CERTIFICATION EXAMINATION INLONG TERM MONITORING

1350 BROADWAY · 17th FLOORNEW YORK, NY 10018

(212) 356-0660WWW.PTCNY.COM

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Examination Dates

Application Deadline Testing Window

JANUARY 22, 2016

APRIL 22, 2016

SEPTEMBER 2, 2016

BEGINS: SATURDAY, MARCH 5, 2016ENDS: SATURDAY, MARCH 19, 2016

BEGINS: SATURDAY, JUNE 4, 2016ENDS: SATURDAY, JUNE 18, 2016

BEGINS:SATURDAY, OCTOBER 15, 2016ENDS: SATURDAY, OCTOBER 29, 2016

Table of Contents

INTRODUCTION..................................................................................................................................- 1 -

OBJECTIVES OF ABRET......................................................................................................................- 1 -

NON DISCRIMINATION STATEMENT.................................................................................................- 1 -

PROCEDURES .....................................................................................................................................- 2 -

ELIGIBILITY REQUIREMENTS ...................................................................................................... - 2 -PETITION OF ELIGIBILITY ............................................................................................................ - 2 -ADMINISTRATION...................................................................................................................... - 3 -RECERTIFICATION ...................................................................................................................... - 3 -

APPLICATION PROCEDURE................................................................................................................- 3 -

FEES ........................................................................................................................................... - 4 -REFUNDS/TRANSFERS............................................................................................................... - 4 -ABRET EXAM TRANSFER POLICY .............................................................................................. - 4 -

APPLICATION AGREEMENT ...............................................................................................................- 5 -

EXAMINATION PROCEDURES ............................................................................................................- 7 -

EXAMINATION ADMINISTRATION............................................................................................. - 7 -SCHEDULING YOUR EXAMINATION APPOINTMENT.................................................................. - 8 -CHANGING YOUR EXAMINATION APPOINTMENT ..................................................................... - 8 -SPECIAL REQUESTS ................................................................................................................... - 8 -RULES FOR EXAMINATION ........................................................................................................ - 9 -

EXAMINATION PREPARATION ........................................................................................................- 10 -

CONTENT OF THE EXAMINATION ............................................................................................ - 10 -LONG TERM MONITORING TECHNOLOGY CONTENT OUTLINE ................................................ - 10 -SAMPLE QUESTIONS ............................................................................................................... - 11 -REFERENCES............................................................................................................................ - 12 -

NOTIFICATION OF STATUS ..............................................................................................................- 14 -

SCORING .................................................................................................................................. - 14 -REPORT OF RESULTS ............................................................................................................... - 14 -EXAMINATION CHALLENGES................................................................................................... - 14 -ATTAINMENT OF REGISTRATION ............................................................................................ - 14 -CONFIDENTIALITY .................................................................................................................... - 15 -CODE OF ETHICS AND STANDARDS OF PRACTICE.................................................................. - 15 -

VIOLATIONS TO ABRET CODE OF ETHICS AND STANDARDS OF PRACTICE ...................................- 16 -

PURPOSE OF STANDARDS....................................................................................................... - 16 -REPORTING REQUIREMENTS ................................................................................................... - 16 -NAME/ADDRESS CHANGES..................................................................................................... - 17 -

This handbook contains necessary information about the Long Term Monitoring (CLTM) Examination.Please retain it for future reference. Candidates are responsible for reading these instructions carefully.This handbook is subject to change.

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INTRODUCTION

ABRET supports the concept of voluntary registration by examination for health care professionals inLong Term Monitoring. Certification focuses specifically on the individual and is an indication of currentknowledge in Long Term Monitoring technology. ABRET does not guarantee the job performance ofany individual.

OBJECTIVES OF ABRET

TO ESTABLISH COMPETENCY IN LONG TERM MONITORING BY:

1. Providing a standard of knowledge in long term monitoring required for certification.

2. Establishing and measuring the level of knowledge required for certification in long termmonitoring by means of an objective written examination.

3. Formally recognizing those individuals who meet the eligibility requirements of ABRET andpass the Certification Examination in Long Term Monitoring (LTM).

4. Encouraging continued professional growth in long term monitoring through mandatorycontinuing education and recertification.

NON DISCRIMINATION STATEMENT

ABRET does not discriminate on the basis of age, sex, race, religion, national origin, marital status, orhandicapped condition.

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PROCEDURES

ELIGIBILITY REQUIREMENTS

The Certification Examination in Long Term Monitoring is designed and written for the advanced level R.EEG T. who has had at least one year of experience in Neurophysiologic Long Term Monitoring, and iscurrently practicing in a monitoring environment. Candidates will be expected to have been an activeparticipant in the set-up, monitoring, and review of prolonged video-EEG cases.

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R. EEG T. Credential

One year as an R. EEG T. or RET (Canadian EEG Credential)

One year of Long Term Monitoring experience after the EEG credential is earned.*

Documentation of 50 LTM Cases. Maximum of 3 cases per day.

Current CPR/BLCS Certification

CLTM Examination

* Must include extensive experience and clinical knowledge of long term monitoring in

epilepsy and critical care. Additional experience and knowledge of ambulatory EEG monitoring,epilepsy surgery including functional mapping, is also expected

1. Documentation of 50 LTM cases must be submitted (uploaded) with the application. Adocumentation form is available on the ABRET website under CLTM.

2. Cases must have been monitored within the last 5 years, with 10% (5 LTM cases) within thelast 12 months.

3. No more than 10% of cases submitted (5 LTM cases) may be ambulatory monitoring. Eachadmission may only be counted as one case, regardless of the number of days monitoring.

4. Documentation forms will be randomly audited. Incomplete or incorrect information my delayor negate eligibility.

5. After 3 unsuccessful attempts to pass the examination, candidates must wait one year andsubmit an additional 30 hours of ASET Continuing Education before being eligible to test again.

6. The CLTM credential is awarded for five years. See the options under Recertification.

PETITION OF ELIGIBILITY

Candidates who received an adverse eligibility decision may appeal the decision in writing to theExecutive Director within 30 days.

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ADMINISTRATION

The Certification Program is sponsored by ABRET. The CLTM Examination is administered for ABRETby the Professional Testing Corporation (PTC), 1350 Broadway - 17th Floor, New York, New York10018, www.ptcny.com. Questions concerning the Certification Examination for Long Term MonitoringTechnologists should be addressed to the ABRET Executive Office, 2908 Greenbriar, Suite A,Springfield, IL 62704, (217) 726-7980, e-mail: tami@abret.org.

RECERTIFICATION

ABRET supports the ongoing professional development of its certificants. All CLTM certificants mustrecertify every 5 years. The recertification process provides certificants with the opportunity todemonstrate the reinforcement, retention, and maintenance of their knowledge and skills by requiringcontinued learning through participation in ongoing professional development activities directly relatedto the practice of long term monitoring. Recertification also provides encouragement to, andacknowledgement for, participation in ongoing professional development activities. To support thispurpose, recertification requires continuing education and professional activities that enhance ongoingprofessional development. The recertification process recognizes learning opportunities and provides aprocess for both attaining and recording professional development achievements.

When a technologist fails to renew his/her credential by submitting the required continuing educationby the deadline, he or she is considered “Certified in Grace” for 30 days before losing their credential.Once the grace period has expired, the technologist is unable to legally claim certification and mustrestart the registration process in order to earn a new CLTM credential.

Please check the ABRET website, www.abret.org, for additional information on recertification.

APPLICATION PROCEDURE

Application for ABRET examinations will be completed online through the ABRET website,www.abret.org. Credential Manager is located on the ABRET homepage.

1) Read and follow all directions in this Handbook for Candidates.

2) Register as a user on the ABRET website, Credential Manager. Candidates who currently hold a credential with ABRET may need to have their

information manually merged and approved by ABRET. Please contact the ABREToffice if you need assistance creating an account or to merge your current credentials.

3) Click on Credential Selection, and then select CLTM. This will place you into the CLTM testingprocess. Do not edit previous selections.

4) Under Form Management, complete the CLTM – Exam Requirements form and upload therequested documentation.

R. EEG T. or R. EP T. status will be recognized by the system to establish eligibility. Ifyou have a Canadian RET credential, you will need to submit documentation.

Upon achieving the status of “Prerequisites Complete” new forms will be available.5) Under Form Management, complete the application and pay the $450 examination fee.

This form is not complete until payment is received.

6) Under Form Management, select your testing window. Upon achieving the status of “Eligible to Test,” you will receive an instantaneous email

and your registration will be sent to PTC.

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7) Once you receive your eligibility/scheduling notice from PTC, you will be able to schedule yourexamination at a PSI Testing Center.

Fail Results: Your status will be “Retake Required.” You will need to complete steps 4 – 7.

As of 2016, candidates who do not pass the CLTM examination after 3 unsuccessful tries will not beallowed to retest for 1 year and will be required to submit 30 LTM ASET or ACNS credits.

NOTE: The name you enter on your Application must match exactly the name shown on yourcurrent government-issued photo ID, such as a driver’s license or passport. Do not usenicknames or abbreviations.

Applications received after the stated deadline will not be processed.

For those candidates in audit, you have 10 days following the stated application deadline date tofully comply with your audit. Applications not out of audit by the audit deadline date will not beprocessed for that testing period.

Candidates should retain copies of uploaded documents submitted for eligibility requirements.

FEES

1. Application Fee for the Certification Examination in Long Term Monitoring .............................$450.002. Transfer Fee .............................................................................................................................$175.003. Outside the US and Parts of Canada Testing Site Fee ..............................................................$200.00

Fees will be paid online during the application or transfer process.

Visa and MasterCard are accepted. If you wish to send a check, follow instructions for payment in theCredential Manager system as you complete your application. Your application is “Pending” untilpayment is received.

REFUNDS/TRANSFERS

Candidates unable to take the examination as scheduled may transfer to a future testing window. Ifyou wish to change your examination appointment within the same testing window, please seeChanging Your Examination Appointment on page 8.

ABRET EXAM TRANSFER POLICY

1) Cancel your current exam appointment; Candidates must contact PSI at (800) 733-9267 no

later than noon, Eastern Standard Time (12:00pm EST), of the second business day PRIOR to

your scheduled appointment.

2) Transfer to a future testing window; Candidates must contact the ABRET office at (217) 726-

7980 no later than two weeks following the close of the testing window to be eligible for

transfer. Upon being eligible for transfer, the candidate’s status will be updated to “Reschedule

Required” and will expire in 1 year.

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3) The ABRET Credential Manager online CLTM Exam Transfer form with associated payment

must be submitted, along with the CLTM Window Selection form within 1 year of attaining

“Reschedule Required” status. The transfer fee is $175. This fee is based on cost and not

punitive in nature.

Candidates failing to comply with the ABRET Exam Transfer Policy will have their applications

closed and all their fees will be forfeited. There will be no refund of fees.

APPLICATION AGREEMENT

1. Application. I certify that all the information contained in my application is true and completeto the best of my knowledge. I hereby authorize ABRET and its officers, directors, employees,and agents (collectively, “ABRET”) to review my application and to determine my eligibility forcertification.

2. Compliance with ABRET Rules.A. I have read and agree to abide by ABRET’s policies and procedures, including but not

limited to those listed below. I will read and keep up-to-date with these rules.i. Handbook for Candidates (including the Code of

Ethics and Disciplinary Policy);ii. Use of Credential and Trademark Policy; andiii. ABRET Examination Policies.

B. I agree that ABRET may take action regarding my application, examination, orcertification in accordance with its Disciplinary Policy, and that the penalties forviolation of an ABRET rule include (but are not limited to) denial, revocation, orlimitation of my certification.

C. As specified within the Disciplinary Policy, I agree to notify ABRET of any change inname, address, telephone number, or email address, and of any development bearingon certification such as (but not limited to) suspension, revocation, or expiration of astate license to practice, being sued by a patient, or being investigated orreprimanded by a state regulatory board.

3. Cooperation. I agree to cooperate promptly and fully in any review of my application,examination(s), or certification, and I agree to submit any additional information requested.

4. Examination Confidentiality. I am seeking admission to take the examination(s) for thepurpose of pursuing certification, and for no other purpose. Because of the confidential natureof the examination(s), I agree to not make or keep copies, excerpts, or notes of examinationmaterials, and to not use or divulge information learned from the examination(s). Theexamination(s) is/are the exclusive property of ABRET and I will not use examinationinformation in any way without the express prior written consent of ABRET.

5. Examination Administration.A. I agree to abide by ABRET’s reasonable rules regarding examination administration.

ABRET may refuse my admission to an examination if I do not have the properidentification (valid photo ID and eligibility notice), or if administration has begun. Theproctors may take steps as they believe necessary to maintain a secure and properexamination administration, including (but not limited to) relocating me before orduring the examination.

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B. If I am refused admission or fail to appear at the examination site, or if myexamination performance is voided based upon my behavior, I agree that I will notreceive a refund of the application or examination fees and there will be no credit forany future examination.

C. I understand that review of the adequacy of examination materials will be limited tocomputing accurate scoring; I hereby waive all further claims of examination review.

D. I acknowledge that ABRET is concerned with reporting only valid scores. I agree thatABRET may cancel an examination score if there is adequate reason to question itsvalidity because of misconduct or other circumstances.

E. A passing score is required for certification in all instances.

6. Continuing Compliance. I understand and agree that it is my responsibility to maintain anddemonstrate continuous compliance with all ABRET policies and procedures.

7. Certification Marks.A. The Long Term Monitoring credential and the stylized “CLTM” logo are the sole and

exclusive property of ABRET and are subject to all applicable trademark and otherrights of ABRET as owner under United States intellectual property law andinternational conventions. I agree to abide by ABRET’s instructions regarding use ofits intellectual property, and to not use this intellectual property in any way withoutthe express prior written consent of ABRET.

B. I agree to correct at my own expense any inaccurate or unauthorized use by me ofABRET’s credential and logo. I agree that if I refuse to make corrections, then ABRETis entitled to obtain all relief permitted by law, including but not limited to injunctiverelief to enforce its rights with respect to the protection of its name, credential, logo,and other intellectual property.

8. Information Release. I agree that ABRET may release information regarding my applicationand certification record to state and federal authorities, licensing boards, employers, andothers. This information includes (but is not limited to) ABRET’s findings regarding review ofmy application, fraudulent statements made by me, information indicating noncompliance withlaws or regulations or with policies of other organizations, and the pendency or outcome ofdisciplinary proceedings.

9. Duration of Certification. This Application Agreement will become effective as of the date ofmy agreement and submission of application and will remain in effect for the duration of myapplication review. If I am granted certification, the terms of this Application Agreement willautomatically continue in effect for the duration of my certification. I acknowledge and agreethat initial certification is awarded only for a five (5) year period, and that completion ofrecertification requirements, recertification applications, and reviews will be required tomaintain certification.

10. Waiver of Claims & Indemnification.A. I hereby waive all claims against ABRET arising out of my application and my

participation in the certification program, including (but not limited to) claimsarising out of (i) any release of information to state and federal authorities,licensing boards, employers, and others, and (ii) any investigation and review ofmy application and certification by ABRET.

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B. I agree to indemnify ABRET for any third-party claims arising out of any action takenpursuant to the policies and procedures of ABRET with regard to my application, theexamination, or my certification. In addition, I agree to indemnify ABRET for any third-party claims arising out of my professional practice and related activities.

C. The provisions of this Waiver of Claims & Indemnification section do not extend toclaims based on the gross negligence or willful misconduct of ABRET.

D. My obligations and rights and those of ABRET under this Waiver of Claims &Indemnification section will survive beyond the termination or expiration of mycertification and remain in full force and effect.

11. Governing Law & Venue. This Agreement is governed exclusively by the laws of the State ofIllinois, without reference to its choice of law doctrine. The parties agree that the solejurisdiction and venue for any litigation arising from this Agreement is the appropriate federalcourt for the Central District of Illinois or state court located in Sangamon County, Illinois. If adispute arises, the parties shall make a good faith attempt to resolve the dispute throughdialogue and negotiation prior to pursuing court action.

Upon submitting the application for “CLTM” you will be asked to acknowledge that you haveread and understand this Application Agreement and agree to its terms in consideration for theopportunity to seek certification from ABRET.

Information Release: If granted certification, you will be authorizing ABRET to release your name andthe fact that you have been granted certification to newspapers and other publications, and to releaseyour name, employment information, address, and e-mail address in ABRET online directory and mailinglist. You may opt out of this process by notifying the ABRET office in writing.

EXAMINATION PROCEDURES

EXAMINATION ADMINISTRATION

The Certification Examination in Long Term Monitoring is administered during an established two-weektesting period on a daily basis, Monday through Saturday, excluding holidays, at computer-basedtesting facilities managed by PSI. PSI has several hundred testing sites in the United States, as well asCanada. Scheduling is done on a first-come, first-serve basis. To find a testing center near you visit:www.ptcny.com/cbt/sites.htm or call PSI at (800) 733-9267. Please note: Hours and days ofavailability vary at different centers. You will not be able to schedule your examinationappointment until you have received an Eligibility Notice from PTC.

ONLINE SOFTWARE DEMO

A Testing Software Demo Test can be viewed online. Go to https://candidate.psiexams.com/tutorial.jsp.This online Testing Software can give you an idea about the features of the testing software.

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SCHEDULING YOUR EXAMINATION APPOINTMENT

Within 6 weeks prior to the first day of the testing period, you will be sent an Eligibility Notice by email.The Eligibility Notice will indicate how to schedule your examination appointment as well as the datesduring which testing is available. Appointment times are first-come, first-serve, so schedule yourappointment as soon as you receive your Eligibility Notice in order to maximize your chance of testingat your preferred location and on your preferred date.

If you do not receive an Eligibility Notice at least three weeks before the beginning of the testing period,contact the Professional Testing Corporation at (212) 356-0660 for a duplicate.

Your current government-issued photo identification, such as a driver’s license or passport, mustbe presented in order to gain admission to the testing center. PTC recommends you take a printedcopy of your Eligibility Notice as well as your PSI appointment confirmation as well.

It is your responsibility as the candidate to contact PSI to schedule the examinationappointment.

It is highly recommended that you become familiar with the testing site.

Arrival at the testing site at the appointed time is the responsibility of the candidate.Please plan for weather, traffic, parking, and any security requirements that are specificto the testing location. Late arrival may prevent you from testing.

CHANGING YOUR EXAMINATION APPOINTMENT

If you need to cancel your examination appointment or reschedule to a different date within the two-week testing period, you must contact PSI at (800) 733-9267 no later than noon, Eastern StandardTime (12:00pm EST), of the second business day PRIOR to your scheduled appointment. If you wish totransfer to another testing period, please see the Refund/Transfer Policy beginning on page 4.

SPECIAL REQUESTS

1. Outside the United States and Parts of Canada:It may be possible to establish a special testing center to take a paper and pencil examination inyour own country for an additional fee of $200.00. A Candidates Testing Outside US & Parts ofCanada Form is available at http://abret.org/candidates/resources/application-forms and must besubmitted along with payment to the ABRET office upon submission of application and/or EIGHTweeks before the testing period begins.

2. Special Accommodations:ABRET and its test administrator, PTC, comply with the Americans with Disabilities Act (ADA) andwill provide reasonable and appropriate accommodations in accordance with the ADA for individualswith documented disabilities who request and demonstrate the need for accommodation. ADAregulations define a person with a disability as someone with a physical or mental impairment thatsubstantially limits one or more major life activities. ABRET requires documentation to validate thetype and severity of a disability to enable accommodations to be specifically matched with theidentified functional limitation, in order to provide equal access to examination functions for allexaminees. Special accommodations must be requested in advance using the PTC Request forSpecial Needs Accommodations form available at http://abret.org/candidates/resources/application-forms. The request for special needs accommodations must be received at least EIGHT weeksbefore the testing period begins. Please notify PTC at least TWO weeks prior to your examinationappointment if you need to bring a service dog, medicine, food, or beverages necessary for amedical condition with you to the test center.

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RULES FOR EXAMINATION

1. Hand-held, battery operated, nonprinting and nonprogrammable calculators are permitted withthe exception of calculators built into cellular phones. Calculators are also built into the testingsoftware.

2. A centimeter ruler with “mm” markings may be brought to the examination for reference.

3. No books, papers or other reference materials may be taken into or removed from the testingroom.

4. Electronic devices, including but not limited to cell phones, pagers, cameras, voice recorders,smartphones, Bluetooth type devices, wearable tech gear such as smart watches, MP3players such as iPods, laptop computers, and tablets cannot be operative during theexamination.

5. Test documents and notes must remain in the examination room. Removing any test materialby any means is prohibited.

6. No questions concerning content of the examination may be asked during the examination.The candidate should listen to the instructions given by the Examiner and read the instructionsprovided on the computer screen.

7. Anyone giving or receiving assistance of any kind will have the computer-based testingterminated and be asked to leave the room.

8. Visitors are not permitted in the examination room.

9. ABRET prohibits certain behaviors, including (but not limited to) the activities listed below.A. Copying test questionsB. Copying answersC. Permitting another to copy answersD. Falsifying information required for admission to an examinationE. Impersonating another examineeF. Taking the examination for any reason other than for the purpose of seeking

accreditation

10. Complaints and challenges must be submitted in writing within fourteen (14) days after takingthe examination. ABRET will not consider late submissions. The procedure for submittingcomplaints and challenges is contained in the ABRET policy on examination challenges locatedon the ABRET website.

11. Candidates are prohibited from leaving the testing room while their examination is in session,with the sole exception of going to the restroom.

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EXAMINATION PREPARATION

CONTENT OF THE EXAMINATION

1. The Certification Examination for Long Term Monitoring Technologists is a computer-basedexamination composed of a maximum of 200 multiple-choice, objective questions with a totaltesting time of four (4) hours.

2. The content for the examination is described in the Content Outline starting on page 10 below.

3. The questions for the examination are obtained from individuals with expertise in long-termmonitoring for epilepsy and in the critical care setting, and are reviewed for construction,accuracy, and appropriateness by ABRET.

4. ABRET, with the advice and assistance of the Professional Testing Corporation, prepares theexamination.

5. The Certification Examination for Long Term Monitoring will be weighted in approximately thefollowing manner:

I. Pre-Study Preparation........................................25%II. Performing the Study.........................................65%III. Post-Study Procedures ......................................10%

LONG TERM MONITORING TECHNOLOGY CONTENT OUTLINE

I. PRE-STUDY PREPARATION

A. Elements of a HistoryB. Medical/EEG TerminologyC. Relevant MedicationsD. Neurologic ExaminationE. Diagnostic Procedures (MRI, PET, etc)F. Age-Specific CriteriaG. Neurological DisordersH. Allergies and SensitivitiesI. Medical Contraindications to Activation ProceduresJ. National Patient Safety GoalsK. Infection ControlL. Electrical Safety TechniquesM. Culture of Safety (e.g., fall risks, restraints)

II. PERFORMING THE STUDY

A. Neuroanatomy and NeurophysiologyB. LTM Procedures (e.g., intracranial monitoring, ICU recordings, epilepsy monitoring, functional

mapping, ambulatory EEG)C. 10-20, 10-10 Electrode Placement SystemD. Invasive and Non-Invasive Electrode Application or Connection Techniques (e.g. paste,

collodion, needle electrodes, grids and strips; securing, providing strain relief)E. The Differential Amplifier (e.g., polarity, CMRR)

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F. Computer Knowledge Related to LTM Devices and NetworksG. Digital Analysis (e.g., trending, seizure and spike detection, sampling rate)H. ACNS GuidelinesI. Troubleshooting TechniquesJ. Effects of Instrument Settings (e.g. filters, display gain, epoch)K. Impedance Checks and their ContraindicationsL. Neurophysiologic Correlates to Clinical EntitiesM. Artifact Monitoring, Identification and EliminationN. Waveform IdentificationO. Montage ModificationsP. Seizure Precautions and Seizure First AidQ. Basic Cardiac Rhythms and Rhythms Associated with EEG ChangesR. Significant Patient Behaviors and Clinical Events (e.g., changes in level of consciousness, body

movements, episodes)S. Effects of Drugs on Patients and Recordings

III. POST-STUDY PROCEDURES

A. Data Management and StorageB. Electrographic Correlates to Clinical EntitiesC. Digital Instrument Concepts (e.g., reformatting, post acquisition review)D. Audio-Video TechnologyE. Localization TechniquesF. ABRET Code of EthicsG. HIPAAH. Safety Data Sheets/OSHA Standards

SAMPLE QUESTIONS

1. What is the most common cause for temporal lobe seizures in adults?

1. Diffuse axonal injury2. Hippocampal sclerosis3. Glioblastoma multiforme4. Venous angioma

2. In a one-year-old child with West Syndrome, episodes of neck flexion and arm extension aremost likely to be associated with which of the following EEG patterns?

1. 3 Hz spike and wave discharges2. Fast polyspike and wave discharges3. Generalized paroxysmal fast activity4. Polymorphic theta and delta activity

3. During brain mapping, which of the following techniques is commonly used to localize thecentral sulcus?

1. Median nerve SEPs2. Intracarotid amobarbital test3. Wake up test4. Implantation of depth electrodes

ANSWERS TO SAMPLE QUESTIONS: 1. 2, 2. 3, 3. 1

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REFERENCES

The following references, or most recent editions of the following, may be useful in preparing for theexamination. Currently there exists no single textbook to cover all aspects of EEG, EP and otherneurophysiological and electroneurodiagnostic studies for Long Term Monitoring (Epilepsy, ICU andAmbulatory). The following are some sources including books, journal articles and other materials thatmay be used for study for the CLTM examination. The list does not attempt to include all acceptablereferences, nor is it suggested that the Certification Examination in Long Term Monitoring is necessarilybased on these references or sources.

Abou-Khalil B, Misulis KE. Atlas of EEG and Seizure Semiology. Butterworth-Heinemann, 2005. (ISBN0750675136)

American Clinical Neurophysiology Society Guidelines in Electroencephalography (2006), and in LongTerm Monitoring (2008). (www.acns.org)

Chang BS, Schachter SG, Schomer DL. Atlas of Ambulatory EEG. Elsevier: Boston, 2005. (ISBN0126213453)

Crespel A, Gelisse P, Bureau M, Genton P. Atlas of Electroencephalography Vol 2. The Epilepsies. EEGand Epileptic Syndromes. Libbey: France, 2006. (ISBN 2742006001)

Doose H. EEG in Childhood Epilepsy: Initial Presentation and Long-Term Follow-up. John Libbey: Paris,2003.

Ebersole JS, Husain AM, Nordli DR Jr. (eds.). Current Practice of Clinical Electroencephalography, 3rdEdition. Lippincott Williams & Wilkins: Philadelphia, 2014. (ISBN 145113195X)

Engle J (ed). Surgical Treatment of the Epilepsies, 2nd ed. Lippincott Williams & Wilkins:Philadelphia,1993. (ISBN 0881679887)

Engel J Jr., Pedley TA, Aicardi J, Dichter MA, Moshe S, Perucca E, Trimble M (eds). Epilepsy: AComprehensive Textbook, 2nd ed. Lippincott Williams & Wilkins: Philadelphia, 2007. (ISBN0781757770)

Fisch BJ. Epilepsy and Intensive Care Monitoring: Principles and Practice. Demos: New York, 2010.(ISBN 1933864133)

Greenfield LJ Jr, Geyer JD, Carney PR. (eds.) Reading EEGs: A Practical Approach. Lippincott Williams& Wilkins: Philadelphia, 2010. (ISBN 0781793440)

Gotman J, Ives JR, Gloor P. (eds). Long Term Monitoring in Epilepsy. Supplement No 37 toElectroencephalography and Clinical Neurophysiology, Elsevier: 1985.

Hirsch LJ, Brenner RP. Atlas of EEG in Critical Care. Wiley-Blackwell: UK, 2010. (ISBN 0470987863)Joint Commission on Accreditation for Healthcare Organizations. “National Patient Safety Goals 2014”.www.jcaho.org.

Kaplan PW, Drislane FW (eds). Nonconvulsive Status Epilepticus. Demos: New York, 2009. (ISBN1933864105)

LaRoche SM (ed). Handbook of ICU EEG Monitoring. Demos: New York, 2013. (ISBN 1936287390)

LeRoux, P., Levine, J., Kofke, W.A. Monitoring in Neurocritical Care. Elsevier Saunders: Philadelphia,2013. (ISBN 1437701671)

Luders OH (ed). Textbook of Epilepsy Surgery. Lippincott, Williams and Wilkins: Philadelphia, 2008.(ISBN 1841845760)

Rosenow F, Luders OH. (eds). Presurgical Assessment of the Epilepsies with Clinical Neurophysiologyand Functional Imaging. Handbook of Clinical Neurophysiology, Volume 3. Elsevier: 2004.

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Schmoer DL, Lopes da Silva F. (eds.) Niedermeyer’s Electroencephalography: Basic Principles, ClinicalApplications, and Related Fields, Fifth edition. Lippincott Williams & Wilkins: Philadelphia. 2005. (ISBN0781751268)

Shorvon S, Pedley TA. The Epilepsies 3. Saunders: Philadelphia, 2009. (ISBN 9781416061717)

Tatum WO. Handbook of EEG Interpretation. Demos: New York, 2007. (ISBN 01933864117)

Tatum WO, Kaplan PW, Jallon P. Epilepsy A to Z, 2nd ed. Demos: New York, 2009. (ISBN 1933864419)

United States Department of Health and Human Services, Office for Civil Rights-HIPAA.www.hhs.gov/ocr/hipaa

Wyllie E, Cascino GD, Gidel BE, Goodkin HP (eds). Wyllie’s Treatment of Epilepsy Principles andPractice, 5th ed. Lippincott, Williams and Wilkins: Philadelphia, 2011. (ISBN 1582559376)

Yamada T, Meng E. Practical Guide for Clinical Neurophysiologic Testing: EEG. Lippinsott, Williams &Wilkins: Philadelphia, 2010. (ISBN 0781778611)

Yamada, T., Meng E. Practical Guide for Clinical Neurophysiologic Testing: EP, LTM, IOM, PSG andNCS. Lippincott Williams & Wilkins: Philadelphia, 2011. (ISBN 1609137140)

The following references and journal articles are all from the Journal of Clinical Neurophysiology (J ClinNeurophysiol):

Chong DJ, Hirsch, LJ. “Which EEG Patterns Warrant Treatment in the Critically Ill? Reviewing theEvidence for Treatment of Periodic Epileptiform Discharges and Related Patterns.” Volume 22, No. 2,2005.

Classen J, Mayer; SA, Hirsch, LJ. “Continuous EEG Monitoring in Patients With SubarachnoidHemorrhage.” Volume 22, No. 2, 2005

Husain AM. (guest ed.), “EEG: The Basics II.” Volume 23, No. 4, 2006.

Ives JR. “New Chronic EEG Electrode for Critical/Intensive Care Unit Monitoring.” Volume 22, No. 2,2005.Kull ML, Emerson RG. “Continuous EEG Monitoring in the Intensive Care Unit: Technical and StaffingConsiderations.” Volume 22, No. 2, 2005.

Tatum WO IV, Husain A, Benbadis SR, Kaplan PW. “Normal Human Adult EEG and Normal Variants.”Volume 23, No. 3, 2006

Vespa P. “Continuous EEG Monitoring for the Detection of Seizures in Traumatic Brain Injury, Infarction,and Intracerebral Hemorrhage: ‘To Detect and Protect’.” Volume 22, No. 2, 2005.

The following references are all from the American Journal of Electroneurodiagnostic Technology (Am.J. END Technol):

ASET. “National Competency Skill Standards for ICU/cEEG Monitoring.” Vol. 48, No 4, 2008.

Fenichel GL. “Ellen R. Grass Lecture: First Seizure in a Child.” Vol 41, No. 3, 2001.

Ghigo J, Niedermeyer E. “Juvenile Myoclonic Epilepsy.” Vol 40, No. 4, 2000.

Izac S. “The Phenomeon of Sudden Unexpected Death in Epilepsy.” Vol 43, No. 1, 2003.

Izac SM, Banoczi W. “The Wada Test.” Vol 39, No. 1, 1999

Jordan JW. “Semiology: Witness to a Seizure – What to Note and How to Report.” Vol 47, No. 4, 2007

Krebs PP. “Psychogenic Non-epileptic Seizures.” Vol 47, No. 1, 2007.

Radhakrishnan K. “The Role of Scalp EEG in the Presurgical Evaluation of Patients with MedicallyRefractory Temporal Lobe Epilepsy.” Vol 40, No. 4, 2000.

Smith SL. “Do You Think You Have What It Takes to Set Up A Long Term Video Monitoring Unit.” Vol46, No.1, 2006.

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Sullivan JE, Corcoran-Donnelly M, Dlugos D. “Challenges in Pediatric Video-EEG Monitoring.” Vol 47,No. 2, 2007.

Kriso Scott, Nancy. “Infection Prevention: 2013 Review and Update for Neurodiagnostic Technologists”Vol 53, No. 4, 2013.

Tatum WO. “Long Term EEG Monitoring: A Clinical Approach to Electrophysiology.” Vol 43, No. 2, 2003.

Zbigniew K, Wszolek ZK, et al. “Non-convulsive Status Epilepticus in a Patient with Mental StatusChanges.” Vol 41, No.2, 2001.

Additional resources may be available from The American Society of END Technologists(www.aset.org).

NOTIFICATION OF STATUS

SCORING

The Board sets the passing standard as the number of test questions it determines to be necessary forcandidates to answer correctly in order to be considered at least minimally competent. This methodfocuses on the particular test that is being administered. Different forms of an examination are equatedfor difficulty and content coverage. This comprehensive approach makes use of information about theperformance of similar groups in the past.

ABRET is concerned with reporting only valid scores. On rare occasions, misconduct or circumstancesbeyond the individual’s control may render a score invalid. If doubts are raised about a score becauseof these or other circumstances, ABRET reserves the right to cancel any examination score, if, in thesole opinion of ABRET, there is adequate reason to question its validity.

REPORT OF RESULTS

Candidates will be notified by email within approximately four weeks of the close of the testing windowas to whether they have passed or failed the examination. Scores on the major areas of theexamination and on the total examination will be reported and mailed to the candidates. Candidatesmay request rescoring of the examination by contacting the Professional Testing Corporation in writingand providing their complete name, address, and Social Security number, and stating the reason for therequest, name of the examination, and testing date.

EXAMINATION CHALLENGES

Candidates may comment in the comment section at the end of the examination about any testquestions, test procedures, and/or the test itself. Alternatively, a candidate may submit a complaint inwriting to the ABRET Executive Director no later than fourteen (14) calendar days after taking theexamination. All challenges and complaints will receive ABRET’s full attention. Comments regardingexamination validity will be reviewed by the ABRET Examination Committee. Examination materialsshall not be available for review by candidates.

ATTAINMENT OF REGISTRATION

Eligible candidates who pass the Certification Examination in Long Term Monitoring will be certified inlong term monitoring for a period of five years, will be permitted to use the CLTM designation after theirnames, and will receive a time-limited Certificate from ABRET. They will be eligible for recertificationafter 5 years. If not recertified, they will no longer be permitted to use the CLTM designation. ABRETprovides state, regional, and national societies with the names and addresses of passing candidatesupon request.

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CONFIDENTIALITY

1. ABRET will release the individual test scores ONLY to the individual candidate.

2. Any questions concerning test results should be referred to ABRET or the Professional TestingCorporation.

3. ABRET provides the National Neurodiagnostic Society with the names and addresses of passingcandidates.

Candidates may opt-out by contacting ABRET.

CODE OF ETHICS AND STANDARDS OF PRACTICE

ABRET is a nonprofit credentialing board for Electroencephalographic (“EEG”) Technologists, EvokedPotential (“EP”) Technologists, Neurophysiologic Intraoperative Monitoring (“CNIM”) Technologists,Long Term Monitoring (“CLTM”) Technologists, and Autonomic Professionals (“CAP”), and seeks toencourage, establish, and maintain the highest standards, traditions, and principles of thesetechnologies. ABRET Registered and Certified Technologists should recognize their responsibilities, notonly to their patients, but also to society, to other health care professionals and to themselves.

The following principles have been adopted by the Board of Directors in order to encourage personnel toaspire to the highest possible professional practice. An ABRET Registered or Certified technologistindividual shall

1. Do everything in his or her power to insure that the current Guidelines of the American ClinicalNeurophysiology Society are complied with in the department in which he or she works.

2. Preserve human dignity, respect patient's rights, and support the well being of the patient underhis or her care. The Registered or Certified technologist shall avoid discrimination againstindividuals on the basis of race, creed, religion, sex, age, and national origin.

3. Appreciate the importance of thoroughness in the performance of duty, compassion with patients,and the significance of the tasks he or she performs.

4. Preserve the confidentiality of medical and personal information of a patient.

5. Strive to remain abreast of current technology and to study and apply scientific advances in his orher specialty. Carry out his or her professional work in a competent and objective manner.

6. Abide by laws related to the profession and to general public health and safety, and avoiddishonest, unethical, or illegal practices.

7. Refuse primary responsibility for interpretation of testing or monitoring of Electroencephalograms,Evoked Potentials, or Neurophysiologic Intraoperative Monitoring for purposes of clinical diagnosisand treatment. Individuals who are licensed or otherwise authorized by practice standards toprovide interpretation are excluded.

8. Be truthful, forthcoming, and cooperative in his or her dealings with ABRET.

9. Be in continuous compliance with ABRET’s rules (as amended from time to time by ABRET).

10. Respect ABRET’s intellectual property rights.

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VIOLATIONS TO ABRET CODE OF ETHICS AND STANDARDS OF PRACTICE

PURPOSE OF STANDARDS

ABRET has developed this Code of Ethics and the Grounds for Disciplinary Action to articulatestandards of conduct required for eligibility for certification and continued certification of EEG, EP,CNIM, CLTM and CAP technologists. Maintenance of board certification will require adherence tothese and other ABRET rules. Individuals who fail to meet these requirements may have theircertification suspended or revoked. ABRET does not guarantee the job performance of any individual.

REPORTING REQUIREMENTS

An individual convicted of a felony related to electroencephalographic, evoked potential, long termmonitoring or neurophysiologic intraoperative monitoring practice and/or public health and safety(including but not limited to felonies involving rape, sexual abuse of a patient or child, actual orthreatened use of a weapon, violence, and the prohibited sale, distribution or possession of a controlledsubstance) must notify ABRET of such conviction and shall be ineligible to apply for registration,certification, or renewed registration for a period of three (3) years from the exhaustion of appeals orfinal release from confinement, whichever is later.

1. Grounds for Disciplinary Action. ABRET may deny, suspend, revoke, or take other actionregarding an application or certification if an individual is not in compliance with this DisciplinaryPolicy. Grounds for disciplinary action include (but are not limited to):

A. Ineligibility for certification, regardless of when the ineligibility is discovered;B. An irregular event in connection with an ABRET examination including (but not limited to)

copying answers, copying examination materials, and causing a disruption in the testing area;C. Providing fraudulent or misleading information;D. Failure to pay fees when due;E. Unauthorized possession or misuse of ABRET credentials, examinations, and other intellectual

property;F. Misrepresentation of certification status;G. Failure to provide requested information in a timely manner;H. Failure to inform ABRET of changes or adverse actions;I. Impairment of professional performance because of habitual use of alcohol, drugs, or other

substances, or any physical or mental condition;J. Gross or repeated negligence or malpractice in professional work;K. Noncompliance with laws related to the profession and to general public health and safety;L. Accepting primary responsibility for interpretation of testing or monitoring for purposes of

clinical diagnosis and treatment (Individuals who are licensed or otherwise authorized bypractice standards to provide interpretation are excluded);

M. Failure to maintain a current professional credential as required by the jurisdiction in which theindividual practices (this may include a license, certificate, or registration);

N. The conviction of, plea of guilty to, or plea of nolo contendere to a felony or misdemeanorrelated to public health and safety or the profession;

O. Disciplinary action by a licensing board or professional organization other than ABRET; andP. Other failure to maintain continuous compliance with ABRET standards, policies, and

procedures.

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2. Sanctions. If an individual is not exonerated or acquitted of all allegations, ABRET may imposeone or more of the following sanctions for a violation of this Disciplinary Policy:

A. Denial or suspension of eligibility;B. Denial of certification;C. Revocation of certification;D. Non-renewal of certification;E. Suspension of certification for a specific period of time;F. Reprimand;G. Probation; orH. Other corrective action.

Candidates or certificants may appeal the decision of the Discipline Committee to the ABRET Board ofDirectors by submitting a written appeals statement within 30 days. It is the candidate’s responsibilityto initiate this appeal in accordance with ABRET’s policies.

Each candidate must affirm that the information provided in the Application is true and correct to thebest of his or her knowledge. Each candidate further agrees to hold ABRET and its sponsoringorganizations blameless from any claim for damages as a result of any action it may take in connectionwith this Application, the registration examination, or the results thereof.

NAME/ADDRESS CHANGES

The candidate is responsible for promptly notifying the ABRET Executive Office of address or namechanges to be made.

PTC 15230