ANSWERS RATED A+
✔✔An ABRET Registered technologist or Certified individual shall... - ✔✔1. Do
everything in his or her power to insure that the current Guidelines of the American
Clinical Neurophysiology Society are complied with the department in which he or she
works
2. Preserve human dignity, respect patient's rights and support the well being of the
patient under his or her care; avoid discrimination against individuals on the basis of
race, creed, religion, sex, age, and national origin.
3. Appreciate the importance of thoroughness in the performance of duty, compassion
with patients and the significance of the tasks he or she perform.
4. Preserve the confidentiality of medical and personal info of a patient.
5. Strive to remain abreast of current technology and to study and apply scientific
advances in his or her specialty. Carry out their professional work in a competent and
objective manner.
6. Abide by laws related to the profession and to general public health and safety and
avoid dishonest, unethical or illegal practices.
7. Refuse primary responsibility for interpretation of testing or monitoring of
Electroencephalograms, Evoked Potentials, NIOM, LTM, and Autonomic Nervous
System Testing for purposes of clinical diagnosis and treatment. Individuals who are
licensed or otherwise authorized by practice standards to provide interpretation are
excluded.
8. Be truthful, forthcoming, and cooperative in their dealings with ABRET.
9. Be in continuous compliance with ABRET's rules (as amended from time to time by
ABRET).
10. Respect ABRET's intellectual property rights.
✔✔Electrodes are placed after... - ✔✔measuring, marking and prepping the scalp
✔✔What system is used for EEG head measurements? - ✔✔International 10-20
System
✔✔What are advantages of the International 10-20 System? - ✔✔-Internationally
accepted standard format for placing electrodes on scalp
-anatomically proven correlatefor each electrode
-uniform spacing of electrods
-a universal system of labeling electrode locations
-comparable data for the comparison of serial EEGs
-Flexible system which provides adequate brain coverage
✔✔What are the 4 landmarks that are used for the 10-20 System? - ✔✔1. Nasion
2. Inion
3. Left Preauricualr (Above tragus)
4. Right Preauricular (Above tragus)
,✔✔Recording from newborn infants should be done using a modified electrode
placement of only... - ✔✔Fp1, Fp2, A1, A2, T3, T4, C3, C4 Cz, O1 and O2
✔✔If scalp wounds, contusions, or skull defects interfere with standard electrode
placement... - ✔✔the electrode and its corresponding homologous electrode should be
adjusted.
-Changes in the 10-20 system should be documented on EEG
✔✔The most common electrode application for uncooperative patients is... - ✔✔-
Collodion glue with conductive paste and gauze
-Most secure method for uncooperative patients for LTM or ambulatory EEG
✔✔The most common electrode application for cooperative patients is... - ✔✔-Paste
and gauze or tape method
✔✔What are commonly used electrode materials in END? - ✔✔silver/silver chloride,
gold, tine and platinum
✔✔What electrodes have superior recording properties and why? - ✔✔-Silver/silver
chloride electrodes
-it is resistant to polarization and has very good low frequency response characteristics
✔✔Per ACNS Guidelines what is the preferred method for electrodes? - ✔✔silver/silver
chloride or gold plated electrodes applied with collodion
✔✔Per ACNS Guidelines, what electrodes are discouraged? - ✔✔needle or homemade
electrodes
✔✔Per ACNS Guidelines, what should impedances be? - ✔✔Not over 5 kOhms
✔✔What happens if impedances are high and not balanced? - ✔✔-Can lead to
distortions of the EEG
-Can introduce electrical frequencies leading to 60 Hz artifact
✔✔Are very low impedances normal or abnormal? - ✔✔abnormal
✔✔What can be a cause of an abnormally low impedance? - ✔✔a salt bridge between
two electrodes
✔✔What is OSHA? - ✔✔Occupational Safety and Heal Administration
✔✔Who established OSHA? - ✔✔United States Department of Labor in 1971
, ✔✔What purpose was OSHA established for? - ✔✔-For ensuring safe work
environments for all US workers
-Creates and enforces federal laws, such as those regarding personal protective
equipment and proper cleaning/disinfection of equipment
✔✔Are OSHA regulations federal laws? - ✔✔Yes
✔✔When is hand hygiene necessary? - ✔✔-Before and after situations in which hands
are likely to become contaminated with blood, body fluid, secretions, excretions, or any
items soild with these.
✔✔Pertaining to gloves, when should hands be cleaned? - ✔✔-Before and after
wearing gloves
-Gloves are not a substitute for hand hygiene
✔✔What does PPE stand for? - ✔✔Personal Protective Equipment
✔✔What are different types of PPE? - ✔✔gloves, protective gowns, masks
✔✔When should PPE's be removed? - ✔✔Before leaving the work area, followed by
hand hygiene before touching anything
✔✔What does OSHA laws say about handrubs? - ✔✔-They are not a substiute for hand
washing and may only be used in the absence of water.
-They may not be used if hands are visibly soiled and hands must be washed ASAP.
✔✔What can be found in the material data safety sheet (MSDS)? - ✔✔Directions and
hazards regarding the disinfectants and other chemicals found in lab
✔✔What precautions should be taken to reduce skin breakdown or irritation due to EEG
electrodes? - ✔✔-Careful skin prep, being mindful not to over-abrade the skin
-Consider disposable to reduce infections due to improperly cleaned electrodes
-Pushing electrode metal onto skin should be avoided by creating a cushion of
conductive medium (paste)
-Cotton padding should be placed under the tails of electrodes on forehead and ears to
reduce pressure
-Only stretchable, breathable gauze should be used to loosely wrap the patient's head
-Skin integrity checks should be done on a regular basis to evaluate for skin breakdown
✔✔What are seizure safety and precautions? - ✔✔-Padded side rails
-Suction available
-Monitoring consciousness/mental status changes
-Turning the patient on their side and cushioning/protecting their head during a GTC
-Monitor vital signs
-Time the length of the seizure