Competency Checklist
Electroneurophysiology procedures
The procedures, as identified, should accurately reflect the experiences of the applicant. Those items achieved at a level of ‘competence’ indicate that the applicant has demonstrated, through independent actions, the orderly progression of tasks required to achieve accurate diagnostic data within a reasonable standard of time, for a variety of patient cases. Those identified as N/A may require orientation within the Alberta clinical setting.
To complete the checklist:
1. indicate the date when the procedure was last performed
2. indicate whether competence was demonstrated or whether the particular procedure was not applicable to the area of clinical practice.
3. obtain supervisor validation for the checklist entries.
Procedure/Study
Standard Recordings
Screen for contraindications, including hyperventilation and photic stimulation.
Measure and mark head using International 10/20
Electrode Placement System on neonate.
Measure and mark head using International 10/20
Electrode Placement System on child.
Measure and mark head using International 10/20
Electrode Placement System on adult.
Utilize alternate, standardized measurement and placement systems as required
Identify and mark site for system reference and ground electrode placement
Identify sites for placement of electrooculogram (EOG) electrodes
Identify sites for placement of electrocardiogram (ECG) electrodes
Maintain electrical safety for patient
Apply electrodes using conductive paste
Apply electrodes using collodion
Verify electrode impedances are between 100 and 5000 ohms during recording
Utilize bipolar and referential montages for optimal recording
Date last performed (mm/dd/yyyy)
Competent N/A
Procedure/Study
Choose digital sampling rate for optimal recording
Utilize sensitivity, filter and time base setting for optimal recording
Obtains a minimum 20-minute recording, not including activation procedures
Perform eye opening/closing protocol
Perform hyperventilation protocol
Perform photic stimulation protocol
Perform spontaneous sleep protocol
Perform sleep deprived protocol.
Adapt recording procedures for neonatal and pediatric patients
Adapt recording procedures for in-patients
Adapt recording procedures for ECS recording
Perform reactivity tests (i.e., auditory, visual, somatosensory, and painful stimulation) for patients with impaired levels of consciousness
Identify and monitor physiological and nonphysiological artefacts, correct as appropriate
Customization & Adaptation of Recordings
Create and modify montages for optimal recording
Adapt procedures based on patient physical, physiological and psychological presentation
Adapt procedures for continuous or long-term monitoring
Interpretation & Analysis - General
Prepare technical analysis with description and localization of waveforms
Date last performed (mm/dd/yyyy)
Interpretation and Analysis: Recognize Critical Abnormalities
Identify ECG changes
Annotate EEG with events occurring during procedure
Identify electrocerebral silence
Interpretation and Analysis: Adapt Analysis Affected by Medications
Identify the effects of medication on the EEG
Annotate medications in recording documents
Interpretation and Analysis: Adapt Analysis Affected by Clinical Conditions
Autoimmune disorder
Cerebral structural abnormality
Cerebral vascular disease/injury
Dementia
Drug toxicity
Edema
Encephalopathy
Epilepsy syndrome
Head injury
Involuntary movement
Level of consciousness
Metabolic disorder
Migraine
Psychogenic non-epileptic event
Procedure/Study
Psychosis
Seizure disorder
Skull and/or facial asymmetry, deformity, or anomaly
Space occupying lesion
Post Study Procedures – Electrode Removal
Disinfect non-disposable surface electrodes, supplies and equipment
Dispose used electrodes per clinical site policy
Post Study Procedures – Processing Data
Archive and store digital records
Equipment Operation
Verify standard filter and sensitivity settings for control operation
Ensure quality control for leakage current is performed
Date last performed (mm/dd/yyyy)
Competent N/A Supervisor Validation
Applicant Name: Date: ______________________________
Supervisor Name:
Supervisor Signature: __________________
Supervisor Contact Info:
Email: : Phone Number: ____________________ February 2024