Department: Neurodiagnostics Lab
FTE: 1.00
Full Time
Shift: Days
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 practice
* PERFORM - Perform baseline and intra-operative Brainstem Auditory Evoked Potential (BAEP) and Visual Evoked Potential (VEP) studies in accordance with established standards of practice
* PERFORM - Perform EMG recording during pedicile screw stimulation to access if surgeon inserted spinal screw has breached wall of the pedicile and needs to be repositioned
* PERFORM - Perform facial EMG recording during surgical procedures near cranial nerves or other EMG case specific recordings as directed by the surgeon
* PERFORM - Perform motor evoked potential testing under the direction of Neurophysiologist or surgeon
* PERFORM - Perform electroencephalogram (EEG) recording intraoperatively during carotid endarterectomy surgeries or intracranial surgeries as requested by the surgeon
* PERFORM - 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 Neurophysiologist
* SKILL - Skill in the accurate and stable electrode placement for recording and stimulating
* CALIBRATION - Calibrate, set up and program for each modality of monitoring and use complex computerized instrumentation and peripheral equipment
* MONITORING - Carry out requested monitoring procedures under guidelines and surgeon notification limits
* DEMONSTRATE - 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 effects
* DEMONSTRATE - Demonstrate competent, prompt troubleshooting techniques to correct problems with instrumentation recording and electrode malfunction
* DEMONSTRATE - Demonstrate proper infection control, aseptic and sterile procedures, with attention to monitoring instrumentation and electrodes entering the sterile field
* DEMONSTRATE - Demonstrate ability to determine monitoring modalities requested by the surgeon
* PREPARE - Prepare, examine and test all monitoring equipment, electrodes, stimulators and other equipment for each OR procedure
* DEMONSTRATE - 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 order
* DEMONSTRATE - Demonstrate in-depth knowledge of surgical procedures; recognize critical periods during surgery where monitoring procedure is critical
* SAFETY - Adhere to safety procedures regarding the use of collodion, acetone, non-acetone collodion remover, or other biohazardous or flammable materials in the OR environment
* PERFORM - Cross train to perform EEG and Long Term Video EEG monitoring or non surgical evoked potential testing if no OR cases are on the schedule
* PERFORM - Perform functions of END/EEG Techs in their absence or during high census or volume
* DEVELOPMENT - Enhance professional growth and development through participation in educational programs, reading current literature, attending in-services, meetings and workshops
* SAFETY - Practice safe electrical procedures to limit risk of injury to patients
* PATIENT SAFETY 1 - Follow patient safety-related policies, procedures and protocols
* PATIENT SAFETY 2 - Demonstrate proactive approach to patient safety by seeking opportunities to improve patient safety through questioning of current policies and processes
* PATIENT SAFETY 3 - Identify and report/correct environmental conditions and/or situations that may put a patient at undue risk
* PATIENT SAFETY 4 - Report potential or actual patient safety concerns, medical errors and/or near misses in a timely manner
* PATIENT 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"
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
Nonessential:
Bilingual English, Spanish, Keres, Tewa, Tiwa, Towa, Zuni, or Navajo 2 years 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:
Medium Work: Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Physical Demand requirements are in excess of those for Light Work.
Working conditions:
Essential:
* Sig Hazard: Chemicals, Bio Hazardous Materials req PPE
* May be required or is required to rotate work shifts
* May be required or is required to perform on-call duties