Regulation .05 Scope of Practice.
Regulation .05 Scope of Practice.LinkCopy Citation
A.
A licensed polysomnographic technologist may practice only under the supervision of a licensed physician.
B.
A licensed polysomnographic technologist may practice only in a hospital sleep laboratory or a stand-alone sleep center.
C.
The scope of practice of a licensed polysomnographic technologist includes and is limited to the following:
(1)
Monitoring and recording physiologic data during sleep, including sleep-related respiratory disturbances;
(2)
Using data collected under §C(1) of this regulation to assist a licensed physician in the diagnosis and treatment of sleep and wake disorders;
(3)
Assisting with the diagnosis and treatment of individuals who suffer from sleep disorders as a result of developmental defects, the aging process, physical injury, disease, or actual or anticipated somatic dysfunction;
(4)
Observing and monitoring physical signs and symptoms, general behavior, and general physical responses to polysomnographic evaluation, and determining whether initiation, modification, or discontinuation of a treatment regimen is warranted;
(5)
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
(6)
Using the following techniques, equipment, and procedures:
(a)
Continuous positive airway pressure, bi-level positive airway pressure titration, or adaptive servo-ventilation on spontaneously breathing patients;
(b)
Supplemental low flow oxygen therapy during polysomnogram;
(c)
Capnography during polysomnogram;
(d)
Cardiopulmonary resuscitation;
(e)
Pulse oximetry;
(f)
PH probe placement and monitoring;
(g)
Esophageal pressure;
(h)
Sleep staging, including surface electroencephalography, surface electrooculography, and surface submental electromyography;
(i)
Surface electromyography of arms and legs;
(j)
Electrocardiography;
(k)
Respiratory effort, including thoracic and abdominal;
(l)
Plethysmography blood flow;
(m)
Snore monitoring;
(n)
Audio or video monitoring;
(o)
Implementation of a written or verbal order from a licensed physician that requires the practice of polysomnography;
(p)
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
(q)
Monitoring the effects an oral device used to treat sleep apnea has on sleep patterns provided that:
(i)
The oral device does not extend into the trachea;
(ii)
A dentist has evaluated the structures of the patient's oral and maxillofacial region for purposes of fitting the oral device;
(iii)
A dentist made or directed the making of the oral device; and
(iv)
A dentist directs the use of the oral device.
D.
The scope of practice of a polysomnographic technologist does not include administering medications.