(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 storative; (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. ow 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; 10. Electrocardiography; 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. he 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.
Maryland Legal Code