NDT 102 - EEG Applications

Points Possible

Module Assignments

Due Date

30

Module 1:  Objectives

• Explain the importance of the International 10/20 System as a standard method of electrode placement.
• Correctly identify each of the anatomical landmarks used to measure a head for the International 10/20 system
• List the name of each electrode (electrode nomenclature) location designated in the 10/20 system
• Identify locations using correct labeling of electrode sites.

Module 1:  Assignments

• Complete ASET Links:

• Lesson 1 Intro to the International 10/20
• Exercise 1 Print & Practice-submit in Canvas (this is Assignment 1)
• Exercise 2 Electrode Location Click & Drag
• Exercise 3 Electrode Locations
• Exercise 4 Electrode Locations (newer nomenclature)

• Complete ASET Quiz

45

Module 2:  Objectives

• Measure the head according to the steps identified in the International 10/20 System.
• Identify bony landmarks of the skull.
• Identify correct electrode sites using labeling exercises.
• Demonstrate knowledge by accurately measuring a mannequin head.

Module 2:  Assignments

• Complete ASET Links:

• ASET Head Measurement Video
• Step-by-Step Measuring Handout
• Lesson 2:  Step-by-Step Measuring Instructions

• Complete Assignment 2-Submit in Canvas
• Complete ASET Quiz

10

Module 3:  Objectives

• Describe the measurement technique for T1 and T2 electrodes
• Explain new nomenclature for specific 10/20 system electrodes, including T7, T8 and P7, P8
• Identify the electrode names for the expanded 10/10 system
• Explain how to modify electrode locations to accommodate skull defects, swelling, wounds and I.Vs.
• Describe special montages to incorporate the double interelectrode distance mandated for the recording of EEG recordings to determine electrocerebral silence (ECS) /electrocerebral inactivity (ECI).

Module 3:  Assignments

• Complete ASET Links:

• Lesson 3 Head Diagram
• ACNS Guidelines #5
• Lesson 3 Modifications to the International 10/20
• Electrode Nomenclature

• Complete ASET Quiz

10

Module 4:  Objectives

• Explain why it is necessary to gain skills through repeated measuring and electrode application practice. 
• Explain why accurate electrode placement is important for accurate EEG interpretation.
• Describe the steps used to document electrode distances on the electrode measurement form.     

Module 4:  Assignments

• Complete ASET Links:

• Lesson 4 Checking Marks
• How to Check Measurements Slide Presentation
• Video Demonstration (both)
• Complete ASET Quiz

50

Module 5:  Objectives

• Explain important patient preparation education instructions to ensure that the head is properly cleaned and prepared for lead placement
• Describe the method of lowering impedances using skin prep products.
• Explain the importance of balanced, low impedances when applying electrodes
• Identify signs of unbalanced electrode impedances and electrodes that are not securely attached.
• Describe techniques to ensure that electrodes remain secure in the presence of patient movement.

Module 5:  Assignments

• Complete ASET Links:

• Lesson 5 Patient Instructions & Skin Prep
• Anatomy of the skin
• Complete ASET Quiz
• Complete Assignment 3- Submit in Canvas

10

Module 6: Objectives

• List the consequences of skin breakdown from lead placement.
• Describe successful techniques to minimize skin breakdown.
• Describe method of identifying and rating pressure ulcers.

Module 6:  Assignments

• Complete ASET Links:

• ASET Position Statement on Skin Safety During EEG Procedures
• Recording of ASET Symposium
• Article:  Skin Surface, Electrodes, and the Recording of Neural Events
• Article:  Electrode Safety in Pediatric Prolonged EEG Recordings
• Power Point:  Preventing Skin Breakdown
• F.L.E.S.H. Scale

• Complete ASET Quiz

45

Module 7:  Objectives

• List the various electrode application techniques and the advantages and disadvantages of each method of placement.
• Describe the method of lowering impedances using skin prep products.
• Describe paste application technique, using paste covered with gauze squares.
• Describe collodion application technique, using an air compressor to dry the collodion-saturated gauze.
• Describe the method of securing electrodes and list concerns and risk factors to be considered when applying electrodes.
• List the chemical compound that makes up collodion, and the standard safety recommendations when handling collodion.

Module 7:  Assignments

• Complete ASET Links:

• ASET Electrode Application Video
• Lesson 7 Application Methods
• Article:  Collodion and Acetone Hazards, MSDS and You.

• Complete ASET Quiz
• Complete Assignment 4-Submit in Canvas

10

Module 8:  Objectives

• List the various electrode application techniques and the advantages and disadvantages of each method of placement.
• Describe a variety of common electrode types including silver and gold disks, subdermal, ECog etc.
• Explain how to select electrodes to ensure an artifact-free recording
• Explain the concept of common mode rejection and the relationship between electrodes, CMRR and an artifact-free recording

Module 8:  Assignments

• Complete ASET Links:

• Lesson 8 Electrode Types
• Lesson 8 Electrode Considerations
• Complete ASET Quiz

45

Module 9:  Objectives

• Describe the considerations and accommodations needed for electrode applications on pediatric patients.  
• Explain ways on how to improve patient cooperation for pediatric populations.

Module 9:  Assignments

• Complete ASET Links:

• Lesson 9:  Pediatric Measurement & Application
• Complete ASET Quiz
• Complete Assignment 5-Submit in Canvas

10

Module 10:  Objectives

• Describe ways to avoid common measurement errors. 
• Explain the connection between electrode nomenclature, recording montages and common patterns.  

Module 10:  Assignments

• Complete ASET Links:

• Lesson 10 Pitfalls & Common Measurement Errors
• Intro to EEG, montages & common patterns
• Complete ASET Quiz

35

Module 11:  Objectives

• Define disinfection.
• Describe the difference between cleaning, disinfection and sterilization.
   
• List the steps necessary for proper electrode disinfection.
• List the appropriate resources for Infection Prevention Information for the Neurodiagnostic Lab.

Module 11:  Assignments

• Complete ASET Links:

• ASET Article:  Detection of Occult Blood on Electrodes
• Electrode Disinfection PPT
• Electrode Disinfection Handout
• Hep B Outbreak Investigation
• It’s a Bugs Life
• Disposable Electrodes
• Complete ASET Quiz
• Complete Assignment 6-Submit in Canvas

200

Final Evaluation

500

Total Points

Methods of Instruction
Course discussions are supplemented with visual supports such as PowerPoint Presentations, video demonstrations, and web links. The instructor will also be available for online discussion and questions during their office hours. These times will vary throughout the week in order to accommodate the students’ various schedules. See the course calendar for specific times and dates.

Grading Scale

91-100%     =  4.0   Excellent

86-90.9%    =  3.5

81-85.9%    =  3.0   Good

76-80.9%    =  2.5   Satisfactory and Passing

71-75.9%    =  2.0   Not Passing

66-70.9%    =  1.5

60-65.9%    =  1.0

0-59.9%      =  0.0 

Points Possible

Module Assignments

Due Date

30

Module 1:  Objectives

• Explain the importance of the International 10/20 System as a standard method of electrode placement.
• Correctly identify each of the anatomical landmarks used to measure a head for the International 10/20 system
• List the name of each electrode (electrode nomenclature) location designated in the 10/20 system
• Identify locations using correct labeling of electrode sites.

Module 1:  Assignments

• Complete ASET Links:

• Lesson 1 Intro to the International 10/20
• Exercise 1 Print & Practice-submit in Canvas (this is Assignment 1)
• Exercise 2 Electrode Location Click & Drag
• Exercise 3 Electrode Locations
• Exercise 4 Electrode Locations (newer nomenclature)

• Complete ASET Quiz

45

Module 2:  Objectives

• Measure the head according to the steps identified in the International 10/20 System.
• Identify bony landmarks of the skull.
• Identify correct electrode sites using labeling exercises.
• Demonstrate knowledge by accurately measuring a mannequin head.

Module 2:  Assignments

• Complete ASET Links:

• ASET Head Measurement Video
• Step-by-Step Measuring Handout
• Lesson 2:  Step-by-Step Measuring Instructions

• Complete Assignment 2-Submit in Canvas
• Complete ASET Quiz

10

Module 3:  Objectives

• Describe the measurement technique for T1 and T2 electrodes
• Explain new nomenclature for specific 10/20 system electrodes, including T7, T8 and P7, P8
• Identify the electrode names for the expanded 10/10 system
• Explain how to modify electrode locations to accommodate skull defects, swelling, wounds and I.Vs.
• Describe special montages to incorporate the double interelectrode distance mandated for the recording of EEG recordings to determine electrocerebral silence (ECS) /electrocerebral inactivity (ECI).

Module 3:  Assignments

• Complete ASET Links:

• Lesson 3 Head Diagram
• ACNS Guidelines #5
• Lesson 3 Modifications to the International 10/20
• Electrode Nomenclature

• Complete ASET Quiz

10

Module 4:  Objectives

• Explain why it is necessary to gain skills through repeated measuring and electrode application practice. 
• Explain why accurate electrode placement is important for accurate EEG interpretation.
• Describe the steps used to document electrode distances on the electrode measurement form.     

Module 4:  Assignments

• Complete ASET Links:

• Lesson 4 Checking Marks
• How to Check Measurements Slide Presentation
• Video Demonstration (both)
• Complete ASET Quiz

50

Module 5:  Objectives

• Explain important patient preparation education instructions to ensure that the head is properly cleaned and prepared for lead placement
• Describe the method of lowering impedances using skin prep products.
• Explain the importance of balanced, low impedances when applying electrodes
• Identify signs of unbalanced electrode impedances and electrodes that are not securely attached.
• Describe techniques to ensure that electrodes remain secure in the presence of patient movement.

Module 5:  Assignments

• Complete ASET Links:

• Lesson 5 Patient Instructions & Skin Prep
• Anatomy of the skin
• Complete ASET Quiz
• Complete Assignment 3- Submit in Canvas

10

Module 6: Objectives

• List the consequences of skin breakdown from lead placement.
• Describe successful techniques to minimize skin breakdown.
• Describe method of identifying and rating pressure ulcers.

Module 6:  Assignments

• Complete ASET Links:

• ASET Position Statement on Skin Safety During EEG Procedures
• Recording of ASET Symposium
• Article:  Skin Surface, Electrodes, and the Recording of Neural Events
• Article:  Electrode Safety in Pediatric Prolonged EEG Recordings
• Power Point:  Preventing Skin Breakdown
• F.L.E.S.H. Scale

• Complete ASET Quiz

45

Module 7:  Objectives

• List the various electrode application techniques and the advantages and disadvantages of each method of placement.
• Describe the method of lowering impedances using skin prep products.
• Describe paste application technique, using paste covered with gauze squares.
• Describe collodion application technique, using an air compressor to dry the collodion-saturated gauze.
• Describe the method of securing electrodes and list concerns and risk factors to be considered when applying electrodes.
• List the chemical compound that makes up collodion, and the standard safety recommendations when handling collodion.

Module 7:  Assignments

• Complete ASET Links:

• ASET Electrode Application Video
• Lesson 7 Application Methods
• Article:  Collodion and Acetone Hazards, MSDS and You.

• Complete ASET Quiz
• Complete Assignment 4-Submit in Canvas

10

Module 8:  Objectives

• List the various electrode application techniques and the advantages and disadvantages of each method of placement.
• Describe a variety of common electrode types including silver and gold disks, subdermal, ECog etc.
• Explain how to select electrodes to ensure an artifact-free recording
• Explain the concept of common mode rejection and the relationship between electrodes, CMRR and an artifact-free recording

Module 8:  Assignments

• Complete ASET Links:

• Lesson 8 Electrode Types
• Lesson 8 Electrode Considerations
• Complete ASET Quiz

45

Module 9:  Objectives

• Describe the considerations and accommodations needed for electrode applications on pediatric patients.  
• Explain ways on how to improve patient cooperation for pediatric populations.

Module 9:  Assignments

• Complete ASET Links:

• Lesson 9:  Pediatric Measurement & Application
• Complete ASET Quiz
• Complete Assignment 5-Submit in Canvas

10

Module 10:  Objectives

• Describe ways to avoid common measurement errors. 
• Explain the connection between electrode nomenclature, recording montages and common patterns.  

Module 10:  Assignments

• Complete ASET Links:

• Lesson 10 Pitfalls & Common Measurement Errors
• Intro to EEG, montages & common patterns
• Complete ASET Quiz

35

Module 11:  Objectives

• Define disinfection.
• Describe the difference between cleaning, disinfection and sterilization.
   
• List the steps necessary for proper electrode disinfection.
• List the appropriate resources for Infection Prevention Information for the Neurodiagnostic Lab.

Module 11:  Assignments

• Complete ASET Links:

• ASET Article:  Detection of Occult Blood on Electrodes
• Electrode Disinfection PPT
• Electrode Disinfection Handout
• Hep B Outbreak Investigation
• It’s a Bugs Life
• Disposable Electrodes
• Complete ASET Quiz
• Complete Assignment 6-Submit in Canvas

200

Final Evaluation

500

Total Points