Intraoperative Neuromonitoring Technician

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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 Health Operating Room. This position will float between Duke Raleigh Hospital, a Campus of Duke University Hospital, Duke University Hospital, Duke Regional Hospital and the Ambulatory Surgery Center at Duke Hospital

Work Schedule and Training

Training Period:

• Duration: 90 days
• 40 hours per week (day hours), days will vary
• Candidate will transition to the evening shift after approximately 90 days

Work schedule Post Training

• 4/10s, 11am-9pm (weekdays only)
• Flexibility to support EEG if no surgery is scheduled
• On-call: Every 5-6 weeks on weekends (starts after training)

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. The primary responsibility of a Non-Certified Intraoperative Neuromonitoring (IONM) Technologist is to conduct electrical tests on the brain, spinal cord, and nerves during surgery; communicate issues and challenges with the surgeon; understand and communicate test data to the neurologist

Work Performed

Level & 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 of intraoperative 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.

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).
• 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 I 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.
• 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 Bachelors Degree.

Experience

Level I Level II

Witha Bachelors Degree, no experience required. An Associates Degree in a biological science required with 4 years of experience as a technician in a health care diagnostic procedure setting to offset a Bachelors Degree. 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.

Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.

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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.

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