Sleep Lab Technologist II

Job Description Summary

The Registered Polysomnographic Technologist works under medical supervision to perform and evaluate overnight polysomnograms on pediatric, adolescent, adult, and geriatric patients.  This individual functions independently to safely operate sophisticated medical equipment to record sleep/wake physiology.  The registered polysomnographic technologist must recognize sleep pathology when it occurs in the laboratory and respond with the appropriate interventions to ensure patient safety.

Entity

Medical University Hospital Authority (MUHA)

Worker Type

Employee

Worker Sub-Type​

Regular

Cost Center

CC000932 COL - Sleep Lab (NMC)

Pay Rate Type

Hourly

Pay Grade

Health-25

Scheduled Weekly Hours

40

Work Shift

Job Description

Entity/Organization:  MUHA (Medical University Hospital Authority/Medical Center)

FLSA Status: Hourly

Hours Per Week: 40

Job Description/Summary:
 

The Registered Polysomnographic Technologist works under medical supervision to perform and evaluate overnight polysomnograms on pediatric, adolescent, adult, and geriatric patients.  This individual functions independently to safely operate sophisticated medical equipment to record sleep/wake physiology.  The registered polysomnographic technologist must recognize sleep pathology when it occurs in the laboratory and respond with the appropriate interventions to ensure patient safety.

Knowledge of normal cardio-respiratory, neurological and sleep physiology is essential to the registered polysomnographic technologist.  The technologist understands the function of equipment used to monitor and record airflow/effort, electromyograms (muscle activity), electrocardiograms (heart rate and rhythm), pulse oximetry (blood oxygenation/saturation).

The identification of normal/abnormal patterns, artifact and sleep/wake stages are critical to high quality patient care.  The registered polysomnographic technologist generates a report that accurately and concisely summarizes the patient's sleep/wake stages, respiratory events, cardiac events, limb movement, arousal analysis and other clinical events.  The technologist must be able to score sleep studies.
II
 The Registered Polysomnographic Technologist must be able to effectively communicate and interrelate with the medical staff, nursing service and other hospital personnel.

Position Responsibilities:

Preparation for Sleep Studies Hook-up    

                                           

1. Review physician order to determine the appropriate study to be performed.

2. Complete paperwork upon arrival of patient according to established Policy & Procedure.

3. Select appropriate montage on computer per established Policy & Procedure.

4. Review patient history & physical to familiarize yourself with patient’s medications, medical history & special needs.

5. Utilize Age Specific Needs assessment to meet needs of patient.

B.         Patient Orientation & Hook-up

                                              

Greet patient & orient to Sleep Lab. Answer any questions. Have patient complete consent form, pre-sleep questionnaire, and all other required forms. Completes department charges. Explain procedure:  Hook-up, CPAP, lights out time, lights on time. Complete patient hook-up according to established Policies & Procedures.  Check all impedance & assure that all impedance’s are <10K ohms. Show Sleep Study video to all patients appropriate & fit patients with mask, if appropriate.

C.        Patient Biocalibrations                                                                

Perform biocalibrations on all patients prior to “Lights Out” & post “Lights On” Check to assure that all signals are clearly identified.

D.        Data Acquision

                                                                                

Enter all patient information into computer module. Enter Oxygen Saturation, Heart Rate, Snore, Position, EKG findings, CPAP pressure & leak every 30 minutes in computers Technician Notes. Summarize patient’s sleep in comment section. Recognize & document clinical & physiological events. Artifact recognition & correction should be maintained according to established Policy & Procedure. ECG monitoring.

PVC’s, PAC’s, SVT, AV blocks, 1st, 2nd, & 3rd degree AV Blocks, & Atrial Fibrillation/Flutter need to be documented on the event log.  These arrhythmias warrant notes & close monitoring to assure that they do not progress to more severe arrhythmias.

Ventricular Fibrillation/Flutter, Ventricular Tachycardia & Asystole require immediate intervention by calling 911. 

7.         Score each patient record accurately and generate a scored report                for physicians to interpret. 

E.        End of Study                                                                                      

Assure CPAP patients are at optimal pressure for at least 1 hr prior to awakening. Perform post-study biocalibrations according to established Policy & Procedures. Awaken patient & unhook all equipment. Have patient complete post-sleep questionnaire and evaluation of services. Discharge patient to home. Clean all equipment according to established Policy & Procedures.  Ensure that all paperwork is completed & work area is clean. Generates report summarizing sleep/wake periods, REM episodes, cardiac events, respiratory events and other physiological events according to current guidelines. Demonstrates the use of equipment in a safe and proper manner. Review scored report for accuracy.

F.         Split-night Protocol                                                                           

Follow same basic guidelines listed in A-E above and follow split night policy/protocol. If patient has met emergency CPAP protocol at any point during split night study initiate CPAP right away.  When sufficient diagnostic data has been obtained.  Initiate CPAP & follow CPAP titration protocol.

G.        CPAP Titration                                                                                  

Follow basic guidelines listed in A-E above. Initiate CPAP titration as ordered by MD or as per protocol on Split-study order. Follow established Policy & Procedure for CPAP titration.

H.        Legibility                                                                                            

Comply with all established legibility standards in all forms of written communication.

I.          Other Duties

1. Performs regular equipment maintenance, quality control, preparation and cleaning.

2. Documents procedures in the hospital information system, the patient’s medical record and department files.

3. Inputs daily patient charges and maintains accurate patient files.

4. Demonstrates the use of equipment in a safe and proper manner.

5. Demonstrates support and compliance with MUSC’s mission, vision and values.

6. Other duties as assigned.

VI. Physical Demands of Position:

A. Must be able to push/pull patient’s and equipment.

B. Must take proper precautions to prevent exposure to hazardous infectious waste from blood or body fluids.

C. The Registered Polysomnographic Technologist is required to sit and carefully monitor polysomnograms and patients for several continuous hours.

Minimum Training and Education: Bachelor’s Degree or Equivalent. Minimum 1 year of experience.
 

Required Licensure, Certifications, Registrations:  Licensed Polysomnographic Technologist by the Board of Polysomnographic Technologists.

Current Basic Life Support (BLS) required, either a certification from an American Heart Association (AHA) BLS for Healthcare Providers (or AHA recognized equivalent) or an American Red Cross CPR/AED for Professional Rescuer and Healthcare Provider.

Physical Requirements:  Ability to perform job functions while standing. (Continuous) Ability to perform job functions while sitting. (Continuous) Ability to perform job functions while walking. (Continuous) Ability to climb stairs. (Infrequent) Ability to work indoors. (Continuous) Ability to work outside in temperature extremes. (Infrequent) Ability to work from elevated areas. (Frequent) Ability to work in confined/cramped spaces. (Frequent) Ability to perform job functions from kneeling positions. (Infrequent) Ability to bend at the waist. (Continuous) Ability to twist at the waist. (Frequent) Ability to squat and perform job functions. (Frequent) Ability to perform "pinching" operations. (Frequent) Ability to perform gross motor activities with fingers and hands. (Continuous) Ability to perform firm grasping with fingers and hands. (Continuous) Ability to perform fine manipulation with fingers and hands. (Continuous) Ability to reach overhead. (Frequent) Ability to perform repetitive motions with hands/wrists/elbows and shoulders. (Continuous) Ability to fully use both legs. (Continuous) Ability to use lower extremities for balance and coordination. (Frequent) Ability to reach in all directions. (Continuous) Ability to lift and carry 50 lbs. unassisted. (Infrequent) Ability to lift/lower objects 50 lbs. from/to floor from/to 36 inches unassisted. (Infrequent) Ability to lift from 36" to overhead 25 lbs. (Infrequent) Ability to exert up to 50 lbs. of force. (Frequent) Examples include: To transfer a 100 lb. patient that can not assist in the transfer requires 50 lbs. of force. For every 100 additional pounds, assistance will be required from another healthcare worker. 20 lbs. of force is needed to push a 400 lb. patient in a wheelchair on carpet. 25 lbs. of force is required to push a stretcher with a patient with one hand. Ability to maintain 20/40 vision, corrected, in one eye or with both eyes. (Continuous) Ability to see and recognize objects close at hand or at a distance. (Continuous) Ability to match or discriminate between colors. (Continuous) Ability to determine distance/relationship between objects; depth perception. (Continuous) Good peripheral vision capabilities. (Continuous) Ability to maintain hearing acuity, with correction. (Continuous) Ability to perform gross motor functions with frequent fine motor movements. (Continuous) Ability to deal effectively with stressful situations. (Continuous) Ability to work rotating shifts. (Frequent) Ability to work overtime as required. (Frequent) Ability to work in a latex safe environment. (Continuous) Ability to maintain tactile sensory functions. (Continuous) (Selected Positions) *Ability to maintain good olfactory sensory function. (Continuous) *(Selected Positions) *Ability to be qualified physically for respirator use, initially and as required. (Continuous) (Selected Positions)

Additional Job Description

Education: Bachelors Degree or equivalent Work Experience: 2-4 years State licensure and/or professional certification requirement/s dependent on position. Current Basic Life Support (BLS) required, either a certification from an American Heart Association (AHA) BLS for Healthcare Providers (or AHA recognized equivalent) or an American Red Cross CPR/AED for Professional Rescuer and Healthcare Provider.

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

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