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Night Sleep Technologist
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POSITION OBJECTIVE: The Night Sleep Technologist are responsible for a variety of tasks which include patient testing preparation for polysomnography, data collection pertinent to the interpretation of the sleep study, treatment intervention, and all other tasks within the scope of practice related to patient care. The position reports to the Operations Coordinator.
Accountabilities / Responsibilities
- Review patient request form orders and protocols for study.
- Review pertinent information in patient chart.
- Communicate with ordering physician to clarify unclear orders and update physician (per protocol) of patient status in a clear, concise manner.
- Administer appropriate questionnaires to patients, give tours, and explain procedures for evening.
- Calibrate sleep systems and other equipment (CPAP, oximeters, etc.), as well as troubleshooting any problem areas during calibrations.
- Select and change montages on sleep systems, as appropriate.
- Interview patient to assess current medications, recent caffeine or alcohol ingestion, current sleep pattern, need for treatment intervention during testing, or need to discontinue medication for testing purposes.
- Enter all necessary information in the logbook and the patient’s EMR.
- Measure and apply EEG electrodes according to the international 10-20 system.
- Place and securely attach electrodes for EOG, EMG, and EKG.
- Place and securely attach recording devices to measure airflow, respiratory effort, snores, and oximetry.
- Perform physiological calibrations and make appropriate equipment adjustments.
- Tasks during NPSG:
- Monitor the PSG and document significant clinical and physiological events.
- Recognize equipment malfunctions and troubleshoot, as necessary.
- Recognize physiological vs. mechanical artifact and troubleshoot each with as little disruption to the rest, as possible.
- Document all activities in correct manner according to protocol including: Medication administration and reason for order, NCPAP/O2 titration changes and why, hourly annotations for SaO2 sleep stages-snore level-breathing impairment-EKG stability/dysthythmias interaction with patient, patient position/activity observations, intervention, troubleshooting changes, and physician notification.
- Score polysomnograms according to the AASM Manual for the Scoring of Sleep and Associates Events: Rules, Terminology, and Technical Specifications.
Tasks following NPSG:
- Remove electrodes and clean/calibrate all equipment according to protocols.
- Interview patient about NPSG results, administer appropriate questionnaires, arrange information for review, and review pertinent information with daytime staff, as needed.
- Set up patient with PAP equipment and accessories and educate patient on home use. Complete all necessary paperwork for the set-up.
- Generate physician interpretation letters within EMR.
- Begin the upload of patient studies to the server if the head technician is not on duty.
- Send all reports and requested information to the interpreting physician.
- Ensure that the correct billing was completed.
- Change linens and make beds at the end of the shift.
Patient and Equipment Safety:
- Clean and disinfect equipment according to protocol.
- Recognize emergency situations related to EKG, cataplexy, seizure, respiratory events, etc.
- Respond to emergency events in the correct manner according to CPR training and protocol.
- Comply with Universal Infection Control Precautions.
- Ensure safety and welfare of all patients, including those pediatric and psychiatric patients with special needs.
- Monitor medication flow.
- Monitors patient’s NPSG as well as progress, making necessary corrections according to protocol and procedures.
- Instruct, aid, appease, comfort, and monitor patients, as needed.
- Inform management and interpreting physician of pertinent events during previous NPSGs (records or events demanding immediate attention), monitors and updates records management.
- Perform all necessary tasks to keep laboratory compliant with AASM standards.
- Maintain all health information in accord with HIPAA.
- Maintain 10 CME hours per year.
- Other duties as assigned.
- Various sleep systems
- Various oximeters
- Various CPAP and BiPAP units
- Knowledge of computer systems and software
- Computer literacy
- Associates degree in related field preferred
- RPSGT or RRT or CRT or REEGT
- CPR Certification
- Sleep Lab