IONM TECH (INTRAOPERATIVE NEUROMONITORING TECHNOLOGIST)

Department: Neurodiagnostics LabFTE: 1.00 Full Time

Shift: Rotating

Position Summary: Perform neurophysiological monitoring in the operating room to assess the functional integrity of the peripheral and/or central nervous system during vascular, orthopedic and neurosurgical operative procedures. Record procedures including electroencephalograms, evoked potentials including median, ulnar nerve, perneal nerve, posterior tibial nerve, brainstem auditory evoked potential, motor evoked potential, EMG potentials during pedicle screw stimulation or cranial nerve region cases and electrocorticography. Assists with training other NDL staff how to perform intraoperative neural monitoring testing. Patient care assignment may include: Neonate, Pediatric, Adolescent, Adult and Geriatric age groups. Detailed responsibilities: PERFORM - Perform baseline and intra-operative Somatosensory Evoked Potential (SEP) testing to include median nerve, ulnar nerve, peroneal nerve and posterior tibial nerve studies in accordance with established standards of practicePERFORM - Perform baseline and intra-operative Brainstem Auditory Evoked Potential (BAEP) and Visual Evoked Potential (VEP) studies in accordance with established standards of practicePERFORM - Perform EMG recording during pedicile screw stimulation to access if surgeon inserted spinal screw has breached wall of the pedicile and needs to be repositionedPERFORM - Perform facial EMG recording during surgical procedures near cranial nerves or other EMG case specific recordings as directed by the surgeonPERFORM - Perform motor evoked potential testing under the direction of Neurophysiologist or surgeonPERFORM - Perform electroencephalogram (EEG) recording intraoperatively during carotid endarterectomy surgeries or intracranial surgeries as requested by the surgeonPERFORM - Perform cortical strip and cortical grid electrode brain recordings to include organizing and connecting appropriate patient specific interfaces, montage programming and recording of patient waveform data under the direction of an attending NeurophysiologistSKILL - Skill in the accurate and stable electrode placement for recording and stimulatingCALIBRATION - Calibrate, set up and program for each modality of monitoring and use complex computerized instrumentation and peripheral equipmentMONITORING - Carry out requested monitoring procedures under guidelines and surgeon notification limitsDEMONSTRATE - Demonstrate knowledge of general principles of anesthetic techniques, the effects of different anesthesia regimens on the waveforms being recorded and the structures responsible for generating the effectsDEMONSTRATE - Demonstrate competent, prompt troubleshooting techniques to correct problems with instrumentation recording and electrode malfunctionDEMONSTRATE - Demonstrate proper infection control, aseptic and sterile procedures, with attention to monitoring instrumentation and electrodes entering the sterile fieldDEMONSTRATE - Demonstrate ability to determine monitoring modalities requested by the surgeonPREPARE - Prepare, examine and test all monitoring equipment, electrodes, stimulators and other equipment for each OR procedureDEMONSTRATE - Demonstrate knowledge of OR equipment, instrumentation and understand the effect on electrodes, stimulators and other peripheral equipment; ensure all equipment and instrumentation is in working orderDEMONSTRATE - Demonstrate in-depth knowledge of surgical procedures; recognize critical periods during surgery where monitoring procedure is criticalSAFETY - Adhere to safety procedures regarding the use of collodion, acetone, non-acetone collodion remover, or other biohazardous or flammable materials in the OR environmentPERFORM - Cross train to perform EEG and Long Term Video EEG monitoring or non surgical evoked potential testing if no OR cases are on the schedulePERFORM - Perform functions of END/EEG Techs in their absence or during high census or volumeDEVELOPMENT - Enhance professional growth and development through participation in educational programs, reading current literature, attending in-services, meetings and workshopsSAFETY - Practice safe electrical procedures to limit risk of injury to patientsPATIENT SAFETY 1 - Follow patient safety-related policies, procedures and protocolsPATIENT SAFETY 2 - Demonstrate proactive approach to patient safety by seeking opportunities to improve patient safety through questioning of current policies and processesPATIENT SAFETY 3 - Identify and report/correct environmental conditions and/or situations that may put a patient at undue riskPATIENT SAFETY 4 - Report potential or actual patient safety concerns, medical errors and/or near misses in a timely mannerPATIENT SAFETY 5 - Encourage patients to actively participate in their own care by asking questions and reporting treatment or situations that they don't understand or may "not seem right"

Qualifications: Related Education and Experience may be substituted for one another on a year for year basis.

Education: Essential:

• Associate Degree Nonessential:
• Bachelor's Degree Education specialization: Essential:
• Related Discipline Nonessential:
• Related Discipline

Experience: Essential:1/2 year (6 months) directly related experience

Credentials: Essential:

• CPR for Healthcare/BLS Prov or Prof Rescuers w/in 30 days Nonessential:
• Registration in EEG; ABRET Registration evoked potentials
• Physical Conditions:

Working conditions: Essential:

• Sig Hazard: Chemicals, Bio Hazardous Materials req PPEMay be required or is required to rotate work shifts
• May be required or is required to perform on-call duties
• Tuberculosis testing is completed upon hire and additionally as required
• Sign-On Bonus Available