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Polysomnographic Technologist (Sleep Tech) - Adult Services

Duke Clinical Research Institute
relocation assistance
United States, North Carolina, Durham
300 West Morgan Street (Show on map)
May 06, 2026

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

About Duke University Hospital

Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of Duke Health's four hospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.

Position Highlights


  • Relocation Assistance: Available for qualified external candidates.



  • Commitment Bonus: This position includes a $7,500 commitment bonus for eligible new hires.



  • Work Schedule: Nights / 3-12 Hour Shifts (36 hours per week).




Location Information

Duke Sleep Disorder Center 710 W. Main St., Suite 200 Durham, NC 27701



Occupational Summary

Provide clinical assessment, physiological monitoring, and testing to assist with the diagnosis, management, and prevention of sleep-related disorders in adult patients. This role utilizes advanced diagnostic and therapeutic tools to deliver high-quality care within the Duke Health System.

Primary Tools and Procedures:




  • Polysomnography & Scoring: Identifying clinical events (respiratory, cardiac, limb movements, arousals) according to AASM and laboratory guidelines.



  • Reporting: Generating accurate reports by tabulating sleep/wake and clinical event data.



  • Therapeutic Titration: Expert management of Positive Airway Pressure (PAP) devices, oximetry, capnography, and nocturnal oxygen.



  • Assessment Tools: Utilizing actigraphy, screening devices, and adult-specific patient questionnaires.




Work Performed by Level
Level 1


  • Preparation: Verify medical orders and protocols; explain procedures to adult patients and orient them to the sleep center environment.



  • Calibration: Prepare and calibrate testing equipment to ensure proper functioning; identify and report abnormalities.



  • Data Acquisition: Perform routine PAP mask fittings and apply electrodes/sensors per published standards. Assist with "lights out" and "lights on" procedures.



  • Documentation: Record routine observations, sleep stages, and clinical events to facilitate physician interpretation.



  • Patient Care: Provide age-specific care focused on adult and geriatric populations.




Level 2


  • Clinical Independence: Perform all Level 1 duties with increased autonomy and minimal supervision.



  • Advanced Monitoring: Independently perform routine and CPAP/split polysomnography data acquisition; ensure signals are artifact-free and make real-time adjustments.



  • Clinical Review: Independently review patient history, physical information, medications, and study protocols to tailor the night's evaluation.



  • Baseline Documentation: Execute "lights out" procedures to document baseline values (body position, SpO2, heart rate, etc.).




Level 3 (Senior Technologist)


  • Complex Procedures: Perform complex PAP/split/BPAP/ASV data acquisition and fitting for patients with comorbid conditions.



  • Specialized Protocols: Follow MSLT, MWT, and complex parasomnia study protocols.



  • Operational Leadership: Oversee unusual procedures, troubleshoot equipment as a "super user," and perform maintenance.



  • Administrative: Assign nightly workloads, process daily charges, and serve as Charge Tech for designated annual hours.




Required Qualifications
Education


  • Level 1: High school diploma/GED plus 1 year of post-secondary education OR current enrollment in an accredited health-related program (PSG or Respiratory Therapy emphasis).



  • Level 2 & 3: Associate's Degree in a health-related field preferred, OR completion of a polysomnography/respiratory therapy program (minimum 1-year duration) at an accredited facility.




Experience


  • Level 1: No experience required with an Associate's Degree; otherwise, 6 months of direct patient care.



  • Level 2: 18 months in polysomnography preferred. If no Associate's degree, must have 2 additional years of direct patient care.



  • Level 3: 4 years of experience in Polysomnography Technology required.




Degrees, Licensures, & Certifications


  • All Levels: Must maintain current BLS certification.



  • Level 1: Registered Polysomnographic Technologist (RPSGT) or Respiratory Care Practitioner (CRT or RRT) license required.



  • Level 2 & 3: Registered Polysomnographic Technologist (RPSGT) or Respiratory Therapist with Sleep Disorders Specialist certification (CRT-SDS or RRT-SDS) required.




Knowledge, Skills, and Abilities


  • Expertise in adult-specific sleep disorders (Obstructive Sleep Apnea, Insomnia, Narcolepsy, and Restless Leg Syndrome).



  • Ability to communicate complex clinical information to adult and geriatric patients with professionalism and grace.



  • Strong technical proficiency in sleep-specific software and diagnostic hardware.



Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends onthe robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.


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