Description:

This course provides the didactic preparation that will be needed to supplement the clinical experiences of Polysomnography Clinical I. Students will develop new knowledge and skills related to patient and equipment preparation, monitoring and documentation and therapeutic interventions associated with polysomnographic procedures. 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. Prepare the patient and equipment associated with polysomnographic procedures.
2. Describe and demonstrate monitoring and documentation of polysomnographic procedures.
3. Describe the indication, contraindications, and complications associated with therapeutic interventions.
4. Describe and demonstrate the set-up, application, titration, cleaning, maintenance and troubleshooting associated with therapeutic interventions.

Content Outline & Competencies:

I. Patient and Equipment Preparation Procedures
   A. Determine which components of the medical and physical history are
necessary to recognize a sleep-related complaint in patients of all age
ranges
   B. Give examples of categories of medications and substances that have
an effect on sleep architecture and sleep-disordered breathing
   C. Verify the medical order and protocol and evaluate the
appropriateness of ordered procedures and treatments.
   D. Demonstrate the ability to gather the appropriate medical and
physical history necessary in preparing for a sleep related study
   E. Conclude which types of patients may require special precautions
   F. Give examples of routine patient safety precautions
   G. Explain the routine PSG protocols including PSG, MSLT, MWT, PAP PSG,
as applied across all age ranges
   H. Describe pre-testing, testing, and post-testing procedures to the
patient in terms appropriate for the patient’s age, physical, mental,
emotional or cognitive status.
   I. Give examples of signs and behaviors that determine the patient's
level of toleration and cooperation
   J. Describe the assessment of the patient necessary to correlate the
clinical presentation with the medical record and history.
   K. Determine electrode location for EEG, EOG, ECG, EMG across patient
age ranges and conditions
   L. Summarize the principles of site preparation and attachment of
electrodes across patient age ranges and conditions

II. Monitoring and Documentation
   A. Differentiate between an overnight PSG, a split night study and a
portable PSG
   B. Set-up a sleep montage consistent with the type of test requested.
   C. Describe and demonstrate the location and attachment of sensors and
routine ancillary equipment to the patient
   D. Summarize the indications, contraindications and limitations
associated with the use of particular types of sleep recording/monitoring
devices.
   E. Select the appropriate equipment monitors required for
practitioner-ordered testing
   F. Prepare, calibrate and adjust equipment required for testing to
assure proper function
   G. Describe the purpose and procedure for performing a bio
calibration.
   H. Verify appropriate function for each electrode and make appropriate
corrective action, as indicated.
   I. Interface electrodes, sensors, and ancillary equipment to the data
acquisition and recording system.
   J. Label recordings with appropriate demographic and study
information.
   K. Follow “lights out” procedures to establish and document
baseline values, such as body position, oxyhemoglobin saturation,
respiratory and heart rates.
   L. Identify and describe polysomnographic events and their associated
characteristics.
   M. Describe the procedure for documenting and reporting routine
observations, clinical events, changes in procedure/protocol, and other
significant events.
   N. Describe the purpose and procedure of making adjustments to the time
base on the polysomnograph signal display during the monitoring phase.
   O. Describe and demonstrate appropriate removal of electrodes and other
equipment.
   P. Describe and demonstrate proper procedure for cleaning and
maintaining sleep monitoring equipment.
   Q. Communicate and conduct post-study assessments with the patient.

III. Therapeutic Interventions
   A. Describe the purpose, contraindications and complications associated
with oxygen and PAP therapy. 
   B. Describe and demonstrate the set-up and application of oxygen and
PAP devices for sleep-related breathing disorders
   C. Describe and demonstrate titration techniques associated with the
application of oxygen and PAP devices.
   D. Describe the prominent patient care issues relating to PAP devices,
such as patient compliance and fit of masks.
   E. Describe and demonstrate the procedure for properly cleaning and
maintaining therapeutic equipment

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.