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Use of Limited EEG Source Devices Survey
Please enable JavaScript in your browser to complete this form.
Name
*
First
Last
Email
*
1. Who is primarily responsible for the initial placement of the device [select all that apply]?
Nurse
Medical or nurse assistant
Fellow or physician
Neurodiagnostic technologist
Depends on type of study and-or availability of technologist
Other
If Other, enter here:
2. Is the device used as a substitute for standard or disposable electrodes for the full study or is it replaced with a standard 10-20 setup when a technologist is available [select all that apply]?
Is a substitute used for a full routine EEG test
Is a substitute used for LTM in ICU
Is a substitute used for LTM in EMU
Is a substitute used for pediatric patients
Is replaced with standard 10-20 setup when a technologist is available
Both as a substitute for some studies and for other studies, is replaced with standard 10-20 protocol
3. If the device is replaced with a standard EEG setup, does your facility document the integrity of the device before replacement (i.e., recording inter-electrode impedances, any deviation of the device from the standard 10-20 placement, etc.)?
No. We do not document parameters before or once a device is replaced.
Yes. We document the following parameters when replacing a device with standard 10-20 setup:
If Yes, enter parameters here:
4. In which type of environment(s) is the device used [select all that apply]?
For routine EEG
For long-term monitoring in ICU setting
For LTM in EMU setting
With pediatric
Other
If Other, enter here:
5. Which type of device do you have experience using [select all that apply]?
Cap
Band
Helmet
Other
If Other, enter here:
6. Manufacturer(s):
7. We request your personal feedback on the use of limited EEG-devices (pros and cons):
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