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Certified Polysomnographic Tech Checklist

WORK SETTINGS * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practi
Independent sleep lab
Hospital sleep lab
Patient home
Skilled nursing facility
WORK SETTINGS *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Independent sleep lab
Hospital sleep lab
Patient home
Skilled nursing facility
DIAGNOSTIC STUDIES *SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Multiple Sleep Latency Test (MSLT)
Maintenance of Wakefulness Test (MWT)
Overnight sleep study - Diagnostic
Overnight sleep study - Treatment
Nocturnal Penile Tumescence Monitoring
Newborn Polysomnogram
Seizure study
Split-Night Polysomnogram
Portable sleep study
Wake study
Sleepwalk study
Infant Polysomnogram
Night terror study
DIAGNOSTIC STUDIES *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Multiple Sleep Latency Test (MSLT)
Maintenance of Wakefulness Test (MWT)
Overnight sleep study - Diagnostic
Overnight sleep study - Treatment
Nocturnal Penile Tumescence Monitoring
Newborn Polysomnogram
Seizure study
Split-Night Polysomnogram
Portable sleep study
Wake study
Sleepwalk study
Infant Polysomnogram
Night terror study
PROCEDURES * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Patient preparation
Patient positioning
Patient pre-study calibration
ECG Electrode Placement
EEG Electrode Placement
Calibration
Seizure Hook-Up
Application of Thoracic and Abdominal Belts
ECG Rhythm Analysis
EEG Rhythm Analysis
Artifact Recognition
Non-invasive Ventilator Management
ABG Drawing
PROCEDURES *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Patient preparation
Patient positioning
Patient pre-study calibration
ECG Electrode Placement
EEG Electrode Placement
Calibration
Seizure Hook-Up
Application of Thoracic and Abdominal Belts
ECG Rhythm Analysis
EEG Rhythm Analysis
Artifact Recognition
Non-invasive Ventilator Management
ABG Drawing
EQUIPMENT/INSTRUMENTS * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Oximeter
Nasal cannula
Oxygen masks
Humidified oxygen
BiPAP
CPAP
Portable set-ups
Non-invasive mask fitting
Actimeter
Thermistor
Philips Respironics
Nihon Kohden
Somnomedics
ResMed
Grass Technologies
Cadwell
CareFusion BD
Natus
CleveMed
Compumedics
EQUIPMENT/INSTRUMENTS *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Oximeter
Nasal cannula
Oxygen masks
Humidified oxygen
BiPAP
CPAP
Portable set-ups
Non-invasive mask fitting
Actimeter
Thermistor
Philips Respironics
Nihon Kohden
Somnomedics
ResMed
Grass Technologies
Cadwell
CareFusion BD
Natus
CleveMed
Compumedics
MONITORING/SCORING *SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Staging sleep
Periodic Limb Movements (PLM)
Snores
Respiratory Event Related Arousal
Respiratory Disturbance Index (RDI)
Apnea Hypopnea Index (AHI)
Periodic Breathing
Cheyne-Stokes Breathing
Obstructive Sleep Apnea
Hypopnea
Sleep Log
Electrode Impedance
Seizure recognition and precaution
Transient Arousal Scoring Rules/Procedures
International 10-20 Systems
MONITORING/SCORING *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Staging sleep
Periodic Limb Movements (PLM)
Snores
Respiratory Event Related Arousal
Respiratory Disturbance Index (RDI)
Apnea Hypopnea Index (AHI)
Periodic Breathing
Cheyne-Stokes Breathing
Obstructive Sleep Apnea
Hypopnea
Sleep Log
Electrode Impedance
Seizure recognition and precaution
Transient Arousal Scoring Rules/Procedures
International 10-20 Systems
MEDICATIONS * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Bronchodilators
Respiratory depressants
Benzodiazepines
Beta-blockers
Corticosteroids
Thyroid replacement hormones
Decongestants/Antihistamines/Stimulants
Cholesterol agents
Narcotics
MEDICATIONS * FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Bronchodilators
Respiratory depressants
Benzodiazepines
Beta-blockers
Corticosteroids
Thyroid replacement hormones
Decongestants/Antihistamines/Stimulants
Cholesterol agents
Narcotics
AGE SPECIFIC COMPETENCIES *SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Newborn/Neonate (birth to 30 days)
Infant (31 days to 12 months)
Toddler (1-3 years)
Preschooler (3-5 years)
School-age children (5-12 years)
Adolescents (12-18 years)
Young adults (18-39 years)
Middle adults (39-64 years)
Older adults (64-79 years)
Elderly adults (80+ years)
AGE SPECIFIC COMPETENCIES *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Newborn/Neonate (birth to 30 days)
Infant (31 days to 12 months)
Toddler (1-3 years)
Preschooler (3-5 years)
School-age children (5-12 years)
Adolescents (12-18 years)
Young adults (18-39 years)
Middle adults (39-64 years)
Older adults (64-79 years)
Elderly adults (80+ years)