Referring a Patient

Refer patients suspected with:

Obstructive Sleep Apnoea (OSA)

Sleep Hypoventilation and respiratory failure from disorders such as

  • Obesity hypoventilation syndrome
  • neuromuscular disorders such as motor neurone disease
  • chest wall abnormality i.e. kyphoscoliosis
  • chronic obstructive pulmonary disease ((COPD)/OSA overlap)

Central Sleep Apnoea (CSA) and Cheyne-Stokes Respiration

Restless Legs Syndrome and Periodic Limb Movement Disorder

Narcolepsy

Insomnia

Parasomnias such as confusional arousals, nocturnal epilepsy, sleep walking and REM Behaviour Disorder

Who will see my patient?

AISH has an experienced multidisciplinary team to deal with a wide range of sleep disorders. All referral letters will be reviewed before your patients are allocated to the most appropriate specialty in our service.

At our weekly clinical Case Conference and other regular meetings including OSA Surgical Meetings with our ENT and dental colleagues and monthly Multi-disciplinary Motor Neurone disease Case Conferences there are opportunities for our specialists to cross consult and seek opinions from other specialists as needed. The specialties within our service consist of:

  • Sleep Medicine Physicians
  • Insomnia Treatment Program (Psychology)
  • Psychiatrist
  • ENT Surgeons
  • Sleep Technical Staff
  • CPAP/NIV Clinical Nurses including our Nurse led clinics run by Sleep Nurse Practitioner Sharn Rowland
  • Administration Team

The Sleep Technologist's Role in Diagnostic Sleep Studies and CPAP Titration

During your patient's stay in the sleep laboratory, recordings will be continuously supervised by our sleep technologists. AISH employs highly qualified sleep technologists that are trained in Cardio-Pulmonary Resuscitation and Basic Life Support.

Our technologists have degrees in science and/or psychology as a minimum qualification, and many staff have post-graduate qualifications. AISH supports continuing education, and all eligible technologists are certified by the Board of Registered Polysomnographic Technologists. The BRPT is an internationally recognised qualification that aims to maintain the highest professional and ethical standards in the sleep technology field.

The sleep technologist has a multi-purpose role during the patient's diagnostic sleep study and CPAP study. This includes:

  • Making patients feel at ease in an unfamiliar environment
  • Providing patients with education regarding the sleep study, the role of the technician, and general information on sleep disorders
  • Monitoring and identification of patients' breathing irregularities (e.g. sleep apnoea)
  • Monitoring of patients' vital life signs, e.g. oxygen levels and heart rate
  • Ensuring a high technical quality of the recording

For those patients requiring CPAP titration, additional role includes:

  • Providing a positive introduction to CPAP
  • Providing CPAP fitting and titration, i.e. using the appropriate mask based on each patient's individual response and needs, and ensuring that an adequate therapeutic CPAP pressure is reached during the study
  • Responding to patients' concerns such as nasal dryness, poor mask fit, feeling of claustrophobia
  • Identifying and addressing potential problems, e.g. air leaks due to mouth breathing or poor mask fit