The Senior EEG Neurodiagnostic Technologist functions under minimal supervision to safely operate and maintain multiple pieces of sophisticated medical equipment and all the technical aspects necessary operate efficiently. The incumbent will have specific training in recording cortical, peripheral nerve, auditory nerve and visual pathway neurophysiologic testing as well as extensive experience in the recognition and management of seizures in both the Phase I and Phase II epilepsy patient.The incumbent is qualified in recording techniques using both scalp and invasive electrodes involving a large number of recording channels. Simultaneous EEG and video recording of seizures and various stimulation procedures make the Senior EEG Neurodiagnostic Technologist role significantly more demanding than in the routine EEG laboratory.The incumbent is proficient in recording acute electrical activity directly from the cortical surface during the exposure in the course of surgical treatment for epilepsy. This position is responsible for reporting any significant patient abnormalities in the diagnostic data to the appropriate physician.The position performs basic and complex electrophysiological recording in accordance with physician’s orders and historical information. This position functions in both the clinical and surgical settings at both campuses of SutterMedicalCenter. The Senior Neurodiagnostic Technologist provides Electroneurodiagnostic testing to patients of all ages providing vital information assisting in the diagnosis of suspected neurological disorders. This position is responsible for performing procedures either in the Neurodiagnostic Laboratory and/or Epilepsy Monitoring Unit.
I. CLINICAL SKILLS
· Has well rounded knowledge of both scalp and intra cranial electrode application used in multiple Neurodiagnostic Procedures
· Documents procedures and results in a thorough and precise manner.
· Reports any changes in patient’s condition or behavior to appropriate personnel, e.g., supervisor, physician, and other staff as necessary.
· Demonstrates proficiency in working with critically ill neonatal, pediatric and adult patients.
· Notifies physician of significant patient’s changes that occur during testing.
· Provides clear and accurate information to the Neurophysiologist, surgeon and anesthesiologist during surgical procedures.
· Remains calm and effective in emergency situations and follows protocol appropriately.
· Effectively trains co-workers in patient procedures.
· Performs other duties as request by supervisor or manager
II. TECHNICAL SKILLS
· Demonstrates skill in performing all types of Electroencephalograms (EEG's) on patients of all ages.
· Independently operates and troubleshoots the, Comet EEG and Cadwell Long Term Monitoring equipment.
· Is able to effectively utilize the 10-20 system in electrode placement according to established AEEG guidelines and ensures that electrode impedance’s meet department standards.
· Implements alternative methods to obtain optimal recordings; including amplifier changes, use of extra electrodes, different montages and use of additional stimulating techniques.
· Can systematically troubleshoot the recording equipment when there is a breakdown.
· Displays proficiency in 1-128 channel grid electrode placements for EMU patients. Inputs data into the Cadwell equipment.
· Demonstrates ability to input data and create montages with the Current monitoring Equipment, manipulate its functions and document appropriately.
III. TEAMWORK AND COMMUNICATION
· Using ADIET Thoroughly explains to each patient the procedure about to be performed, relaxes and assures patient and family members to insure cooperation and compliance.
· Demonstrates ability to read and follow protocol efficiently and accurately without supervision.
· Writes a comprehensive patient history; gathering appropriate information from patient, patient’s records and family members.
· Handles difficult interpersonal interactions with tact and avoids conflict.
· Accepts constructive criticism from supervisor and other individuals in leadership positions.
· Documents atypical occurrences conscientiously; e.g. accidents, unusual occurrences and equipment problems.
· Greets patients in a courteous manner; responds to patients with empathy and positive interpersonal skills.
· Demonstrates a good rapport and cooperative working relationship with members of the Neurodiagnostic Services Department and other patient care personnel.
· Works at maintaining a good relationship with supervisors and those in authority positions.
· Handles telephone information and requests with courtesy, accuracy, and respect for confidentiality.
· Inspires confidence from patients, visitors, and co-workers by performing and communicating in a highly professional manner at all times.
· Accepts work assignments and direction well. Works with hospital personnel in a professional manner.
· Respects at all times the confidentiality of patient records and uses complete discretion when discussing patient matters.
· Assures work area is clean and tidy.
· Effectively communicates equipment problems to the bio-engineering department and/or department supervisor.
The incumbent may also be proficient in the duties associated with the NDL and EMU areas listed
· Assumes responsibilities of NDL supervisor in her/his absence. This includes decision making to determine patient load, staffing, and scheduling of procedures in accordance to NDL guidelines.
· Operates the Cadwell ambulatory EEG digital system. Properly sets recording settings, and demonstrates skill in printing data.
· Performs complex evoked potential and EMG procedures in surgery. Must be proficient with grids, strips and needle electrodes.
· Has complete knowledge of the cranial nerves and the placement of monitoring or stimulating electrode during surgical procedures.
· Demonstrates skill in performing EEG’s with WADA, PET and Intracranial Electrode SEP’s.
· Assists neurologist during direct brain recordings (Electrocorticography). Is prepared at all times to support any changes in the protocol. Demonstrates good knowledge of the variables that may occur.
· Is able to effectively provide EMU playback and recording documentation on all EMU patients. Assures playback is performed and processed as defined by department policy.
· Displays proficiency and dexterity in the accurate assembly and disassembly of multiple inter-cranial electrode inputs during depth surveys. Identifies and reports problematic electrodes to neurologist.
· Recognizes and interacts effectively with patient during seizures or other acute events.
· Recognizes and takes appropriate action in response to critical clinical symptoms and diagnostic data.
· Assesses, plans and organizes individual priorities. Consistently coordinates work to achieve maximum productivity and efficiency during the assigned shift.
· Adjusts and revises schedule, as necessary in view of urgent orders, admissions, out-patient walk-ins, and fluctuations in patient work load.
· Responds to changes in work schedule as necessary; continually uses time to departmental advantage, studying or learning new procedures, responding to urgent situations.
· Responsibly completes all procedures scheduled during the shift without sacrificing the quality of work performed.
· Attends to personal affairs to avoid disrupting the work schedule.
· Willingly accepts work that needs to be completed along with completion of assigned work.
· Responsible for the completion of all procedures scheduled during the assigned shift.
· Reports any incomplete assignments to the supervisor to insure continuity of procedures.
· Consistently is able to complete routine patient testing procedures in the required time frame.
· Consistently is punctual and ready to work at the start of the assigned shift; requires little "start-up" time.
V. ORGANIZATION AND PROFESSIONAL GROWTH AND DEVELOPMENT
· Maintains current knowledge of technical skills and practices. Participates in the development of special procedures through self-study and interacts effectively with the Medical Director in planning specialized procedures.
· Consistently strives to achieve high skill levels required by the department.
· Attends bimonthly record review with Neurologist.
· Utilizes opportunities in continuing education, information gathering and or research.
· Consults with peers and supervisor as necessary to design special montages for unusual testing.
· Recognizes and utilizes intra-departmental resources in meeting department/patient needs.
· Participates in ongoing departmental inservices and shares knowledge/information with peers and co-workers.
· Identifies job related concerns and communicates these concerns to supervisory staff.
· Consistently attempts to understand the needs of others in relation to the Neurodiagnostic testing; uses good judgement when responding to the requests of physicians.
· Participates in professional conferences and technical meetings.
· Shares knowledge with co-workers.
MINIMUM POSITION REQUIREMENTS:
+ A high school diploma is required.
+ Registered in at least one area of Electroneurodiagnostic or equivocal training in a 2 year Neurodiagnostic educational program is required.
+ BLS Healthcare Provider CPR certification required.
+ Must have 4 years significant Neurodiagnostic technology experience in an acute care setting, performing procedures on infant, pediatric and adult patients.
+ Experience in surface and Intra-Cranial electroencephalographic Video/ Telemetry Monitoring strongly preferred.
+ Training experience in all modalities is highly desirable.
+ Knowledge of human anatomy with emphasis on neuroanatomy, physiology, physics and medical equipment electronics is essential in providing the basis for monitoring electroencephalograms (EEG's) and evoked potentials (EP's) and recognizing pathology related to the neurological data.
+ The Senior EEG Neurodiagnostic Technologist must have the ability to distinguish EEG and EP abnormalities on the recordings.
+ The incumbent must have a complete understanding of recording sites and recording montages to help localize various abnormalities.
+ Understanding of pharmacology, especially anti-epileptic and anesthetic medications, is essential, as is in-depth understanding of medical terminology.
+ This position also requires in-depth knowledge of Electroneurodiagnostic equipment assembly and operation as well as routine maintenance and troubleshooting.
+ The incumbent must understand sterile techniques to safely provide procedures in surgical procedures.
+ The EEG Senior Neurodiagnostic Technologist must be able to demonstrate the ability to operate multiple models of electroencephalographic equipment.
+ He or she must also be able to test patients of all ages, including neonatal and pediatric patients. The incumbent must be very knowledgeable in use of analog and digital equipment in the Neurodiagnostic Laboratory and Epilepsy Monitoring Unit.
+ The incumbent may also need to demonstrate the ability to perform complex surgical procedures such as skull based cranial nerve monitoring, somatosensory evoked potential, motor evoked potential, rhizotomy, motor strip mapping, and surgical carotid EEG.
+ This position may perform EEG testing during Intra-carotid sodium amytol testing (WADA) and PET scan procedures.
+ The incumbent must have experience performing complex procedures in the Epilepsy Monitoring Unit including the setup and monitoring of 1-128 channel intra cranial electrode setup, complex video EEG playback, cortical stimulation, depth survey and surgical EEG monitoring of exposed brain is desired.
+ The incumbent must have a good understanding of computers which is essential for use of digital monitoring equipment and troubleshooting computer malfunction.
Organization: Sutter Roseville Medical Center
Employee Status: Regular
Employee Referral Bonus: No
Position Status: Non-Exempt
Job Shift: Day
Shift Hours: 8 Hour Shift
Days of the Week Scheduled: Varied Days
Weekend Requirements: Rotating
Schedule: Full Time
Hrs Per 2wk Pay Period: 80
Applications Accepted: All Applications Accepted
All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, marital status, sexual orientation, registered domestic partner status, sex, gender, gender identity or expression, ancestry, national origin (including possession of a driver's license issued to individuals who did not present proof of authorized presence in the U.S.), age, medical condition, physical or mental disability, military or protected veteran status, political affiliation, pregnancy or perceived pregnancy, childbirth, breastfeeding or related medical condition, genetic information or any other characteristic made unlawful by local, state, or federal law, ordinance or regulation. External hires must pass a background check/drug screening. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state, and local laws, including but not limited to the San Francisco Fair Chance Ordinance.