Module 1 - Pediatric Polysomnography 1.0 CEC

This module is the first in a series of Pediatric resources being developed for those new to pediatrics and pediatric sleep testing and therapy.  The module provides an overview of the specific knowledge and skills the sleep technologist performing pediatric testing requires.  A review of the development of sleep in infants and children, information on pediatric sleep evaluation and questionnaires, and indications for polysomnography in pediatric patients is provided.  Information regarding pediatric equipment requirements and testing considerations for the young and very young pediatric patient is provided.  Tips on communicating with pediatric patients and their parents and getting the leads on these young patients are included, along with testing set-up, instrumentation, recording and documentation requirements for pediatric polysomnography.  This module provides a useful introduction to pediatric polysomnography for the sleep technologist.

Module 2 - Pediatric Scoring 1.0 CEC

This module reviews the most recent AASM pediatric scoring rules, focusing on the specifics of the infant and child sleep staging and arousal scoring rules and respiratory event scoring in these age groups.  Terminology describing infant age relevant to infant scoring is explained, along with the specific nomenclature used in infant and pediatric sleep staging.  The specific respiratory event scoring differences that apply to the pediatric patient are reviewed, along with cardiac event scoring rules for pediatrics.  The module provides and reviews pediatric sleep stage and event scoring examples throughout the module and provides rationale for the additional monitoring parameters essential in pediatric polysomnography.  This module provides an in-depth review and explanation of how to utilize the pediatric scoring rules to evaluate sleep disorders in infants and children. 

Module 3 - Pediatric Sleep Development & Sleep Related Breathing Disorders 1.0 CEC

This module reviews the development of sleep in children from infancy through adolescence and provides an overview of a variety of sleep and sleep related breathing disorders in pediatric patients.  An assortment of case studies is provided that illuminate several sleep and breathing disorders that are seen in pediatrics and discusses treatment options and management of these various types of disorders.

Module 4 - Pediatric Treatment Options & Guidelines 1.0 CEC

In this module we define and describe the common modalities used to treat sleep disordered breathing in the pediatric patient.  Indications, contraindications, and precautions for each modality of treatment are outlined, along with the appropriate interfaces for pediatric therapies.  Troubleshooting methods for mask leaks, excessive pressure on the face, and humidification are described, and tips for achieving successful therapy in the pediatric patient are provided.  Treatment goals and patient follow-up guidelines for each type of therapy, as defined by best practices and the American Academy of Sleep Medicine Task Force, are also provided.  This module provides a thorough review of treatment options for sleep related breathing disorders in the pediatric patient.

Module 5 - Pediatric Insomnia & Circadian Rhythm Sleep Disorders 1.0 CEC

This module reviews insomnias and circadian rhythm sleep disorders in the pediatric population.  The evolution, emergence, and prevalence of insomnia disorders, signs and symptoms of the primary pediatric insomnias and management and treatment options for these disorders are discussed.  Pediatric circadian rhythm sleep disorders including delayed sleep phase syndrome (DSPS) and its causes and symptoms are reviewed and differentiated from the insomnias in the pediatric population.  A discussion of appropriate behavioral and environmental interventions for pediatric sleep disorders is also included.  This module provides an excellent overview of the primary insomnia and circadian rhythm sleep disorders that affect pediatric patients.

Module 6 - Pediatric Parasomnias & Hypersomnias 1.0 CEC

This module provides an excellent review of the parasomnias and hypersomnias that affect the pediatric population.  A review of the different types of primary and secondary excessive daytime somnolence (EDS) in the pediatric population that includes age specific signs and symptoms of hypersomnolence in the pediatric patient is provided.  The review of parasomnias focuses on recognizing risk factors for and identifying common parasomnias in the pediatric population and discusses when to utilize polysomnography for evaluation of parasomnias.  The causes of both pediatric hypersomnias and parasomnias and how the appropriate medical history and testing affect proper diagnosis and treatment are reviewed, and the importance of parental education and reassurance in the management of these disorders is discussed.  This module provides an extensive overview of two of the more common pediatric sleep disorders.

Module 7 - Sleep & Medical Disorders in Special Populations 1.0 CEC

This module provides an extensive overview of the numerous different types of medical disorders that may be seen in pediatric special populations.  Each disorder is defined and provides information on how sleep is affected in infants and children with these medical disorders, including the anticipated PSG changes seen in these populations.  In pediatric sleep medicine, the ability to recognize these disorders is important in order to best care for these children during their night in the sleep lab.  This module provides valuable information for any sleep technologist who works with pediatric patients.

Module 8 – Addendum

This module provides supplemental materials as additional learning and for reference on many of the topics covered in this course.  These materials include both technical guidelines developed and endorsed by the AAST and professional practice guidelines from the American Academy of Sleep Medicine (AASM) that set the standards for our work in sleep medicine and technology. These reference materials are provided as an enhancement to this course.  Please note that some of the materials provided are not pediatric specific, however all of these references contain information that is relevant in some manner to the care of pediatric sleep patients.  

These modules are a comprehensive program built to follow the BRPT's Pediatric Sleep Certificate Exam Blueprint and are designed to help students close knowledge gaps in pediatric sleep care before sitting for the certificate exam. Each module includes a glossary and a knowledge check section to reinforce learning. 

Funding for this course was provided by Philips Home Healthcare Solutions.

Module 1 - Anatomy & Physiology 1.0 CEC 

This module provides a review of the basic concepts of the cardiopulmonary system from the primary components of the respiratory system, ventilatory assessment and control, and the impact of common lung diseases to anatomical issues that impact management of sleep-disordered breathing. This module provides a basis for implementing problem-based therapy and the rationale for where to start and why.

Module 2 - CPAP & BPAP Titration Guidelines 1.0 CEC

This module outlines the indications for and goals of PAP therapy and reviews the CPAP and BPAP titration guidelines for adult and pediatric patients. Also covered is the importance of patient education regarding symptoms and health effects of sleep-disordered breathing, the therapy itself, and long-term management. This module concludes by addressing the rationale and methods for switching to bi-level therapy and titration protocols, based on when and how the switch occurs, along with a reminder of the importance of knowledge of physiology and disease in the titration process.

Module 3 - Adaptive Servo Ventilation (ASV) 1.0 CEC 

This module reviews the indications and contraindications for use of ASV therapy in patients with central sleep apnea, variable breathing patterns such as seen in Cheyne-Stokes respiration, or treatment emergent complex sleep apnea in OSA patients. This module includes a comprehensive overview of what ASV is, how it works, which patients benefit from ASV therapy, and the potential risks. The module concludes by addressing the pathophysiology of the disorders that require this type of therapy, principles of operation, and the titration protocol itself, thereby ensuring a thorough understanding of the appropriate use of this therapy.

Module 4 - Noninvasive Positive Pressure Ventilation (NPPV) 1.0 CEC

This module covers the use of noninvasive mechanical ventilation and Average Volume Assured Pressure Support or AVAPS to reduce work of breathing in patients with respiratory failure. The common disorders that affect patients who are appropriate for this therapy and the goals of therapy, along with detailed equipment settings and titration protocols, are provided. The benefits of therapy and adjustments to therapy related to comfort and disease progression are outlined. A case study that includes a demonstration of the changes in breathing pattern throughout the titration and rationale for the final settings is included so that students gain an understanding of how to appropriately apply this therapy.

Module 5 - Average Volume Assured Pressure Support AVAPS-Auto EPAP (AVAPS-AE) 1.0 CEC

This module provides an overview of AVAPS-AE technology and how and when to employ it.  AVAPS technology provides noninvasive ventilation for patients with chronic respiratory insufficiency, and in the AE mode also treats Obstructive Sleep Apnea (OSA) using auto EPAP. Moreover, this technology utilizes and adjusts pressure support to maintain a target tidal volume and can provide an adjustable backup rate when needed. Covered in this module are the disorders appropriate for this therapy, a thorough explanation of the device algorithm and operation, appropriate settings based on specific sleep-disordered breathing problems, and patient comfort settings information. Titration protocols are also provided that address appropriate titration settings based on the specific sleep-disordered breathing problems for which this therapy is appropriate. Contents of this module provide an excellent introduction to AVAPS-AE technology and its effectiveness in patients with advanced therapy needs.

Scenarios Module

Interactive Learner Case Studies 1-3

Funding for this course was provided by Philips Home Healthcare Solutions.

These modules are a comprehensive program built to improve your knowledge of basic cardiorespiratory anatomy and physiology and build your PAP titration skills. Developed specifically for the sleep technologist seeking to expand their knowledge and confidence using advanced titration platforms, each module builds on the next, taking you through the process of transitioning from CPAP to BPAP, and provides a practical knowledge base for technologists new to advanced titration methods. Advanced titration modules for Adaptive Servo Ventilation (ASV), Noninvasive Positive Pressure Ventilation (NPPV), and AVAPS-AE provide information about the technology, the patients and disorders for which each technology is appropriate, and details related to appropriate use of these technologies. Each module includes a glossary and a knowledge check section to reinforce learning. In addition to the learning modules there are three interactive titration scenarios that will allow you to practice your new titration skills. 

What's Inside the Bundle?

A Technologist's Guide to Performing Sleep Studies
This 132-page guide is intended to provide step-by-step instructions for collecting sleep study data from patients, and includes suggestions for putting the patient at ease.

The Sleep Technologist Toolbox 
This 136-page workbook is a companion piece to A Technologist's Guide to Performing Sleep Studies and includes study questions and activities to improve retention and one’s understanding of the material.

Topics included in preview on next tab. Workbooks are not intended as a scoring manual and should be used in addition to other forms of learning also consistent with the AASM Manual for the Classification of Sleep and Associated Events.

A Technologist's Guide to Performing Sleep Studies includes:

1. Reviewing the Patient Chart
2. Welcoming the Patient to the Sleep Center
3. Preparing the Patient for Electrode Application and Applying the Electrodes
4. Testing Electrode Application
5. Documentation and Maintaining Recording Quality
6. Sleep Center Emergencies and Interventions
7. Ending the Sleep Study

Sleep Technologist's Toolbox includes the following sections and incorporates study questions/activities to improve retention and understanding of the material in the first guidebook:

1. Reviewing the Patient Chart Cont.
2. Patient Education
3. Equipment and Montage
4. Sensor and Equipment Calibration
5. Documentation and Recording Quality
6. Emergencies and Interventions
7. Interventions other than CPAP
8. Ending the Study
9. Scoring and Data Analysis
10. Pediatric Polysomnography

There are three pathways of eligibility for the BRPT CCSH exam:

• Pathway #1: for candidates who have 1,000 hours of clinical experience in sleep health and hold a Bachelor’s degree or above. 
• Pathway #2: for candidates who have an approved healthcare credential and hold an Associate degree or above. 
• Pathway #3: for the active RPSGT credential holder who has recertified at least once, completes a CCSH designated focused education program and attains an approved program certificate.

This program has been approved by the BRPT as a CCSH Designated Focused Education Program under Pathway #3. 

Participants seeking the CCSH credential through Pathway #3 that complete this designated focused education program, including successfully completing the accompanying course exam with a score of 70% or better, will receive a certificate of eligibility to sit for the CCSH exam via Pathway #3 at the end of the program. The program includes seven core speaker presentations, a case study presentation and discussion section, access to the individual PowerPoint presentations and the CCSH Workbook, and a CCSH Exam. You can access the program workbook and accompanying PPT presentations by clicking on the Handouts tab.

Program Sections:

1. Normal Sleep and Circadian Rhythms
2. Evaluation of Sleep Disorders
3. Clinical Evaluations – Part One
4. Incidence and Prevalence of Sleep Disorders
5. Clinical Evaluation and Management for the CCSH
6. Clinical Evaluations – Part Two
7. Patient Follow-Up and Management
8. CCSH Case Study Scenario Presentations/Discussions
9. AAST CCSH Post-Test Exam

This program has been approved by the BRPT as a CCSH Designated Focused Education Program.

Participants seeking the CCSH credential through Pathway #3 that complete this designated focused education program, including successfully completing the accompanying course exam with a score of 70% or better, will receive a certificate of eligibility to sit for the CCSH exam via Pathway #3 at the end of the program. 

The program includes seven core speaker presentations, a case study presentation and discussion section, access to the individual handout presentations, the CCSH Workbook, and the AAST Post-Test CCSH Exam.

Important Information Regarding The Post-Test:

• Candidates must provide proof to the BRPT that they passed the post-test with a greater than 70% score to receive a certificate of eligibility to apply. (BRPT also requires current BLS certification for eligibility.)
• This is an open-book exam. Users can access the program workbook, case study scenarios, and PowerPoint slides by clicking on the Resources tab in the course, or utilize the paper workbook that was provided. 
• There is no time limit for completing the exam once you begin, however, users will only receive two attempts. 
• Users may zoom in to view patient data images and examples by clicking on the magnifying glass icon in the course. 
• Users will receive a certificate upon successful completion of the exam. This is the certificate that will be used to verify pathway eligibility for the CCSH credentialing examination. 
• Access to the exam is limited to 120 days upon purchase of the course.

This content is provided by Zoll/Respicardia.

Topics will include: New Tools in the Management of Central Sleep Apnea and Cheyne Stokes Respiration, Current Perspectives on Why and How to Treat Central Sleep Apnea (CSA), Identifying and Treating the Predominantly Central Sleep Apnea Patient, Cardiology Perspectives on Treating Central Sleep Apnea (CSA), and Addressing Sleep Apnea in Cardiac Patients. This bundle offers 5.0 AAST CECs.

Sleep Center Essentials: Life Safety

Ms. Bibbs provides a review of life safety, which includes all elements of sleep center function that might have an impact on the well-being of the patient during their time in the center. The focus of the discussion is on regulatory issues and methods for meeting requirements and passing inspections.

Sleep Center Essentials: Risk Management Infection Control in the Sleep Center

Laura Linley provides an extensive discussion of infection control guidelines, ranging from hand washing to flu vaccines. General requirements include universal precautions and use of protective gear. 

Sleep Center Essentials: HIPAA and Patient Confidentiality

Ms. Erin Head reviews the legal requirements for maintaining confidentiality of patient health information. She notes that there are strict regulations at the federal and state levels and harsh penalties are possible for breaches of confidentiality.

Sleep Center Essentials: Cardiac Abnormalities: Patient Based Learning (PBL) Format

Kristina Weaver reviews cardiac abnormalities associated with sleep apnea. A focus of the discussion is the identification of arrhythmias and which are associated with a need for urgent intervention. Electrical conduction through the heart is reviewed.

Sleep Center Essentials: Internal Audits Regulatory and Accreditation Requirements

Rita Brooks reviews regulatory and accreditation requirements for sleep centers. Legal issues are discussed as well as OSHA workplace guidelines with an emphasis on areas of importance to sleep programs. AASM accreditation standards are described and changes to standards in the most recent update are highlighted.

Each of the modules in this bundle are designed for sleep technologists with less than 5 years of experience, this bundle will complement and strengthen your skills, and help you as you grow and evolve in your career.

Module 1 - Cardiac Anatomy and Physiology 1.0 CEC

This module provides an overview of the structural components of normal cardiac anatomy and electrophysiology, as well as reviews the primary components of the electrocardiogram (ECG). 

Module 2 -  Cardiac Arrhythmias 1.0 CEC

This module provides an overview of cardiac function and the conducting pathways of the heart essential for understanding the basic waveforms of the EKG.  The module includes examples of various arrhythmias with detailed explanation of how to recognize and manage significant abnormal rhythms. 

Module 3 - Arrhythmia Challenges 1.0 CEC

In this module, case studies are used to present multiple EKG abnormalities for review.  A systematic analysis is provided for each abnormality presented. 

These modules are a comprehensive program designed to assist sleep health professionals become more proficient in EKG specific to polysomnography. Each module includes a glossary and a knowledge check section to reinforce learning. 

Funding for this course was provided by Philips Home Healthcare Solutions.

Module 1 - Building a Remote Patient Monitoring Coaching Program 0.5 CEC

This module is an introduction to the Fundamentals of Virtual Patient Monitoring: Utilizing Connected Technologies to Improve Clinical Outcomes module series. This module includes discussing development of a virtual patient monitoring program, reviewing patient’s rights and responsibilities, and identifying best practices for patient interviewing and assessment.  Learners will also discuss medical ethics, developing communication skills, identifying useful policies and procedures, coding, billing, regulatory compliance, and business operations models.

Module 2 – Care Orchestrator Report Development Tools for Successful Patient and Program Management 1.0 CEC

This module will cover care orchestrator report development tools for successful patient and program management and the following course objectives: Introduce Care Orchestrator, which includes identifying supported devices and uploading data into Care Orchestrator; Review navigating the patient record and report generation and creating custom compliance reports; and Describe how to interpret reports, and utilizing tasks and reminders.

Module 3 – Data Management in Patients with Sleep Disordered Breathing 1.0 CEC

This module will cover data management in patients with sleep disordered breathing. The objectives for this module are to review report data for patients with classic OSA, review event detection and classification and describe the basic functions of the auto algorithm.  Learners will discuss report structure, learn how to generate reports in Care Orchestrator, and review report interpretation.

Module 4 - Remote Patient Monitoring - Case Studies 1.0 CEC

This module provides patient scenarios that incorporate the information provided in the earlier learning modules and provide an opportunity for practical application.  Learners will be asked to review each scenario, consider what information is important, and think about how they would respond in each situation. 

Funding for this course was provided by Philips Home Healthcare Solutions.

These modules are a comprehensive program designed to give you the skills you need to work virtually as a sleep health professional. The 4th module offers case study scenarios for knowledge assessment. Each module includes a glossary and a knowledge check section to reinforce learning. 

Steps in Implementing A Successful Patient Education Program and Getting Paid To Educate 

Dr. Al-Himyary relates his experience with the institution of a sleep educator program.

Motivating Sleep Patients to Utilize PAP Therapy and Other Treatment Options

Cheryl May describes her approach to motivating patients to use their CPAP treatment following a diagnosis of OSA and provides suggestions for communicating essential elements of CPAP adherence, putting the focus on the patient and establishing rapport.

Developing A Thriving Polysomnography Program: Strategies For Marketing And Maintaining Successful Students

Ms. Allen is the program coordinator for polysomnographic technology at Collin College, McKinney, Texas shares her experience in developing, marketing and accrediting a training program. Issues to be addressed during development include finding a sponsor, deciding whether to have a college affiliation, staffing, and preparation for accreditation.

Corporate Sleep Health: A Different Revenue Stream 

Marietta Bibbs describes an often-overlooked source of patients and revenue for sleep centers: corporate sleep wellness programs and reviews strategies for preparing a wellness program, provides specific suggestions for marketing and gives insights into her own functioning program.

Adding a Sleep Professional to the DME Team 

Mr. Gaden reviews the pressures and constraints on providing sleep therapy and advocates for a role of sleep professionals in the DME process. He shows significant return on investment when registered sleep technologists are added to the DME program.

Each of the modules in this bundle have been designed to meet the following overall objectives: Define current educational issues, trends and models; Identify links to grow sleep education programs; Evaluate innovative tools for successful sleep center growth; and Describe methods to leverage knowledge through collaboration