It is very important that you arrive on time for your appointment.
If you cannot keep your appointment, you must call at least 48 hours in advance to avoid a $250 Cancellation Fee
Cancellation fees are not covered by insurance companies, so this cost will be your responsibility. Inclement weather conditions are taken into consideration when needing to cancel an appointment.
The referring physician, and, if different, your primary care physician, will receive a copy of your sleep report after our Sleep Specialist interprets the study.
Appointment Dates & Time
It is your responsibility to schedule a follow-up appointment with your physician or our Sleep Specialist, who will review your results with you AND recommend a treatment plan. ***************
COPAYMENT is due at the time of service.
We accept checks and credit cards.
Delaware Sleep Disorder Centers will strive to provide you with a tranquil and comfortable atmosphere during your stay with us.
- Our sleep technician will escort you to your private room, answer any questions and obtain important information.
- We provide pillows and blankets, but you may bring your own if you prefer. Once you are comfortable, you can enjoy the use of our Wi-Fi prior to your study.
- In the morning you can shower, (body wash is available), and then head off to the rest of your day.
- When studied together, your brain waves, oxygen level, heart rate, body positioning and breathing patterns shows our Specialist if you have a sleeping disorder. In order to monitor these factors our skilled technicians will be applying sensors to the surface of your skin, including your scalp, face, chest, legs and finger. Most of these sensors will be applied to your skin with a paste that may not wash out after just one shower. The purpose of the paste is to ensure good contact between your scalp and the sensors.
So that your experience with us goes as smoothly as possible, we request the following:
- Please bathe prior to arriving to the sleep center, with clean, dry hair. Do not use any hair styling products, body lotions or powders, as ALL of these products will prevent the sensors from staying in place.
- Please remove all hair extensions, hair pieces and braids prior to your arrival. We need to access specific parts of the scalp to apply sensors.
- Please remove all makeup and remove nail polish from at least 2 fingernails.
- Bring something comfortable to sleep in. (Pajamas, night gown, shorts, t-shirt, etc…)
- Refrain from consuming alcohol and/or caffeine products 12 hours prior to your study. If you have any questions concerning medications or non-prescription drugs, please ask your physician before coming to the sleep lab.
- Please make sure that you eat a normal meal prior to your arrival at the sleep center.
- Friends and family members who accompany you to the appointment cannot remain in the testing center during the study. If you have special needs please inform us of them when your sleep study is being scheduled. We have ADA accessible rooms. If you do not confirm your needs with us while scheduling your appointment, there is a possibility that when you arrive for your study that you may be asked to reschedule.
- Refrain from taking naps during the day of your test to help prevent having trouble falling asleep, but do not risk your health and well-being in the process.
- State law and building policies prohibit smoking in the building.
- Remember to bring:
- Insurance cards
- Medication List
- Photo I.D.
- If desired, your pillow(s) and blanket
In lab Polysomnography- This test, once completed, is scored by a licensed technician and interpreted by a board-certified physician. Our team ensures that the data collected is accurate so that a reliable diagnosis is made. Once the report is completed, a copy will be sent to the ordering physician to review. If the ordering physician indicated that they would like Delaware Sleep’s Clinicians to manage your care, an appointment will be set up for us to review the test results with you. This test is one of the more detailed sleeping tests you can receive. Our experienced clinicians will help you understand the meaning of your results and discuss potential options you have to help you breathe and sleep better.
In lab Pap titration – This test, once completed, is scored by a licensed technician and interpreted by a board-certified physician. Our team ensures that the data collected is accurate so that a reliable diagnosis is made. Once the report is completed, a copy will be sent to the ordering physician to review. If the ordering physician indicated that they would like Delaware Sleep’s Clinicians to manage your care, an appointment will be set up for us to review the tests results with you. Our clinicians will spend the time with you to assess your tolerance to CPAP therapy and the data. Our experienced clinicians will begin working on a treatment plan with you based on your feelings to therapy, the data, and affordability to the treatment selected.
Home Sleep Apnea Test- This test, once completed, is scored by a licensed technician and interpreted by a board-certified physician. Our team ensures that the data collected is accurate so that a reliable diagnosis is made. Once the report is completed, a copy will be sent to ordering physician to review. If the ordering physician indicated that they would like Delaware Sleep’s Clinicians to manage your care, an appointment will be set up for us to review the test results with you. Our experienced clinicians will review your experience with the device at home, as well as review the results with you. Based upon experience and results a treatment will be initiated jointly.
PAP Set-up- If the clinician recommends you for this appointment, our sleep clinical team will work with you to ensure you understand the process, which includes insurance guidelines and functions of your pap devices. Our team will also spend time with you reviewing any tests results and answering any questions you may still have. Our clinic has many options and variable style pap masks for you try to ensure that you choose one best suited for you. Upon completion of the setup a follow up appointment will be made to continue patient care.
Sleep Clinic visit- Our clinic team will work with you to fully assess your sleep condition and work with you on a variety of treatment options. Upon completion, we will coordinate the necessary tests, treatment and follow-up appointments to assess your progress.
Home Sleep Apnea Machine
- If the lights are flashing yellow on the device, please adjust all sensors and continue with test as normal. Please document on sleep diary.
- If the lights have gone out, please check if red light is on in the finger probe. If light is on, continue test, device is working correctly. If red light is not on, please change batteries and continue with test
- If the device does not turn on please check and replace batteries if necessary. If device does not turn on, unit has malfunctioned. Please call back during normal business hours for further instructions
- Video Tutorials
- For dry mouth, please turn your humidification up. You can also search you tube for video instructions. Ensure you are drinking water throughout the day. Saline can also be used as well as Biotene or Xylimelts
- Cleaning instructions:
- Using Apps
- If you have a mask leak, please ensure headgear is not too loose or too tight. Headgear should be snug only. A chin strap can be used to help keep mouth closed. You can also purchase a liner such as a RemZZZ or Snugz. There are also sealants such as SomniFix and Beard sealants.
- If you have soreness on the bridge of your nose, please ensure headgear is not too tight. Headgear should be snug only. You can also purchase a cushion such as a Gecko or a liner such as a RemZZZ or Snugz.
- If you are having skin irritation or marks left on face, ensure mask/cushion are being washed using a mild detergent such as baby shampoo. For a deeper clean, soak the cushion in a solution of 1 part white vinegar and 2 parts distilled water for 30 minutes. You can also purchase a liner such as a RemZZZ or Snugz or padded wraps such as Pad a Cheeks.
Proper Mask Fitting
- Nasal Mask: Always follow manufacturer instructions. Typically the nasal mask should sit just below the bridge of the nose and come under the nose but above the upper lip allowing some spacing around the nostrils. Some nasal masks sit just under the nose but do not sit “inside” the nose as the pillow masks do.
- Pillows: Always follow manufacturer instructions. Typically the pillows need to fit just inside (if the majority of the pillow is inside the nose, size is too small) and fill the nostrils. If the pillows are too big, creasing will be seen in the pillows around nostrils and will cause soreness.
- Standard Full Face mask: Always follow manufacturer instructions. Typically when fitting a full face mask, the mask should sit just below the bridge of the nose to just under the bottom lip (the crease between the lip and chin) and around the outer edge of the mouth. Patient should be able to relax mouth open with mask still in same place.
- Less invasive Full Face Mask: Always follow manufacturer instructions. FFM similar in design to Amara View/F30 should fit with nasal opening not pinching nares and mask sitting just under bottom lip (the crease between the lip and chin) and around the outer edge of the mouth. Patient should be able to relax mouth open with mask still in same place.
Disclaimer: When purchasing Cleaning equipment, such as the So Clean or Zoey, which attach directly to the device and run through the device, know that the two year manufacturer’s warranty for the PAP equipment will no longer be honored by the manufacturer.
- Dynamic HealthCare 1-717-657-2100
- Premier 1-610-558-6222
- First Choice 1-844-241-7153
- Rotech 1-215-442-1032
- American Home Patient 1-877-221-8763
- Apria 1-866-505-6365
DELAWARE SLEEP DISORDER CENTER, LLC
NONDISCRIMINATION AND REASONABLE ACCOMMODATION
POLICY AND NOTICE
Delaware Sleep Disorder Center (DSDC) complies with applicable Federal civil rights laws and does not exclude or treat people differently because of race, color, creed, religion, gender (including pregnancy, childbirth and related medical conditions), national origin, citizenship or ancestry, age, disability, marital status, veteran status, genetic information, sexual orientation, or gender identity, source of payment, or upon any other categories protected by federal, state, or local law.
DSDC will take appropriate steps to ensure that persons with disabilities, including persons who are deaf, hard of hearing, or blind, or who have other sensory or manual impairments, have an equal opportunity to participate in our services, activities, programs and other benefits. The procedures outlined below are intended to ensure effective communication with patients involving their medical conditions, treatment, services and benefits.
DSDC provides and shall post conspicuously in all waiting rooms and at front desks, this notice of the availability of and procedure for requesting auxiliary aids and services. When an individual makes known that they are a person with a disability that affects the ability to communicate or to access or manipulate written materials or requests an auxiliary aid or service, staff will consult with the individual to determine what aids or services are necessary to provide effective communication in particular situations.
DSDC provides free aids and services to people with disabilities to communicate effectively with us, such as:
- Written information in other formats.
- Primary consideration will be given to a requesting individual’s requested means of communication. An interpreter on site will be provided if available with adequate notice. If not available on site, Video Remote Interpreter Services via computer are available per request to Jeff Lord
(302-652-5109 ext. 105). DSDC provides Video Remote Interpreter Services, with (i) uninterrupted/unbuffered/un-lagging communication; (ii) a clear delineation of the interpreter’s face, arms, hands, and fingers, and the face, arms, hands, and fingers of the person using sign language, regardless of his or her body position; (iii) clear, audible transmission of voices; and (iv) staff trained to access and use same.
For patients in the office who are deaf/hard of hearing and who use sign language as their primary means of communication, Jeff Lord (302-652-5109 ext. 105) is responsible for coordinating a qualified interpreter when such a need has been made known. Again, primary consideration will be given to a requesting individual’s requested means of communication An interpreter on site will be provided if available with adequate notice. If not available on site, CyraCom has agreed to provide interpreter services. CyraCom’s telephone numbers are: Primary 800-481-3293; Backup 844-203-2025; Customer Service 844-727-6739. CyraCom services are available 24/7/365. DSDC shall update this provider description and contact information as necessary when contractors may change from time to time.
Patients are encouraged to come into the office for visits and not do telehealth visits. In the rare instance that telehealth appointments would be appropriate, patients should contact Jeff Lord as in the prior paragraph and be sure that they are in a location with a good network connection.
When communicating by telephone with persons who are deaf or hard of hearing DSDC utilizes relay services for external telephones with TTY users. We accept and make calls through a relay service. The federal relay service number is 711. Staff should contact Jeff Lord (302-652-5109 ext. 105), for timely arranging note-takers; telephones compatible with hearing aids; videotext displays; and uses of tablets. Some persons who are deaf or hard of hearing may prefer or request to use a family member or friend as an interpreter. However, family members or friends of the person will not be used as interpreters unless specifically requested by that individual and after an offer of an interpreter at no charge. Such an offer and the response will be documented in the person’s file. If the person chooses to use a family member or friend as an interpreter, issues of competency of interpretation, confidentiality, privacy and conflict of interest will be considered. If the family member or friend is not competent or appropriate for any of these reasons, competent interpreter services will be provided. Children shall not be used for interpretation for reasons of competency.
Reasonable accommodations will be made for those who are blind, including communicating information contained in written materials concerning treatment, benefits, services, waivers of rights, and consent to treatment forms by reading out loud and explaining these forms to persons who are blind or who have low vision.
Reasonable accommodations will be made for those with speech impairments, by providing writing materials; typewriters; computer tablets; Federal Relay Service (711); tablets and/or computers; and other communication aids.
DSDC does not limit its accommodations to those with disabilities who cannot communicate effectively with us. In the event you need a reasonable accommodation other than those related to communication, please make it known to Lyron Deputy, Civil Rights Coordinator at 302-600-1124.
If you believe that DSDC has failed to provide these services or discriminated in any way prohibited by law you can file a grievance with: Lyron Deputy, Civil Rights Coordinator at 302-600-1124, [email protected], 261 Chapman Road, Suite 100, Newark, DE 19702.
DSDC provides free language services to people whose primary language is not English, such as:
- Qualified interpreters.
- Information written in other languages.
If you need these services, contact Lyron Deputy, Civil Rights Coordinator at 302-600-1124, [email protected], 261 Chapman Road, Suite 100, Newark, DE 19702.
Any person who believes someone has been subjected to discrimination on the basis of race, color, national origin, sex, age, or disability may file a grievance under this procedure. It is against the law for DSDC to retaliate against anyone who opposes discrimination, files a grievance, or participates in the investigation of a grievance.
- Grievances must be submitted to the Civil Rights Coordinator, within sixty (60) calendar days of the date the person filing the grievance becomes aware of the alleged discriminatory
- A complaint must be in writing, containing the name and address of the person filing it. The complaint must state the problem or action alleged to be discriminatory and the remedy or relief
- The Civil Rights Coordinator (or his/her designee) shall conduct an investigation of the complaint. This investigation may be informal, but it will be thorough, affording all interested persons an opportunity to submit evidence relevant to the The Civil Rights Coordinator will maintain the files and records of _DSDC relating to such grievances. To the extent possible, and in accordance with applicable law, the Civil Rights Coordinator will take appropriate steps to preserve the confidentiality of files and records relating to grievances and will share them only with those who have a need to know.
- The Civil Rights Coordinator will issue a written decision on the grievance, based on a preponderance of the evidence, no later than thirty (30) calendar days after its filing, including a notice to the complainant of his or her right to pursue further administrative or legal
The availability and use of this grievance procedure does not prevent a person from pursuing other legal or administrative remedies, including filing a complaint of discrimination on the basis of race, color, national origin, sex, age, or disability in court or with the U.S. Department of Health and Human Services, Office for Civil Rights.
You can file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:
U.S. Department of Health and Human Services
200 Independence Avenue, S.W.
Room 509F, HHH Building
Washington, D.C. 20201
(800) 368-1019; (800) 537-7697 (TDD)
Complaint forms are available at: http://www.hhs.gov/ocr/office/file/index.html Such complaints must be filed within one hundred eighty (180) calendar days of the date of the alleged discrimination.
All staff will be provided written notice of this policy, and staff that may have direct contact with individuals with disabilities will be trained in effective communication techniques and the use of and access to the CryaCom system, including the effective use of interpreters.