A respiratory access assembly includes a distal plate having a port, the port adapted to be positioned in operable communication with an artificial airway of a patient. The assembly also includes a proximal plate including a first port and a second port and, when the distal plate is positioned against the proximal plate in a stacked configuration, each plate is configured to move relative to the other. There is a clutch positioned between the plates, the clutch cooperating with both plates to substantially prevent movement of the plates when the port of the distal plate is positioned in an alignment with at least one port of the proximal plate and an object is positioned through the aligned ports of the plates.