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Three Day Course Agenda (SE-101)

The Role of the Polysomnographic Technologist

The job duties of a Polysomnographic technician, technologist, and Registered Polysomnographic Technologist (RPSGT), the scope of practice, the BRPT™ Code of Conduct, HIPAA, overview of sleep disorders and requirements for board certification will be discussed.

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Overview of AASM Scoring Rules

This topic will cover the current American Academy of Sleep Medicine’s (AASM) scoring criteria for the following: Sleep stage scoring; including EEG waveform identification and classification,, Respiratory event identification and duration criteria, EEG arousal criteria, and Periodic Limb Movements in Sleep.

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Continuous Positive Airway Pressure (CPAP) and Bi-Level Positive Air Pressure (BPAP)

This topic will cover clinical indications for the use of CPAP and BPAP. Standards of practice will be discussed as well as guidelines for performing proper PAP titrations.

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International 10-20 Electrode Placement System for Sleep

An overview of the EEG placement system for sleep will be discussed as well as hands-on demonstrations and practice sessions will be performed during the course. Students will learn how to obtain all of the EEG placements. Hands-on participation is a requirement during this course whereby students will have the opportunity to measure the proper placements of the EEG sites for standard Polysomnography.

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Multiple Sleep Latency Test/Maintenance of Wakefulness Test

Standards of practice will be discussed based on the current AASM guidelines for the performance and use of the MSLT and MWT. During this course, students will have the opportunity to calculate sleep and REM latencies, mean sleep latency, when to start and stop the test and the final diagnosis based on the overall findings from these tests.

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Mathematical Computations for Generating a Polysomnographic Report

Students will be able to calculate all of the commonly used formulas such as: sleep latency, REM latency, total sleep time, time in bed, total recording time, sleep efficiency, sleep stage percentages, indices: apnea/hypopnea, RDI, PLMS, arousals, etc. A simple worksheet will be provided to students for them to decipher with the information provided and come up with the appropriate figures. Students will also learn how to read and understand what a sleep report means as well as learn the levels of severity: normal, mild, moderate, severe; based on the data provided.

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Hook-up Procedures/Mock Studies

Students will have hands-on experience hooking-up each other on Days 2 and 3, utilizing the modified 10-20 electrode placement system for sleep, inputting basic patient information on the computerized system(s), performing standardized bio-calibrations, learning how to trouble-shoot the tracing and performing Lights Out/Lights On procedures and documentation throughout the mock-study. Students will learn how to apply the nasal/oral airflow sensor, nasal/oral pressure transducer, EKG leads, leg leads, and oximeter on each other. PAP mask fitting will also be performed during the hook-up procedures.

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Two Day Scoring Course Agenda (SE-102)

Overview of AASM Scoring Rules

This topic will cover the current American Academy of Sleep Medicine’s (AASM) scoring criteria for the following: Sleep stage scoring; including EEG waveform identification and classification,, Respiratory event identification and duration criteria, EEG arousal criteria, and Periodic Limb Movements in Sleep.

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Hands-on Scoring

Students will be given opportunities to score actual polysomnograms (sleep studies) where they will be required to stage score, score respiratory events and PLMS events. Inter-rater scoring reliability will be performed after studies have been scored with immediate feedback to the students. Students will have the opportunity to generate a scored report and provide general impressions from the overall data.

NOTE: The two day scoring course is geared towards an experienced Polysomnographic technologist who has already been working in the field. This course is not ideal for those new to the field.

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One Day Registry Review Course (SE-103)

This course is geared towards individuals who are “registry eligible” and are preparing to take the registry exam in sleep. Topics to be covered are: AASM Scoring Rules, CPAP/BPAP Titration Guidelines, the International 10-20 Electrode Placement System, Overview of Filters, the Multiple Sleep Latency Test and Maintenance of Wakefulness Test, and Mathematical Computations for Generating a Polysomnographic Report.

DISCLAIMER: This review course is not affiliated with the BRPT™. Attending this course does not guarantee passing of the boards.

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Organizing a Registry Review Course in Your Area

As the only person in the field who is registered four times in sleep (RPSGT #450, RPSGT #2450, RPSGT #2990, RPSGT #3526), I’ve been doing these review courses since 1992. In order for me to do a course in your area, I would need at least six confirmed individuals. Unlike other review courses held in a fixed location, I go to you based on at least six people. Advanced notification is required. My charge per person is listed on the registration form. A sample flier is available for distribution (click here).

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One Day Lab/Center Accreditation Preparation (SE-104)

A one day mock site inspection of the sleep center will be performed. Review of the facilities Policy and Procedure Manual, inservice logs, review of patient charts as well as other lab materials will be reviewed. A detailed inspection report will be provided to the facility several days after the site inspection.

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Customized Courses

Customized courses can be tailored to your facility as long as there are at least four students. Fees will be pre-negotiated on a case-by-case basis between the Hosting Organization and Sleep Educators.