so tell me: 4 or 5 nap MSLT?

Moderators: TexasSleepguy, labman2, respbarb

how many naps in the majority of your MSLT's

4
26
51%
5
25
49%
 
Total votes : 51

Re: so tell me: 4 or 5 nap MSLT?

Postby somnonaut » Mon Jun 19, 2017 6:41 pm

RayMeece wrote:...unless 2 SOREM are noted on the first 4(including the PSG), then the 5th is not performed


Getting a little absolutist there, huh?
User avatar
somnonaut
Senior Member
 
Posts: 14092
Joined: Thu Dec 11, 2003 6:03 pm
Location: http://tinyurl.com/righteousdude

Re: so tell me: 4 or 5 nap MSLT?

Postby RayMeece » Tue Jun 27, 2017 5:49 am

Absolutist?? WOT??? Me? never. I am as open-minded as a bucket..... LOL

Fact is, a 5-test MSLT is the standard, with the affore-mentioned requisites.
User avatar
RayMeece
Senior Member
 
Posts: 688
Joined: Fri Sep 26, 2003 1:11 pm
Location: Hattiesburg, MS

Re: so tell me: 4 or 5 nap MSLT?

Postby RayMeece » Tue Jun 27, 2017 5:52 am

Just do the 5 naps. Get the pt up @ 5 or 530, 1st nap at 0700, and so on. Still puts you out of the office before 5 even if you do all 5 naps.

I used to do all of that myself - the PSG AND the MSLT, and then a 1.5 hr drive home. Boy, those were the days......
User avatar
RayMeece
Senior Member
 
Posts: 688
Joined: Fri Sep 26, 2003 1:11 pm
Location: Hattiesburg, MS

Re: so tell me: 4 or 5 nap MSLT?

Postby truckerdave1970 » Wed Sep 13, 2017 3:44 am

RayMeece wrote:Just do the 5 naps. Get the pt up @ 5 or 530, 1st nap at 0700, and so on. Still puts you out of the office before 5 even if you do all 5 naps.

I used to do all of that myself - the PSG AND the MSLT, and then a 1.5 hr drive home. Boy, those were the days......


and what was good about that???
truckerdave1970
Member
 
Posts: 36
Joined: Sat Feb 01, 2014 3:19 am
Location: Rochester, NY

Re: so tell me: 4 or 5 nap MSLT?

Postby somnonaut » Thu Sep 14, 2017 4:46 am

I do not understand the rationale of changing the patient's wake time (get up at 5:30) for the sole purpose of lab staffing savings? This would change the whole nature of sleep during the day, artificially increasing sleepiness and decreasing sleep latencies, as well as increasing likelihood of appearance of REM on first nap since their final REM period was aborted being woken at 5:30. This schedule is totally a disservice to patient. The rules do state that Waketime should approximate the patient's waketime.
User avatar
somnonaut
Senior Member
 
Posts: 14092
Joined: Thu Dec 11, 2003 6:03 pm
Location: http://tinyurl.com/righteousdude

Re: so tell me: 4 or 5 nap MSLT?

Postby RayMeece » Mon Sep 18, 2017 6:07 am

I am NOT a Doc or the Medical Director, so why ask me. The Med Director makes these decisions .

I don't understand "approximating the Patient's waketime". Do you let the pt go to bed at their "Normal bedtime"? Both of my pts tonight normally go to bed at 6:30-7. But their appt is for 8. Hmm, wha tto do?

Oh, and BTW, we awaken pts at 5. ALL the time.
User avatar
RayMeece
Senior Member
 
Posts: 688
Joined: Fri Sep 26, 2003 1:11 pm
Location: Hattiesburg, MS

Re: so tell me: 4 or 5 nap MSLT?

Postby RayMeece » Mon Sep 18, 2017 6:09 am

truckerdave1970 wrote:
RayMeece wrote:Just do the 5 naps. Get the pt up @ 5 or 530, 1st nap at 0700, and so on. Still puts you out of the office before 5 even if you do all 5 naps.

I used to do all of that myself - the PSG AND the MSLT, and then a 1.5 hr drive home. Boy, those were the days......


and what was good about that???


Don't think I ever said it was good, just that it was done at a few previous labs. Not much choice when you are the only tech.
User avatar
RayMeece
Senior Member
 
Posts: 688
Joined: Fri Sep 26, 2003 1:11 pm
Location: Hattiesburg, MS

Re: so tell me: 4 or 5 nap MSLT?

Postby somnonaut » Mon Sep 18, 2017 7:00 pm

"Both of my pts tonight normally go to bed at 6:30-7"

And, are they both staying for MSLTs? Is yes, then you should put them to bed as close to usual as possible. If this needs to become a schedule triage question, then so be it. It sounds like you were running pretty barebones (one person to do both overnight and MSLT) so it might have been best for the patient to leave MSLT for other lab to do.

Not sure why this is something new for an RPSGT. It has been part of the MSLT rules for decades.
User avatar
somnonaut
Senior Member
 
Posts: 14092
Joined: Thu Dec 11, 2003 6:03 pm
Location: http://tinyurl.com/righteousdude

Re: so tell me: 4 or 5 nap MSLT?

Postby RayMeece » Tue Sep 19, 2017 10:17 am

It's not new for me. Just how it was done at the lab.

Whatever.
User avatar
RayMeece
Senior Member
 
Posts: 688
Joined: Fri Sep 26, 2003 1:11 pm
Location: Hattiesburg, MS

Previous

Return to Setup and Collection Questions

Who is online

Users browsing this forum: Google [Bot] and 2 guests