Polysomnography Technicians operate the electroencephalograph and other devices to record the electrical activity of the brain during sleep. Registration is offered by the Board of Registered Polysomnographic Technologists (BRPT).

Duties

Duties include but are not limited to: 1. Coordinates the scheduling of the patient's initial evaluation and primary sleep diagnostic testing. Part of this evaluation includes the use of questionnaires relevant to the patient subjective data 2. Utilizes the notes from Sleep Clinic initial work-up evaluation to determine the appropriate recording montage for patients. This includes the development and maintenance of appropriate protocols, participating in the initial patient evaluation and post procedure discussions with patients. Ensures that the patient has an understanding of their particular disorder as well as the corresponding diagnostic and treatment procedures that will follow. Performance of Studies and Quality Control 1. Must be capable of performing all studies of the sleep laboratory. Also Polysomnographic technologist must be BCLS certified in the event of patient arrest. 2. Responsible for a working knowledge of the quality improvement program for the sleep lab. This includes the Quality control set for the following: laboratory, analysis of all polysomnographic data, scoring of sleep stages and respiratory events, oximetry, EMG, EKG, and EOG parameters. 3. Responsible for having a working knowledge the operating and training manual for the sleep lab. All procedures and policies in this manual will comply with VA regulations and will be in concordance with the Association of Sleep Disorder Centers for Accreditation Guidelines for polysomnographic testing. 4. Performs or supervises routine housekeeping duties to assure that the sleep lab area is clean and sanitary. This is done so that when sterile procedures are required in the sleep lab area; there is minimal possibility of cross contamination due to unsanitary conditions. 5. The incumbent must be aware of and practice the safety policies/procedures of the medical center, and participate in quality assurance activities as directed. Work Schedule: Night Shift - 6:00pm- 6:00am Compressed Schedule: Available Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required

Requirements

Qualifications

Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Licensure or Certification. Licensure or Certification is not required for this occupation; however, it is strongly desirable at GS-6 or above as evidence of possession of the essential knowledge, skills, and abilities. For certain functional areas at the higher levels or supervisory assignments, specific certifications appropriate to the specialty are indicated in this standard under "Titles and Certification/Registrations". For all specialties identified in this standard, Basic and Advanced Cardiac Life Support certifications are desirable. Training which does not result in official certification does not meet this definition. English Language Proficiency. Medical Instrument Technicians must be proficient in spoken and written English May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). Grade Determinations: GS-06: (a) Experience. At least 1 year of experience comparable to the next lower grade level which demonstrates the knowledge, skills, abilities, and other characteristics related to the duties of the positions to be filled. In addition, the candidate must demonstrate the following KSAs: (b) Demonstrated Knowledge, Skills, and Abilities 1. Knowledge of standard, computerized polysomnographs for recording continuous all night physiological data including EEG, EOG, EKG, EMG and respiratory parameters.2. Knowledge of standard devices such as oximeters, respiratory effort devices, nasal pressure devices, thermistors, thermocouples, continuous positive airway pressure (CPAP) machines, and laboratory computers including the ability to calibrate and operate the equipment and recognize and eliminate recording artifacts.3. Knowledge of medical terminology and medical record organization to review medical records, sleep study orders, consent forms, medical charts, etc.4. Knowledge of polysmnographic procedural protocols (including overnight sleep studies, MSLT, MWT, PAP, etc.).5. Knowledge of basic anatomy and physiology and the international 10-20 electrode placement system in order to conduct the sleep studies. (c) Certification. No certification or registration is required at this level. Basic Cardiac Life Support (BCLS) certification is desirable. (d) Assignment. Polysomnography (PSG) Technicians at this level perform a full range of standard, routine examinations including overnight sleep studies, MSLT (Multiple Sleep Latency Test), MWT (Maintenance of Wakefulness Test), and PAP (Positive Airway Pressure Titration). GS-7: (a) Experience. At least 1 year of experience comparable to the next lower grade level which demonstrates the knowledge, skills, abilities, and other characteristics related to the duties of the positions to be filled. This would be experience which provided the individual with the knowledge, skills, and abilities to independently conduct difficult but standardized polysomnography examinations. In addition, the candidate must demonstrate the following KSAs: (b) Demonstrated Knowledge, Skills, and Abilities1. Knowledge of CPAP function and operation to select and fit appropriate PAP patient interface devices.2. Ability to independently titrate and document PAP level to achieve therapeutic goals.3. Knowledge of indications, complications, and contraindications of CPAP therapy.4. Knowledge of Bi-Level pressure titrations.5. Ability to recognize changes seen during the PSG tracing and identify all stages of sleep. This includes the ability to score and analyze sleep stages in clinical polysomnography recordings. (c) Certification. No certification or registration is required. Basic Cardiac Life Support (BCLS) certification is desirable. (d) Assignment. At this level the Polysomnography Technician performs a full range of standard, but complex, polysomnography examinations with responsibility for properly and accurately calibrating all instruments prior to the beginning of the PSG tracing and selection of appropriate electrode montages and sensitivity and filter settings to elicit the best possible tracings. They independently determine the need for CPAP during all night sleep studies for sleep apnea. They may administer nerve conduction velocity tests. GS-8: (a) Experience. At least 1 year of experience comparable to the next lower grade level which demonstrates the knowledge, skills, abilities, and other characteristics related to the duties of the positions to be filled. This would be experience which provided a knowledge of the more complex procedures as well as knowledge of the uncommon and/or rare sleep disorders. In addition, the candidate must demonstrate the following KSAs: (b) Demonstrated Knowledge, Skills, and Abilities1. Advanced knowledge or the International Classification of Sleep Disorders and the ability to recognize uncommon and/or rare sleep disorders.2. Ability to summarize and report polysomnographic data in narrative form.3. Knowledge of event characteristics (e.g., respiratory, cardiac, sleep stage, seizures, etc.) and ability to take appropriate action.4. Ability to provide briefings and orientation to hospital staff including physicians. (c) Certification. No certification or registration is required. Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications are also desirable for employees at this level. (d) Assignment. This represents the full performance level. At this level Polysomnographic Technicians are able to interact fully with the patient and physician to diagnose sleep disorders including those that are uncommon or rare. They are able to conduct full sleep studies including overnight studies and evaluate the relationship of events, sleep stages, and possible medical conditions which influence or result from events occurring during sleep. They anticipate problems likely to occur during the sleep study and prepare for such situations, make changes in established procedures, or recommend alternative courses of action. They are able to mentor lower graded technicians. Preferred Experience: At least 3 years as a licensed RPSGT or RRT-SDS actively working nightshift and has experience scoring on the fly in accordance with AASM guidelines. References: VA HANDBOOK 5005/15 PART II APPENDIX G27The full performance level of this vacancy is GS-08. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-06 to GS-08.

Education

IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

Contacts

• Address White City VA Medical Center 8495 Crater Lake Highway White City, OR 97503 US
• Name: Angelica Jimenez
• Phone: (541) 440-1000 X40641
• Email: [email protected]