Modification History
Not Applicable
Unit Descriptor
Descriptor |
This unit of competency describes the skills and knowledge required to prepare a client for, and to perform long term EEG Monitoring (LTM) and to provide an interim report to assist the final LTM EEG report |
Application of the Unit
Application |
Work will be performed within a prescribed range of functions involving routine and non-routine methods and procedures which require the exercise of some discretion and judgement LTM EEG's usually exceed three hours recording time and are commonly conducted in hospitals and neurologists' rooms LTM EEG is usually carried out in conjunction with video and audio monitoring The purpose of LTM is to capture sufficient reported clinical events (seizures or non-seizures) for diagnosis and/or pre-surgical investigations All activities are carried out in accordance with organisation policies, procedures and infection control guidelines |
Licensing/Regulatory Information
Not Applicable
Pre-Requisites
Pre-requisite unit |
This unit must be assessed after successful achievement of pre-requisite:
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Employability Skills Information
Employability Skills |
This unit contains Employability Skills |
Elements and Performance Criteria Pre-Content
Elements define the essential outcomes of a unit of competency. |
The Performance Criteria specify the level of performance required to demonstrate achievement of the Element. Terms in italics are elaborated in the Range Statement. |
Elements and Performance Criteria
ELEMENT |
PERFORMANCE CRITERIA |
1. Prepare equipment , material and environment . |
1.1 Review client booking list for client details 1.2 Identify special needs of clients to capture clinical events 1.3 Select equipment, materials and location for test according to clinical events to capture previous routine EEG results and/or at the direction of neurologist/neurosurgeon 1.4 Ensure equipment and materials selected are clean and dry, in working order, and, where applicable, calibrated and sterilised 1.5 Review relevant, current literature and protocols 1.6 Arrange client bookings according to organisation procedures, clients' needs, reason for study and surgical operating |
2. Prepare client for procedure |
2.1 Ensure information on access to test location and test to be attended is received by client, including hospital stay requirements where necessary 2.2 Receive and process request for LTM EEG 2.3 Correctly identify the client, reassure and inform client regarding the procedure and length of stay 2.4 Give client/carer the opportunity to ask questions and discuss areas of concern 2.5 Review client's medical history , seek clarification on specific details and take action, as required 2.6 Check client consent has been obtained 2.7 Prepare diary for recording of clinical events and give instruction on recording clinical events to client/carer |
3. Attach monitoring equipment |
3.1 Utilise personal protective equipment in accordance with standard and additional precautions 3.2 Select type and number of electrodes according to client needs 3.3 Select intra-operative or depth electrodes according to client needs or surgical requirements under the guidance of the neurologist and/or neurosurgeon 3.4 Adjust camera and microphone position according to client needs, clinical event and concurrent test results where applicable 3.5 Conduct head measurement to verify sites for electrode placement according to current standards and organisation policies and procedures 3.6 Complete skin preparation according to infection control guidelines and client's needs 3.7 Attach other monitoring equipment as required 3.8 Connect correctly required leads correctly between interface/head box and machine 3.9 Connect correctly intra-operative or depth electrodes between interface/head box and machine under the guidance of the neurologist and/or neurosurgeon where applicable 3.10 Accurately label and notate intra-operative or depth electrode placement and map position on brain where applicable 3.11 Perform pre-monitoring electrode impedance and establish integrity of electrodes and application 3.12 Adjust equipment and electrodes as required 3.13 Attach devices to client safely and securely, where appropriate 3.14 Set time correlation/synchronisation between clinical and cerebral recorders 3.15 Enter client details on monitoring equipment or on long term monitoring storage devices 3.16 Perform pre monitoring on machine and biological calibration |
4. Conduct long term EEG recording |
4.1 Perform additional validation techniques 4.2 Apply techniques according to client details and annotate concurrent results on record or recording diary 4.3 Validate electrode impedance throughout recording at regular intervals 4.4 Recognise artefacts, annotate on the record or in recording diary, and eliminate or reduce 4.5 Identify and action clinical events which require immediate attention 4.6 Note clinical events in recording diary 4.7 Identify and action abnormal EEG which correlates to clinical events and requires immediate attention 4.8 Use derivations and machine settings according to test requirements, concurrent results and client needs 4.9 Select activation procedures according to request form and client's concurrent results/response 4.10 Monitor client's response to activation procedure and adapt procedure accordingly 4.11 Add/attach further monitoring equipment and/or electrodes in response to concurrent findings 4.12 Annotate on recording or record diary response to activation procedure and changes throughout the procedure 4.13 Determine appropriate length of recording according to standards, medical referral, concurrent EEG results and clinical events captured 4.14 Identify and meet client needs during the LTM EEG 4.15 Identify and respond to severe reactions and complications in accordance with organisation emergency procedures |
5. Completion of procedure |
5.1 Identify and capture sufficient number of clinical events, as directed by neurologist and/or neurosurgeon 5.2 Perform post monitoring of electrode impedance and verify integrity of electrode and contact 5.3 Perform post monitoring machine and biological calibration 5.4 Validate existence of the computerised file on hard drive and other long term data recording mediums if required 5.5 Remove EEG leads and electrodes from client and wash paste/gel off client where applicable. 5.6 Provide client with assistance as required, on completion of the procedure 5.7 Confirm timely follow up with referring doctor for results 5.8 Record monitoring details for retrieval and statistical purposes according to department procedures 5.9 Provide information to client and carer according to duty of care 5.10 Clean, dry and store equipment in accordance with manufacturer's guidelines and infection control guidelines 5.11 Dispose of disposable EEG electrodes and other materials in accordance with waste management procedures and infection control guidelines |
6. Generate report |
6.1 Review client details and correct as required 6.2 Review clinical events diary 6.3 Identify and review EEG which correlates to clinical events 6.4 Choose additional EEG samples as required 6.5 Review and correct annotations to provide accurate and concise information 6.6 Forward technical report/results with accompanying documentation and time correlations to neurologist for review or assessment and reporting |
Required Skills and Knowledge
REQUIRED SKILLS AND KNOWLEDGE |
This describes the essential skills and knowledge and their level required for this unit. |
Essential knowledge : The candidate must be able to demonstrate essential knowledge required to effectively do the task outlined in elements and performance criteria of this unit, manage the task and manage contingencies in the context of the identified work role This includes knowledge of:
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Essential skills : It is critical that the candidate demonstrate the ability to:
In addition, the candidate must be able to effectively do the task outlined in elements and performance criteria of this unit, manage the task and manage contingencies in the context of the identified work role This includes the ability to:
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Essential skills (contd ):
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Evidence Guide
EVIDENCE GUIDE |
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The evidence guide provides advice on assessment and must be read in conjunction with the Performance Criteria, Required Skills and Knowledge, the Range Statement and the Assessment Guidelines for this Training Package. |
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Critical aspects for assessment and evidence required to demonstrate this competency unit : |
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Context of and specific resources for assessment : |
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Method of assessment : |
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Access and equity considerations : |
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Range Statement
RANGE STATEMENT |
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The Range Statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance. Add any essential operating conditions that may be present with training and assessment depending on the work situation, needs of the candidate, accessibility of the item, and local industry and regional contexts. |
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Equipment and material may include : |
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Environment may include : |
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Client details may include : |
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Clients must include : |
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Client medical history may include : |
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Action in response to client's medical history may include : |
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Personal protective equipment may include : |
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Other monitoring equipment may include : |
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Integrity of electrodes must include : |
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Devices may include : |
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Long term monitoring storage devices may include : |
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Additional validation techniques must include : |
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Techniques applied must include : |
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Accessory equipment used for activation procedures must include : |
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Accessory equipment used for activation procedures may include : |
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Causes of changes throughout procedure must include : |
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Abnormal EEG patterns which require immediate medical attention must include but are not limited to : |
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Complications and severe reactions may include : |
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Information provided to client's and carer's may include : |
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Unit Sector(s)
Not Applicable