GENERAL SUMMARY:
Under the direction of the Ambulatory Manager and Medical Director, provides comprehensive diagnostic and treatment procedures within the realm of the Sleep Lab.  This may involve polysomnography, diagnostic and therapeutic services, patient care and education. It may also include caring for patients requiring respiratory therapy not limited to medication administration and care of Trach/Vent patients.

ESSENTIAL FUNCTIONS:
• Exhibits guiding behaviors that reflect Children’s values and support our mission and vision.   
• Understands and satisfies the needs of the neonatal, infant, toddler, pre-school, school-age, adolescent and/or adult patient and families in regards to their growth and development process. Evaluates and identifies needs prior to and during testing and initiates appropriate action.
• Safely initiates, performs and maintains competency in the following areas: Diagnostics such as Polysomnograms, Cardio-pulmonary tracings, and esophageal pressure and pH monitoring, initiation and titration of continuous and bi-level pressure support, mechanical ventilation, medication administration, monitors, documentation/billing, artifact recognition and correction and patient/family education.
• Prepare and calibrate equipment required for testing to determine proper functioning and make adjustments if necessary. 
• Perform appropriate physiologic calibrations to ensure proper signals and make adjustments if necessary. 
• Perform positive airway pressure (PAP) mask fitting
• Explain pre-testing, testing, and post-testing procedures to the patient and family
• Downloads, analyzes and records pertinent data.  Documents routine observations including sleep stages and clinical events, changes in procedure, and significant events in order to facilitate scoring and interpretation of polysomnographic results.  Conveys findings to physicians.
• Scores polysomnograms in concordance with Lab standards in preparation for interpretation by sleep physician. Assures all polysomnograms scored within the sleep department are scored in concordance with Lab standards. Communicates results to physicians as necessary.
• Cleans (where applicable) and assembles sleep lab equipment according to protocol.  Ensures departmental equipment is maintained according to manufacturers’ and other regulatory agency specifications and utilizes resources appropriately.
• Identifies and analyzes problems related to patient condition and sleep lab testing, and implements solutions where appropriate.  Perform routine and complex equipment care and maintenance. Recommends and/or implements appropriate modifications in equipment or procedure based on observation.  Consults with physician as necessary. 
• Applies current research findings in practice and participates in data collection.
ESSENTIAL FUNCTIONS (Continued):
• Communicates effectively and demonstrates superior knowledge of sleep lab procedures so as to act as a resource to physicians, and the interdisciplinary health care team. Collaborates with physicians/sleep lab coordinator in regard to testing needs of patient, test results and turnaround time.
• Assists with maintaining inventory and supplies within the sleep lab.  Collaborates with the management team to maintain expenses within budget.
• Assists updating the Sleep Center database for the patients undergoing sleep studies, inclusive of test results, demographic, social and clinical information. 
• Assists in developing teaching tools and incorporates teaching into daily cares while maintaining team concept.
• Participates in QA program as per department need including inter rater reliability scoring of sleep studies.
• Keeps current regarding Polysomnographic trends and developments.  Membership in professional associations is encouraged.
• Acts as a team member by identifying personal, departmental and hospital goals.  Communicates and collaborates in a positive, effective manner towards the successful attainment of these goals by offering input, ideas and solutions utilizing the CHW Quality improvement (PDSA) model.  Is aware of departmental QI initiatives and participates as appropriate.
• Maintains departmental responsibilities by attending educational offerings, departmental and hospital interdisciplinary meetings and accurately billing for sleep lab modalities.

MINIMUM KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:
• High school education or equivalent.
• Current licensure by the State of Wisconsin as a Respiratory Care Practitioner. Registered Polysomnographic Technologist and BRPT (Board of Registered Polysomnographic Technologists) preferred; required within 24 months of hire. 
• Current CPR certification - Basic Life Support (BLS) for Healthcare Providers through American Heart or American Red Cross is required.   
• Analytical skills necessary to resolve complex clinical problems relating to the integration of anatomy and physiology to sleep/wake pathology and patient safety and welfare.
• Able to work independently and use time management skills.
• Interpersonal and communication skills sufficient to interact with interdisciplinary health team members and consumers.
• Able to work flexible hours to meet patient and department needs.
• Ability to sit and carefully monitor patients and score polysomnograms for several continuous hours.
• Ability to maintain vigilance in a quiet, sometimes dimly lit environment.
• Ability to push or pull equipment up to 170 lbs.
• Ability to lift equipment/supplies up to 25 lbs.
• Ability to lift and move neonatal through adult patient populations.
• Ability to assemble complex equipment and perform fine motor skills.
MINIMUM KNOWLEDGE, SKILLS AND ABILITIES REQUIRED (continued):
• Frequently bends, lifts, twists, reaches, and squats.
• Occasionally push/pulls and does overhead work.

WORKING CONDITIONS:
• Provides services in a setting where there is potential for exposure or injury from communicable diseases, hazardous materials, equipment, blood or other high risk body fluids.