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Intraoperative Neuromonitoring Specialist (IONM)

Posted on Aug 13, 2019 by SSM Health St. Mary's Hospital - Madison

Madison, WI 53715
Immediate Start
Annual Salary
Role Purpose:
Experienced Neurodiagnostic Technologist to work in a multi-disciplinary department to perform IONM(55%), ICU(15%), LTM(15%), EEG(10%) and Administrative(5%) on patients ranging in age from neonates to geriatrics. Neurodiagnostic Technology is the medical diagnostic field that is dedicated to recording the function of the brain, spinal cord, nerves and muscles using a variety of techniques/instruments. Throughout the country, tens of thousands of specialized tests are performed each year by Neurodiagnostic Technologists under the supervision of licensed physicians. The results of clinical tests are used to diagnose potentially life-threatening neurological disorders. Advanced monitoring is also performed during brain and spine surgery. Neurodiagnostic Technologists act as a physician extender to reduce the risks of death, stroke and paralysis. The advanced skills provided by Neurodiagnostic Technologists help to maintain the quality of life and many times, save lives. Tests to be performed: Intraoperative Neuromonitoring [IONM] for Craniotomies, Spine and, ENT surgeries using modalities EEG (Electroencephalogram), Somatosensory Evoked Potentials (SEP), Motor Evoked Potentials (MEP), Spontaneous Electromyogram (sEMG), Triggered Electromyogram (tEMG) Brainstem Auditory Evoked Responses (BAER), Cranial Nerve, Facial Nerve, Recurrent Laryngeal Nerve monitoring (RLN), Motor Mapping, Pedicle Screw testing, Carotid Endarterectomies (CEA/TCAR), GRID placement and Electrocorticography (EcOG).) Evoked Potentials [EP] to include SEP, MEP, BAER and Visual Evoked Potentials (VEP). Diagnostic -Specialized EEG - WADA, GRID. Intensive Care Monitoring (ICU) using Continuous Video EEG (vEEG). Long Term Monitoring (LTM) using Continuous Video EEG (vEEG). Electroencephalogram [EEG], using digital and Video EEG (vEEG).
  • Preoperatively: IONM Specialist reviews planned intraoperative procedure and orders for monitoring to determine the structures at risk relative to patient history/pre-existing conditions and monitoring requested; makes needed adjustments in monitoring by communicating with correct personnel while maintaining patient confidentiality according to facility policy and procedures; communicates with needed departments to obtain access and scheduling of patient according to facility policy and procedures; prepares equipment and supplies for required monitoring of patient according to facility policy and procedures; identifies correct patient by name, ordering surgeon, and type of procedure to be performed and communicates the monitoring plan to the patient/caregivers/family in language consistent with their ability to understand; measures and marks correct recording and stimulation sites and applies electrodes according to facility policy and procedures.
  • Intraoperatively: IONM Specialist positions monitoring equipment in the operating room to ensure patient electrical safety and communicates with team members including anesthesia, surgeon, and nursing staff according to facility policy and procedures; communications directly with anesthesia team and surgeon to enhance monitoring results; discusses with surgeon baseline recordings according to facility policy and procedures; makes any needed adjustments in monitoring according to facility policy and procedures; monitors neurophysiologic central/peripheral functioning throughout the operative procedure communicating with surgeon, neurophysiologist, anesthesia team, and nursing staff as necessary according to facility policy and procedures; recognizes clinically significant events and follows facility policy and procedures regarding critical test results**; documents in surgery log throughout the monitoring process all relative communications/responses, physiological status, anesthetic adjustments, and changes in verbal responses according to facility policy and procedures; discontinues monitoring and removes all monitoring and stimulation electrodes checking sites for pre-monitoring status according to facility policy and procedures.
  • Post-operatively: The IONM Specialist provides findings, results, and a descriptive analysis according to facility policy and procedure; cleans/disinfects electrodes and equipment according to facility policy and procedures; restocks equipment and electrode supplies; prints needed documents including waveforms, Neuromonitoring specialist report, and surgery log to be dictated by interpreting personnel according to facility policy and procedures; charges and logs patient according to facility policy and procedures.
  • Detailed competency criteria: National Competency Skill Standards for Performing Intraoperative Neurophysiologic Monitoring published by ASET - The Neurodiagnostic

Minimum Qualifications:
  • A minimum of 3 years' experience in Neurodiagnostic which includes at least 1 year in IONM.
  • Registered or registry eligible EEG Technologist by the American Board of Registration of EEG Technologists (ABRET). Extra consideration for registration EP Technologist credential.
  • Certification in Intraoperative Neurophysiologic Monitoring (CNIM*) credential
  • Credentials in Neurodiagnostic from other nations may also be considered as fulfillment of the registry requirements.
  • Must have a thorough understanding of digital and analog EEG/EPS equipment. Requires good communication and interpersonal skills in order to establish good rapport with patients, public and staff, and to deal with severely ill patients.
  • BLS certified
Preferred Qualifications:
  • Graduation from a Commission on Accreditation of Allied Health Education Programs (CAAHEP) accredited Neurodiagnostic Technology (NDT) Program, or a Bachelor's Degree from an accredited college or university is desired.
St. Mary's Hospital - Madison -
St. Mary's is a 440-bed tertiary referral hospital offering inpatient and outpatient treatment and diagnostic services in primary care and nearly all specialties. Medical/surgical areas of special focus include the Family Birth Center, pediatrics, Neuroscience Center, geriatrics, orthopedics, emergency services and more. St. Mary's is affiliated with the University of Wisconsin School of Medicine's three-year family practice residency program. Since 1912, St. Mary's has provided service to much of south-central Wisconsin including Dane County and 17 other nearby counties. In the growing city of Sun Prairie, northeast of Madison, St. Mary's Emergency Clinic provides services to more than 30,000 residents.

Reference: 744941837