Team Lead Neurodiagnostic Tech

Minimum Education
Associate's Degree (Required)

Minimum Work Experience
5 years At least 5 years or more experience in neurodiagnostics. At least 1-2 years progressive leadership/supervisory experience. (Required)

Required Skills/Knowledge
Basic math, MS Outlook and intermediate Excel. Demonstrates cultural competence in delivering patient care. Demonstrates supportive and friendly behaviors. Contributes to promote a positive work environment. Demonstrates knowledge of peripheral nervous system, normal nerve and muscle anatomy and function and nerve conduction responses in normal and pathological circumstances.
Proficiency in 3 modalities: EEG, neurological intraoperative monitoring, nerve conduction studies/EMG, video (LTM), clinical SSEP/BAER, video operative EEG (WADA), video EEG with tilt table, video EEG with pet scan. 1-2 years progressive leadership/supervisory experience.

Required Licenses and Certifications
Cardio-Pulmonary Resuscitation (CPR) (Required)
American Board of Technologist (Required)

Functional Accountabilities
Electrode Selection/Application and Equipment Maintenance

• Apply suitable electrodes and check their performance/impedances.

• Select predetermined electrode combinations as well as special combinations made necessary by the case under study.

• Keep track of special electrodes, head boxes, and other special equipment.

• Keep equipment in a clean operating condition to detect instrument malfunction and make minor maintenance adjustments or report need for major repairs.

• Operate routine/digital equipment as required for EEG, evoke potential and nerve conduction testing.

• Implements use of new equipment and updates of technology when available as ongoing teaching for techs and nurses.

Evoked Response Study

• Verify the integrity of the Evoked Potential instrument.

• Obtain a standard evoked response record with clearly resolved waveforms, with at least two replications demonstrating consistency of latency and amplitude measurements.

• Use appropriate recording and stimulus parameters.

• Use additional electrode derivations and other techniques as needed to enhance or clarify abnormality.

• Identify and eliminate or reduce artifacts contaminating the waveforms.

• Provide proper grounding of the patient and equipment.

Nerve Conduction and Special Studies

• Calibrate and make adjustments to the electrodiagnostic instrument/machine.

• Stimulate the nerve at the appropriate sites, accurately record the waveform responses from the nerves and muscles.

• Calculate nerve conduction velocities and amplitudes and prepare the data for interpretation by the physician.

• Recognize normal and abnormal patterns and artifacts.

• Intraoperative Somatosensory Evoked Potentials Electrocorticography Intracranial Monitoring

EEG Testing

• Obtain standard recordings, recognize and mark artifacts and take appropriate steps to eliminate them; set up and record video EEG;

• Review video EEG and make summary file; describe all abnormal clinical manifestations observed during the test.

• Use activating procedures such as hyperventilation, photic-stimulation and sleep; obtain the patient’s cooperation for the best performance of these procedures.

• Select appropriate instrument settings and montages.

• Utilize techniques to bring out or enhance clinical symptoms.

• Accommodate for disabilities or special needs.

Patient Services and Documentation

• Prepare a basic data sheet (“Tech Sheet”); obtain patient history and evaluation reasons for referral; determine the patient’s mental age, mental state and comprehension level; note the patient’s overall physical condition and document information; list current medications/sedation and time of last dosage;

• Establish rapport with the patient and the patient’s family and interact on a level appropriate to the patient’s age and mental capacity.

• Confer with appropriate personnel concerning unanticipated or unfamiliar problems.

• Recognize different levels of education and adjust to meet the families’ needs.

• Address families’ anxiety level.

• Monitor and report concerns or complaints; communicate with nursing staff when there are patient issues

Neuroscience Monitoring Unit

• Ensure nursing staff as well as END Techs are made aware of changes in the day to day operations.

• Facilitate in services of/for changes as needed to insure optimum efficiency.

• Coordinate Video EEG services.

• Develop and implement contingency plans for unanticipated staffing problems.

• Ensure all paperwork for each patient is complete and available for physician to review as quickly as possible.

• Monitor completeness of medication history and caregiver’s description of the behavior of concern

Intern Training

• Ensure that the student follows policies and procedures of the site throughout their clinical experiences.

• Serves as professional example for Neurodiagnostics Technology interns to follow

• Instructs and demonstrates the 10-20-system of measuring , application of electrodes and performance of laboratory policies and procedures.

• Review studies with interns providing feedback regarding quality of recording and discuss various patterns seen on the study

Organizational Accountabilities
Organizational Accountabilities (Staff)
Organizational Commitment/Identification

• Anticipate and responds to customer needs; follows up until needs are met

Teamwork/Communication

• Demonstrate collaborative and respectful behavior

• Partner with all team members to achieve goals

• Receptive to others’ ideas and opinions

Performance Improvement/Problem-solving

• Contribute to a positive work environment

• Demonstrate flexibility and willingness to change

• Identify opportunities to improve clinical and administrative processes

• Make appropriate decisions, using sound judgment

Cost Management/Financial Responsibility

• Use resources efficiently

• Search for less costly ways of doing things

Safety

• Speak up when team members appear to exhibit unsafe behavior or performance

• Continuously validate and verify information needed for decision making or documentation

• Stop in the face of uncertainty and takes time to resolve the situation

• Demonstrate accurate, clear and timely verbal and written communication

• Actively promote safety for patients, families, visitors and co-workers

• Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance

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