欧洲睡眠中心认证标准(3)

http://www.100md.com 2018年3月1日 《世界睡眠医学杂志》 20183

     The head of the SMC is responsible for the continual quality assurance in the sleep laboratory.It is not felt appropriate that the same person acts as the head of more than one SMC at any one time.

    Medical emergency care must be guaranteed.In case of emergency，a physician must be available to attend the SMC，at clinically appropriate，short notice.Medical care must be ensured at all times： an attending physician in the clinic is considered sufficient.

    Overall，the staff policy of the hospital should ensure that the sleep laboratory is an independent entity； e.g.those nurses and technologists performing night duty in the sleep laboratory must not have any further responsibilities，such as night duty in another ward.

    Sleep laboratories that are part of a ward need to be able to demonstrate that they have a staff dedicated to doing the recording routines.

    Technical staff

    The operation of an SMC with both day and night examinations and a sleep outpatient clinic with ambulatory diagnostics requires an adequate staff.

    Nurses and technologists must have sufficient knowledge of the diagnostic and therapeutic procedures，the polysomnographic measuring methods，the procedures performed during the day，as well as ambulatory measuring procedures.

    Polysomnography (PSG) technologists for nocturnal and diurnal recordings are required to ensure the proper，artefactfree functioning of the recording devices，to detect problems and resolve them.This makes their presence during the entire recording process an absolute necessity.They are also required to continuously monitor the patient′s vital signs and take appropriate measures in case of emergency.It is recommended that one member of the night staff is responsible for no more than four patients.

    The technical and nursing staff of the SMC must also be knowledgeable about the diagnosis of sleep disorders in accordance with ICSD2，and to this end they should obtain professional certification in the field of Somnology，if available (Vorstand der DGSM，1999).

    Administrative staff

    The SMC should have a permanent secretarial staff，who can adequately answer and refer the patients′ calls as well as organize appointments and keep patients′ records.

    Facilities

    The following criteria must be met for the approval of a polysomnographic bed：

    Only those beds that are located in single bedrooms and in which the polysomnograph allows recording of all relevant biosignals will be approved as polysomnographic beds.(学会指导委员会)

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