Intraoperative Neuromonitoring Technologist - Neurodiagnostics Ancillary Services - Durham at Duke University

Posted in Other 18 days ago.

Location: Durham, North Carolina





Job Description:


Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke University Hospital has 957 inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 51 operating rooms; an endo-surgery center; an Ambulatory Surgery Center with nine operating rooms and an extensive diagnostic and interventional radiology area. In fiscal year 2018, Duke University Hospital admitted 42,916 patients and had 1,085,740 outpatient visits in fiscal year 2017.

U.S News & World Report named Duke University Hospital #1 in North Carolina and #1 in the Raleigh-Durham area in 2018-19.

Duke University Hospital is ranked in the top 20 nationally for seven adult specialties, including cardiology and heart surgery, nephrology, ophthalmology, orthopedics, pulmonology, rheumatology, and urology.

In addition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers.




General Description of the Job Class


Perform specialized and complex procedures involved in Intraoperative Neuromonitoring to obtain data for use in the diagnosis of clinical disorders of the nervous system.





Duties and Responsibilities of this Level





Level I



  • Assist the collection and analysis of multiple types of recordings and measurements of the electrical activity of the central and/or peripheral nervous system.

  • Application of extensive knowledge in anatomy and neurophysiology relative to the monitoring being performed.

  • Knowledge and practice of electrical safety relevant to equipment and type of monitoring performed. - Archive data.





Level II



  • Application of extensive knowledge in neuroanesthesia and its effect on neuromonitoring.

  • Knowledge and application of current practices in neuromonitoring, maintained through extensive reading of published literature and practice standards.

  • Maintenance of continuing education requirements by ABRET to retain credentials.

  • Assessment of intraoperative procedure relative to orders for monitoring, taking action to address deviation from established practice protocols.

  • Performance of duties according to established lab protocols for preoperative, intraoperative, and postoperative procedures.

  • Knowledge and practice of electrical safety relevant to equipment and type of monitoring performed.

  • Archive Data.

  • Mentor IOM Trainee.





Level III



  • Application of extensive knowledge in neuroanesthesia and its effect on neuromonitoring

  • Knowledge and application of current practices in neuromonitoring, maintained through extensive reading of published literature and practice standards.

  • Performance of all duties and responsibilities required for multi- modality monitoring.

  • Maintenance of continuing education requirements by ABRET to retain the CNIM credential.

  • Knowledge and practice of electrical safety relevant to equipment and type of monitoring performed.

  • Assessment of intraoperative procedure relative to orders for monitoring, taking action to address deviation from established practice protocols.

  • Archive Data.

  • Develop lab protocols for preoperative, intraoperative, and postoperative procedures.





Required Qualifications at this Level





Education





Level I


Bachelor's degree in a biological science preferred or an Associate's Degree in a biological science required with equivalent number of years of experience as a technician in a health care diagnostic procedure setting to offset a Bachelor's Degree.





Level II


Bachelor's degree in a biological science preferred or an Associate's Degree in a biological science required with equivalent number of years of experience as a technician in a health care diagnostic procedure setting to offset a Bachelor's Degree.





Level III


Bachelor's degree in a biological science preferred or an Associate's Degree in a biological science required with equivalent number of years of experience as a technician in a health care diagnostic procedure setting to offset a Bachelor's Degree.





Experience





Level I


With a Bachelor's Degree, no experience required. An Associate's Degree in a biological science required with 4 years of experience as a technician in a health care diagnostic procedure setting to offset a Bachelor's Degree.





Level II


1 year experience specifically in intraoperative neuromonitoring, and proof of competency in the following list of modalities in IONM and other specialized procedures as appropriate to hospital practice: somatosensory evoked potentials, spontaneous and evoked electromyography, electroencephalography, and motor evoked potentials.





Level III


3 years' experience specifically in intraoperative neuromonitoring, with a min. of two years of full-time employment as a non-certified IONM technologist and minimum 6 months of experience in IONM at Duke.


Proof of competency in all performed modalities in IONM and other specialized procedures as appropriate to hospital practice. Examples of these procedures include but are not limited to brainstem evoked potentials, monitoring of the placement of deep brain stimulating electrodes, brain function mapping, intracranial grid implantation, trans-cranial Doppler, trans-cranial motor evoked potentials, and direct stimulation of neural structures (brain, spinal cord, cranial and peripheral nerves) to determine identity and functionality intraoperatively.





Degrees, Licensure, and/or Certification





Level I


None.





Level II


Registry in EEG or Registry in EP by the American Board of Registration of Electroencephalographic & Evoked Potential Technologists (ABRET) required or Repetitive Nerve Conductions Study Technologist (RNCST) or RET (Canadian EEG registry) required.





Level III


Certification in neurophysiological intraoperative monitoring (CNIM) by the American Board of Registration of Electroencephalographic & Evoked Potential Technologists (ABRET) required.





Knowledge, Skills, and Abilities





Distinguishing Characteristics of this Level





Level I


An Intraoperative Neuromonitoring (IONM) Trainee develops competency in and performs the basics of Intraoperative Neuromonitoring testing and associated interventions under direct supervision of a IONM Technologist or a Certified IONM Technologist, 10 hours of CE, selects 2 choice from a list of options for professional growth (e.g., member of national organization, committee work).





Level II


The primary responsibility of a Non-Certified Intraoperative Neuromonitoring (IONM) Technologist is to collect and analyze, or to oversee the collection and analysis of multiple types of recordings and measurements of the electrical activity of the central and/or peripheral nervous system.


An Intraoperative Neuromonitoring Technologist can provide supervision of an Intraoperative Neuromonitoring Trainee, 12 hours of CE, selects 3 choices from a list of options for professional growth.





Level III


The primary responsibility a Certified Intraoperative Neuromonitoring (IONM) Technologist is to collect and analyze, or to oversee the collection and analysis of multiple types of recordings and measurements of the electrical activity of the central and/or peripheral nervous system.


A Certified Intraoperative Neuromonitoring Technologist can provide supervision of an Intraoperative Neuromonitoring Trainee, or Non- Certified Technologist.16 hours of CE, selects 4 choices from a list of options for professional growth.


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Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.