This slideshow with narration. prepared by The University of Kansas Hospital for our patients and their families, explains what may be expected during a continuous video EEG monitoring session.

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Continuous Video EEG
Monitoring

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• Thank you for choosing The University of Kansas
Hospital for your epilepsy care.
• The purpose of this video is to orient you to our
program and help you know what to expect during
your stay.
Welcome

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• The goal of Video EEG monitoring is to determine the
type of seizures you are having and to locate where
your seizures are coming from in your brain.
• This procedure requires hospital admission so you
can be monitored 24 hours a day.
Video EEG Monitoring Overview

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• Video EEG admissions are typically scheduled on a
Monday or Tuesday.
• You may check the status of your admission by
calling the Admissions Office at 913-588-7193
or 913-588-4588.

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• Your stay will be approximately 3-7 days depending
on how frequently you have seizures.
• Your doctor would like to capture at least 2-5 of
your typical events.

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• Please bring warm and comfortable clothing to wear,
as you may not be able to use blankets during
monitoring.
• Shirts must be button-down so they may be changed
while your electrodes and telemetry monitor are on.
• You may adjust the thermostat for comfort.
What to Bring

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• You may also want to bring games, movies, books
and personal electronics from home to occupy your
time.
• Free Wi-Fi access is available to use with your
computer or tablet.

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• Your family members are more than welcome to
support you during your stay in the hospital, if at all
possible.
• They may even be able to help alert us to seizure
events.
Family Members

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• Please have clean, washed hair upon arrival without
gel, oil, hairspray or grease.
• Remove all extensions, braids, weaves and cornrows,
as these will interfere with the electrode application
process.
Before You Arrive

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• Please be sure to bring all of your home medications
with you. This will ensure the accuracy of your
medication record.
• These medications will be secured for safekeeping.

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• On the morning of your admission, we would like for
you to arrive no later than 11 a.m.
• Please take your regularly scheduled medications on
the morning of your admission.
• While we do everything we can to ensure a bed is
ready for you at that time, please know that you may
need to wait for a room to become available.
The Morning of Your Admission

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• During your stay, you will be a patient on the 8th floor
of the heart center at The University of Kansas
Hospital. This is the NEPCU (Neuroscience and ENT
Progressive Care Unit).
• This is a 32-bed unit designed to provide a number of
services, including stroke care, neurosurgery and
epilepsy monitoring.
Neuroscience and ENT Progressive Care

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Your Room

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• During your stay, you will be cared for by physicians,
nurses, patient care assistants (PCAs), neuro-
diagnostic techs (NDTs) and support staff.
Your Care Team

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• When you arrive in your room, you will be
introduced to your primary nurse and patient
care associate.
• Your nurse will ask you questions to complete your
patient profile.
• IV access and vital signs will be obtained at this time.
Once in Your Room

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• Your nurse will also take this time to orient you
to the features of your room.

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• All forms of tobacco are prohibited. This includes
cigarettes, e-cigarettes and chewing tobacco.
• We would be more than happy to provide you with a
nicotine patch or lozenges.
• If you are ready and willing to quit smoking, please
ask your nurse to see a smoking-cessation specialist.
We Are a No-Smoking Campus

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• We want to do everything we
can to maintain your privacy
and dignity, and we want to do
even more to maintain your
safety.
Patient Privacy

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• All falls are preventable!
• Falls hurt and cause unnecessary pain and suffering.
They could even lead to injury or increase the length
of your stay.
Fall Prevention

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• For your safety, staff cannot allow you to perform
any task out of bed (or chair) alone that would
compromise your safety if a seizure were to occur.
• This includes:
– Taking you to the restroom
– Staying WITHIN AN ARM’S REACH of you while in
the restroom
– And escorting you back to bed
Your Safety

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• Please know that while you are in bed, all 4 side-rails
will be raised and padded for your safety.
• This is not intended as a restraint, but rather to
prevent falls or injury during a seizure.
Important Information About Your Bed

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• Your physician will ask that you not use any blankets
or sheets during your stay, as it is important that
physicians be able to see all of your body movements.
• Please dress warmly and adjust the room temperature
for your comfort.

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Please do not allow anyone in bed
with you – for your safety as
well as theirs.

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• You must stay in your room at all times during your
Video EEG stay.
You Must Stay in Your Room

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• To prevent pneumonia, you will be asked to use an
incentive spirometer to expand your lungs.
Preventative Care

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• You will be asked to wear leg wraps or sequential
compression devices (SCDs) to prevent blood clots.

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• Once your nurse has finished your admission profile,
obtained IV access and performed an assessment,
electrode application can begin.
Preparing for Monitoring

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Video EEG Application

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Prior to application of electrodes, please
take a moment to use the restroom, as it
will be difficult for you to go once
application has begun.

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• Initial electrode application will take anywhere from
1-2 hours.
• There will be some light skin scratching of the area
where the electrodes are placed.
• You will also notice the smell of glue.
• Glue is necessary for your electrodes to stay in place.
Electrode Application Information

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• The neuro-diagnostic tech will begin by ensuring that
your hair is clean and ready.
• The tech will then measure your head.

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• During the measuring process, your tech will mark
you with a red wax pencil.
• Your tech will use a Q-tip and gritty paste to remove
dead skin cells and oils from your skin. Please note
that this process will not break the skin or cause
bleeding.

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• As the glue is being applied, you will notice that your
head will become cold as the glue is drying.
• You will also notice the room is noisy due to the
oxygen setup required to dry the glue.
• You may also notice an odor from the glue. We will
do our best to manage the odor by providing a fan.

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• Once you are completely connected to the Video EEG
monitor, your nurse or tech will demonstrate the use
of the event button and ensure that it functions
properly.

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• Your nurse or tech will also instruct you to do your
best not to obstruct the view of the camera(s).

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Please do not touch any of the
monitoring equipment.

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For your privacy, the bathroom does
not have video capability.

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• The goal of Video EEG monitoring is that we are able
to observe, record and classify your seizure events.
During a Seizure

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• When you are thought to be experiencing a seizure,
staff on the floor will be notified by either:
– Your loved one or staff
pressing the event button
OR
– An overhead page from the
monitor tech in the EMU
Sounding the Alarm

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• At the time an event button is pressed, your nurse
and PCA will enter the room.
• Your nurse will monitor your positioning and vital
signs to ensure your safety.
• Your nurse or tech may also press the event button
again to ensure the recording is marked properly.
Event Button

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• Once your nurse has determined that you are safe,
your nurse will begin an assessment.
• To do this, your nurse will ask you to remember two
words.
• Your nurse will also ask you to follow a series of
simple commands.

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• As your event continues, your nurse will continue to
ask you to repeat the words you were asked to
remember.
• You will also be asked questions to determine your
level of consciousness.

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Your nurse will stay with you until you
have returned to baseline.

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During an event, your loved one should remember to:
1. Remain calm.
2. Note the time your event began and any warning
you may have experienced (if applicable).
3. Stay clear of the camera.
Patient Support Provider’s Responsibilities

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• We encourage you and your loved one to say out
loud – to the camera – the symptoms you are
experiencing before, during and after an event.
• This can better help us classify your events.

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Your physician will want to see 2-5
of your typical events.

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• Once your physician has seen enough seizures to
classify your events, you are ready to be
disconnected from the Video EEG monitor.
Disconnection and Discharge

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• Electrode removal will be much
faster than application.
• But this process requires the use
of acetone, which has an odor.
• We are happy to provide a fan to
aid in air circulation and increase
your comfort.
Electrode Removal

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• You may experience itching, abrasions and hair loss
where the electrodes were placed on your head.
• It may also take several washings to remove all of the
“glue.”
• 100% real mayonnaise may also help with glue
removal.
After Removal Information

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• Your nurse will provide you with individualized
discharge instructions.
• As you have been admitted with a seizure condition,
it is imperative that you observe seizure precautions:
Do not drive, operate machinery, climb ladders, work
at heights, cook using a stove, swim or bathe in a tub
alone.
Returning Home

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• Your nurse will review your specific
medications with you and alert
you to any changes in your
medication regimen.

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• Please be sure to have arranged transportation home
prior to your Video EEG admission.
• Also be sure to take all of your belongings home with
you. We do not want you to lose anything.

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• Please take this time to ask your nurse or physician
any questions you may have about this presentation
or about the Video EEG monitoring process.
Questions

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• Thank you for viewing this presentation.
• We wish you the best of luck in managing your
condition and are grateful you have entrusted
The University of Kansas Hospital with your care.
Thank you

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Continuous Video EEG
Monitoring