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.

PROVIDES A SAFE THERAPEUTIC ENVIRONMENT - Ensures the safety and welfare of patients and fellow employees - Utilizes proper posture, sound body mechanics and principles for safe patient handling - Considers the needs of patients, employees, medical staff, volunteers, vendors and members of the community in an informative, courteous and compassionate manner - Maintains general good physical and mental health and self-care in order not to jeopardize the health and safety of self and others in the hospital / clinical setting PROFESSIONALISM - Maintains current knowledge of professional practice responsibilities and relevant national and state laws and issues which affect their practice - Models ethical appropriate behavior, professional standards, compliance, and personal integrity - Identifies and pursues continuing education opportunities; applies and shares new knowledge - Participates in departmental staff meetings and in-service education programs - Takes responsibility for special projects and assignments, and additional caseload when needed - Displays mature, empathetic and effective professional relationships by exhibiting compassion, integrity and concern for others - Conducts oneself in an ethical and legal manner, upholding the APTA Code of Ethics, OHSU, federal privacy policies, and state statues / OAR's specific to discipline. - Adapts to changing and demanding environments SERVICE - Demonstrates excellent customer service and communication skills in all interactions with patients and family, including both telephone and face-to-face situations - Uses I CARE for introduction and closing - Demonstrates active listening skills and supportive, professional/behavior at all times, to patients, families and staff - Addresses complaints and problems promptly and courteously, involving management when indicated - Communicates with patients/families, other health care team members, in a time and cost efficient, courteous manner PROVIDES SKILLED REHABILITATION TREATMENT - Prioritizes care needs given medical necessity, discharge plan, medical stability and appropriateness to participate in rehabilitation - Performs and documents skilled patient care activities, including direct treatment and caregiver/patient/family education - Monitors and adjusts treatment plan specific to patient progress - Facilitates routine patient activity plans with nursing and other caregivers - Updates recommendations to team regarding continuing rehabilitation needs and plan as patient’s condition and situation warrant - Directs, supports and provides supervision as required for PTA’s, Aides and volunteers - Develops and enhances patient care program and patient outcomes in specialty area - Documents treatment and other patient contacts in patient's medical record in compliance with DNV, OHSU, OAR’s and third-party payer criteria CARE COORDINATION - Collaborates with the patient, family and medical team in multi-disciplinary patient rounds, ensuring a common level of understanding of the patient’s rehabilitation needs, and providing recommendations for rehabilitation after discharge - Requests patient /family conferences as appropriate, and participates in conferences representing department, heightens awareness of and advocates for rehab needs of patient - Enhances patient safety both during and after hospitalization by assisting the team in problem-solving, including but not limited to fall risk reduction, prevention of contracture, implementation of structured activity for patients with cognitive impairments - Provides feedback and educates physicians, fellows, residents, and other health care providers about rehabilitation (including but not limited to medical necessity for skilled rehabilitation services and appropriate referrals, and expectations for rehabilitation outcome and rehabilitation service intensity at various levels of care) CLINICAL EDUCATION - Provides evidenced-based clinical instruction experiences and supervision for physical therapy students and physical therapist assistant students, typically in a backup role to full time CI’s - Ensure student completion of weekly goals; identifies and facilitates achievement of affiliation objectives - Provides regular feedback, completes CPI on schedule - Participates in the supervision and training for students from other disciplines PERFORMANCE IMPROVEMENT AND PROFESSIONAL DEVELOPMENT - Maintains current knowledge of, and complies with hospital and department policies and procedures, union contracts, etc. - Ensures baseline skills for patient management in all inpatient areas and maintains proficiency through regular exposure and patient care activity, mentoring with other staff, and formal or informal peer review - Participates in ongoing professional development, mentoring and competency assessment for self and other staff. Includes but is not limited to: attends educational classes appropriate to a job development, communicates additional training needs to direct supervisor, attends staff meetings and orients new staff, cross-trains for position in assigned or other areas - Assists in department quality improvement. Independently maintains an organized schedule, solves schedule conflicts through peer collaboration and informs supervisor when adequate patient coverage is not available DEPARTMENT OPERATIONS - Maintains a clean, safe and orderly environment for the patients, family and staff. Includes, but is not limited to: maintaining supplies, equipment and forms, notifying appropriate personnel when cleaning and repair of equipment is needed following infection control policies - Ensures return of equipment after patient use to designated place (whether unit-owned or department-owned) - Ensures and supports the delivery of individualized, high quality, current and evidenced based patient instructional materials; appropriate for patient condition and learning preferences - Ensures scheduler / manager has ongoing, current availability for scheduling. - Responds in a timely manner to scheduling requests; both for pre-scheduling requests for work opportunity response, and same day-notice unscheduled requests. - Meets or exceeds departmental efficiency expectations

***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