patient 1

        Date:  

Tech: Person Completing Form:

Comments (Please use formatting tool above for bullets):

Areas of Improvement:
 Dr Sarah Puri must be notified in advance of sending a patient home
 Dr Sarah Puri's emails require response in a swift manner
 Equipment malfunction to be IMMEDIATELY reported to Dr Sarah Puri, CEO & Andrew Hobley RRT, Sleep Lab Mgr
 Ability to analyze complex situations and apply the correct policy.
 Accuracy of technical notes & other MR documentation
 Adhere to sleep center policies related to quality assurance, clinical procedures and emergency preparedness and safety
 Adhere to Sleep Center Policies related to Quality Assurance.
 Advance skills necessary for Sleep Technologist growth
 Apply electrodes and sensors according to accepted published standards.
 Assist the Medical Director & Sleep Lab Mgr in all aspects of Sleep Center operations.
 Audio/video monitoring of movement and behavior during sleep
 Body temperature monitoring
 Collect all documents that patient needs to fill out
 Collect, analyze and integrate patient information
 Collect, analyze and integrate patient information in order to identify and meet the patient-specific needs (physical/mental limitations, current emotional/physiological status regarding the testing procedure, pertinent medical/social history).
 Comply with applicable laws, regulations, guidelines and standards regarding infection control issues
 Comply with Professional Standards of Conduct.
 Demonstrate adherence to AASM scoring parameters for OCST; identify artifact, inadequate signals and study failures and generate an accurate report
 Demonstrate adherence to cleaning and disinfection procedures for portable monitoring devices.
 Demonstrate advanced knowledge of the pathophysiology of sleep disorders and associated co-morbidities
 Demonstrate appropriate social skills.
 Demonstrate computer skills appropriate for the position
 Demonstrate critical thinking and ability to work with minimal supervision.
 Demonstrate customer service skills.
 Demonstrate effective written and verbal communication skills
 Demonstrate proficient use of medical terminology
 Demonstrate teamwork skills and ability to work collaboratively with other healthcare providers
 Demonstrate the ability follow direction
 Demonstrate the knowledge and skills necessary to perform portable monitoring equipment preparation and data download.
 Demonstrate the knowledge and skills necessary to recognize and provide age specific care in the treatment, assessment, and education of neonatal, pediatric, adolescent, adult, and geriatric patients.
 Discontinue the use of unauthorized Acronyms
 Document routine observations, including sleep stages and clinical events, changes in procedure, and other significant events in order to facilitate scoring and interpretation of polysomnographic results
 Documentation in Templates
 Effective written and verbal communication skills.
 Evaluate sleep study related equipment and inventory.
 Follow “lights on” procedures to verify integrity of collected data and complete the data collection process (e.g. repeat the physiological and instrument calibrations and instruct the patient on completing questionnaires, checking for completeness, etc.).
 Follow “lights out” procedures to establish and document baseline values (such as body position, oxyhemoglobin saturation, respiratory and heart rates, etc.)
 Follow HIPPA policies to maintain the privacy and security of patient information.
 Follow sleep center protocols related to the sleep study
 Generate accurate reports by tabulating sleep/wake and clinical event data.
 Identify Cardiac Arrhythmia's
 Identify Cardiac Events
 Identify Respiratory Events
 Identify when REM begins
 Identify Clinical Events
 Implement appropriate interventions (including actions necessary for patient safety and therapeutic intervention such as positive airway pressure, oxygen administration, etc.)
 Knowledge of Cardiac Arrhythmia's
 Knowledge of Circadian Rhythm Disorders
 Knowledge of essential Sleep technology terms & definitions
 Knowledge of growing emphasis on sleep hygiene education
 Knowledge of Insomnia
 Knowledge of Narcolepsy
 Knowledge of Parasomnias
 Knowledge of Sleep Medicine
 Knowledge of ABC = Airway + Breathing + Circulation
 Maintain current ACLS certification
 Maintain current BCLS certification
 Maintain current CPR certification
 Meet all industry registry and state licensure requirements mandated for the Sleep Technologist
 Nasal and oral airflow monitoring
 Observing and monitoring physical signs and symptoms, general behavior, and general physical response to Polysomnographic evaluation
 Overall Quality of Study must be enhanced
 PAP / Titration skills stand in need of improvement
 Perform a MSLT
 Perform a MWT
 Perform appropriate physiological calibrations to ensure proper signals and make required adjustments.
 Perform data acquisition while monitoring study-tracing quality to ensure signals are artifact-free. Identify, correct and document artifact
 Perform database management
 Perform patient education and instruction appropriate for out of center sleep testing.
 Perform routine equipment care and maintenance and inventory evaluation.
 Perform routine maintenance for patient rooms, equipment care & inventory evaluation
 Provide patient education utilizing sleep center specific protocols
 Respiratory effort monitoring including thoracic and abdominal signals
 Respond to sleep patients’ procedural-related inquiries by providing appropriate information
 Review the patient’s history and verify the medical order
 Safety and Infection control issues & protocal must be followed & issues reported to Mgt
 Score clinical events (such as respiratory events, cardiac events, limb movements, arousals, etc.) utilizing AASM standards.
 Score sleep/wake stages by applying professionally accepted guidelines.
 Select appropriate equipment and calibrate for testing to determine proper functioning and make adjustments, if necessary
 Sleep Scoring requires proficiency
 Sleep Scoring Staging requires urgent enhancement
 Stop pillaging food & beverage from staff members
 Submit Sleep CEU's for this quarter
 Supplemental Low Flow Oxygen & Titration
 Teamwork skills require prompt renovation
 Verify information when patient arrives
 Vital Signs Measurement
 Work to be finished within the confines of said Shift

patient 2

        Date:  

Tech: Person Completing Form:

Comments (Please use formatting tool above for bullets):

Areas of Improvement:
 Dr Sarah Puri must be notified in advance of sending a patient home
 Dr Sarah Puri's emails require response in a swift manner
 Equipment malfunction to be IMMEDIATELY reported to Dr Sarah Puri, CEO & Andrew Hobley RRT, Sleep Lab Mgr
 Ability to analyze complex situations and apply the correct policy.
 Accuracy of technical notes & other MR documentation
 Adhere to sleep center policies related to quality assurance, clinical procedures and emergency preparedness and safety
 Adhere to Sleep Center Policies related to Quality Assurance.
 Advance skills necessary for Sleep Technologist growth
 Apply electrodes and sensors according to accepted published standards.
 Assist the Medical Director & Sleep Lab Mgr in all aspects of Sleep Center operations.
 Audio/video monitoring of movement and behavior during sleep
 Body temperature monitoring
 Collect all documents that patient needs to fill out
 Collect, analyze and integrate patient information
 Collect, analyze and integrate patient information in order to identify and meet the patient-specific needs (physical/mental limitations, current emotional/physiological status regarding the testing procedure, pertinent medical/social history).
 Comply with applicable laws, regulations, guidelines and standards regarding infection control issues
 Comply with Professional Standards of Conduct.
 Demonstrate adherence to AASM scoring parameters for OCST; identify artifact, inadequate signals and study failures and generate an accurate report
 Demonstrate adherence to cleaning and disinfection procedures for portable monitoring devices.
 Demonstrate advanced knowledge of the pathophysiology of sleep disorders and associated co-morbidities
 Demonstrate appropriate social skills.
 Demonstrate computer skills appropriate for the position
 Demonstrate critical thinking and ability to work with minimal supervision.
 Demonstrate customer service skills.
 Demonstrate effective written and verbal communication skills
 Demonstrate proficient use of medical terminology
 Demonstrate teamwork skills and ability to work collaboratively with other healthcare providers
 Demonstrate the ability follow direction
 Demonstrate the knowledge and skills necessary to perform portable monitoring equipment preparation and data download.
 Demonstrate the knowledge and skills necessary to recognize and provide age specific care in the treatment, assessment, and education of neonatal, pediatric, adolescent, adult, and geriatric patients.
 Discontinue the use of unauthorized Acronyms
 Document routine observations, including sleep stages and clinical events, changes in procedure, and other significant events in order to facilitate scoring and interpretation of polysomnographic results
 Documentation in Templates
 Effective written and verbal communication skills.
 Evaluate sleep study related equipment and inventory.
 Follow “lights on” procedures to verify integrity of collected data and complete the data collection process (e.g. repeat the physiological and instrument calibrations and instruct the patient on completing questionnaires, checking for completeness, etc.).
 Follow “lights out” procedures to establish and document baseline values (such as body position, oxyhemoglobin saturation, respiratory and heart rates, etc.)
 Follow HIPPA policies to maintain the privacy and security of patient information.
 Follow sleep center protocols related to the sleep study
 Generate accurate reports by tabulating sleep/wake and clinical event data.
 Identify Cardiac Arrhythmia's
 Identify Cardiac Events
 Identify Respiratory Events
 Identify when REM begins
 Identify Clinical Events
 Implement appropriate interventions (including actions necessary for patient safety and therapeutic intervention such as positive airway pressure, oxygen administration, etc.)
 Knowledge of Cardiac Arrhythmia's
 Knowledge of Circadian Rhythm Disorders
 Knowledge of essential Sleep technology terms & definitions
 Knowledge of growing emphasis on sleep hygiene education
 Knowledge of Insomnia
 Knowledge of Narcolepsy
 Knowledge of Parasomnias
 Knowledge of Sleep Medicine
 Knowledge of ABC = Airway + Breathing + Circulation
 Maintain current ACLS certification
 Maintain current BCLS certification
 Maintain current CPR certification
 Meet all industry registry and state licensure requirements mandated for the Sleep Technologist
 Nasal and oral airflow monitoring
 Observing and monitoring physical signs and symptoms, general behavior, and general physical response to Polysomnographic evaluation
 Overall Quality of Study must be enhanced
 PAP / Titration skills stand in need of improvement
 Perform a MSLT
 Perform a MWT
 Perform appropriate physiological calibrations to ensure proper signals and make required adjustments.
 Perform data acquisition while monitoring study-tracing quality to ensure signals are artifact-free. Identify, correct and document artifact
 Perform database management
 Perform patient education and instruction appropriate for out of center sleep testing.
 Perform routine equipment care and maintenance and inventory evaluation.
 Perform routine maintenance for patient rooms, equipment care & inventory evaluation
 Provide patient education utilizing sleep center specific protocols
 Respiratory effort monitoring including thoracic and abdominal signals
 Respond to sleep patients’ procedural-related inquiries by providing appropriate information
 Review the patient’s history and verify the medical order
 Safety and Infection control issues & protocal must be followed & issues reported to Mgt
 Score clinical events (such as respiratory events, cardiac events, limb movements, arousals, etc.) utilizing AASM standards.
 Score sleep/wake stages by applying professionally accepted guidelines.
 Select appropriate equipment and calibrate for testing to determine proper functioning and make adjustments, if necessary
 Sleep Scoring requires proficiency
 Sleep Scoring Staging requires urgent enhancement
 Stop pillaging food & beverage from staff members
 Submit Sleep CEU's for this quarter
 Supplemental Low Flow Oxygen & Titration
 Teamwork skills require prompt renovation
 Verify information when patient arrives
 Vital Signs Measurement
 Work to be finished within the confines of said Shift

patient 3

        Date:  

Tech: Person Completing Form:

Comments (Please use formatting tool above for bullets):

Areas of Improvement:
 Dr Sarah Puri must be notified in advance of sending a patient home
 Dr Sarah Puri's emails require response in a swift manner
 Equipment malfunction to be IMMEDIATELY reported to Dr Sarah Puri, CEO & Andrew Hobley RRT, Sleep Lab Mgr
 Ability to analyze complex situations and apply the correct policy.
 Accuracy of technical notes & other MR documentation
 Adhere to sleep center policies related to quality assurance, clinical procedures and emergency preparedness and safety
 Adhere to Sleep Center Policies related to Quality Assurance.
 Advance skills necessary for Sleep Technologist growth
 Apply electrodes and sensors according to accepted published standards.
 Assist the Medical Director & Sleep Lab Mgr in all aspects of Sleep Center operations.
 Audio/video monitoring of movement and behavior during sleep
 Body temperature monitoring
 Collect all documents that patient needs to fill out
 Collect, analyze and integrate patient information
 Collect, analyze and integrate patient information in order to identify and meet the patient-specific needs (physical/mental limitations, current emotional/physiological status regarding the testing procedure, pertinent medical/social history).
 Comply with applicable laws, regulations, guidelines and standards regarding infection control issues
 Comply with Professional Standards of Conduct.
 Demonstrate adherence to AASM scoring parameters for OCST; identify artifact, inadequate signals and study failures and generate an accurate report
 Demonstrate adherence to cleaning and disinfection procedures for portable monitoring devices.
 Demonstrate advanced knowledge of the pathophysiology of sleep disorders and associated co-morbidities
 Demonstrate appropriate social skills.
 Demonstrate computer skills appropriate for the position
 Demonstrate critical thinking and ability to work with minimal supervision.
 Demonstrate customer service skills.
 Demonstrate effective written and verbal communication skills
 Demonstrate proficient use of medical terminology
 Demonstrate teamwork skills and ability to work collaboratively with other healthcare providers
 Demonstrate the ability follow direction
 Demonstrate the knowledge and skills necessary to perform portable monitoring equipment preparation and data download.
 Demonstrate the knowledge and skills necessary to recognize and provide age specific care in the treatment, assessment, and education of neonatal, pediatric, adolescent, adult, and geriatric patients.
 Discontinue the use of unauthorized Acronyms
 Document routine observations, including sleep stages and clinical events, changes in procedure, and other significant events in order to facilitate scoring and interpretation of polysomnographic results
 Documentation in Templates
 Effective written and verbal communication skills.
 Evaluate sleep study related equipment and inventory.
 Follow “lights on” procedures to verify integrity of collected data and complete the data collection process (e.g. repeat the physiological and instrument calibrations and instruct the patient on completing questionnaires, checking for completeness, etc.).
 Follow “lights out” procedures to establish and document baseline values (such as body position, oxyhemoglobin saturation, respiratory and heart rates, etc.)
 Follow HIPPA policies to maintain the privacy and security of patient information.
 Follow sleep center protocols related to the sleep study
 Generate accurate reports by tabulating sleep/wake and clinical event data.
 Identify Cardiac Arrhythmia's
 Identify Cardiac Events
 Identify Respiratory Events
 Identify when REM begins
 Identify Clinical Events
 Implement appropriate interventions (including actions necessary for patient safety and therapeutic intervention such as positive airway pressure, oxygen administration, etc.)
 Knowledge of Cardiac Arrhythmia's
 Knowledge of Circadian Rhythm Disorders
 Knowledge of essential Sleep technology terms & definitions
 Knowledge of growing emphasis on sleep hygiene education
 Knowledge of Insomnia
 Knowledge of Narcolepsy
 Knowledge of Parasomnias
 Knowledge of Sleep Medicine
 Knowledge of ABC = Airway + Breathing + Circulation
 Maintain current ACLS certification
 Maintain current BCLS certification
 Maintain current CPR certification
 Meet all industry registry and state licensure requirements mandated for the Sleep Technologist
 Nasal and oral airflow monitoring
 Observing and monitoring physical signs and symptoms, general behavior, and general physical response to Polysomnographic evaluation
 Overall Quality of Study must be enhanced
 PAP / Titration skills stand in need of improvement
 Perform a MSLT
 Perform a MWT
 Perform appropriate physiological calibrations to ensure proper signals and make required adjustments.
 Perform data acquisition while monitoring study-tracing quality to ensure signals are artifact-free. Identify, correct and document artifact
 Perform database management
 Perform patient education and instruction appropriate for out of center sleep testing.
 Perform routine equipment care and maintenance and inventory evaluation.
 Perform routine maintenance for patient rooms, equipment care & inventory evaluation
 Provide patient education utilizing sleep center specific protocols
 Respiratory effort monitoring including thoracic and abdominal signals
 Respond to sleep patients’ procedural-related inquiries by providing appropriate information
 Review the patient’s history and verify the medical order
 Safety and Infection control issues & protocal must be followed & issues reported to Mgt
 Score clinical events (such as respiratory events, cardiac events, limb movements, arousals, etc.) utilizing AASM standards.
 Score sleep/wake stages by applying professionally accepted guidelines.
 Select appropriate equipment and calibrate for testing to determine proper functioning and make adjustments, if necessary
 Sleep Scoring requires proficiency
 Sleep Scoring Staging requires urgent enhancement
 Stop pillaging food & beverage from staff members
 Submit Sleep CEU's for this quarter
 Supplemental Low Flow Oxygen & Titration
 Teamwork skills require prompt renovation
 Verify information when patient arrives
 Vital Signs Measurement
 Work to be finished within the confines of said Shift

patient 4

        Date:  

Tech: Person Completing Form:

Comments (Please use formatting tool above for bullets):

Areas of Improvement:
 Dr Sarah Puri must be notified in advance of sending a patient home
 Dr Sarah Puri's emails require response in a swift manner
 Equipment malfunction to be IMMEDIATELY reported to Dr Sarah Puri, CEO & Andrew Hobley RRT, Sleep Lab Mgr
 Ability to analyze complex situations and apply the correct policy.
 Accuracy of technical notes & other MR documentation
 Adhere to sleep center policies related to quality assurance, clinical procedures and emergency preparedness and safety
 Adhere to Sleep Center Policies related to Quality Assurance.
 Advance skills necessary for Sleep Technologist growth
 Apply electrodes and sensors according to accepted published standards.
 Assist the Medical Director & Sleep Lab Mgr in all aspects of Sleep Center operations.
 Audio/video monitoring of movement and behavior during sleep
 Body temperature monitoring
 Collect all documents that patient needs to fill out
 Collect, analyze and integrate patient information
 Collect, analyze and integrate patient information in order to identify and meet the patient-specific needs (physical/mental limitations, current emotional/physiological status regarding the testing procedure, pertinent medical/social history).
 Comply with applicable laws, regulations, guidelines and standards regarding infection control issues
 Comply with Professional Standards of Conduct.
 Demonstrate adherence to AASM scoring parameters for OCST; identify artifact, inadequate signals and study failures and generate an accurate report
 Demonstrate adherence to cleaning and disinfection procedures for portable monitoring devices.
 Demonstrate advanced knowledge of the pathophysiology of sleep disorders and associated co-morbidities
 Demonstrate appropriate social skills.
 Demonstrate computer skills appropriate for the position
 Demonstrate critical thinking and ability to work with minimal supervision.
 Demonstrate customer service skills.
 Demonstrate effective written and verbal communication skills
 Demonstrate proficient use of medical terminology
 Demonstrate teamwork skills and ability to work collaboratively with other healthcare providers
 Demonstrate the ability follow direction
 Demonstrate the knowledge and skills necessary to perform portable monitoring equipment preparation and data download.
 Demonstrate the knowledge and skills necessary to recognize and provide age specific care in the treatment, assessment, and education of neonatal, pediatric, adolescent, adult, and geriatric patients.
 Discontinue the use of unauthorized Acronyms
 Document routine observations, including sleep stages and clinical events, changes in procedure, and other significant events in order to facilitate scoring and interpretation of polysomnographic results
 Documentation in Templates
 Effective written and verbal communication skills.
 Evaluate sleep study related equipment and inventory.
 Follow “lights on” procedures to verify integrity of collected data and complete the data collection process (e.g. repeat the physiological and instrument calibrations and instruct the patient on completing questionnaires, checking for completeness, etc.).
 Follow “lights out” procedures to establish and document baseline values (such as body position, oxyhemoglobin saturation, respiratory and heart rates, etc.)
 Follow HIPPA policies to maintain the privacy and security of patient information.
 Follow sleep center protocols related to the sleep study
 Generate accurate reports by tabulating sleep/wake and clinical event data.
 Identify Cardiac Arrhythmia's
 Identify Cardiac Events
 Identify Respiratory Events
 Identify when REM begins
 Identify Clinical Events
 Implement appropriate interventions (including actions necessary for patient safety and therapeutic intervention such as positive airway pressure, oxygen administration, etc.)
 Knowledge of Cardiac Arrhythmia's
 Knowledge of Circadian Rhythm Disorders
 Knowledge of essential Sleep technology terms & definitions
 Knowledge of growing emphasis on sleep hygiene education
 Knowledge of Insomnia
 Knowledge of Narcolepsy
 Knowledge of Parasomnias
 Knowledge of Sleep Medicine
 Knowledge of ABC = Airway + Breathing + Circulation
 Maintain current ACLS certification
 Maintain current BCLS certification
 Maintain current CPR certification
 Meet all industry registry and state licensure requirements mandated for the Sleep Technologist
 Nasal and oral airflow monitoring
 Observing and monitoring physical signs and symptoms, general behavior, and general physical response to Polysomnographic evaluation
 Overall Quality of Study must be enhanced
 PAP / Titration skills stand in need of improvement
 Perform a MSLT
 Perform a MWT
 Perform appropriate physiological calibrations to ensure proper signals and make required adjustments.
 Perform data acquisition while monitoring study-tracing quality to ensure signals are artifact-free. Identify, correct and document artifact
 Perform database management
 Perform patient education and instruction appropriate for out of center sleep testing.
 Perform routine equipment care and maintenance and inventory evaluation.
 Perform routine maintenance for patient rooms, equipment care & inventory evaluation
 Provide patient education utilizing sleep center specific protocols
 Respiratory effort monitoring including thoracic and abdominal signals
 Respond to sleep patients’ procedural-related inquiries by providing appropriate information
 Review the patient’s history and verify the medical order
 Safety and Infection control issues & protocal must be followed & issues reported to Mgt
 Score clinical events (such as respiratory events, cardiac events, limb movements, arousals, etc.) utilizing AASM standards.
 Score sleep/wake stages by applying professionally accepted guidelines.
 Select appropriate equipment and calibrate for testing to determine proper functioning and make adjustments, if necessary
 Sleep Scoring requires proficiency
 Sleep Scoring Staging requires urgent enhancement
 Stop pillaging food & beverage from staff members
 Submit Sleep CEU's for this quarter
 Supplemental Low Flow Oxygen & Titration
 Teamwork skills require prompt renovation
 Verify information when patient arrives
 Vital Signs Measurement
 Work to be finished within the confines of said Shift

patient 5

        Date:  

Tech: Person Completing Form:

Comments (Please use formatting tool above for bullets):

Areas of Improvement:
 Dr Sarah Puri must be notified in advance of sending a patient home
 Dr Sarah Puri's emails require response in a swift manner
 Equipment malfunction to be IMMEDIATELY reported to Dr Sarah Puri, CEO & Andrew Hobley RRT, Sleep Lab Mgr
 Ability to analyze complex situations and apply the correct policy.
 Accuracy of technical notes & other MR documentation
 Adhere to sleep center policies related to quality assurance, clinical procedures and emergency preparedness and safety
 Adhere to Sleep Center Policies related to Quality Assurance.
 Advance skills necessary for Sleep Technologist growth
 Apply electrodes and sensors according to accepted published standards.
 Assist the Medical Director & Sleep Lab Mgr in all aspects of Sleep Center operations.
 Audio/video monitoring of movement and behavior during sleep
 Body temperature monitoring
 Collect all documents that patient needs to fill out
 Collect, analyze and integrate patient information
 Collect, analyze and integrate patient information in order to identify and meet the patient-specific needs (physical/mental limitations, current emotional/physiological status regarding the testing procedure, pertinent medical/social history).
 Comply with applicable laws, regulations, guidelines and standards regarding infection control issues
 Comply with Professional Standards of Conduct.
 Demonstrate adherence to AASM scoring parameters for OCST; identify artifact, inadequate signals and study failures and generate an accurate report
 Demonstrate adherence to cleaning and disinfection procedures for portable monitoring devices.
 Demonstrate advanced knowledge of the pathophysiology of sleep disorders and associated co-morbidities
 Demonstrate appropriate social skills.
 Demonstrate computer skills appropriate for the position
 Demonstrate critical thinking and ability to work with minimal supervision.
 Demonstrate customer service skills.
 Demonstrate effective written and verbal communication skills
 Demonstrate proficient use of medical terminology
 Demonstrate teamwork skills and ability to work collaboratively with other healthcare providers
 Demonstrate the ability follow direction
 Demonstrate the knowledge and skills necessary to perform portable monitoring equipment preparation and data download.
 Demonstrate the knowledge and skills necessary to recognize and provide age specific care in the treatment, assessment, and education of neonatal, pediatric, adolescent, adult, and geriatric patients.
 Discontinue the use of unauthorized Acronyms
 Document routine observations, including sleep stages and clinical events, changes in procedure, and other significant events in order to facilitate scoring and interpretation of polysomnographic results
 Documentation in Templates
 Effective written and verbal communication skills.
 Evaluate sleep study related equipment and inventory.
 Follow “lights on” procedures to verify integrity of collected data and complete the data collection process (e.g. repeat the physiological and instrument calibrations and instruct the patient on completing questionnaires, checking for completeness, etc.).
 Follow “lights out” procedures to establish and document baseline values (such as body position, oxyhemoglobin saturation, respiratory and heart rates, etc.)
 Follow HIPPA policies to maintain the privacy and security of patient information.
 Follow sleep center protocols related to the sleep study
 Generate accurate reports by tabulating sleep/wake and clinical event data.
 Identify Cardiac Arrhythmia's
 Identify Cardiac Events
 Identify Respiratory Events
 Identify when REM begins
 Identify Clinical Events
 Implement appropriate interventions (including actions necessary for patient safety and therapeutic intervention such as positive airway pressure, oxygen administration, etc.)
 Knowledge of Cardiac Arrhythmia's
 Knowledge of Circadian Rhythm Disorders
 Knowledge of essential Sleep technology terms & definitions
 Knowledge of growing emphasis on sleep hygiene education
 Knowledge of Insomnia
 Knowledge of Narcolepsy
 Knowledge of Parasomnias
 Knowledge of Sleep Medicine
 Knowledge of ABC = Airway + Breathing + Circulation
 Maintain current ACLS certification
 Maintain current BCLS certification
 Maintain current CPR certification
 Meet all industry registry and state licensure requirements mandated for the Sleep Technologist
 Nasal and oral airflow monitoring
 Observing and monitoring physical signs and symptoms, general behavior, and general physical response to Polysomnographic evaluation
 Overall Quality of Study must be enhanced
 PAP / Titration skills stand in need of improvement
 Perform a MSLT
 Perform a MWT
 Perform appropriate physiological calibrations to ensure proper signals and make required adjustments.
 Perform data acquisition while monitoring study-tracing quality to ensure signals are artifact-free. Identify, correct and document artifact
 Perform database management
 Perform patient education and instruction appropriate for out of center sleep testing.
 Perform routine equipment care and maintenance and inventory evaluation.
 Perform routine maintenance for patient rooms, equipment care & inventory evaluation
 Provide patient education utilizing sleep center specific protocols
 Respiratory effort monitoring including thoracic and abdominal signals
 Respond to sleep patients’ procedural-related inquiries by providing appropriate information
 Review the patient’s history and verify the medical order
 Safety and Infection control issues & protocal must be followed & issues reported to Mgt
 Score clinical events (such as respiratory events, cardiac events, limb movements, arousals, etc.) utilizing AASM standards.
 Score sleep/wake stages by applying professionally accepted guidelines.
 Select appropriate equipment and calibrate for testing to determine proper functioning and make adjustments, if necessary
 Sleep Scoring requires proficiency
 Sleep Scoring Staging requires urgent enhancement
 Stop pillaging food & beverage from staff members
 Submit Sleep CEU's for this quarter
 Supplemental Low Flow Oxygen & Titration
 Teamwork skills require prompt renovation
 Verify information when patient arrives
 Vital Signs Measurement
 Work to be finished within the confines of said Shift

patient 6

        Date:  

Tech: Person Completing Form:

Comments (Please use formatting tool above for bullets):

Areas of Improvement:
 Dr Sarah Puri must be notified in advance of sending a patient home
 Dr Sarah Puri's emails require response in a swift manner
 Equipment malfunction to be IMMEDIATELY reported to Dr Sarah Puri, CEO & Andrew Hobley RRT, Sleep Lab Mgr
 Ability to analyze complex situations and apply the correct policy.
 Accuracy of technical notes & other MR documentation
 Adhere to sleep center policies related to quality assurance, clinical procedures and emergency preparedness and safety
 Adhere to Sleep Center Policies related to Quality Assurance.
 Advance skills necessary for Sleep Technologist growth
 Apply electrodes and sensors according to accepted published standards.
 Assist the Medical Director & Sleep Lab Mgr in all aspects of Sleep Center operations.
 Audio/video monitoring of movement and behavior during sleep
 Body temperature monitoring
 Collect all documents that patient needs to fill out
 Collect, analyze and integrate patient information
 Collect, analyze and integrate patient information in order to identify and meet the patient-specific needs (physical/mental limitations, current emotional/physiological status regarding the testing procedure, pertinent medical/social history).
 Comply with applicable laws, regulations, guidelines and standards regarding infection control issues
 Comply with Professional Standards of Conduct.
 Demonstrate adherence to AASM scoring parameters for OCST; identify artifact, inadequate signals and study failures and generate an accurate report
 Demonstrate adherence to cleaning and disinfection procedures for portable monitoring devices.
 Demonstrate advanced knowledge of the pathophysiology of sleep disorders and associated co-morbidities
 Demonstrate appropriate social skills.
 Demonstrate computer skills appropriate for the position
 Demonstrate critical thinking and ability to work with minimal supervision.
 Demonstrate customer service skills.
 Demonstrate effective written and verbal communication skills
 Demonstrate proficient use of medical terminology
 Demonstrate teamwork skills and ability to work collaboratively with other healthcare providers
 Demonstrate the ability follow direction
 Demonstrate the knowledge and skills necessary to perform portable monitoring equipment preparation and data download.
 Demonstrate the knowledge and skills necessary to recognize and provide age specific care in the treatment, assessment, and education of neonatal, pediatric, adolescent, adult, and geriatric patients.
 Discontinue the use of unauthorized Acronyms
 Document routine observations, including sleep stages and clinical events, changes in procedure, and other significant events in order to facilitate scoring and interpretation of polysomnographic results
 Documentation in Templates
 Effective written and verbal communication skills.
 Evaluate sleep study related equipment and inventory.
 Follow “lights on” procedures to verify integrity of collected data and complete the data collection process (e.g. repeat the physiological and instrument calibrations and instruct the patient on completing questionnaires, checking for completeness, etc.).
 Follow “lights out” procedures to establish and document baseline values (such as body position, oxyhemoglobin saturation, respiratory and heart rates, etc.)
 Follow HIPPA policies to maintain the privacy and security of patient information.
 Follow sleep center protocols related to the sleep study
 Generate accurate reports by tabulating sleep/wake and clinical event data.
 Identify Cardiac Arrhythmia's
 Identify Cardiac Events
 Identify Respiratory Events
 Identify when REM begins
 Identify Clinical Events
 Implement appropriate interventions (including actions necessary for patient safety and therapeutic intervention such as positive airway pressure, oxygen administration, etc.)
 Knowledge of Cardiac Arrhythmia's
 Knowledge of Circadian Rhythm Disorders
 Knowledge of essential Sleep technology terms & definitions
 Knowledge of growing emphasis on sleep hygiene education
 Knowledge of Insomnia
 Knowledge of Narcolepsy
 Knowledge of Parasomnias
 Knowledge of Sleep Medicine
 Knowledge of ABC = Airway + Breathing + Circulation
 Maintain current ACLS certification
 Maintain current BCLS certification
 Maintain current CPR certification
 Meet all industry registry and state licensure requirements mandated for the Sleep Technologist
 Nasal and oral airflow monitoring
 Observing and monitoring physical signs and symptoms, general behavior, and general physical response to Polysomnographic evaluation
 Overall Quality of Study must be enhanced
 PAP / Titration skills stand in need of improvement
 Perform a MSLT
 Perform a MWT
 Perform appropriate physiological calibrations to ensure proper signals and make required adjustments.
 Perform data acquisition while monitoring study-tracing quality to ensure signals are artifact-free. Identify, correct and document artifact
 Perform database management
 Perform patient education and instruction appropriate for out of center sleep testing.
 Perform routine equipment care and maintenance and inventory evaluation.
 Perform routine maintenance for patient rooms, equipment care & inventory evaluation
 Provide patient education utilizing sleep center specific protocols
 Respiratory effort monitoring including thoracic and abdominal signals
 Respond to sleep patients’ procedural-related inquiries by providing appropriate information
 Review the patient’s history and verify the medical order
 Safety and Infection control issues & protocal must be followed & issues reported to Mgt
 Score clinical events (such as respiratory events, cardiac events, limb movements, arousals, etc.) utilizing AASM standards.
 Score sleep/wake stages by applying professionally accepted guidelines.
 Select appropriate equipment and calibrate for testing to determine proper functioning and make adjustments, if necessary
 Sleep Scoring requires proficiency
 Sleep Scoring Staging requires urgent enhancement
 Stop pillaging food & beverage from staff members
 Submit Sleep CEU's for this quarter
 Supplemental Low Flow Oxygen & Titration
 Teamwork skills require prompt renovation
 Verify information when patient arrives
 Vital Signs Measurement
 Work to be finished within the confines of said Shift

patient 7

        Date:  

Tech: Person Completing Form:

Comments (Please use formatting tool above for bullets):

Areas of Improvement:
 Dr Sarah Puri must be notified in advance of sending a patient home
 Dr Sarah Puri's emails require response in a swift manner
 Equipment malfunction to be IMMEDIATELY reported to Dr Sarah Puri, CEO & Andrew Hobley RRT, Sleep Lab Mgr
 Ability to analyze complex situations and apply the correct policy.
 Accuracy of technical notes & other MR documentation
 Adhere to sleep center policies related to quality assurance, clinical procedures and emergency preparedness and safety
 Adhere to Sleep Center Policies related to Quality Assurance.
 Advance skills necessary for Sleep Technologist growth
 Apply electrodes and sensors according to accepted published standards.
 Assist the Medical Director & Sleep Lab Mgr in all aspects of Sleep Center operations.
 Audio/video monitoring of movement and behavior during sleep
 Body temperature monitoring
 Collect all documents that patient needs to fill out
 Collect, analyze and integrate patient information
 Collect, analyze and integrate patient information in order to identify and meet the patient-specific needs (physical/mental limitations, current emotional/physiological status regarding the testing procedure, pertinent medical/social history).
 Comply with applicable laws, regulations, guidelines and standards regarding infection control issues
 Comply with Professional Standards of Conduct.
 Demonstrate adherence to AASM scoring parameters for OCST; identify artifact, inadequate signals and study failures and generate an accurate report
 Demonstrate adherence to cleaning and disinfection procedures for portable monitoring devices.
 Demonstrate advanced knowledge of the pathophysiology of sleep disorders and associated co-morbidities
 Demonstrate appropriate social skills.
 Demonstrate computer skills appropriate for the position
 Demonstrate critical thinking and ability to work with minimal supervision.
 Demonstrate customer service skills.
 Demonstrate effective written and verbal communication skills
 Demonstrate proficient use of medical terminology
 Demonstrate teamwork skills and ability to work collaboratively with other healthcare providers
 Demonstrate the ability follow direction
 Demonstrate the knowledge and skills necessary to perform portable monitoring equipment preparation and data download.
 Demonstrate the knowledge and skills necessary to recognize and provide age specific care in the treatment, assessment, and education of neonatal, pediatric, adolescent, adult, and geriatric patients.
 Discontinue the use of unauthorized Acronyms
 Document routine observations, including sleep stages and clinical events, changes in procedure, and other significant events in order to facilitate scoring and interpretation of polysomnographic results
 Documentation in Templates
 Effective written and verbal communication skills.
 Evaluate sleep study related equipment and inventory.
 Follow “lights on” procedures to verify integrity of collected data and complete the data collection process (e.g. repeat the physiological and instrument calibrations and instruct the patient on completing questionnaires, checking for completeness, etc.).
 Follow “lights out” procedures to establish and document baseline values (such as body position, oxyhemoglobin saturation, respiratory and heart rates, etc.)
 Follow HIPPA policies to maintain the privacy and security of patient information.
 Follow sleep center protocols related to the sleep study
 Generate accurate reports by tabulating sleep/wake and clinical event data.
 Identify Cardiac Arrhythmia's
 Identify Cardiac Events
 Identify Respiratory Events
 Identify when REM begins
 Identify Clinical Events
 Implement appropriate interventions (including actions necessary for patient safety and therapeutic intervention such as positive airway pressure, oxygen administration, etc.)
 Knowledge of Cardiac Arrhythmia's
 Knowledge of Circadian Rhythm Disorders
 Knowledge of essential Sleep technology terms & definitions
 Knowledge of growing emphasis on sleep hygiene education
 Knowledge of Insomnia
 Knowledge of Narcolepsy
 Knowledge of Parasomnias
 Knowledge of Sleep Medicine
 Knowledge of ABC = Airway + Breathing + Circulation
 Maintain current ACLS certification
 Maintain current BCLS certification
 Maintain current CPR certification
 Meet all industry registry and state licensure requirements mandated for the Sleep Technologist
 Nasal and oral airflow monitoring
 Observing and monitoring physical signs and symptoms, general behavior, and general physical response to Polysomnographic evaluation
 Overall Quality of Study must be enhanced
 PAP / Titration skills stand in need of improvement
 Perform a MSLT
 Perform a MWT
 Perform appropriate physiological calibrations to ensure proper signals and make required adjustments.
 Perform data acquisition while monitoring study-tracing quality to ensure signals are artifact-free. Identify, correct and document artifact
 Perform database management
 Perform patient education and instruction appropriate for out of center sleep testing.
 Perform routine equipment care and maintenance and inventory evaluation.
 Perform routine maintenance for patient rooms, equipment care & inventory evaluation
 Provide patient education utilizing sleep center specific protocols
 Respiratory effort monitoring including thoracic and abdominal signals
 Respond to sleep patients’ procedural-related inquiries by providing appropriate information
 Review the patient’s history and verify the medical order
 Safety and Infection control issues & protocal must be followed & issues reported to Mgt
 Score clinical events (such as respiratory events, cardiac events, limb movements, arousals, etc.) utilizing AASM standards.
 Score sleep/wake stages by applying professionally accepted guidelines.
 Select appropriate equipment and calibrate for testing to determine proper functioning and make adjustments, if necessary
 Sleep Scoring requires proficiency
 Sleep Scoring Staging requires urgent enhancement
 Stop pillaging food & beverage from staff members
 Submit Sleep CEU's for this quarter
 Supplemental Low Flow Oxygen & Titration
 Teamwork skills require prompt renovation
 Verify information when patient arrives
 Vital Signs Measurement
 Work to be finished within the confines of said Shift

patient 8

        Date:  

Tech: Person Completing Form:

Comments (Please use formatting tool above for bullets):

Areas of Improvement:
 Dr Sarah Puri must be notified in advance of sending a patient home
 Dr Sarah Puri's emails require response in a swift manner
 Equipment malfunction to be IMMEDIATELY reported to Dr Sarah Puri, CEO & Andrew Hobley RRT, Sleep Lab Mgr
 Ability to analyze complex situations and apply the correct policy.
 Accuracy of technical notes & other MR documentation
 Adhere to sleep center policies related to quality assurance, clinical procedures and emergency preparedness and safety
 Adhere to Sleep Center Policies related to Quality Assurance.
 Advance skills necessary for Sleep Technologist growth
 Apply electrodes and sensors according to accepted published standards.
 Assist the Medical Director & Sleep Lab Mgr in all aspects of Sleep Center operations.
 Audio/video monitoring of movement and behavior during sleep
 Body temperature monitoring
 Collect all documents that patient needs to fill out
 Collect, analyze and integrate patient information
 Collect, analyze and integrate patient information in order to identify and meet the patient-specific needs (physical/mental limitations, current emotional/physiological status regarding the testing procedure, pertinent medical/social history).
 Comply with applicable laws, regulations, guidelines and standards regarding infection control issues
 Comply with Professional Standards of Conduct.
 Demonstrate adherence to AASM scoring parameters for OCST; identify artifact, inadequate signals and study failures and generate an accurate report
 Demonstrate adherence to cleaning and disinfection procedures for portable monitoring devices.
 Demonstrate advanced knowledge of the pathophysiology of sleep disorders and associated co-morbidities
 Demonstrate appropriate social skills.
 Demonstrate computer skills appropriate for the position
 Demonstrate critical thinking and ability to work with minimal supervision.
 Demonstrate customer service skills.
 Demonstrate effective written and verbal communication skills
 Demonstrate proficient use of medical terminology
 Demonstrate teamwork skills and ability to work collaboratively with other healthcare providers
 Demonstrate the ability follow direction
 Demonstrate the knowledge and skills necessary to perform portable monitoring equipment preparation and data download.
 Demonstrate the knowledge and skills necessary to recognize and provide age specific care in the treatment, assessment, and education of neonatal, pediatric, adolescent, adult, and geriatric patients.
 Discontinue the use of unauthorized Acronyms
 Document routine observations, including sleep stages and clinical events, changes in procedure, and other significant events in order to facilitate scoring and interpretation of polysomnographic results
 Documentation in Templates
 Effective written and verbal communication skills.
 Evaluate sleep study related equipment and inventory.
 Follow “lights on” procedures to verify integrity of collected data and complete the data collection process (e.g. repeat the physiological and instrument calibrations and instruct the patient on completing questionnaires, checking for completeness, etc.).
 Follow “lights out” procedures to establish and document baseline values (such as body position, oxyhemoglobin saturation, respiratory and heart rates, etc.)
 Follow HIPPA policies to maintain the privacy and security of patient information.
 Follow sleep center protocols related to the sleep study
 Generate accurate reports by tabulating sleep/wake and clinical event data.
 Identify Cardiac Arrhythmia's
 Identify Cardiac Events
 Identify Respiratory Events
 Identify when REM begins
 Identify Clinical Events
 Implement appropriate interventions (including actions necessary for patient safety and therapeutic intervention such as positive airway pressure, oxygen administration, etc.)
 Knowledge of Cardiac Arrhythmia's
 Knowledge of Circadian Rhythm Disorders
 Knowledge of essential Sleep technology terms & definitions
 Knowledge of growing emphasis on sleep hygiene education
 Knowledge of Insomnia
 Knowledge of Narcolepsy
 Knowledge of Parasomnias
 Knowledge of Sleep Medicine
 Knowledge of ABC = Airway + Breathing + Circulation
 Maintain current ACLS certification
 Maintain current BCLS certification
 Maintain current CPR certification
 Meet all industry registry and state licensure requirements mandated for the Sleep Technologist
 Nasal and oral airflow monitoring
 Observing and monitoring physical signs and symptoms, general behavior, and general physical response to Polysomnographic evaluation
 Overall Quality of Study must be enhanced
 PAP / Titration skills stand in need of improvement
 Perform a MSLT
 Perform a MWT
 Perform appropriate physiological calibrations to ensure proper signals and make required adjustments.
 Perform data acquisition while monitoring study-tracing quality to ensure signals are artifact-free. Identify, correct and document artifact
 Perform database management
 Perform patient education and instruction appropriate for out of center sleep testing.
 Perform routine equipment care and maintenance and inventory evaluation.
 Perform routine maintenance for patient rooms, equipment care & inventory evaluation
 Provide patient education utilizing sleep center specific protocols
 Respiratory effort monitoring including thoracic and abdominal signals
 Respond to sleep patients’ procedural-related inquiries by providing appropriate information
 Review the patient’s history and verify the medical order
 Safety and Infection control issues & protocal must be followed & issues reported to Mgt
 Score clinical events (such as respiratory events, cardiac events, limb movements, arousals, etc.) utilizing AASM standards.
 Score sleep/wake stages by applying professionally accepted guidelines.
 Select appropriate equipment and calibrate for testing to determine proper functioning and make adjustments, if necessary
 Sleep Scoring requires proficiency
 Sleep Scoring Staging requires urgent enhancement
 Stop pillaging food & beverage from staff members
 Submit Sleep CEU's for this quarter
 Supplemental Low Flow Oxygen & Titration
 Teamwork skills require prompt renovation
 Verify information when patient arrives
 Vital Signs Measurement
 Work to be finished within the confines of said Shift

patient 9

        Date:  

Tech: Person Completing Form:

Comments (Please use formatting tool above for bullets):

Areas of Improvement:
 Dr Sarah Puri must be notified in advance of sending a patient home
 Dr Sarah Puri's emails require response in a swift manner
 Equipment malfunction to be IMMEDIATELY reported to Dr Sarah Puri, CEO & Andrew Hobley RRT, Sleep Lab Mgr
 Ability to analyze complex situations and apply the correct policy.
 Accuracy of technical notes & other MR documentation
 Adhere to sleep center policies related to quality assurance, clinical procedures and emergency preparedness and safety
 Adhere to Sleep Center Policies related to Quality Assurance.
 Advance skills necessary for Sleep Technologist growth
 Apply electrodes and sensors according to accepted published standards.
 Assist the Medical Director & Sleep Lab Mgr in all aspects of Sleep Center operations.
 Audio/video monitoring of movement and behavior during sleep
 Body temperature monitoring
 Collect all documents that patient needs to fill out
 Collect, analyze and integrate patient information
 Collect, analyze and integrate patient information in order to identify and meet the patient-specific needs (physical/mental limitations, current emotional/physiological status regarding the testing procedure, pertinent medical/social history).
 Comply with applicable laws, regulations, guidelines and standards regarding infection control issues
 Comply with Professional Standards of Conduct.
 Demonstrate adherence to AASM scoring parameters for OCST; identify artifact, inadequate signals and study failures and generate an accurate report
 Demonstrate adherence to cleaning and disinfection procedures for portable monitoring devices.
 Demonstrate advanced knowledge of the pathophysiology of sleep disorders and associated co-morbidities
 Demonstrate appropriate social skills.
 Demonstrate computer skills appropriate for the position
 Demonstrate critical thinking and ability to work with minimal supervision.
 Demonstrate customer service skills.
 Demonstrate effective written and verbal communication skills
 Demonstrate proficient use of medical terminology
 Demonstrate teamwork skills and ability to work collaboratively with other healthcare providers
 Demonstrate the ability follow direction
 Demonstrate the knowledge and skills necessary to perform portable monitoring equipment preparation and data download.
 Demonstrate the knowledge and skills necessary to recognize and provide age specific care in the treatment, assessment, and education of neonatal, pediatric, adolescent, adult, and geriatric patients.
 Discontinue the use of unauthorized Acronyms
 Document routine observations, including sleep stages and clinical events, changes in procedure, and other significant events in order to facilitate scoring and interpretation of polysomnographic results
 Documentation in Templates
 Effective written and verbal communication skills.
 Evaluate sleep study related equipment and inventory.
 Follow “lights on” procedures to verify integrity of collected data and complete the data collection process (e.g. repeat the physiological and instrument calibrations and instruct the patient on completing questionnaires, checking for completeness, etc.).
 Follow “lights out” procedures to establish and document baseline values (such as body position, oxyhemoglobin saturation, respiratory and heart rates, etc.)
 Follow HIPPA policies to maintain the privacy and security of patient information.
 Follow sleep center protocols related to the sleep study
 Generate accurate reports by tabulating sleep/wake and clinical event data.
 Identify Cardiac Arrhythmia's
 Identify Cardiac Events
 Identify Respiratory Events
 Identify when REM begins
 Identify Clinical Events
 Implement appropriate interventions (including actions necessary for patient safety and therapeutic intervention such as positive airway pressure, oxygen administration, etc.)
 Knowledge of Cardiac Arrhythmia's
 Knowledge of Circadian Rhythm Disorders
 Knowledge of essential Sleep technology terms & definitions
 Knowledge of growing emphasis on sleep hygiene education
 Knowledge of Insomnia
 Knowledge of Narcolepsy
 Knowledge of Parasomnias
 Knowledge of Sleep Medicine
 Knowledge of ABC = Airway + Breathing + Circulation
 Maintain current ACLS certification
 Maintain current BCLS certification
 Maintain current CPR certification
 Meet all industry registry and state licensure requirements mandated for the Sleep Technologist
 Nasal and oral airflow monitoring
 Observing and monitoring physical signs and symptoms, general behavior, and general physical response to Polysomnographic evaluation
 Overall Quality of Study must be enhanced
 PAP / Titration skills stand in need of improvement
 Perform a MSLT
 Perform a MWT
 Perform appropriate physiological calibrations to ensure proper signals and make required adjustments.
 Perform data acquisition while monitoring study-tracing quality to ensure signals are artifact-free. Identify, correct and document artifact
 Perform database management
 Perform patient education and instruction appropriate for out of center sleep testing.
 Perform routine equipment care and maintenance and inventory evaluation.
 Perform routine maintenance for patient rooms, equipment care & inventory evaluation
 Provide patient education utilizing sleep center specific protocols
 Respiratory effort monitoring including thoracic and abdominal signals
 Respond to sleep patients’ procedural-related inquiries by providing appropriate information
 Review the patient’s history and verify the medical order
 Safety and Infection control issues & protocal must be followed & issues reported to Mgt
 Score clinical events (such as respiratory events, cardiac events, limb movements, arousals, etc.) utilizing AASM standards.
 Score sleep/wake stages by applying professionally accepted guidelines.
 Select appropriate equipment and calibrate for testing to determine proper functioning and make adjustments, if necessary
 Sleep Scoring requires proficiency
 Sleep Scoring Staging requires urgent enhancement
 Stop pillaging food & beverage from staff members
 Submit Sleep CEU's for this quarter
 Supplemental Low Flow Oxygen & Titration
 Teamwork skills require prompt renovation
 Verify information when patient arrives
 Vital Signs Measurement
 Work to be finished within the confines of said Shift

patient 10

        Date:  

Tech: Person Completing Form:

Comments (Please use formatting tool above for bullets):

Areas of Improvement:
 Dr Sarah Puri must be notified in advance of sending a patient home
 Dr Sarah Puri's emails require response in a swift manner
 Equipment malfunction to be IMMEDIATELY reported to Dr Sarah Puri, CEO & Andrew Hobley RRT, Sleep Lab Mgr
 Ability to analyze complex situations and apply the correct policy.
 Accuracy of technical notes & other MR documentation
 Adhere to sleep center policies related to quality assurance, clinical procedures and emergency preparedness and safety
 Adhere to Sleep Center Policies related to Quality Assurance.
 Advance skills necessary for Sleep Technologist growth
 Apply electrodes and sensors according to accepted published standards.
 Assist the Medical Director & Sleep Lab Mgr in all aspects of Sleep Center operations.
 Audio/video monitoring of movement and behavior during sleep
 Body temperature monitoring
 Collect all documents that patient needs to fill out
 Collect, analyze and integrate patient information
 Collect, analyze and integrate patient information in order to identify and meet the patient-specific needs (physical/mental limitations, current emotional/physiological status regarding the testing procedure, pertinent medical/social history).
 Comply with applicable laws, regulations, guidelines and standards regarding infection control issues
 Comply with Professional Standards of Conduct.
 Demonstrate adherence to AASM scoring parameters for OCST; identify artifact, inadequate signals and study failures and generate an accurate report
 Demonstrate adherence to cleaning and disinfection procedures for portable monitoring devices.
 Demonstrate advanced knowledge of the pathophysiology of sleep disorders and associated co-morbidities
 Demonstrate appropriate social skills.
 Demonstrate computer skills appropriate for the position
 Demonstrate critical thinking and ability to work with minimal supervision.
 Demonstrate customer service skills.
 Demonstrate effective written and verbal communication skills
 Demonstrate proficient use of medical terminology
 Demonstrate teamwork skills and ability to work collaboratively with other healthcare providers
 Demonstrate the ability follow direction
 Demonstrate the knowledge and skills necessary to perform portable monitoring equipment preparation and data download.
 Demonstrate the knowledge and skills necessary to recognize and provide age specific care in the treatment, assessment, and education of neonatal, pediatric, adolescent, adult, and geriatric patients.
 Discontinue the use of unauthorized Acronyms
 Document routine observations, including sleep stages and clinical events, changes in procedure, and other significant events in order to facilitate scoring and interpretation of polysomnographic results
 Documentation in Templates
 Effective written and verbal communication skills.
 Evaluate sleep study related equipment and inventory.
 Follow “lights on” procedures to verify integrity of collected data and complete the data collection process (e.g. repeat the physiological and instrument calibrations and instruct the patient on completing questionnaires, checking for completeness, etc.).
 Follow “lights out” procedures to establish and document baseline values (such as body position, oxyhemoglobin saturation, respiratory and heart rates, etc.)
 Follow HIPPA policies to maintain the privacy and security of patient information.
 Follow sleep center protocols related to the sleep study
 Generate accurate reports by tabulating sleep/wake and clinical event data.
 Identify Cardiac Arrhythmia's
 Identify Cardiac Events
 Identify Respiratory Events
 Identify when REM begins
 Identify Clinical Events
 Implement appropriate interventions (including actions necessary for patient safety and therapeutic intervention such as positive airway pressure, oxygen administration, etc.)
 Knowledge of Cardiac Arrhythmia's
 Knowledge of Circadian Rhythm Disorders
 Knowledge of essential Sleep technology terms & definitions
 Knowledge of growing emphasis on sleep hygiene education
 Knowledge of Insomnia
 Knowledge of Narcolepsy
 Knowledge of Parasomnias
 Knowledge of Sleep Medicine
 Knowledge of ABC = Airway + Breathing + Circulation
 Maintain current ACLS certification
 Maintain current BCLS certification
 Maintain current CPR certification
 Meet all industry registry and state licensure requirements mandated for the Sleep Technologist
 Nasal and oral airflow monitoring
 Observing and monitoring physical signs and symptoms, general behavior, and general physical response to Polysomnographic evaluation
 Overall Quality of Study must be enhanced
 PAP / Titration skills stand in need of improvement
 Perform a MSLT
 Perform a MWT
 Perform appropriate physiological calibrations to ensure proper signals and make required adjustments.
 Perform data acquisition while monitoring study-tracing quality to ensure signals are artifact-free. Identify, correct and document artifact
 Perform database management
 Perform patient education and instruction appropriate for out of center sleep testing.
 Perform routine equipment care and maintenance and inventory evaluation.
 Perform routine maintenance for patient rooms, equipment care & inventory evaluation
 Provide patient education utilizing sleep center specific protocols
 Respiratory effort monitoring including thoracic and abdominal signals
 Respond to sleep patients’ procedural-related inquiries by providing appropriate information
 Review the patient’s history and verify the medical order
 Safety and Infection control issues & protocal must be followed & issues reported to Mgt
 Score clinical events (such as respiratory events, cardiac events, limb movements, arousals, etc.) utilizing AASM standards.
 Score sleep/wake stages by applying professionally accepted guidelines.
 Select appropriate equipment and calibrate for testing to determine proper functioning and make adjustments, if necessary
 Sleep Scoring requires proficiency
 Sleep Scoring Staging requires urgent enhancement
 Stop pillaging food & beverage from staff members
 Submit Sleep CEU's for this quarter
 Supplemental Low Flow Oxygen & Titration
 Teamwork skills require prompt renovation
 Verify information when patient arrives
 Vital Signs Measurement
 Work to be finished within the confines of said Shift

patient 11

        Date:  

Tech: Person Completing Form:

Comments (Please use formatting tool above for bullets):

Areas of Improvement:
 Dr Sarah Puri must be notified in advance of sending a patient home
 Dr Sarah Puri's emails require response in a swift manner
 Equipment malfunction to be IMMEDIATELY reported to Dr Sarah Puri, CEO & Andrew Hobley RRT, Sleep Lab Mgr
 Ability to analyze complex situations and apply the correct policy.
 Accuracy of technical notes & other MR documentation
 Adhere to sleep center policies related to quality assurance, clinical procedures and emergency preparedness and safety
 Adhere to Sleep Center Policies related to Quality Assurance.
 Advance skills necessary for Sleep Technologist growth
 Apply electrodes and sensors according to accepted published standards.
 Assist the Medical Director & Sleep Lab Mgr in all aspects of Sleep Center operations.
 Audio/video monitoring of movement and behavior during sleep
 Body temperature monitoring
 Collect all documents that patient needs to fill out
 Collect, analyze and integrate patient information
 Collect, analyze and integrate patient information in order to identify and meet the patient-specific needs (physical/mental limitations, current emotional/physiological status regarding the testing procedure, pertinent medical/social history).
 Comply with applicable laws, regulations, guidelines and standards regarding infection control issues
 Comply with Professional Standards of Conduct.
 Demonstrate adherence to AASM scoring parameters for OCST; identify artifact, inadequate signals and study failures and generate an accurate report
 Demonstrate adherence to cleaning and disinfection procedures for portable monitoring devices.
 Demonstrate advanced knowledge of the pathophysiology of sleep disorders and associated co-morbidities
 Demonstrate appropriate social skills.
 Demonstrate computer skills appropriate for the position
 Demonstrate critical thinking and ability to work with minimal supervision.
 Demonstrate customer service skills.
 Demonstrate effective written and verbal communication skills
 Demonstrate proficient use of medical terminology
 Demonstrate teamwork skills and ability to work collaboratively with other healthcare providers
 Demonstrate the ability follow direction
 Demonstrate the knowledge and skills necessary to perform portable monitoring equipment preparation and data download.
 Demonstrate the knowledge and skills necessary to recognize and provide age specific care in the treatment, assessment, and education of neonatal, pediatric, adolescent, adult, and geriatric patients.
 Discontinue the use of unauthorized Acronyms
 Document routine observations, including sleep stages and clinical events, changes in procedure, and other significant events in order to facilitate scoring and interpretation of polysomnographic results
 Documentation in Templates
 Effective written and verbal communication skills.
 Evaluate sleep study related equipment and inventory.
 Follow “lights on” procedures to verify integrity of collected data and complete the data collection process (e.g. repeat the physiological and instrument calibrations and instruct the patient on completing questionnaires, checking for completeness, etc.).
 Follow “lights out” procedures to establish and document baseline values (such as body position, oxyhemoglobin saturation, respiratory and heart rates, etc.)
 Follow HIPPA policies to maintain the privacy and security of patient information.
 Follow sleep center protocols related to the sleep study
 Generate accurate reports by tabulating sleep/wake and clinical event data.
 Identify Cardiac Arrhythmia's
 Identify Cardiac Events
 Identify Respiratory Events
 Identify when REM begins
 Identify Clinical Events
 Implement appropriate interventions (including actions necessary for patient safety and therapeutic intervention such as positive airway pressure, oxygen administration, etc.)
 Knowledge of Cardiac Arrhythmia's
 Knowledge of Circadian Rhythm Disorders
 Knowledge of essential Sleep technology terms & definitions
 Knowledge of growing emphasis on sleep hygiene education
 Knowledge of Insomnia
 Knowledge of Narcolepsy
 Knowledge of Parasomnias
 Knowledge of Sleep Medicine
 Knowledge of ABC = Airway + Breathing + Circulation
 Maintain current ACLS certification
 Maintain current BCLS certification
 Maintain current CPR certification
 Meet all industry registry and state licensure requirements mandated for the Sleep Technologist
 Nasal and oral airflow monitoring
 Observing and monitoring physical signs and symptoms, general behavior, and general physical response to Polysomnographic evaluation
 Overall Quality of Study must be enhanced
 PAP / Titration skills stand in need of improvement
 Perform a MSLT
 Perform a MWT
 Perform appropriate physiological calibrations to ensure proper signals and make required adjustments.
 Perform data acquisition while monitoring study-tracing quality to ensure signals are artifact-free. Identify, correct and document artifact
 Perform database management
 Perform patient education and instruction appropriate for out of center sleep testing.
 Perform routine equipment care and maintenance and inventory evaluation.
 Perform routine maintenance for patient rooms, equipment care & inventory evaluation
 Provide patient education utilizing sleep center specific protocols
 Respiratory effort monitoring including thoracic and abdominal signals
 Respond to sleep patients’ procedural-related inquiries by providing appropriate information
 Review the patient’s history and verify the medical order
 Safety and Infection control issues & protocal must be followed & issues reported to Mgt
 Score clinical events (such as respiratory events, cardiac events, limb movements, arousals, etc.) utilizing AASM standards.
 Score sleep/wake stages by applying professionally accepted guidelines.
 Select appropriate equipment and calibrate for testing to determine proper functioning and make adjustments, if necessary
 Sleep Scoring requires proficiency
 Sleep Scoring Staging requires urgent enhancement
 Stop pillaging food & beverage from staff members
 Submit Sleep CEU's for this quarter
 Supplemental Low Flow Oxygen & Titration
 Teamwork skills require prompt renovation
 Verify information when patient arrives
 Vital Signs Measurement
 Work to be finished within the confines of said Shift

patient 12

        Date:  

Tech: Person Completing Form:

Comments (Please use formatting tool above for bullets):

Areas of Improvement:
 Dr Sarah Puri must be notified in advance of sending a patient home
 Dr Sarah Puri's emails require response in a swift manner
 Equipment malfunction to be IMMEDIATELY reported to Dr Sarah Puri, CEO & Andrew Hobley RRT, Sleep Lab Mgr
 Ability to analyze complex situations and apply the correct policy.
 Accuracy of technical notes & other MR documentation
 Adhere to sleep center policies related to quality assurance, clinical procedures and emergency preparedness and safety
 Adhere to Sleep Center Policies related to Quality Assurance.
 Advance skills necessary for Sleep Technologist growth
 Apply electrodes and sensors according to accepted published standards.
 Assist the Medical Director & Sleep Lab Mgr in all aspects of Sleep Center operations.
 Audio/video monitoring of movement and behavior during sleep
 Body temperature monitoring
 Collect all documents that patient needs to fill out
 Collect, analyze and integrate patient information
 Collect, analyze and integrate patient information in order to identify and meet the patient-specific needs (physical/mental limitations, current emotional/physiological status regarding the testing procedure, pertinent medical/social history).
 Comply with applicable laws, regulations, guidelines and standards regarding infection control issues
 Comply with Professional Standards of Conduct.
 Demonstrate adherence to AASM scoring parameters for OCST; identify artifact, inadequate signals and study failures and generate an accurate report
 Demonstrate adherence to cleaning and disinfection procedures for portable monitoring devices.
 Demonstrate advanced knowledge of the pathophysiology of sleep disorders and associated co-morbidities
 Demonstrate appropriate social skills.
 Demonstrate computer skills appropriate for the position
 Demonstrate critical thinking and ability to work with minimal supervision.
 Demonstrate customer service skills.
 Demonstrate effective written and verbal communication skills
 Demonstrate proficient use of medical terminology
 Demonstrate teamwork skills and ability to work collaboratively with other healthcare providers
 Demonstrate the ability follow direction
 Demonstrate the knowledge and skills necessary to perform portable monitoring equipment preparation and data download.
 Demonstrate the knowledge and skills necessary to recognize and provide age specific care in the treatment, assessment, and education of neonatal, pediatric, adolescent, adult, and geriatric patients.
 Discontinue the use of unauthorized Acronyms
 Document routine observations, including sleep stages and clinical events, changes in procedure, and other significant events in order to facilitate scoring and interpretation of polysomnographic results
 Documentation in Templates
 Effective written and verbal communication skills.
 Evaluate sleep study related equipment and inventory.
 Follow “lights on” procedures to verify integrity of collected data and complete the data collection process (e.g. repeat the physiological and instrument calibrations and instruct the patient on completing questionnaires, checking for completeness, etc.).
 Follow “lights out” procedures to establish and document baseline values (such as body position, oxyhemoglobin saturation, respiratory and heart rates, etc.)
 Follow HIPPA policies to maintain the privacy and security of patient information.
 Follow sleep center protocols related to the sleep study
 Generate accurate reports by tabulating sleep/wake and clinical event data.
 Identify Cardiac Arrhythmia's
 Identify Cardiac Events
 Identify Respiratory Events
 Identify when REM begins
 Identify Clinical Events
 Implement appropriate interventions (including actions necessary for patient safety and therapeutic intervention such as positive airway pressure, oxygen administration, etc.)
 Knowledge of Cardiac Arrhythmia's
 Knowledge of Circadian Rhythm Disorders
 Knowledge of essential Sleep technology terms & definitions
 Knowledge of growing emphasis on sleep hygiene education
 Knowledge of Insomnia
 Knowledge of Narcolepsy
 Knowledge of Parasomnias
 Knowledge of Sleep Medicine
 Knowledge of ABC = Airway + Breathing + Circulation
 Maintain current ACLS certification
 Maintain current BCLS certification
 Maintain current CPR certification
 Meet all industry registry and state licensure requirements mandated for the Sleep Technologist
 Nasal and oral airflow monitoring
 Observing and monitoring physical signs and symptoms, general behavior, and general physical response to Polysomnographic evaluation
 Overall Quality of Study must be enhanced
 PAP / Titration skills stand in need of improvement
 Perform a MSLT
 Perform a MWT
 Perform appropriate physiological calibrations to ensure proper signals and make required adjustments.
 Perform data acquisition while monitoring study-tracing quality to ensure signals are artifact-free. Identify, correct and document artifact
 Perform database management
 Perform patient education and instruction appropriate for out of center sleep testing.
 Perform routine equipment care and maintenance and inventory evaluation.
 Perform routine maintenance for patient rooms, equipment care & inventory evaluation
 Provide patient education utilizing sleep center specific protocols
 Respiratory effort monitoring including thoracic and abdominal signals
 Respond to sleep patients’ procedural-related inquiries by providing appropriate information
 Review the patient’s history and verify the medical order
 Safety and Infection control issues & protocal must be followed & issues reported to Mgt
 Score clinical events (such as respiratory events, cardiac events, limb movements, arousals, etc.) utilizing AASM standards.
 Score sleep/wake stages by applying professionally accepted guidelines.
 Select appropriate equipment and calibrate for testing to determine proper functioning and make adjustments, if necessary
 Sleep Scoring requires proficiency
 Sleep Scoring Staging requires urgent enhancement
 Stop pillaging food & beverage from staff members
 Submit Sleep CEU's for this quarter
 Supplemental Low Flow Oxygen & Titration
 Teamwork skills require prompt renovation
 Verify information when patient arrives
 Vital Signs Measurement
 Work to be finished within the confines of said Shift

patient 13

        Date:  

Tech: Person Completing Form:

Comments (Please use formatting tool above for bullets):

Areas of Improvement:
 Dr Sarah Puri must be notified in advance of sending a patient home
 Dr Sarah Puri's emails require response in a swift manner
 Equipment malfunction to be IMMEDIATELY reported to Dr Sarah Puri, CEO & Andrew Hobley RRT, Sleep Lab Mgr
 Ability to analyze complex situations and apply the correct policy.
 Accuracy of technical notes & other MR documentation
 Adhere to sleep center policies related to quality assurance, clinical procedures and emergency preparedness and safety
 Adhere to Sleep Center Policies related to Quality Assurance.
 Advance skills necessary for Sleep Technologist growth
 Apply electrodes and sensors according to accepted published standards.
 Assist the Medical Director & Sleep Lab Mgr in all aspects of Sleep Center operations.
 Audio/video monitoring of movement and behavior during sleep
 Body temperature monitoring
 Collect all documents that patient needs to fill out
 Collect, analyze and integrate patient information
 Collect, analyze and integrate patient information in order to identify and meet the patient-specific needs (physical/mental limitations, current emotional/physiological status regarding the testing procedure, pertinent medical/social history).
 Comply with applicable laws, regulations, guidelines and standards regarding infection control issues
 Comply with Professional Standards of Conduct.
 Demonstrate adherence to AASM scoring parameters for OCST; identify artifact, inadequate signals and study failures and generate an accurate report
 Demonstrate adherence to cleaning and disinfection procedures for portable monitoring devices.
 Demonstrate advanced knowledge of the pathophysiology of sleep disorders and associated co-morbidities
 Demonstrate appropriate social skills.
 Demonstrate computer skills appropriate for the position
 Demonstrate critical thinking and ability to work with minimal supervision.
 Demonstrate customer service skills.
 Demonstrate effective written and verbal communication skills
 Demonstrate proficient use of medical terminology
 Demonstrate teamwork skills and ability to work collaboratively with other healthcare providers
 Demonstrate the ability follow direction
 Demonstrate the knowledge and skills necessary to perform portable monitoring equipment preparation and data download.
 Demonstrate the knowledge and skills necessary to recognize and provide age specific care in the treatment, assessment, and education of neonatal, pediatric, adolescent, adult, and geriatric patients.
 Discontinue the use of unauthorized Acronyms
 Document routine observations, including sleep stages and clinical events, changes in procedure, and other significant events in order to facilitate scoring and interpretation of polysomnographic results
 Documentation in Templates
 Effective written and verbal communication skills.
 Evaluate sleep study related equipment and inventory.
 Follow “lights on” procedures to verify integrity of collected data and complete the data collection process (e.g. repeat the physiological and instrument calibrations and instruct the patient on completing questionnaires, checking for completeness, etc.).
 Follow “lights out” procedures to establish and document baseline values (such as body position, oxyhemoglobin saturation, respiratory and heart rates, etc.)
 Follow HIPPA policies to maintain the privacy and security of patient information.
 Follow sleep center protocols related to the sleep study
 Generate accurate reports by tabulating sleep/wake and clinical event data.
 Identify Cardiac Arrhythmia's
 Identify Cardiac Events
 Identify Respiratory Events
 Identify when REM begins
 Identify Clinical Events
 Implement appropriate interventions (including actions necessary for patient safety and therapeutic intervention such as positive airway pressure, oxygen administration, etc.)
 Knowledge of Cardiac Arrhythmia's
 Knowledge of Circadian Rhythm Disorders
 Knowledge of essential Sleep technology terms & definitions
 Knowledge of growing emphasis on sleep hygiene education
 Knowledge of Insomnia
 Knowledge of Narcolepsy
 Knowledge of Parasomnias
 Knowledge of Sleep Medicine
 Knowledge of ABC = Airway + Breathing + Circulation
 Maintain current ACLS certification
 Maintain current BCLS certification
 Maintain current CPR certification
 Meet all industry registry and state licensure requirements mandated for the Sleep Technologist
 Nasal and oral airflow monitoring
 Observing and monitoring physical signs and symptoms, general behavior, and general physical response to Polysomnographic evaluation
 Overall Quality of Study must be enhanced
 PAP / Titration skills stand in need of improvement
 Perform a MSLT
 Perform a MWT
 Perform appropriate physiological calibrations to ensure proper signals and make required adjustments.
 Perform data acquisition while monitoring study-tracing quality to ensure signals are artifact-free. Identify, correct and document artifact
 Perform database management
 Perform patient education and instruction appropriate for out of center sleep testing.
 Perform routine equipment care and maintenance and inventory evaluation.
 Perform routine maintenance for patient rooms, equipment care & inventory evaluation
 Provide patient education utilizing sleep center specific protocols
 Respiratory effort monitoring including thoracic and abdominal signals
 Respond to sleep patients’ procedural-related inquiries by providing appropriate information
 Review the patient’s history and verify the medical order
 Safety and Infection control issues & protocal must be followed & issues reported to Mgt
 Score clinical events (such as respiratory events, cardiac events, limb movements, arousals, etc.) utilizing AASM standards.
 Score sleep/wake stages by applying professionally accepted guidelines.
 Select appropriate equipment and calibrate for testing to determine proper functioning and make adjustments, if necessary
 Sleep Scoring requires proficiency
 Sleep Scoring Staging requires urgent enhancement
 Stop pillaging food & beverage from staff members
 Submit Sleep CEU's for this quarter
 Supplemental Low Flow Oxygen & Titration
 Teamwork skills require prompt renovation
 Verify information when patient arrives
 Vital Signs Measurement
 Work to be finished within the confines of said Shift

patient 14

        Date:  

Tech: Person Completing Form:

Comments (Please use formatting tool above for bullets):

Areas of Improvement:
 Dr Sarah Puri must be notified in advance of sending a patient home
 Dr Sarah Puri's emails require response in a swift manner
 Equipment malfunction to be IMMEDIATELY reported to Dr Sarah Puri, CEO & Andrew Hobley RRT, Sleep Lab Mgr
 Ability to analyze complex situations and apply the correct policy.
 Accuracy of technical notes & other MR documentation
 Adhere to sleep center policies related to quality assurance, clinical procedures and emergency preparedness and safety
 Adhere to Sleep Center Policies related to Quality Assurance.
 Advance skills necessary for Sleep Technologist growth
 Apply electrodes and sensors according to accepted published standards.
 Assist the Medical Director & Sleep Lab Mgr in all aspects of Sleep Center operations.
 Audio/video monitoring of movement and behavior during sleep
 Body temperature monitoring
 Collect all documents that patient needs to fill out
 Collect, analyze and integrate patient information
 Collect, analyze and integrate patient information in order to identify and meet the patient-specific needs (physical/mental limitations, current emotional/physiological status regarding the testing procedure, pertinent medical/social history).
 Comply with applicable laws, regulations, guidelines and standards regarding infection control issues
 Comply with Professional Standards of Conduct.
 Demonstrate adherence to AASM scoring parameters for OCST; identify artifact, inadequate signals and study failures and generate an accurate report
 Demonstrate adherence to cleaning and disinfection procedures for portable monitoring devices.
 Demonstrate advanced knowledge of the pathophysiology of sleep disorders and associated co-morbidities
 Demonstrate appropriate social skills.
 Demonstrate computer skills appropriate for the position
 Demonstrate critical thinking and ability to work with minimal supervision.
 Demonstrate customer service skills.
 Demonstrate effective written and verbal communication skills
 Demonstrate proficient use of medical terminology
 Demonstrate teamwork skills and ability to work collaboratively with other healthcare providers
 Demonstrate the ability follow direction
 Demonstrate the knowledge and skills necessary to perform portable monitoring equipment preparation and data download.
 Demonstrate the knowledge and skills necessary to recognize and provide age specific care in the treatment, assessment, and education of neonatal, pediatric, adolescent, adult, and geriatric patients.
 Discontinue the use of unauthorized Acronyms
 Document routine observations, including sleep stages and clinical events, changes in procedure, and other significant events in order to facilitate scoring and interpretation of polysomnographic results
 Documentation in Templates
 Effective written and verbal communication skills.
 Evaluate sleep study related equipment and inventory.
 Follow “lights on” procedures to verify integrity of collected data and complete the data collection process (e.g. repeat the physiological and instrument calibrations and instruct the patient on completing questionnaires, checking for completeness, etc.).
 Follow “lights out” procedures to establish and document baseline values (such as body position, oxyhemoglobin saturation, respiratory and heart rates, etc.)
 Follow HIPPA policies to maintain the privacy and security of patient information.
 Follow sleep center protocols related to the sleep study
 Generate accurate reports by tabulating sleep/wake and clinical event data.
 Identify Cardiac Arrhythmia's
 Identify Cardiac Events
 Identify Respiratory Events
 Identify when REM begins
 Identify Clinical Events
 Implement appropriate interventions (including actions necessary for patient safety and therapeutic intervention such as positive airway pressure, oxygen administration, etc.)
 Knowledge of Cardiac Arrhythmia's
 Knowledge of Circadian Rhythm Disorders
 Knowledge of essential Sleep technology terms & definitions
 Knowledge of growing emphasis on sleep hygiene education
 Knowledge of Insomnia
 Knowledge of Narcolepsy
 Knowledge of Parasomnias
 Knowledge of Sleep Medicine
 Knowledge of ABC = Airway + Breathing + Circulation
 Maintain current ACLS certification
 Maintain current BCLS certification
 Maintain current CPR certification
 Meet all industry registry and state licensure requirements mandated for the Sleep Technologist
 Nasal and oral airflow monitoring
 Observing and monitoring physical signs and symptoms, general behavior, and general physical response to Polysomnographic evaluation
 Overall Quality of Study must be enhanced
 PAP / Titration skills stand in need of improvement
 Perform a MSLT
 Perform a MWT
 Perform appropriate physiological calibrations to ensure proper signals and make required adjustments.
 Perform data acquisition while monitoring study-tracing quality to ensure signals are artifact-free. Identify, correct and document artifact
 Perform database management
 Perform patient education and instruction appropriate for out of center sleep testing.
 Perform routine equipment care and maintenance and inventory evaluation.
 Perform routine maintenance for patient rooms, equipment care & inventory evaluation
 Provide patient education utilizing sleep center specific protocols
 Respiratory effort monitoring including thoracic and abdominal signals
 Respond to sleep patients’ procedural-related inquiries by providing appropriate information
 Review the patient’s history and verify the medical order
 Safety and Infection control issues & protocal must be followed & issues reported to Mgt
 Score clinical events (such as respiratory events, cardiac events, limb movements, arousals, etc.) utilizing AASM standards.
 Score sleep/wake stages by applying professionally accepted guidelines.
 Select appropriate equipment and calibrate for testing to determine proper functioning and make adjustments, if necessary
 Sleep Scoring requires proficiency
 Sleep Scoring Staging requires urgent enhancement
 Stop pillaging food & beverage from staff members
 Submit Sleep CEU's for this quarter
 Supplemental Low Flow Oxygen & Titration
 Teamwork skills require prompt renovation
 Verify information when patient arrives
 Vital Signs Measurement
 Work to be finished within the confines of said Shift

patient 15

        Date:  

Tech: Person Completing Form:

Comments (Please use formatting tool above for bullets):

Areas of Improvement:
 Dr Sarah Puri must be notified in advance of sending a patient home
 Dr Sarah Puri's emails require response in a swift manner
 Equipment malfunction to be IMMEDIATELY reported to Dr Sarah Puri, CEO & Andrew Hobley RRT, Sleep Lab Mgr
 Ability to analyze complex situations and apply the correct policy.
 Accuracy of technical notes & other MR documentation
 Adhere to sleep center policies related to quality assurance, clinical procedures and emergency preparedness and safety
 Adhere to Sleep Center Policies related to Quality Assurance.
 Advance skills necessary for Sleep Technologist growth
 Apply electrodes and sensors according to accepted published standards.
 Assist the Medical Director & Sleep Lab Mgr in all aspects of Sleep Center operations.
 Audio/video monitoring of movement and behavior during sleep
 Body temperature monitoring
 Collect all documents that patient needs to fill out
 Collect, analyze and integrate patient information
 Collect, analyze and integrate patient information in order to identify and meet the patient-specific needs (physical/mental limitations, current emotional/physiological status regarding the testing procedure, pertinent medical/social history).
 Comply with applicable laws, regulations, guidelines and standards regarding infection control issues
 Comply with Professional Standards of Conduct.
 Demonstrate adherence to AASM scoring parameters for OCST; identify artifact, inadequate signals and study failures and generate an accurate report
 Demonstrate adherence to cleaning and disinfection procedures for portable monitoring devices.
 Demonstrate advanced knowledge of the pathophysiology of sleep disorders and associated co-morbidities
 Demonstrate appropriate social skills.
 Demonstrate computer skills appropriate for the position
 Demonstrate critical thinking and ability to work with minimal supervision.
 Demonstrate customer service skills.
 Demonstrate effective written and verbal communication skills
 Demonstrate proficient use of medical terminology
 Demonstrate teamwork skills and ability to work collaboratively with other healthcare providers
 Demonstrate the ability follow direction
 Demonstrate the knowledge and skills necessary to perform portable monitoring equipment preparation and data download.
 Demonstrate the knowledge and skills necessary to recognize and provide age specific care in the treatment, assessment, and education of neonatal, pediatric, adolescent, adult, and geriatric patients.
 Discontinue the use of unauthorized Acronyms
 Document routine observations, including sleep stages and clinical events, changes in procedure, and other significant events in order to facilitate scoring and interpretation of polysomnographic results
 Documentation in Templates
 Effective written and verbal communication skills.
 Evaluate sleep study related equipment and inventory.
 Follow “lights on” procedures to verify integrity of collected data and complete the data collection process (e.g. repeat the physiological and instrument calibrations and instruct the patient on completing questionnaires, checking for completeness, etc.).
 Follow “lights out” procedures to establish and document baseline values (such as body position, oxyhemoglobin saturation, respiratory and heart rates, etc.)
 Follow HIPPA policies to maintain the privacy and security of patient information.
 Follow sleep center protocols related to the sleep study
 Generate accurate reports by tabulating sleep/wake and clinical event data.
 Identify Cardiac Arrhythmia's
 Identify Cardiac Events
 Identify Respiratory Events
 Identify when REM begins
 Identify Clinical Events
 Implement appropriate interventions (including actions necessary for patient safety and therapeutic intervention such as positive airway pressure, oxygen administration, etc.)
 Knowledge of Cardiac Arrhythmia's
 Knowledge of Circadian Rhythm Disorders
 Knowledge of essential Sleep technology terms & definitions
 Knowledge of growing emphasis on sleep hygiene education
 Knowledge of Insomnia
 Knowledge of Narcolepsy
 Knowledge of Parasomnias
 Knowledge of Sleep Medicine
 Knowledge of ABC = Airway + Breathing + Circulation
 Maintain current ACLS certification
 Maintain current BCLS certification
 Maintain current CPR certification
 Meet all industry registry and state licensure requirements mandated for the Sleep Technologist
 Nasal and oral airflow monitoring
 Observing and monitoring physical signs and symptoms, general behavior, and general physical response to Polysomnographic evaluation
 Overall Quality of Study must be enhanced
 PAP / Titration skills stand in need of improvement
 Perform a MSLT
 Perform a MWT
 Perform appropriate physiological calibrations to ensure proper signals and make required adjustments.
 Perform data acquisition while monitoring study-tracing quality to ensure signals are artifact-free. Identify, correct and document artifact
 Perform database management
 Perform patient education and instruction appropriate for out of center sleep testing.
 Perform routine equipment care and maintenance and inventory evaluation.
 Perform routine maintenance for patient rooms, equipment care & inventory evaluation
 Provide patient education utilizing sleep center specific protocols
 Respiratory effort monitoring including thoracic and abdominal signals
 Respond to sleep patients’ procedural-related inquiries by providing appropriate information
 Review the patient’s history and verify the medical order
 Safety and Infection control issues & protocal must be followed & issues reported to Mgt
 Score clinical events (such as respiratory events, cardiac events, limb movements, arousals, etc.) utilizing AASM standards.
 Score sleep/wake stages by applying professionally accepted guidelines.
 Select appropriate equipment and calibrate for testing to determine proper functioning and make adjustments, if necessary
 Sleep Scoring requires proficiency
 Sleep Scoring Staging requires urgent enhancement
 Stop pillaging food & beverage from staff members
 Submit Sleep CEU's for this quarter
 Supplemental Low Flow Oxygen & Titration
 Teamwork skills require prompt renovation
 Verify information when patient arrives
 Vital Signs Measurement
 Work to be finished within the confines of said Shift

patient 16

        Date:  

Tech: Person Completing Form:

Comments (Please use formatting tool above for bullets):

Areas of Improvement:
 Dr Sarah Puri must be notified in advance of sending a patient home
 Dr Sarah Puri's emails require response in a swift manner
 Equipment malfunction to be IMMEDIATELY reported to Dr Sarah Puri, CEO & Andrew Hobley RRT, Sleep Lab Mgr
 Ability to analyze complex situations and apply the correct policy.
 Accuracy of technical notes & other MR documentation
 Adhere to sleep center policies related to quality assurance, clinical procedures and emergency preparedness and safety
 Adhere to Sleep Center Policies related to Quality Assurance.
 Advance skills necessary for Sleep Technologist growth
 Apply electrodes and sensors according to accepted published standards.
 Assist the Medical Director & Sleep Lab Mgr in all aspects of Sleep Center operations.
 Audio/video monitoring of movement and behavior during sleep
 Body temperature monitoring
 Collect all documents that patient needs to fill out
 Collect, analyze and integrate patient information
 Collect, analyze and integrate patient information in order to identify and meet the patient-specific needs (physical/mental limitations, current emotional/physiological status regarding the testing procedure, pertinent medical/social history).
 Comply with applicable laws, regulations, guidelines and standards regarding infection control issues
 Comply with Professional Standards of Conduct.
 Demonstrate adherence to AASM scoring parameters for OCST; identify artifact, inadequate signals and study failures and generate an accurate report
 Demonstrate adherence to cleaning and disinfection procedures for portable monitoring devices.
 Demonstrate advanced knowledge of the pathophysiology of sleep disorders and associated co-morbidities
 Demonstrate appropriate social skills.
 Demonstrate computer skills appropriate for the position
 Demonstrate critical thinking and ability to work with minimal supervision.
 Demonstrate customer service skills.
 Demonstrate effective written and verbal communication skills
 Demonstrate proficient use of medical terminology
 Demonstrate teamwork skills and ability to work collaboratively with other healthcare providers
 Demonstrate the ability follow direction
 Demonstrate the knowledge and skills necessary to perform portable monitoring equipment preparation and data download.
 Demonstrate the knowledge and skills necessary to recognize and provide age specific care in the treatment, assessment, and education of neonatal, pediatric, adolescent, adult, and geriatric patients.
 Discontinue the use of unauthorized Acronyms
 Document routine observations, including sleep stages and clinical events, changes in procedure, and other significant events in order to facilitate scoring and interpretation of polysomnographic results
 Documentation in Templates
 Effective written and verbal communication skills.
 Evaluate sleep study related equipment and inventory.
 Follow “lights on” procedures to verify integrity of collected data and complete the data collection process (e.g. repeat the physiological and instrument calibrations and instruct the patient on completing questionnaires, checking for completeness, etc.).
 Follow “lights out” procedures to establish and document baseline values (such as body position, oxyhemoglobin saturation, respiratory and heart rates, etc.)
 Follow HIPPA policies to maintain the privacy and security of patient information.
 Follow sleep center protocols related to the sleep study
 Generate accurate reports by tabulating sleep/wake and clinical event data.
 Identify Cardiac Arrhythmia's
 Identify Cardiac Events
 Identify Respiratory Events
 Identify when REM begins
 Identify Clinical Events
 Implement appropriate interventions (including actions necessary for patient safety and therapeutic intervention such as positive airway pressure, oxygen administration, etc.)
 Knowledge of Cardiac Arrhythmia's
 Knowledge of Circadian Rhythm Disorders
 Knowledge of essential Sleep technology terms & definitions
 Knowledge of growing emphasis on sleep hygiene education
 Knowledge of Insomnia
 Knowledge of Narcolepsy
 Knowledge of Parasomnias
 Knowledge of Sleep Medicine
 Knowledge of ABC = Airway + Breathing + Circulation
 Maintain current ACLS certification
 Maintain current BCLS certification
 Maintain current CPR certification
 Meet all industry registry and state licensure requirements mandated for the Sleep Technologist
 Nasal and oral airflow monitoring
 Observing and monitoring physical signs and symptoms, general behavior, and general physical response to Polysomnographic evaluation
 Overall Quality of Study must be enhanced
 PAP / Titration skills stand in need of improvement
 Perform a MSLT
 Perform a MWT
 Perform appropriate physiological calibrations to ensure proper signals and make required adjustments.
 Perform data acquisition while monitoring study-tracing quality to ensure signals are artifact-free. Identify, correct and document artifact
 Perform database management
 Perform patient education and instruction appropriate for out of center sleep testing.
 Perform routine equipment care and maintenance and inventory evaluation.
 Perform routine maintenance for patient rooms, equipment care & inventory evaluation
 Provide patient education utilizing sleep center specific protocols
 Respiratory effort monitoring including thoracic and abdominal signals
 Respond to sleep patients’ procedural-related inquiries by providing appropriate information
 Review the patient’s history and verify the medical order
 Safety and Infection control issues & protocal must be followed & issues reported to Mgt
 Score clinical events (such as respiratory events, cardiac events, limb movements, arousals, etc.) utilizing AASM standards.
 Score sleep/wake stages by applying professionally accepted guidelines.
 Select appropriate equipment and calibrate for testing to determine proper functioning and make adjustments, if necessary
 Sleep Scoring requires proficiency
 Sleep Scoring Staging requires urgent enhancement
 Stop pillaging food & beverage from staff members
 Submit Sleep CEU's for this quarter
 Supplemental Low Flow Oxygen & Titration
 Teamwork skills require prompt renovation
 Verify information when patient arrives
 Vital Signs Measurement
 Work to be finished within the confines of said Shift

patient 17

        Date:  

Tech: Person Completing Form:

Comments (Please use formatting tool above for bullets):

Areas of Improvement:
 Dr Sarah Puri must be notified in advance of sending a patient home
 Dr Sarah Puri's emails require response in a swift manner
 Equipment malfunction to be IMMEDIATELY reported to Dr Sarah Puri, CEO & Andrew Hobley RRT, Sleep Lab Mgr
 Ability to analyze complex situations and apply the correct policy.
 Accuracy of technical notes & other MR documentation
 Adhere to sleep center policies related to quality assurance, clinical procedures and emergency preparedness and safety
 Adhere to Sleep Center Policies related to Quality Assurance.
 Advance skills necessary for Sleep Technologist growth
 Apply electrodes and sensors according to accepted published standards.
 Assist the Medical Director & Sleep Lab Mgr in all aspects of Sleep Center operations.
 Audio/video monitoring of movement and behavior during sleep
 Body temperature monitoring
 Collect all documents that patient needs to fill out
 Collect, analyze and integrate patient information
 Collect, analyze and integrate patient information in order to identify and meet the patient-specific needs (physical/mental limitations, current emotional/physiological status regarding the testing procedure, pertinent medical/social history).
 Comply with applicable laws, regulations, guidelines and standards regarding infection control issues
 Comply with Professional Standards of Conduct.
 Demonstrate adherence to AASM scoring parameters for OCST; identify artifact, inadequate signals and study failures and generate an accurate report
 Demonstrate adherence to cleaning and disinfection procedures for portable monitoring devices.
 Demonstrate advanced knowledge of the pathophysiology of sleep disorders and associated co-morbidities
 Demonstrate appropriate social skills.
 Demonstrate computer skills appropriate for the position
 Demonstrate critical thinking and ability to work with minimal supervision.
 Demonstrate customer service skills.
 Demonstrate effective written and verbal communication skills
 Demonstrate proficient use of medical terminology
 Demonstrate teamwork skills and ability to work collaboratively with other healthcare providers
 Demonstrate the ability follow direction
 Demonstrate the knowledge and skills necessary to perform portable monitoring equipment preparation and data download.
 Demonstrate the knowledge and skills necessary to recognize and provide age specific care in the treatment, assessment, and education of neonatal, pediatric, adolescent, adult, and geriatric patients.
 Discontinue the use of unauthorized Acronyms
 Document routine observations, including sleep stages and clinical events, changes in procedure, and other significant events in order to facilitate scoring and interpretation of polysomnographic results
 Documentation in Templates
 Effective written and verbal communication skills.
 Evaluate sleep study related equipment and inventory.
 Follow “lights on” procedures to verify integrity of collected data and complete the data collection process (e.g. repeat the physiological and instrument calibrations and instruct the patient on completing questionnaires, checking for completeness, etc.).
 Follow “lights out” procedures to establish and document baseline values (such as body position, oxyhemoglobin saturation, respiratory and heart rates, etc.)
 Follow HIPPA policies to maintain the privacy and security of patient information.
 Follow sleep center protocols related to the sleep study
 Generate accurate reports by tabulating sleep/wake and clinical event data.
 Identify Cardiac Arrhythmia's
 Identify Cardiac Events
 Identify Respiratory Events
 Identify when REM begins
 Identify Clinical Events
 Implement appropriate interventions (including actions necessary for patient safety and therapeutic intervention such as positive airway pressure, oxygen administration, etc.)
 Knowledge of Cardiac Arrhythmia's
 Knowledge of Circadian Rhythm Disorders
 Knowledge of essential Sleep technology terms & definitions
 Knowledge of growing emphasis on sleep hygiene education
 Knowledge of Insomnia
 Knowledge of Narcolepsy
 Knowledge of Parasomnias
 Knowledge of Sleep Medicine
 Knowledge of ABC = Airway + Breathing + Circulation
 Maintain current ACLS certification
 Maintain current BCLS certification
 Maintain current CPR certification
 Meet all industry registry and state licensure requirements mandated for the Sleep Technologist
 Nasal and oral airflow monitoring
 Observing and monitoring physical signs and symptoms, general behavior, and general physical response to Polysomnographic evaluation
 Overall Quality of Study must be enhanced
 PAP / Titration skills stand in need of improvement
 Perform a MSLT
 Perform a MWT
 Perform appropriate physiological calibrations to ensure proper signals and make required adjustments.
 Perform data acquisition while monitoring study-tracing quality to ensure signals are artifact-free. Identify, correct and document artifact
 Perform database management
 Perform patient education and instruction appropriate for out of center sleep testing.
 Perform routine equipment care and maintenance and inventory evaluation.
 Perform routine maintenance for patient rooms, equipment care & inventory evaluation
 Provide patient education utilizing sleep center specific protocols
 Respiratory effort monitoring including thoracic and abdominal signals
 Respond to sleep patients’ procedural-related inquiries by providing appropriate information
 Review the patient’s history and verify the medical order
 Safety and Infection control issues & protocal must be followed & issues reported to Mgt
 Score clinical events (such as respiratory events, cardiac events, limb movements, arousals, etc.) utilizing AASM standards.
 Score sleep/wake stages by applying professionally accepted guidelines.
 Select appropriate equipment and calibrate for testing to determine proper functioning and make adjustments, if necessary
 Sleep Scoring requires proficiency
 Sleep Scoring Staging requires urgent enhancement
 Stop pillaging food & beverage from staff members
 Submit Sleep CEU's for this quarter
 Supplemental Low Flow Oxygen & Titration
 Teamwork skills require prompt renovation
 Verify information when patient arrives
 Vital Signs Measurement
 Work to be finished within the confines of said Shift

patient 18

        Date:  

Tech: Person Completing Form:

Comments (Please use formatting tool above for bullets):

Areas of Improvement:
 Dr Sarah Puri must be notified in advance of sending a patient home
 Dr Sarah Puri's emails require response in a swift manner
 Equipment malfunction to be IMMEDIATELY reported to Dr Sarah Puri, CEO & Andrew Hobley RRT, Sleep Lab Mgr
 Ability to analyze complex situations and apply the correct policy.
 Accuracy of technical notes & other MR documentation
 Adhere to sleep center policies related to quality assurance, clinical procedures and emergency preparedness and safety
 Adhere to Sleep Center Policies related to Quality Assurance.
 Advance skills necessary for Sleep Technologist growth
 Apply electrodes and sensors according to accepted published standards.
 Assist the Medical Director & Sleep Lab Mgr in all aspects of Sleep Center operations.
 Audio/video monitoring of movement and behavior during sleep
 Body temperature monitoring
 Collect all documents that patient needs to fill out
 Collect, analyze and integrate patient information
 Collect, analyze and integrate patient information in order to identify and meet the patient-specific needs (physical/mental limitations, current emotional/physiological status regarding the testing procedure, pertinent medical/social history).
 Comply with applicable laws, regulations, guidelines and standards regarding infection control issues
 Comply with Professional Standards of Conduct.
 Demonstrate adherence to AASM scoring parameters for OCST; identify artifact, inadequate signals and study failures and generate an accurate report
 Demonstrate adherence to cleaning and disinfection procedures for portable monitoring devices.
 Demonstrate advanced knowledge of the pathophysiology of sleep disorders and associated co-morbidities
 Demonstrate appropriate social skills.
 Demonstrate computer skills appropriate for the position
 Demonstrate critical thinking and ability to work with minimal supervision.
 Demonstrate customer service skills.
 Demonstrate effective written and verbal communication skills
 Demonstrate proficient use of medical terminology
 Demonstrate teamwork skills and ability to work collaboratively with other healthcare providers
 Demonstrate the ability follow direction
 Demonstrate the knowledge and skills necessary to perform portable monitoring equipment preparation and data download.
 Demonstrate the knowledge and skills necessary to recognize and provide age specific care in the treatment, assessment, and education of neonatal, pediatric, adolescent, adult, and geriatric patients.
 Discontinue the use of unauthorized Acronyms
 Document routine observations, including sleep stages and clinical events, changes in procedure, and other significant events in order to facilitate scoring and interpretation of polysomnographic results
 Documentation in Templates
 Effective written and verbal communication skills.
 Evaluate sleep study related equipment and inventory.
 Follow “lights on” procedures to verify integrity of collected data and complete the data collection process (e.g. repeat the physiological and instrument calibrations and instruct the patient on completing questionnaires, checking for completeness, etc.).
 Follow “lights out” procedures to establish and document baseline values (such as body position, oxyhemoglobin saturation, respiratory and heart rates, etc.)
 Follow HIPPA policies to maintain the privacy and security of patient information.
 Follow sleep center protocols related to the sleep study
 Generate accurate reports by tabulating sleep/wake and clinical event data.
 Identify Cardiac Arrhythmia's
 Identify Cardiac Events
 Identify Respiratory Events
 Identify when REM begins
 Identify Clinical Events
 Implement appropriate interventions (including actions necessary for patient safety and therapeutic intervention such as positive airway pressure, oxygen administration, etc.)
 Knowledge of Cardiac Arrhythmia's
 Knowledge of Circadian Rhythm Disorders
 Knowledge of essential Sleep technology terms & definitions
 Knowledge of growing emphasis on sleep hygiene education
 Knowledge of Insomnia
 Knowledge of Narcolepsy
 Knowledge of Parasomnias
 Knowledge of Sleep Medicine
 Knowledge of ABC = Airway + Breathing + Circulation
 Maintain current ACLS certification
 Maintain current BCLS certification
 Maintain current CPR certification
 Meet all industry registry and state licensure requirements mandated for the Sleep Technologist
 Nasal and oral airflow monitoring
 Observing and monitoring physical signs and symptoms, general behavior, and general physical response to Polysomnographic evaluation
 Overall Quality of Study must be enhanced
 PAP / Titration skills stand in need of improvement
 Perform a MSLT
 Perform a MWT
 Perform appropriate physiological calibrations to ensure proper signals and make required adjustments.
 Perform data acquisition while monitoring study-tracing quality to ensure signals are artifact-free. Identify, correct and document artifact
 Perform database management
 Perform patient education and instruction appropriate for out of center sleep testing.
 Perform routine equipment care and maintenance and inventory evaluation.
 Perform routine maintenance for patient rooms, equipment care & inventory evaluation
 Provide patient education utilizing sleep center specific protocols
 Respiratory effort monitoring including thoracic and abdominal signals
 Respond to sleep patients’ procedural-related inquiries by providing appropriate information
 Review the patient’s history and verify the medical order
 Safety and Infection control issues & protocal must be followed & issues reported to Mgt
 Score clinical events (such as respiratory events, cardiac events, limb movements, arousals, etc.) utilizing AASM standards.
 Score sleep/wake stages by applying professionally accepted guidelines.
 Select appropriate equipment and calibrate for testing to determine proper functioning and make adjustments, if necessary
 Sleep Scoring requires proficiency
 Sleep Scoring Staging requires urgent enhancement
 Stop pillaging food & beverage from staff members
 Submit Sleep CEU's for this quarter
 Supplemental Low Flow Oxygen & Titration
 Teamwork skills require prompt renovation
 Verify information when patient arrives
 Vital Signs Measurement
 Work to be finished within the confines of said Shift

patient 19

        Date:  

Tech: Person Completing Form:

Comments (Please use formatting tool above for bullets):

Areas of Improvement:
 Dr Sarah Puri must be notified in advance of sending a patient home
 Dr Sarah Puri's emails require response in a swift manner
 Equipment malfunction to be IMMEDIATELY reported to Dr Sarah Puri, CEO & Andrew Hobley RRT, Sleep Lab Mgr
 Ability to analyze complex situations and apply the correct policy.
 Accuracy of technical notes & other MR documentation
 Adhere to sleep center policies related to quality assurance, clinical procedures and emergency preparedness and safety
 Adhere to Sleep Center Policies related to Quality Assurance.
 Advance skills necessary for Sleep Technologist growth
 Apply electrodes and sensors according to accepted published standards.
 Assist the Medical Director & Sleep Lab Mgr in all aspects of Sleep Center operations.
 Audio/video monitoring of movement and behavior during sleep
 Body temperature monitoring
 Collect all documents that patient needs to fill out
 Collect, analyze and integrate patient information
 Collect, analyze and integrate patient information in order to identify and meet the patient-specific needs (physical/mental limitations, current emotional/physiological status regarding the testing procedure, pertinent medical/social history).
 Comply with applicable laws, regulations, guidelines and standards regarding infection control issues
 Comply with Professional Standards of Conduct.
 Demonstrate adherence to AASM scoring parameters for OCST; identify artifact, inadequate signals and study failures and generate an accurate report
 Demonstrate adherence to cleaning and disinfection procedures for portable monitoring devices.
 Demonstrate advanced knowledge of the pathophysiology of sleep disorders and associated co-morbidities
 Demonstrate appropriate social skills.
 Demonstrate computer skills appropriate for the position
 Demonstrate critical thinking and ability to work with minimal supervision.
 Demonstrate customer service skills.
 Demonstrate effective written and verbal communication skills
 Demonstrate proficient use of medical terminology
 Demonstrate teamwork skills and ability to work collaboratively with other healthcare providers
 Demonstrate the ability follow direction
 Demonstrate the knowledge and skills necessary to perform portable monitoring equipment preparation and data download.
 Demonstrate the knowledge and skills necessary to recognize and provide age specific care in the treatment, assessment, and education of neonatal, pediatric, adolescent, adult, and geriatric patients.
 Discontinue the use of unauthorized Acronyms
 Document routine observations, including sleep stages and clinical events, changes in procedure, and other significant events in order to facilitate scoring and interpretation of polysomnographic results
 Documentation in Templates
 Effective written and verbal communication skills.
 Evaluate sleep study related equipment and inventory.
 Follow “lights on” procedures to verify integrity of collected data and complete the data collection process (e.g. repeat the physiological and instrument calibrations and instruct the patient on completing questionnaires, checking for completeness, etc.).
 Follow “lights out” procedures to establish and document baseline values (such as body position, oxyhemoglobin saturation, respiratory and heart rates, etc.)
 Follow HIPPA policies to maintain the privacy and security of patient information.
 Follow sleep center protocols related to the sleep study
 Generate accurate reports by tabulating sleep/wake and clinical event data.
 Identify Cardiac Arrhythmia's
 Identify Cardiac Events
 Identify Respiratory Events
 Identify when REM begins
 Identify Clinical Events
 Implement appropriate interventions (including actions necessary for patient safety and therapeutic intervention such as positive airway pressure, oxygen administration, etc.)
 Knowledge of Cardiac Arrhythmia's
 Knowledge of Circadian Rhythm Disorders
 Knowledge of essential Sleep technology terms & definitions
 Knowledge of growing emphasis on sleep hygiene education
 Knowledge of Insomnia
 Knowledge of Narcolepsy
 Knowledge of Parasomnias
 Knowledge of Sleep Medicine
 Knowledge of ABC = Airway + Breathing + Circulation
 Maintain current ACLS certification
 Maintain current BCLS certification
 Maintain current CPR certification
 Meet all industry registry and state licensure requirements mandated for the Sleep Technologist
 Nasal and oral airflow monitoring
 Observing and monitoring physical signs and symptoms, general behavior, and general physical response to Polysomnographic evaluation
 Overall Quality of Study must be enhanced
 PAP / Titration skills stand in need of improvement
 Perform a MSLT
 Perform a MWT
 Perform appropriate physiological calibrations to ensure proper signals and make required adjustments.
 Perform data acquisition while monitoring study-tracing quality to ensure signals are artifact-free. Identify, correct and document artifact
 Perform database management
 Perform patient education and instruction appropriate for out of center sleep testing.
 Perform routine equipment care and maintenance and inventory evaluation.
 Perform routine maintenance for patient rooms, equipment care & inventory evaluation
 Provide patient education utilizing sleep center specific protocols
 Respiratory effort monitoring including thoracic and abdominal signals
 Respond to sleep patients’ procedural-related inquiries by providing appropriate information
 Review the patient’s history and verify the medical order
 Safety and Infection control issues & protocal must be followed & issues reported to Mgt
 Score clinical events (such as respiratory events, cardiac events, limb movements, arousals, etc.) utilizing AASM standards.
 Score sleep/wake stages by applying professionally accepted guidelines.
 Select appropriate equipment and calibrate for testing to determine proper functioning and make adjustments, if necessary
 Sleep Scoring requires proficiency
 Sleep Scoring Staging requires urgent enhancement
 Stop pillaging food & beverage from staff members
 Submit Sleep CEU's for this quarter
 Supplemental Low Flow Oxygen & Titration
 Teamwork skills require prompt renovation
 Verify information when patient arrives
 Vital Signs Measurement
 Work to be finished within the confines of said Shift

patient 20

        Date:  

Tech: Person Completing Form:

Comments (Please use formatting tool above for bullets):

Areas of Improvement:
 Dr Sarah Puri must be notified in advance of sending a patient home
 Dr Sarah Puri's emails require response in a swift manner
 Equipment malfunction to be IMMEDIATELY reported to Dr Sarah Puri, CEO & Andrew Hobley RRT, Sleep Lab Mgr
 Ability to analyze complex situations and apply the correct policy.
 Accuracy of technical notes & other MR documentation
 Adhere to sleep center policies related to quality assurance, clinical procedures and emergency preparedness and safety
 Adhere to Sleep Center Policies related to Quality Assurance.
 Advance skills necessary for Sleep Technologist growth
 Apply electrodes and sensors according to accepted published standards.
 Assist the Medical Director & Sleep Lab Mgr in all aspects of Sleep Center operations.
 Audio/video monitoring of movement and behavior during sleep
 Body temperature monitoring
 Collect all documents that patient needs to fill out
 Collect, analyze and integrate patient information
 Collect, analyze and integrate patient information in order to identify and meet the patient-specific needs (physical/mental limitations, current emotional/physiological status regarding the testing procedure, pertinent medical/social history).
 Comply with applicable laws, regulations, guidelines and standards regarding infection control issues
 Comply with Professional Standards of Conduct.
 Demonstrate adherence to AASM scoring parameters for OCST; identify artifact, inadequate signals and study failures and generate an accurate report
 Demonstrate adherence to cleaning and disinfection procedures for portable monitoring devices.
 Demonstrate advanced knowledge of the pathophysiology of sleep disorders and associated co-morbidities
 Demonstrate appropriate social skills.
 Demonstrate computer skills appropriate for the position
 Demonstrate critical thinking and ability to work with minimal supervision.
 Demonstrate customer service skills.
 Demonstrate effective written and verbal communication skills
 Demonstrate proficient use of medical terminology
 Demonstrate teamwork skills and ability to work collaboratively with other healthcare providers
 Demonstrate the ability follow direction
 Demonstrate the knowledge and skills necessary to perform portable monitoring equipment preparation and data download.
 Demonstrate the knowledge and skills necessary to recognize and provide age specific care in the treatment, assessment, and education of neonatal, pediatric, adolescent, adult, and geriatric patients.
 Discontinue the use of unauthorized Acronyms
 Document routine observations, including sleep stages and clinical events, changes in procedure, and other significant events in order to facilitate scoring and interpretation of polysomnographic results
 Documentation in Templates
 Effective written and verbal communication skills.
 Evaluate sleep study related equipment and inventory.
 Follow “lights on” procedures to verify integrity of collected data and complete the data collection process (e.g. repeat the physiological and instrument calibrations and instruct the patient on completing questionnaires, checking for completeness, etc.).
 Follow “lights out” procedures to establish and document baseline values (such as body position, oxyhemoglobin saturation, respiratory and heart rates, etc.)
 Follow HIPPA policies to maintain the privacy and security of patient information.
 Follow sleep center protocols related to the sleep study
 Generate accurate reports by tabulating sleep/wake and clinical event data.
 Identify Cardiac Arrhythmia's
 Identify Cardiac Events
 Identify Respiratory Events
 Identify when REM begins
 Identify Clinical Events
 Implement appropriate interventions (including actions necessary for patient safety and therapeutic intervention such as positive airway pressure, oxygen administration, etc.)
 Knowledge of Cardiac Arrhythmia's
 Knowledge of Circadian Rhythm Disorders
 Knowledge of essential Sleep technology terms & definitions
 Knowledge of growing emphasis on sleep hygiene education
 Knowledge of Insomnia
 Knowledge of Narcolepsy
 Knowledge of Parasomnias
 Knowledge of Sleep Medicine
 Knowledge of ABC = Airway + Breathing + Circulation
 Maintain current ACLS certification
 Maintain current BCLS certification
 Maintain current CPR certification
 Meet all industry registry and state licensure requirements mandated for the Sleep Technologist
 Nasal and oral airflow monitoring
 Observing and monitoring physical signs and symptoms, general behavior, and general physical response to Polysomnographic evaluation
 Overall Quality of Study must be enhanced
 PAP / Titration skills stand in need of improvement
 Perform a MSLT
 Perform a MWT
 Perform appropriate physiological calibrations to ensure proper signals and make required adjustments.
 Perform data acquisition while monitoring study-tracing quality to ensure signals are artifact-free. Identify, correct and document artifact
 Perform database management
 Perform patient education and instruction appropriate for out of center sleep testing.
 Perform routine equipment care and maintenance and inventory evaluation.
 Perform routine maintenance for patient rooms, equipment care & inventory evaluation
 Provide patient education utilizing sleep center specific protocols
 Respiratory effort monitoring including thoracic and abdominal signals
 Respond to sleep patients’ procedural-related inquiries by providing appropriate information
 Review the patient’s history and verify the medical order
 Safety and Infection control issues & protocal must be followed & issues reported to Mgt
 Score clinical events (such as respiratory events, cardiac events, limb movements, arousals, etc.) utilizing AASM standards.
 Score sleep/wake stages by applying professionally accepted guidelines.
 Select appropriate equipment and calibrate for testing to determine proper functioning and make adjustments, if necessary
 Sleep Scoring requires proficiency
 Sleep Scoring Staging requires urgent enhancement
 Stop pillaging food & beverage from staff members
 Submit Sleep CEU's for this quarter
 Supplemental Low Flow Oxygen & Titration
 Teamwork skills require prompt renovation
 Verify information when patient arrives
 Vital Signs Measurement
 Work to be finished within the confines of said Shift

patient 21

        Date:  

Tech: Person Completing Form:

Comments (Please use formatting tool above for bullets):

Areas of Improvement:
 Dr Sarah Puri must be notified in advance of sending a patient home
 Dr Sarah Puri's emails require response in a swift manner
 Equipment malfunction to be IMMEDIATELY reported to Dr Sarah Puri, CEO & Andrew Hobley RRT, Sleep Lab Mgr
 Ability to analyze complex situations and apply the correct policy.
 Accuracy of technical notes & other MR documentation
 Adhere to sleep center policies related to quality assurance, clinical procedures and emergency preparedness and safety
 Adhere to Sleep Center Policies related to Quality Assurance.
 Advance skills necessary for Sleep Technologist growth
 Apply electrodes and sensors according to accepted published standards.
 Assist the Medical Director & Sleep Lab Mgr in all aspects of Sleep Center operations.
 Audio/video monitoring of movement and behavior during sleep
 Body temperature monitoring
 Collect all documents that patient needs to fill out
 Collect, analyze and integrate patient information
 Collect, analyze and integrate patient information in order to identify and meet the patient-specific needs (physical/mental limitations, current emotional/physiological status regarding the testing procedure, pertinent medical/social history).
 Comply with applicable laws, regulations, guidelines and standards regarding infection control issues
 Comply with Professional Standards of Conduct.
 Demonstrate adherence to AASM scoring parameters for OCST; identify artifact, inadequate signals and study failures and generate an accurate report
 Demonstrate adherence to cleaning and disinfection procedures for portable monitoring devices.
 Demonstrate advanced knowledge of the pathophysiology of sleep disorders and associated co-morbidities
 Demonstrate appropriate social skills.
 Demonstrate computer skills appropriate for the position
 Demonstrate critical thinking and ability to work with minimal supervision.
 Demonstrate customer service skills.
 Demonstrate effective written and verbal communication skills
 Demonstrate proficient use of medical terminology
 Demonstrate teamwork skills and ability to work collaboratively with other healthcare providers
 Demonstrate the ability follow direction
 Demonstrate the knowledge and skills necessary to perform portable monitoring equipment preparation and data download.
 Demonstrate the knowledge and skills necessary to recognize and provide age specific care in the treatment, assessment, and education of neonatal, pediatric, adolescent, adult, and geriatric patients.
 Discontinue the use of unauthorized Acronyms
 Document routine observations, including sleep stages and clinical events, changes in procedure, and other significant events in order to facilitate scoring and interpretation of polysomnographic results
 Documentation in Templates
 Effective written and verbal communication skills.
 Evaluate sleep study related equipment and inventory.
 Follow “lights on” procedures to verify integrity of collected data and complete the data collection process (e.g. repeat the physiological and instrument calibrations and instruct the patient on completing questionnaires, checking for completeness, etc.).
 Follow “lights out” procedures to establish and document baseline values (such as body position, oxyhemoglobin saturation, respiratory and heart rates, etc.)
 Follow HIPPA policies to maintain the privacy and security of patient information.
 Follow sleep center protocols related to the sleep study
 Generate accurate reports by tabulating sleep/wake and clinical event data.
 Identify Cardiac Arrhythmia's
 Identify Cardiac Events
 Identify Respiratory Events
 Identify when REM begins
 Identify Clinical Events
 Implement appropriate interventions (including actions necessary for patient safety and therapeutic intervention such as positive airway pressure, oxygen administration, etc.)
 Knowledge of Cardiac Arrhythmia's
 Knowledge of Circadian Rhythm Disorders
 Knowledge of essential Sleep technology terms & definitions
 Knowledge of growing emphasis on sleep hygiene education
 Knowledge of Insomnia
 Knowledge of Narcolepsy
 Knowledge of Parasomnias
 Knowledge of Sleep Medicine
 Knowledge of ABC = Airway + Breathing + Circulation
 Maintain current ACLS certification
 Maintain current BCLS certification
 Maintain current CPR certification
 Meet all industry registry and state licensure requirements mandated for the Sleep Technologist
 Nasal and oral airflow monitoring
 Observing and monitoring physical signs and symptoms, general behavior, and general physical response to Polysomnographic evaluation
 Overall Quality of Study must be enhanced
 PAP / Titration skills stand in need of improvement
 Perform a MSLT
 Perform a MWT
 Perform appropriate physiological calibrations to ensure proper signals and make required adjustments.
 Perform data acquisition while monitoring study-tracing quality to ensure signals are artifact-free. Identify, correct and document artifact
 Perform database management
 Perform patient education and instruction appropriate for out of center sleep testing.
 Perform routine equipment care and maintenance and inventory evaluation.
 Perform routine maintenance for patient rooms, equipment care & inventory evaluation
 Provide patient education utilizing sleep center specific protocols
 Respiratory effort monitoring including thoracic and abdominal signals
 Respond to sleep patients’ procedural-related inquiries by providing appropriate information
 Review the patient’s history and verify the medical order
 Safety and Infection control issues & protocal must be followed & issues reported to Mgt
 Score clinical events (such as respiratory events, cardiac events, limb movements, arousals, etc.) utilizing AASM standards.
 Score sleep/wake stages by applying professionally accepted guidelines.
 Select appropriate equipment and calibrate for testing to determine proper functioning and make adjustments, if necessary
 Sleep Scoring requires proficiency
 Sleep Scoring Staging requires urgent enhancement
 Stop pillaging food & beverage from staff members
 Submit Sleep CEU's for this quarter
 Supplemental Low Flow Oxygen & Titration
 Teamwork skills require prompt renovation
 Verify information when patient arrives
 Vital Signs Measurement
 Work to be finished within the confines of said Shift

patient 22

        Date:  

Tech: Person Completing Form:

Comments (Please use formatting tool above for bullets):

Areas of Improvement:
 Dr Sarah Puri must be notified in advance of sending a patient home
 Dr Sarah Puri's emails require response in a swift manner
 Equipment malfunction to be IMMEDIATELY reported to Dr Sarah Puri, CEO & Andrew Hobley RRT, Sleep Lab Mgr
 Ability to analyze complex situations and apply the correct policy.
 Accuracy of technical notes & other MR documentation
 Adhere to sleep center policies related to quality assurance, clinical procedures and emergency preparedness and safety
 Adhere to Sleep Center Policies related to Quality Assurance.
 Advance skills necessary for Sleep Technologist growth
 Apply electrodes and sensors according to accepted published standards.
 Assist the Medical Director & Sleep Lab Mgr in all aspects of Sleep Center operations.
 Audio/video monitoring of movement and behavior during sleep
 Body temperature monitoring
 Collect all documents that patient needs to fill out
 Collect, analyze and integrate patient information
 Collect, analyze and integrate patient information in order to identify and meet the patient-specific needs (physical/mental limitations, current emotional/physiological status regarding the testing procedure, pertinent medical/social history).
 Comply with applicable laws, regulations, guidelines and standards regarding infection control issues
 Comply with Professional Standards of Conduct.
 Demonstrate adherence to AASM scoring parameters for OCST; identify artifact, inadequate signals and study failures and generate an accurate report
 Demonstrate adherence to cleaning and disinfection procedures for portable monitoring devices.
 Demonstrate advanced knowledge of the pathophysiology of sleep disorders and associated co-morbidities
 Demonstrate appropriate social skills.
 Demonstrate computer skills appropriate for the position
 Demonstrate critical thinking and ability to work with minimal supervision.
 Demonstrate customer service skills.
 Demonstrate effective written and verbal communication skills
 Demonstrate proficient use of medical terminology
 Demonstrate teamwork skills and ability to work collaboratively with other healthcare providers
 Demonstrate the ability follow direction
 Demonstrate the knowledge and skills necessary to perform portable monitoring equipment preparation and data download.
 Demonstrate the knowledge and skills necessary to recognize and provide age specific care in the treatment, assessment, and education of neonatal, pediatric, adolescent, adult, and geriatric patients.
 Discontinue the use of unauthorized Acronyms
 Document routine observations, including sleep stages and clinical events, changes in procedure, and other significant events in order to facilitate scoring and interpretation of polysomnographic results
 Documentation in Templates
 Effective written and verbal communication skills.
 Evaluate sleep study related equipment and inventory.
 Follow “lights on” procedures to verify integrity of collected data and complete the data collection process (e.g. repeat the physiological and instrument calibrations and instruct the patient on completing questionnaires, checking for completeness, etc.).
 Follow “lights out” procedures to establish and document baseline values (such as body position, oxyhemoglobin saturation, respiratory and heart rates, etc.)
 Follow HIPPA policies to maintain the privacy and security of patient information.
 Follow sleep center protocols related to the sleep study
 Generate accurate reports by tabulating sleep/wake and clinical event data.
 Identify Cardiac Arrhythmia's
 Identify Cardiac Events
 Identify Respiratory Events
 Identify when REM begins
 Identify Clinical Events
 Implement appropriate interventions (including actions necessary for patient safety and therapeutic intervention such as positive airway pressure, oxygen administration, etc.)
 Knowledge of Cardiac Arrhythmia's
 Knowledge of Circadian Rhythm Disorders
 Knowledge of essential Sleep technology terms & definitions
 Knowledge of growing emphasis on sleep hygiene education
 Knowledge of Insomnia
 Knowledge of Narcolepsy
 Knowledge of Parasomnias
 Knowledge of Sleep Medicine
 Knowledge of ABC = Airway + Breathing + Circulation
 Maintain current ACLS certification
 Maintain current BCLS certification
 Maintain current CPR certification
 Meet all industry registry and state licensure requirements mandated for the Sleep Technologist
 Nasal and oral airflow monitoring
 Observing and monitoring physical signs and symptoms, general behavior, and general physical response to Polysomnographic evaluation
 Overall Quality of Study must be enhanced
 PAP / Titration skills stand in need of improvement
 Perform a MSLT
 Perform a MWT
 Perform appropriate physiological calibrations to ensure proper signals and make required adjustments.
 Perform data acquisition while monitoring study-tracing quality to ensure signals are artifact-free. Identify, correct and document artifact
 Perform database management
 Perform patient education and instruction appropriate for out of center sleep testing.
 Perform routine equipment care and maintenance and inventory evaluation.
 Perform routine maintenance for patient rooms, equipment care & inventory evaluation
 Provide patient education utilizing sleep center specific protocols
 Respiratory effort monitoring including thoracic and abdominal signals
 Respond to sleep patients’ procedural-related inquiries by providing appropriate information
 Review the patient’s history and verify the medical order
 Safety and Infection control issues & protocal must be followed & issues reported to Mgt
 Score clinical events (such as respiratory events, cardiac events, limb movements, arousals, etc.) utilizing AASM standards.
 Score sleep/wake stages by applying professionally accepted guidelines.
 Select appropriate equipment and calibrate for testing to determine proper functioning and make adjustments, if necessary
 Sleep Scoring requires proficiency
 Sleep Scoring Staging requires urgent enhancement
 Stop pillaging food & beverage from staff members
 Submit Sleep CEU's for this quarter
 Supplemental Low Flow Oxygen & Titration
 Teamwork skills require prompt renovation
 Verify information when patient arrives
 Vital Signs Measurement
 Work to be finished within the confines of said Shift

patient 23

        Date:  

Tech: Person Completing Form:

Comments (Please use formatting tool above for bullets):

Areas of Improvement:
 Dr Sarah Puri must be notified in advance of sending a patient home
 Dr Sarah Puri's emails require response in a swift manner
 Equipment malfunction to be IMMEDIATELY reported to Dr Sarah Puri, CEO & Andrew Hobley RRT, Sleep Lab Mgr
 Ability to analyze complex situations and apply the correct policy.
 Accuracy of technical notes & other MR documentation
 Adhere to sleep center policies related to quality assurance, clinical procedures and emergency preparedness and safety
 Adhere to Sleep Center Policies related to Quality Assurance.
 Advance skills necessary for Sleep Technologist growth
 Apply electrodes and sensors according to accepted published standards.
 Assist the Medical Director & Sleep Lab Mgr in all aspects of Sleep Center operations.
 Audio/video monitoring of movement and behavior during sleep
 Body temperature monitoring
 Collect all documents that patient needs to fill out
 Collect, analyze and integrate patient information
 Collect, analyze and integrate patient information in order to identify and meet the patient-specific needs (physical/mental limitations, current emotional/physiological status regarding the testing procedure, pertinent medical/social history).
 Comply with applicable laws, regulations, guidelines and standards regarding infection control issues
 Comply with Professional Standards of Conduct.
 Demonstrate adherence to AASM scoring parameters for OCST; identify artifact, inadequate signals and study failures and generate an accurate report
 Demonstrate adherence to cleaning and disinfection procedures for portable monitoring devices.
 Demonstrate advanced knowledge of the pathophysiology of sleep disorders and associated co-morbidities
 Demonstrate appropriate social skills.
 Demonstrate computer skills appropriate for the position
 Demonstrate critical thinking and ability to work with minimal supervision.
 Demonstrate customer service skills.
 Demonstrate effective written and verbal communication skills
 Demonstrate proficient use of medical terminology
 Demonstrate teamwork skills and ability to work collaboratively with other healthcare providers
 Demonstrate the ability follow direction
 Demonstrate the knowledge and skills necessary to perform portable monitoring equipment preparation and data download.
 Demonstrate the knowledge and skills necessary to recognize and provide age specific care in the treatment, assessment, and education of neonatal, pediatric, adolescent, adult, and geriatric patients.
 Discontinue the use of unauthorized Acronyms
 Document routine observations, including sleep stages and clinical events, changes in procedure, and other significant events in order to facilitate scoring and interpretation of polysomnographic results
 Documentation in Templates
 Effective written and verbal communication skills.
 Evaluate sleep study related equipment and inventory.
 Follow “lights on” procedures to verify integrity of collected data and complete the data collection process (e.g. repeat the physiological and instrument calibrations and instruct the patient on completing questionnaires, checking for completeness, etc.).
 Follow “lights out” procedures to establish and document baseline values (such as body position, oxyhemoglobin saturation, respiratory and heart rates, etc.)
 Follow HIPPA policies to maintain the privacy and security of patient information.
 Follow sleep center protocols related to the sleep study
 Generate accurate reports by tabulating sleep/wake and clinical event data.
 Identify Cardiac Arrhythmia's
 Identify Cardiac Events
 Identify Respiratory Events
 Identify when REM begins
 Identify Clinical Events
 Implement appropriate interventions (including actions necessary for patient safety and therapeutic intervention such as positive airway pressure, oxygen administration, etc.)
 Knowledge of Cardiac Arrhythmia's
 Knowledge of Circadian Rhythm Disorders
 Knowledge of essential Sleep technology terms & definitions
 Knowledge of growing emphasis on sleep hygiene education
 Knowledge of Insomnia
 Knowledge of Narcolepsy
 Knowledge of Parasomnias
 Knowledge of Sleep Medicine
 Knowledge of ABC = Airway + Breathing + Circulation
 Maintain current ACLS certification
 Maintain current BCLS certification
 Maintain current CPR certification
 Meet all industry registry and state licensure requirements mandated for the Sleep Technologist
 Nasal and oral airflow monitoring
 Observing and monitoring physical signs and symptoms, general behavior, and general physical response to Polysomnographic evaluation
 Overall Quality of Study must be enhanced
 PAP / Titration skills stand in need of improvement
 Perform a MSLT
 Perform a MWT
 Perform appropriate physiological calibrations to ensure proper signals and make required adjustments.
 Perform data acquisition while monitoring study-tracing quality to ensure signals are artifact-free. Identify, correct and document artifact
 Perform database management
 Perform patient education and instruction appropriate for out of center sleep testing.
 Perform routine equipment care and maintenance and inventory evaluation.
 Perform routine maintenance for patient rooms, equipment care & inventory evaluation
 Provide patient education utilizing sleep center specific protocols
 Respiratory effort monitoring including thoracic and abdominal signals
 Respond to sleep patients’ procedural-related inquiries by providing appropriate information
 Review the patient’s history and verify the medical order
 Safety and Infection control issues & protocal must be followed & issues reported to Mgt
 Score clinical events (such as respiratory events, cardiac events, limb movements, arousals, etc.) utilizing AASM standards.
 Score sleep/wake stages by applying professionally accepted guidelines.
 Select appropriate equipment and calibrate for testing to determine proper functioning and make adjustments, if necessary
 Sleep Scoring requires proficiency
 Sleep Scoring Staging requires urgent enhancement
 Stop pillaging food & beverage from staff members
 Submit Sleep CEU's for this quarter
 Supplemental Low Flow Oxygen & Titration
 Teamwork skills require prompt renovation
 Verify information when patient arrives
 Vital Signs Measurement
 Work to be finished within the confines of said Shift

patient 24

        Date:  

Tech: Person Completing Form:

Comments (Please use formatting tool above for bullets):

Areas of Improvement:
 Dr Sarah Puri must be notified in advance of sending a patient home
 Dr Sarah Puri's emails require response in a swift manner
 Equipment malfunction to be IMMEDIATELY reported to Dr Sarah Puri, CEO & Andrew Hobley RRT, Sleep Lab Mgr
 Ability to analyze complex situations and apply the correct policy.
 Accuracy of technical notes & other MR documentation
 Adhere to sleep center policies related to quality assurance, clinical procedures and emergency preparedness and safety
 Adhere to Sleep Center Policies related to Quality Assurance.
 Advance skills necessary for Sleep Technologist growth
 Apply electrodes and sensors according to accepted published standards.
 Assist the Medical Director & Sleep Lab Mgr in all aspects of Sleep Center operations.
 Audio/video monitoring of movement and behavior during sleep
 Body temperature monitoring
 Collect all documents that patient needs to fill out
 Collect, analyze and integrate patient information
 Collect, analyze and integrate patient information in order to identify and meet the patient-specific needs (physical/mental limitations, current emotional/physiological status regarding the testing procedure, pertinent medical/social history).
 Comply with applicable laws, regulations, guidelines and standards regarding infection control issues
 Comply with Professional Standards of Conduct.
 Demonstrate adherence to AASM scoring parameters for OCST; identify artifact, inadequate signals and study failures and generate an accurate report
 Demonstrate adherence to cleaning and disinfection procedures for portable monitoring devices.
 Demonstrate advanced knowledge of the pathophysiology of sleep disorders and associated co-morbidities
 Demonstrate appropriate social skills.
 Demonstrate computer skills appropriate for the position
 Demonstrate critical thinking and ability to work with minimal supervision.
 Demonstrate customer service skills.
 Demonstrate effective written and verbal communication skills
 Demonstrate proficient use of medical terminology
 Demonstrate teamwork skills and ability to work collaboratively with other healthcare providers
 Demonstrate the ability follow direction
 Demonstrate the knowledge and skills necessary to perform portable monitoring equipment preparation and data download.
 Demonstrate the knowledge and skills necessary to recognize and provide age specific care in the treatment, assessment, and education of neonatal, pediatric, adolescent, adult, and geriatric patients.
 Discontinue the use of unauthorized Acronyms
 Document routine observations, including sleep stages and clinical events, changes in procedure, and other significant events in order to facilitate scoring and interpretation of polysomnographic results
 Documentation in Templates
 Effective written and verbal communication skills.
 Evaluate sleep study related equipment and inventory.
 Follow “lights on” procedures to verify integrity of collected data and complete the data collection process (e.g. repeat the physiological and instrument calibrations and instruct the patient on completing questionnaires, checking for completeness, etc.).
 Follow “lights out” procedures to establish and document baseline values (such as body position, oxyhemoglobin saturation, respiratory and heart rates, etc.)
 Follow HIPPA policies to maintain the privacy and security of patient information.
 Follow sleep center protocols related to the sleep study
 Generate accurate reports by tabulating sleep/wake and clinical event data.
 Identify Cardiac Arrhythmia's
 Identify Cardiac Events
 Identify Respiratory Events
 Identify when REM begins
 Identify Clinical Events
 Implement appropriate interventions (including actions necessary for patient safety and therapeutic intervention such as positive airway pressure, oxygen administration, etc.)
 Knowledge of Cardiac Arrhythmia's
 Knowledge of Circadian Rhythm Disorders
 Knowledge of essential Sleep technology terms & definitions
 Knowledge of growing emphasis on sleep hygiene education
 Knowledge of Insomnia
 Knowledge of Narcolepsy
 Knowledge of Parasomnias
 Knowledge of Sleep Medicine
 Knowledge of ABC = Airway + Breathing + Circulation
 Maintain current ACLS certification
 Maintain current BCLS certification
 Maintain current CPR certification
 Meet all industry registry and state licensure requirements mandated for the Sleep Technologist
 Nasal and oral airflow monitoring
 Observing and monitoring physical signs and symptoms, general behavior, and general physical response to Polysomnographic evaluation
 Overall Quality of Study must be enhanced
 PAP / Titration skills stand in need of improvement
 Perform a MSLT
 Perform a MWT
 Perform appropriate physiological calibrations to ensure proper signals and make required adjustments.
 Perform data acquisition while monitoring study-tracing quality to ensure signals are artifact-free. Identify, correct and document artifact
 Perform database management
 Perform patient education and instruction appropriate for out of center sleep testing.
 Perform routine equipment care and maintenance and inventory evaluation.
 Perform routine maintenance for patient rooms, equipment care & inventory evaluation
 Provide patient education utilizing sleep center specific protocols
 Respiratory effort monitoring including thoracic and abdominal signals
 Respond to sleep patients’ procedural-related inquiries by providing appropriate information
 Review the patient’s history and verify the medical order
 Safety and Infection control issues & protocal must be followed & issues reported to Mgt
 Score clinical events (such as respiratory events, cardiac events, limb movements, arousals, etc.) utilizing AASM standards.
 Score sleep/wake stages by applying professionally accepted guidelines.
 Select appropriate equipment and calibrate for testing to determine proper functioning and make adjustments, if necessary
 Sleep Scoring requires proficiency
 Sleep Scoring Staging requires urgent enhancement
 Stop pillaging food & beverage from staff members
 Submit Sleep CEU's for this quarter
 Supplemental Low Flow Oxygen & Titration
 Teamwork skills require prompt renovation
 Verify information when patient arrives
 Vital Signs Measurement
 Work to be finished within the confines of said Shift

patient 25

        Date:  

Tech: Person Completing Form:

Comments (Please use formatting tool above for bullets):

Areas of Improvement:
 Dr Sarah Puri must be notified in advance of sending a patient home
 Dr Sarah Puri's emails require response in a swift manner
 Equipment malfunction to be IMMEDIATELY reported to Dr Sarah Puri, CEO & Andrew Hobley RRT, Sleep Lab Mgr
 Ability to analyze complex situations and apply the correct policy.
 Accuracy of technical notes & other MR documentation
 Adhere to sleep center policies related to quality assurance, clinical procedures and emergency preparedness and safety
 Adhere to Sleep Center Policies related to Quality Assurance.
 Advance skills necessary for Sleep Technologist growth
 Apply electrodes and sensors according to accepted published standards.
 Assist the Medical Director & Sleep Lab Mgr in all aspects of Sleep Center operations.
 Audio/video monitoring of movement and behavior during sleep
 Body temperature monitoring
 Collect all documents that patient needs to fill out
 Collect, analyze and integrate patient information
 Collect, analyze and integrate patient information in order to identify and meet the patient-specific needs (physical/mental limitations, current emotional/physiological status regarding the testing procedure, pertinent medical/social history).
 Comply with applicable laws, regulations, guidelines and standards regarding infection control issues
 Comply with Professional Standards of Conduct.
 Demonstrate adherence to AASM scoring parameters for OCST; identify artifact, inadequate signals and study failures and generate an accurate report
 Demonstrate adherence to cleaning and disinfection procedures for portable monitoring devices.
 Demonstrate advanced knowledge of the pathophysiology of sleep disorders and associated co-morbidities
 Demonstrate appropriate social skills.
 Demonstrate computer skills appropriate for the position
 Demonstrate critical thinking and ability to work with minimal supervision.
 Demonstrate customer service skills.
 Demonstrate effective written and verbal communication skills
 Demonstrate proficient use of medical terminology
 Demonstrate teamwork skills and ability to work collaboratively with other healthcare providers
 Demonstrate the ability follow direction
 Demonstrate the knowledge and skills necessary to perform portable monitoring equipment preparation and data download.
 Demonstrate the knowledge and skills necessary to recognize and provide age specific care in the treatment, assessment, and education of neonatal, pediatric, adolescent, adult, and geriatric patients.
 Discontinue the use of unauthorized Acronyms
 Document routine observations, including sleep stages and clinical events, changes in procedure, and other significant events in order to facilitate scoring and interpretation of polysomnographic results
 Documentation in Templates
 Effective written and verbal communication skills.
 Evaluate sleep study related equipment and inventory.
 Follow “lights on” procedures to verify integrity of collected data and complete the data collection process (e.g. repeat the physiological and instrument calibrations and instruct the patient on completing questionnaires, checking for completeness, etc.).
 Follow “lights out” procedures to establish and document baseline values (such as body position, oxyhemoglobin saturation, respiratory and heart rates, etc.)
 Follow HIPPA policies to maintain the privacy and security of patient information.
 Follow sleep center protocols related to the sleep study
 Generate accurate reports by tabulating sleep/wake and clinical event data.
 Identify Cardiac Arrhythmia's
 Identify Cardiac Events
 Identify Respiratory Events
 Identify when REM begins
 Identify Clinical Events
 Implement appropriate interventions (including actions necessary for patient safety and therapeutic intervention such as positive airway pressure, oxygen administration, etc.)
 Knowledge of Cardiac Arrhythmia's
 Knowledge of Circadian Rhythm Disorders
 Knowledge of essential Sleep technology terms & definitions
 Knowledge of growing emphasis on sleep hygiene education
 Knowledge of Insomnia
 Knowledge of Narcolepsy
 Knowledge of Parasomnias
 Knowledge of Sleep Medicine
 Knowledge of ABC = Airway + Breathing + Circulation
 Maintain current ACLS certification
 Maintain current BCLS certification
 Maintain current CPR certification
 Meet all industry registry and state licensure requirements mandated for the Sleep Technologist
 Nasal and oral airflow monitoring
 Observing and monitoring physical signs and symptoms, general behavior, and general physical response to Polysomnographic evaluation
 Overall Quality of Study must be enhanced
 PAP / Titration skills stand in need of improvement
 Perform a MSLT
 Perform a MWT
 Perform appropriate physiological calibrations to ensure proper signals and make required adjustments.
 Perform data acquisition while monitoring study-tracing quality to ensure signals are artifact-free. Identify, correct and document artifact
 Perform database management
 Perform patient education and instruction appropriate for out of center sleep testing.
 Perform routine equipment care and maintenance and inventory evaluation.
 Perform routine maintenance for patient rooms, equipment care & inventory evaluation
 Provide patient education utilizing sleep center specific protocols
 Respiratory effort monitoring including thoracic and abdominal signals
 Respond to sleep patients’ procedural-related inquiries by providing appropriate information
 Review the patient’s history and verify the medical order
 Safety and Infection control issues & protocal must be followed & issues reported to Mgt
 Score clinical events (such as respiratory events, cardiac events, limb movements, arousals, etc.) utilizing AASM standards.
 Score sleep/wake stages by applying professionally accepted guidelines.
 Select appropriate equipment and calibrate for testing to determine proper functioning and make adjustments, if necessary
 Sleep Scoring requires proficiency
 Sleep Scoring Staging requires urgent enhancement
 Stop pillaging food & beverage from staff members
 Submit Sleep CEU's for this quarter
 Supplemental Low Flow Oxygen & Titration
 Teamwork skills require prompt renovation
 Verify information when patient arrives
 Vital Signs Measurement
 Work to be finished within the confines of said Shift