Team Lead Neurodiagnostic (Variable Shifts, 7Am - 7Pm)

The Team Lead Neurodiagnostic will participate to plan and implement the daily activities for the Neurodiagnostic technologists. Will direct and coordinate activities for other technologists and ensure adequate staffing. Will assist Supervisors to optimize and track productivity through objective performance measures to include volume of studies by location and technologist, and financial metrics. Will perform routine and other related Neurodiagnostic testing and ensure equipment is in working order.

Minimum Education

High School Diploma or GED (Required)

A one- to two-year EEG training program or an Associate's Degree (Preferred)

Minimum Work Experience
At least 5 years or greater experience in neurodiagnostics to include proficiency in 3 of the following modalities: EEG, intracranial EEG, nerve conduction studies/EMG, video (LTM), clinical SSEP/BAER, video operative EEG (WADA), video EEG with tilt table, video EEG with pet scan. (Required)

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)
ABRET Certification or RPSGT Certification. Upon Hire (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 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.