INTRAOPERATIVE NEUROMONITORING TECH

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.

Job Title: INTRAOPERATIVE NEUROMONITORING TECH
Job Code: 4573
FLSA: N
Job Level: F1
Revised Date: 07/01/2009
Supervisory Responsibility: N/A

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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 Associates 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 Bachelors Degree.

Level II

Bachelor's degree in a biological science preferred or an Associates 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 Bachelors Degree.

Level III

Bachelor's degree in a biological science preferred or an Associates 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, transcranial Doppler, transcranial 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.

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 an IONM Technologist or a Certified IONM Technologist, 10 hours of CE, selects 2 choices from a list of options for professional growth (e.g., member of a 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, select 3 choices from a list of options for professional growth.

Level III

The primary responsibility of 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, select 4 choices from a list of options for professional growth.

The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in this description.

Job Code: 00004573 INTRAOPERATIVE NEUROMONITORING TECH
Job Level: F1

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