Intermediate Surgical Neurophysiologist

UPMC; Pittsburgh (Allegheny County); On-site; USD 85,000 - 120,000; Full time

Job summary

UPMC Procirca is seeking a full-time Intermediate Surgical Neurophysiologist to provide real-time multi-modality neurophysiological monitoring across diagnostic labs, ICUs and operating rooms. You will work under supervision and follow department guidelines while supporting surgical teams.

The role includes flexible shifts (8, 10, or 12 hours) with on-call coverage after credentialing, and a comprehensive benefits package.

Qualifications

• Real-time multi-modality neurophysiological monitoring.
• Ability to interpret data across CNS and PNS during procedures.
• Demonstrated competency with intraoperative monitoring environments.

Responsibilities

• Operate monitoring equipment per policy to obtain optimal results.
• Troubleshoot suboptimal results during testing or procedures.
• Prepare/testing carts and ensure patient safety during setup.
• Calibrate and maintain equipment; report significant changes to the supervising neurophysiologist.
• Collaborate with anesthesia for optimal delivery of anesthesia during procedures.
• Record and report findings to supervising neurophysiologist.
• Maintain documentation and ensure data security post-operatively.
• Provide hard copy reports to physicians as needed.

Skills

Neurophysiological monitoring

Intraoperative monitoring

Transcranial Doppler

Electrode placement

Real-time data interpretation

Tools

Neurodiagnostic equipment

Job description

UPMC Procirca is looking for a full time Intermediate Surgical Neurophysiologist to join their dedicated team!

The Healthcare professional responsible for providing real-time multi-modality neurophysiological monitoring of the peripheral and central nervous system in the diagnostic lab, intensive care unit (ICU), and operating room. All work will be done under the general supervision of a department supervisor and/or the clinical neurophysiologist on call, all while working within the established department guidelines/policies/procedures.

This role will work Monday through Friday, eight, ten and twelve hour shifts. Holiday, weekend, and on call coverage after credentialing obtained.

UPMC offers a generous benefits package, an expansive total rewards package, opportunity to grow your career and much more.

Responsibilities:

• Operate the equipment according to departmental policy in order to obtain optimal results.
• Perform all necessary troubleshooting in situations of suboptimal results prior to and during any diagnostic testing procedure or intraoperative procedure.
• Transport equipment between facilities in a safe and secure manner.Prepare/setup testing carts within departmental guidelines ensuring equipment and patient's safety is taken into consideration
• Operate transcranial doppler to obtain necessary readings and calculate findings for requesting physician.Calibrate and maintain the equipment for optimal performance; understand the functioning of all the testing equipment; is able to assist in troubleshooting in conjunction with the vendors and is able to perform more complex repairs. Understand thoroughly various disease states and factors that relate to them, various medication effects, clinical changes or complications to ensure high technical quality.Monitor other physiological parameters during testing as described in the departmental policy
• Ability to adapt to change in the work environment, manage competing demands and deal with frequent change, delays or unexpected events.Service minded; drive to provide best care and service for patient and surgical team
• Apply suitable electrodes on predetermined measured positions on the patient's head, trunk, and extremities. Select predetermined electrode combination; check their performance as well as adjusting for non-standard montages as needed.
• Ability to recognize real-time changes in data and report changes to the oversight clinical neurophysiologist.
• Recognize artifacts; differentiate them from evoked potential patterns and take appropriate steps to eliminate them.
• Record relevant patient history and review with the oversight clinical neurophysiologist.Keep labs fully supplied, all work-stations clean and all equipment in working order.Provide hard copy reports to requesting physician for interpretation in addition to plotting samples when needed.
• Exercise judgment during testing or intraoperative monitoring for the need of the oversight clinical neurophysiologist or physician's intervention.
• Understand thoroughly cerebral vasculature and apply this knowledge when performing transcranial doppler studies.
• Ability to accurately setup brainstem auditory evoked potentials (BSER), compound nerve action potentials (CNAP), electrocorticography (ECOG), electroencephalography (EEG), cranial nerve EMG/MEP, upper and lower extremity EMG/MEP, sphincter EMG/MEP, phase reversal, upper and lower extremity somatosensory evoked potentials, direct cortical stimulation (DCS), and trans-cranial motor evoked potentials.
• Collaborate with anesthesia team regarding optimum delivery of anesthetic based on clinical assessment and document requested modalities.
• Assist medical staff during nonstandard procedures. Assist with research collection data. Assist with the administrative duties of the supervisor during absences.Complete all necessary electronic workflow in accordance with the departmental policies ensuring all data is secure and accessible post-operatively
• Display and label waveforms for marking, measuring and calculating information such as latencies, amplitudes, and conduction times following established guidelines and protocols.
• Communicate with attending physician in a timely manner determining a plan for which modalities to be performed to procedure. Document any request made by surgeon according to departmental policy.
• Able to recognize discrepancies between patient�s ordered testing and their diagnosis.Keep abreast of the advanced technology in the Neurodiagnostic field. Continue to acquire knowledge of the following; normal brain anatomy and function, diseases and electrical patterns of the brain.
• Participate in all department specific mandatory training.Ability to participate in hospital in-service programs, professional meetings and seminars.Continually advance skills set by reading books, professional journals, and online training materials
• Perform portable, difficult and/or unusual testing, particularly evoked potentials in the intensive care unit and the operating room with only telemedicine supervision while maintaining the maximum safety for patients.
• Obtain standard recordings, report findings to the oversight clinical neurophysiologist.