neurophysiology-eeg/README.md

# Neurophysiology & EEG Laboratory Quality Management System

A comprehensive QMS template designed for EEG laboratories, neurophysiology departments, and neurodiagnostic services.

## 🧠 Designed For

- **Hospital EEG Laboratories** - Inpatient and outpatient EEG services
- **Epilepsy Monitoring Units (EMU)** - Long-term video-EEG monitoring
- **Sleep Laboratories** - Polysomnography and sleep studies
- **Intraoperative Monitoring (IOM)** - Surgical neuromonitoring services
- **Evoked Potential Labs** - VEP, SSEP, BAEP testing
- **Pediatric Neurophysiology** - Neonatal and pediatric EEG
- **Research Neurophysiology** - Clinical research EEG programs

## 📋 Regulatory Framework

This template supports compliance with:

- **ACNS** - American Clinical Neurophysiology Society guidelines
- **ASET** - American Society of Electroneurodiagnostic Technologists standards
- **ABRET** - Neurodiagnostic credentialing requirements
- **The Joint Commission** - Hospital accreditation (if applicable)
- **CMS** - Medicare technical component requirements
- **HIPAA** - Patient privacy requirements
- **AASM** - American Academy of Sleep Medicine (for sleep labs)
- **State Licensing** - Technologist licensing requirements
- **OSHA** - Workplace safety requirements
- **FDA** - Medical device regulations for EEG equipment

## Repository Structure

```
├── SOPs/
│   ├── Routine-EEG/           # Standard EEG, activation procedures, reporting
│   ├── Long-Term-Monitoring/  # Continuous EEG, video-EEG, EMU protocols
│   ├── Evoked-Potentials/     # VEP, SSEP, BAEP, motor EP procedures
│   ├── Sleep-Studies/         # PSG, MSLT, MWT protocols
│   ├── Equipment/             # Maintenance, calibration, electrode care
│   └── General/               # Document control, training, CAPA
├── Forms/
│   ├── Requisition-Forms/     # EEG orders, clinical history forms
│   ├── Technical-Logs/        # Recording logs, montage documentation
│   ├── Report-Templates/      # EEG interpretation report templates
│   ├── Equipment-Records/     # Maintenance logs, calibration records
│   ├── Infection-Control/     # Electrode cleaning, disinfection logs
│   └── Training/              # Competency assessments, credentialing
├── Policies/                  # Department policies
├── Work-Instructions/         # Step-by-step procedures
└── Templates/                 # Document templates
```

## Document Numbering Convention

- **POL-XXX**: Policies
- **SOP-EEG-XXX**: Routine EEG SOPs
- **SOP-LTM-XXX**: Long-Term Monitoring SOPs
- **SOP-EP-XXX**: Evoked Potential SOPs
- **SOP-SLP-XXX**: Sleep Study SOPs
- **SOP-EQ-XXX**: Equipment SOPs
- **WI-XXX**: Work Instructions
- **FRM-XXX**: Forms and Records

## 🤖 AI-Powered Assistance

This repository includes **AtomicAI**, your neurophysiology QMS assistant. Mention `@atomicai` in any issue or pull request to:

- Draft EEG recording and reporting procedures
- Create long-term monitoring protocols
- Generate evoked potential testing SOPs
- Develop equipment maintenance procedures
- Create infection control protocols
- Review documents for ACNS compliance

### Example Prompts

- "@atomicai create an SOP for routine EEG recording with activation procedures"
- "@atomicai draft an epilepsy monitoring unit admission protocol"
- "@atomicai write a somatosensory evoked potential (SSEP) testing procedure"
- "@atomicai create an electrode application and skin preparation SOP"
- "@atomicai develop an EEG interpretation and reporting workflow"
- "@atomicai create a neonatal EEG recording protocol"

## Getting Started

1. **Establish Technical Standards** - Define recording parameters and montages
2. **Implement Quality Metrics** - Set up technical quality indicators
3. **Define Reporting Standards** - Standardize interpretation and reporting
4. **Set Up Equipment Maintenance** - Schedule calibration and maintenance
5. **Train Technologists** - Use competency assessment forms

## Key Documents to Create First

1. **Routine EEG Recording SOP** - Standard 20-minute EEG procedure
2. **Electrode Application SOP** - 10-20 system placement, skin prep
3. **Activation Procedures SOP** - Hyperventilation, photic stimulation
4. **EEG Report Template** - Standardized interpretation format
5. **Equipment Maintenance SOP** - Daily, weekly, monthly checks
6. **Infection Control Policy** - Electrode cleaning and disinfection
7. **Artifact Recognition Training** - Technical quality standards

## Special Considerations for Neurophysiology

### Technical Quality
- 10-20 electrode placement accuracy
- Impedance requirements (<5 kΩ)
- Filter and sensitivity settings
- Montage standardization
- Artifact identification and reduction

### Recording Protocols
- Routine EEG duration and components
- Activation procedure requirements
- Special montages (referential, bipolar)
- Pediatric and neonatal considerations
- ICU and portable EEG protocols

### Equipment Management
- Amplifier calibration schedules
- Electrode inventory and testing
- Computer system maintenance
- Video synchronization testing
- Backup and archive procedures

### Infection Control
- Single-use vs. reusable electrodes
- Electrode gel handling
- Skin preparation products
- Equipment surface cleaning
- High-level disinfection requirements

---

*This template is maintained by AtomicQMS. For questions, open an issue in this repository.*