NDT 201 - EEG Instrumentation II

Module 1: Objectives (Lesson 1)

• List the minimal technical standards for performing an EEG including head measurement and electrode placement, patient information, calibration, recording channels, activation procedures, data storage etc.  
• Explain ways to incorporate the minimal standards into routine EEG recordings.

Lesson 2

• List the ACNS Guideline 1 specifications for including patient identifying information on the EEG.
• List the types of annotations that technologists should include while recording an EEG.   
• Explain techniques for determining a return to baseline after a recorded event or seizure.
• Describe methods of determining level of consciousness based on the Glasgow Coma Scale.
• Define the terms decerebrate and decorticate posturing
• Define HIPPA. 

Module 1:  Assignments

• Complete Links:

• ACNS Guideline 1-New
• Lesson 1 Reading Material
• Lesson 2 Reading Material
• Decerebrate Posture
• Decorticate Posture
• Opisthotonos
• Complete Quizzes 1 & 2
• Complete DB

Module 2:  Objectives (Lesson 3)

• Define the term “differential amplifier
• State the polarity convention rule.
• Explain the mathematical formula for calculating voltage, sensitivity and deflection of an EEG waveform.
• Explain the concept of “summation” to calculate the voltage when one amplifier input is positive, and one is negative.
• Explain the concept of “in-phase cancellation” when amplifier inputs have similar voltages.
• Define the term “common mode rejection” and explain why it is an important feature of EEG instrumentation.
• Define the terms “bipolar montage and “referential montage” and list commonly used reference montages.

Module 2:  Assignments

• Complete Links:

• ASET Presentation:  Polarity Lecture Part 1
• ASET Presentation Slides Polarity Part 1

• Complete Quiz 3
• Complete DB 2

Module 3:  Objectives

• List commonly used montages.
• Explain how electrical events and foci would be displayed on various montages.
• Recognize electrical events and foci and determine their polarity.
• Define the term “horizontal dipole”.
• Explain the polarity of the eye (cornea and retina).
• Describe the EEG display in vertical and horizontal eye movements.

Module 3:  Assignments

• Read Pgs 55-88 in “Practical Approach…”text
• Complete Links:

• ASET Presentation: Polarity Part 2 Lecture
• Presentation Slides
• Prime Electrodes
• Using T1 & T2

• Complete and Submit Assignment 1
• Complete Quiz 4
• Complete DB 3

Module 4:  Objectives

• Describe the various activation procedures used in EEG.
• List contraindications for activation procedures.
• Recognize common abnormal patterns seen during activation procedures.
• Compare and contrast photomyogenic and photoparoxysmal responses.
• Analyze the impact of EEG and Video EEG recording times, both In-Patient and Out-Patient Video EEG and Outcomes

Module 4:  Assignments

• Read Pgs 242, 245-250 & 280 in “Practical Approach…”text
• Complete Links:

• Lesson 5 Reading Material Activation Procedures
• Technical Tips Article:  Activation Procedures
• ASET Article- Hyperventilation
• ASET Article- Clinical Significance of Photic Stim
• Technical Tips Article-Alternatives to Sedation
• Technical Tips-Melatonin for Sedation
• Article: “Duration of Electroencepholographic…

• Complete Quiz 5
• Complete DB 4

Module 5:  Objectives

• Describe the special considerations and challenges associated with bedside recordings.
• Define electrocerebral inactivity (ECI) and electrocerebral silence (ECS).
• List the eleven components detailed in the ACNS guidelines for recordings in cases of suspected cerebral death.
• Name conditions which may result in temporary reversible ECI.
• Give examples of commonly encountered artifacts during ECI recordings and how to monitor them.

Module 5:  Assignments

• Read Pgs 297-300 in “Practical Approach…”
• Complete Links:

• ACNS Minimal Technical Guideline 6
• Lesson 6 Reading Material

• Complete  Quiz 6
• Complete DB 5

Module 6:  Objectives

• Define a technical description.
• List ways of analyzing wave forms to formulate a technical description.
• Explain how instrument settings may change the EEG display. 
• Discriminate between a technical description and a physician interpretation.
• Explain how patient histories may correlate with the EEG findings.

Module 6:  Assignments

• Read Pgs 171-175 in “Practical Approach…” text
• Complete Links:

• Lesson 7 Reading Material Waveform Analysis
• PPT Patient History & Possible EEG Findings
• ACNS Guidelines 7 EEG Reporting
• ASET Article:  What Doctors Expect from the Tech
• Technical Tips: Errors in EEG Interpretations

• Complete Quiz 7
• Complete and Submit Assignment 2
• Complete DB 6

Module 7:  Objectives

• List available resources to obtain best practices for Neurodiagnostic procedures.
• Describe the procedures listed in the Scope of Practice for Neurodiagnostic Technology.
• Explain the educational requirements for Neurodiagnostic Technologists.
• Describe items that should be included in a department Policy & Procedure Manual including EEG procedures, job descriptions and employee evaluation tools.
• Explain the considerations for managing patient records.
• Identify the components of a total budget.
• Explain and give examples of fixed, variable, and semi-variable costs.
• Define MSDS and list potentially hazards from chemicals used in the Neurodiagnostic Lab.
• Describe successful team building strategies.

Module 7:  Assignments

• Complete Links:

• Lesson 8 Reading Material
• ASET Scope of Practice
• ASET Statement of Professional Ethics
• EEG National Competency Skills
• ABRET Ethics & Professional Conduct
• ACNS Guidelines & Consensus Statements
• MSDS Sheets of Common Neurodiagnostic Products
• Audio Lecture-Teambuilding
• Handout for audio lecture
• Complete Quiz 8
• Complete DB 7

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 (Lesson 1)

• List the minimal technical standards for performing an EEG including head measurement and electrode placement, patient information, calibration, recording channels, activation procedures, data storage etc.  
• Explain ways to incorporate the minimal standards into routine EEG recordings.

Lesson 2

• List the ACNS Guideline 1 specifications for including patient identifying information on the EEG.
• List the types of annotations that technologists should include while recording an EEG.   
• Explain techniques for determining a return to baseline after a recorded event or seizure.
• Describe methods of determining level of consciousness based on the Glasgow Coma Scale.
• Define the terms decerebrate and decorticate posturing
• Define HIPPA. 

Module 1:  Assignments

• Complete Links:

• ACNS Guideline 1-New
• Lesson 1 Reading Material
• Lesson 2 Reading Material
• Decerebrate Posture
• Decorticate Posture
• Opisthotonos
• Complete Quizzes 1 & 2
• Complete DB

20

Module 2:  Objectives (Lesson 3)

• Define the term “differential amplifier
• State the polarity convention rule.
• Explain the mathematical formula for calculating voltage, sensitivity and deflection of an EEG waveform.
• Explain the concept of “summation” to calculate the voltage when one amplifier input is positive, and one is negative.
• Explain the concept of “in-phase cancellation” when amplifier inputs have similar voltages.
• Define the term “common mode rejection” and explain why it is an important feature of EEG instrumentation.
• Define the terms “bipolar montage and “referential montage” and list commonly used reference montages.

Module 2:  Assignments

• Complete Links:

• ASET Presentation:  Polarity Lecture Part 1
• ASET Presentation Slides Polarity Part 1

• Complete Quiz 3
• Complete DB 2

109

Module 3:  Objectives

• List commonly used montages.
• Explain how electrical events and foci would be displayed on various montages.
• Recognize electrical events and foci and determine their polarity.
• Define the term “horizontal dipole”.
• Explain the polarity of the eye (cornea and retina).
• Describe the EEG display in vertical and horizontal eye movements.

Module 3:  Assignments

• Read Pgs 55-88 in “Practical Approach…”text
• Complete Links:

• ASET Presentation: Polarity Part 2 Lecture
• Presentation Slides
• Prime Electrodes
• Using T1 & T2

• Complete and Submit Assignment 1
• Complete Quiz 4
• Complete DB 3

30

Module 4:  Objectives

• Describe the various activation procedures used in EEG.
• List contraindications for activation procedures.
• Recognize common abnormal patterns seen during activation procedures.
• Compare and contrast photomyogenic and photoparoxysmal responses.
• Analyze the impact of EEG and Video EEG recording times, both In-Patient and Out-Patient Video EEG and Outcomes

Module 4:  Assignments

• Read Pgs 242, 245-250 & 280 in “Practical Approach…”text
• Complete Links:

• Lesson 5 Reading Material Activation Procedures
• Technical Tips Article:  Activation Procedures
• ASET Article- Hyperventilation
• ASET Article- Clinical Significance of Photic Stim
• Technical Tips Article-Alternatives to Sedation
• Technical Tips-Melatonin for Sedation
• Article: “Duration of Electroencepholographic…

• Complete Quiz 5
• Complete DB 4

25

Module 5:  Objectives

• Describe the special considerations and challenges associated with bedside recordings.
• Define electrocerebral inactivity (ECI) and electrocerebral silence (ECS).
• List the eleven components detailed in the ACNS guidelines for recordings in cases of suspected cerebral death.
• Name conditions which may result in temporary reversible ECI.
• Give examples of commonly encountered artifacts during ECI recordings and how to monitor them.

Module 5:  Assignments

• Read Pgs 297-300 in “Practical Approach…”
• Complete Links:

• ACNS Minimal Technical Guideline 6
• Lesson 6 Reading Material

• Complete  Quiz 6
• Complete DB 5

64

Module 6:  Objectives

• Define a technical description.
• List ways of analyzing wave forms to formulate a technical description.
• Explain how instrument settings may change the EEG display. 
• Discriminate between a technical description and a physician interpretation.
• Explain how patient histories may correlate with the EEG findings.

Module 6:  Assignments

• Read Pgs 171-175 in “Practical Approach…” text
• Complete Links:

• Lesson 7 Reading Material Waveform Analysis
• PPT Patient History & Possible EEG Findings
• ACNS Guidelines 7 EEG Reporting
• ASET Article:  What Doctors Expect from the Tech
• Technical Tips: Errors in EEG Interpretations

• Complete Quiz 7
• Complete and Submit Assignment 2
• Complete DB 6

32

Module 7:  Objectives

• List available resources to obtain best practices for Neurodiagnostic procedures.
• Describe the procedures listed in the Scope of Practice for Neurodiagnostic Technology.
• Explain the educational requirements for Neurodiagnostic Technologists.
• Describe items that should be included in a department Policy & Procedure Manual including EEG procedures, job descriptions and employee evaluation tools.
• Explain the considerations for managing patient records.
• Identify the components of a total budget.
• Explain and give examples of fixed, variable, and semi-variable costs.
• Define MSDS and list potentially hazards from chemicals used in the Neurodiagnostic Lab.
• Describe successful team building strategies.

Module 7:  Assignments

• Complete Links:

• Lesson 8 Reading Material
• ASET Scope of Practice
• ASET Statement of Professional Ethics
• EEG National Competency Skills
• ABRET Ethics & Professional Conduct
• ACNS Guidelines & Consensus Statements
• MSDS Sheets of Common Neurodiagnostic Products
• Audio Lecture-Teambuilding
• Handout for audio lecture
• Complete Quiz 8
• Complete DB 7

190

Final Evaluation

500

Total Points