Registered Polysomnographic Technologist

Terrestris Global Solutions•Tacoma, WA

3d•Onsite

About The Position

We are seeking a Registered Polysomnographic Technologist to support the Veteran community in the Tacoma WA area. This position is open to all candidates, including Locum or Traveling professionals. The role involves direct patient care, including overnight nocturnal polysomnography, parasomnia montage studies, daytime sleep testing (MSLT and MWT), and Home Sleep Apnea Testing (HSAT/HST). Responsibilities include event scoring, equipment setup and calibration, operation of monitoring systems, quality control, applying and adjusting PAP modalities, documenting patient tolerance, explaining procedures, monitoring patient status, maintaining patient safety and privacy, organizing patient charts, and accurate documentation in CPRS/HER systems. The role also involves administrative tasks such as preparing PAP supply requests and participating in quality control measures. The technologist will ensure all recorded data, scoring results, and technical notes are uploaded and routed appropriately for supervising clinicians and follow established workflows for notifying clinicians about abnormal findings. They will also provide post-study instructions to patients.

Requirements

Authorization to work in the U.S. permanently, without sponsorship.
Current, full, and unrestricted license to practice medicine or surgery in a State, Territory, or Commonwealth of the United States, or in the District of Columbia.
2+ years of experience performing sleep laboratory services including in‑lab PSG, titration studies, HSAT, and scoring.
An active Registered Polysomnographic Technologist (RPSGT) certification issued by the Board of Registered Polysomnographic Technologists (BRPT).
Basic Life Support (BLS)
Advanced Cardiac Life Support (ACLS).

Nice To Haves

Previous experience with the VA is a plus.

Responsibilities

Overnight Nocturnal Polysomnography (PSG) – diagnostic, split-night, and titration studies.
Parasomnia montage studies when ordered.
Daytime sleep testing: Multiple Sleep Latency Test (MSLT) and Maintenance of Wakefulness Test (MWT).
Home Sleep Apnea Testing (HSAT/HST) – device preparation, patient instruction, and post-study data download.
Event scoring of sleep studies (respiratory events, sleep states, arousals, limb movements, cardiac rhythm, parasomnias).
Preparation of studies for Technician interpretation, including proper labeling, summary sheets, and technical notes.
Set-up, interface, and calibration of PSG equipment (16-channel and 32-channel systems depending on local platform.
Operation of computerized non-invasive monitoring system for: airflow and respiratory effort, pulse oximetry, transcutaneous CO2, Plethysmography, ECG, muscle tone, digital video monitoring system.
Daily quality control of all sleep-lab equipment.
Identify and report suspected malfunctions to Biomedical Engineering and IT support.
Apply, monitor, and adjust PAP modalities: CPAP, BiLevel, BiLevel ASV, and BiLevel ST/VAPS.
Recognize respiratory events that require PAP pressure adjustment according to AASM titration guidelines.
Document PAP tolerance, mask fit, leak, and response.
Explain procedures and ensure patient comfort to optimize data quality.
Monitor and record significant observations, including: Sleep stages, heart rate and respiratory rate, oxygen saturation, body position, presence/absence of apnea, hypopnea, snoring, nocturnal seizures, bruxism, cardiac arrhythmias, and parasomnias.
Recognize artifacts and correct them to maintain valid signals.
Identify urgent clinical concerns and respond appropriately: notify supervisor for noncritical issues, activate VA Code Blue procedures when needed, and initiate CPR when required.
Maintain patient safety and privacy in accordance with VA/HIPAA requirements.
Maintain current BLS certification at all times.
Organize, prepare, and complete patient charts, tracings, and technical notes for physical review.
Accurate, timely documentation in CPRS/HER systems.
Upload and transfer electronic files and diagnostic data in accordance with VA standards.
Ensure compliance with VHA Directive 1088 regarding communication pathways for diagnostic results (in coordination with supervising providers).
Prepare PAP supply requests (filters, tubing, masks) when required by the Sleep Program Chief.
Perform other duties that directly support Sleep Lab operations, as assigned by Sleep Medicine leadership (nonclinical tasks must remain appropriate for an RPSGT scope).
Participate in Sleep Lab quality-control measures and maintenance of accreditation standards.
Report on time for all scheduled shifts as documented by physical presence in the Sleep Laboratory at the scheduled start time.
Ensure all recorded data, scoring results, and technical notes are uploaded and routed appropriately so that supervising sleep Technicians can meet communication requirements outlined in VHA Directive 1088.
Follow all established sleep lab reporting workflows for notifying supervising clinicians about abnormal findings requiring urgent review (e.g., possible nocturnal hypoventilation, severe desaturation, dangerous arrhythmias).
Provide appropriate post‑study instructions such as: Guidance on PAP equipment return and cleaning. Post‑study safety reminders (e.g., drowsiness after MSLT study). Instructions for follow‑up appointments or PAP initiation based on preliminary Technician guidance.