RESPIRATORY THERAPIST AND POLYSOMNOGRAPHIC TECHNOLOGISTS LICENSING BOARD
The following definitions apply to OAR 331-705-0000 through 331-720-0020:
(1) "Affidavit of Licensure" means an original document or other approved means of verifying an authorization to practice (certification, licensure or registration) status and history, including information disclosing all unresolved or outstanding penalties and/or disciplinary actions. Refer to OAR 331-030-0040.
(2) "Agency" means the Oregon Health Licensing Agency.
(3) “AASM” means the American Academy of Sleep Medicine.
(4) “A-STEP” means the Accredited Sleep Technology Education Program.
(5) “BRPT” means Board of Registered Polysomnographic Technologists.
(6) “CAAHEP” means Commission on Accreditation of Allied Health Education Programs.
(7) “CoARC” means Commission on Accreditation for Respiratory Care.
(8) “CRT” means Certified Respiratory Therapist.
(9) “NBRC” means the National Board for Respiratory Care.
(10) "Official transcript" means an original document authorized by the appropriate office in the Oregon Department of Education and certified by a college or university indicating applicant identity information, hours and types of course work, examinations and scores that the student has completed. Original documents must be submitted directly to the Agency from the college or university by United States Postal Service mail or other recognized mail service providers in a sealed envelope;
(11) “RPSGT” means Registered Polysomnographic Technologists.
(12) “RRT”means Registered Respiratory Therapist.
(13) “Qualified Medical Director for Polysomnography” has the definition set forth in ORS Chapter 688.800.
(14) “Qualified Medical Director for Respiratory Care” has the definition set forth in ORS Chapter 688.800.
Stat. Auth.: ORS 676.605, 676.615
Stats. Implemented: ORS 676.605, 676.615 & 688.830
Hist.: HDLB 1-1997(Temp), f. 12-19-97, cert. ef. 12-22-97 thru 6-19-98; HDLP 2-1998, f. & cert. ef. 6-15-98; HLO 4-2004, f. 6-29-04, cert. ef. 7-1-04; HLA 7-2010, f. & cert. ef. 11-1-10; HLA 15-2011, f. 12-30-11, cert. ef. 1-1-12
Sleep Lab Exemption
This rule is in effect through January 1, 2013, upon requirement for licensure for polysomnographic technologists.
(1) The following are exempt from the definition of Respiratory Care Services under ORS 688.800(7) when performed in a sleep lab environment:
(a) Positive airway pressure titration on spontaneously breathing patients;
(b) Supplemental low-flow oxygen therapy during polysomnogram (up to 6 liters per minute);
(c) Capnography during polysomnogram;
(d) Cardiopulmonary resuscitation;
(e) Pulse oximetry;
(g) Respiratory effort including thoriac and abdominal;
(h) Plethysmography blood flow;
(i) Nasal and oral airflow monitoring;
(j) Monitoring the effects positive airway pressure, used to treat sleep-related breathing disorders, has on sleep patterns, provided that the device does not extend into the trachea;
(k) Monitoring the effect on sleep patterns of an oral device that does not extend into the trachea and that is used to treat sleep apnea;
(l) Maintenance of nasal and oral airways that do not extend into the trachea;
(m) The use of continuous positive airway pressure and bi-level modalities;
(n) Set-up for use of durable medical equipment; and
(o) Long term follow-up care.
(2) For the purpose of this rule, "sleep lab" is:
(a) A physical space, including any commercial space, used by a hospital for conducting sleep testing and under the supervision of a medical director; or
(b) A facility accredited by the American Academy of Sleep Medicine (AASM) or the Joint Commission for conducting sleep testing under the supervision of a medical director.
(c) A facility provisionally accredited by the AASM for conducting sleep testing under the supervision of a medical director.
(3) For purpose of this rule, "medical director" means the medical director of any inpatient or outpatient facility or department who is a physician licensed by the State of Oregon and who has special interest and knowledge in the diagnosis and treatment of sleep disorders.
(4) For the purpose of this rule, "sleep lab" does not include the home environment.
(5) The exemption under this rule does not include partial or full ventilatory support services involving tidal volume regulation or which require the setting of respiratory back-up rates unless these services are for the treatment of central and mixed sleep apnea.
(6) All documentation and information regarding the provisional accreditation or accreditation through the AASM must be made available to the Agency if requested.
(7) All policies, procedures and protocols for unlicensed individuals related to positive airway pressure treatment and titration including but not limited to central and mixed sleep apnea must be made available to the Agency if requested.
Stat. Auth.: ORS 676.606, 676.607,
676.611, 676.615, 688.830
Stats. Implemented: ORS 688.800, 688.805
Hist.: HLA 13-2011(Temp), f. & cert. ef. 11-22-11 thru 5-10-12; HLA 15-2011, f. 12-30-11, cert. ef. 1-1-12
Licensure Exemption for Supervisors and Polysomnography Students
(1) Students actively enrolled in the following education programs are exempt from polysomnographic technologist licensure pursuant to ORS 688.805(2)(b)(A):
(a) Associate’s degree program in polysomnography, polysomnographic technology, or sleep technology from an accredited community college, college, or university; or
(b) Polysomnography course of study from a CAAHEP accredited institution;
(2) In accordance with ORS 688.805(2)(b)(B) to be exempt from licensure students in subsection (1) of this rule must be supervised by one of the following:
(a) A licensed polysomnographic technician;
(b) A qualified medical director for polysomnography;
(c) Respiratory therapist who holds a Sleep Disorder Specialty credential through the NBRC; or
(d) Respiratory therapist who holds a RSPGT credential through the BRPT.
(3) Direct supervision, for the purpose of this rule, is supervision of a student in polysomnography by an approved supervisor who is physically present with the student while the student is working. The supervisor must exercise direction and control over the student’s work. An approved supervisor supervising a student may not supervise more than one student per shift.
Stat. Auth.: ORS
676.606, 676.607, 676.611, 676.615 & 688.830
Stats. Implemented: ORS 688.800 & 688.805
Hist.: HLA 15-2011, f. 12-30-11, cert. ef. 1-1-12; HLA 5-2013(Temp), f. 3-12-13, cert. ef. 4-1-13 thru 9-28-13