Polysomnography Technologist III - Sleep Labs

The Technologist (Technician) will perform a wide variety of polysomnogrpahy procedures on patients with suspected injury and disease resulting in a sleep disorder(s). The Technologist is responsible for preparation of the patient for testing, performing the study, and the collection of information pertinent to the interpretation of the test results. In addition, the technologist also shares in responsibility for patients in the Epilepsy Monitoring Unit (EMU). This responsibility is shared with the EMU technicians. The Technologist must demonstrate competence defined (*) in Polysomnography Technologist responsibilities in providing age-appropriate care to patients from the age of birth through 21-years, and selected adult patients.The incumbent will also assist in the Sleep Clinic. The technologist must be able to coordinate the scheduling of patients, physicians, psychologist, and facilities

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• Following established Polices and Procedures the incumbent is responsible for performing various polysomnographic procedures on patients with possible injury and disease resulting in sleep disorders.
  • *1. Polysomnography
  • *2. Multiple Sleep Latency
  • *3. O2 Monitoring
  • *4. pCO2 Monitoring
  • *5. ECG Monitoring
  • *6. Responsible for the application and operation of acute care short and long term mechanical ventilationand the require advance evaluation in the Sleep Disorders Center.
  • *7. Portable Polysomnogrpahy
  • *8. Administration of CPAP and BiPAP ventilation
  • *9. EEG
  • *10. Take verbal orders from physician.
  • *11 Transcribe written orders and take verbal orders from an physician or designee. Specific tests may require the application of non-routine recording parameters. These tests may employ special recording techniques to record eye movements, muscle activity, ECG, chest wall movement, tongue movements, and nasal and oral airflow, among others. Testing may occasionally be necessary in the Intensive Care Units, Emergency Room, or patient's room.Clinic responsibilities include scheduling personnel and facilities, medical chart management, and follow through of physician orders and billing.
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• List of Duties:
• Adhering to all Policies and Procedures.
• Following age-related competencies.
• Effectively relates and interacts with patients, families, and the health care team.
• Teach, train, supervise polysomgraphy Technicians I and II, trainees ,neuodiagnostic assistants and respiratory students.
• Scheduling patients for clinics and diagnostic studies.
• Accurately applying leads according to the International 10:20 System.
• Adapting recording methods and instrumentation to obtain results based on history, clinical observation and Sleep Study findings. Recognizing and eliminating artifact and electrical interference in order to obtain high quality tracings.
• Knowing and understanding EEG, EMG, ECG, respiratory and oximetry patterns, as well as recognition of other physiologic patterns.
• Having a complete understanding of each instrument and its controls, as well as a knowledge of basic electronics and troubleshooting techniques.
• Displaying each patients' activity in an optimal fashion for clinical interpretation.
• Competent in finger-stick or heal-stick blood draws.
• Implementing advanced techniques including; parasomnias v. apnea protocols, seizures v. apnea, video taping, CPAP, BiPAP, infant/child/young adult/adult procedures, e.g. sizing respiratory belts to fit appropriately, etc.
• Staging or Scoring the study as to the duration and timing of sleep stages.
• Providing appropriate patient care and detailed observations of clinical manifestations during seizures and other patient-emergency situations
• Participating in conferences, technical meetings, and other educational activities.
• Serving as inservice training instructor for junior staff, technologist trainees, and other medical personnel, and patient family members. Writing a summary of the patient's clinical status and history from the chart, patient, parent, guardian, or other knowledgeable person(s). Explaining the procedure to the patient and/or any family members present. 
• Answering phones, scheduling procedures, and attending to front office responsibilities during periods of high volume or coworker illness. Facilitating the transportation of equipment and patients as necessary to complete the daily work schedule.
• Monitor patients physiological responses to therapy, such as vital signs, arterial/capillary blood gases, and blood chemistry changes, and consult with physician is needed.
• Conduct tests, such as electrocardiograms, stress testing, and lung capacity tests, to evaluate patients' cardiopulmonary functions. Administers respiratory therapy treatments via medications, assisting with breathing exercises; monitoring physiological responses to therapy, such as vital signs, arterial blood gases, and blood chemistry changes
• Evaluates effects of respiratory therapy treatment plan by observing, noting, and evaluating patient's progress; recommending adjustments and modifications.
• Facilitates use and maintenance of all treatment equipment and triages all home care related questions and needs to the appropriate entity (physician, sleep center, home care company).
• Coordinates treatment equipment delivery between the patient and their home care company
• Acts as a liaison between the patient, home care company and sleep center to ensure continuity of care.
• Set up and operate devices such as mechanical ventilators, therapeutic gas administration apparatus, environmental control systems, and aerosol generators, following specified parameters of treatment.
• Management of artificial airways and treatment parameters.? Maintaining department records and preparing tracings for storage. Contributing to the Continuous Quality Improvement (CQI) program in the institution and department.
• Maintain CQI records for the lab.
• Maintaining supplies at a reasonable level and ordering supplies.
• Processing patient charge information.
• Maintaining equipment in a calibrated and clean fashion.
• Distributing a Patient Satisfaction Survey to the patient or parent/guardian.

MINIMUM QUALIFICATIONS

• The candidate must be a high school graduate
• The candidate must have a current CPR certificate
• Current OH license in Respiratory Care.
• One years experience in Polysomnography.
• Registry Eligible for BRPT exam.
• Graduate of an AMA approved two years Respiratory Therapy Program.
• Must hold a valid respiratory credential (CRT or RRT) from the National Board of Respiratory Care (NBRC)
• One year Critical Care experience.

The following are desirable qualifications:

• Bachelors Degree in Health Sciences or related field
• Proficient in computer operations/technology.

No MINIMUM PHYSICAL REQUIREMENTS

• In incumbent must be able to perform the following physical requirement:
• Ability to lift up to thirty pounds  frequently. 
• Ability to lift fifty pounds  occasionally. 
• Ability to stand or sit for extended periods of time  frequently. Transporting equipment occasionally.
• Reaching above the head, stooping, and kneeling  frequently.

The above list of duties is intended to describe the general nature and level of work performed by people assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the people so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct and control the work of employees under his/her supervision.

EOE M/F/Disability/Vet