Sleep techs, therapists seek middle ground

Tuesday, June 30, 2009

YARMOUTH, Maine--Sleep medicine professionals in May extended an olive branch to respiratory therapists who may feel as though sleep techs are infringing on their turf.

The American Academy of Sleep Medicine (AASM) and the American Association of Sleep Technologists (AAST) issued a joint open letter to various state respiratory societies seeking to assure RTs that it is not trying to “restrict the practice of respiratory care.”

The May 13 letter states, in part, “Our goal with this communication is to end the miscommunications surrounding the issue of certification and scope of practice for the respiratory therapist and sleep technologist professions. We look to participate in a reasonable and productive dialogue.”

The letter responds to a message sent in April by the American Association for Respiratory Care (AARC), which claimed that respiratory therapy was under attack by various polysomnography laws.

At issue: Respiratory therapists could be forced by law to obtain additional credentials to provide CPAP therapy.

Laws differ by state and several states have recently grappled with whether to legislate who can do what, said Bob McCoy, homecare section chair for the AARC.

“CPAP has been the scope of respiratory therapy practice forever,” he said. “They now have to compete with the side specialty for PSGTs.”

Many providers report mixed feelings on the issue. They would like to maintain the integrity of RTs, which requires a minimum of two years of education, compared to several weeks of training to become a sleep tech.

“As an RT, I am concerned about the quality of care related to CPAP and how it affects the cardiopulmonary system,” said Eric Parkhill, vice president of Home Medical Professionals in Atlanta. “You are not just treating the airway but the lungs.”

Just level the playing field, says provider Jeff Knight.

“If you have to be an RT to set up patients in the home why not require that a therapist do it in a sleep lab,” said Knight, CEO of Premier Homecare in Louisville, Ky., and member of the Kentucky Respiratory Care Board. “But as a businessman, I say, ‘If you are going to let labs just use techs, let me use them, too. They don’t cost as much.’”