A. A licensed polysomnographic technologist may practice only under the supervision of a licensed physician.
B. A licensed polysomnographic technologist may practice only in a hospital sleep laboratory or a stand-alone sleep center.
C. The scope of practice of a licensed polysomnographic technologist includes and is limited to the following:
(1) Monitoring and recording physiologic data during sleep, including sleep-related respiratory disturbances;
(2) Using data collected under §C(1) of this regulation to assist a licensed physician in the diagnosis and treatment of sleep and wake disorders;
(3) Assisting with the diagnosis and treatment of individuals who suffer from sleep disorders as a result of developmental defects, the aging process, physical injury, disease, or actual or anticipated somatic dysfunction;
(4) Observing and monitoring physical signs and symptoms, general behavior, and general physical responses to polysomnographic evaluation, and determining whether initiation, modification, or discontinuation of a treatment regimen is warranted;
(5) Using evaluation techniques that include limited cardiopulmonary function assessments, the need and effectiveness of therapeutic modalities and procedures, and the assessment and evaluation of the need for extended care; and
(6) Using the following techniques, equipment, and procedures:
(a) Continuous positive airway pressure, bi-level positive airway pressure titration, or adaptive servo-ventilation on spontaneously breathing patients;
(b) Supplemental low flow oxygen therapy during polysomnogram;
(c) Capnography during polysomnogram;
(d) Cardiopulmonary resuscitation;
(e) Pulse oximetry;
(f) PH probe placement and monitoring;
(g) Esophageal pressure;
(h) Sleep staging, including surface electroencephalography, surface electrooculography, and surface submental electromyography;
(i) Surface electromyography of arms and legs;
(k) Respiratory effort, including thoracic and abdominal;
(l) Plethysmography blood flow;
(m) Snore monitoring;
(n) Audio or video monitoring;
(o) Implementation of a written or verbal order from a licensed physician that requires the practice of polysomnography;
(p) Monitoring the effects a nasal device used to treat sleep apnea has on sleep patterns provided that the device does not extend into the trachea; and
(q) Monitoring the effects an oral device used to treat sleep apnea has on sleep patterns provided that:
(i) The oral device does not extend into the trachea;
(ii) A dentist has evaluated the structures of the patient's oral and maxillofacial region for purposes of fitting the oral device;
(iii) A dentist made or directed the making of the oral device; and
(iv) A dentist directs the use of the oral device.
D. The scope of practice of a polysomnographic technologist does not include administering medications.