nma Intraoperative Neurophysiological Monitoring Reading Physician in Las Vegas, Nevada
Title: Intraoperative Neurophysiological Monitoring Reading Physician
Reports To: Chief Operating Officer
Summary: The in-house reading physician is a provider of real-time remote technological supervision, clinical data interpretation, and interventional suggestions or recommendations during intraoperative neuromonitoring (IONM).
Scope: Intraoperative neuromonitoring is provided by an on-site neuromonitoring technologist who is under the direct supervision of an off-site reading physician. The reading physician is responsible for real-time and retrospective interpretation of IONM data. The reading physician will use his/her utmost and best skill to accurately interpret changes in waveform data, immediately report any threat to neural integrity, differentially diagnose within the procedural context, and suggests specific interventions to redress evolving neural injury or threat of injury. The physician shall not engage in other clinical or other distracting activities during IONM supervision.
Evaluate the intraoperative neuromonitoring patient care plan based on planned procedure, neural structures at risk, and clinical presentation, physical exam, medical history and radiologic findings
Recommend appropriate anesthetic regimen to optimize the likelihood of obtaining high quality recording
Direct neuromonitoring technologists on data acquisition, recording and stimulus parameter optimization and troubleshooting
Direct neuromonitoring technologist on necessary communication related to monitoring status
Evaluate and confirm baseline data quality
Evaluate and confirm responses obtained from topographical studies in real time
Evaluate and interpret all significant intraoperative monitoring data changes from baseline recording
Recommend therapeutic interventions as indicated:
Procedure related changes should be reported to the surgeon as soon as possible
Intraoperative changes related to ambiguous origin should be reported to the surgeon as needed and appropriate communicate concerns that suggests neurologic compromise that could be related to patient positioning
Suggest alteration to anesthetic regimens and/or physiologic measures when these appear to compromise neural integrity and/or efficacy of intraoperative monitoring
Provide a report of each intraoperative monitoring session, which include information on surgical procedure, types of modalities performed, description of baseline and intraoperative signals and description of significant changes in the recording and interventional measures.
Assist in the generation of appropriate quality assurance and quality improvement reports and formulation of outcome measures.
Provide intraoperative education and mentoring regarding basic and applied intraoperative physiology to neuromonitoring technologists
Strengthen collegiality among team members
Transfer professional responsibility to another reading physician when evolving case acuity no longer permits adequate simultaneous evaluation or unforeseen external factors affect remote real time monitoring
Pertinent information such as preoperative evaluation, baseline studies, intraoperative findings and changes, etc. must be communicated before completion of the responsibility transfer
Hold an advanced academic degree such as MD or DO
Hold a medical license in the state which surgery is being performed
Hold clinical neurology or clinical neurophysiology credentials by any one of the following Boards: American Board of Neurophysiologic Monitoring, American Board of Clinical Neurophysiology, American Board of Electroneurodiagnostic Medicine, American board of Psychiatry and Neurology (with added in Clinical Neurophysiology)
Comply with all continuing education, state licensure, and credentialing requirements
Participate in M&M conferences as required