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Polysomnography LicensureIt’s coming to your State soon
The Oregon Experience
Joe Dwan, MS Ed, RRT-NPS-SDS, PACT ChairTony Garberg RRT, co-chair & OSRC PresidentTim Hutchison, BA, RRT, HODCathy Melero, BSRT RRT, Past PresidentRenee Angstrom RRT, Central Regional DirectorSpecial Thanks to Cheryl West
Conflict of Interest
Kettering National SeminarsSleep Exam Review seminar
Drivers of PSG Licensure
Patient Safety Protecting the Public
Quality of Care
Drivers of PSG Licensure
Violation of RT Licensure ActPatient was violated in sleep labHealthcare community drivenSleep or RT initiated
Legislative OptionsSleep techs Licensed under
Separate Sleep Licensing Board
General Licensing Board (eg Board of Health, BME)
Sleep & RT combined into one Board
Registration
ProblemsLegislative barriersOpposition
Ntl Sleep organizations BPRT & AASMSleep Techs & RTsPoliticians opposing regulation on businessMD Sleep Lab Owners
Independent labs poorly staffed with unqualified/minimally qualified PSG staff
Fly-by-Night labs
Joe’s Irish Pub and Sleep LabSleep it Off here…
AASM OppositionPromoting Physician owned sleep labsRegistered Sleep Technician exam by AASM
Registered Sleep Tech (RST)Expect them to fly a rep to your state to
attend meetingsExpect them to bring local AASM physicians
to attend all meetingsPublic Comments
Board of Registered Polysomnographic
Technologists (BPRT)Turf issuesInitial distrust of RT community & RT
motivationBPRT will support PSG licensure, in theory
Your State Sleep tech Organization(s)
Initial distrust of RT communityNo Turf warDevelop trust through communication and
inclusion
Hot IssuesMechanical ventilationABGs by sleep techs
drawing and running ABGsBiPAP with ratesCEUs
Match RTs CEU number/yearRural Sleep servicesFormal Sleep training: are schools available
Will your state RT programs offer PSG certification programs
On-line accredited programs
Hotter IssuesPhysician owned
vs hospital sleep labs vs private company
Money & Business of $leepLabor costsRecruitment costsImpact on profitsWill increased costs close labs?
RT Exemption to PSG LicenseLicensed RTs working in sleep should NOT
have to obtain a second PSG license
Licensed RTs should be able to supervise sleep labs, sleep techs and sleep tech students without a PSG license (CRT-SDS or RRT-SDS in Oregon)
Write the RT exemption with specifics into your state law!
Rural Sleep OppositionPts won’t drive great distances to PSG labsRecruitmentWagesOJTs training to become RPSGT or SDSMDs, RNs, RTs, HCWs do not have
exemptions for less qualified practitioners in Rural areas
Licensure Act & Admin RulesThink like a Lawyer
DefinitionsEvery Word, Every Line
Scope of PracticeRT Exemption: dual licensureSupervision of sleep techs/students
Allow RT supervisorsRemote supervision
Licensure Act & Admin RulesThink like a Lawyer
Credentials: RPSGT, SDS, CPSGT, RSTPathwaysGrandfathering Temporary license
Licensure Act & Admin RulesThink like a Lawyer
Site of ServiceCost of LicensureCEUsMedical DirectionMDs, DOs, PA/NPs, Dentists
Devil in the Details: Administrative Rules
Be at the table!Have a knowledgeable resource attendRespond to every “Comment Period”Show of ForceAct like a LawyerEvery Public Comment Period
PSG Licensure ComingLicensed PSG: NM, ND, ID, DC, LA, NJ, MD,
OR, TN, VA, DLRegistration: CA, GA, NCDrafted Language: KY, CN, CA
Not If, but When will PSG licensure come to your state
