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PolysomnographerSleep Tech

This self evaluation is for assessing your experience in specific clinical areas. This self evaluation will not be a determining factor in accepting your application to become an employee of Fusion Medical Staffing.

  • 0 = Not Applicable
  • 1 = No Experience
  • 2 = Some Experience
  • 3 = Intermittent Experience
  • 4 = Experienced
  • 5 = Very Experienced
*Required
n/a
1
2
3
4
5

* Required

Age of Patients Cared For

Newborn/Neonate (birth to 30 days)*

Infant (1 month to 1 year)*

Toddler (1 year to 3 years)*

Preschooler (3 years to 5 years)*

School Age Child (5 years to 12 years)*

Adolescents (12 years to 18 years)*

Young Adults (18 years to 39 years)*

Middle Adults (39 years to 64 years)*

Older Adults (64 years to 79 years)*

Elderly Adults (over 79+ years)*

General Skills

Standard Precautions*

Isolation Precautions*

Pediatric Respiratory/Cardiac Arrest*

Adult Respiratory/Cardiac Arrest*

Crash Carts*

Defibrillators*

Electronic Documentation*

Automated Med Dispensing Systems*

Setting

Hospital*

Independent Lab*

Patient Home*

Diagnostic Studies/Procedures

Multiple Sleep Latency Test (MSLT)*

Maintenance of Wakefulness Test (MWT)*

Nocturnal Penile Tumescence*

Seizure Study*

Portable Sleep Study*

Split-Night Polysomnogram*

EKG Electrode Placement*

EEG Electrode Placement*

Seizure Hook-Up*

Calibration*

Patient Positioning/Preparation*

Drawing Arterial Blood Gases (ABGs*

Monitoring/Scoring

Periodic Limb Movements*

Snores*

Respiratory Events*

Respiratory Disturbance Index (RDI)*

Apnea-Hypopnea Index (AHI)*

Periodic Breathing*

Complex Sleep Apnea*

Cheyne-Stokes*

Obstructive Sleep Apnea*

Hypopnea*

Sleep Log*

Seizure Recognition and Precaution*

Transient Arousal Scoring Rules/Procedures*

Equipment

Oximeters*

Nasal Cannula*

Humidified O2*

Nasal Mask*

BiPAP*

CPAP*

Portable Set-Up*

Position Sensor*

Actimeter*

Thermistor*

Phillips Respironics*

Nihon Kohden*

Grass Technologies*

Natus*

ResMed*

CleveMed*

CareFusion BD*

Compumedics*

Cadwell*

Somnomedics*

Other*

Credentials

CPSGT*

RST*

RPSGT*

SDS*

Other Skills
Application Agreement

The information I have given is true and accurate to the best of my knowledge, and I hereby authorize Fusion Medical Staffing to release this Skills Checklist to staffing clients of Fusion Medical Staffing. Submit this skills evaluation with your initial application. To be updated annually.

By completing this Skills Checklist, you agree to receive calls, AI-generated calls, text messages, or emails from and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy at Privacy Policy.