Topics Covered
This course will cover the Technical, Operational, and Scoring criteria for Sleep Technology, and meets all the requirements of the BRPT.
What to Expect
Students enrolled in this course can expect short, high quality video lessons about 5-10 minutes in length, followed by a brief quiz after each lesson.
Description
This online course of instruction will review content in all the sections required by the BRPT to be considered a STAR-designated Self-Study education program. By completing this seminar, the student will learn how to use polysomnographic instrumentation, perform polysomnographic procedures, how to interact with sleep patients, perform overnight monitoring, as well as how to perform waveform recognition for the scoring and analysis of sleep stages, arousals, limb movements and sleep-related breathing events. The student will also learn how to recognize the essential features of the most common sleep disorders.
If you have not already obtained your in-person, 80 hour training, at an additional cost, we also provide that education program to help meet your eligibility for the BRPT. Both, the Self Study and 80 Hour In-Person Training, are required to meet the CPSGT exam eligibility under Pathway #3 and RPSGT exam eligibility under Pathway #4. As listed on the BRPT website, we are a STAR-designated Self Study education program AND a STAR-designated focused 2 program.

Course Overview
Section 1
Introduction: The Sleep Technologist
- Sleep Technology
- The Sleep Tech
- The Sleep Tech Shift
- The Sleep Tech Associations
- Intro to Circadian Rhythms
- Shift Work & Sleep Strategies
Section 2
Polysomnographic Instrumentation
- Neurons and Neurotransmitters
- Neuroanatomy of Wakefulness
- Electrical Principles
- PSG Component – Overview
- PSG Component – Electrodes
- PSG Component – Amplifier Processing
- PSG Component – Amplifier Modification 1
- PSG Component – Amplifier Modification 2
- PSG Component – Amplifier Sampling
- PSG Component – Calibrations
- Waveform Appearance
- Electrical Safety Review
Section 3
Sleep-Wake Physiology & Pathophysiology
Basic Sleep
- Basic Sleep-Brain Anatomy
- Basic Sleep Physiology
Basic Cardiac
- Basic Cardiac Anatomy
- Basic Cardiac Pathophysiology
Basic Respiratory
- Basic Respiratory Anatomy – Upper Airway
- Basic Respiratory Anatomy – Lower Airway
- Basic Respiratory – Breathing Mechanics
- Basic Respiratory – Physiology
- Basic Respiratory – Controls
- Basic Respiratory – Pathophysiology
Medications & Sleep
- Medications and Sleep – Overview
- Medications and Sleep – Hypnotics
- Medications and Sleep – Antidepressants
- Medications and Sleep – Cardiovascular Drugs
- Medications and Sleep – Stimulants
- Medications and Sleep – Antihistamines
- Medications and Sleep – Anticonvulsants
- Medications and Sleep – Opioids
- Medications and Sleep – Antipsychotics
- Medications and Sleep – Mood Stabilizers
- Medications and Sleep – Other Sleep Aids
Section 4
Sleep Disorder Classifications & Diagnostic Criteria
Insomnia
- Insomnia – Chronic
- Insomnia – Short Term
- Insomnia – Isolated Symptoms
Sleep Related Breathing Disorders
- SRBD – Overview of Sleep Related Breathing Disorders
- SRBD – Obstructive Sleep Apnea
- SRBD – Central – Primary Central Sleep Apnea
- SRBD – Central – Cheyne-Stokes Breathing
- SRBD – Central – Treatment Emergent Central Apnea
- SRBD – Sleep Related Hypoventilation
- SRBD – Sleep Related Hypoxemia
- SRBD – Isolated Symptom – Snoring
- SRBD – Isolated Symptom – Catathrenia
Hypersomnia
- Hypersomnia – Overview of Disorders
- Hypersomnia – Narcolepsy Type 1
- Hypersomnia – Narcolepsy Type 2
- Hypersomnia – Kleine-Levin Syndrome
- Hypersomnia – Insufficient Sleep Syndrome
- Hypersomnia – Isolated Symptom – Long Sleeper
Circadian
- Circadian – Overview of Circadian Rhythm Disorders
- Circadian – Delayed Sleep Phase
- Circadian – Advanced Sleep Phase
- Circadian – Irregular Sleep-Wake Rhythm
- Circadian – Non-24 Hour Rhythm
- Circadian – Shift Work Disorder
- Circadian – Jet Lag Disorder
Parasomnia
- Parasomnia – Overview of Disorders
- Parasomnia – NREM – Disorder of Arousals
- Parasomnia – NREM – Confusional Arousals
- Parasomnia – NREM – Sleepwalking
- Parasomnia – NREM – Sleep Terrors
- Parasomnia – NREM – Sleep-Related Eating Disorder
- Parasomnia – REM – Behavior Disorder
- Parasomnia – REM – Sleep Paralysis
- Parasomnia – REM – Nightmare Disorder
- Parasomnia – Other – Exploding Head Syndrome
- Parasomnia – Other – Sleep-Realted Hallucinations
- Parasomnia – Other – Sleep Enuresis
- Parasomnia – Other – Sleep Talking
Movement
- Movement – Overview of Disorders
- Movement – Restless Legs Syndrome
- Movement – Periodic Limb Movement Disorder
- Movement – Bruxism
- Movement – Rhythmic Movement Disorder
Factors That Influence Sleep
- Factors that Influence Sleep – Anatomy
- Factors that Influence Sleep – Age & Gender
- Factors that Influence Sleep – Clinical Disorders
Section 5
Polysomnographic Procedures
Intro to Polysomnographic Procedures
- PSG – Summary
- PSG – Scope
- PSG – Indications
Polysomnography
- PSG – Electrode Application
- PSG – EEG
- PSG – EOG
- PSG – EMG chin
- PSG – EMG limb
- PSG – ECG
- PSG – Snoring
- PSG – Respiratory
- PSG – Blood Oxygenation
- PSG – Capnography
- PSG – Body Position
- PSG – Behavioral Observation
- PSG – Recording Environment
- PSG – Montage and Technical Guidelines
- PSG – Instrumentation
- PSG – Instrumentation Calibration
- PSG – Physiologic Calibration
- PSG – Overnight Study Routine
- PSG – Artifact Correction
- PSG – Documentation – Technical
- PSG – Documentation – Clinical
- PSG – Standards of Practice
- PSG – Patient Safety – Facility
- PSG – Patient Safety – Equipment
- PSG – Patient Safety – Emergency
- PSG – Patient Discharge Guidelines
- PSG – Infection Control
Multiple Sleep Latency Test
- MSLT – Summary
- MSLT – Indications
- MSLT – General Considerations
- MSLT – The Protocol
- MSLT – Scoring and Ending Each Nap
- MSLT – Ending the Test and Interpretations
Maintenance of Wakefulness Test
- MWT – Summary
- MWT – Indications
- MWT – General Considerations
- MWT – The Protocol
- MWT – Scoring and Ending Each Trial
- MWT – Ending the Test and Interpretations
Out of Center Sleep Testing
- OCST – Summary
- OCST – Scope
- OCST – Indications
- OCST – Instrumentation
- OCST – Methodology – Device Pickup
- OCST – Documentation
- OCST – Methodology – Device Return
- OCST – PM Scoring
- OCST – Standards of Practice
- OCST – Quality Assurance
- OCST – Equipment Safety
- OCST – Infection Control
Actigraphy
- Actigraphy – Summary
- Actigraphy – Scope
- Actigraphy – Indications
- Actigraphy – Recording Techniques
- Actigraphy – Interpretation
- Actigraphy – Documentation
Section 6
Chart Review & Questionnaires
- New Patient Encounter
- Chart Review – Physician’s Order
- Chart Review – Health and Physical
- Chart Review – Sleep Questionnaires
Section 7
Patient Interaction & Professionalism
- Professionalism
- Confidentiality
- Patient Arrival and Assessment
- Patient Facility Orientation
- Patient Accommodations
- Patient Challenges
- Patient Procedure Orientation
- Patient Interview – Pre-Sleep
- Patient Interview – Post-Sleep
Section 8
Patient & Equipment Preparation
Preparation
- Before the Patient Arrives
Patient Hookup
- Patient Hookup – Overview
- Patient Hookup – 10-20 System
- Patient Hookup – EEG Electrodes
- Patient Hookup – EOG Electrodes
- Patient Hookup – EMG Chin Electrodes
- Patient Hookup – ECG Electrodes
- Patient Hookup – EMG Leg Electrodes
- Patient Hookup – Respiratory Effort Sensors
- Patient Hookup – Respiratory Airflow Sensors
- Patient Hookup – Snore Sensor
- Patient Hookup – Oximeter Probe
- Patient Hookup – Position Sensor
Verifications & Troubleshooting
- Equipment Check and Calibration
- Verify Impedance and Signal Quality
- Troubleshooting Techniques
Biocals
- Biocals – Overview
- Biocals – EEG Channels
- Biocals – EOG Channels
- Biocals – EMG Chin Channel
- Biocals – ECG Channel
- Biocals – EMG Leg Channels
- Biocals – Respiratory Channels
- Biocals – Snore Channel
Section 9
Patient Monitoring
- Patient Monitoring – Overview
- Selecting the Recording Montage
- Starting the Recording
- Documenting During the Recording
- Responding to Patient Needs
- Maintaining the Recording
- Recording Artifact – Overview
- Recording Artifact – 50-60 Hz
- Recording Artifact – Muscle
- Recording Artifact – ECG
- Recording Artifact – Slow Frequency
- Recording Artifact – Electrode Popping
- Recording Artifact – Movement
- Recording Artifact – Respiratory Channels
- Recording Artifact – Oximetry Channel
- Recording Artifact – Miscellaneous
- Ending the Recording
Section 10
Patient Safety & Emergency Situations
- Patient and Employee Safety – Overview
- Personal Safety and Chemicals
- Infection Control – General
- Infection Control – Cleaning Equipment
- Medical Waste
- Proper Lifting Techniques
- Emergency Plan
- Security Threats
- Fire Safety
- Electrical Safety
- Patient Emergencies – Cardiac
- Patient Emergencies – Seizures
- Patient Emergencies – Violent Patients
Section 11
Therapeutic Interventions
Intro to Therapeutic Interventions
- Therapeutic Interventions – Overview
PAP Acclimation
- PAP Acclimation – Summary
- PAP Acclimation – Scope
- PAP Acclimation – Equipment
- PAP Acclimation – Techniques
- PAP Acclimation – Preparing the Patient
- PAP Acclimation – The Interface
- PAP Acclimation – The Pressure
- PAP Acclimation – Leaks
- PAP Acclimation – Intolerance
- PAP Acclimation – Education
- PAP Acclimation – Compliance
- PAP Acclimation – Non-Compliance
- PAP Acclimation – Desensitization
PAP Titration
- PAP Titration – Summary
- PAP Titration – Scope
- PAP Titration – Indications
- PAP Titration – Recording Techniques
- PAP Titration – Recording Parameters
- PAP Titration – CPAP Protocol
- PAP Titration – CPAP Grading
- PAP Titration – BPAP Protocol
- PAP Titration – BPAP GradingPAP Titration – Pressure Complaint
- PAP Titration – Exploration
- PAP Titration – Supplemental Oxygen
- PAP Titration – Split Night
- PAP Titration – Repeat Titration
- PAP Titration – Documentation
- PAP Titration – Reporting
- PAP Titration – Standards of Practice
- PAP Titration – Equipment Safety
- PAP Titration – Infection Control
PAP Adherence
- PAP Adherence – Summary
- PAP Adherence – Physician Office
- PAP Adherence – Diagnostic Study
- PAP Adherence – Post-Diagnosis
- PAP Adherence – DME Services
- PAP Adherence – PAP Acclimation
- PAP Adherence – PAP Follow Up
- PAP Adherence – Patient Visits
- PAP Adherence – Long Term Follow UP
- PAP Adherence – Compliance Program
Supplemental Oxygen
- Supplemental Oxygen – Summary
- Supplemental Oxygen – Basic Purpose
- Supplemental Oxygen – Storage and Delivery
- Supplemental Oxygen – Precautions
- Supplemental Oxygen – Hypoxic Drive
- Supplemental Oxygen – Rationale
- Supplemental Oxygen – Devices
- Supplemental Oxygen – in PSG
- Supplemental Oxygen – in PAP
- Supplemental Oxygen – Troubleshooting
- Supplemental Oxygen – Titration
Alternative Treatments
- Treatment – Alternative
Section 12
Scoring
Intro to Scoring
- Intro to Scoring
Waveforms
- Waveform Features
- Waveforms to Recognize
Stages & Staging Rules
- Stage Wake
- Stage NREM 1
- Stage NREM 2
- Stage NREM 3
- Stage REM
- Different Staging Rules for Children
- Different Staging Rules for Infants
Arousals
- What is an Arousal?
Scoring Events
- Scoring Respiratory Events – Apneas
- Scoring Respiratory Events – Hypopnea
- Scoring Respiratory Events – RERA
- Scoring Hypoventilation
- Scoring Cheyne-Stokes Breathing
- Different Respiratory Rules for Children
- What is a Significant Limb Movement?
- Scoring Periodic Limb Movements
- Scoring Other Movements
- Scoring Bruxism
- Scoring REM Behavior Disorder
- Cardiac Events to Recognize
Section 13
Data Analysis & Reporting
- Data Analysis and Reporting – Overview
- Data – Technical Summary
- Data – Staging Calculations
- Data – Arousal Calculations
- Data – Cardiac Calculations
- Data – Movement Calculations
- Data – Respiratory Calculations
- Report – Clinical Summary
Section 14
Data Archiving & Storage
- Data Archiving and Storage
What to Expect
Each student is given their own personal Dashboard upon enrollment. This is where you will access any course(s) you are enrolled in, as well as manage your user profile, achievements, certificates, order histories, and view course completion.
The course material is a Micro-Learning styled approach to teaching.
Each lesson is broken into two components:
- A short on-screen video
- A brief quiz over the specific topics reviewed in that lesson’s video.
We intentionally structure our courses this way because we believe that providing information in relatively short bursts of focused content promotes retention rates and increases comprehension.
On average, video lessons are around 5 minutes. A few lessons can reach up to 15 mins for some of the more condensed content, and others are a little as 1 minute in length.
After each video lesson is completed, the student will be given the option to either rewatch the video as many times as they would like, or they can proceed to the quiz.
Immediately following each lesson, you will be prompted to take a brief quiz, usually consisting of about 5 questions. The quizzes are times, however you will have multiple attempts to achieve a passing grade.
Before a student is allowed to advance to the next lesson, a passing grade of 80% must have been acquired on the previous quiz.
The video lesson can be rewatched in between each quiz attempt, if the student would like to watch it again.
Each lesson is carefully prepared and instructed by First Sleep School’s Owner, Larry Brewer.
Larry is a Registered Sleep Technologist with over 15 years of experience.
He focuses on providing a clear understanding of the content through a relational styled teaching approach. He appreciates the value of providing real-life examples to explain even the most complex content.


24/7
Access to Content


Access Plans
3 Year
3 Year 24/7 Access to Content-
3 Year Access
-
299 Repeatable Lessons
-
25.5 Video Contact Hours
-
1200+ Review Questions
Self Study + PEP Course
3 Year 24/7 Access to Content-
3 Year Access
-
299 Repeatable Lessons
-
25.5 Video Contact Hours
-
1200+ Review Questions
-
Enrollment in 80-Hour PEP Course

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