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

Universal Citation: MD Code Reg 10.32.06.05

Current through Register Vol. 51, No. 19, September 20, 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.

D. The scope of practice of a polysomnographic technologist does not include administering medications.

Disclaimer: These regulations may not be the most recent version. Maryland may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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