Iowa Admin. Code r. 645-265.6 - Practice of polysomnography
(1) The practice of
polysomnography consists of but is not limited to the following tasks as
performed for the purpose of polysomnography, under the general supervision of
a licensed physician or qualified health care professional prescriber:
a. Monitoring, recording, and evaluating
physiologic data during polysomnographic testing and review during the
evaluation of sleep-related disorders, including sleep-related respiratory
disturbances, by applying any of the following techniques, equipment, or
procedures:
(1) Noninvasive continuous,
bilevel positive airway pressure, or adaptive servo-ventilation titration on
spontaneously breathing patients using a mask or oral appliance; provided,
however, that the mask or oral appliance does not extend into the trachea or
attach to an artificial airway.
(2)
Supplemental low-flow oxygen therapy of less than six liters per minute,
utilizing a nasal cannula or incorporated into a positive airway pressure
device during a polysomnogram.
(3)
Capnography during a polysomnogram.
(4) Cardiopulmonary resuscitation.
(5) Pulse oximetry.
(6) Gastroesophageal pH monitoring.
(7) Esophageal pressure monitoring.
(8) Sleep stage recording using surface
electroencephalography, surface electrooculography, and surface submental
electromyography.
(9) Surface
electromyography.
(10)
Electrocardiography.
(11)
Respiratory effort monitoring, including thoracic and abdominal
movement.
(12) Plethysmography
blood flow monitoring.
(13) Snore
monitoring.
(14) Audio and video
monitoring.
(15) Body movement
monitoring.
(16) Nocturnal penile
tumescence monitoring.
(17) Nasal
and oral airflow monitoring.
(18)
Body temperature monitoring.
b. Monitoring the effects that a mask or oral
appliance used to treat sleep disorders has on sleep patterns; provided,
however, that the mask or oral appliance does not extend into the trachea or
attach to an artificial airway.
c.
Observing and monitoring physical signs and symptoms, general behavior, and
general physical response to polysomnographic evaluation and determining
whether initiation, modification, or discontinuation of a treatment regimen is
warranted.
d. Analyzing and scoring
data collected during the monitoring described in this subrule for the purpose
of assisting a physician in the diagnosis and treatment of sleep and wake
disorders that result from developmental defects, the aging process, physical
injury, disease, or actual or anticipated somatic dysfunction.
e. Implementation of a written or verbal
order from a physician or qualified health care professional prescriber to
perform polysomnography.
f.
Education of a patient regarding the treatment regimen that assists the patient
in improving the patient's sleep.
g. Use of any oral appliance used to treat
sleep-disordered breathing while under the care of a licensed polysomnographic
technologist during the performance of a sleep study, as directed by a licensed
dentist.
(2) Before
providing any sleep-related services, a polysomnographic technician or
polysomnographic student who is obtaining clinical experience will give notice
to the board that the person is working under the direct supervision of a
respiratory care and polysomnography practitioner or a polysomnographic
technologist in order to gain the experience to be eligible to sit for a
national certification examination. A badge that appropriately identifies the
person is to be worn while providing such services.
Notes
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