Sr. Surgical Neurophysiologist (Harrisburg, PA)

Responsibilities

• Complete all necessary electronic workflow in accordance with the departmental policies ensuring all data is secure and accessible post-operatively.
• Record relevant patient history and review with the oversight clinical neurophysiologist.
• Participate in all department specific mandatory training.
• Able to participate in hospital in-service programs, professional meetings and seminars.
• Continually advance skills set by reading books, professional journals, and online training materials.
• Perform portable, difficult and/or unusual testing, particularly evoked potentials in the intensive care unit and the operating room with only telemedicine supervision while maintaining the maximum safety for patients.
• Obtain standard recordings, report findings to the oversight clinical neurophysiologist.
• Understand thoroughly cerebral vasculature and apply this knowledge when performing transcranial doppler studies.
• Able to adapt to change in the work environment, manage competing demands and deal with frequent change, delays or unexpected events.
• Service minded; drive to provide best care and service for patient and surgical team.
• Operate transcranial doppler to obtain necessary readings and calculate findings for requesting physician.
• Calibrate and maintain the equipment for optimal performance; understand the functioning of all the testing equipment; is able to assist in troubleshooting in conjunction with the vendors and is able to perform more complex repairs.
• Apply suitable electrodes on predetermined measured positions on the patient's head, trunk, and extremities.
• Select predetermined electrode combination; check their performance as well as adjusting for non-standard montages as needed.
• Exercise judgment when performing cerebral blood flow (CBF) studies by placing the patch according to the patient's diagnosis and provide electronic report to requesting physician.
• Keep labs fully supplied, all work-stations clean and all equipment in working order.
• Provide hard copy reports to requesting physician for interpretation in addition to plotting samples when needed.
• Able to recognize discrepancies between patient's ordered testing and their diagnosis.
• Keep abreast of the advanced technology in the Neurodiagnostic field.
• Continue to acquire knowledge of the following; normal brain anatomy and function, diseases and electrical patterns of the brain.
• Ability to accurately setup and monitor brainstem auditory evoked potentials (BSER), compound nerve action potentials (CNAP), electrocorticography (ECOG), electroencephalography (EEG), cranial nerve EMG/MEP, upper and lower extremity EMG/MEP, sphincter EMG/MEP, phase reversal, upper and lower extremity somatosensory evoked potentials, direct cortical stimulation (DCS), and trans-cranial motor evoked potentials.
• Operate the equipment according to departmental policy in order to obtain optimal results.
• Recognize artifacts; differentiate them from evoked potential patterns and take appropriate steps to eliminate them.
• Maintain monitoring of other physiological parameters during testing as described in the departmental policy.
• Exercise judgment during testing or intraoperative monitoring for the need of the oversight clinical neurophysiologist or physician?s intervention.
• Collaborate with anesthesia team regarding optimum delivery of anesthetic based on clinical assessment and document requested modalities.
• Document any request made by surgeon according to departmental policy.
• Display and label waveforms for marking, measuring and calculating information such as latencies, amplitudes, and conduction times following established guidelines and protocols.
• Participate in 24-7-365 case coverage, including call as laid out by the department supervisor.
• Transport equipment between facilities in a safe and secure manner.
• Prepare/setup testing carts within departmental guidelines ensuring equipment and patient's safety is taken into consideration.
• Perform all necessary troubleshooting in situations of suboptimal results prior to and during any diagnostic testing procedure or intraoperative procedure.
• Absorb and assist medical staff during nonstandard procedures.
• Absorb and assist with research collection data.
• Absorb and assist with the administrative duties of the supervisor during absences.
• Function as a consultant for junior staff providing guidance in all situations and use judgment to determine course of action.

Qualifications

• Bachelor's degree and a minimum of one (1) year of Neurophysiologic Intraoperative Monitoring (IONM) experience OR Bachelor's degree with a focus in IONM and at least 6 months of IONM experience (outside of BS program).
• Certification in Neurophysiologic Intraoperative Monitoring (CNIM) required.
• 25% travel for coverage, not limited to distance or length of stay.