Article - Health Occupations
(a) In this subtitle the following words have the meanings indicated.
(b) “Board” means the State Board of Physicians.
(c) “Committee” means the Polysomnography Professional Standards Committee established under § 14–5C–05 of this subtitle.
(d) “License” means a license issued by the Board.
(e) “Licensed polysomnographic technologist” means a polysomnographic technologist who is licensed by the Board under this subtitle to practice polysomnography under the supervision of a licensed physician.
(f) (1) “Practice polysomnography” means:
(i) Monitoring and recording physiologic data during sleep, including sleep–related respiratory disturbances under the supervision of a licensed physician; or
(ii) Using data collected under item (i) of this paragraph for the purposes of assisting a licensed physician in the diagnosis and treatment of sleep and wake disorders.
(2) “Practice polysomnography” includes:
(i) Providing polysomnography services that are safe, aseptic, preventive, and restorative;
(ii) Diagnosing and treating individuals who suffer from sleep disorders as a result of developmental defects, the aging process, physical injury, disease, or actual or anticipated somatic dysfunction;
(iii) Observing and monitoring physical signs and symptoms, general behavior, and general physical response to polysomnographic evaluation and determining whether initiation, modification, or discontinuation of a treatment regimen is warranted;
(iv) 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
(v) Applying the use of techniques, equipment, and procedures involved in the evaluation of polysomnography, including:
1. Continuous positive airway pressure or bi–level positive airway pressure titration on spontaneously breathing patients;
2. Supplemental low flow oxygen therapy during polysomnogram;
3. Capnography during polysomnogram;
4. Cardiopulmonary resuscitation;
5. Pulse oximetry;
6. PH probe placement and monitoring;
7. Esophageal pressure;
8. Sleep staging including surface electroencephalography, surface electrooculography, and surface submental electromyography;
9. Surface electromyography of arms and legs;
11. Respiratory effort including thoracic and abdominal;
12. Plethysmography blood flow;
13. Snore monitoring;
14. Audio or video monitoring;
15. Implementation of a written or verbal order from a licensed physician that requires the practice of polysomnography;
16. 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
17. Monitoring the effects an oral device, used to treat sleep apnea, has on sleep patterns, provided that:
A. The device does not extend into the trachea;
B. A dentist has evaluated the structures of the patient’s oral and maxillofacial region for purposes of fitting;
C. A dentist made or directed the making of the oral device; and
D. A dentist directs the use of the oral device.
(g) “Registered polysomnographic technologist” means a polysomnographic technologist who is registered by the Board of Registered Polysomnographic Technicians.
(h) “Student” means an individual who, in accordance with section 14–5C–09(c) of this subtitle, is:
(1) Enrolled in an accredited educational program in order to qualify for a license under this title; and
(2) Performing polysomnography services within the accredited program under the supervision of a licensed physician and without compensation.
(i) “Supervision” means general or direct supervision of a licensed polysomnographic technologist by a licensed physician.