The American Association of Sleep Technologists (AAST), the American Academy of Sleep Medicine (AASM), the Board of Registered Polysomnographic Technologists (BRPT) and the American Society of Electroneurodiagnostic Technologists (ASET) established a joint committee to provide recommendations that specifically address the minimum skills and competencies required for Sleep Technologists. This project required the committee to develop a job description model that indicated progression through the learning and development cycle. The committee identified the need to create three levels for the Sleep Technologist position.

The first position, Sleep Trainee is an entry-level position. The second position,Sleep Technician indicates successful completion and mastery of certain tasks. The third,Sleep Technologist indicates the individual has mastered tasks and successfully passed the certification process through the BRPT.

The three job descriptions focus on qualifications needed for each position and the education and skills required to move to the next level. All three levels are under supervision of the sleep centers clinical director (MD, PhD, DO). The purpose of these job descriptions is to create consistent criteria that can be used on a national basis to show the development of sleep technicians as they enter the profession and progress to become BRPT certified. The following job descriptions have been ratified by the boards of directors of the AAST, AASM, BRPT and ASET.

Position Summary

A Sleep Trainee develops competency in and performs the basics of polysomnographic testing and associated interventions under direct supervision of a Sleep Technician or a Sleep Technologist.

Domains of Practice

Gather and Analyze Patient Information

• Verify the medical order and protocol.
• Complete and verify documentation.
• Explain the procedure and orient the patient to the sleep center.

Testing Preparation Procedures

• Prepare and calibrate equipment required for testing to determine proper functioning.
• Apply electrodes and sensors according to accepted published standards.
• Perform appropriate physiologic calibrations to ensure proper signals.
• Perform routine positive airway pressure (PAP) mask fitting.

Polysomnographic Procedures

• Follow procedural protocols [such as Multiple Sleep Latency Test (MSLT), Maintenance of Wakefulness Test (MWT), parasomnia studies, PAP and oxygen titration, etc.] 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. Identify and report signal abnormalities.
• Document routine observations, including sleep stages and clinical events, changes in procedure, and other significant events in order to facilitate scoring and interpretation of polysomnographic results.
• Assist with appropriate interventions (including actions necessary for patient safety and therapeutic intervention such as continuous and bi-level positive airway pressure, oxygen administration, etc.).
• Follow “lights on” procedures to verify integrity of collected data and complete the data collection process (e.g. repeats the physiological and instrument calibrations and instructs the patient on completing questionnaires, etc.).
• Demonstrate the knowledge and skills necessary to recognize and provide age specific care in the treatment, assessment, and education of neonatal, pediatric, adolescent, adult, and geriatric patients.

Service Management and Professional Issues

• Comply with applicable laws, regulations, guidelines and standards regarding safety and infection control issues.
• Participate in equipment care and maintenance.
• Maintain current CPR or BCLS certification.
• Demonstrate effective written and spoken communication skills.
• Demonstrate appropriate social skills.
• Demonstrate ability to follow direction.

Education and/or Experience

High school diploma or GED plus 6 months of direct patient care experience or 1 year of postsecondary education.

OR

Current enrollment in an accredited educational program leading to an associate degree with an emphasis in polysomnography.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is frequently required to stand; use hands to finger, handle, or feel; reach with hands and arms; climb or balance; and talk or hear. The employee is occasionally required to walk; sit; and stoop, kneel, crouch, or crawl. The employee must regularly lift and/or move up to 10 pounds, frequently lift and/or move up to 25 pounds, and occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. In the performance of this job, the employee may be exposed to chemical vapors such as acetone, ether, or glutaraldehyde. There may also be skin contact with these substances. The employee may also be exposed to infectious agents including blood-borne pathogens.

Position Summary

A Sleep Technician performs comprehensive polysomnographic testing and analysis, and associated interventions under the general oversight of a Sleep Technologist (RPSGT) and/or the clinical director (MD, PhD, DO) or designee. A Sleep Technician can provide supervision of a Sleep Trainee.

Domains of Practice

Gather and Analyze Patient Information

• Review history, physical information, medications, procedure request, and study protocol.
• Complete and verify documentation.
• Explain the procedure and orient the patient to the sleep center.

Polysomnographic Procedures

• Prepare and calibrate equipment required for testing to determine proper functioning and make adjustments, if necessary.
• Apply electrodes and sensors according to accepted published standards.
• Perform appropriate physiologic calibrations to ensure proper signals and make adjustments, if necessary.
• Perform routine positive airway pressure (PAP) mask fitting.

Testing Preparation Procedures

• Follow procedural protocols [such as Multiple Sleep Latency Test (MSLT), Maintenance of Wakefulness Test (MWT), parasomnia studies, PAP and oxygen titration, etc.] 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, if necessary.
• Document routine observations, including sleep stages and clinical events, changes in procedure, and other 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, oxygen administration, etc.)
• Follow “lights on” procedures to verify integrity of collected data and complete the data collection process (e.g. repeats the physiological and instrument calibrations and instructs the patient on completing questionnaires, etc.)
• Demonstrate the knowledge and skills necessary to recognize and provide age specific care in the treatment, assessment, and education of neonatal, pediatric, adolescent, adult, and geriatric patients.

Polysomnographic Record Scoring

• Assist with scoring sleep/wake stages by applying professionally accepted guidelines.
• Assist with scoring clinical events (such as respiratory events, cardiac events, limb movements, arousals, etc.) with center specific protocols.
• Assist with the generation of accurate reports by tabulating sleep/wake and clinical event data.

Service Management and Professional Issues

• Comply with applicable laws, regulations, guidelines and standards regarding safety and infection control issues.
• Perform routine equipment care and maintenance and inventory evaluation.
• Maintain current CPR or BCLS certification.
• Demonstrate effective written and spoken communication skills.
• Demonstrate appropriate social skills.
• Demonstrate ability to follow direction.
• Respond to study participant’s procedural-related inquiries by providing appropriate information.

Education and/or Experience

Successful completion of a polysomnography program, of no less than one year duration, associated with a state licensed and/or a nationally accredited educational facility.

OR

A minimum of 6 months of experience as a Sleep Trainee with documented proficiency in all required competencies.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to stand; use hands to finger, handle, or feel; reach with hands and arms; climb or balance; and talk or hear. The employee is occasionally required to walk; sit; and stoop, kneel, crouch, or crawl. The employee must regularly lift and/or move up to 10 pounds, frequently lift and/or move up to 25 pounds, and occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. In the performance of this job, the employee may be exposed to chemical vapors such as acetone, ether, or glutaraldehyde. There may also be skin contact with these substances. The employee may also be exposed to infectious agents including blood-borne pathogens.

Position Summary

A Sleep Technologist works under the general supervision of the clinical director (M.D., D.O., or PhD) or designee to provide comprehensive evaluation and treatment of sleep disorders. This may involve polysomnography, diagnostic and therapeutic services or patient care and education. A Sleep Technologist can perform the duties defined for a Sleep Technician and may provide oversight of other staff.

Domains of Practice

Gather and Analyze Patient Information

• Collect, analyze and integrate patient information in order to identify and meet the patient-specific needs (Physical/mental limitations, current emotional/physiological status regarding the testing procedure, pertinent medical/social history), and to determine final testing parameters/procedures in conjunction with the ordering physician or clinical director and laboratory protocols.
• Complete and verify documentation.
• Explain pre-testing, testing, and post-testing procedures to the patient.

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 accepted published standards.
• Perform appropriate physiologic calibrations to ensure proper signals and make adjustments if necessary.
• Perform positive airway pressure (PAP) mask fitting.

Polysomnographic Procedures

• Follow procedural protocols [such as Multiple Sleep Latency Test (MSLT), Maintenance of Wakefulness Test (MWT), parasomnia studies, PAP, oxygen titration etc.] 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, if necessary.
• 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, 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 and provide age specific care in the treatment, assessment, and education of neonatal, pediatric, adolescent, adult, and geriatric patients.
• Oversees and performs difficult and unusual procedures and therapeutic interventions.

Polysomnographic Record Scoring

• Score sleep/wake stages by applying professionally accepted guidelines.
• Score clinical events (such as respiratory events, cardiac events, limb movements, arousals etc.) according to center specific protocols.
• Generate accurate reports by tabulating sleep/wake and clinical event data.

Service Management and Professional Issues

• Comply with applicable laws, regulations, guidelines and standards regarding safety and infection control issues.
• Perform routine and complex equipment care and maintenance.
• Evaluate sleep study related equipment and inventory.
• Maintain current CPR or BCLS certification.
• Demonstrate effective written and spoken communication skills.
• Demonstrate appropriate social skills.
• Respond to study participant’s procedural-related inquiries by providing appropriate information.
• Demonstrate the ability to analyze complex situations and apply policy.
• Comply with the BRPT Standards of Conduct.

Education and/or Experience

Successful completion of an accredited educational program leading to an associate degree with an emphasis in polysomnography.

OR

Successful completion of a polysomnography program of no less than one than one year duration associated with a state licensed and/or a nationally accredited educational facility or equivalent experience and documented proficiency at all competencies required of a Sleep Technician.

AND

Certification by the Board of Registered Polysomnographic Technologists as a Registered Polysomnographic Technologist or equivalent.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to stand; use hands to finger, handle, or feel; reach with hands and arms; climb or balance; and talk or hear. The employee is occasionally required to walk; sit; and stoop, kneel, crouch, or crawl. The employee must regularly lift and/or move up to 10 pounds, frequently lift and/or move up to 25 pounds, and occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. In the performance of this job, the employee may be exposed to chemical vapors such as acetone, ether, or glutaraldehyde. There may also be skin contact with these substances. The employee may also be exposed to infectious agents including blood-borne pathogens.