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<section article="gho" article_name="Health Occupations" number="14-5C-01" title_number="14" title_name="Physicians" subtitle_number="5C" subtitle_name="Polysomnographic Technologists">
  <level label="a">
    <text>In this subtitle the following words have the meanings indicated.</text>
  </level>
  <level label="b">
    <text>“Board” means the State Board of Physicians.</text>
  </level>
  <level label="c">
    <text>“Committee” means the Polysomnography Advisory Committee established under § 14–5C–05 of this subtitle.</text>
  </level>
  <level label="d">
    <text>“License” means a license issued by the Board.</text>
  </level>
  <level label="e">
    <text>“Licensed polysomnographic technologist” means a polysomnographic technologist who is licensed by the Board under this subtitle to practice polysomnography under the supervision of a licensed physician.</text>
  </level>
  <level label="f">
    <level label="1">
      <text>“Practice polysomnography” means:</text>
      <level label="i">
        <text>Monitoring and recording physiologic data during sleep, including sleep–related respiratory disturbances under the supervision of a licensed physician; or</text>
      </level>
      <level label="ii">
        <text>Using data collected under item (i) of this paragraph for the purposes of assisting a licensed physician in the diagnosis and treatment of sleep and wake disorders.</text>
      </level>
    </level>
    <level label="2">
      <text>“Practice polysomnography” includes:</text>
      <level label="i">
        <text>Providing polysomnography services that are safe, aseptic, preventive, and restorative;</text>
      </level>
      <level label="ii">
        <text>Diagnosing and treating individuals who suffer from sleep disorders as a result of developmental defects, the aging process, physical injury, disease, or actual or anticipated somatic dysfunction;</text>
      </level>
      <level label="iii">
        <text>Observing and monitoring physical signs and symptoms, general behavior, and general physical response to polysomnographic evaluation and determining whether initiation, modification, or discontinuation of a treatment regimen is warranted;</text>
      </level>
      <level label="iv">
        <text>Using evaluation techniques that include limited cardiopulmonary function assessments, the need and effectiveness of therapeutic modalities and procedures, and the assessment and evaluation of the need for extended care; and</text>
      </level>
      <level label="v">
        <text>Applying the use of techniques, equipment, and procedures involved in the evaluation of polysomnography, including:</text>
        <level label="1">
          <text>Continuous positive airway pressure or bi–level positive airway pressure titration on spontaneously breathing patients;</text>
        </level>
        <level label="2">
          <text>Supplemental low flow oxygen therapy during polysomnogram;</text>
        </level>
        <level label="3">
          <text>Capnography during polysomnogram;</text>
        </level>
        <level label="4">
          <text>Cardiopulmonary resuscitation;</text>
        </level>
        <level label="5">
          <text>Pulse oximetry;</text>
        </level>
        <level label="6">
          <text>PH probe placement and monitoring;</text>
        </level>
        <level label="7">
          <text>Esophageal pressure;</text>
        </level>
        <level label="8">
          <text>Sleep staging including surface electroencephalography, surface electrooculography, and surface submental electromyography;</text>
        </level>
        <level label="9">
          <text>Surface electromyography of arms and legs;</text>
        </level>
        <level label="10">
          <text>Electrocardiography;</text>
        </level>
        <level label="11">
          <text>Respiratory effort including thoracic and abdominal;</text>
        </level>
        <level label="12">
          <text>Plethysmography blood flow;</text>
        </level>
        <level label="13">
          <text>Snore monitoring;</text>
        </level>
        <level label="14">
          <text>Audio or video monitoring;</text>
        </level>
        <level label="15">
          <text>Implementation of a written or verbal order from a licensed physician that requires the practice of polysomnography;</text>
        </level>
        <level label="16">
          <text>Monitoring the effects a nasal device, used to treat sleep apnea, has on sleep patterns provided that the device does not extend into the trachea; and</text>
        </level>
        <level label="17">
          <text>Monitoring the effects an oral device, used to treat sleep apnea, has on sleep patterns, provided that:</text>
        </level>
        <level label="A">
          <text>The device does not extend into the trachea;</text>
        </level>
        <level label="B">
          <text>A dentist has evaluated the structures of the patient’s oral and maxillofacial region for purposes of fitting;</text>
        </level>
        <level label="C">
          <text>A dentist made or directed the making of the oral device; and</text>
        </level>
        <level label="D">
          <text>A dentist directs the use of the oral device.</text>
        </level>
      </level>
    </level>
  </level>
  <level label="g">
    <text>“Registered polysomnographic technologist” means a polysomnographic technologist who is registered by the Board of Registered Polysomnographic Technicians.</text>
  </level>
  <level label="h">
    <text>“Student” means an individual who, in accordance with section 14–5C–09(c) of this subtitle, is:</text>
    <level label="1">
      <text>Enrolled in an accredited educational program in order to qualify for a license under this title; and</text>
    </level>
    <level label="2">
      <text>Performing polysomnography services within the accredited program under the supervision of a licensed physician and without compensation.</text>
    </level>
  </level>
  <level label="i">
    <text>“Supervision” means general or direct supervision of a licensed polysomnographic technologist by a licensed physician.</text>
  </level>
</section>
