Neuromonitoring EEG Specialist

Yale New Haven Health•New Haven, CT

27d

About The Position

The Neuromonitoring Specialist sets up, performs, troubleshoots, and disconnects neuromonitoring modalities for critically ill patients with neurosurgical, neurovascular, and neurological diseases. Monitoring may include scalp EEG, transcranial motor evoked potentials, transcranial Doppler studies (TCDs), Near Infrared Spectroscopy (NIRS), real-time integrated neuromonitoring such as MOBERG, and invasive multimodality monitoring such as cerebral blood flow (CBF), Licox, intracranial pressure (ICP), depth EEG, and microdialysis. The specialist ensures appropriate monitoring, troubleshoots technical issues, and keeps neurointensivists and neurophysiologists informed about data streaming, processing, and review. The role requires effective interaction with physicians, nurses, advanced practice providers, and other technical personnel. Duties also include equipment maintenance assistance and supply inventory. The specialist participates in daily rounds and performs or supports ordered neurodiagnostic procedures in the Neuro-Intensive Care Unit. The role includes documenting sedation, reporting critical results and significant clinical events, and discontinuing monitoring as ordered, including removing electrode materials from patients. Work is performed according to applicable ACNS guidelines and other national standards. The specialist analyzes multimodal data, distinguishes physiologic activity from artifact, documents patient movements, replaces questionable electrodes or monitors, and troubleshoots equipment and software problems. Operational duties include developing competencies in Yale New Haven Health modalities and protocols, producing monthly statistical reports, learning new equipment and technology, and maintaining adequate supply levels.

Requirements

At least 2 years of experience performing neurodiagnostic procedures.
Hold a credential in neurodiagnostic services, which may include REEG T, REPT, CLTM, CNIM, RNCST, or RPSGT.
Current BLS certification.
Proficiency using databases, neurodiagnostic systems, and general computer systems, including software, hardware, and networking.
Competence with hospital EMR and Cloud Suite systems such as Epic and Infor.
Ability to organize and manage multiple tasks in a timely manner.
Excellent verbal and written communication skills.
Ability to adapt to urgent deadlines and changing priorities while maintaining composure in high-stress situations.
Sound judgment, complex decision-making, and critical-thinking skills.
Excellent interpersonal skills when working with coworkers, management, other health-system and hospital employees, and patients.
Ability to meet the listed physical demands, including frequent walking, kneeling, bending, and repetitive movement, and pushing or pulling equipment over 50 pounds.

Nice To Haves

Graduation from a CAAHEP-accredited Neurodiagnostic Technology program.
A bachelor’s degree or equivalent experience in a scientific discipline related to biological sciences, including anatomy and physiology coursework; specialization in neuroanatomy and neurophysiology is preferred.
Experience or proficiency with Natus, Moberg, and Synergy neurodiagnostic systems.

Responsibilities

Participate in daily rounds with the neurocritical care team and facilitate or perform ordered neuromonitoring procedures.
Perform, facilitate, or support acquisition of data from TCD, NIRS, MOBERG, and invasive multimodality monitoring, including CBF, Licox, ICP, depth EEG, and microdialysis.
Perform evoked potentials, including tMEP, SSEP, BAEP, VEP, and CCEPs, in critically ill patients.
Document sedation, dosage, and effects in neurodiagnostic systems, technical notes, and annotations when applicable.
Report critical test results and clinically significant events to the interpreting physician and document communications according to departmental policies and procedures.
Discontinue neurodiagnostic monitoring as ordered and remove electrode paste, collodion, or adhesive from patients’ scalp and hair.
Perform procedures according to ACNS guidelines and other applicable national standards.
Distinguish physiologic and non-physiologic artifact from cerebral activity; document patient movements, replace questionable electrodes or monitors, and troubleshoot possible electrical interference.
Document and troubleshoot equipment and software malfunctions, independently and in conjunction with CE/CIT and vendor technical support.
Review and analyze multimodal monitoring data, including simultaneous co-registration of data such as EEG and NIRS signals.
Develop competencies in neuromonitoring modalities, procedures, and protocols unique to Yale New Haven Health.
Generate monthly statistical reports using database queries and EMR data abstraction.
Develop proficiency with new equipment, supplies, and technology.
Develop monthly par levels and maintain adequate disposable and reusable neuromonitoring supplies.
Assist with equipment maintenance and supply inventory.