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Posted by technician on May 31, 2002 at 23:02:52:In Reply to: scoring while testing posted by sleep manager on May 31, 2002 at 15:05:12:
I work in two, two-bed labs. In one, I am expected to do acquisition/titration only, though I have score-on-the-fly capability. This lab sends their studies out to a contractor to score. I know of one other lab that does scoring this way.
In my other place of employment, I can score one or both studies while they are running, and am expected to do some scoring. Generally I score up to about 100 epochs from lights on, then tend the studies > lights on > discharge the patients > finish scoring > run reports > cleanup > shut down > exeunt. Typically about 14 hours of work. Rarely are two studies so smooth-running that this much scoring is possible, however. Sometimes I can score only one to completion, before I start losing my ability to focus. If I elect to "punch out" before comleting the scoring of a study, I make sure to have my tech notes and comments fully made, to aid the person who will complete my work.
I know of a lab locally where the tech staff, per protocol, scores sleep, EKG, and arousals, and the doctors score the limb movements and respiratory events.
I know of another where no scoring is done during acquisition (per protocol) as this lab places the primary task of the tech staff to be attentive to the patients and the acquisition/documentation. Management there feels that scoring during acquisition is too much of a distraction, and all studies are scored by daylight tech staff only.
This makes good sense to me, yet there are some very smooth-running studies which can run "on automatic pilot," permitting scoring to be done.
I believe that scoring studies strengthens the techs abilities as a data collector. I feel also that the person most able to accurately score a study is the one who ran it, and the sooner after the data is recorded, the better. Therefore, I find the situation where I have the score-on-the-fly option to be the most satisfactory. I know of one other lab that does scoring this way.
Finally, I have a colleague/friend who works in a 6-bed lab where on a typical night tech staff is two trainee/technicians and one RPSGT. The RPSGT scores during acquisition, as the circumstances permit; and all studies are scored by in-house senior tech staff (RPSGT's).
What seems like an appropriate protocol to me would be to allow the tech staff the option, circumstances permitting, to score-on-the-fly, but place no scoring requirement on them, as there are occasions when patient care and maintenence of good acquisition require the full attention of the recording tech.
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