Description:

This course will introduce the bio-potential electrophysiologic, polysomnographic, and ancillary equipment involved in patient assessment and the conducting of sleep studies. The basic principles, set up, operation, maintenance, cleaning and troubleshooting will be emphasized. 6 hrs. integrated lecture lab./wk.

Supplies: Refer to the instructor's course syllabus for details about any supplies that may be required.

Textbook(s): For information see - http://bookstore.jccc.net

Course Fees: NONE

Course Objectives:

Upon successful completion of this course the student should be able to:

1. Describe the function, features and adjunct equipment options of the bio-potential electrophysiologic, polysomnographic, therapeutic intervention and ancillary equipment involved in patient assessment and the conducting of sleep studies.
2. Demonstrate the ability to set up, check for correct function, and troubleshoot as indicated, the bio-potential electrophysiologic, polysomnographic, therapeutic intervention and ancillary equipment involved in patient assessment and the conducting of sleep studies.
3. Describe the cleaning, disinfecting and sterilizing methods used with the bio-potential electrophysiologic, polysomnographic, therapeutic intervention and ancillary equipment and methods used to evaluate the effectiveness of these techniques.
4. Describe issues regarding safe use of bio-potential electrophysiologic, polysomnographic, therapeutic intervention and ancillary equipment, to include equipment selection, preventive maintenance, quality improvement and practitioner competency.

Content Outline & Competencies:

I. Bio-Potential Eletrophysiologic Equipment
   A. Explain the principles of electrical conduction, grounding,
polarity, frequency, voltage, and impedance as they relate to sleep
diagnostics.
   B. Explain the principles of sensitivity, amplitude, filters, and
common mode rejection as they relate to sleep diagnostics.
   C. Summarize the process of measuring the electromechanical functions
of the human body, including extra-cellular potentials created by cardiac,
brain, muscle, and integumentary cells
   D. Explain the principles of the function and handling of electrodes,
electrolytic substances and fixatives
   E. Explain the frequency and voltage characteristics of EEG, EOG, EMG,
and ECG
   F. Explain impedance measurements and impedance meters
   G. Describe and demonstrate proper measurement and placement of EEG
electrode sites according to the International 10-20 system.
   H. Describe the cleaning, disinfecting and sterilizing methods used and
methods used to evaluate the effectiveness of these techniques.
   I. Describe issues regarding safe use of equipment, to include
equipment selection, preventive maintenance, quality improvement and
practitioner competency.

II. Polysomnographic Instrumentation
   A. Prepare sample montages indicating the channel derivation and how
they differ for referential and bipolar recordings
   B. Explain signal calibration, electrical baseline, and mechanical
baseline
   C. Discuss the origins of artifact and artifact elimination
   D. Summarize the effect of different time bases on the PSG signal
display
   E. Explain the principles of operation for amplifiers, transducers,
airflow sensors, respiratory and abdominal effort sensors, snore sensors,
position sensors, capnometers, and oximeters as they related to sleep
diagnostics.
   F. Give examples of interfacing devices with the acquisition system
   G. Discuss the impact of sampling rate, Nyquist theory (Shannon’s
sampling theorem), aliasing, horizontal/vertical resolution and screen
size on signal display quality
   H. Give examples of methods of data storage and retrieval
   I. Describe the cleaning, disinfecting and sterilizing methods used and
methods used to evaluate the effectiveness of these techniques.
   J. Describe issues regarding safe use of equipment, to include
equipment selection, preventive maintenance, quality improvement and
practitioner competency.

III. Ancillary Equipment
   A. Distinguish the variety of ancillary equipment devices used in
polysomnography and their principles of operation, including capnometers,
esophageal pressure monitors, audio-visual equipment, esophageal pH
meters, actigraphy, audiovisual equipment, and extended EEG
   B. Choose ancillary equipment with respect to various contexts
(referring diagnoses, patient characteristics, and PSG protocols)
   C. Connect ancillary equipment to the acquisition system according to
hardware and software specifications, and to the patient in a manner
appropriate to the patient (re: age, gender, medical & psychological
conditions)
   D. Differentiate normal vs. abnormal, or erroneous vs. true data
recorded by ancillary equipment 
   E. Recommend amplifier parameters for ancillary equipment, appropriate
to various contexts (patient's medical history/condition, polysomnographic
events and artifacts)
   F. Describe the cleaning, disinfecting and sterilizing methods used and
methods used to evaluate the effectiveness of these techniques.
   G. Describe issues regarding safe use of equipment, to include
equipment selection, preventive maintenance, quality improvement and
practitioner competency.

IV. Therapeutic Intervention Equipment
   A. Explain the principles of oxygen and PAP theory and application,
including calibrating the devices with the acquisition system
   B. Select supplemental oxygen therapy and PAP protocols and equipment
according to various contexts (patient indications and contraindications,
as well as polysomnography evidence thereof)
   C. Manipulate oxygen and PAP titration protocols according to various
contexts (pressure modality, polysomnographic indicators, side effects,
patient history indications and contraindications)
   D. Describe the cleaning, disinfecting and sterilizing methods used and
methods used to evaluate the effectiveness of these techniques.
   E. Describe issues regarding safe use of equipment, to include
equipment selection, preventive maintenance, quality improvement and
practitioner competency.

Methods of Evaluation of Competencies:

Evaluation of student mastery of course competencies will be accomplished using the following methods:

Written examinations	70-90% of total grade
Assignments		10-30% of total grade
Lab Competencies 	Satisfactory on Satisfactory/Needing Improvement
evaluation by the instructor

Grading Scale:
A  =   92-100%  	
B  =   83-91%  	
C  =   75-82%*	
D  =   67-74%	
F  =    0 - 66%

*minimum required to continue in program

Caveats:

1. Students are expected to comply with the JCCC Student Code of Conduct as detailed in the JCCC College Catalog. Failure to comply may result in a faculty decision regarding program promotion and constitute a reason to fail the course.
2. A grade of “C” or better is required for the course for program promotion to subsequent polysomnography course work.
3. Students will need basic word processing and Internet skills for the completion of some papers, exercises and projects.

Disabilities:

If you are a student with a disability, and if you will be requesting accommodations, it is your responsibility to contact Access Services. Access Services will recommend any appropriate accommodations to your professor and his/her director. The professor and director will identify for you which accommodations will be arranged.

JCCC provides a range of services to allow persons with disabilities to participate in educational programs and activities. If you desire support services, contact the office of Access Services for Students With Disabilities (913) 469-8500, ext. 3521 or TDD (913) 469-3885. The Access Services office is located in the Success Center on the second floor of the Student Center.