RCP 645 - Sleep Medicine I

1. Describe the importance and use of information to be obtained before beginning testing
   1. Visually assess patient’s cardiopulmonary status
   2. Complete patient history and assessment forms
   3. Demonstrate proper instruction/education of patient for testing
2. Select the appropriate recording montage for the test(s) to be performed
   1. Identify indication(s) for tests to be performed
   2. Implement standing orders based on indication for testing
   3. Integrate any additional monitoring requested by ordering physician
3. Explain how to apply the appropriate sensors, transducers and ancillary equipment needed for test(s) being performed.
   1. Apply electrodes for monitoring electroencephalographic data using the 10-20 methodology
   2. Apply electrodes for monitoring electrocardiographic data
   3. Apply electrodes for electromyographic data
   4. Apply devices for monitoring ventilatory effort and airflow
   5. Apply device(s) for monitoring body position
   6. Apply devices for monitoring oxygenation and carbon dioxide removal
4. Confirm proper function of sensors and ancillary equipment.
5. Perform calibration of sensors, machine and signals
6. Assess proper function of audiovisual equipment to be used during testing
7. Demonstrate the recording of data during performance of test(s)
   1. Select appropriate amplifiers for each signal to be recorded
   2. Adjust gain for each signal
   3. Utilize filters needed to generate the best recording available
   4. Document needed information based on observations during testing
8. Identify artifacts and optimize recorded data
   1. Identify presence of artifacts during the recording of data
   2. Determine the cause of the artifact(s)
   3. Correct the condition causing the artifact
9. Discriminate serious from minor adverse clinical events the may occur during testing and explain the appropriate interventions for each class.
   1. Identify cardiac dysrhythmias
   2. Respond to those cardiac dysrhythmias that threaten life of the patient
   3. Identify other life threatening cardiopulmonary events
   4. Intervene to any identified life threatening events during testing
10. Explain how a test should be terminated.
    1. Awaken patient appropriately
    2. Reconfirm standard signal strength
    3. Remove electrodes and monitoring devices
    4. Explain the expected time frame for scoring, interpretation and reporting of results
    5. Complete any follow-up documentation
    6. Discharge person from testing
11. Demonstrate instruction of persons in the application and performance of sensors for unattended sleep testing
    1. Demonstrate application of monitoring sensors
    2. Explain the function of each of the monitors
    3. Demonstrate activation of the recorder
    4. Demonstrate indication of events with the recorder
    5. Explain how the person is to end testing
    6. Describe how equipment is to be returned
    7. Verify patient understanding by having person provide a return demonstration
12. Demonstrate proper cleaning and disinfection of sensors and ancillary equipment used for testing