Course Title: Perform electroencephalography (EEG)

National Element Code & Title:

HLTNE401B Perform electroencephalography (EEG)

Performance Criteria:

Utilise personal protective equipment in accordance with standard and additional precautions
Select type and number of electrodes according to client needs
Conduct head measurement to verify sites for electrode placement according to current standards and organisation policies and procedures
Complete skin preparation according to infection control guidelines and client’s needs 
Attach other monitoring equipment as required
Correctly connect required leads between interface/head box and machine
Perform pre test electrode impedance and establish integrity of electrodes and application
Adjust equipment and electrodes as required
Enter client details on testing equipment or on paper traces, as required 
Perform pre-test on machine and biological calibration

Performance Criteria:

 Perform post test electrode impedance and integrity of electrode and contact verified
Perform post test machine and biological calibration
Validate existence of the computerised file on hard drive, if required 
Identify and action abnormal EEG patterns which require immediate medical attention 
Remove EEG leads and electrodes from client and wash paste/gel off client 
Provide client with assistance as required, on completion of the procedure 
Confirm timely follow up with referring doctor for results 
Record test details for retrieval and statistical purposes according to department procedures 
Provide information to client and carer according to duty of care 
Clean equipment dry and store in accordance with manufacturer’s guidelines and infection control guidelines 
Dispose of disposable EEG electrodes and other materials in accordance with waste management procedures and infection control guidelines

Performance Criteria:

 Perform additional validation techniques
Apply techniques according to client details and annotate concurrent results on record 
Validate electrode impedance i throughout test as required 
Recognise artefacts annotate on record, and eliminate or reduce 
Identify expected waveforms related to clinical conditions and age groups 
Identify and action any abnormal EEG patterns and waveforms which require immediate attention 
Use derivations and machine settings according to test requirements, concurrent results and client needs 
Select activation procedures according to request form and client’s concurrent results/response 
Monitor client’s response to activation procedure and adapt procedure accordingly 
Add/attach further monitoring equipment and/or electrodes in response to concurrent findings 
Annotate on recording response to activation procedure and changes throughout the procedure 
Determine appropriate length of recording according to standards, medical referral and concurrent EEG results 
Identify and meet client needs during the EEG 
Identify severe reactions and complications and respond in accordance with organisation emergency procedures

Performance Criteria:

 Review client details and correct as required 
Review annotations and correct to provide accurate and concise information 
Forward technical report/results with accompanying documentation to neurologist for review or assessment and reporting

Performance Criteria:

 Ensure client receives information on access to test location and test to be attended 
Receive and process request for EEG 
Correctly identify client ,inform and reassure client regarding the procedure 
Give client/carer opportunities to ask questions and discuss areas of concern 
Check client consent has been obtained 
Review client’s medical history , seek clarification on specific details and take action as required

Performance Criteria:

 Review client booking list for client details 
Identify special needs of client 
Select equipment, materials and location for test 
Ensure equipment and materials selected are clean and dry, in working order, and, where applicable, calibrated 
Review relevant, current literature and protocols 
Arrange client booking according to organisation procedures, client needs, and reason for study