PROTOCOL FOR NCS

RAMSHA KHURSHID
TECH AKUH 06-02-2020
ROLE OF RECEPTIONIST

When the patient presents at the

reception, the receptionist should follow
the procedure as mentioned in the policy
of reception.
ROLE OF TECHNOLOGIST
 Tech.will collect the request from the slot
containing the processed requests for EMG/NCS
or will receive the request directly from the
receptionist to call the patient for test.
 Tech. will conform that he/she has correct
patient.
 If not the routine test, confirm about the
preparation of the test has been followed before
the starting the test
CONT…
 Tech will explain the procedure to the patient.
 Prior to beginning the recording technologist
should complete the worksheet with data on the
request and the other information required on the
worksheet.
ROLE OF THE TECHNOLOGIST TECH WILL
CHECK THE FOLLOW BEFOR PROCEDURE
 Physiological factors:
- Temperature
- Age
 Non-physiological factors

- Electrode impedance and noise

- Stimulus artifact
- Filters
- Electrode placement
- Distance between active and reference
recording
electrodes
 ElectrodeApplication:
 Switch on the machine select NCS on the MENU

 Apply the electrode as per protocol of NC testing

depending upon physician’s request or patient
history
RECORDING PARAMETER
 For Motor Nerve Studies
 Filters :2-20KHz

 Sensitivity:5mv

 Sweep time:5ms
o Stimulus duration:0.05or0.2

 Stimulus Intensity: Start with Zero uV

CONT…
 For Sensory Nerve Studies
 Filter: 20-2000Hz

 Sensitivity:20uV/div

 Sweep time:2ms

 Stimulus duration:0.05or0.2

 Stimulus Intensity: Start with Zero uV

RECORDING PROCEDURE
 At the beginning of the recording make sure that
the patient is relaxed and comfortable and let
the patient knows that s/he will feel an impulse
for a moment when you will stimulate the
patient.
 Children will have been sedated if necessary
TESTING
 Check the conditions (setting/parameter).
 Start stimulating by depressing the stimulus
switch; increase the stimulus intensity gradually.
 The stimulus artifact should be noted at less than
1ms this shows that the amplifies is switch on.
 The shape of the potential will depend
upon the nerve being tested.
RESPONSE IDENTIFICATION
 Good technique be used during electrode
placement and stimulation.
 A.) if stimulus artifact obscuring the base line:
1.)Reposition the stimulator or recording electrode
2.)Clean to stimulating area and rearrange the lead
3.)Repeat the trails at a lower stimulation
4.)Apply enough gel on the electrode
CONT…
 B.) If poorly defined waves:
1.)increase the stimulus intensity and or sensitivity
2.)The muscle should twitch properly and
consistently with the stimulation
 The End