Monitoring/Instrumentation: Polysomnographic Technologists are able to perform PSG, MSLT and MWT recordings on patients ensuring high recording quality with appropriate instrument adjustments and verifications according to laboratory standards. Highly proficient in testing equipment, data acquisition parameters and therapeutic modalities from information obtained from the electronic medical record and laboratory testing orders. Ability to evaluate the clinical presentation associated with sleep and arousal disorders in determining the appropriate protocol to meet patient’s special requirements and determine final testing parameters/procedures. Can perform all calibrations, equipment checks, montage adjustments, and ensure proper function of PSG equipment prior to testing. Documents all encounters accurately within EPIC and other systems according to departmental and OHSU standards. Electrode Application: High level of proficiency related to electrode placement and application via laboratory standards; measures and accurately applies electrodes in a timely manner, according to the International 10-20 System or laboratory policy. Applies all sensors and monitoring equipment as outlined by AASM guidelines and laboratory policies and procedures. Performs impedance tests and corrects issues with electrode applications prior to starting each study. Able to prepare and start patient studies by a reasonable time according to departmental policies. Clinical: Strong technical/clinical skills related to creating and modify PSG recording montages to optimize recognized indications, contraindications and potential side effects of treatment modalities. Can perform various types of adult and pediatric procedures for advanced monitoring including but not limited to: parasomnias, seizures, EtCO2, tcpCO2, CPAP, Bilevel, ASV and VAPs. Must possess the ability to monitor and change patients’ position or environment as needed to obtain required sleep/wake data. Strong clinical skills related to pharmacology and understanding the effects medications can present on the polysomnogram. Highly proficient in performing procedures within scope of practice and ordered by physician or nurse practitioner. Artifact Recognition: Strong technical troubleshooting skills in determining erroneous versus true data collected; assess artifact from physiological signals; differentiate normal variants and artifact from epileptiform or seizure activity; assess oximetry recording for normal and abnormal oxyhemoglobin saturation and differentiate from artifact. Documents, eliminates and/or takes proper measures to monitor various patient and or environmental artifact; devise, document, and execute plan to troubleshoot. Polysomnographic Record Scoring: Responsible to score at least one (1) of the acquired sleep studies during their shift. Accurately scores pediatric and adult studies during and after data collection, determining sleep/wake stages, as well as scoring clinical events (respiratory, cardiac, limb movements, arousals etc.) within laboratory inter- reliability standards of at least 80%. Accurately scores PSG records in a timely manner per laboratory policies and procedures and meets performance standards. Strong clinical skills with the ability to distinguish sleep disordered breathing as well as clinical recognition of age-specific EEG, EEG arousals and alpha- intrusion to customize the sleep scoring rules to each clinical scenario. Compiles scored data into a report for physician interpretation per laboratory standards. Polysomnographic Data Management includes managing data for all sleep studies, ensures proper transfer of PSG data to server and archive, and maintains patient tracking spreadsheet with the responsibility of no data loss. Responsible to assign priority scoring for PSG records per Laboratory standards. Provides supportive training and oversight for PSG Technician 1 and technician trainees. Able to perform other duties deemed appropriate by Program Administration, Sleep Clinic/Laboratory Mangers and Medical Directors. Emergent Situations: Ability to differentiate between lethal and non-lethal ECG dysrhythmias. Clinical skills in assessing emergent situations and initiating emergency protocols based on clinical scenario. Equipment Maintenance: Properly disinfect and sterilize appropriate sensors, probes, transducers and other equipment as outlined in laboratory policies and procedures. Ensure proper inventory of equipment needed to perform PSG. Contacts proper technical support personnel regarding non-functioning equipment as well as assists in arranging for repair or replacement of non-functional equipment. Supply Maintenance: Responsible for maintaining sleep laboratory supplies by maintaining inventory of stock items and notifying staff of needed repair or replacement. Is responsible for maintaining adequate PSG supplies to perform high quality data collection.

***New-hires are eligible for hiring & relocation bonuses*** - Provides therapeutic interventions including but not limited to: airway management, therapeutic gases and ventilator management, newborn resuscitation, cardiopulmonary resuscitation. - Performs diagnostic procedures including but not limited to: sampling of arterial blood, bedside spirometry, spontaneous ventilatory parameters, point of care testing. - Therapeutic modalities and communication approached with reference to age specific needs of the patient, including Doernbecher Children's Hospital Family Centered Care Program. - Demonstrates an understanding of current and all new care modalities and equipment. - Completes all competency testing, required in-services and activities. Takes personal responsibility for maintaining competency for equipment and modalities within the Respiratory Care Practitioner scope of practice. - Seeks assistance in managing workload as needed. - Recognizes the need for guidance and uses expertise of others when appropriate. - Utilizes appropriate chain-of-command and committee process to effect change. - Charts and charges all services provided per policy. Current Pediatric Positions Open: - Nights - Full Time: 5 - Days - Full Time: 1

***New-hires are eligible for hiring & relocation bonuses*** - Provides therapeutic interventions including but not limited to: airway management, therapeutic gases and ventilator management, newborn resuscitation, cardiopulmonary resuscitation. - Performs diagnostic procedures including but not limited to: sampling of arterial blood, bedside spirometry, spontaneous ventilatory parameters, point of care testing. - Therapeutic modalities and communication approached with reference to age specific needs of the patient, including Doernbecher Children's Hospital Family Centered Care Program. - Demonstrates an understanding of current and all new care modalities and equipment. - Completes all competency testing, required in-services and activities. Takes personal responsibility for maintaining competency for equipment and modalities within the Respiratory Care Practitioner scope of practice. - Seeks assistance in managing workload as needed.  - Recognizes the need for guidance and uses expertise of others when appropriate. - Utilizes appropriate chain-of-command and committee process to effect change. - Charts and charges all services provided per policy. Current Adult Night Shift Positions Open: - Full Time: 3