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The polysomnographic technician under the supervision of a sleep technologist, prepares the patient, conducts basic physiologic studies-polysomnograms (PSG), CPAP titrations, and Home Sleep Testing, collects vital signs and other pertinent information to ensure proper interpretation by the score technologist and physician in accordance with the established policies and procedures of the AASM. Maintains vigilance in a non ?stimulating environment and knows when to consult the supervising physician regarding the patient status. Attention to detail is critical since the quality of the data from the sleep study is solely the responsibility of the technician.
Responsibilities: 1. Patient Preparation and Setup 1.1. Accurately measures the head using the international 10-20 system for EEG placement. 1.2. Identifies EOG, EMG and EKG placement sites in accordance with the new AASM criteria. 1.3. Can apply thoracic and abdomen effort belts. 1.4. Able to properly place the snore sensor. 1.5. Able to achieve and maintain adequate flow signals using a thermistor and a nasal pressure sensor 1.6. Can apply leg sensors appropriately. 1.7. Can apply Sa02 sensor appropriately. 2. Patient Care 2.1. Attends to patient quickly in a professional manner. If busy with another patient, gives explanation to patient. 2.2. When patient arrives, verify identification, collect documents and obtain consent for the study. 2.3. Explain the procedure and orient the patient for either in cent or out of center sleep test. 2.4. Can explain the purpose of Continuous Positive Airway Pressure and how it can effectively treat Obstructive Sleep Apnea. 2.5. Communicates effectively to patient about what each sensor is for, how to call for assistance and what to expect if CPAP is required. 2.6. Review the patient?s history and verify the medical order. 2.7. Follow sleep center protocols related to the sleep study. 2.8. Select appropriate equipment and calibrate for testing to determine proper functioning and make adjustments as needed. 2.9. Apply electrodes and sensors according to accepted published standards. 3. Procedures 3.1. Follow procedural protocols [such as Multiple Sleep Latency Test (MSLT), Maintenance of Wakefulness Test (MWT), parasomnia studies, PAP and oxygen titration, etc.] to ensure collection of appropriate data. 3.2. Perform appropriate physiological calibrations to ensure proper signals and make required adjustments. 3.3. Follow "lights out" procedures to establish and document baseline values (such as body position,
oxyhemoglobin saturation, respiratory and heart rates, etc.) 3.4. Perform data acquisition while monitoring study-tracing quality to ensure signals are artifact-free.
Identify, correct and document artifact. 3.5. Document routine observations, including sleep stages and clinical events, changes in procedure, and
other significant events in order to facilitate scoring and interpretation of polysomnographic results. 3.6. Assist with appropriate interventions (including actions necessary for patient safety and therapeutic
intervention such as positive airway pressure, oxygen administration, etc.). 3.7. Follow "lights on" procedures to verify integrity of collected data and complete the data collection process (e.g. repeats the physiological and instrument calibrations and instructs the patient on completing questionnaires, and check for completeness, etc.). 3.8. Demonstrate proficiency in recognizing sleep vs. wake and identify clinical events while monitoring sleep study patients. 3.9. Demonstrate the knowledge and skills necessary to recognize and provide age specific care and treatment, assessment, and education of neonatal, pediatric, adolescent, adult, and geriatric patients. 4. HSAT 4.1. Demonstrate the knowledge and skills necessary to perform portable monitoring equipment preparation and data download. 4.2. Perform patient education and instruction appropriate for out of center sleep testing. 4.3. Demonstrate adherence to cleaning and disinfection procedures for portable monitoring devices. 4.4. Demonstrate ability to identify artifact, inadequate signals and study failures in portable monitoring. 5. CPAP Titration 5.1. Assistant can properly fit patients with a variety of nasal and full face CPAP interfaces. 5.2. Can explain the difference between a nasal interface and a full face interface. 5.3. Recognizes when to increase CPAP pressure. 5.4. Identifies mask leak and corrects before increasing the pressure. 5.5. Decreases CPAP pressure to a comfortable level during extended periods of wakefulness. 5.6. Increases or "ramps up" accordingly after an extended period of wakefulness. 5.7. Able to identify mouth breathing and take appropriate steps to correct.
Can explain to patient how CPAP is to be used in the home setting and the process of home setup
once a pressure is prescribed. 5.8. Document routine observations, including sleep stages, clinical events, change in procedure, and other
significant events to facilitate scoring and interpretation.
High School graduate or Equivalent and completed or enrolled in an AASM (American Academy of Sleep Medicine) approved program. A minimum of three (3) years in Health Care related experience as an RRT or CPSGT with a minimum of 6 months experience as a sleep trainee with documented proficiency in all required competencies. Previous education in allied health or life science is helpful in assimilating the normal and abnormal physiology, as well as in working with the sophisticated equipment used during the polysomnogram.
Comply with applicable laws, regulations, guidelines and standards regarding safety and infection control issues.
Demonstrate computer skills appropriate for the position.
A minimum of three (3) years in Health Care related experience or equivalent combination of education and experience. Previous education in allied health or life science is helpful in assimilating the normal and abnormal physiology, as well as in working with the sophisticated equipment used during the polysomnogram.
Must be CPSGT or RRT credentialed with sleep experience. Must obtain 10 continuing education credits per year of AMA PRA Category 1 CME or CEC sleep-related educational activities.
Maintain current CPR or BCLS certification.
Has the ability to understand normal cardiorespiratory, neurologic, and sleep/wake physiology. Knowledge of the 10-20 EEG system for applying electrodes and sensors. Perform physiologic calculations to ensure proper signals. Familiar with standard procedural protocols including NPSG, CPAP, BiPAP, ASV, MSLT, MWT, and home sleep study.
Recognition of artifact and use sound judgment about when to fix channel. Identification of various sleep events. Technician can properly fit patients with a variety of nasal and full face CPAP interfaces.
Follow HIPAA policies to maintain the privacy and security of patient information.
Adhere to sleep center policies related to quality assurance.
The technician will meet patient needs utilizing customer service skills to encourage patients through spoken communication skills regarding discomfort and to assure a safe environment.
Assist with routine equipment care and maintenance and inventory evaluation. A set up should take no longer than 40 minutes.
MMR is required. Varivax (chicken pox vaccine) or evidence of prior chicken pox is required. Hepatitis B (or signed declination) is required for those with potential exposure to blood/body fluids. Tdap and influenza vaccination are strongly encouraged.
Overnight as well as flexible shifts including weekends. While performing the duties of this job, the employee is frequently required to stand; use hands to finger, handle, or feel; reach with hands and arms; climb or balance; and talk or hear. The employee is occasionally required to walk; sit; and stoop, kneel, crouch, or crawl. The employee must regularly lift and/or move up to 10 pounds, frequently lift and/or move up to 25 pounds, and occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
In the performance of this job, the employee may be exposed to chemical vapors such as cleaning and disinfecting solutions. There may also be skin contact with these substances. The employee may also be exposed to infectious agents including bloodborne pathogens.