IOM Technologist II
Brigham & Women's Hospital(BWH)

Boston, Massachusetts

This job has expired.

Under the direction of the IOM Chief Technologist and the Medical Director at Brigham and Women's Hospital (BWH), performs standard and complex intraoperative neurodiagnostic procedures as described by BWH Neuro Intraoperative Monitoring protocols. Under the supervision of an experienced technologist, this technologist provides troubleshooting and technical interpretation of intraoperative neurologic data during surgery to the Medical Director and to the surgical team.

The technologist is responsible for the accurate recording and documentation of SSEP, TcMEP, EMG/Triggered EMG, BAEP, and EEG waveforms. In addition, the technologist will also be responsible for recording and the documentation of cortical motor/sensory mapping, ECoG, and direct peripheral nerve stimulation cases. The technologist assists in the maintenance of equipment, patient data, and supplies as directed by the IOM Chief Technologist. This person will act as an interactive part of the operating room team, assisting in duties as appropriate. As BWH continues to research and apply intraoperative monitoring methods and techniques to new procedures, the technologist will be required to learn new protocols as they are developed and may be asked to participate in the development of these protocols.


  • Provides intraoperative monitoring for all surgical procedures requiring IOM, with assistance available as needed. Required assistance will also be determined by the Medical Director and IOM Chief Technologist.
  • Throughout the surgical procedure the technologist must be able to provide continuous on-line technical interpretation to the surgical and NIOM teams. Technologist also directs the surgeon in application of sterile electrodes and stimulating devices in surgical field.
  • Assures that the interpreting neurophysiology physician is notified of potential issues. When possible, assures the real-time remote monitoring system is available.
  • Responsible for preparing patients prior to draping for surgery, setting up for all possible appropriate monitoring procedures. Preparation is by applying scalp electrodes (using the international 10-20 system and collodion glue), other electrodes and stimulators with the utmost accuracy and security, as necessary for long duration and sensitive surgical procedures. Measures the electrical impedance and determines the integrity of all monitors, prior to the draping of the patient. Directs the surgeon in the application of sterile electrodes and stimulating devices in the surgical field.
  • Informs the patient about the neurodiagnostic procedure and answers questions as appropriate. Abstracts relevant clinical information from the patient's chart, the patient, and from the surgeon when necessary.
  • Prepares a preliminary technical report describing the recording throughout the procedure. While monitoring, meticulously documents all surgical and related procedures and communications with the surgical team.
  • Assists in the maintenance of databases and of patients' permanent documents.
  • Must have a moderate understanding of all of the surgical procedures being performed.
  • Keeps abreast of current developments in the IOM field and participates in educational conferences, meetings, and/or other activities that promote continuing education.
  • Applies infection control standards, aseptic, and sterile techniques, with particular attention to any monitoring instrumentation that enters the sterile field.
  • Must have a good knowledge of the general principles of modern anesthetic techniques and the effects of different anesthetic regimens on the respective waveforms.
  • Assists in the training of Technologist I and/or physicians as appropriate and as determined by the IOM Chief Technologist.
  • Rotates to cover call schedule.


High School Diploma/GED

Minimum 1 year of IOM experience required or combination of IOM and related experience.



Graduate of an accredited electroneurodiagnostic training program and/or equivalent degree

EEG experience preferred

Skills/Abilities/Competencies Required:
  • All of the IOM Technologist I skills and competencies.
  • Understanding of and ability to competently use Xltek/Natus/Cadwell/Medtronic based equipment
  • Excellent knowledge of Microsoft Office Applications including Excel and Access
  • Ability to learn new software applications.
  • Ability to perform basic SSEP/MEP, BAEP, and EEG cases independently.
  • Ability to troubleshoot equipment independently, though may require assistance at times.
Works within legal, regulatory, accreditation and ethical practice standards relevant to the position and as established by BWH/Partner: follow safe practices required for the position; complies with appropriate BWH and Partners policies and procedures; fulfills any training required by BWH and/or Partners; as appropriate; brings potential matters of non-compliance to the attention of the supervisor or other appropriate hospital staff.

EEO Statement
Brigham and Women's Hospital is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, sex, color, religion, national origin, sexual orientation, protected veteran status, or on the basis of disability.

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