The Certified Neurophysiologic Intraoperative Monitoring (CNIM) Technologist performs complex multi-modality intraoperative neuromonitoring independently and is able to modify monitoring techniques to accommodate a diverse variety of intraoperative situations. Establishes lab policies and protocols and provides leadership in the training and mentoring of IOM staff.Responsibilities: A listing of the key responsibilities
Independently sets up and performs all duties and responsibilities for requests for monitoring and mapping multi-modalities, including MEPs, SSEPs, BAERs, EMGs, EEGs and a variety of stimulation procedures.
Establishes lab policies and protocols according to ASET Guidelines.
Participates in budgeting, scheduling and equipment purchase activities.
Provides leadership in the training and mentoring of IOM staff.
Reviews planned intraoperative procedures and orders for monitoring to determine the structures at risk relative to patient history/pre-existing conditions and monitoring requested and make adjustments as required.
Prepares equipment and supplies and positions monitoring equipment in the operating room to ensure patient safety and ability to ensure patient safety and ability to communicate with team members during the procedure.
Communicates the monitoring plan to the patient/caregivers/family in language consistent with their ability to understand.
Discusses baseline recordings with surgical team and makes any needed adjustments in monitoring according to lab protocol. Monitors neurophysiologic central/peripheral functioning throughout the operative procedure communicating with surgeon, neurophysiologist, anesthesiologist and nursing staff as necessary.
Closely reviews intraoperative recordings obtained and prepares summary printouts, preliminary interpretation, and billing information for physician approval, and maintains a digital archive of recordings and a case database.
Trains and directs the work of lower level technical staff that may assist in the hookup and breakdown of monitoring setups, cleans and disinfects electrodes and equipment according to lab protocol and restocks equipment and electrode lab supplies.
Perform other duties as required or assigned.
Completion of a Commission on Accreditation of Allied Health Education Programs (CAAHEP) accredited Electroneurodiagnostic (END) Program or a Bachelor’s Degree or higher from an accredited institution is preferred.
Education in Sterile Technique and operating room orientation per institution protocol is required.
A minimum of 5 years of experience in intraoperative neurophysiologic monitoring.
Experience in training and guiding (mentoring) other levels of specialists in intraoperative neuromonitoring is also desirable.
Hold current Certification in Intraoperative Neurophysiologic Monitoring (CNIM)*.
Hold a Bachelor’s degree from an accredited college or university, or one or more of the following registries; registry in electroencephalography (R. EEG T.)* and/or registry in evoked potentials (R. EP T.) and/or registry in nerve conduction studies (R. NCS T.).
Provide an attestation of their competence in the performance of complex multi-modality intraoperative neuromonitoring from their mentor (IONM Specialist level III or physician/neurophysiologist).
Strong well-developed communication skills.
Currently registered in the state of New Hampshire as a Medical Technologist.
Required Licensure/Certification Skills:
Certification in Neurophysiologic Intraoperative Monitoring (CNIM)*
This person also holds a Bachelor’s degree from an accredited institution and/or has one or more of the following registries; registry in electroencephalography (R. EEG T.)* and/or registry in evoked potentials (R. EP T.)* and/or registry in nerve conduction studies (R. NCS T.)**
*This registry is offered by the American Board of Registry of Electroencephalographic and Evoked Potential Technologists (ABRET).
**This registry is offered by the American Association of Electrodiagnostic Technologists (AAET). The R. NCS T. credential has replaced the registry in electrodiagnostic technology (R. ED T.) credential.
As cited in the American Society of Electroneurodiagnostic Technologists (ASET) Position Statement on Electroneurodiagnostic Technologists in the Operating Room, appropriate credentials for the procedure performed are as follows: for intraoperative electroencephalography, the recognized credentials are Registered Electroencephalographic Technologist (R. EEG T.) and/or Certificate in Neurophysiologic Intraoperative Monitoring (CNIM). For intraoperative evoked potentials, the recognized credentials are Registered Evoked Potential Technologist (R. EP T.) and/or Certificate in Neurophysiologic Intraoperative Monitoring (CNIM). For intraoperative electromyography, the recognized credentials are Registered Electrodiagnostic Technologist (R. ED T.) (now called Registered Nerve Conduction Study Technologist-R. NCS T.), and/or Registered Evoked Potential Technologist
Currently Registered with the New Hampshire Board of Registration for Medical Technicians