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