Neurophysiology Tech Spec

Work Shift:

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advance technology. Capital Health is a five-time Magnet-Recognized health system for nursing excellence and is comprised of 2 hospitals. Capital Health Medical Group is made up of more than 250 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.

Position Overview:

* Verifies identity of the patient using appropriate identifiers and verifies physician order for procedure. Measures the patient's head and attaches electrodes in accordance with the 10/20 international electrode placement system as evidenced by manager observations. Tests functional integrity of electrodes and assures acceptable electrode impedances.
* Obtains a complete and relevant patient history to include medications as evidenced by departmental documentation tools. Observes all patient safety measures, assuring side-rails on stretchers are upright and locked, except when transferring the patient, all wheelchair and stretcher wheels are locked and patients are under direct supervision by staff at all times as evidenced by manager observation and safety protocols.
* Removes all electrolyte/gel/collodian and cleans patient's scalp safely and thoroughly at the end of the testing. Logs and submits charges for all studies immediately upon completion in accordance with department policy and procedure. Utilizes appropriate infection control measures to ensure thorough cleansing of electrodes and other recording accessories as evidenced by equipment inspection.
* Prepares and provides an accurate technical report for the interpreting physician on all studies completed. Performs bio-calibration before and after each EEG study and records all montages in accordance with department policy and procedure as evidenced by the recordings. Performs applicable activation procedures and additional or special investigative montages as directed and/or in accordance with department policy and procedure.
* Transfers all studies upon completion via the network connection from the collection units (EEG, Ambulatory Reader) to the reader station and verifies transfer in accordance with department policy and procedure. Logs and submits charges on all completed studies immediately upon completion in accordance with department policy and procedure as evidenced by reporting systems.
* Measures accurately scalp and applicable electrode sites and applies all necessary recording electrodes to obtain a VEP, BAER, SSEP and ATC and ensures acceptable impedance under 3 K-Ohms. Obtains interpretable, replicable waveforms for a VEP, BAER, SSEP and ATC. Obtains additional or prolonged sampling in order to obtain desired outcome.
* Superimposes accurately all applicable recorded waveforms and measures/tags all replicable peaks in order to obtain absolute and interpeak latencies. Completes accurately and consistently all prerequisite test screening procedures prior to initiating examination as evidenced by documentation of visual acuity for VEP, auditory thresholds for BAEP and obtaining a visible thumb or toe twitch for SSEPs.
* Logs and submits charges on all completed studies immediately upon completion in accordance with departmental policy and procedure as evidenced by reporting systems. Cleans safely and thoroughly all electrolyte from the patients skin surface and/or scalp. Ensures safe and thorough cleaning of all recording apparatus, including electrodes in accordance with department policy and procedure as evidenced by manager observation.
* Obtains a complete and relevant patient history to include medications, seizure history, frequency, auras or prodromes, family history and an accurate description of events as described by a caregiver, family member, the patient or physician.
* Measures the patient's head and attaches electrodes in accordance with the 10/20 international electrode placement system as evidenced by manager observations. Tests functional integrity of electrodes and assures acceptable electrode impedances. Obtains appropriate electrode impedances and baseline EEG data as evidenced by impedance check and quality of EEG recording.
* Ensures adequate disk space for five or more days of continuous recorded video EEG and ensures spike detection software is activated and archive feature is on when study is initiated as evidenced by successful recording with no error messages and a complete recording. Ensures successful ongoing data transfer (cascade) from collector to reader station of video EEG in hour-long segments in twenty four hour cycles as evidenced by reader station database.
* Views all cascaded files, strips segments of baseline, routine and abnormal digital video EEG phenomena, creates linked or stripped files and successfully transfers files to reader station for physician review. Initiates all activation procedures as directed by physician by review of written orders and recordings.
* Removes all electrolyte and adhesive from the patient's scalp, face and all other applicable areas at termination of recording, completely and safely. Provides patient education regarding the use of adhesive removal materials.
* Archives all completed/interpreted LTM studies on CD(s) and places in secure patient file storage; deletes all unnecessary video/EEG data from collectors and reader station as evidenced by system databases. Logs patient's LTM admission as evidenced by LTM log and HBO GUI admission record. Logs and charges patient's LTM admissions.
* Performs accurate, interpretable special EEG, Evoked Potential procedures in the O.R. or Video EEG procedures including infant/newborn studies and the use of NP leads, when applicable or as directed by a physician. Obtains a complete and relevant clinical history and uses appropriate testing parameters in order to obtain relevant diagnostic information. Applies all relevant electrodes in accordance with the 10/20 international electrode placement system. Selects appropriate testing parameters to obtain clearer or more accurate test results. Prints or transfers all relevant data upon completion of testing, prepares all necessary forms/documents and routes studies for interpretation by a physician.
* Performs accurate and interpretable Transcranial Doppler studies in accordance with department policy and procedures. Documents intracranial velocities at all designated sites from all standard approaches as evidenced by departmental documentation tool. Prepares and prints a complete report of all transcranial doppler findings with waveforms for physician.
* Performs accurate, interpretable routine nerve conduction studies in accordance with department policy and procedure. Prepares equipment and obtains NCV's for physician review and assists physician with EMG and report generation; charges and logs procedures as evidenced by test results, hospital reporting systems and physician satisfaction. Performs accurate and interpretable Autonomic Nervous System testing (ANS) according to department policy and procedures. Prepares patient, explains testing procedures and coaches patient throughout testing safely obtaining accurate interpretable data as evidenced by report and physician satisfaction.

MINIMUM REQUIREMENTS

* Education: Dual credential (REEGT, REDT, REPT, RNCST, CNIM, RVT or other appropriate credentials) or neurodiagnostic credential and Associate's degree or Bachelor's degree. REEGT with associate or bachelor's degree preferred.
* Experience: Three years previous electroneurodiagnostics experience preferred.
* Other Credentials: AHA BLS - Healthcare Provider
* Knowledge and Skills: Intermediate computer skills.
* Special Training: Previous electroneurodiagnostics experience preferred.
* Mental, Behavioral and Emotional Abilities: Possesses a friendly and customer-focused demeanor.
* Usual Work Day: 8 Hours

PHYSICAL DEMANDS AND WORK ENVIRONMENT

* Frequent physical demands include: Sitting , Push/Pull , Pinching/fine motor activities , Keyboard use/repetitive motion
* Occasional physical demands include: Standing , Walking , Climbing (e.g., stairs or ladders) , Carry objects , Twisting , Bending , Reaching forward , Reaching overhead , Squat/kneel/crawl , Wrist position deviation
* Continuous physical demands include: Talk or Hear
* Lifting Floor to Waist 15 lbs. Lifting Waist Level and Above 10 lbs.
* Sensory Requirements include: Accurate Near Vision, Accurate Far Vision, Color Discrimination, Moderate Depth Perception, Moderate Hearing
* Anticipated Occupational Exposure Risks Include the following: Bloodborne Pathogens , Chemical , Airborne Communicable Disease

Offers are contingent upon successful completion of our onboarding process and pre-employment physical. Capital Health will require all applicants (including contractors, travelers and consultants) to have an annual flu vaccine prior to start date, with the exception of individuals with medical and religious exemptions.

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