2017 – 2018
Florida Department of Education
Curriculum Framework 

Program Title:	Electroneurodiagnostic Technology
Program Type:	Career Preparatory
Career Cluster:	Health Science

PSAV	
Program Number	H170204	
CIP Number	0351090300	
Grade Level	30, 31	
Standard Length	1250 hours	
Teacher Certification	Refer to the Program Structure section.	
CTSO	HOSA: Future Health Professionals	
SOC Codes (all applicable) 	31-9099 Healthcare Support Workers, All Other
29-2099 Health Technologists and Technicians, All Other	
CTE Program Resources 	http://www.fldoe.org/academics/career-adult-edu/career-tech-edu/program-resources.stml 	
Basic Skills Level	Mathematics:	10
Language:	11
Reading:	11	

Purpose

This program offers a sequence of courses that provides coherent and rigorous content aligned with challenging academic standards and relevant technical knowledge and skills needed to prepare for further education and careers in the Health Science career cluster; provides technical skill proficiency, and includes competency-based applied learning that contributes to the academic knowledge, higher-order reasoning and problem-solving skills, work attitudes, general employability skills, technical skills, and occupation-specific skills, and knowledge of all aspects of Health Science career cluster. 

The program is designed to prepare students for employment as electroneurodiagnostic technologists or SOC 29-2099 Health Technologists & Technicians, all other.

The content includes but is not limited to recording and measurement procedures, EEG techniques, EEG patterns, EP techniques, patient safety, appropriate healthcare, communication, medical terminology, ethical and legal considerations, equipment use, instrument care, troubleshooting, neuroanatomy, neurophysiology, effects of medications on tracings, nerve conduction techniques, neuropathology, basic electronics for biomedical instrumentation, patient history taking, patient rapport, neonatal studies, using portable equipment, other neurodiagnostic procedures, electrocorticography, techniques of laboratory management, polysomnographic techniques, employability skills, electrical safety, CPR and First Aide.

Additional Information relevant to this Career and Technical Education (CTE) program is provided at the end of this document.

Program Structure

This program is a planned sequence of instruction consisting of 2 occupational completion points.

This program is comprised of courses which have been assigned course numbers in the SCNS (Statewide Course Numbering System) in accordance with Section 1007.24 (1), F.S.  Career and Technical credit shall be awarded to the student on a transcript in accordance with Section 1001.44(3)(b), F.S.

To teach the courses listed below, instructors must hold at least one of the teacher certifications indicated for that course.

The following table illustrates the postsecondary program structure:

OCP	Course Number	Course Title	Teacher Certification	Length	SOC Code	
A	HSC0003	Basic Healthcare Worker	ENCEPHALGH 7 G	90 hours	31-9099	
B	ETN0005	Electroneurodiagnostic Technologist 1		175 hours	29-2099
	
	ETN0006	Electroneurodiagnostic Technologist 2		250 hours		
	ETN0007	Electroneurodiagnostic Technologist 3		235 hours		
	ETN0008	Electroneurodiagnostic Technologist 4		250 hours		
	ETN0009	Electroneurodiagnostic Technologist 5 		250 hours		

Common Career Technical Core – Career Ready Practices

Career Ready Practices describe the career-ready skills that educators should seek to develop in their students.  These practices are not exclusive to a Career Pathway, program of study, discipline or level of education.  Career Ready Practices should be taught and reinforced in all career exploration and preparation programs with increasingly higher levels of complexity and expectation as a student advances through a program of study. 

1. Act as a responsible and contributing citizen and employee. 

2. Apply appropriate academic and technical skills. 

3. Attend to personal health and financial well-being. 

4. Communicate clearly, effectively and with reason. 

5. Consider the environmental, social and economic impacts of decisions. 

6. Demonstrate creativity and innovation. 

7. Employ valid and reliable research strategies. 

8. Utilize critical thinking to make sense of problems and persevere in solving them. 

9. Model integrity, ethical leadership and effective management. 

10. Plan education and career path aligned to personal goals. 

11. Use technology to enhance productivity. 

12. Work productively in teams while using cultural/global competence. 

Standards

After successfully completing this program, the student will be able to perform the following:

01.0	Demonstrate knowledge of the healthcare delivery system and health occupations.
02.0	Demonstrate the ability to communicate and use interpersonal skills effectively.
03.0	Demonstrate legal and ethical responsibilities.
04.0	Demonstrate an understanding of and apply wellness and disease concepts.
05.0	Recognize and practice safety and security procedures.
06.0	Recognize and respond to emergency situations.
07.0	Recognize and practice infection control procedures.
08.0	Demonstrate an understanding of information technology applications in healthcare.
09.0	Demonstrate employability skills.
10.0	Demonstrate knowledge of blood borne diseases, including HIV/AIDS.
11.0	Apply basic math and science skills. 
12.0	Communicate effectively with patients, family and other health care personnel.
13.0	Take and abstract patient histories.
14.0	Apply recording electrodes and use EEG/EP techniques.
15.0	Operate EEG equipment.
16.0	Perform personal, patient, and equipment electrical safety procedures.
17.0	Select and apply patient specific EEG techniques.
18.0	Recognize and categorize the EEG activity displayed.
19.0	Recognize, identify and/or correct artifacts.
20.0	Manage medical emergencies.
21.0	Recognize and correct instrument faults.
22.0	Debrief patients.
23.0	Demonstrate knowledge of electrocortical and depth recording procedures.
24.0	Demonstrate knowledge for performance of electrocerebral silence recording.
25.0	Prepare descriptive reports of recordings for use by the electroencephalographer.
26.0	Identify skills needed to manage an EEG laboratory.
27.0	Describe how to keep laboratory records.
28.0	Schedule appointments.
29.0	List appropriate supplies needed.
30.0	Demonstrate knowledge of (EP) evoke potential equipment operation.
31.0	Demonstrate knowledge of (NCV) nerve conduction velocity techniques.
32.0	Demonstrate knowledge of (PSG) polysomnographic techniques.
33.0	

2017 – 2018
Florida Department of Education
Student Performance Standards

Program Title:	Electroneurodiagnostic Technology
PSAV Number:	H170204

The Basic Health Care Worker (HSC0003) is referred to as the Health Science Core and is the first OCP in the majority of the PSAV health science programs. Secondary and Postsecondary students completing the health science core will not have to repeat the core in any other health science program in which it is a part.  When the recommended sequence is followed, the structure allows students to complete at specified points for employment or remain for advanced training or cross-training.

PSAV Course Number:  HSC0003
Occupational Completion Point:  A 
Basic Healthcare Worker – 90 Hours – SOC Code 31-9099	
 
To ensure consistency whenever these courses are offered, the health science core standards (1-11) have been placed in a separate document. You can access the course standards and benchmarks by visiting this link: http://www.fldoe.org/core/fileparse.php/5652/urlt/health_sci_core_psav_cc_1718.rtf 

Course Number: ETN0005
Occupational Completion Point: B
Electroneurodiagnostic Technologist 1 – 175 Hours – SOC Code 29-2099	
12.0	Communicate effectively with patients, family, and other health care personnel.--The student will be able to:	
12.01	Explain EEG procedure to patient.	
12.02	Provide attendant nursing skills for handling severely ill patients and apply emergency procedures.	
12.03	Observe patient for stability or changes in respiration, circulation, color, skin moisture, and consciousness level.	
12.04	Recognize and report symptoms of abuse and neglect.	
12.05	Demonstrate social skills and attitudes appropriate to employment in a health care facility.	
12.06	Display respect for patients regardless of race, religion, color, creed, sex, age, or diagnosis.	
12.07	Display a professional and positive attitude in dealing with patients.	
12.08	Discuss with the patient only that information already known by the patient.	
12.09	Discuss the patient's condition only when out of audible range of the patient/family and only with appropriate supervisors.	
12.10	Document the clinical condition of the patient.	
13.0	Take and abstract patient histories.--The student will be able to:	
13.01	Introduce self to patient, identify patient.	
13.02	Explain necessity for obtaining information to patient to elicit patient's cooperation within the limits of his/her physical and mental status.	
13.03	Review chart for physicians' orders, admission notes, test results, surgical procedures, nurses' notes, physical examination, progress notes and medications administered.	
13.04	Question patient for chief complaint, description and sequence of symptoms, past history, family history and note any physical defects.	
13.05	List all medications and pertinent information in appropriate places.	
13.06	Observe patient and note behavior.	
13.07	Abstract the data obtained above.	
14.0	Apply recording electrodes and use EEG/EP techniques.--The student will be able to:	
14.01	Perform head measurements.	
14.02	Apply electrodes according to the specifications of International 10-20 Electrode placement within accuracy tolerances and time limits.	
14.03	Describe electrode application, montages, and protocol for neonate recordings and electrocerebral silence study.	
14.04	Apply non cerebral monitors for EKG - EOG - EMG and/or reference recording.	
14.05	Describe and perform various methods of applications such as electrode paste, collodian, and needle electrode insertion.	
14.06	Describe special electrode procedures such as nasopharyngeal, T1/T2 placements, sphenoidal electrodes and prime electrode placements.	
14.07	Clean patient hair and scalp of all marks and preparation solutions used during the recording.	
15.0	Operate EEG equipment.--The student will be able to:	
15.01	Calibrate the EEG instrument in preparation for a procedure by aligning the pen alignment, pen spacing, time axis, electrical baseline, amplitude adjustment, mechanical baseline, measuring the pen deflection at 7mm, listing the electrode impedances, selecting the Bio Cal montage, labeling the parameters of sensitivity, high linear frequency control and low linear frequency control or time constant.	
15.02	Perform bio-calibration.	
15.03	Adjust and identify instrumentation settings used during the recording of special recordings such as electrocerebral silence procedures.	
15.04	Evaluate adequate functioning of equipment and identify different features of various commercial EEG instrumentation.	
15.05	Adjust and identify instrumentation settings used during special recordings such as, HLF, LLF, 60Hz, sensitivity, fast and slow paper speeds.	
15.06	Select and label routine montages by memory.	
15.07	Make appropriate adjustments to enhance routine recordings.	
15.08	Note behavior of patient of EEG:  position, consciousness level, movement, clinical correlation.	
15.09	Draw and describe frequency response curves and the EEG convention of polarity.	
Course Number: ETN0006
Occupational Completion Point: B
Electroneurodiagnostic Technologist 2 – 250 Hours – SOC Code 29-2099	
16.0	Perform personal, patient, and equipment electrical safety procedures.--The student will be able to:	
16.01	Direct the activities of the patient, insuring safety and comfort while maintaining a controlled environment.	
16.02	Protect equipment from harm due to cardiac defibrillation procedures, etc.	
16.03	Protect self as directed in many situations avoiding contact with live electrical wires or outlets, wear protective gear.	
16.04	Implement appropriate Joint Commission patient safety goals.	
17.0	Select and apply patient specific EEG techniques. – The student will be able to:	
17.01	Identify and describe invasive and non-invasive neurological diagnostic procedures.	
17.02	Describe the criteria and procedure for insertion of nasopharyngeals and assist with sphenoidals.	
17.03	Perform photic stimulation and describe/recognize photic evoked response, photomyoclonus and photo convulsive response.	
17.04	Monitor hyperventilation and post hyperventilation and minuses for post hyperventilation.  Describe hyperventilation findings and contraindications.	
17.05	Determine polarity of cerebral potentials and eye movements.	
17.06	Select or design montages to determine electrical field distribution of generalized and/or localized EEG abnormalities.	
17.07	Recognize the diagnostic limitations of special related procedures and the criteria for their selection.	
17.08	Calculate dosage and administer oral medication under minimal supervision.	
17.09	Perform noxious stimulation of the patient with decreased consciousness when indicated with assistance as available.	
17.10	Perform a neonatal recording and a nasopharyngeal recording.	
17.11	Describe the three modalities of EP recording.	
17.12	Describe polysomnographic recordings.	
18.0	Recognize and categorize the EEG activity displayed. – The student will be able to:	
18.01	Identify normal activity in adults and variants of age correlates.	
18.02	Describe/recognize five stages of sleep:  I, II, III, IV, and REM.	
18.03	Identify sedatives, tranquilizers, anticonvulsants, and medications for activation procedures that correlate with EEG changes.	
18.04	Recognize abnormal electrocerebral potential and interpret significance during recording procedure.	
18.05	Recognize abnormal electrocerebral potential:  focal, paroxysmal, lateralized, and generalized.	
18.06	Recognize and categorize normal and abnormal EEG patterns and artifacts and correlate these phenomena with the patient's neurological examination and diagnosis and environment, respectively.	
18.07	Review, describe, and critique tracings with clinical supervisor, EEG instructor and electroencephalographer.	
18.08	Prepare a descriptive analysis of the EEG tracing.	
18.09	Identify space occupying lesions and gross neuropathology and discuss EEG pattern correlation.	
19.0	Recognize, identify and/or correct artifacts. – The student will be able to:	
19.01	Recognize, monitor and/or eliminate physiological artifacts such as EKG, EMG, EOG, pulse and sweat.	
19.02	Recognize and eliminate instrumental artifacts such as pops and 60Hz, and equipment malfunction.	
19.03	Recognize, eliminate and/or monitor external environmental artifacts such as electrostatic interference.	
20.0	Manage medical emergencies. – The student will be able to:	
20.01	Perform CPR/BCLS - C	
20.02	Perform basic First Aid Procedures.	
20.03	Describe restraining techniques on a patient who presents a danger to self or others as directed.	
20.04	Report immediately any changes in patient's level of consciousness, respiration, circulation, or color.	

Course Number: ETN0007
Occupational Completion Point: B
Electroneurodiagnostic Technologist 3 – 235 Hours – SOC Code 29-2099	
21.0	Recognize and correct instrument faults.--The student will be able to:	
21.01	Report any malfunctioning equipment	
21.02	Perform routine care/maintenance on equipment.	
21.03	Troubleshoot, identify and correct malfunctions as described in the equipment manual.	
22.0	Debrief patients.--The student will be able to:	
22.01	Make certain that the patient has been informed about the activity/procedure performed.	
22.02	Protect/return all personal items belonging to patient that were removed in the lab (e.g., glasses, dentures, earrings, wig, toupee, barrettes) and make certain that the patient has been informed.	
22.03	Insure patient safety by using bed rails, wheel locks and safety belts.	
23.0	Demonstrate knowledge of electrocortical and depth recording procedures.--The student will be able to:	
23.01	Design montages to determine electrical field distribution of generalized and/or localized EEG abnormalities.	
23.02	State the criteria for electrocorticography and describe the EEG technologist's role during surgery.	
23.03	Describe the mechanism of neuronal function, synaptic transmission, volume conduction, cortico-thalmic projection system and neuronal basis of electrocerebral potential.	
24.0	Demonstrate knowledge for performance of electrocerebral silence recording.--The student will be able to:	
24.01	List the criteria for minimal technical standards of an electrocerebral silence (ECS) recording.	
24.02	Perform an ECS recording.	
24.03	Describe the three types of clinical evoked potentials and diagnostic function.	
25.0	Prepare descriptive reports of recordings for use by the electroencephalographer.--The student will be able to:	
25.01	Prepare technical report of each recording.	
25.02	Record all information accurately.	
25.03	Discuss patient information only with other appropriate medical personnel.	

Course Number: ETN0008
Occupational Completion Point: B
Electroneurodiagnostic Technologist 4 – 250 Hours – SOC Code 29-2099	
26.0	Identify skills needed to manage an EEG laboratory.--The student will be able to:	
26.01	Recognize and locate billing forms and computer.	
26.02	Identify and refer to procedure manual.	
26.03	Recognize reports for patient charts.	
26.04	Clean, maintain, and stock the instrument, linen supply, pedigo cart, and cabinets of the EEG laboratory every day.	
26.05	Sanitize all parts of equipment utilized:  electrodes, stethoscope ear pieces, etc.	
26.06	Identify infection control policies.	
26.07	Identify equipment/repairs as needed.	
27.0	Describe how to keep laboratory records.--The student will be able to:	
27.01	File records.	
27.02	File maintenance reports and records of equipment inspections.	
27.03	Identify employee evaluation forms and standards.	
27.04	Identify forms, recognize need for, and implement incident reports.	
28.0	Schedule appointments.--The student will be able to:	
28.01	Schedule patient appointments according to agency policies and patient requirements.	
28.02	Recognize urgency of requests for services and respond appropriately.	
28.03	Respond to STATS.	
29.0	List appropriate supplies needed.--The student will be able to:	
29.01	Identify inventory needs of a laboratory.	
29.02	Prepare mock requisition sheets.	
30.0	Demonstrate knowledge of (EP) evoke potential equipment operation.--The student will be able to:	
30.01	Describe the three modalities of EP testing.	
30.02	Apply the proper electrodes for all three modalities of EP testing.	
30.03	Recognize and describe displayed EP waveforms for all three modalities.	

Course Number: ETN0009
Occupational Completion Point: B
Electroneurodiagnostic Technologist 5 – 250 Hours – SOC Code 29-2099	
31.0	Demonstrate knowledge of (NCV) nerve conduction velocity techniques.--The student will be able to:	
31.01	Describe a typical NCV test.	
31.02	Applying proper electrodes for a median, ulner and post-tibial NCV test.	
31.03	Describe and recognize the waveforms obtained on a NCV test.	
32.0	Demonstrate knowledge of (PSG) polysomnographic techniques.--The student will be able to:	
32.01	Describe the reasons for a PSG test.	
32.02	Apply proper electrodes for a PSG test.	
32.03	Recognize and describe the different types of PSG testing.	

Additional Information

Laboratory Activities

Laboratory investigations that include scientific inquiry, research, measurement, problem solving, emerging technologies, tools and equipment, as well as, experimental, quality, and safety procedures are an integral part of this career and technical program/course. Laboratory investigations benefit all students by developing an understanding of the complexity and ambiguity of empirical work, as well as the skills required to manage, operate, calibrate and troubleshoot equipment/tools used to make observations. Students understand measurement error; and have the skills to aggregate, interpret, and present the resulting data. Equipment and supplies should be provided to enhance hands-on experiences for students.

Special Notes

The program should be approved by the Commission on Accreditation of Allied Health Education Programs (CAAHEP).  Program graduates are eligible to take the registry examination of (ABRET), the American Board of Registration of Electroencephalographic Technologists, for designation as R. EEG T.

Outcomes 01-11 are referred to as the Health Science Core and do not have to be completed if the student has previously completed the Core in another health occupations program at any level. The Core should be taken first or concurrently with the first course in the program. Following the successful completion of the core, the student is eligible to take the National Health Care Foundation Skill Standards Assessment with instructor approval and the completion of a portfolio.

This program meets the Department of Health HIV/AIDS Domestic Violence and Prevention of Medical Errors education requirements. Upon completion of this program, the instructor will provide a certificate to the student verifying that these requirements have been met.

If students in this program are seeking a licensure, certificate or registration through the Department of Health, please refer to 456.0635 F.S. for more information on disqualification for a license, certificate, or registration through the Department of Health. 

MyCareerShines is an interactive resource to assist students in identifying their ideal career and to enhance preparation for employment. Teachers are encouraged to integrate this resource into the program curriculum to meet the employability goals for each student.  Access MyCareerShines by visiting: www.mycareershines.org.

Career and Technical Student Organization (CTSO)

HOSA: Future Health Professionals is the intercurricular career and technical student organization providing leadership training and reinforcing specific career and technical skills. Career and Technical Student Organizations provide activities for students as an integral part of the instruction offered. 

Cooperative Training – OJT

On-the-job training is appropriate but not required for this program.  Whenever offered, the rules, guidelines, and requirements specified in the OJT framework apply. 

Basic Skills 

In PSAV programs offered for 450 hours or more, in accordance with Rule 6A-10.040, F.A.C., the minimum basic skills grade levels required for postsecondary adult career and technical students to complete this program are:  Mathematics 10, Language 11, and Reading 11.  These grade level numbers correspond to a grade equivalent score obtained on a state designated basic skills examination.  

Adult students with disabilities, as defined in Section 1004.02(7), Florida Statutes, may be exempted from meeting the Basic Skills requirements (Rule 6A-10.040).  Students served in exceptional student education (except gifted) as defined in s. 1003.01(3)(a), F.S., may also be exempted from meeting the Basic Skills requirement.  Each school district and Florida College must adopt a policy addressing procedures for exempting eligible students with disabilities from the Basic Skills requirement as permitted in Section 1004.91(3), F.S.

Students who possess a college degree at the Associate of Applied Science level or higher; who have completed or are exempt from the college entry-level examination; or who have passed a state, national, or industry licensure exam are exempt from meeting the Basic Skills requirement (Rule 6A-10.040, F.A.C.)  Exemptions from state, national or industry licensure are limited to the certifications listed on the Basic Skills and Licensure Exemption List which may be accessed from the CTE Program Resources page.

Accommodations

Federal and state legislation requires the provision of accommodations for students with disabilities to meet individual needs and ensure equal access. Postsecondary students with disabilities must self-identify, present documentation, request accommodations if needed, and develop a plan with their counselor and/or instructors. Accommodations received in postsecondary education may differ from those received in secondary education. Accommodations change the way the student is instructed. Students with disabilities may need accommodations in such areas as instructional methods and materials, assignments and assessments, time demands and schedules, learning environment, assistive technology and special communication systems. Documentation of the accommodations requested and provided should be maintained in a confidential file.

Note: postsecondary curriculum and regulated secondary programs cannot be modified.

Additional Resources

For additional information regarding articulation agreements, Bright Futures Scholarships, Fine Arts/Practical Arts Credit and Equivalent Mathematics and Equally Rigorous Science Courses please refer to:
http://www.fldoe.org/academics/career-adult-edu/career-tech-edu/program-resources.stml