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Clinical Sleep Health Examination


Clinical Sleep Health Examination      
An advanced credentialing examination for healthcare providers who work directly with sleep medicine patients, families and practitioners to coordinate and manage patient care, improve outcomes, educate patients and the community, and advocate for the importance of good sleep.  

The exam will be available in the Spring/Summer of 2014.  Additional exam details and study references will be available in early 2014 well in advance of the first exam delivery.  The exam is being developed through the Board of Registered Polysomnographic Technologists Inc. (BRPT) and will be administered in collaboration with Pearson VUE, BRPTís testing partner.  International testing locations will be available.  

CCSH Exam Blueprint

The Certification in Clinical Sleep Health examination consists of 100 multiple choice items. Of these, 75 items count toward the candidatesí scores and 25 are pretest items that are not scored.

The Successful Candidate Will Have Knowledge Of:  Sleep physiology, respiratory/cardiac/neurophysiology, sleep disorders and diagnostic criteria, sleep related comorbidities, intervention/treatment/therapy modalities, clinical guidelines, adherence/compliance techniques, testing options, sleep and related test results, human growth and development, cultural competency, behavioral health models, health literacy, written care plans, learning theories, outcomes data and measures, verbal and written communication skills, medical terminology, patient assessment techniques, chart review and documentation, medications and over-the-counter products, patient confidentiality, ethics, emergency procedures, safety, basic knowledge of computers, math skills/calculations.


DOMAIN 1:  SLEEP OVER THE LIFESPAN                                     
TASK A:  Describe normal sleep architecture, quantity, and quality5-7%
i.    Adult
ii.   Geriatric
iii.   Pediatric
iv.   Infant
TASK B:  Identify factors contributing to variations in normal sleep3-5%
i.    Medication
ii.   Gender
TASK C:  Identify and recognize the pathophysiology, epidemiology, and clinical presentation of abnormal sleep  
i.    Identify terminology currently used to classify common sleep disorders
ii.    Recognize the clinical presentation of sleep disorders
     a.    Sleep disordered breathing
     b.    Insomnia
     c.    Circadian rhythm disorders
     d.    Other sleep disorders
iii.    Describe the incidence and prevalence of sleep disorders
iv.    Differentiate chronic from temporary sleep disturbances
v.    Describe the short and long-term effects of sleep disruption and deprivation
vi.    Associate abnormal sleep with underlying pathophysiology
     a.    Cardiopulmonary disorders
     b.    Depression
     c.    Chronic pain
     d.    Other medical conditions
TASK A:  Correlate and document sleep and medical history
i.    Assess the impact of sleep on quality of life
ii.    Recognize health changes
     a.    Physical appearance
     b.    Weight
     c.    Medications
     d.    Recent hospitalization and surgeries
iii.    Evaluate signs and symptoms of disease progression, exacerbation and improvement
iv.    Document actions, observations and orders in the patient chart
TASK B:  Identify co-morbid conditions and impact on patient8-12%
i.    Explain how sleep disorders affect comorbid conditions    
ii.    Explain how comorbid conditions affect sleep disorders
TASK C:  Assess and explain evaluation and measurement tools10-15%
i.    Questionnaires and surveys
     a.    Epworth Sleepiness Scale
     b.    Berlin Questionnaire
     c.    Functional Outcomes of Sleep Questionnaire
     d.    Sleep diary
     e.    Other measures
ii.    Diagnostic testing and indications
    a.    In-lab PSG
    b.    Home Sleep Test
    c.    MSLT/MWT
    d.    Actigraphy
    e.    Other procedures
     f.    Eligibility and reimbursement
TASK D:  Evaluate treatment/therapy12-16%
i.    Monitor adherence/compliance
ii.    Identify and remove/reduce barriers to success
iii.    Evaluate side-effects
iv.    Describe appropriate therapeutic options
    a.    Sleep disordered breathing therapies
         1.    PAP and related devices
         2.    Oral appliance therapy
         3.    Positional therapy
         4.    Surgical options
     b.    Cognitive behavioral therapy
     c.    Light therapy
     d.    Chronotherapy
v.    Develop individualized patient care plans
     a.    Chronic disease model
     b.    Clinical guidelines
TASK A:  Provide education to patient and family10-13%
i.    Respond to questions
ii.    Recognize the importance of diversity
iii.    Evaluate readiness to learn at an age appropriate level
iv.    Adapt interactions to learning styles
TASK B:  Understand and explain the importance of sleep hygiene13-16%
i.    Lifestyle
ii.   Environment
iii.  Cultural differences
TASK C:  Encourage and promote patient self-assessment and self-management          
TASK A:  Develop multidisciplinary programs       
i.    Develop and expand collaborative sleep programs
     a.    Inpatient/outpatient
     b.    Occupational health/wellness
ii.    Market services and provide education to staff/clinicians/healthcare providers/administrators
TASK B:  Manage performance improvement and quality          
i.    Audit charts
ii.   Track outcomes
TASK C:  Promote sleep disorders as a public health Issue      
i.    Impact of disorders on society
ii.   Public policy influences and impact
iii.  Community outreach

.Click here for PDF version of Blueprint Exam


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