IOM Technologist II

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** Job Summary
** Summary  The operating room is an extremely stressful and demanding environment, requiring the technologist to perform rapid and accurate evaluations of waveforms and the physiological and environmental forces that impact the waveforms. The Technologist II is also required to maintain multi-thread communication between medical teams while efficiently troubleshooting and analyzing the NIOM waveforms in real time. The technologist must perform these tasks accurately and efficiently, as communicated information regarding waveforms may have profound implications for the surgical course and safety of the patient.
In collaboration with the IOM Supervisor and the NIOM attending neurologist, the technologist performs all entry-level NIOM cases independently and trains on Specialist I competencies as described by MGB Neuro Intraoperative Monitoring protocols. Technologist II works under the supervision of a more experienced technologist in cases where competencies have not been completed and as determined by the IOM Supervisor. Technologist II may be trained and supervised by Specialist I and Specialist II.
Technologist II is responsible for the NIOM recording and documentation of all entry-level SSEP, TcMEP, EMG/Triggered EMG, BAEP, and EEG cases. The technologist acts as an interactive part of the operating room team, assisting in duties as appropriate and maintaining open channels of communication with and between medical teams. As the MGB IOM division continues to research and apply intraoperative monitoring methods and techniques to new procedures, the technologist will be required to learn new protocols as they are developed and may be asked to participate in the development of protocols.
Essential Function  
-Provides monitoring for all entry-level surgical procedures requiring NIOM. Technologist II will be supervised by an experienced technologist, as determined by the IOM Supervisor, when performing cases that exceed their competency level.
-The technologist collaborates with the attending neurologist, who provides the oversight for the case. The technologist monitors the surgical procedure and provides continuous technical interpretation to the surgical team. This may include, but is not limited to, changes in waveforms, special requests, changes to the surgical plan, and details for remote connection.
-The technologist maintains detailed and accurate documentation, which requires knowledge of case types and of all modalities being performed.
-The technologist maintains open channels of communication with the attending neurologist, as well as with all the medical teams involved in the case.
-Technologist II is responsible for preparing patients prior to draping for surgery in accordance with MGB standards and for setting up for all possible/appropriate monitoring procedures. Patient preparation includes accurate and secure application of electrodes and stimulators to ensure quality recordings for long durations. The technologist measures the electrical impedance and examines the integrity of all NIOM electrodes, and when necessary, fixes issues occurring both prior to incision and throughout the procedure.

The technologist also appropriately directs the surgeon in the application of sterile electrodes and stimulating devices as needed.
-Technologist II notes relevant clinical information from the patient's chart and from the surgeon as necessary.
-Technologist II prepares a preliminary technical report describing the recording throughout the procedure. While monitoring, meticulously documents surgical procedure, vital signs, anesthetics, and anesthetic changes, phases of the procedure, and communicates all relevant information with the surgical teams in a timely fashion.  
-Technologist II covers evening and weekend call shifts and evening shifts, as assigned by the IOM Supervisor.
-Assists in the maintenance of databases and patients' permanent documents.
-Keeps abreast of current developments in the IOM field and participates in educational conferences, meetings, and/or other activities that promote continuing education.
-Applies infection control standards, aseptic, and sterile techniques, with particular attention to any monitoring…