"please keep me updated about oximeters "
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Polysomnography Bill in California
A new polysomnography bill seems to be under consideration in the CA legislature (California Senate Bill 132). It seems to be of those bills that gives one group (polysomnographic technicians) power to exclude others from doing certain things. I honestly don't know enough about the bill to judge whether it's a good idea, but the definition of what is polysomnography seemed so incredibly broad, as to strike me as just plain wrong. Check out this definition of polysomnography:
"Polysomnography" means the treatment, management, diagnostic
testing, control, education, and care of patients with sleep and wake
disorders. Polysomnography shall include, but not be limited to, the
process of analysis, monitoring, and recording of physiologic data
during sleep and wakefulness to assist in the treatment of disorders,
syndromes, and dysfunctions that are sleep-related, manifest during
sleep, or disrupt normal sleep activities. Polysomnography shall also
include, but not be limited to, the therapeutic and diagnostic use
of oxygen, the use of positive airway pressure including continuous
positive airway pressure (CPAP) and bilevel modalities, adaptive
servo-ventilation, and maintenance of nasal and oral airways that do
not extend into the trachea.
"Polysomnography" means the treatment, management, diagnostic
testing, control, education, and care of patients with sleep and wake
disorders. Polysomnography shall include, but not be limited to, the
process of analysis, monitoring, and recording of physiologic data
during sleep and wakefulness to assist in the treatment of disorders,
syndromes, and dysfunctions that are sleep-related, manifest during
sleep, or disrupt normal sleep activities. Polysomnography shall also
include, but not be limited to, the therapeutic and diagnostic use
of oxygen, the use of positive airway pressure including continuous
positive airway pressure (CPAP) and bilevel modalities, adaptive
servo-ventilation, and maintenance of nasal and oral airways that do
not extend into the trachea.
Views: 26
Replies to This Discussion
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Permalink Reply by Duane McDade on
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That is what I do to the letter. That is my Job. excluding the trach, but I carry around a Pen .....you never know. It does not say it gives Technicians power to tell people what they can and can't do?? That's the Doctor's Job. This is just a job outline.
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Permalink Reply by Judy on
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That first sentence does sorta throw you for a loop for a minute or two. You might have to read it a time or two or even three.
Generally, there is/are only the sleep tech(s) and the patient(s) in the building during a PSG at night. Thus the sleep tech(s) becomes solely responsible for the safety and welfare of the patient(s) during the PSG. IF the patient displays severe apneas and severe desaturations during the evaluation night it is the tech's responsibility to wake the patient and get them started on xPAP and mask to prevent any serious problems occurring. If the patient(s) display a need for 02 supplmentation it is the tech's responsibility to get a doctor's authorization for the addition of 02. If the patient should go into cardiac arrest, etc. it is the tech's responsiblity to provide emergency care and summon emergency assistance and transportation to a hospital if called for.
It is also the tech's responsibilty to help the patient select and fit a comfortable, relatively leak free mask, to explain what he is doing and why when applying the various leads, etc. and to educate the patient on what to expect during the PSG. This would also apply to daytime MLSTs.
Correct me if I am wrong, Duane McDade, or one of our other RPSGT members.
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Yes Judy you are right. Once the patient leaves the building we (RSPGT's) have no say in what the patient does. Some of us still hear from patients from time to time, but encouragement and advice is all we can do. I think it's important to care and help whenever possible.
Judy said:That first sentence does sorta throw you for a loop for a minute or two. You might have to read it a time or two or even three.
Generally, there is/are only the sleep tech(s) and the patient(s) in the building during a PSG at night. Thus the sleep tech(s) becomes solely responsible for the safety and welfare of the patient(s) during the PSG. IF the patient displays severe apneas and severe desaturations during the evaluation night it is the tech's responsibility to wake the patient and get them started on xPAP and mask to prevent any serious problems occurring. If the patient(s) display a need for 02 supplmentation it is the tech's responsibility to get a doctor's authorization for the addition of 02. If the patient should go into cardiac arrest, etc. it is the tech's responsiblity to provide emergency care and summon emergency assistance and transportation to a hospital if called for.
It is also the tech's responsibilty to help the patient select and fit a comfortable, relatively leak free mask, to explain what he is doing and why when applying the various leads, etc. and to educate the patient on what to expect during the PSG. This would also apply to daytime MLSTs.
Correct me if I am wrong, Duane McDade, or one of our other RPSGT members.
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