Under general supervision of clinical director (M.D. or D.O.) or designee, provides comprehensive evaluation and treatment of sleep disorders which may involve polysomnography, diagnostic and therapeutic services or patient care and education. Performs general sleep laboratory respiratory care procedures. Assists supervisor with coaching, mentoring, and monitoring staff performance to ensure efficiency and maximization of resources. Directs and assigns work activities of staff. Provides assistance and serves as liaison between supervisor, other departments and staff. Prepares various reports and monthly schedules as necessary. Assists with implementation of policies and procedures. Serves as role model to staff.
- Collects, analyzes and integrates patient information to identify and meet patient-specific needs, and determine testing parameters/procedures in conjunction with ordering physician or clinical director and laboratory protocols. Reviews history, physical information, medications, procedure request, and study protocol.
- Completes and verifies documentation.
- Explains pre-testing, testing, and post-testing to patient.
- Prepares and calibrates polysomnographic equipment to determine proper functioning. Applies electrodes and sensors according to accepted published standards. Performs appropriate physiologic calibrations to ensure proper signals. Makes adjustments, if necessary.
- Follows procedural protocols [Multiple Sleep Latency Test, Maintenance of Wakefulness Test, parasomnia studies, PAP, oxygen titration, etc.] to ensure collection of appropriate data.
- Follows lights out procedures to establish and document baseline values (body position, oxyhemoglobin saturation, respiratory and heart rates, etc.).
- Performs polysomnographic data acquisition while monitoring study-tracing quality to ensure signals are artifact-free. Makes adjustments, as necessary.
- Documents routine observations, including sleep stages and clinical events, changes in procedure, and significant events to facilitate scoring and interpretation of polysomnographic results.
- Implements appropriate safety and therapeutic interventions (including actions necessary for patient safety and therapeutic intervention such as continuous and bi-level positive airway pressure, oxygen administration, etc.).
- Follows lights on procedures to verify integrity of collected data and complete data collection process (repeats physiological and instrument calibrations and instructs patient on completing questionnaires, etc.).
- Oversees and performs difficult and unusual polysomnographic procedures and therapeutic interventions.
- Scores sleep/wake stages by applying professionally accepted guidelines.
- Scores clinical events (such as respiratory events, cardiac events, limb movements, arousals, etc.) according to laboratory specific protocols.
- Generates accurate reports by tabulating sleep/wake and clinical event data.
- Performs routine and complex equipment care and maintenance. Evaluates sleep study related equipment and inventory.
- Responds to study participant's procedural-related inquiries by providing appropriate information.
- Complies with Board of Registered Polysomnographic Technologists (BRPT) Standards of Conduct.
- Reviews data in patient records, including patient history and physical, blood gas results, pulmonary function results, imaging studies and monitoring data. Collects and evaluates additional clinical data and recommends procedures to obtain additional data.
- Selects, assembles, uses and troubleshoots respiratory equipment.
- This job description is not all encompassing.
- Minimum eighteen (18) months of sleep laboratory experience.
- Associate's degree with major in respiratory therapy including coursework in polysomnography.
License, Certification, Registration
- Valid Hawaii Respiratory Therapist license (must meet education requirement(s) for Hawaii State licensure).
- Certified Respiratory Therapist (CRT) or Registered Respiratory Therapist (RRT) with National Board for Respiratory Care (NBRC).
- Current BLS for Healthcare Provider CPR or CPR/AED for the Professional Rescuer certification.
- Registered Polysomnographic Technologist (RPSGT) with the Board of Registered Polysomnographic Technologists (BRPT).
- Demonstrated advance knowledge of cardiopulmonary physiology related to respiration and sleep.
- Proficient with non-invasive positive airway pressure treatment modality.
- Demonstrated ability to score studies.
- Proficient with computerized PSG system, non-invasive positive airway pressure treatment modality.
- Demonstrated proficiency in testing and collecting polysomnographic data of adult patients.
- Demonstrated knowledge of and skill in customer service, interpersonal relations, oral communication, results orientation, teamwork, written communication, organization, leadership, coordination, and problem solving.
- Demonstrated knowledge of and skill in word processing and spreadsheet PC applications.
- Leadership experience.