Perform intra-operative neurophysiology monitoring

Formats and tools

Unit Description
Reconstruct the unit from the xml and display it as an HTML page.
Assessment Tool
an assessor resource that builds a framework for writing an assessment tool
Assessment Template
generate a spreadsheet for marking this unit in a classroom environment. Put student names in the top row and check them off as they demonstrate competenece for each of the unit's elements and performance criteria.
Assessment Matrix
a slightly different format than the assessment template. A spreadsheet with unit names, elements and performance criteria in separate columns. Put assessment names in column headings to track which performance criteria each one covers. Good for ensuring that you've covered every one of the performance criteria with your assessment instrument (all assessement tools together).
Wiki Markup
mark up the unit in a wiki markup codes, ready to copy and paste into a wiki page. The output will work in most wikis but is designed to work particularly well as a Wikiversity learning project.
Evidence Guide
create an evidence guide for workplace assessment and RPL applicants
Competency Mapping Template
Unit of Competency Mapping – Information for Teachers/Assessors – Information for Learners. A template for developing assessments for a unit, which will help you to create valid, fair and reliable assessments for the unit, ready to give to trainers and students
Observation Checklist
create an observation checklist for workplace assessment and RPL applicants. This is similar to the evidence guide above, but a little shorter and friendlier on your printer. You will also need to create a seperate Assessor Marking Guide for guidelines on gathering evidence and a list of key points for each activity observed using the unit's range statement, required skills and evidence required (see the unit's html page for details)

Self Assessment Survey
A form for students to assess thier current skill levels against each of the unit's performance criteria. Cut and paste into a web document or print and distribute in hard copy.
Moodle Outcomes
Create a csv file of the unit's performance criteria to import into a moodle course as outcomes, ready to associate with each of your assignments. Here's a quick 'how to' for importing these into moodle 2.x
Registered Training Organisations
Trying to find someone to train or assess you? This link lists all the RTOs that are currently registered to deliver HLTNE606D, 'Perform intra-operative neurophysiology monitoring'.
Google Links
links to google searches, with filtering in place to maximise the usefulness of the returned results
Books
Reference books for 'Perform intra-operative neurophysiology monitoring' on fishpond.com.au. This online store has a huge range of books, pretty reasonable prices, free delivery in Australia *and* they give a small commission to ntisthis.com for every purchase, so go nuts :)


Elements and Performance Criteria

ELEMENT

PERFORMANCE CRITERIA

1. Prepare equipment, material and environment

1.1 Review client booking list is reviewed for client details

1.2 Identify special needs of clients

1.3 Select equipment, materials and location for test

1.4 Ensure equipment and materials selected are clean and dry, in working order, and, where applicable, calibrated

1.5 Clean and prepare equipment surfaces accordingly for entering the theatre environment

1.6 Review relevant, current literature and protocols

1.7 Arrange client bookings according to surgeons operative list

1.8 Firmly label electrodes at both ends

1.9 Identify in consultation with operating room staff the optimal positioning of equipment, cables and leads to achieve minimal electrical interference

2. Prepare client for pre-operative test procedure

2.1 Ensure information on access to test location and test to be attended is received by client

2.2 Receive and process request for baseline pre-operative test

2.3 Correctly identify client is correctly identified, reassure and inform client regarding the pre-operative test procedure and of the involvement of the neurophysiology testing during their operative procedure

2.4 Give client/carer the opportunity to ask questions and discuss areas of concern

2.5 Check client consent has been obtained

2.6 Review the client's medical history, seek clarification on specific details and take appropriate action, as required

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 and test procedure

3.3 Conduct head measurement to verify sites for electrode placement according to current standards and organisation policies and procedures and confirm with neurologist requests for any additional routine electrodes

3.4 Apply non-routine electrodes according to neurologists advice or inserted by neurologist or surgeon

3.5 Complete skin preparation according to infection control guidelines and client's needs

3.6 Attach other monitoring equipment as required

3.7 Correctly connect required leads between interface/head box and machine

3.8 Perform pre test for electrode impedance and establish integrity of electrodes and application

3.9 Adjust equipment and electrodes as required

3.10 Enter client details on testing equipment or on paper traces, as required

3.11 Perform pre test on machine and biological calibration

4. Conduct intraoperative recording

4.1 Perform additional validation techniques

4.2 Apply techniques according to client details and annotate concurrent results on record

4.3 Validate electrode impedance throughout test as required

4.4 Recognise artefacts, annotate on the record, and eliminate or reduce

4.5 Document other variables originating or being recorded in the theatre environment on the test if appropriate

4.6 Document artefacts created by the theatre environment and cease recording as required

4.7 Identify expected waveforms related to clinical conditions and age groups

4.8 Identify abnormal patterns and waveforms which require immediate attention and inform neurologist and surgeon

4.9 Use derivations and machine settings according to test requirements, concurrent results and client needs

4.10 Add/attach further monitoring equipment and/or electrodes in response to concurrent findings under the guidance of the surgeon

4.11 Annotate on recording response to activation procedure and changes throughout the procedure

4.12 Determine appropriate length of recording under the guidance of the neurologist or surgeon and concurrent test results.

4.13 Identify and meet surgeon's needs during the test procedure relevant to obtaining maximal accuracy

4.14 Identify and respond to severe reactions and complications in accordance with organisation emergency procedures

5. Completion of procedure

5.1 Perform post test electrode impedance and verify integrity of electrode and contact

5.2 Perform post test machine and biological calibration performed

5.3 Validate existence of the computerised file validated on hard drive, if required

5.4 Remove electrodes from client and wash paste/gel/glue off client at completion of procedure

5.5 Record test details for retrieval and statistical purposes according to department procedures

5.6 Provide information to client and carer according to duty of care

5.7 Clean, dry and store equipment in accordance with manufacturer's guidelines and infection control guidelines

5.8 Dispose of disposable electrodes and other materials in accordance with waste management procedures and infection control guidelines

6. Generate report

6.1 Review and correct client details as required

6.2 Review and correct annotations to provide accurate and concise information

6.3 Forward technical report/results with accompanying documentation to neurologist for review or assessment and reporting


Qualifications and Skillsets

HLTNE606D appears in the following qualifications:

  • HLT60812 - Advanced Diploma of Neurophysiology Technology