The Medical Instrument Technician (Polysomnography), under supervision displays proficiency and performs at a level of excellence in all sleep diagnostic and related procedures in accordance with guidelines established by the American Academy of Sleep Medicine, the American Association of Sleep Technologists, the National Board for Respiratory Care, the American Association for Respiratory Care and policies and procedures of the Minneapolis VAHCS. Duties include: Receives and acts on assignments for a variety of difficult examinations on compromised patients for planned, urgent, and emergent tests Performs the full range of complex procedures using specialized equipment that requires precise adjustments to respond to individual patient needs, conditions or test sequences Performs sleep monitoring (PSG) on individuals with a variety of sleep disorders Sets up PAP equipment, performs quality checks to ensure readiness for use during the procedure; applies positive airway pressure (PAP) devices and titrates settings to appropriate levels per established protocols Explains procedures and positions patient to insure comfort during a variety of tests, taking into account the patient's age, mental and physical status Selects from a wide variety of electrodes and determines the best suited for each individual case situation Applies electrodes according to recognized standards Applies thoracic and abdominal transducer; pulse oximeter finger or ear probe; respiratory effort belts; nasal/oral sensors; and, other diagnostic electrodes and equipment Recognizes sleep apnea, sleep movements, nocturnal seizures, and parasomnias such as nocturnal myoclonus and rapid eye movement (REM) behavior disorder; makes adjustments in recording parameters to optimize performance of sleep studies Recognizes clinical manifestation of different types of seizures as they occur and performs behavior testing to assess the degree of responsiveness during the recording Annotates seizures, abnormal sleep behavior and significant respiratory events on the electroencephalographic records in real time (i.e., as the test is occurring Recognizes artifacts, patient movements and diagnostic findings and makes changes in recording techniques and parameters to optimize display of the phenomenon in question Scans and examines environment of recording to detect and eliminate possible sources of artifacts, recognizes artifacts as they occur in real time; works rapidly to diagnose and eliminate artifacts, in order to preserve the integrity of recording Monitors patient, diagnostic equipment, recording and video equipment Provides an assessment of the patient's condition throughout the patient's stay in the department and responds appropriately when a patient's condition falls below the baseline assessment of what is considered to be stable Responds appropriately to all situations involving patient care Scores clinical events (such as respiratory events, cardiac events, limb movements, arousals etc.) and sleep/wake stages by applying professionally accepted guidelines Inputs information into a computer for complete analysis and summation of data Analyzes approximately 1000 pages of information per PSG for sleep stages; heart rate and arrhythmias; respiration rate and pattern; oxygen saturation level; pH level; myoclonic activity; seizure activity; thoracic and abdominal movement pattern; tidal volume changes, tumescence activity; EOG activity; bruxism; specific EEG patterns; awakenings/ arousals; and other significant observations Delivers summaries to sleep services supervisor or medical director Explains any deviation from standard operating procedures Prepares and organizes patient charts with all the appropriate forms and questionnaires Prepares and organizes patient rooms with supplies and equipment required for appropriate polysomnographic procedure and electrode application Participates in Home Sleep Testing (HST) program; sees HST patients, trains clinic staff on HST data collection and setup, PAP setup, and follow-up; instructs remote technicians to download the HST data to the Minneapolis VAHCS Sleep Center; assures competency in HST and CPAP setup Explains HST procedures to the patient and answers any questions Assures sterile supplies and other required equipment are carefully selected and properly presented as determined by the test being performed Maintains inventory of supplies and initiates purchase requests Ensures that all equipment is kept clean and safe for use by the CPAP patient Reports malfunctioning equipment to Biomedical for repair or replacement Ensures proper cleaning and performs minor adjustments and maintenance Cleans and sterilizes electrodes Prepares, calibrates, interfaces, and operates all equipment used in polysomnographic procedures Mentors lower graded technicians Reports and documents daily activities and workload Reports patient status and recent changes in patient care Work Schedule: Days/Nights Financial Disclosure Report: Not required
Internal Number: 598409000
About Veterans Affairs, Veterans Health Administration
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.