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Basic Sleep Technologist
SLEEP TECHNICIAN
Introduction
Module One
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
Module Two
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
Module Three
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
Module Four
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
Module Five
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
Module Six
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
Module Seven
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
Module Eight
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
Module Nine
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
Module Ten
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
Lesson Thirty-Seven: Modification of the International 10-20 Electrode Placement System
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