Polysomnographic Tech- Pedi Sleep Center

New Haven, CT
Aug 15, 2019

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Job Description

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values-integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.

EEO/AA/Disability/Veteran

Summary:
A sleep technologist performs comprehensive sleep testing and analysis, and associated interventions under the general supervision of the medical director or designee. A sleep technologist can provide supervision of a sleep trainee.The polysomnographic technologist , under the direction of the supervisor /manager and Medical Director prepares the pediatric patient, conducts overnight physiologic studies -polysomnograms(PSG), collects vital signs
and other pertinent information to ensure proper interpretation by the physician /polysomnographer in accordance with established policies and procedures as assigned. Maintains vigilience in a non -stimulating environment and
knows when to consult the supervisor, physician regarding the patients status. Attention to detail is critical since the quality of data from the PSG is solely the responsibility of the technologist. A sleep technologist is credentialed in sleep technology.

Responsibilities:
  • 1. Under the the direction of the supervisor, prepares the pediatric patient, conducts overnight physiologic studies, polysomnograms (PSG), and collects pertinent information to ensure proper interpretation by the Physician/Polysomnographer in accordance with established polices and procedures as assigned. .
  • 1.1. When patient arrives, verify identification, collect documents, and obtain consent for the study.
  • 1.2. Under the direction of the supervisor, prepares the child (and parent) in an age appropriate manner by explaining all procedures involved in setting up the polysomnogram.
  • 1.3. Sets up and calibrates monitoring equipment including computer interfaces.
  • 1.4. Measures and applies appropriate EEG electrodes, applies appropriate EKG, EMG, and EOG monitoring electrodes, and places and securely attaches recording transducers to measure airflow, respiratory effort, oximetry, and capnography and performs physiological calibration.
  • 1.5. Institutes "lights out" and notes patient data, monitors the patient polysomnography, recognizes and records clinical and physiological events such as standard sleep states in infants through teenagers, notes and corrects equipment malfunctions during the PSG and alters patient's environment to insure the required sleep/wake data.
  • 1.6. Under the direction of the physician, initiates and titrates nasal CPAP therapy based on physician's orders and established protocols.
  • 1.7. Ensures that all quality standards have been performed and are acceptable prior to and during all patient testing procedures
  • 1.8. Records pre and post test physiological calibration before sleep onset and after awakening, removes electrodes and transducers and assists patient with hygiene as necessary, including bathing and shampoo for young infants.
  • 1.9. Follow "lights on" procedures to verify integrity of collected data and complete the data collection process (ie repeat physiological and instrument calibrations and instruct the patient on the completing questionnaires, checking for completeness, transferrinf data, etc)
  • 1.10. Review's patient history and verify the medical order.
  • 1.11. Demonstrates customer service skills.
  • 2. Follows YNHH and the Pediatric Sleep Center established safety precautions and procedures in the performance of all duties to insure a safe and clean environment
  • 2.1. Recognizes and responds appropriately to patient's medical problems and physiological events, especially respiratory problems, seizures or cardiac dysrhythmias including notifying the Medical Director, activating emergency button for urgent help and administering supplemental oxygen or basic life support until help arrives.
  • 2.2. Checks availability and functions of emergency equipment (suction, ambu, airway, 0xygen source) prior to study commencement.
  • 2.3. Demonstrates a concern for cleanliness or self and work area on a daily basis.
  • 2.4. Practices universal infection control procedures.
  • 2.5. Assists in cleaning and organizing the department on own initiative
  • 2.6. Comply with applicable laws, regulations, guidelines and standards regarding safety and infection
    control issues.
  • 2.7. Adhere to sleep center policies related to quality assurance.
  • 2.8. Demonstrate adherence to cleaning and disinfection procedures for equipment.
  • 3. Collaboration with co-workers, physicians both within the hospital and the outside community.
  • 3.1. Assists and supports a learning environment. Assists new staff with understanding patient equipment set-ups.
  • 3.2. Communicates and works in partnership with the staff, patients, families, and other disciplines.
  • 3.3. Utilizes a professional manner. Dialogues and resolves patient care issues or conflicts.
  • 3.4. Involves himself/herself in unit meetings/educational opportunities as pertinent.
  • 3.5. Demonstrate teamwork skills.
  • 3.6. Demonstrate appropriate social skills.
  • 3.7. Proficiency in relaying information to supervisor/Medical Director.
  • 4. Displays committment to professional growth and development by regular attendance at department meetings and educational programs and orientation participation.
  • 4.1. Maintains CEUs needed to keep credentialing.
  • 4.2. Maiintain CPR certification.
  • 4.3. Attends all staff meetings.
  • 4.4. Maintain current HealthStream training.
  • 5. Maintains vigilance in a non-stimulating environment and knows when to consult the nurse/physician regarding the patient's status. Attention to detail is critical since the quality of data from the PSG is solely the responsibility of the technologist
  • 5.1. Ability to maintain wakefulness is essential.
  • 5.2. Perform appropriate physiological calibrations to ensure proper signals and make required adjustments.
  • 5.3. Apply sensors and electrodes according to accepted published standards.
  • 5.4. Demonstrate customer service skills.
  • 5.5. Score clinical events ( such as respiratory events, cardiac events, limb movements, arousals, etc.) utilizing AASM standards.
  • 5.6. Follow procedural protocols to ensure collection of appropriate data ( ie MSLTs, MWTs, PAP and oxygen titration etc.)
  • 5.7. Perform data acquisition while monitoring study tracing quality to ensure signals are artifact free. Identify, correct and document artifact.
  • 5.8. Perform data acquisition while monitoring study tracing quality to ensure signals are artifact free.
  • 5.9. Demonstrate ability to follow direction.
  • 6. Equipment care and Maintenance
  • 6.1. Comply with applicable laws, regulations, guidelines and standards regarding safety and infection control issues.
  • 6.2. Perform routine equipment care and maintenance and inventory evaluation.
  • 6.3. Demonstrate adherence to cleaning and disinfection procedures.
  • 6.4. Calibrate and test equipment regularly to assure proper functioning, make adjustments as needed.
  • 7. Follow HIPPA policies to maintain the privacy and security of patient information.

    Other information:

    EDUCATION:

    High school graduate. Successful completion of an accredited educational program leading to a certificate or associate degree with an emphasis in healthcare. Or successful completion of a sleep technology program associated with a state licensed and/or nationally accredited educational facility or equivalent experience and documented proficiency for all competencies required of a sleep technician. Certification by a nationally recognized certification board and holds either the Certified Polysomnographic Technician (CPSGT), Registered Polysomnographic Technologist (RPSGT, Registered Sleep technologist (RST), or Sleep Disorders Specialist (SDS).

    EXPERIENCE:

    A minimum of one year experience as a sleep technologist with one of the above credentials. Preferably a minimum one (1) year health care experience that includes neonates, young infants, toddlers and special needs
    children. Or a minimum of 2 years experience as a technician.

    LICENSURE:

    CPR, CPSGT, RPSGT, RST or SDS.

    SPECIAL_SKILLS:

    Comply with applicable laws, regulations, guidelines and standards regarding safety and infection control issues.
    Computer skills.
    Demonstrate computer skills appropriate for the position.
    Demonstrate effective written and verbal communication skills.
    Demonstrate appropriate social skills.
    Demonstrate customer service skills.
    Demonstrate teamwork skills.
    Follow HIPAA policies to maintain the privacy and security of patient information.
    Demonstrate ability to follow direction.
    Respond to sleep patients procedural-related inquiries by providing appropriate information.
    Assist with patient education utilizing sleep center specific protocols.
    Adhere to sleep center policies related to quality assurance.
    Ability to train and orient new staff.
    ACCOUNTABILITY:

    Maintain current CPR or BLS certification. maintain Sleep credential.
    The individual must be able to maintain vigilance in a non-stimulating, overnight environment. Ability to
    troubleshoot problems as
    they arise. Resource for other sleep technologists not yet registered or new hires.
    COMPLEXITY:

    Must have the ability to integrate a basic understanding of anatomy and physiology with sleep /wake pathology.
    Excellent communication skills are required for pediatric patient preparation, performance of complex physiological
    monitoring insuring patient safety and comfort, education about sleep disordered breathing, as well as for
    discussing patients and clinical situations with physicians. PSG studies use sophisticated medical equipment
    including computers, electroencephalographs, electrocardiographs, polygraphs, skin electrodes and adhesives,
    airflow and respiratory effort measuring devices, audio/video recording systems, nasal CPAP and other ventilatory
    assists devices under the supervision of RT, pulse oximeters and end-tidal CO2 analyzers, thermometers and
    blood pressure cuffs, and disinfecting and sterilizing agents. Must understand the function of the equipment used
    to monitor and record breathing (airflow/effort), electroencephalogram (brain waves), electrocardiograms (heart
    rate and rhythms), electromyograms (muscle activity), pulse oximetry (blood oxygenation/saturations, and
    capnography (end-tidal carbon dioxide/ventilation). Must be able to assimilate data from several sources and
    anticipate initiation of care, in accordance with protocols, to prevent harm to the patient. Must recognize sleep and
    cardiorespiratory pathology when it occurs in the laboratory and respond with the appropriate interventions to
    ensure patient safety.
    PHYSICAL_DEMAND:

    The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 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. The employee may be exposed to chemical vapors such as cleaning and disinfecting solutions. There mau also be skin contact with these substances. The employee may also be exposed to infectious agents including blood borne pathogens.

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    Job Info

    Job: 10499

    Department: Pediatric Sleep Study
    Category: Technologist/tech
    Status: Full Time
    Shift: 12 HOUR PM-AM
    Hours: 36.000

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