Electroencephalogram (EEG) Protocol: Standard Operating Procedure

Pre-Procedure Preparation

Patient Preparation

• Verify patient identity and order accuracy
• Review contraindications and medications
• Ensure hair is clean and free of styling products
• Document baseline neurological status

Equipment Setup

• EEG machine with appropriate software version
• Standard 10-20 electrode placement system materials
• Conductive paste or gel
• Skin preparation supplies
• Recording electrodes

Procedure Steps

1. Initial Setup

• Position patient comfortably in a quiet room
• Measure head circumference and mark key positions
• Document head injury or surgical scars

2. Electrode Placement

1. Clean electrode sites with appropriate prep solution
2. Apply electrodes following 10-20 International System
3. Check impedance levels (<5kΩ preferred)
4. Verify electrode connections

3. Recording Protocol

• Begin with 3-minute baseline recording
• Perform standard activation procedures:
  • Eyes open/closed sequences
  • Hyperventilation (3 minutes)
  • Photic stimulation
  • Sleep recording if indicated

4. Documentation Requirements

• Patient demographics
• Medication list
• Technical parameters
• Activation procedures performed
• Patient events/behaviors

Quality Assurance

Signal Quality Checks

• Monitor impedance throughout recording
• Check for artifacts and address sources
• Verify proper filter settings

Safety Considerations

• Maintain infection control protocols
• Monitor patient comfort and safety
• Follow emergency protocols as needed

Post-Procedure

Cleanup and Storage

1. Remove electrodes carefully
2. Clean patient's scalp
3. Sanitize equipment
4. Store recorded data according to protocol

Documentation Completion

• Complete technical report
• Note any deviations from standard protocol
• Archive recording appropriately