Unit of competency Outline
Date retreived
22/07/2026 1:43 PM AWST
22/07/2026 1:43 PM AWST
Whilst all efforts are made to provide accurate and timely information from the relevant source/documentation, please be aware that the information supplied may not be the most current version. The accuracy of the detail has not been confirmed by the Department and therefore should not be relied upon without first confirming the contents.
Perform long term electroencephalography (EEG) monitoring
Perform long term electroencephalography (EEG) monitoring
Unit of competency
National Code
HLTNE607D
HLTNE607D
State Code
WD222
WD222
TGA Status
Deleted
Deleted
DTWD Status
Deleted
Deleted
State Implementation and Classification
Approved Date
08/08/2014
Field of Education
060301 - General Nursing
Original Release Date
08/08/2014
Nominal Hours
100
Description
DescriptorThis unit of competency describes the skills and knowledge required to prepare a client for, and to perform long term EEG Monitoring (LTM) and to provide an interim report to assist the final LTM EEG report
Notes
Elements and Performance Criteria
1. Prepare equipment, material and environment.
- 1.1 Review client booking list for client details
- 1.2 Identify special needs of clients to capture clinical events
- 1.3 Select equipment, materials and location for test according to clinical events to capture previous routine EEG results and/or at the direction of neurologist/neurosurgeon
- 1.4 Ensure equipment and materials selected are clean and dry, in working order, and, where applicable, calibrated and sterilised
- 1.5 Review relevant, current literature and protocols
- 1.6 Arrange client bookings according to organisation procedures, clients' needs, reason for study and surgical operating
2. Prepare client for procedure
- 2.1 Ensure information on access to test location and test to be attended is received by client, including hospital stay requirements where necessary
- 2.2 Receive and process request for LTM EEG
- 2.3 Correctly identify the client, reassure and inform client regarding the procedure and length of stay
- 2.4 Give client/carer the opportunity to ask questions and discuss areas of concern
- 2.5 Review client's medical history, seek clarification on specific details and take action, as required
- 2.6 Check client consent has been obtained
- 2.7 Prepare diary for recording of clinical events and give instruction on recording clinical events to client/carer
3. Attach monitoring equipment
- 3.1 Utilise personal protective equipment in accordance with standard and additional precautions
- 3.2 Select type and number of electrodes according to client needs
- 3.3 Select intra-operative or depth electrodes according to client needs or surgical requirements under the guidance of the neurologist and/or neurosurgeon
- 3.4 Adjust camera and microphone position according to client needs, clinical event and concurrent test results where applicable
- 3.5 Conduct head measurement to verify sites for electrode placement according to current standards and organisation policies and procedures
- 3.6 Complete skin preparation according to infection control guidelines and client's needs
- 3.7 Attach other monitoring equipment as required
- 3.8 Connect correctly required leads correctly between interface/head box and machine
- 3.9 Connect correctly intra-operative or depth electrodes between interface/head box and machine under the guidance of the neurologist and/or neurosurgeon where applicable
- 3.10 Accurately label and notate intra-operative or depth electrode placement and map position on brain where applicable
- 3.11 Perform pre-monitoring electrode impedance and establish integrity of electrodes and application
- 3.12 Adjust equipment and electrodes as required
- 3.13 Attach devices to client safely and securely, where appropriate
- 3.14 Set time correlation/synchronisation between clinical and cerebral recorders
- 3.15 Enter client details on monitoring equipment or on long term monitoring storage devices
- 3.16 Perform pre monitoring on machine and biological calibration
4. Conduct long term EEG recording
- 4.1 Perform additional validation techniques
- 4.2 Apply techniques according to client details and annotate concurrent results on record or recording diary
- 4.3 Validate electrode impedance throughout recording at regular intervals
- 4.4 Recognise artefacts, annotate on the record or in recording diary, and eliminate or reduce
- 4.5 Identify and action clinical events which require immediate attention
- 4.6 Note clinical events in recording diary
- 4.7 Identify and action abnormal EEG which correlates to clinical events and requires immediate attention
- 4.8 Use derivations and machine settings according to test requirements, concurrent results and client needs
- 4.9 Select activation procedures according to request form and client's concurrent results/response
- 4.10 Monitor client's response to activation procedure and adapt procedure accordingly
- 4.11 Add/attach further monitoring equipment and/or electrodes in response to concurrent findings
- 4.12 Annotate on recording or record diary response to activation procedure and changes throughout the procedure
- 4.13 Determine appropriate length of recording according to standards, medical referral, concurrent EEG results and clinical events captured
- 4.14 Identify and meet client needs during the LTM EEG
- 4.15 Identify and respond to severe reactions and complications in accordance with organisation emergency procedures
5. Completion of procedure
- 5.1 Identify and capture sufficient number of clinical events, as directed by neurologist and/or neurosurgeon
- 5.2 Perform post monitoring of electrode impedance and verify integrity of electrode and contact
- 5.3 Perform post monitoring machine and biological calibration
- 5.4 Validate existence of the computerised file on hard drive and other long term data recording mediums if required
- 5.5 Remove EEG leads and electrodes from client and wash paste/gel off client where applicable.
- 5.6 Provide client with assistance as required, on completion of the procedure
- 5.7 Confirm timely follow up with referring doctor for results
- 5.8 Record monitoring details for retrieval and statistical purposes according to department procedures
- 5.9 Provide information to client and carer according to duty of care
- 5.10 Clean, dry and store equipment in accordance with manufacturer's guidelines and infection control guidelines
- 5.11 Dispose of disposable EEG electrodes and other materials in accordance with waste management procedures and infection control guidelines
6. Generate report
- 6.1 Review client details and correct as required
- 6.2 Review clinical events diary
- 6.3 Identify and review EEG which correlates to clinical events
- 6.4 Choose additional EEG samples as required
- 6.5 Review and correct annotations to provide accurate and concise information
- 6.6 Forward technical report/results with accompanying documentation and time correlations to neurologist for review or assessment and reporting
RANGE STATEMENT
The Range Statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance. Add any essential operating conditions that may be present with training and assessment depending on the work situation, needs of the candidate, accessibility of the item, and local industry and regional contexts.
Equipment and material may include:
LTM EEG device, including cable or radio telemetry and ambulatory monitoring with or without audio and video recorders.
Time correlation between Video/audio and EEG recorder
EEG machine; digital, analogue, portable, standard
Polygraphic equipment; ECG, EMG, EOG machines, respiration, movement and tremor monitors
Electrodes eg caps, disc, mushroom, needle, intra-operative or depth electrodes
Head box
Photic stimulator and strobe light
Chair
Bed
Additional - accessories, toys, other stimuli
Gels and Electrode pastes
Tape measure
Video cassette recorder and camera
Audio recorder and microphone
Resuscitation equipment
Environment may include:
Neurophysiology department
Wards (short and long term stays)
Operating theatre
Private Neurologist's rooms
Intensive care units
Radiology department
Client details may include:
Referral letter/request
Reason for study/referral
Medical history
Address and telephone number
Date of birth and age
Medications
Client's presenting condition
Date of test
Date of previous test
In care client/out of care client
Clients' expectations
Test requested
Referring doctor address and telephone number
Clients must include:
Neonates
Infants
Children
Adolescents
Adults
Elderly
Client medical history may include:
Event/s leading to referral
Cardiac disorder
Respiratory disorder
Vascular disorder
Neurological disorder
Infectious diseases
Epilepsy type and frequency, and time/date of last seizure
Psychiatric and behavioural disorders
Developmental disorder
Metabolic disorder
Medications
Action in response to client's medical history may include:
Omission of activation procedure/s
Additional activation procedure
Alteration of EEG procedure time
Reduction of medication only under the instruction of the Neurologist/Neurosurgeon
Personal protective equipment may include:
Gloves
Mask
Goggles
Gown
Other monitoring equipment may include:
ECG monitor
Respiration
Actogram
EMG
Oximetry
Movement sensors
Audio recorder
Integrity of electrodes must include:
Ground
Reference
Active
Devices may include:
Headbox
Microphone
Long term monitoring storage devices may include:
Cassette recorder tapes
Compact discs
Optical discs
Recording diary
Additional validation techniques must include:
Touch test (of electrodes)
Exchange electrodes
Replace electrodes
Low, and of similar value, impedances
Techniques applied must include:
Montages
Derivations
Sensitivity
Filter
Display speed
Activations
Time synchronisation between Video and EEG recorder
Accessory equipment used for activation procedures must include:
Photic stimulator and strobe light
Accessory equipment used for activation procedures may include:
Sleeping accessories, bed, covers, pillows, conducive environment
Blowing implements
Strobe light
Pattern stimulator
Reading material
Other - as appropriate to client history
Causes of changes throughout procedure must include:
Clinical events
EEG findings
Equipment
Environmental
Client's physiological and psychological state
Anaesthetic levels or sedation
Abnormal EEG patterns which require immediate medical attention must include but are not limited to:
Continuous spiking or spike and wave
Hypsarrhythmic EEG
Frequent sub clinical seizure pattern
Status epilepticus
EEG finding consistent with infectious or reportable diseases/conditions eg Herpes Encephalitis, Creutzfeldt Jakob Disease (CJD) or CJD variant
Burst suppression and /or isoelectric EEG
Unilateral abnormality
Complications and severe reactions may include:
Seizure
Cardio-respiratory arrest
Information provided to client's and carer's may include:
Client event recording diary
Appropriate follow up period with referring doctor to obtain results
Risks of injury to client following procedure i.e. following sedation and/or sleep deprivation or reduced medication and prior to follow up with Neurologist i.e. driving, swimming, riding bicycles, bathing
The Range Statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance. Add any essential operating conditions that may be present with training and assessment depending on the work situation, needs of the candidate, accessibility of the item, and local industry and regional contexts.
Equipment and material may include:
LTM EEG device, including cable or radio telemetry and ambulatory monitoring with or without audio and video recorders.
Time correlation between Video/audio and EEG recorder
EEG machine; digital, analogue, portable, standard
Polygraphic equipment; ECG, EMG, EOG machines, respiration, movement and tremor monitors
Electrodes eg caps, disc, mushroom, needle, intra-operative or depth electrodes
Head box
Photic stimulator and strobe light
Chair
Bed
Additional - accessories, toys, other stimuli
Gels and Electrode pastes
Tape measure
Video cassette recorder and camera
Audio recorder and microphone
Resuscitation equipment
Environment may include:
Neurophysiology department
Wards (short and long term stays)
Operating theatre
Private Neurologist's rooms
Intensive care units
Radiology department
Client details may include:
Referral letter/request
Reason for study/referral
Medical history
Address and telephone number
Date of birth and age
Medications
Client's presenting condition
Date of test
Date of previous test
In care client/out of care client
Clients' expectations
Test requested
Referring doctor address and telephone number
Clients must include:
Neonates
Infants
Children
Adolescents
Adults
Elderly
Client medical history may include:
Event/s leading to referral
Cardiac disorder
Respiratory disorder
Vascular disorder
Neurological disorder
Infectious diseases
Epilepsy type and frequency, and time/date of last seizure
Psychiatric and behavioural disorders
Developmental disorder
Metabolic disorder
Medications
Action in response to client's medical history may include:
Omission of activation procedure/s
Additional activation procedure
Alteration of EEG procedure time
Reduction of medication only under the instruction of the Neurologist/Neurosurgeon
Personal protective equipment may include:
Gloves
Mask
Goggles
Gown
Other monitoring equipment may include:
ECG monitor
Respiration
Actogram
EMG
Oximetry
Movement sensors
Audio recorder
Integrity of electrodes must include:
Ground
Reference
Active
Devices may include:
Headbox
Microphone
Long term monitoring storage devices may include:
Cassette recorder tapes
Compact discs
Optical discs
Recording diary
Additional validation techniques must include:
Touch test (of electrodes)
Exchange electrodes
Replace electrodes
Low, and of similar value, impedances
Techniques applied must include:
Montages
Derivations
Sensitivity
Filter
Display speed
Activations
Time synchronisation between Video and EEG recorder
Accessory equipment used for activation procedures must include:
Photic stimulator and strobe light
Accessory equipment used for activation procedures may include:
Sleeping accessories, bed, covers, pillows, conducive environment
Blowing implements
Strobe light
Pattern stimulator
Reading material
Other - as appropriate to client history
Causes of changes throughout procedure must include:
Clinical events
EEG findings
Equipment
Environmental
Client's physiological and psychological state
Anaesthetic levels or sedation
Abnormal EEG patterns which require immediate medical attention must include but are not limited to:
Continuous spiking or spike and wave
Hypsarrhythmic EEG
Frequent sub clinical seizure pattern
Status epilepticus
EEG finding consistent with infectious or reportable diseases/conditions eg Herpes Encephalitis, Creutzfeldt Jakob Disease (CJD) or CJD variant
Burst suppression and /or isoelectric EEG
Unilateral abnormality
Complications and severe reactions may include:
Seizure
Cardio-respiratory arrest
Information provided to client's and carer's may include:
Client event recording diary
Appropriate follow up period with referring doctor to obtain results
Risks of injury to client following procedure i.e. following sedation and/or sleep deprivation or reduced medication and prior to follow up with Neurologist i.e. driving, swimming, riding bicycles, bathing
EVIDENCE GUIDE
The evidence guide provides advice on assessment and must be read in conjunction with the Performance Criteria, Required Skills and Knowledge, the Range Statement and the Assessment Guidelines for this Training Package.
Critical aspects for assessment and evidence required to demonstrate this competency unit:
The individual being assessed must provide evidence of specified essential knowledge as well as skills
Where, for reasons of safety, space, or access to equipment and resources, assessment takes place away from the workplace, the assessment environment should represent workplace conditions as closely as possible
Consistency of performance should be demonstrated over the required range of situations relevant to the workplace
Context of and specific resources for assessment:
Relevant organisation policy, guidelines, procedures and protocols
Method of assessment:
Clinical skills involving direct client care are to be assessed initially in a simulated clinical setting (laboratory). If successful, a second assessment is to be conducted during workplace application under direct supervision
Observation of work activities when performing long term electroencephalography (EEG) monitoring
Observation of simulation and/or role play when performing long term electroencephalography (EEG) monitoring
Discussion of physical and/or behavioural contingency scenarios involving duty of care
Authenticated transcripts of relevant education/training courses
Recognition of relevant life/work experience
Questioning, written assessments/projects, e-learning can be used to assess knowledge
Authenticated reports of experience in performing long term electroencephalography (EEG) monitoring (Documentation associated with performance reviews, supervisor/co-ordinator evaluations of work performance)
Training records associated with First Aid, OH Safety training, Orientation/Induction Training, Safe Manual Handing, Universal infection control procedures
Case study and scenario as a basis for discussion of issues and strategies to contribute to best practice
Access and equity considerations:
All workers in the health industry should be aware of access and equity issues in relation to their own area of work
All workers should develop their ability to work in a culturally diverse environment
In recognition of particular health issues facing Aboriginal and Torres Strait Islander communities, workers should be aware of cultural, historical and current issues impacting on health of Aboriginal and Torres Strait Islander people
Assessors and trainers must take into account relevant access and equity issues, in particular relating to factors impacting on health of Aboriginal and/or Torres Strait Islander clients and communities
The evidence guide provides advice on assessment and must be read in conjunction with the Performance Criteria, Required Skills and Knowledge, the Range Statement and the Assessment Guidelines for this Training Package.
Critical aspects for assessment and evidence required to demonstrate this competency unit:
The individual being assessed must provide evidence of specified essential knowledge as well as skills
Where, for reasons of safety, space, or access to equipment and resources, assessment takes place away from the workplace, the assessment environment should represent workplace conditions as closely as possible
Consistency of performance should be demonstrated over the required range of situations relevant to the workplace
Context of and specific resources for assessment:
Relevant organisation policy, guidelines, procedures and protocols
Method of assessment:
Clinical skills involving direct client care are to be assessed initially in a simulated clinical setting (laboratory). If successful, a second assessment is to be conducted during workplace application under direct supervision
Observation of work activities when performing long term electroencephalography (EEG) monitoring
Observation of simulation and/or role play when performing long term electroencephalography (EEG) monitoring
Discussion of physical and/or behavioural contingency scenarios involving duty of care
Authenticated transcripts of relevant education/training courses
Recognition of relevant life/work experience
Questioning, written assessments/projects, e-learning can be used to assess knowledge
Authenticated reports of experience in performing long term electroencephalography (EEG) monitoring (Documentation associated with performance reviews, supervisor/co-ordinator evaluations of work performance)
Training records associated with First Aid, OH Safety training, Orientation/Induction Training, Safe Manual Handing, Universal infection control procedures
Case study and scenario as a basis for discussion of issues and strategies to contribute to best practice
Access and equity considerations:
All workers in the health industry should be aware of access and equity issues in relation to their own area of work
All workers should develop their ability to work in a culturally diverse environment
In recognition of particular health issues facing Aboriginal and Torres Strait Islander communities, workers should be aware of cultural, historical and current issues impacting on health of Aboriginal and Torres Strait Islander people
Assessors and trainers must take into account relevant access and equity issues, in particular relating to factors impacting on health of Aboriginal and/or Torres Strait Islander clients and communities
Replaces
| State Code | National Code | Title | Type |
|---|---|---|---|
| d8367 | HLTNE607C | Perform long term electroencephalography (EEG) monitoring | Unit of competency |
| State Code | National Code | Title | Type |
|---|---|---|---|
| J117 | HLT60812 | Advanced Diploma of Neurophysiology Technology | Qualification |