Intraoperative Neuro-monitoring Technologist
Location: Burbank, CA
FLSA Status: FT –Non- Exempt
Department: Neurological Testing
Under physician supervision the technologist will assist the anesthesiologist(s) and surgeon(s) in providing pertinent information during an array of intraoperative electro-neurophysiological testing. The Intraoperative Neuro-monitoring Technologist will perform routine and complex neurological tests to include Electroencephalography (EEG) Brain Stem Evoked Potentials (B.A.E.R.), Motor Evoked Potentials (MEP) and Electromyography (EMG) of the upper/lower extremities and cranial nerves and to provide optimal patient care while performing intraoperative procedures. In addition to provides identification/interpretation of neuro-anatomy, recognition of abnormalities and waveform anomalies.
• Bachelor of Science degree preferred.
• Graduation from an accredited electro-neurodiagnostic technology training program (Commission on Accreditation of Allied Health Education Programs (CAAHEP) highly desired.
• Registry through the American Society of Electro-neurodiagnostic Technology in Certification Intraoperative Monitoring (CNIM) is preferred but not required.
• Training in anatomy, physiology and physics is preferred.
• Experience using Cadwell Cascade Monitoring Platform.
• Registry in one of the following is preferred: R.EEG.T., R.EP.T., R.PSG.T., CNCT
• Knowledgeable and comfortable using computer applications to include: electronic health records, and related software. Knowledgeable in Microsoft office applications, use of email and on-line systems.
• Familiar with the regulations and requirements for OSHA and HIPAA and aware of the compliance requirements as enacted by Federal, State and local jurisdictions.
• Board registered or certification eligible in Neurophysiologic Intraoperative Monitoring (CNIM REEGT or REPT) by the American Board of Registered Electro-neurodiagnostic Technologists (ABRET) is required.
• Minimum of three years’ experience performing EEG, Intraoperative or Evoked Potential is required.
• Must have current BLS Certification
• Must hold a valid driver’s license.
• Minimum of 1 year of clinical IONM experience; CNIM (credential) is preferable, but can be waived for a qualified candidate who is an experienced tech that is willing or eligible to take CNIM exam during first 12 months of employment.
• Able to perform nerve conduction studies, multimodality evoked potentials, routine EEG’s, sleep and 24 hr. ambulatory EEG’s.
• Knowledge and experience monitoring any variety of spinal procedures (and corresponding modalities) required.
Skills and responsibilities (include but are not limited to):
• Explains test procedures so they are understandable to the patient and any family members that are present.
• Measures and accurately applies recording electrodes in a timely manner, according to the international 10-20 Electrode Placement System.
IOM Equipment Setup:
• Calibrates, evaluates and adjusts equipment, optimizing recording and stimulation parameters, to acquire salient data and information.
• Implements appropriate troubleshooting methods, such as adjusting stimulation, to assure accurate recording of information.
• Keeps equipment clean and in proper working order, reporting technical malfunctions to supervisor and/or manufacturer.
• During surgery, interacts with surgical team and surgeons to provide interpretive data regarding the patient’s neurological status.
• Identifies and eliminates physiological and non-physiological artifacts.
• Recognizes normal patterns, normal variants, and abnormal patterns; understands the medical and pharmacological/anesthetic conditions that influence all recording IOM modalities (e.g., EP, BAER, MEP, Etc.); understands the clinical correlations between abnormal evoked potentials and various disease states.
• Displays, prints and labels waveforms to hard copy for interpretation marking, measuring, and calculating information such as latencies, voltages, and conduction times following established National Neuro-monitoring Services guidelines and protocols.
• Accurately documents significant events and stages of surgery in a timely manner, completes all IOM logs, files and work/technical sheet, including a technical description of the IOM modality recorded, with emphasis on the clinical observations in order to assist the neurologists and/or designated MD with the final interpretation.
• If workload allows, attends scientific courses and seminars for continuing education.
• Performs additional duties as assigned by the Neuro Technician Team Leader.
Knowledge, Skills and Abilities:
• Knowledge of anatomy, physiology, neuro-anatomy, pathologic processes and aseptic techniques.
• Knowledge of procedures followed in conducting electrophysiological tests and examinations on patients.
• Knowledge of electrophysiological equipment used in performing tests on patients.
• Ability to analyze various electronic and neurophysiologic waveforms.
• Interpersonal communication skills necessary to interact with medical staff, patients, visitors, and other hospital employees.
• Ability to apply different types of electrodes to a patient’s anatomy with precision and speed in preparation of monitoring a surgical procedure.
• Receives general direction for case assignments and work week scheduling from the Neuro Technician Team Leader.
• Does not supervise other IOM Technologists.
• Compiles real-time collection and interpretation of data and completes post-operative reports and billing forms.
Physical Requirements/ Working Conditions:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job the employee is occasionally required to stand; sit; walk; use hands to finger, handle, or feel objects, tools, or control; reach with hands and arms; and stoop, kneel, crouch, or crawl. Specific vision abilities required by this job include close vision.
1. Incumbent will be required to work at any facility and be responsible for own transportation.
2. Incumbent will be scheduled based on operational need.
3. Potential to be exposed to virus, disease and infection from patients and specimens in working environment.
4. Standard office equipment including computers, fax machines, copiers, printers, telephones, etc.
5. Position is in a well-lighted office environment.
6. Work requires lifting supplies, pushing, or carrying bulky pieces of equipment, approximately 200+ lbs.
7. Ability to stand, turn and stoop among several types of equipment in an operating room suite and or patient room.
8. Involves sitting approximately 40 percent of the day, walking or standing the remainder. Ability to sit for extended periods of time, while concentrating on monitoring computer screen images during a surgical procedure.
9. The use of protective clothing such as surgical clothing, gloves, glasses and masks (PPE).
10. Occasional/frequent travel by motor vehicle to healthcare facilities.
11. Variable work schedules that may change from week to week, depending on case load, surgeon’s availability, creating situations that may require minimal notice to be available for a case.