Apprentices progress at their own pace – they demonstrate
competency in skills and knowledge through assessment tests,
but are not required to complete a specific number of hours.
competency in skills and knowledge through assessment tests,
but are not required to complete a specific number of hours.
Neurodiagnostic Technologist
West Michigan Works
Documents
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Individual state requirements may vary. Please contact your local apprenticeship office to ensure this version is suitable to your state’s requirements.
Work Process Content
On the Job Training
Anonymous
133
Skills
Electroencephalogram (EEG) - Provides a safe recording environment by:
11
Electroencephalogram (EEG) - Provides a safe recording environment by:
11
- Verifying identity of patient
- Cleaning electrodes after each procedure
- Following universal precautions for infection control
- Attending to patient needs appropriately
- Recognizing/responding to life-threatening situations
- Being certified to perform CPR
- Following laboratory protocols for sedation
- Complying with lab protocols for emergency and disaster situations
- Complying with hazardous material handling procedures
- Maintaining instrument/equipment in good working order
- Taking appropriate precautions to ensure electrical safety
Electroencephalogram (EEG) - Establishes rapport with the patient and patient’s family by:
5
Electroencephalogram (EEG) - Establishes rapport with the patient and patient’s family by:
5
- Using personal communication skills to achieve patient relaxation/cooperation
- Explaining all test procedures including activation procedures
- Explaining the electrode application method (paste, collodion, etc.)
- Interacting on a level appropriate to patient's age and mental capacity
- Maintaining respect and patient confidentiality
Electroencephalogram (EEG) - Evaluates the patient by:
9
Electroencephalogram (EEG) - Evaluates the patient by:
9
- Determine the patient's mental age, mental state, and comprehension level
- Note the patient's overall physical condition
- Decide appropriate method of electrode application
- Ascertain the patient's capacity to cooperate with activation procedures
- Determine if hyperventilation is contraindicated
- Accommodate for disabilities or special needs
- Determine the need for additional physiological monitors
- Document unusual or inappropriate behavior suggestive of seizure or other event
- Determine the possible need for restraints or emergency intervention
Electroencephalogram (EEG) - Prepares a basic data sheet that includes:
9
Electroencephalogram (EEG) - Prepares a basic data sheet that includes:
9
- Patient information (name, age, ID number, doctor, etc.)
- Recording time, date, and graduate's name or initials
- Noting pertinent patient history and familial medical history
- Listing current medications/sedation and time of last dosage
- Noting time of last meal
- Noting time, date, aura, and circumstances of last seizure or symptoms
- Specifying the patient's mental, behavioral, and consciousness states
- Diagramming skull defects or anomalies (if any)
- Diagramming any modifications in electrode placement
Electroencephalogram (EEG) - Electrode application follows a method that includes:
5
Electroencephalogram (EEG) - Electrode application follows a method that includes:
5
- Measuring and marking the head following the 10/20 measurement system
- Adjusting electrode placement for anatomical defects or anomalies
- Prepping patient's scalp prior to electrode application
- Applying electrodes with paste or with collodion and electrolyte
- Verifying electrode impedances are balanced and below 5,000 ohms
Electroencephalogram (EEG) - Basic knowledge of analog EEG technology.
1
Electroencephalogram (EEG) - Basic knowledge of analog EEG technology.
1
- Basic knowledge of analog EEG technology.
Electroencephalogram (EEG) - Documents the working condition of a digital EEG instrument by:
5
Electroencephalogram (EEG) - Documents the working condition of a digital EEG instrument by:
5
- Calibrating system amplifiers
- Verifying standard filter settings
- Verifying sensitivity settings
- Inputting a biological (bio-cal) signal to all channels
- Correcting or reporting deviations as appropriate
Electroencephalogram (EEG) - Obtains a standard EEG that includes:
9
Electroencephalogram (EEG) - Obtains a standard EEG that includes:
9
- At least 20 minutes of technically acceptable recording (120 pages)
- Eye opening and closing to check effects of stimuli on EEG
- Hyperventilation for a minimum of 3 minutes
- Photic stimulation at frequencies appropriate for history & reactivity
- Mental stimulation/assessment procedures
- Periodic checks of electrode impedance
- Natural drowsiness and sleep, if possible
- Notations of montage, filters, paper speed, & sensitivity setting changes
- Notes on observed behavior, clinical seizure manifestations, etc.
Electroencephalogram (EEG) - Customizes the recording procedure by:
8
Electroencephalogram (EEG) - Customizes the recording procedure by:
8
- Evaluating reason for referral, history, and observed waveforms
- Utilizing techniques to bring out or enhance clinical symptoms
- Selecting montages appropriate for abnormalities seen and/or expected
- Selecting appropriate instrument settings
- Encouraging drowsiness and sleep
- Applying additional electrodes to localize abnormal activity
- Monitoring respiration if appropriate
- Monitoring ECG rhythms for abnormality
Electroencephalogram (EEG) - Understands and follows technical criteria for:
4
Electroencephalogram (EEG) - Understands and follows technical criteria for:
4
- Recording electrocerebral inactivity (brain death)
- Recording neonatal EEG
- Recording pediatric EEG
- Recording in intensive care or cardiac care units
Electroencephalogram (EEG) - Differentiates artifacts from cerebral waveforms by:
6
Electroencephalogram (EEG) - Differentiates artifacts from cerebral waveforms by:
6
- Recognizing possible artifactual waveforms
- Documenting (on the recording) patient movements
- Applying/recording leads for eye potentials or other physiological potentials (ie. respiration, EMG)
- Applying/recording leads for ECG
- replacing electrodes exhibiting questionable activity or contact
- Troubleshooting for possible electrical interference
Electroencephalogram (EEG) - When the EEG recording is finished:
4
Electroencephalogram (EEG) - When the EEG recording is finished:
4
- Removes electrode paste/glue from the patient's scalp and hair
- Describes clinically significant behavior
- Documents sedation used, dosage, and effects (if applicable)
- Reviews EEG for appropriate documentation of amplifier settings & montage changes
Electroencephalogram (EEG) - Understands and has a working knowledge of:
8
Electroencephalogram (EEG) - Understands and has a working knowledge of:
8
- Functional neuroanatomy and neurophysiology
- Medication effects on the EEG background and waveforms
- Medical terminology and accepted abbreviations
- Signs, symptoms, and EEG correlates for adult neurological disorders
- Signs, symptoms, and EEG correlates for pediatric neurological disorders
- Seizure manifestations, classifications, and EEG correlates
- Psychiatric and psychological disorders
- Other knowledge as detailed in the ABRET Electroencephalographic Technology Practice Analysis
Electroencephalogram (EEG) - Maintains and improves knowledge and skills by:
4
Electroencephalogram (EEG) - Maintains and improves knowledge and skills by:
4
- Reviewing EEG tracings with EEGer on a regular basis
- Reading journal articles
- Studying textbooks related to the field
- Attending continuing education courses in Neurodiagnostics
Electroencephalogram (EEG) - Knows how waveform displays are affected by:
8
Electroencephalogram (EEG) - Knows how waveform displays are affected by:
8
- 60 Hertz filter
- Filter settings
- Sensitivity settings
- Paper speed
- Referential and bipolar montages
- Digital filters
- Electrode types and electrode material composition
- Malfunctioning equipment
Electroencephalogram (EEG) - Recognizes:
10
Electroencephalogram (EEG) - Recognizes:
10
- Knowing how differential amplifiers work
- Computing voltage and frequency of waveforms
- Calculating the duration of waveforms
- Understanding the polarity of the waveforms
- Understanding impedance
- Understanding analog to digital conversion
- Normal and normal variant awake and asleep patterns for each age range
- Abnormal awake and asleep patterns for each age range
- EEG patterns for levels of consciousness
- Clinical seizure patterns
INTRODUCTORY EVOKED POTENTIAL STUDIES (EP) - Must have knowledge and understand:
10
INTRODUCTORY EVOKED POTENTIAL STUDIES (EP) - Must have knowledge and understand:
10
- Have knowledge of the common indications for auditory, visual, and somatosensory evoked potentials
- Understand the anatomy, physiology, and pathology of selected sensory organs, nerves, and nerve pathways
- Understand the generators of evoked potentials
- Understand the principles of stimulation and accurate placement of recording electrodes
- Understand the principles of measuring waveforms and distances used in evoked potential studies
- Be familiar with the criteria for significant changes occurring during evoked potential recordings
- Have knowledge of the clinical correlations of evoked potential abnormalities
- Understand the concepts of near-field and far-field potentials
- Have knowledge of artifacts encountered during evoked potential studies and basic techniques for troubleshooting
- Be familiar with the concept of amplitude and latency measurements
INTRODUCTORY POLYSOMNOGRAPHY STUDIES (PSG) - Must be capable of:
5
INTRODUCTORY POLYSOMNOGRAPHY STUDIES (PSG) - Must be capable of:
5
- Recognizing sleep stages
- Understanding the montages used in polysomnography
- Initiating a technically adequate PSG by a) preparing the patient b) calibrating the patient and instrumentation c) obtaining a ten-minute baseline recording
- A basic understanding of common sleep disorders and treatment options
- Performing the multiple sleep latency test (MSLT) and the maintenance of wakefulness test (MWT)
INTRODUCTORY NERVE CONDUCTION STUDIES (NCS) - Must have knowledge and understand:
4
INTRODUCTORY NERVE CONDUCTION STUDIES (NCS) - Must have knowledge and understand:
4
- Understand the anatomy and physiology of selected muscles and nerves
- Have knowledge of neuromuscular disorders
- Understand the principles of stimulation and accurate placement of recording electrodes
- Understand the principles of measuring waveforms and distances used in routine nerve conduction studies
INTRODUCTORY INTRAOPERATIVE NEUROPHYSIOLOGICAL MONITORING (IONM) - Must have knowledge and understand:
4
INTRODUCTORY INTRAOPERATIVE NEUROPHYSIOLOGICAL MONITORING (IONM) - Must have knowledge and understand:
4
- Have knowledge of the common indications for intraoperative neurophysiological EEG, evoked potential, and neuromuscular monitoring
- Be aware of the criteria for significant changes during intraoperative monitoring
- Have a general understanding of the effects of common anesthetic agents
- Have a general understanding of the effects of physiological variables on monitoring results
INTRODUCTORY LONG-TERM MONITORING (LTM) - Must have knowledge and understand:
4
INTRODUCTORY LONG-TERM MONITORING (LTM) - Must have knowledge and understand:
4
- Understand the indications for long-term monitoring for epilepsy and basic LTM procedures including: a) ambulatory EEG b) monitoring with surface leads and intracerebral leads using video/EEG c) continuous EEG-intensive care monitoring
- Have knowledge of the instrumentation for long-term monitoring
- Have knowledge of treatment options for epilepsy;
- Recognize common seizure patterns
Related Instruction Content
Training Provider(s):
690
RI hours
Neuroanatomy and Physiology
42
Neuroanatomy and Physiology
42
Introduction to Neurodiagnostic Procedures
42
Introduction to Neurodiagnostic Procedures
42
EEG Applications
42
EEG Applications
42
EEG Pre-Clinical Preparation
66
EEG Pre-Clinical Preparation
66
Principles of EEG
14
Principles of EEG
14
Principles of Electricity and Electrical Safety
7
Principles of Electricity and Electrical Safety
7
EEG Instrumentation 1
14
EEG Instrumentation 1
14
EEG Procedures and Pathology 1
7
EEG Procedures and Pathology 1
7
EEG Instrumentation 2
14
EEG Instrumentation 2
14
EEG Quality Control
7
EEG Quality Control
7
EEG Clinical Practice 1
220
EEG Clinical Practice 1
220
EEG Clinical Practice 2
190
EEG Clinical Practice 2
190
EEG Procedures and Pathology 2
6
EEG Procedures and Pathology 2
6
EEG Procedures and Pathology 3
6
EEG Procedures and Pathology 3
6
EEG Procedures and Pathology 4
6
EEG Procedures and Pathology 4
6