The W.G. (Bill) Hefner VA Medical Center, Salisbury, NC has an immediate opening for a Medical Instrument Technician (Polysomnography) to work within the Medicine Service. A Registered Polysomnographic Technologist (RPSGT) works under the general supervision of the clinical director (M.D., D.O, or PhD) or Sleep Lab Supervisor to provide comprehensive evaluation and treatment of sleep disorders. This may involve polysomnography, diagnostic and therapeutic services or patient care and education. Testing Preparation Procedures Prepare and calibrate equipment required for testing to determine proper functioning and make adjustments if necessary. Apply electrodes and sensors according to AASM standards. Perform appropriate physiologic calibrations to ensure proper signals and make adjustments if necessary. Perform positive airway pressure (PAP) mask fitting. Obtain proper documentation for performing HST's, explain procedure to veterans and assist veteran with any needs related to Home Studies and document accordingly. Maintain knowledge of current equipment available to veterans and be able to assist with proper fitting and equipment troubleshooting as needed by veteran. Polysomnographic Procedures Follow procedural protocols parasomnia studies, PAP, oxygen titration, MSLT and MWT to ensure collection of appropriate data. Follow "lights out" procedures to establish and document baseline values (such as body position. oxyhemoglobin saturation, respiratory and heart rates, etc.). Perform Polysomnographic data acquisition while monitoring study-tracing quality to ensure signals are artifact-free and make adjustments. Document routine observations including sleep stages and clinical events, changes in procedure, and significant events in order to facilitate scoring and Interpretation of polysomnographic results. Implement appropriate interventions (Including actions necessary for patient safety and therapeutic intervention such as continuous and bi-level positive airway pressure, iVAPS, AVS, and oxygen administration, etc.). Follow "lights on" procedures to verify integrity of collected data and complete the data collection process (repeats the physiological and Instrument calibrations and instructs the patient on completing questionnaires, etc.). Demonstrate the knowledge and skills necessary to recognize comorbidity related sleep issues including PTSD, insomnia, and multiple respiratory related issues commonly associated with the veteran population. Polysomnographic Record Scoring Appropriately score sleep/wake stages by applying professionally accepted guidelines provided by the AASM and medical director. Appropriately score clinical events (such as respiratory events, cardiac events, limb movements, arousals etc.) according to center specific protocols designated by medical director. Generate accurate reports by tabulating sleep/wake and clinical event data. C-PAP Monitoring Appropriately apply the use of C-PAP, BI-PAP, ASV, iVAPS when performing polysomnograms according to physician's diagnosis and request while continuously monitoring equipment in use. As a diagnostic tool, introduces supplemental oxygen, with or without positive pressure therapy, and titrate oxygen dose as necessary upon physicians request or appropriate lab protocols. Provides in-service to patients on instruction for care and usage of CPAP equipment. ALL OTHER DUTIES ASSIGNED Work Schedule: 3rd Shift; 7pm to 7am 3 days a week with rotating Thursday 7pm to 7am. Financial Disclosure Report: Not required
Internal Number: 600304500
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.