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Example Curriculum
- Lesson One: Patient Confidentiality
- Lesson Two: HIPAA, JCAHO, and NPSGs
- Lesson Three: Medical Confidentiality, Accessing Pertinent Medical Records
- Lesson Four: Informed Consent and Other Legal Issues
- Lesson Five: Sleep Center Protocols for Patient and Staff Safety
- Lesson Six: Infection control, Equipment Sterilization
- Lesson Seven: Universal Precautions / Hand Washing Protocols
- Lesson Eight: Environmental & Electrical Safety
- Lesson Nine: Fall Risk Assessment
- Lesson Ten: Hazardous Materials, Emergencies, and Responses to: A. Fire, Weather, Security, Bob Threat, & Hazmat
- Lesson Eleven: B. Cardiac/Respiratory
- Lesson Twelve: C. Patient/Visitor
- Lesson Thirteen: Emergency Responses, Physician Calls
- Lesson Fourteen: Anatomical Terms, Planes of Motion, and Basic Skeletal Anatomy
- Lesson Fifteen: Basic human anatomy
- Lesson Sixteen: Anatomical Positioning and Planes of Motion
- Lesson Seventeen: Sleep Terms and Definitions
- Lesson Eighteen: Commonly used Medical Symbols and Approved Abbreviations
- Lesson Nineteen: Medical Prefixes and Suffixes
- Lesson Twenty: Introduction to Major Muscle Groups for Monitoring
- Lesson Twenty-One: Upper and Lower Limbs
- Lesson Twenty- Two: Thoracic and Intercostal Lead Placements
- Lesson Twenty-Three: Head and Facial Lead Placements
- Exercise
- Presentation Slides
- Lesson One: Normal Human Sleep Architecture
- Lesson Two: Sleep Physiology, Sleep Cycles, and Circadian Rhythms
- Lesson Three: Sleep Latencies - Normal & Abnormal - NREM and REM
- Lesson Four: Calculation of Latencies
- Lesson Five: Reading and Understanding Sleep Histograms
- Lesson Six: Sleep Fragmentation and the Effects of EDS
- Lesson Seven: Stanford/ Swiss / Epworth Sleepiness Scales
- Lesson Eight: Sleep Pharmacology
- Lesson Nine: Impact of Medications on Sleep and Wakefulness
- Lesson Ten: Therapeutic Use in Sleep-Disordered Medicine
- Lesson Eleven: Effects of Alcohol, Caffeine, and Nicotine on Sleep
- Exercise
- Presentation Slides
- Lesson One: Basic Neuroanatomy
- Lesson Two: Brain Anatomy, Function, and the Sources of EEG Activity
- Lesson Three: Major Brain Structures and their Correlation to Sleep/Wakefulness
- Lesson Four: Neurotransmitters - Involvement with Sleep/Wakefulness
- Lesson Five: Neutrons, Synapses, Axons, and Dendrites
- Lesson Six: EEG and Waveform Morphology
- Lesson Seven: Waveform Identification
- Lesson Eight: Morphology:
- Lesson Nine: Waveform Frequency Ranges
- Lesson Ten: Identification of K-Complexes, Vertex Sharp Transients, and Sleep Spindles
- Lesson Eleven: History - R&K Manual and the New AASM Scoring Criteria
- Lesson Twelve: Identification of Sleep Onset, NREM, and REM Stages of Sleep
- Lesson Thirteen: Identification of EEG Arousals and Associated Scoring Rules
- Exercise
- Presentation Slides
- Lesson One: Respiratory and Gas Exchange
- Lesson Two: Introduction to Respiratory Anatomy and Gas Exchange
- Lesson Three: Basic Upper & Lower Respiratory Anatomy
- Lesson Four: Functions of the Adult Respiratory System
- Lesson Five: Mechanics of Breathing, Ventilation, Inspiration, and Expiration
- Lesson Six: Pulmonary Volumes and Capacities
- Lesson Seven: Gas properties and Gas Exchange
- Lesson Eight: Airflow and Respiratory Effort Monitoring
- Lesson Nine: A. Monitoring Airflow
- Lesson Ten: Thermal Sensors - Thermistors and Thermocouples
- Lesson Eleven: Nasal/Oral Airway Pressure Transducers (PTAF)
- Lesson Twelve: Capnography and End Tidal CO2 Monitoring
- Lesson Thirteen: B. Monitoring Respiratory Efforts
- Lesson Fourteen: Elastomeric, Impedance, and Inductive Plethysmography
- Lesson Fifteen: Esophageal Pressure Manometry
- Lesson Sixteen: Intercostal EMG
- Lesson Seventeen: Pulse Transit Time Monitoring
- Lesson Eighteen: Sleep Disordered Breathing & scoring of Respiratory Events
- Lesson Nineteen: A. Sleep Disordered Breathing
- Lesson Twenty: Mallampati Airway Classifications
- Lesson Twenty-One: UARS, RERAs & Snoring
- Lesson Twenty-Two: Hypopneas
- Lesson Twenty-Three: Sleep Apnea Obstructive, Central and Mixed
- Lesson Twenty-Four: Clinical Consequences of Sleep Apnea
- Lesson Twenty-Five: Paradoxical Breathing During Sleep
- Lesson Twenty-Six: Scoring Respiratory Events
- Lesson Twenty-Seven: B. Practice Session: Interactive Respiratory Event Scoring
- Lesson Twenty-Eight: C. Obesity Trends in the USA Population
- Lesson Twenty-Nine: Defining Obesity and its Impact on Health
- Lesson Thirty: Understanding Body Mass Index and Calculations
- Lesson Thirty-One: Obesity Trends - Present in Adult and Pediatric Populations
- Exercise
- Presentation Slides
- Lesson One: Sleep Disordered breathing - treatment options
- Lesson Two: A. Treatment Options for Sleep-Disordered Breathing
- Lesson Three: Positional Therapy
- Lesson Four: Weight Loss
- Lesson Five: Oral Appliances
- Lesson Six: Surgical Interventions
- Lesson Seven: Positive Airway Pressure (Gold Standard)
- Lesson Eight: B. Positive Airway Pressure Equipment
- Lesson Nine: Intro to Mask Interface Styles
- Lesson Ten: Choosing the Appropriate Interface
- Lesson Eleven: Understanding the Importance of Humidification
- Lesson Twelve: CPAP Therapy Complications
- Lesson Thirteen: Effectiveness and Long-Term Compliance Issues
- Lesson Fourteen: Importance of a Patient Follow-Up Program
- Lesson Fifteen: Positive Airway Pressure Therapy
- Lesson Sixteen: Mechanics of CPAP and Titration Protocols
- Lesson Seventeen: Indications for Bi-level Therapy and Titration Protocols
- Lesson Eighteen: Servo-Ventilation / Auto-Titration
- Lesson Nineteen: Understanding Pressure Relief and Ramping Technology
- Lesson Twenty: Techniques to Avoid Over-Titration
- Lesson Twenty-One: D. Practice Session: Assembly, Fitting, and Wearing of PAP Interfaces
- Lesson Twenty-Two: Management of Nasal Symptoms and Impact on Mask Selection
- Lesson Twenty-Three: Mechanisms of Oral Leak during Nasal CPAP and Management
- Lesson Twenty-Four: Mask-Fitting Considerations
- Lesson Twenty-Five: E. Supplemental Oxygen
- Lesson Twenty-Six: Indications and Protocols for adding Supplemental Oxygen
- Lesson Twenty-Seven: Understanding Changes in FIO2 with Supplemental O2
- Lesson Twenty-Eight: Knowledge of Equipment
- Lesson Twenty-Nine: Calculation of Oxygen Cylinder Reserves
- Lesson Thirty: O2 Safety
- Lesson Thirty-One: F. Practice Session: Setting Up Supplemental Oxygen
- Lesson Thirty-Two: Pediatric Polysomnography
- Lesson Thirty-Three: Pediatric Montages and How They Differ from Adults
- Lesson Thirty-Four: Patient and Parent Rapport
- Lesson Thirty-Five: Tips on Working with Children
- Lesson Thirty-Six: Preparation Techniques for Pediatric Patients
- Lesson Thirty-Seven: Modification of the International 10-20 Electrode Placement System
- Lesson Thirty-Eight: Scoring Pediatric Sleep Stages
- Lesson Thirty-Nine: B. Technical Specifications
- Lesson Forty: D. Scoring Stage W
- Exercise
- Presentation Slides
- Lesson One: Polysomnographic Instrumentation
- Lesson Two: Concept of Electrical Instrumentation (Part 1)
- Lesson Three: Basic Electrical Principles of Polysomnography
- Lesson Four: Understanding Analog and Digital Polysomnographic Collection
- Lesson Five: Bio-potential Sources
- Lesson Six: Understanding Impedances
- Lesson Seven: Electrical Safety
- Lesson Eight: B. Concepts of Electrical Instrumentation (Part 2)
- Lesson Nine: Differential Amplification Principles - AC & DC
- Lesson Ten: Filters - High Freq. Low Freq. and 60 Hz - Use and Abuse
- Lesson Eleven: Frequency Response Curves and Time Constants
- Lesson Twelve: Sensitivity Settings and Amplitude Calculations
- Lesson Thirteen: Understanding Impedances & Signal Polarity
- Lesson Fourteen: C. Intercom and Infrared Camera
- Lesson Fifteen: Use and Function
- Lesson Sixteen: D. Introduction to Testing Software and Computer Functions
- Lesson Seventeen: Loading Patient Data and Software Set-Up
- Lesson Eighteen: Calibration Procedures and Impedance Evaluations
- Lesson Nineteen: Digital Documentation - Tech Notes, Tags, 30 min Checks
- Lesson Twenty: Adding/Deleting Channels
- Lesson Twenty-One: Effects of Filter and Sensitivity Changes
- Lesson Twenty-Two: Report generation
- Lesson Twenty-Three: E. Practice Session: Computer Data Entry, Software Functions & Equipment
- Lesson Twenty-Four: Use
- Lesson Twenty-Five: Patient Assessment and Documentation
- Lesson Twenty-Six: Sleep Center Documents
- Lesson Twenty-Seven: Accessing History/Physical and Other Medical Information
- Lesson Twenty-Eight: Physician Montage Forms and Special Orders
- Lesson Twenty-Nine: Pre/Post Study Questionnaires
- Lesson Thirty: B. Patient Assessment for the Technician
- Lesson Thirty-One: Assessing and Management of the Difficult or Special Needs Patient
- Lesson Thirty-Two: Patient Emergency Situation
- Lesson Thirty-Three: Assessment Protocol
- Lesson Thirty-Four: Crash Cart/BLS/AED – overview
- Lesson Thirty-Five: Pain Assessment
- Lesson Thirty-Six: Recognition of Emergencies - Vital Signs/Blood Pressures / etc.
- Lesson Thirty-Seven: C. Blood Pressure Assessment
- Lesson Thirty-Eight: D. Procedure of Obtaining and Documenting Blood Pressures with Manual and Automated Equipment
- Lesson Thirty-Nine: Diastolic and Systolic Definitions
- Lesson Forty: Assessment of Abnormal Blood Pressures
- Lesson Forty-One: E. Practice Session: Obtaining Blood Pressures - Manual and Automated
- Exercise
- Presentation Slides
- Lesson One: Mathematics for Polysomnography
- Lesson Two: Epoch/Minute Conversions
- Lesson Three: Body Mass Index (BMI)
- Lesson Four: Sleep Efficiencies
- Lesson Five: Sleep Onset and REM Latencies
- Lesson Six: MSLT Sleep Latencies (Mean)
- Lesson Seven: Apnea/Hypopnea & Respiratory Disturbance Indices
- Lesson Eight: PLM and Associated EEG Arousal Indices
- Lesson Nine: B. Practice Session: PSG Math Formulas and Calculations
- Lesson Ten: Cardiovascular System and ECG Monitoring
- Lesson Eleven: A. Basic Cardiac Anatomy
- Lesson Twelve: Overview of Cardiovascular System and Associations with Sleep
- Lesson Thirteen: Arterial & Venous Circulation
- Lesson Fourteen: Chambers, valves, and Systemic Circulation
- Lesson Fifteen: Systolic and Diastolic Pressures
- Lesson Sixteen: B. Cardiac Electrophysiology
- Lesson Seventeen: Components of the Heart’s Electrical Conduction System
- Lesson Eighteen: Control of the Heart Rate and Rhythm
- Lesson Nineteen: Components of the ECG Waveform
- Lesson Twenty: ECG Electrode Placement of Polysomnography
- Lesson Twenty-One: C. Cardiac Arrhythmias
- Lesson Twenty-Two: Basic Rhythm Analysis
- Lesson Twenty-Three: Sinus Mechanisms
- Lesson Twenty-Four: Ectopic Beats
- Lesson Twenty-Five: Atrial Arrhythmias
- Lesson Twenty-Six: Ventricular Arrhythmias
- Lesson Twenty-Seven: 1st, 2nd, and 3rd Degree Heart Blocks
- Lesson Twenty-Eight: Cardiac Emergencies
- Lesson Twenty-Nine: Respiratory Anatomy and Gas Exchange – Intermediate
- Lesson Thirty: A. Pulmonary Physiology - Intermediate
- Lesson Thirty-One: Mechanical and Chemical Control of Breathing
- Lesson Thirty-Two: Ventilatory Control in REM and NREM
- Lesson Thirty-Three: Cheyne-Stokes Breathing and Congestive Heart Failure
- Lesson Thirty-Four: Disorders of the respiratory system (not sleep-related)
- Lesson Thirty-Five: COPD (Chronic Obstructive Pulmonary Disease)
- Lesson Thirty-Six: - Asthma
- Lesson Thirty-Seven: B. Chronic Bronchitis
- Lesson Thirty-Eight: Emphysema
- Lesson Thirty-Nine: Pneumonia
- Lesson Forty: Tuberculosis
- Lesson Forty-One: C. Practice Session: Identification of ECG Arrhythmias
- Lesson Forty-Two: D. Cardiopulmonary Resuscitation (CPR) Overview
- Lesson Forty-Three: CPR Basics for Adults, Children, and Infants
- Lesson Forty-Four: Patient Assessment - EMS Activation
- Lesson Forty-Five: Demonstration of Head Tilt-Chin Lift
- Lesson Forty-Six: Airway Assessment and Management - Non-invasive
- Lesson Forty-Seven: Proper Hand Placement and Compression Depth - All Ages
- Lesson Forty-Eight: Compression/Rescue Breathing Ratio - 1 & 2 Rescuer - All Ages
- Exercise
- Presentation Slides
- Lesson One: Movement Disorders
- Lesson Two: A. Restless Legs Syndrome and Periodic Limb Movement Disorder
- Lesson Three: Clinical Features and Diagnostic Criteria
- Lesson Four: “Hard to Describe” Sensations in the Legs
- Lesson Five: Associated Arousals and Sleep Fragmentation
- Lesson Six: Recording Limb Movements
- Lesson Seven: Standard and Alternative Electrode Placements
- Lesson Eight: Calculating Leg Movement Indices
- Lesson Nine: Scoring Criteria
- Lesson Ten: Pharmacology for Treating Movement Disorders
- Lesson Eleven: B. Practice Session: Electrode Placement and Interactive Scoring of PLMs
- Lesson Twelve: Leg EMG Leads
- Lesson Thirteen: C. Sleep Bruxism
- Lesson Fourteen: D. Rhythmic Movement Disorder
- Lesson Fifteen: Isolated Symptoms and Normal Variants
- Lesson Sixteen: Polysomnographic Manifestations
- Lesson Seventeen: D. Rhythmic Movement Disorder
- Lesson Eighteen: Polysomnographic Manifestations and Monitoring Techniques
- Lesson Nineteen: Narcolepsy, Seizures, and Other Parasomnias
- Lesson Twenty: A. Narcolepsy (with and without cataplexy)
- Lesson Twenty-One: Associated Features, Demographics, and Manifestations
- Lesson Twenty-Two: Onset and Complications
- Lesson Twenty-Three: The Narcolepsy Tetrad: Excessive Daytime Sleepiness – EDS
- Lesson Twenty- Four: Sleep Paralysis
- Lesson Twenty-Five: Hypnogogic Hallucinations
- Lesson Twenty-Six: Cataplexy
- Lesson Twenty-Seven: Sleep Diary
- Lesson Twenty-Eight: Treatment Options
- Lesson Twenty-Nine: MSLT and MWT Testing
- Lesson Thirty: Purpose, Protocols, and Interpretation
- Lesson Thirty-One: Associated Calculations
- Lesson Thirty-Two: D. Parasomnias
- Lesson Thirty-Three: Polysomnographic Manifestations
- Lesson Thirty-Four: Sleep Terrors
- Lesson Thirty-Five: Nightmare Disorder
- Lesson Thirty-Six: Confusion Arousals
- Lesson Thirty-Seven: REM Sleep Behavior Disorder – RBD
- Lesson Thirty-Eight: Monitoring Techniques & Technical Interventions
- Lesson Thirty-Nine: Association with REM and NREM Sleep
- Exercise
- Presentation Slides
- Lesson One: Insomnia, Circadian Rhythm, and Psychiatric Disorders
- Lesson Two: A. Insomnia
- Lesson Three: Inadequate Sleep Hygiene
- Lesson Four: Idiopathic, Behavioral, Physiological
- Lesson Five: Sleep Diary and its Role in Managing Insomnia
- Lesson Six: Difficulty in Initiating and Maintaining Sleep – DIMS
- Lesson Seven: B. Circadian Rhythm Disorders
- Lesson Eight: Circadian Rhythms Defined
- Lesson Nine: Control of the Human Circadian Clock
- Lesson Ten: Environmental Factors Impacting Circadian Rhythms
- Lesson Eleven: Advanced & Delayed Sleep Phase Disorders
- Lesson Twelve: Shift Work
- Lesson Thirteen: Sleep Hygiene
- Lesson Fourteen: Insomnia, Circadian Rhythm, and Psychiatric Disorders
- Lesson Fifteen: Safety issues Related to Sleepiness/Fatigue
- Lesson Sixteen: Coping Mechanisms
- Lesson Seventeen: C. Psychiatric and behavioral sleep disorders
- Lesson Eighteen: Psychiatric emergency response
- Lesson Nineteen: Artifact Recognition and Correction
- Lesson Twenty: A. Artifact Recognition
- Lesson Twenty-One: Sources of Artifact
- Lesson Twenty-Two: Desirable versus Undesirable Artifact
- Lesson Twenty-Three: B. Artifact Resolution
- Lesson Twenty-Four: Single Channel vs. Multi-Channel Artifact
- Lesson Twenty-Five: High and Low-Frequency Artifact Resolution
- Lesson Twenty-Six: Physiologic – Mechanical - Environmental
- Lesson Twenty-Seven: Muscle
- Lesson Twenty-Eight: o Respiratory
- Lesson Twenty-Nine: ECG Artifact
- Lesson Thirty: Sweat
- Lesson Thirty-One: Electrode popping
- Lesson Thirty-Two: Salt Bridging
- Lesson Thirty-Three: Movement
- Exercise
- Presentation Slides
- Lesson One: Performing a Routine Polysomnogram
- Lesson Two: Equipment and Supplies
- Lesson Three: Electrode Site Preparation
- Lesson Four: Tape and/or latex allergies
- Lesson Five: Development of patient rapport, setting expectations
- Lesson Six: Significance of Impedances
- Lesson Seven: C. Standardized Physiologic Bio-Calibrations
- Lesson Eight: What is Measured and Why it is Important
- Exercise
- Presentation Slides
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