There is an alternative. Instead of the dedicated TTY, you can now rely on the National Relay Service for all calls to and from customers who are deaf or have hearing or speech impairments. You will most likely already be receiving calls through the NRS whether or not you are maintaining a TTY.
CPD Exam. The CPD Exam is open book unless otherwise notified. Candidates can bring in up to six (6) reference books into the examination with them. Reference books with notes highlighted or written inside are permitted but loose notes such as extra printed papers or a notebook with written notes are prohibited.
The MEND exam is more thorough than the CPSS but takes less than 3 minutes to perform and requires no additional tools. This allows for quick, yet detailed initial exams and interval assessments. A recent study evaluating the use of the MEND examination as part of a decision tool to air transport patients from the scene to a comprehensive stroke center found that it had a 90% correlation with the NIHSS.