TECH IONM NON-CERT
UNM Hospitals - Albuquerque, NM

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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. Patient care assignment may include: Neonate, Pediatric, Adolescent, Adult and Geriatric age groups.

Accountability:
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 acurate 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 peripherial 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 indepth knowledge of surgical procedures; recognize critical periods during surgery where monitoring procedure is critical

ADHERE - Adhere to safety procedures regarding the use of collodion, acetone, non-acetone collodion remover, or other biohazardious 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

PROFESSIONAL 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 Requirements:
High School Diploma or GED equivalent

Licensure/Certification Requirements:
CPR Certification for Healthcare Providers or for Professional Rescuers or must obtain within 30 calendar days of date of position

Education Requirements - Preferred:
Associate's Degree in related discipline

Bachelor's Degree in related discipline

Experience Requirements - Preferred:
2 years directly related experience

Bilingual English/Spanish

Bilingual English/Keres, Tewa, Tiwa, Towa, Zuni, or Navajo

Physical Demands Requirements:
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.

Licensure/Certification Requirements - Preferred:
American Board of Registration in ElectroNeuroDiagnostic Technology (ABRET) Registration in EEG; ABRET Registration evoked potentials

Professional licensure as appropriate to the clinical objectives of the unit:

American Board of Registration in ElectroNeuroDiagnostic Technology (ABRET) Registration in EEG; ABRET Registration evoked potentials

Working Conditions Requirements:
Significant hazard exposure: Constant risk exposure to unusual elements, i.e., toxic chemicals, biohazardous materials requiring extensive safety precautions and may include the use of protective equipment

May be required or is required to rotate work shifts

May be required or is required to perform on-call duties

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