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
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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