Polysomnographic Technologist

Oregon Health & Science University•In Person, OR

22h•Onsite

About The Position

The night shift Polysomnographic (PSG) Technologist performs and scores polysomnographic recordings working 3 nights per week Monday – Sunday from 6:45PM to 7:15AM at two locations, the OHSU Sleep Disorders Laboratory at the Residence Inn, and the Sleep Lab Tanasbourne. The PSG Technologist works with both pediatric and adult populations, ensuring all aspects related to high quality data acquisition, review and scoring are accomplished. Typical staffing is either 2:1 (two patients to one technologist) or 1:1 (one patient to one technologist). The PSG Technologist performs routine and specialized procedures related to sleep disorders including but not limited to a) Nocturnal Polysomnography (PSG), b) Multiple Sleep Latency Test (MSLT), c) Maintenance of Wakefulness Test (MWT), d) Home Apnea Testing, e) PAP-NAPs and f) Ambulatory studies. PSG Technologists possess exceptional technical skills regarding all diagnostic, therapeutic and ancillary equipment; are able to make independent clinical decisions, recognize sleep pathologies and respond with appropriate interventions (i.e. CPAP, Bilevel, and Oxygen); and can clearly communicate with the patient and educate them about their testing and care. Technologists maintain a high standard of documentation for all interactions and observations during the sleep study. Clear and thorough documentation within the PSG acquisition software, study templates and in Epic according to departmental and OHSU standards is expected. Techs are responsible for monitoring the quality of collected raw data as an integral part of departmental quality improvement standards. PSG Technologists are responsible to completely score their acquired sleep studies during their shift and provide a high level of documentation. Technologists must be able to meet departmental standards for inter-reliability scoring and ensure PSG recordings are scored within a timely manner in accordance with performance standards. PSG Technologists are responsible for maintaining the patient tracking spreadsheet, monitoring data archival and overall data management, and are able to troubleshoot basic computer problems and any problems related to the equipment used for study acquisition as they arise. The Polysomnographic Technologist is expected to provide supportive training, oversight, and accountability for new technicians, interns, and trainees. Able to perform other duties deemed appropriate by Program Administration, Neurology Sleep Program/Clinic Managers and Medical Directors. Function/Duties of Position Monitoring/Instrumentation: Polysomnographic Technologists are able to perform PSG, MSLT, and MWT recordings on patients ensuring high recording quality with appropriate instrument adjustments and verifications according to laboratory standards. Highly proficient in testing equipment, data acquisition parameters, and therapeutic modalities from information obtained from the electronic medical record and laboratory testing orders. Ability to evaluate the clinical presentation associated with sleep and arousal disorders in determining the appropriate protocol to meet patient’s special requirements and determine final testing parameters/procedures. Can perform all calibrations, equipment checks, montage adjustments, and ensure proper function of PSG equipment prior to testing. Documents all encounters accurately within EPIC and other systems according to departmental and OHSU standards. Electrode Application: High level of proficiency related to electrode placement and application via laboratory standards; measures and accurately applies electrodes in a timely manner, according to the International 10-20 System or laboratory policy. Applies all sensors and monitoring equipment as outlined by AASM guidelines and laboratory policies and procedures. Performs impedance tests and corrects issues with electrode applications prior to starting each study. Able to prepare and start patient studies at a reasonable time according to departmental policies. Clinical: Strong technical/clinical skills related to creating and modifying PSG recording montages to optimize recognized indications, contraindications and potential side effects of treatment modalities. Can perform various types of adult and pediatric procedures for advanced monitoring including but not limited to parasomnias, seizures, EtCO2, tcpCO2, CPAP, Bilevel, ASV and VAPs. Must possess the ability to monitor and change patients’ position or environment as needed to obtain required sleep/wake data. Strong clinical skills related to pharmacology and understanding the effects medications can present on the polysomnogram. Highly proficient in performing procedures within the scope of practice and ordered by physician or nurse practitioner. Artifact Recognition: Strong technical troubleshooting skills in determining erroneous versus true data collected; assess artifact from physiological signals; differentiate normal variants and artifact from epileptiform or seizure activity; assess oximetry recording for normal and abnormal oxyhemoglobin saturation and differentiate from artifact. Documents, eliminate and/or take proper measures to monitor various patient and or environmental artifacts; devise, document, and execute plan to troubleshoot. Polysomnographic Record Scoring: Responsible to score all of the acquired sleep studies during their shift. Accurately scores pediatric and adult studies during and after data collection, determining sleep/wake stages, as well as scoring clinical events (respiratory, cardiac, limb movements, arousals etc.) within laboratory inter- reliability standards of at least 80%. Accurately scores PSG records in a timely manner per laboratory policies and procedures and meets performance standards. Strong clinical skills with the ability to distinguish sleep disordered breathing as well as clinical recognition of age-specific EEG, EEG arousals and alpha- intrusion to customize the sleep scoring rules to each clinical scenario. Compiles scored data into a report for physician interpretation per laboratory standards. Polysomnographic Data Management includes managing data for all sleep studies, ensuring proper transfer of PSG data to server and archive, and maintaining patient tracking spreadsheet with the responsibility of no data loss. Responsible to assign priority scoring for PSG records per Laboratory standards. Provides supportive training and oversight for PSG Technician 1 and Technician trainees. Able to perform other duties deemed appropriate by Program Administration, Sleep Clinic/Laboratory Mangers and Medical Directors.

Requirements

Current Licensed Polysomnographic Technologist (LPSGT) credential issued by the Oregon Health Licensing Agency, or eligible to acquire LPSGT through the Health Licensing Agency prior to first day of employment.
Current certification by the Board of Registered Polysomnographic Technologists (BRPT) as a Registered Polysomnographic Technologist (RPSGT) and/or Registered Respiratory Therapist (RRT)
CPR Certification: Basic Life Support (BLS) for Healthcare Providers through American Heart Association (AHA)
Ability to prioritize multiple tasks.
Ability to communicate clearly with proper grammar and spelling.
Demonstrated computer proficiency.
Ability to recognize and communicate problems promptly.
Proficient knowledge of sleep disorders and sleep acquisition systems.
Able to work independently and unsupervised.
Exceptional interpersonal and customer service skills.
Strong knowledge of medical terminology with an emphasis on sleep medicine.

Nice To Haves

Associates degree in Polysomnography, Respiratory Therapy and/or EEG.
2 years of experience in a sleep disorders laboratory.
Epic Scheduling
Registered Respiratory Therapist (RRT) with Sleep Disorders Specialty certificate.

Responsibilities

Perform PSG, MSLT, and MWT recordings on patients ensuring high recording quality with appropriate instrument adjustments and verifications according to laboratory standards.
Evaluate the clinical presentation associated with sleep and arousal disorders in determining the appropriate protocol to meet patient’s special requirements and determine final testing parameters/procedures.
Perform all calibrations, equipment checks, montage adjustments, and ensure proper function of PSG equipment prior to testing.
Documents all encounters accurately within EPIC and other systems according to departmental and OHSU standards.
High level of proficiency related to electrode placement and application via laboratory standards; measures and accurately applies electrodes in a timely manner, according to the International 10-20 System or laboratory policy.
Applies all sensors and monitoring equipment as outlined by AASM guidelines and laboratory policies and procedures.
Performs impedance tests and corrects issues with electrode applications prior to starting each study.
Strong technical/clinical skills related to creating and modifying PSG recording montages to optimize recognized indications, contraindications and potential side effects of treatment modalities.
Can perform various types of adult and pediatric procedures for advanced monitoring including but not limited to parasomnias, seizures, EtCO2, tcpCO2, CPAP, Bilevel, ASV and VAPs.
Must possess the ability to monitor and change patients’ position or environment as needed to obtain required sleep/wake data.
Strong clinical skills related to pharmacology and understanding the effects medications can present on the polysomnogram.
Strong technical troubleshooting skills in determining erroneous versus true data collected; assess artifact from physiological signals; differentiate normal variants and artifact from epileptiform or seizure activity; assess oximetry recording for normal and abnormal oxyhemoglobin saturation and differentiate from artifact.
Documents, eliminate and/or take proper measures to monitor various patient and or environmental artifacts; devise, document, and execute plan to troubleshoot.
Responsible to score all of the acquired sleep studies during their shift.
Accurately scores pediatric and adult studies during and after data collection, determining sleep/wake stages, as well as scoring clinical events (respiratory, cardiac, limb movements, arousals etc.) within laboratory inter- reliability standards of at least 80%.
Accurately scores PSG records in a timely manner per laboratory policies and procedures and meets performance standards.
Compiles scored data into a report for physician interpretation per laboratory standards.
Polysomnographic Data Management includes managing data for all sleep studies, ensuring proper transfer of PSG data to server and archive, and maintaining patient tracking spreadsheet with the responsibility of no data loss.
Provides supportive training and oversight for PSG Technician 1 and Technician trainees.