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. The largest of Duke Health's four hospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.

This positions offers:
$15,000 committment bonus ,$3,000 relocation assistance and
access to a dedicated relocation website to research area attractions , services and neighborhoods
Location
Duke Hospital (Neurology Lab)Durham, North Carolina

Work Hours
8:00am-4:30pm Monday-Friday

Role
The Sonographer will operate sonographic equipment to perform neurovascular diagnostic examinations and accurately communicate the findings. This role focuses exclusively on neurovascular studies, including:

• Extracranial duplex imaging
• Non-imaging transcranial Doppler studies (TCDs)

Candidates with a current Registered Vascular Technologist (RVT) credential through ARDMS or RVS through CCI at the time of hire are preferred.

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

• Assist in 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.

Knowledge, Skills And Abilities
Level I

• Assist in 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.

Level Characteristics
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 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, selects 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, selects 4 choices from a list of options for professional growth.

Minimum Qualifications
Essential Physical Job Functions:

Certain jobs at Duke University and Duke University Health System may include essential job 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.

Education
Level I
Bachelor's degree in a biological science preferred or an Associate 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.

Level II
Bachelor's degree in a biological science preferred or an Associate 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.

Level III
Bachelor's degree in a biological science preferred or an Associate 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 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 of 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 of experience specifically in intraoperative neuromonitoring, with a minimum 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.

Degrees, Licensures, Certifications
Level I
None.

Level II
Registry in EEG or Registry in EP by the American Board of Registration of Electroencephalographic and 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 ofRegistration of Electroencephalographic and Evoked Potential Technologists (ABRET) required.

Duke is an 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 (including pregnancy and pregnancy related conditions), sexual orientation or military status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions
Certain jobs at Duke University and Duke University Health System may include essential job 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.