The practice of polysomnography consists of but is not limited to the following tasks as performed for the purpose of polysomnography, under the general supervision of a licensed physician or qualified health care professional prescriber:
 1. Monitoring, recording, and evaluating physiologic data during polysomnographic testing and review during the evaluation of sleep-related disorders, including sleep-related respiratory disturbances, by applying any of the following techniques, equipment, or procedures:

 a. Noninvasive continuous, bilevel positive airway pressure, or adaptive servo-ventilation titration on spontaneously breathing patients using a mask or oral appliance; provided, that the mask or oral appliance does not extend into the trachea or attach to an artificial airway.
 b. Supplemental low-flow oxygen therapy of less than six liters per minute, utilizing a nasal cannula or incorporated into a positive airway pressure device during a polysomnogram.
 c. Capnography during a polysomnogram.
 d. Cardiopulmonary resuscitation.
 e. Pulse oximetry.
 f. Gastroesophageal pH monitoring.
 g. Esophageal pressure monitoring.
 h. Sleep stage recording using surface electroencephalography, surface electrooculography, and surface submental electromyography.
 i. Surface electromyography.
 j. Electrocardiography.
 k. Respiratory effort monitoring, including thoracic and abdominal movement.
 l. Plethysmography blood flow monitoring.
 m. Snore monitoring.
 n. Audio and video monitoring.
 o. Body movement monitoring.
 p. Nocturnal penile tumescence monitoring.
 q. Nasal and oral airflow monitoring.
 r. Body temperature monitoring.

Terms Used In Iowa Code 148G.2

  • following: when used by way of reference to a chapter or other part of a statute mean the next preceding or next following chapter or other part. See Iowa Code 4.1
  • General supervision: means that the polysomnographic procedure is provided under a physician's or qualified health care professional prescriber's overall direction and control, but the physician's or qualified health care professional prescriber's presence is not required during the performance of the procedure. See Iowa Code 148G.1
  • Physician: means a person who is currently licensed in Iowa to practice medicine and surgery or osteopathic medicine and surgery and who is board certified and who is actively involved in the sleep medicine center or laboratory. See Iowa Code 148G.1
  • Polysomnographic technologist: means a person licensed by the board to engage in the practice of polysomnography under the general supervision of a physician or a qualified health care professional prescriber. See Iowa Code 148G.1
  • Practice of polysomnography: means as described in section 148G. See Iowa Code 148G.1
  • Qualified health care professional prescriber: means a physician assistant operating under the prescribing authority granted in section 147. See Iowa Code 148G.1
 2. Monitoring the effects that a mask or oral appliance used to treat sleep disorders has on sleep patterns; provided, however, that the mask or oral appliance shall not extend into the trachea or attach to an artificial airway.
 3. 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.
 4. Analyzing and scoring data collected during the monitoring described in this section for the purpose of assisting a physician in the diagnosis and treatment of sleep and wake disorders that result from developmental defects, the aging process, physical injury, disease, or actual or anticipated somatic dysfunction.
 5. Implementation of a written or verbal order from a physician or qualified health care professional prescriber to perform polysomnography.
 6. Education of a patient regarding the treatment regimen that assists the patient in improving the patient’s sleep.
 7. Use of any oral appliance used to treat sleep-disordered breathing while under the care of a licensed polysomnographic technologist during the performance of a sleep study, as directed by a licensed dentist.
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