Registered Polysomnographic Technologist

Are you looking for a Challenge? Looking for an innovative organization and the opportunity to learn and grow professionally? We can help! We are seeking a Registered Polysomnographic Technologist to support the Veteran community in the Tacoma WA area. This position is open to all candidates, including Locum or Traveling professionals.

Position Highlights:

• Logistics:
  • Pay: $50.00 per hour.
  • Contract Type: 1 base year with 4, 1-year option periods
  • Schedule: Overnight Shift. Thursday, Friday, Saturday, 6:00 pm - 7:30 am.
  • Location: 9600 Veterans Drive, Southwest Tacoma WA
• Requirements:
  • Authorization to work in the U.S. permanently, without sponsorship.
  • Current, full, and unrestricted license to practice medicine or surgery in a State, Territory, or Commonwealth of the United States, or in the District of Columbia.
  • 2+ years of experience performing sleep laboratory services including in‑lab PSG, titration studies, HSAT, and scoring.
  • An active Registered Polysomnographic Technologist (RPSGT) certification issued by the Board of Registered Polysomnographic Technologists (BRPT).
  • Basic Life Support (BLS) Advanced Cardiac Life Support (ACLS).
  • Previous experience with the VA is a plus.
• Benefits:
  • Health insurance
  • Dental insurance
  • Vision insurance
  • 401(k) match
  • Paid sick leave
  • Paid vacation
  • 11 federal paid holidays

I’ve never heard of Terrestris. Why should I join the team?

In 2025, Terrestris was ranked 185 out of the top 5,000 fastest growing private companies in America by Inc. We hit this mark because, at Terrestris, we form strong client and team relationships through transparency and strive to create an environment where our team can let their excellence shine through. By finding, developing, and incorporating new ideas, we provide memorable services. Rooted in the USMC values of honor, courage, and commitment, Terrestris seeks to deliver extraordinary value to the American people by helping the Government become more efficient and effective.

What does a typical day look like for the Registered Polysomnographic Technologist (RPSGT)?

You will:

• Overnight Shift. Thursday, Friday, Saturday 6:00 pm - 7:30 am.
• Direct Patient Care: Estimated 95% of your time is spent in direct patient care.
  • Overnight Nocturnal Polysomnography (PSG) – diagnostic, split-night, and titration studies. Parasomnia montage studies when ordered. Daytime sleep testing: Multiple Sleep Latency Test (MSLT) and Maintenance of Wakefulness Test (MWT). Home Sleep Apnea Testing (HSAT/HST) – device preparation, patient instruction, and post-study data download.
  • Event scoring of sleep studies (respiratory events, sleep states, arousals, limb movements, cardiac rhythm, parasomnias). Preparation of studies for Technician interpretation, including proper labeling, summary sheets, and technical notes.
  • Set-up, interface, and calibration of PSG equipment (16-channel and 32-channel systems depending on local platform. Operation of computerized non-invasive monitoring system for: airflow and respiratory effort, pulse oximetry, transcutaneous CO2, Plethysmography, ECG, muscle tone, digital video monitoring system. Daily quality control of all sleep-lab equipment. Identify and report suspected malfunctions to Biomedical Engineering and IT support.
  • Apply, monitor, and adjust PAP modalities: CPAP, BiLevel, BiLevel ASV, and BiLevel ST/VAPS. Recognize respiratory events that require PAP pressure adjustment according to AASM titration guidelines. Document PAP tolerance, mask fit, leak, and response.
  • Explain procedures and ensure patient comfort to optimize data quality. Monitor and record significant observations, including: Sleep stages, heart rate and respiratory rate, oxygen saturation, body position, presence/absence of apnea, hypopnea, snoring, nocturnal seizures, bruxism, cardiac arrhythmias, and parasomnias. Recognize artifacts and correct them to maintain valid signals. Identify urgent clinical concerns and respond appropriately: notify supervisor for noncritical issues, activate VA Code Blue procedures when needed, and initiate CPR when required. Maintain patient safety and privacy in accordance with VA/HIPAA requirements. Maintain current BLS certification at all times.
  • Organize, prepare, and complete patient charts, tracings, and technical notes for physical review. Accurate, timely documentation in CPRS/HER systems. Upload and transfer electronic files and diagnostic data in accordance with VA standards. Ensure compliance with VHA Directive 1088 regarding communication pathways for diagnostic results (in coordination with supervising providers).
  • Prepare PAP supply requests (filters, tubing, masks) when required by the Sleep Program Chief. Perform other duties that directly support Sleep Lab operations, as assigned by Sleep Medicine leadership (nonclinical tasks must remain appropriate for an RPSGT scope). Participate in Sleep Lab quality-control measures and maintenance of accreditation standards.
  • Shall report on time for all scheduled shifts as documented by physical presence in the Sleep Laboratory at the scheduled start time. Shift schedules will align with facility requirements as coordinated with the COR or Sleep Lab Chief (e.g., night shifts or daytime diagnostic/testing shifts).
    Sleep Lab leadership at VA Puget Sound confirms these staffing operational needs in Sleep lab contracted staff.
  • While RPSGTs do not diagnose conditions, they shall ensure all recorded data, scoring results, and technical notes are uploaded and routed appropriately so that supervising sleep Technicians can meet communication requirements outlined in VHA Directive 1088. RPSGTs must follow all established sleep lab reporting workflows for notifying supervising clinicians about abnormal findings requiring urgent review (e.g., possible nocturnal hypoventilation, severe desaturation, dangerous arrhythmias).
  • RPSGTs shall not prescribe, dispense, or administer medications. Consistent with VA policy and DEA prescribing requirements, only credentialed independent practitioners may administer medications. RPSGTs shall adhere to all established facility policies regarding medication environments (e.g., PAP humidifier solutions, oxygen therapy supplies, etc.).
  • Upon completion of sleep studies, RPSGTs shall provide appropriate post‑study instructions such as:
    • Guidance on PAP equipment return and cleaning.
    • Post‑study safety reminders (e.g., drowsiness after MSLT study).
    • Instructions for follow‑up appointments or PAP initiation based on preliminary Technician guidance.
    • All patient education must be consistent with VA Sleep Lab workflow and coordinated with the supervising Sleep Medicine provider.
• Administrative: estimated 5% of time not involved in direct patient care.

What qualifications do you look for?

You might be the professional we’re looking for if you have:

• Authorization to work in the U.S. permanently, without sponsorship.
• Current, full, and unrestricted license to practice medicine or surgery in a State, Territory, or Commonwealth of the United States, or in the District of Columbia.
• 2+ years of experience performing sleep laboratory services including in‑lab PSG, titration studies, HSAT, and scoring.
• An active Registered Polysomnographic Technologist (RPSGT) certification issued by the Board of Registered Polysomnographic Technologists (BRPT).
• Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS).
• Previous experience with the VA is a plus.

If selected, candidates will need to complete credentialing and onboarding requirements consistent with VA medical staff processes.

What kind of benefits does Terrestris Offer?

We offer outstanding benefits, including health, financial, and retirement benefits, as well as paid leave, professional development, tuition assistance, and work-life programs. Our award programs acknowledge employees for exceptional performance and superior demonstration of our service standards. Full-time and part-time employees working at least 20 hours a week regularly are eligible to participate in our benefit programs. Other offerings may be provided for employees not within this category.

Terrestris is an Equal Opportunity Employer (EOE). Qualified applicants are considered for employment without regard to age, race, color, religion, sex, national origin, sexual orientation, disability, or veteran status. Applicants must be authorized to work in the U.S.

DILBERT © 2018 Scott Adams. Used By permission of ANDREWS MCMEEL SYNDICATION. All rights reserved.