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Respiratory Therapist And Polysomnographic Technologists Licensing Board Application For Licensure


Published: 2015

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The Oregon Administrative Rules contain OARs filed through November 15, 2015

 

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OREGON HEALTH AUTHORITY, HEALTH LICENSING OFFICE

 

DIVISION 710
RESPIRATORY THERAPIST
AND POLYSOMNOGRAPHIC TECHNOLOGISTS LICENSING BOARD

APPLICATION FOR LICENSURE

331-710-0000
Training
Training, or formal education, required for licensure is a planned sequence of instruction of specific content, pursuant to ORS 688.815(1)(c), structured to meet stated curriculum objectives which includes evaluation of attainment of those objectives, and offered by a post-secondary educational institution accredited by the Committee On Accreditation For Respiratory Care, or its successors, or recognized by the National Board for Respiratory Care.
Stat. Auth.: ORS 676.605, 676.615, 688.815, 688.830

Stats. Implemented: ORS 676.605, 676.615, 688.815, 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
331-710-0005
Respiratory Therapist
License
(1) A respiratory therapist
license holder, licensed under ORS 688.815, may perform respiratory care services
and polysomnography services defined under ORS 688.800.
(2) A respiratory therapist
license is good for one year and becomes inactive on the last day of the month one
year from the date of issuance.
Stat. Auth.: ORS 676.605, 676.615,
688.815 & 688.830

Stats. Implemented: ORS 676.605,
676.615, 688.815 & 688.830

Hist.: HLA 15-2011, f. 12-30-11,
cert. ef. 1-1-12
331-710-0010
Application Requirements
for a Respiratory Therapist License
An individual applying
for licensure to practice respiratory care must:
(1) Meet
the requirements of OAR 331 division 30.
(2) Submit
a completed application form prescribed by the Agency, which must contain the information
listed in OAR 331-030-0000 and be accompanied by payment of the required application
and license fees.
(3) Submit
fingerprint-based national criminal background check pursuant to OAR 331-030-0004;
(4) Be at
least 18 years of age and provide official documentation confirming date of birth,
such as a copy of the birth certificate, driver's license, passport or military/government
identification;
(5) Submit
proof of having a high school diploma or equivalent; and
(6) Submit
current certification in cardiopulmonary resuscitation from an Agency approved provider;
and
(7) Submit
documentation of qualification for licensure through one of the following pathways:
(a)(A) License
Pathway One — National Credentialing: An applicant for licensure through national
credentialing must submit:
(B) An official
documentation demonstrating that the applicant has successfully passed the Board
approved examination listed under OAR 331-712-0000, within two years before the
date of application. The documentation of a passing score must be mailed by the
organization to the Agency. Copies of examination results or other documentation
provided by the applicant are not acceptable.
NOTE: The
applicant is responsible for payment of fees assessed by the organization when obtaining
required official documentation.
(b) License Pathway
Two — Reciprocity. An applicant
for licensure through reciprocity must submit:
(A) Submit
an affidavit of licensure pursuant to OAR 331-030-0040, from every state where the
applicant has been licensed as a respiratory therapist, including an affidavit of
licensure demonstrating proof of a current respiratory therapist license from another
state, obtained through qualifications substantially equivalent to Oregon’s
requirements. At least one of the applicant’s out-of-state licenses must be
active and all of the applicant’s out-of-state licenses must not be subject
to current or pending disciplinary action, and must be free from disciplinary history
for three years before the date of application for Oregon respiratory therapist
licensure;
(B) Official
documentation demonstrating that the applicant has successfully passed the Board
approved examination listed under OAR 331-712-0000. The documentation of a passing
score must be mailed by the organization to the Agency. Copies of examination results
or other documentation provided by the applicant are not acceptable.
NOTE: The
applicant is responsible for payment of any service fee the originating jurisdiction
may assess for producing the Affidavit of Licensure.
Stat. Auth.: ORS
676.605, 676.615, 688.815 & 688.830

Stats. Implemented:
ORS 676.605, 676.615, 688.815 & 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; HLO 10-2004(Temp),
f. & cert. ef. 11-8-04 thru 3-31-05; HLO 1-2005, f. 2-28-05 cert. ef. 3-1-05;
HLA 7-2010, f. & cert. ef. 11-1-10; HLA 15-2011, f. 12-30-11, cert. ef. 1-1-12;
HLA 14-2012, f. 9-12-12, cert. ef. 9-14-12
331-710-0015
Temporary Respiratory
Therapist Licensure
(1) A respiratory therapist
temporary license authorizes a holder to practice respiratory care under supervision
and pending passage of the qualifying examination.
(2) For the purpose of this
rule supervision means the required presence of a licensed respiratory therapist
or qualified Medical Director for respiratory care within the work location at the
same time as the respiratory therapist temporary license holder.
(3) A respiratory therapist
temporary license holder must notify the Agency within 10 calendar days of changes
in employment status or supervisor.
(4) A respiratory therapy temporary
license is valid for six months and may not be renewed.
Stat. Auth.: ORS 676.605, 676.615,
688.815 & 688.830

Stats. Implemented: ORS 676.605,
676.615, 688.815 & 688.830

Hist.: HLA 15-2011, f. 12-30-11,
cert. ef. 1-1-12
331-710-0020
Application Requirements
for a Temporary Respiratory Therapist License
To qualify for a respiratory
therapist temporary license for the applicant must:
(1) Meet the requirements of
OAR 331 division 30;
(2) Submit a completed application
form prescribed by the Agency, which must contain the information listed in OAR
331-030-0000 and be accompanied by payment of the required application and license
fees;
(3) Submit fingerprint-based
national criminal background check pursuant to OAR 331-030-0004;
(4) Be at least 18 years of
age, and provide official documentation confirming the applicant’s date of
birth, such as a copy of the birth certificate, driver's license, or passport;
(5) Submit current certification
in cardiopulmonary resuscitation from an Agency approved provider;
(6) Submit a statement, signed
by the Registrar or a Dean of a college or university and sent directly to the Agency
from that college or university, verifying the applicant has completed all work
necessary to obtain a degree in respiratory care; and
(7) Submit documentation identifying
approved supervisor on a form prescribed by the Agency.
Stat. Auth.: ORS 676.605, 676.615,
688.815 & 688.830

Stats. Implemented: ORS 676.605,
676.615, 688.815 & 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
331-710-0045
Polysomnographic Technologist
License
(1) A polysomnographic technologist,
licensed under ORS 688.815, may perform polysomnography services defined under ORS
688.800.
(2) A polysomnographic technologist
license is good for one year and becomes inactive on the last day of the month one
year from the date of issuance.
Stat. Auth.: ORS 676.605, 676.615,
688.815 & 688.830

Stats. Implemented: ORS 676.605,
676.615, 688.815 & 688.830

Hist.: HLA 15-2011, f. 12-30-11,
cert. ef. 1-1-12
331-710-0050
Application Requirements
for Polysomnographic Technologist License
(1) An individual applying for licensure
to practice polysomnography must:
(a) Meet the requirements
of OAR chapter 331 division 30;
(b) Submit a completed application
form prescribed by the Agency, containing the information listed in OAR 331-030-0000
and accompanied by payment of the required fees;
(c) Submit fingerprint-based
national criminal background check pursuant to OAR 331-030-0004;
(d) Be at least 18 years
of age, and must provide documentation, confirming date of birth, such as a copy
of the birth certificate, driver's license or passport;
(e) Submit proof of having
a high school diploma or equivalent;
(f) Submit current certification
in cardiopulmonary resuscitation by an Agency approved provider; and
(2) Submit documentation
of qualification through one of the following pathways:
(a) License Pathway One Academic
Degree: — An applicant under pathway one must:
(A) Submit official transcripts
defined under OAR 331-705-0050 showing successful completion of an Associate’s
degree in polysomnography, polysomnographic technology, or sleep technology from
an accredited community college, college or university, or successful completion
of a polysomnography course of study from a CAAHEP accredited institution. In addition
to an official transcript defined under 331-705-0050 an applicant who has obtained
education through a CAAHEP accredited institution must submit a statement, signed
by the Registrar or a Dean of a college or university and sent directly to the Agency
from that college or university, verifying the applicant has successfully completed
a polysomnography course of study;
(B) Submit satisfactory evidence
of passage a Board approved examination listed under OAR 331-712-0010(1) within
two years before the date of application. Examination results must be submitted
to the Agency directly from the examination provider; examination results or other
documentation provided directly by the applicant are not acceptable;
(C) Submit examination fees;
(D) Submit satisfactory evidence
of having passed the Board approved examination listed under OAR 331-712-0010(3)
within two years before the date of application; and
(E) Submit licensing fees.
(b) License Pathway Two Polysomnographic
Technologist Temporary Licensee: — An applicant under pathway two must applying
for permanent licensure must:
(A) Submit documentation
showing completion of 18 months of training and work experience pursuant to OAR
331-710-0110, obtained under polysomnographic technologist temporary-DS licensure
(See 331-710-0060) and temporary-IS licensure (See 331-710-0080), including verification
by an approved supervisor pursuant to 331-710-0100, and certification of successful
completion and satisfactory performance of such experience by a qualified medical
director for polysomnography, all on forms provided by the Agency;
(B) Submit satisfactory evidence
of passage of a Board approved examination listed under OAR 331-712-0010(1) or (2)
within two years before the date of application. Examination results must be submitted
to the Agency directly from the examination provider; examination results or other
documentation provided directly by the applicant are not acceptable;
(C) Submit examination fees;
(D) Submit satisfactory evidence
of having passed the Board approved examination listed under OAR 331-712-0010(3)
within two years before the date of application; and
(E) Submit licensing fees.
(c) License Pathway Three
Reciprocity: — An applicant under pathway three must:
(A) Submit an affidavit of
licensure pursuant to OAR 331-030-0040, from every state where the applicant has
been licensed as a polysomnographic technologist, including an affidavit of licensure
demonstrating proof of a current polysomnographic technologist license from another
state, obtained through qualifications substantially equivalent to Oregon’s
requirements. At least one of the applicant’s out-of-state licenses must be
active and all of the applicant’s out-of-state licenses must not be subject
to current or pending disciplinary action, and must be free from disciplinary history
for three years before the date of application for Oregon polysomnographic licensure;
(B) Submit satisfactory evidence
of having passed the Board approved examination listed under OAR 331-712-0010(3)
within two years before the date of application; and
(C) Submit licensing fees.
(d) License Pathway Four
Endorsement: An applicant may qualify for licensure by endorsement if the applicant
holds a qualifying professional credential in another field. An applicant under
pathway four must:
(A) Submit an affidavit of
licensure pursuant to OAR 331-030-0040 demonstrating proof of a current license,
which is active with no current or pending disciplinary action, and no disciplinary
history for the three years before the date of application for Oregon polysomnographic
licensure, as a:
(B) Physician (Doctor of
Medicine or Doctor of Osteopathy) licensed under ORS Chapter 677;
(C) Respiratory therapist
licensed under ORS chapter 688 with the RPSGT credential from the BRPT; or
(D) CRT or RRT who holds
a Sleep Disorder Specialty credential through NBRC;
(E) Submit examination fees;
(F) Submit satisfactory evidence
of having passed the Board approved examination listed under OAR 331-712-0010(3)
within two years before the date of application; and
(G) Submit licensing fees.
Stat. Auth.: ORS 676.605, 676.615, 688.815
& 688.830
Stats. Implemented: ORS 676.605,
676.615, 688.815 & 688.830
Hist.: HLA 15-2011, f. 12-30-11,
cert. ef. 1-1-12; HLA 14-2012, f. 9-12-12, cert. ef. 9-14-12; HLA 4-2013, f. 3-12-13,
cert. ef. 4-1-13; HLA 16-2013, f. 12-31-13, cert. ef. 1-1-14
331-710-0060
Polysomnographic Technologist Temporary-DS
(Direct Supervision) Licensure
(1) A polysomnographic technologist
Temporary-DS license authorizes the holder to temporarily practice polysomnography
under direct supervision by an approved supervisor.
(2) Direct supervision is
supervision of the Temporary-DS licensee by an approved supervisor who is immediately
physically present with the Temporary-DS licensee while the Temporary-DS licensee
is working, and who exercises direction and control over the Temporary-DS licensee’s
work.
(3) A polysomnographic technologist
Temporary-DS license holder must notify the Agency within 10 calendar days of changes
in employment status and changes in supervisor.
(4) A polysomnographic technologist
Temporary-DS license is valid for six months and may not be renewed.
Stat. Auth.: ORS 676.615, 676.607, 688.819
& 688.830
Stats. Implemented: ORS 676.607,
676.615, 688.800, 688.815, 688.819 & 688.830
Hist.: HLA 14-2012, f. 9-12-12,
cert. ef. 9-14-12; HLA 16-2013, f. 12-31-13, cert. ef. 1-1-14
331-710-0070
Application Requirements for Polysomnographic
Technologist Temporary-DS License
An applicant for a polysomnographic
technologist Temporary-DS license must:
(1) Meet the requirements
of OAR chapter 331 division 30;
(2) Submit a completed application
form prescribed by the agency, containing the information listed in OAR 331-030-0000
and accompanied by payment of the required application fees;
(3) Submit fingerprint-based
national criminal background check pursuant to OAR 331-030-0004;
(4) Be at least 18 years
of age, and must provide documentation confirming date of birth, such as a copy
of the birth certificate, driver's license, or passport;
(5) Submit current certification
in cardiopulmonary resuscitation from an Agency approved provider;
(6) Submit proof of having
a high school diploma or equivalent; and
(7) Submit a certificate
of completion for the AASM A-STEP Self Study Modules;
(8) Submit information identifying
the applicant’s approved supervisor pursuant to OAR 331-710-0100, on a form
prescribed by the Agency;
(9) Submit appropriate licensing
fees.
Stat. Auth.: ORS 676.615, 676.607, 688.819
& 688.830
Stats. Implemented: ORS 676.607,
676.615, 688.800, 688.815, 688.819 & 688.830
Hist.: HLA 14-2012, f. 9-12-12,
cert. ef. 9-14-12; HLA 16-2013, f. 12-31-13, cert. ef. 1-1-14
331-710-0080
Polysomnographic Technologist Temporary-IS
(Indirect Supervision) Licensure
(1) A polysomnographic technologist
Temporary-IS license authorizes the holder to temporarily practice polysomnography
under indirect supervision by an approved supervisor.
(2) Indirect supervision
is supervision of the Temporary-IS licensee by an approved supervisor who is physically
present and onsite, but may not be immediately accessible at the sleep facility
when the Temporary-IS licensee is working, who reasonably oversees the work of the
Temporary-IS licensee, and who is available for questions and assistance when needed.
(3) A polysomnographic technologist
Temporary-IS license holder must notify the agency within 10 calendar days of changes
in employment status and changes in supervisor.
(4) A polysomnographic technologist
Temporary-IS license obtained under OAR 331-710-0090(6)(a) of this rule is valid
for one year and may be renewed once.
(5) A polysomnographic technologist
Temporary-IS license obtained under OAR 331-710-0090(6)(b) of this rule is valid
for one year and may not be renewed.
(6) A Temporary-IS licensee
is prohibited from performing services on persons 12 and under.
(7) A polysomnographic technologist
temporary-IS license is invalid after passage of all required written examinations
listed under OAR 331-712-0010 for a full polysomnographic technologist license under
331-710-0040.
Stat. Auth.: ORS 676.615, 676.607, 688.819
& 688.830
Stats. Implemented: ORS 676.607,
676.615, 688.800, 688.815, 688.819 & 688.830
Hist.: HLA 14-2012, f. 9-12-12,
cert. ef. 9-14-12; HLA 16-2012(Temp), f. & cert. ef. 11-19-12 thru 5-17-13;
HLA 4-2013, f. 3-12-13, cert. ef. 4-1-13; HLA 16-2013, f. 12-31-13, cert. ef. 1-1-14
331-710-0090
Application Requirements for Polysomnographic
Temporary-IS Licensure
An applicant for a polysomnographic
technologist Temporary-IS license must:
(1) Meet the requirements
of OAR chapter 331 division 30;
(2) Submit a completed application
form prescribed by the Agency, containing the information listed in OAR 331-030-0000
and accompanied by payment of all required fees;
(3) Be at least 18 years
of age, and provide official documentation confirming the applicant’s date
of birth, such as a copy of the birth certificate, driver's license, or passport;
(4) Submit current certification
in cardiopulmonary resuscitation from an Agency approved provider;
(5) Submit fingerprint-based
national criminal background check pursuant to OAR 331-030-0004;
(6) Submit documentation
of meetings qualifications listed in (6)(a) or (6)(b) of this rule;
(a) A Temporary Licensee-DS:
applying for Temporary-IS licensure must:
(A) Submit documentation
of successful completion of 30 sleep tests as a polysomnographic technologist Temporary-DS
licensee, which includes the signatures of an approved supervisor and certification
by a qualified medical director for polysomnography of successful completion of
30 sleep studies and satisfactory performance;
(B) Submit examination fees;
(C) Complete and pass the
Oregon Laws and Rules examination for polysomnography within two years before the
date of registration application;
(D) Submit information identifying
the applicant’s approved supervisor on a form prescribed by the Agency; and
(E) Submit appropriate licensing
fees.
(b) An individual with an
Academic Degree: applying for Temporary-IS licensure must:
(A) Submit a statement, signed
by the Registrar or a Dean of a college or university and sent directly to the Agency
from that college or university, verifying the applicant has completed all work
necessary to obtain an associate’s degree in polysomnography, polysomnographic
technology, or sleep technology from an accredited community college, college or
university, or successful completion of a polysomnography course of study from a
CAAHEP accredited institution;
(B) Submit examination fees;
(C) Complete and pass the
Oregon Laws and Rules examination for polysomnography within two years before the
date of registration application;
(D) Submit information identifying
the applicant’s approved supervisor on a form prescribed by the Agency; and
(E) Submit appropriate licensing
fees.
Stat. Auth.: ORS 676.615, 676.607, 688.819
& 688.830
Stats. Implemented: ORS 676.607,
676.615, 688.800, 688.815, 688.819 & 688.830
Hist.: HLA 14-2012, f. 9-12-12,
cert. ef. 9-14-12; HLA 16-2012(Temp), f. & cert. ef. 11-19-12 thru 5-17-13;
HLA 4-2013, f. 3-12-13, cert. ef. 4-1-13; HLA 16-2013, f. 12-31-13, cert. ef. 1-1-14
331-710-0100
Supervision of a Temporary Polysomnographic
Technologist
(1) To be approved as a supervisor of
a polysomnographic temporary licensee, an individual must:
(a) Hold a valid polysomnographic
technologist license under ORS chapter 688 or provide proof of being a “qualified
medical director for polysomnography” as defined in ORS 688.800(3);
(b) Have no current or pending
disciplinary action imposed by the Agency or other regulatory body; and
(c) Submit proof of having
been actively practicing polysomnography for at least three years prior to requesting
approval as a supervisor; and
(d) Submit a completed request
for approval on a form prescribed by the Agency;
(2) A polysomnography supervisor
shall not supervise a temporary licensee until all Agency required documentation
has been completed and submitted to the Agency and the supervisor has received Agency
approval.
(3) A supervisor may supervise
up to four patients per shift; whether they are the supervisor’s own patients
or patients of temporary DS or IS licensees.
(4) An approved supervisor
of a Temporary-DS licensee must be immediately physically present with the Temporary-DS
licensee while the Temporary-DS licensee is working, and must exercise direction
and control over the Temporary-DS licensee’s work.
(5) An approved supervisor
of a Temporary-IS licensee must be physically present and onsite, but may not be
immediately accessible at the sleep facility when the Temporary-IS licensee is working,
and must reasonably oversee the work of the Temporary-IS licensee, and be available
for questions and assistance when needed.
(6) An approved supervisor
must notify the Agency in writing within 10 calendar days if a temporary polysomnographic
technologist licensee is no longer being supervised, and must provide the number
of hours of training and work experience completed on a form prescribed by the Agency.
(7) A designated supervisor
must exercise management, guidance, and control over the activities of the temporary
polysomnographic technologist and must exercise professional judgment and be responsible
for all matters related to the polysomnography.
(8) Approval of a temporary
polysomnographic technologist’s training and work experience under OAR 331-710-0110
must be documented by the handwritten signature of the approved supervisor, the
supervisor’s license number, and date of supervisor’s review, placed
beside the temporary polysomnographic technologist’s signature, on a form
prescribed by the agency.
(9) An approved supervisor’s
Agency approval may be withdrawn if the supervisor provides incomplete or inadequate
training during supervision or falsifies documentation.
(10) This rule is not intended
for or required of purely administrative supervisors.
Stat. Auth.: ORS 676.615, 676.607, 688.819
& 688.830
Stats. Implemented: ORS 676.607,
676.615, 688.800, 688.815, 688.819 & 688.830
Hist.: HLA 14-2012, f. 9-12-12,
cert. ef. 9-14-12; HLA 16-2013, f. 12-31-13, cert. ef. 1-1-14
331-710-0110
Training and Work Experience Requirements
for Polysomnography
(1) Training and work experience for
polysomnography applicants must involve all of the following:
(a) Patient interaction &
professional behavior;
(b) Patient assessment;
(c) Polysomnography theory;
(d) Performing polysomnography
preparation and setup;
(e) Performing polysomnography
recording and monitoring;
(f) Scoring sleep studies;
(g) Artifacts, and arrhythmias;
(h) Sleep related breathing
disorders;
(i) Positive airway pressure
and oxygen;
(j) Evaluation of sleepiness;
(k) Movement disorders: disorders
involving arousal and seizures;
(l) Scoring waveforms;
(m) Scoring sleep stages;
(n) Scoring respiratory events;
(o) Scoring arousals, electroencephalography
abnormalities, movements and cardiac events;
(p) Sleep deprivation;
(q) Insomnia;
(r) Medications and sleep;
(s) Circadian sleep and shift
work
(t) Arrhythmia recognition;
(u) Emergency procedures
and care;
(v) Patient education and
mask fitting;
(w) Pediatric sleep; and
(2) For the purpose of this
rule “Artifact” means an extraneous electrical signal in a recording
channel on a polysomnograph, which originates from the patient, equipment, or external
sources, and which may mask or interfere with the desired signal (E.g., snores that
appear on the EEG channel, pulses of hypertensive patients that appear on the chin
EMG channel, etc.).
(3) A Temporary-IS licensee
is prohibited from performing services on persons 12 and under. See OAR 331-710-0080.
Stat. Auth.: ORS 676.615, 676.607, 688.819
& 688.830
Stats. Implemented: ORS 676.607,
676.615, 688.800, 688.815, 688.819 & 688.830
Hist.: HLA 14-2012, f. 9-12-12,
cert. ef. 9-14-12; HLA 16-2013, f. 12-31-13, cert. ef. 1-1-14

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