Pediatric Polysomnography Technologist - PER DIEM

Site: The General Hospital Corporation

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Must be able to work flexible hours including some weekend shifts with primary emphasis on night shift.

Job Summary

GENERAL SUMMARY/ OVERVIEW STATEMENT:

Under the direction of the Lab Manager and with the general supervision from the Senior Tech Specialist the technologist will be required to perform standard and complex all night sleep recordings as well as multiple sleep latency tests.
Monitors additional physiologic phenomena by means of appropriate technique. The polysomnograms may measure oxygen saturation EKG EEG respirations ETC02 levels upper airway resistance CPAP and BIPAP levels and other parameters necessary for a complete sleep study. After an initiation period of 46 weeks the tech would be required to work independently not necessarily alone for up to 12 hours. The technologist must be able to make appropriate decisions regarding the diagnosis and treatment of benign to the most complex patients. May perform clerical and other laboratory duties required.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Examines physicians orders and protocols for each sleep study. Reviews existing information in the patients record and recognizes chief sleep/wake complaints. Greets and interviews the patient to assess current medication recent caffeine/alcohol ingestion current sleep patterns and the need for treatment intervention during the study. Communicates with the ordering physician or unit director to clarify unclear of inappropriate orders and communications information regarding the patients status.

Must spend appropriate time in servicing the patient regarding the possible use of CPAP/BIlevel equipment. The patients fears apprehensions concerning CPAP should e reduced or eliminated by the inservice.

Sets up/calibrates monitoring equipment with appropriate montage. Measures and applies necessary EEG electrodes using the 10/20 system. Applies appropriate EKG EMG and EOG monitoring electrodes. Places and securely attaches thermistor to measure nasal/oral airflow respiratory effort oximetry and ETC02. Administers supplemental O2 under physicians order.

Performs physiologic calibrations verifies the integrity of the recording. Institutes lights out and notes patient data every 15 minutes on a tally sheet. Monitors the polysomnogram for clinical and physiological events. Must be able to interpret severely abnormal data/EKG rhythms and report such findings to the sleep physicians. Notes and corrects equipment malfunctions. Understands indications contraindications and adverse effects of nasal continuous positive airway pressure (NVPAP BIlevel and oxygen administration) applies and titrates therapy based on physicians orders and established protocols.

Recognizes and responds appropriately to the patients medical problems and physiological events especially cardiac arrhythmias respiratory events and seizures. Alters the patients environment or changes the patients body position as needed to obtain the required sleep/wake data. Evaluates routine or abnormal EEG when it applies.

Carefully wakes the patient and records postsleep calibrations. Removes the electrodes and ancillary monitors and assists Standard Precautions Infection Control procedures. Properly disinfects and sterilizes the equipment the electrodes and the thermistors and monitors used during the study. Prepare a detailed report of the data and intervention used to diagnose and treat the patient.

Attends seminars and professional meetings to keep knowledge and skills updated and maintain CEC required for AASM accreditation. Attends department meetings whenever held.

Other duties as assigned

SKILLS/ABILITIES/COMPETENCIES REQUIRED:

Acquisition of high quality studies Following pediatric protocols for diagnostic polysomnography multiple sleep latency testing CPAP/bilevel/ASV titration and oxygen titration.

Thorough documentation of nocturnal events

Troubleshooting of patient and equipment related issues during the night Developing skills related to scoring of nocturnal studies

Mask fitting and troubleshooting for PAP therapy

Assessment and management of challenges related to obtaining polysomnographic data in small and/or medically complex children

LICENSES CERTIFICATIONS and/or REGISTRATIONS:

RPSGT certification preferred.

All new employees have one year from date of hire to become BRPT registered. Unregistered technologists are required to sit for the exam at the next possible test date and subsequent dates until registration is achieved.

BCLS for Healthcare Provider certification is required.

EDUCATION:

High School Diploma required.

Graduation from a certified hospital sleep EEG or respiratory therapy program is preferred.

EXPRIENCE:

12 years polysomnography experience required previous pediatric experience is preferable.

WORKING CONDITIONS: Must be able to work flexible hours including some weekend shifts with primary emphasis on night shift.

Additional Job Description

Onsite

275 Cambridge Street

0

Per Diem

Night (United States of America)

The General Hospital Corporation is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religious creed national origin sex age gender identity disability sexual orientation military service genetic information and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process to perform essential job functions and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973 the Vietnam Veterans Readjustment Act of 1974 and Title I of the Americans with Disabilities Act of 1990 applicants who require accommodation in the job application process may contact Human Resources at (857)2827642.

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