Description:

This course is the clinical application of entry-level sleep related diagnosis and treatment. Students will have the opportunity to work with patients under close supervision to further develop their skill and understanding of basic polysomnographic procedures. Enrollment in certain courses may require a professional liability fee of $16.00. Students will be notified via their JCCC student e-mail account if the fee is due and instructions on how to pay the fee. 24 hrs. clinic/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. Gather and analyze the appropriate patient care data to develop or determine the appropriateness of the requested protocol or procedure.
2. Assess and orient patients in preparation for polysomnographic procedures.
3. Gather, prepare, set-up, calibrate, and check for proper function the appropriate equipment necessary for the requested protocol or procedure.
4. Monitor, document, and respond to events and conditions associated with the polysomnographic procedure or protocol.
5. Determine and implement appropriate therapeutic interventions.
6. Demonstrate personal behaviors consistent with professional and employer expectations, to include dependable attendance and punctuality, appropriate professional appearance and preparedness, positive interaction skills, adaptability to interruptions and participation in continuing education activities.
7. Identify and integrate logistical approaches to improve timing, efficiency and decision making without compromise to patient care in completing assigned activities.

Content Outline & Competencies:

I. Patient Chart Review
   A. Verify the medical order and protocol
   B. Assess the history, physical information, medications, procedure
request, and study protocol to determine completeness and
appropriateness.
   C. Determine special precautions related to infection control and other
patient-specific factors
   D. Recognize and clarify unclear, inappropriate, or contradictory
orders. 

II. Patient Assessment and Orientation Techniques
   A. Obtain and review the sleep history and pre-sleep questionnaires
   B. 	Confirm patient’s medications and identify caffeine or alcohol
intake
   C. Assess and respond to the patient's special needs (age, cognitive
level, physical or emotional discomfort, ability to cooperate, etc.)
   D. Recognize and anticipate any special testing considerations or
medical interventions that may be needed based on patient assessment.
   E. Explain pre-testing, testing and post-testing procedures to a
patient in terms appropriate for the patient’s age and mental or
cognitive status
   F. Orient the patient to the sleep center, including their sleep room
and bathroom/changing area and where to access food, water, and medication
storage
   G. Orient the patient to their preparation/testing schedule based on
the physician's orders

III. Prepare, Organize and Apply Necessary Equipment and Monitors
   A. Determine, gather and prepare the necessary equipment and supplies
needed to conduct the specified study or protocol.
   B. Correctly measure, apply and connect electrodes, sensors and
monitors based on patient specific order/procedure and
internationally-accepted standards
   C. Check for proper function and appropriate signal according to
accepted standards
   D. Interface electrodes and ancillary equipment to data acquisition and
recording system.
   E. Label recording with patient demographic information, study
information, sleep location and technologist identification
   F. Set up a correct montage based on patient orders/procedure and
verify that proper filter and sensitivity settings are selected
   G. Calibrate all necessary equipment for the procedure as ordered
   H. Implement equipment and physiologic (bio)calibrations
   I. Verify proper electrode impedance values and signal quality of all
channels
   J. Adjust equipment to achieve proper function and report deviations
from the ordered procedure

VI. Monitoring and Documentation
   A. Monitor and document events, including:
         a. lights out/on, out of bed, body positions, and PAP pressures
         b. patient heart rate, respiratory rate and pattern, and Sp02
values
         c. patient behaviors: snoring, vocalizations, movements,
complaints, etc.
         d. manipulations and adjustments of amplifier settings and
deviations, equipment malfunctions and corrective actions
         e. parameters that ensure the integrity and quality of the
recording
         f. interventions and treatments
   B. Distinguish between EEG patterns to accurately document sleep onset
and sleep stages
   C. Adjust and document conditions of the testing environment required
for optimal recording quality and patient comfort
   D. Recognize events and determine appropriate action
   E. Differentiate artifact from expected signal
   F. Administer a post-sleep questionnaire
   G. Maintain accurate and timely documentation
   H. Score and generate reports

V. Therapeutic Interventions
   A. Determine appropriate therapeutic interventions in response to
events
   B. Recognize complications and contraindications of prescribed
therapeutic interventions
   C. Orient and prepare patient for the therapeutic intervention.
   D. Assemble, apply, titrate and troubleshoot, as indicated the applied
therapeutic interventions.

VI. Professional Standards and Patient Safety and Emergency Procedures
   A. Comply with the BRPT Standards of Conduct
   B. Follow laboratory and procedural protocols, guidelines, and
standards regarding safety and infection control issues
   C. Demonstrate effective written, non-verbal and verbal communication
skills
   D. Maintain a professional demeanor and interactions at all times with
staff, supervisor, patients and other health care professional
   E. Maintain professional responsibilities as it relates to attendance,
punctuality, appearance, conduct and continuing education activities.
   F. Recognize personal limitations and demonstrate ability to follow
directions
   G. Recognize and respond to patient safety and emergency situations
   H. Demonstrate proper techniques for infection control
   I. Integrate logistical approaches to improve timing, efficiency, and
decision making without compromise to patient care in completing assigned
activities.

Methods of Evaluation of Competencies:

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

Performance				        60-75%
Case Presentations and project assignments	10-20%
Professional habits and attitudes		10-20%

Grade Criteria:

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

*minimum required to continue in program

Caveats:

1. Students will have provided proof of health conducive to being in a health care environment. In addition, drug screening and other requirements may be imposed by clinical agencies. Students are responsible for any and all costs related to their health care or other imposed requirements.
2. Students will need to provide their own transportation to and from scheduled clinical activities.
3. 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.
4. Students are expected to comply with the appearance, attendance and other program policies described in the Program Administrative Guideline Handbook.
5. A grade of “C” or better is required for the course for program promotion to subsequent polysomnography course work.
6. 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.