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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: | EEG machine; digital, analogue, portable, standard, video and audioPolygraphic equipment; ECG, EMG, EOG machines, respiration, movement and tremor monitorsElectrodes eg caps, disc, mushroomHead boxChairBedAdditional - accessories, toys, other stimuliGels and Electrode pastesTape measureVideo cassette recorder and camera with audioResuscitation equipmentCPAP machineMonitoring equipment including monitors for TCO2, SaO2, sound, body position |
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Environment may include: | Neurophysiology departmentWards Sleep LaboratoriesPrivate Neurologist's roomsIntensive care units |
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Client details may include: | Referral letter/requestReason for study/referralMedical historyAddress and telephone numberDate of birth and ageMedicationsClient's presenting conditionSleep patternsDate of testDate of previous testIn care client/out of care clientClients' expectationsTest requestedReferring doctor address and telephone number |
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Clients may include: | AdultsChildrenNeonatesAdolescentsElderly |
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Client medical history may include: | Event/s leading to referralSleep disorder Current sleep patternsCardiac disorderRespiratory disorderVascular disorderNeurological disorderInfectious diseasesEpilepsy type and frequency, and date of last seizurePsychiatric and behavioural disordersDevelopmental disorderMetabolic disorderMedications |
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Action in response to client's medical history may include: | Use of various additional recording devices including: CPAP machine, TCO2 monitors, etc. Varied activation procedure or disturbancesAlteration of Test procedure timeWaking the client |
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Personal protective equipment may include: | GlovesMaskGogglesGown |
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Positioning of monitoring equipment for other physiological measurement may include: | Respiratory i.e. diaphragm, nasal, oralEMG |
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Other monitoring equipment may include: | ECG monitorRespirationActogramEMGOximetryMovement sensorsCPAP machineTCO2 monitor |
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Integrity of electrodes must include: | GroundReferenceActiveRespiration thermistors or equivalentRespiration straps OximetryMovement SensorsCPAP machineTCO2 monitor |
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Additional validation techniques must include: | Touch test (of electrodes) Exchange electrodes Replace electrodesLow, and of similar value, impedancesAmplifier calibration for DC and ACContinuous monitoring of CPAPContinuous viewing of the sleep study in progress |
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Techniques applied must include: | MontagesDerivationsSensitivityFilterDisplay speedActivations |
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Sleep states and staging must include: | WakeREM and REM onsetNon-REM, including stages I, II, III, IVSleep onset |
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Physiological parameters may include: | RespirationECGOxygen saturationActogramEMG |
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Causes of changes throughout procedure must include: | EEG findings ECG findingsRespiration findingsSaO2 findingsTCO2 findingsEMG findingsClinical eventsEquipment EnvironmentalClient's physiological and psychological state |
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Abnormal patterns which require immediate medical attention must include: | Continuous spiking or spike and waveHypsarrhythmic EEGFrequent sub clinical seizure patternStatus epilepticusEEG finding consistent with infectious or reportable diseases/conditions eg Herpes Encephalitis, Creutzfeldt Jakob Disease (CJD) or CJD variantBurst suppression and /or isoelectric EEGUnilateral abnormalityAny other conditions which may endanger the health and well being of the client, particularly if not expected prior to recording or indicated on the referral letterOther abnormalities that may be identified on the ECG, respiration or SaO2 channels or other recording devices |
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Complications and severe reactions may include: | SeizureCardio-respiratory arrest |
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Information provided to client's and carer's may include: | Appropriate follow up period with referring doctor to obtain resultsRisks of injury to client following procedure ie. if overtired, or if have ceased medication for test etc.How to clean the hair etc. appropriately to remove all glues/pastes. |
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