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 (median, ulnar, peroneal, posterior tibial nerves; brainstem auditory evoked potential; motor evoked potential; EMG potentials during pedicle screw stimulation or cranial nerve region cases; electrocorticography). Assist with training other Neurodiagnostics Lab staff in intraoperative neural monitoring testing. Patient care assignments may include Neonate, Pediatric, Adolescent, Adult and Geriatric age groups.
Responsibilities
- Perform baseline and intraoperative Somatosensory Evoked Potential (SEP) testing for median, ulnar, peroneal, and posterior tibial nerves in accordance with established standards of practice.
- Perform baseline and intraoperative Brainstem Auditory Evoked Potential (BAEP) and Visual Evoked Potential (VEP) studies in accordance with established standards of practice.
- Perform EMG recording during pedicle screw stimulation to assess if a screw breaches the pedicle wall and requires repositioning.
- Perform facial EMG recording during surgical procedures near cranial nerves or other case-specific EMG recordings as directed by the surgeon.
- Perform motor evoked potential testing under the direction of a Neurophysiologist or surgeon.
- Perform intraoperative electroencephalogram (EEG) recording during carotid endarterectomy or intracranial surgeries as requested by the surgeon.
- Perform cortical strip and cortical grid electrode brain recordings, including organizing and connecting patient-specific interfaces, montage programming and recording of waveform data under the direction of an attending Neurophysiologist.
- Demonstrate knowledge of general principles of anesthetic techniques and their effects on recorded waveforms and the structures generating them.
- Demonstrate competent troubleshooting to correct problems with instrumentation, recording, and electrode function; maintain infection control and sterile technique for equipment entering the sterile field.
- Prepare, examine and test all monitoring equipment, electrodes and stimulators for each OR procedure; ensure all equipment is in working order.
- Demonstrate knowledge of OR equipment and the effect on electrodes and peripherals; recognize critical periods during surgery where monitoring is essential.
- Adhere to safety procedures regarding use of chemicals and biohazardous or flammable materials in the OR.
- Cross-train to perform EEG and Long Term Video EEG monitoring or non-surgical evoked potential testing when no OR cases are scheduled.
- Perform functions of END/EEG Technicians in their absence or during high census.
- Enhance professional growth through participation in educational programs and current literature.
- Practice safe electrical procedures to minimize risk to patients.
- Follow patient safety policies, procedures and protocols; proactively seek opportunities to improve patient safety by questioning current policies; identify and report environmental conditions that may put a patient at risk; report potential safety concerns and medical errors in a timely manner; encourage patient participation in their own care.
Qualifications
Education
- Essential: Associate Degree
- Nonessential: Bachelor’s Degree
- Education specialization: Related Discipline
- Nonessential: Related Discipline
Experience
- Essential: 6 months directly related experience
- Nonessential: Bilingual in English and additional languages; 2 years directly related experience
Credentials
- Essential: CPR for Healthcare/Basic Life Support Providers within 30 days
- Nonessential: Registration in EEG; ABRET Registration for evoked potentials
Physical and Working Conditions
- Medium work: Exerting 20 to 50 pounds occasionally, 10 to 25 pounds frequently; greater than negligible up to 10 pounds constantly to move objects; workload may exceed typical light work.
- Working conditions include potential exposure to chemicals and biohazards; PPE required.
- Shift: May be required to rotate shifts; may be on-call.
- Tuberculosis testing is completed upon hire and as required.
Note: Compensation details and job classification (FTE, department) are part of the offer context and do not substitute for the responsibilities and qualifications described above. Sign-On Bonus Available.