Medical Instrument Technician
4 weeks ago
Summary
The incumbent, under the supervision of the Chief of Respiratory Care 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 Beckley VAMC.
Duties
This is the full performance level of the Medical Instrument Technician(Polysomnography) position. The primary duties of the Medical Instrument Technician (Polysomnography) are to independently monitor patients during all stages of sleep utilizing a variety of sophisticated recording devices, score and analyze sleep stages in clinical polysomnographic (PSG) recordings, and perform interventions, such as positive airway pressure and oxygen therapies, with minimal supervision. The Medical Instrument Technician (Polysomnography)summarizes and prepares reports of PSG data. The Medical Instrument Technician (Polysomnography) anticipates problems likely to occur during the sleep study and prepares for such situations, makes changes in established procedures, or recommends alternative courses of action. The Medical Instrument Technician (Polysomnography) is knowledgeable in complex procedures as well as uncommon and/or rare sleep disorders. 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, including but not limited to; possible sleep apnea, arterial desaturations secondary to chronic obstructive pulmonary disease or other medical conditions, narcolepsy, parasomnias and periodic limb movement disorder. Demonstrates knowledge of respiratory, neuroanatomy and physiology, basic electronics and electrical safety, general knowledge of PSG instruments, attern recognition, and various medical and pharmacological conditions that influence the PSG. 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; electroencephalogram(EEG) electrodes based on the International 10-20 electrode placement system; electro-oculogram (EOG), electromyogram (EMG) and electrocardiogram (ECG) using The American Academy of Sleep Medicine Manual for the Scoring of Sleep and Associated Events. 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 (., 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 throughout the study; obtains artifact-free data and tracings; records significant observations such as sleep stage, heart rate, respiration rate, oxygen saturation level, body position; presence and/or absence of sleep apnea, snoring, myoclonus, bruxism, cardiac arrhythmias, sleep terrors, etc. 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, , and sleep/wake stages by applying professionally accepted guidelines. Inputs information into a computer for complete analysis and summation of data. Work Schedule : Monday-Friday 8:00-4:30Compressed/Flexible :Available
Telework : Not Available
Virtual: This is not a virtual position.
Fi nancial Disclosure Report: Not required
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