Google links for HLTNE607D - Perform long term electroencephalography (EEG) monitoring



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

Critical aspects for assessment and evidence required to demonstrate this competency unit	The individual being assessed must provide evidence of specified essential knowledge as well as skills Where for reasons of safety space or access to equipment and resources assessment takes place away from the workplace the assessment environment should represent workplace conditions as closely as possible Consistency of performance should be demonstrated over the required range of situations relevant to the workplace

Context of and specific resources for assessment	Relevant organisation policy guidelines procedures and protocols

Method of assessment	Clinical skills involving direct client care are to be assessed initially in a simulated clinical setting laboratory If successful a second assessment is to be conducted during workplace application under direct supervision Observation of work activities when performing long term electroencephalography EEG monitoring Observation of simulation andor role play when performing long term electroencephalography EEG monitoring Discussion of physical andor behavioural contingency scenarios involving duty of care Authenticated transcripts of relevant educationtraining courses Recognition of relevant lifework experience Questioning written assessmentsprojects elearning can be used to assess knowledge Authenticated reports of experience in performing long term electroencephalography EEG monitoring Documentation associated with performance reviews supervisorcoordinator evaluations of work performance Training records associated with First Aid OH Safety training OrientationInduction Training Safe Manual Handing Universal infection control procedures Case study and scenario as a basis for discussion of issues and strategies to contribute to best practice

Access and equity considerations	All workers in the health industry should be aware of access and equity issues in relation to their own area of work All workers should develop their ability to work in a culturally diverse environment In recognition of particular health issues facing Aboriginal and Torres Strait Islander communities workers should be aware of cultural historical and current issues impacting on health of Aboriginal and Torres Strait Islander people Assessors and trainers must take into account relevant access and equity issues in particular relating to factors impacting on health of Aboriginal andor Torres Strait Islander clients and communities

Range Statement



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.

Equipment and material may include:	LTM EEG device, including cable or radio telemetry and ambulatory monitoring with or without audio and video recorders. Time correlation between Video/audio and EEG recorder EEG machine; digital, analogue, portable, standard Polygraphic equipment; ECG, EMG, EOG machines, respiration, movement and tremor monitors Electrodes eg caps, disc, mushroom, needle, intra-operative or depth electrodes Head box Photic stimulator and strobe light Chair Bed Additional - accessories, toys, other stimuli Gels and Electrode pastes Tape measure Video cassette recorder and camera Audio recorder and microphone Resuscitation equipment

Environment may include:	Neurophysiology department Wards (short and long term stays) Operating theatre Private Neurologist's rooms Intensive care units Radiology department

Client details may include:	Referral letter/request Reason for study/referral Medical history Address and telephone number Date of birth and age Medications Client's presenting condition Date of test Date of previous test In care client/out of care client Clients' expectations Test requested Referring doctor address and telephone number

Clients must include:	Neonates Infants Children Adolescents Adults Elderly

Client medical history may include:	Event/s leading to referral Cardiac disorder Respiratory disorder Vascular disorder Neurological disorder Infectious diseases Epilepsy type and frequency, and time/date of last seizure Psychiatric and behavioural disorders Developmental disorder Metabolic disorder Medications

Action in response to client's medical history may include:	Omission of activation procedure/s Additional activation procedure Alteration of EEG procedure time Reduction of medication only under the instruction of the Neurologist/Neurosurgeon

Personal protective equipment may include:	Gloves Mask Goggles Gown

Other monitoring equipment may include:	ECG monitor Respiration Actogram EMG Oximetry Movement sensors Audio recorder

Integrity of electrodes must include:	Ground Reference Active

Devices may include:	Headbox Microphone
Long term monitoring storage devices may include:	Cassette recorder tapes Compact discs Optical discs Recording diary

Additional validation techniques must include:	Touch test (of electrodes) Exchange electrodes Replace electrodes Low, and of similar value, impedances

Techniques applied must include:	Montages Derivations Sensitivity Filter Display speed Activations Time synchronisation between Video and EEG recorder

Accessory equipment used for activation procedures must include:	Photic stimulator and strobe light

Accessory equipment used for activation procedures may include:	Sleeping accessories, bed, covers, pillows, conducive environment Blowing implements Strobe light Pattern stimulator Reading material Other - as appropriate to client history

Causes of changes throughout procedure must include:	Clinical events EEG findings Equipment Environmental Client's physiological and psychological state Anaesthetic levels or sedation

Abnormal EEG patterns which require immediate medical attention must include but are not limited to:	Continuous spiking or spike and wave Hypsarrhythmic EEG Frequent sub clinical seizure pattern Status epilepticus EEG finding consistent with infectious or reportable diseases/conditions eg Herpes Encephalitis, Creutzfeldt Jakob Disease (CJD) or CJD variant Burst suppression and /or isoelectric EEG Unilateral abnormality

Complications and severe reactions may include:	Seizure Cardio-respiratory arrest

Information provided to client's and carer's may include:	Client event recording diary Appropriate follow up period with referring doctor to obtain results Risks of injury to client following procedure i.e. following sedation and/or sleep deprivation or reduced medication and prior to follow up with Neurologist i.e. driving, swimming, riding bicycles, bathing

NTIS this!

HLTNE607D - Perform long term electroencephalography (EEG) monitoring

Google Links

Elements and Performance Criteria

Required Skills

Evidence Required

Range Statement