I liked the video demonstrations." L .M. (July 2022)

"I would recommend this course. I liked the topic." B.G. (June 2022)

"Learning that improving respiratory function is possible. I liked the examples of devices." L.S. (May 2022)

"Learning the dosage/intervention intensity and how to instruct the patients through the process was beneficial. I enjoyed watching the models." E.B. (Apr. 2022)

"I liked the RMT guidelines, contraindications, treatment length/intensity, and modeling of measurements of MIP/MEP." D.F. (Mar. 2022)

"I found the videos depicting how to find MIP/MEP to be the most beneficial. I liked how the process was explained first and then the video was used to supplement this explanation. I liked that all of the topics (respiration, MIP/MEP, RMT, etc) were explained in a very detailed manner." C.H. (Mar. 2022)

"I liked the visuals, the organization, and the sequence of build up to the last topic of treatment." V.F. (Feb. 2022)

"Types of RMTs; how to measure MIP and MEP; how to set tx goals, practical use; studies to support use." J.B. (Feb. 2022)

"I liked the practical information on the products and the demonstrations." M.E. (Feb. 2022)

"I liked the clear presentation, available tools, and measuring MEP and MIP." L.J. (Feb. 2022)

"I liked the clinical decision-making in using RMT based on therapeutic targets, contraindications, benefits, clinical judgment, and medical team consultation." M.E. (Feb. 2022)

"I liked the instructor's knowledge on the topic, examples, flow of content, discussion about devices, and links to research." G.N. (Feb. 2022)

"The videos were extremely helpful. It was good to see how presenter gave the instructions and the coaching provided." S.E. (Feb. 2022)

"I liked the information about the devices, both limitations and calibration, and use of photos and videos of the treatment showing different ages." T.N. (Feb. 2022)

"I liked the way the information was presented and the ease of implementing into clinical practice." K.K. (Feb. 2022)

"Very good information on respiration and measuring results – MIP and MEP concepts – for consideration in daily practice." J.A. (Jan. 2022)

"I liked the clear explanation of theory and practice of RMT, and the testing and contraindications." S.K. (Jan. 2022)

"Very functional course! This is the best pre-recorded course I have ever taken. The content on how to evaluate patients and how to initiate and carry out a treatment program was very concrete and seems easy to apply. The instructor made good use of videos and took the time to expose the learner to the variety of devices available in the market to use in RMT." J.M. (Jan. 2022)

"Excellent course!! Dr. Jones was so informative and I liked his laid back style. I especially enjoyed the video demonstrations (especially the ones of him performing MIP/MEP testing on his kids). I also liked that he had video demonstrations regarding how to calibrate the machines. I also really appreciated Dr. Jones showing the various devices you can use for RMT treatment, and noting the prices of various devices. He was very kind to demonstrate how to test for MIP/MEP using a more cost effective devices. Excellent course overall. Thank you! This was time well spent!" E.D. (Jan. 2022)

Course Objectives

At course conclusion, participants will be able to:
  1. Demonstrate a basic understanding of the respiratory system to use as a basis for successful respiratory muscle training (RMT) in clinical practice.
  2. Describe how to obtain and interpret measures of respiratory muscle strength (maximum inspiratory pressure [MIP], maximum expiratory pressure [MEP]).
  3. Describe the different types of RMT devices that are commonly encountered and their relative strengths/weaknesses.
  4. Identify the critical components of RMT dose.

Northern Speech Services is an AOTA Approved Provider of professional development. PD activity approval ID#37079. This DL-Independent activity is offered at 0.4 CEUs, Intermediate, 1. Domain of OT: Client Factors: Body Functions, Body Structures; Activity Demands; Performance Skills 2. OT Process: Evaluation; Intervention: Develop intervention plan. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.

Presenter & Disclosures

Harrison Jones, PhD, CCC-SLP

Harrison Jones, PhD, CCC-SLP, is Associate Professor, Division of Head and Neck Surgery & Communication Sciences, Department of Surgery, Department of Speech Pathology & Audiology, Duke University. Dr. Jones spends his professional effort in seeing patients in the clinic and conducting research. He has over 20 years of experience working with medically complex children and adults with communication and swallowing disorders. Dr. Jones has led the training and implementation of the Duke Speech Pathology respiratory muscle training (RMT) program in pediatric and adult inpatient and outpatient settings. His research interests include the use of RMT in diverse patient populations, including individuals with neuromuscular disease.

Speaker Disclosures:

Financial — Harrison Jones is a presenter of online CE courses sponsored by Northern Speech Services; receives royalties.

Financial — Harrison Jones receives financial support from the Genzyme Corporation related to RMT in patients with Pompe disease; receives grant funding, travel support, and honoraria.

Financial — Harrison Jones receives grant support from the National Institute of Arthritis, Musculoskeletal, and Skin Diseases (NIAMS) of the National Institutes of Health (NIH) (R21AR069880).

Financial — Harrison Jones is a consultant for Aspire LLC makers of the EMST 150; receives consulting fee.

Financial — Harrison Jones has US Patent Applications (No. 15/900,036 and 15/900,091) filed 2/20/2018 for RMT-related intellectual property, optioned by Aspire LLC; has intellectual property rights, holds a patent on equipment, receives royalties.

Nonfinancial — Harrison Jones has no relevant nonfinancial relationships to disclose.

Intended Audience / Accreditation

Intended Audience/Accreditation
asha ce approved provider

This program is offered for 0.4 ASHA CEUs (Intermediate Level; Professional Area).

Intended Audience

  • Speech-Language Pathologists
  • OT

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:
  • Current ASHA Member
  • ASHA Certificate of Clinical Competence (CCC) Holder
  • Licensed by a state or provincial regulatory agency to practice speech-language pathology (SLP) or audiology
  • Credentialed by a state regulatory agency to practice SLP or audiology
  • Credentialed by a national regulatory agency to practice SLP or audiology
  • Engaged in a Clinical Fellowship under the supervision of an individual with their ASHA CCC
  • Currently enrolled in a master's or doctoral program in SLP or audiology

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:

  • California: NSS is approved as a provider of continuing education by the California Speech-Language Pathology & Audiology Board. Provider #PDP4. Online CEU limits may apply; please contact SLPAHADB for current online CEU acceptance policies.
  • Iowa: NSS is approved as a provider of continuing education by the Iowa Board of Speech Pathology and Audiology Examiners. Provider #169.
  • Kansas: NSS is approved as a provider of continuing education by the Kansas Department of Health and Environment. Provider #LTS-S0005.
  • Florida: NSS is approved as a provider of continuing education by the Florida Speech-Language Pathology and Audiology Board. Provider #SPA-026.

Frequently Asked Questions

Online Course FAQ — Click Here

Customer Support: Please phone 888.337.3866 or email info@northernspeech.com.

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.

Content Access:

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:

Purchase orders are currently not accepted for online orders, if you wish to submit a purchase order please do so at info@northernspeech.com 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.

Receiving CEUs:

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.

Testing requirements:

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.

Course formats:

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.

Course handouts:

Most of our online courses provide a link to download the accompanying handout as a PDF file. 

Group discounts:

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.

Computer requirements:

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. 

Special Needs:

Please click here for any special needs requests, and we will do our best to accommodate them. 

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