Intraoperative Neuromonitoring Technician

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

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 the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.

Relocation Assistance is Provided!

Location

Duke Hospital, 2301 Erwin Road, Durham, NC 27707

Work Hours

• The work week for this position will be Monday – Friday, with 8 hour shifts, primarily 11am-7pm with various start times.
• This position also requires rotational on call coverage after 3p.m. until 6a.m., Monday through Friday as well as 24-hour weekend coverage. You must understand that you may be required to work beyond your scheduled shift. This position is eligible for overtime and/or shift premiums according to Duke Policy.
• This position may require travel to all three of the hospitals in the health system to monitor various surgical cases. Travel (mileage) will not be reimbursed. You may be compensated for you time if you are asked to transfer hospitals after reporting to your pre-assigned hospital for any given day. Your schedule will be predetermined in advance and may be adjusted as needed by clinical demand. 

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. 

Work Performed (Responsibilities)

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.

• Apply extensive knowledge in anatomy and neurophysiology relative to the monitoring being performed.

• Know and practice electrical safety relevant to equipment and type of monitoring performed.

• Archive data.

Level II

• Apply extensive knowledge in neuroanesthesia and its effect on neuromonitoring.

• Know and apply current practices in neuromonitoring, maintained through extensive reading of published literature and practice standards.

• Maintain continuing education requirements by ABRET to retain credentials.

• Assess intraoperative procedures relative to orders for monitoring, taking action to address deviation from established practice protocols.

• Perform duties according to established lab protocols for preoperative, intraoperative, and postoperative procedures.

• Know and practice electrical safety relevant to equipment and type of monitoring performed.

• Archive data.

• Mentor IOM Trainee.

Level III

• Apply extensive knowledge in neuroanesthesia and its effect on neuromonitoring.

• Know and apply current practices in neuromonitoring, maintained through extensive reading of published literature and practice standards.

• Perform all duties and responsibilities required for multi-modality monitoring.

• Maintain continuing education requirements by ABRET to retain the CNIM credential.

• Know and practice electrical safety relevant to equipment and type of monitoring performed.

• Assess intraoperative procedures 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 (Trainee): Develops competency in and performs the basics of Intraoperative Neuromonitoring (IONM) testing and interventions under direct supervision. Requires 10 hours of CE and selects 2 choices for professional growth (e.g., member of national organization, committee work).

• Level II (Non-Certified Technologist): Collects and analyzes (or oversees the collection/analysis of) multiple types of recordings and measurements. Can supervise an IONM Trainee. Requires 12 hours of CE and selects 3 choices for professional growth.

• Level III (Certified Technologist): Collects and analyzes (or oversees the collection/analysis of) multiple types of recordings and measurements. Can supervise an IONM Trainee or Non-Certified Technologist. Requires 16 hours of CE and selects 4 choices for professional growth.

Minimum Qualifications

Education (All Levels)

• Bachelor's degree in a biological science preferred OR

• An Associate Degree in a biological science with an equivalent number of years of experience as a technician in a health care diagnostic procedure setting.

Experience

• Level I:

  • With a Bachelor's Degree: No experience required.

  • With an Associate's Degree: 4 years of experience as a technician in a health care diagnostic procedure setting.

• Level II:

  • 1 year of experience specifically in intraoperative neuromonitoring.

  • Proof of competency in modalities including: 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 as a non-certified IONM technologist and 6 months of IONM experience at Duke).

  • Proof of competency in all performed modalities, which may include: brainstem evoked potentials, monitoring deep brain stimulating electrode placement, brain function mapping, intracranial grid implantation, trans-cranial Doppler, trans-cranial motor evoked potentials, and direct stimulation of neural structures.

Degrees, Licensures, Certifications

• Level I: None.

• Level II: Registry in EEG or Registry in EP by ABRET, or RNCST, or RET (Canadian EEG registry) required.

• Level III: Certification in neurophysiological intraoperative monitoring (CNIM) by ABRET required.