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Posted: 12-Mar-25
Location: Durham, North Carolina
Categories:
Internal Number: 255231
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About Duke University Hospital
Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States and is the number one hospital in North Carolina, according to U.S. News and World Report for 2023-2024. Duke University Hospital is the largest of Duke Health's three hospitals and features 1048 patient beds, 65 operating rooms, as well as comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.
Location: Duke Hospital, Durham North Carolina
General Summary
Perform specialized and complex procedures involved in Intraoperative Neuromonitoring to obtain data for use in the diagnosis of clinical disorders of the nervous system.
Work Performed
Level I & Level II - 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. - 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 ofintraoperative procedure relative to orders for monitoring, taking action to address deviation from established practice - 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 - Archive Data. - Develop lab protocols for preoperative, intraoperative, and postoperative procedures.
Level Characteristics
Level I Level II system. 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). 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 analysisof multiple types of recordings and measurements of the electrical activity of the central and/or peripheral nervous supervision of an Intraoperative Neuromonitoring Trainee, or Non- A Certified Intraoperative Neuromonitoring Technologist can provide Certified Technologist. 16 hours of CE, selects 4 choices from a list of options for professional growth.
Minimum Qualifications
Education
Level Bachelor's degree in a biological science preferr ed or an AssociatesDegree in a biological science required with equivale nt number of yearsof experience as a technician in a health care diagnostic proceduresetting to offset a Bachelors Degree.
Level II Bachelor's deg ree in a biological science preferred or an AssociatesDegree in a biolog ical science required with equivalent number of yearsof experience as a technician in a health care
proceduresetting to offset a Bach elors Degree.
Level III Bachelor's degree in a biological science preferre d or an AssociatesDegree in a biological science required with equivalen t number of yearsof experience as a technician in a health care diagnost ic proceduresetting to offset a Bachelors Degree.
Experience
Level I With a Bachelors Degree, no experience required. An Asso ciates Degreein a biological science required with 4 years of experience as atechnician in a health care diagnostic procedure setting to offset aBachelorsDegree.
Level II 1 year experience specifically in intraoperati ve neuromonitoring, andproof of competency in the following list of moda lities in IONM andother specialized procedures as appropriate to hospita l practice:somatosensory evoked potentials, spontaneous and evokedelectr omyography, 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 IONMtechn ologist and minimum 6 months of experience in IONM at Duke.Proof of comp etency in all performed modalities in IONM and otherspecialized procedur es as appropriate to hospital practice. Examples ofthese procedures inc lude but are not limited to brainstem evokedpotentials, monitoring of th e placement of deep brain stimulatingelectrodes, brain function mapping, intracranial grid implantation,trans-cranial Doppler, trans-cranial mot or evoked potentials, and directstimulation of neural structures (brain, spinal cord, cranial andperipheral nerves) to determine identity and fu nctionalityintraoperatively.
Degrees, Licensures, Certifications
Level I None.
Level II Registry in EEG or Registry in EP by the Ame rican Board of Registrationof Electroencephalographic & Evoked Potential Technologists (ABRET)required or Repetitive Nerve Conductions Study Tec hnologist (RNCST) or RET (Canadian EEG registry) required.
Level III Certif ication in neurophysiological intraoperative monitoring (CNIM) bythe Ame rican Board of Registration of Electroencephalographic & EvokedPotential Technologists (ABRET) required.
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