Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.06 - Licensure of Polysomnographic Technologists › Section 10.32.06.05 - Scope of Practice

Current through Register Vol. 51, No. 14, July 12, 2024
A. A
				  licensed polysomnographic technologist may practice only under the supervision
				  of a licensed physician.
B. A
				  licensed polysomnographic technologist may practice only in a hospital sleep
				  laboratory or a stand-alone sleep center.
C. The scope of practice of a licensed
				  polysomnographic technologist includes and is limited to the following:
(1) Monitoring and recording physiologic data
				  during sleep, including sleep-related respiratory disturbances;
(2) Using data collected under §C(1) of
				  this regulation to assist a licensed physician in the diagnosis and treatment
				  of sleep and wake disorders;
(3)
				  Assisting with the diagnosis and treatment of individuals who suffer from sleep
				  disorders as a result of developmental defects, the aging process, physical
				  injury, disease, or actual or anticipated somatic dysfunction;
(4) Observing and monitoring physical signs
				  and symptoms, general behavior, and general physical responses to
				  polysomnographic evaluation, and determining whether initiation, modification,
				  or discontinuation of a treatment regimen is warranted;
(5) Using evaluation techniques that include
				  limited cardiopulmonary function assessments, the need and effectiveness of
				  therapeutic modalities and procedures, and the assessment and evaluation of the
				  need for extended care; and
(6)
				  Using the following techniques, equipment, and procedures:
(a) Continuous positive airway pressure,
				  bi-level positive airway pressure titration, or adaptive servo-ventilation on
				  spontaneously breathing patients;
(b) Supplemental low flow oxygen therapy
				  during polysomnogram;
(c)
				  Capnography during polysomnogram;
(d) Cardiopulmonary resuscitation;
(e) Pulse oximetry;
(f) PH probe placement and
				  monitoring;
(g) Esophageal
				  pressure;
(h) Sleep staging,
				  including surface electroencephalography, surface electrooculography, and
				  surface submental electromyography;
(i) Surface electromyography of arms and
				  legs;
(j)
				  Electrocardiography;
(k)
				  Respiratory effort, including thoracic and abdominal;
(l) Plethysmography blood flow;
(m) Snore monitoring;
(n) Audio or video monitoring;
(o) Implementation of a written or verbal
				  order from a licensed physician that requires the practice of
				  polysomnography;
(p) Monitoring the
				  effects a nasal device used to treat sleep apnea has on sleep patterns provided
				  that the device does not extend into the trachea; and
(q) Monitoring the effects an oral device
				  used to treat sleep apnea has on sleep patterns provided that:
(i) The oral device does not extend into the
				  trachea;
(ii) A dentist has
				  evaluated the structures of the patient's oral and maxillofacial region for
				  purposes of fitting the oral device;
(iii) A dentist made or directed the making
				  of the oral device; and
(iv) A
				  dentist directs the use of the oral device.