Intraoperative Neurophysiologic Monitoring

Courses

Total Hours: 15 clock hours (Theory)

Delivery: Online

Description: In the Introduction to Intraoperative Neurophysiologic Monitoring online course, students will obtain a comprehensive foundation of surgical neurophysiology as a medical specialty and begin learning the knowledge required to be successfully employed in this growing field.  Students will cover several key areas in the modules, including anatomy and physiology, monitoring basics, types of surgeries, that will be explored in more depth later in the program.  Through their studies, which include online content, resources, homework, and testing, students will gain a thorough understanding of human anatomy and the interconnected systems necessary for human function.  Additionally, the role of the Surgical Neurophysiologist will be introduced to provide context to the material and introduce how it will be applied in a clinical setting.

Objectives: Upon completion of this course, students will be able to:

  • Demonstrate knowledge of human anatomy and physiology
  • Define the role of the surgical neurophysiologist
  • Summarize the role that neurological monitoring plays in surgeries
  • Describe the set-up of monitoring equipment
  • Differentiate modality (data) types and understand their applications
  • Identify types of surgeries most likely to include a monitoring component
  • List the types of data obtained through surgical monitoring
  • Analyze how anatomical systems intersect with surgical monitoring to provide data to improve patient care

There will be six (6) quizzes, each worth 10% of the grade for a total of 60%, and a final worth 40% of the grade. Students must achieve a minimum grade of 70% to pass the course.

Prerequisite Courses: None

Total Hours: 60 Clock Hours (42 Clock Hours Theory | 18 Clock Hours Lab)

Delivery: Classroom

Description: In the Advanced Intraoperative Neurophysiologic Monitoring course, students will continue building on the foundation knowledge learned in the Introduction course and apply this knowledge through hands-on practice utilizing monitoring equipment, in preparation for the practicum portion of the program.  To understand the duties of a surgical neurophysiologist, students will become familiar with the equipment, its various components, including hardware and software, and its use on patients, including setup using appropriate surgical supplies.  A thorough understanding of pre-operative patient interaction and its importance will be gained. Additionally, students will learn the procedures for obtaining baseline data, data interpretation and documentation of results, as well as how to communicate appropriately with the surgical staff and remote reading physician.

Objectives: Upon completion of this course, students will be able to:

  • Summarize quality patient care;
  • Interview the patient independently;
  • Outline the case needs with the surgeon(s);
  • Identify and follow all safety protocols;
  • Set up the monitoring equipment;
  • Place electrodes on the patient correctly based on surgery type;
  • Perform appropriate modalities based on the surgery type or the type requested by the surgeon;
  • Troubleshoot technical issues;
  • Interpret data in consultation with the remote reading physician;
  • Lead overall communication with the surgical team;
  • Recognize, document, and record all relevant events correctly;
  • Maintain and safeguard records;
  • Identify intraoperative changes and their significance;
  • Manage communication of significant changes in a timely manner to the surgical team after consulting with the reading physician;
  • Observe all relevant patient and personal safety precautions.

There will be a project & presentation worth 30% of the grade, a written final worth 30% of the grade, and an oral final worth 40% of the grade. Students must achieve a minimum grade of a 70% to pass the course.

Prerequisite Courses: Introduction to Intraoperative Neurophysiologic Monitoring

Total Hours: 225 Hours (10 weeks) (est. 4.5 hours per day)

Delivery: Internship

Description: The goal of the practicum is for students to develop their hands on skills in the operating room. During the Practicum, students will work under the supervision of a senior surgical neurophysiologist and learn to monitor basic spine cases, as well as be exposed to advanced level spine cases. Depending on the operating room schedule and the timing of the Practicum, students may even have the opportunity to participate in very specialized cases.

Additionally, training opportunities will extend outside of the operating room to further each student’s industry knowledge and enable them to gain critical workplace skills in the field of Intraoperative Neurophysiologic Monitoring.  At times when students are not assigned to the operating room, they will engage in training exercises.  These exercises include:

  • Creating reports on a variety of surgeries, pathologies and patient conditions;
  • Simulating cases in the office by setting up and modifying the cascade protocols and running modalities on fellow students to increase familiarity with the equipment, as well as how to troubleshoot situations that may arise in the operating room;
  • Learning to correctly document a case in the EMR from fictional cases online;
  • Remote shadowing a case in the office.

The Practicum is completed over 10 weeks. Students will be assigned to an approved practicum (externship) provider. Each student’s schedule will vary during the practicum based on the OR schedule at the hospital facility. Additionally, to participate in the practicum, each student must complete all hospital requirements before entering the operating room. These requirements include:

  • Completing a background check
  • Receiving up-to-date vaccinations
  • Completing a screening for blood-borne pathogens AND a drug screening
  • Purchasing liability insurance

Objectives: Upon completion of this course, students will be able to:

  • Successfully demonstrate all skills on the practicum checklist at a rating of 5, including:
    • Patient Setup –Stimulator Electrodes
    • Patient Setup – Recording Electrodes
    • Equipment Setup
    • Data Acquisitions
    • Waveforms and Cursors
    • Technical Troubleshooting
    • Vitals & Anesthetics Troubleshooting, under the oversight of the remote reading physician

Students will be evaluated on skills after every case by the practicum supervisor. Skills are rated on a scale of 1 – 5, with 5 being the highest. To sit for the final exam, students must achieve a rating of 5 for each skill on the checklist.

The final exam is worth 100% of the grade. Students must achieve a minimum grade of 70% to pass the course.

Prerequisite Courses: Introduction to Intraoperative Neurophysiologic Monitoring, Advanced Intraoperative Neurophysiologic Monitoring

ASET – The Neurodiagnostic Society has granted ASET Continuing Education Units [ASET CEUs] for this program. Such crediting, however, should not be construed by program participants as an endorsement of any type of instruments or supplies mentioned or involved in these presentations.

Intraoperative Neurophysiologic Monitoring for International Students

Courses

Total Hours: 60 Clock Hours (42 Clock Hours Theory | 18 Clock Hours Lab)

Delivery: Classroom

Description: In the Advanced Intraoperative Neurophysiologic Monitoring course, students will continue building on the foundation knowledge learned in the Introduction course and apply this knowledge through hands-on practice utilizing monitoring equipment, in preparation for the practicum portion of the program.  To understand the duties of a surgical neurophysiologist, students will become familiar with the equipment, its various components, including hardware and software, and its use on patients, including setup using appropriate surgical supplies.  A thorough understanding of pre-operative patient interaction and its importance will be gained. Additionally, students will learn the procedures for obtaining baseline data, data interpretation and documentation of results, as well as how to communicate appropriately with the surgical staff and remote reading physician.

Objectives: Upon completion of this course, students will be able to:

  • Summarize quality patient care;
  • Interview the patient independently;
  • Outline the case needs with the surgeon(s);
  • Identify and follow all safety protocols;
  • Set up the monitoring equipment;
  • Place electrodes on the patient correctly based on surgery type;
  • Perform appropriate modalities based on the surgery type or the type requested by the surgeon;
  • Troubleshoot technical issues;
  • Interpret data in consultation with the remote reading physician;
  • Lead overall communication with the surgical team;
  • Recognize, document, and record all relevant events correctly;
  • Maintain and safeguard records;
  • Identify intraoperative changes and their significance;
  • Manage communication of significant changes in a timely manner to the surgical team after consulting with the reading physician;
  • Observe all relevant patient and personal safety precautions.

There will be a written final exam at the end of the course. This exam will count as 40% of each student’s final grade in the IONM program.  Students must achieve a minimum grade of a 70% on the final to pass this course.

Prerequisite Courses: Introduction to Intraoperative Neurophysiologic Monitoring for International Students (Online)

Total Hours: 225 Hours (10 weeks) (est. 4.5 hours per day)

Delivery: Internship

Description: The goal of the practicum is for students to develop their hands-on skills in the operating room. During the Practicum, students will shadow a senior surgical neurophysiologist and learn to monitor basic spine cases, as well as be exposed to advanced level spine cases. Depending on the operating room schedule and the timing of the Practicum, students may even have the opportunity to participate in very specialized cases.

Additionally, training opportunities will extend outside of the operating room to further each student’s industry knowledge and enable them to gain critical workplace skills in the field of Intraoperative Neurophysiologic Monitoring.  At times when students are not assigned to the operating room, they will engage in training exercises.  These exercises include:

  • Creating reports on a variety of surgeries, pathologies and patient conditions;
  • Simulating cases in the office by setting up and modifying the cascade protocols and running modalities on fellow students to increase familiarity with the equipment, as well as how to troubleshoot situations that may arise in the operating room;
  • Learning to correctly document a case in the EMR from fictional cases online;
  • Remote shadowing cases in the office.

The Practicum is completed over 10 weeks. Students will be assigned to an approved practicum (externship) provider. Each student’s schedule will vary during the practicum based on the OR schedule at the hospital facility. Additionally, to participate in the practicum, each student must complete all hospital requirements before entering the operating room. These requirements include:

  • Completing a background check
  • Receiving up-to-date vaccinations
  • Completing a screening for bloodborne pathogens AND a drug screening
  • Purchasing liability insurance

Objectives: Upon completion of this course, students will be able to:

  • Successfully demonstrate all skills on the practicum checklist at a rating of 5, including:
    • Patient Setup –Stimulator Electrodes
    • Patient Setup – Recording Electrodes
    • Equipment Setup
    • Data Acquisitions
    • Waveforms and Cursors
    • Technical Troubleshooting
    • Vitals & Anesthetics Troubleshooting, under the oversight of the remote reading physician

Students will be evaluated on skills after every case by the practicum supervisor. Skills are rated on a scale of 1 – 5, with 5 being the highest. To sit for the final exam, students must achieve a rating of 5 for each skill on the checklist.

There will be an oral final exam and a Project & Presentation at the end of the practicum. The final exam will count as 20% of each student’s final grade in the IONM program. The Project & Presentation will count as 10% of each student’s final grade in the IONM program.  Students must achieve a minimum grade of 70% on each, in addition to completing the skills checklist with a rating of 5 on each skill, to successfully pass this course and the IONM program.

Prerequisite Courses: Introduction to Intraoperative Neurophysiologic Monitoring for International Students (Online), Advanced Intraoperative Neurophysiologic Monitoring

Certification in Intraoperative Neurophysiologic Monitoring (CNIM) Preparatory & Review

A completely online course will be available in early- to mid-2021. Please contact us for updates.

Intraoperative Neurophysiologic Monitoring (IONM) Clinical Internship

Total Hours: 225 Hours (10 weeks) (est. 4.5 hours per day)

Delivery: Internship

Description: The goal of the IONM Clinical Internship is for students to develop their hands on skills in the operating room. During the Clinical Internship, also called a Practicum, students will shadow a senior surgical neurophysiologist and learn to monitor basic spine cases, as well as be exposed to advanced level spine cases. Depending on the operating room schedule and the timing of the Internship, students may even have the opportunity to participate in very specialized cases.

Additionally, training opportunities will extend outside of the operating room to further each student’s industry knowledge and enable them to gain critical workplace skills in the field of Intraoperative Neurophysiologic Monitoring.  At times when students are not assigned to the operating room, they will engage in training exercises.  These exercises include:

  • Creating reports on a variety of surgeries, pathologies and patient conditions;
  • Simulating cases in the office by setting up and modifying the cascade protocols and running modalities on fellow students to increase familiarity with the equipment, as well as how to troubleshoot situations that may arise in the operating room;
  • Learning to correctly document a case in the EMR from fictional cases online;
  • Remote shadowing of cases in the office.

The IONM Clinical Internship is completed over 10 weeks. Students will be assigned to an approved internship provider. Each student’s schedule will vary during the Clinical Internship based on the OR schedule at the hospital facility. Additionally, to participate in the Clinical Internship, each student must complete all hospital requirements before entering the operating room. These requirements include:

  • Completing a background check
  • Receiving up-to-date vaccinations
  • Completing a screening for bloodborne pathogens AND a drug screening
  • Purchasing liability insurance

Objectives: Upon completion of this program, students will be able to:

  • Successfully demonstrate all skills on the internship checklist at a rating of 5, including:
    • Patient Setup –Stimulator Electrodes
    • Patient Setup – Recording Electrodes
    • Equipment Setup
    • Data Acquisitions
    • Waveforms and Cursors
    • Technical Troubleshooting
    • Vitals & Anesthetics Troubleshooting, under the oversight of the remote reading physician

Students will be evaluated based on the following elements, which are weighted according to the percentages below:

Mid-Term: 25%

Skills Checklist Completion: 20%

Written Final Exam: 20%

Oral Final exam: 20%

Presentation: 15%

Total: 100%

Students must achieve a minimum grade of 70% to pass the program and earn a Certificate of Completion.

Prerequisite: Applicants must take and pass a socred exam in order to enroll in the Intraoperative Neurophysiologic Monitoring (IONM) Clinical Internship program. The minimum score required to pass is 75%.

Theory and Methods of Intraoperative Neurophysiologic Monitoring (IONM)

Courses

Total Hours: 15 clock hours (Theory)

Delivery: Online

Description: In the Introduction to Intraoperative Neurophysiologic Monitoring online course, students will obtain a comprehensive foundation of surgical neurophysiology as a medical specialty and begin learning the knowledge required to be successfully employed in this growing field.  Students will cover several key areas in the modules, including anatomy and physiology, monitoring basics, types of surgeries, that will be explored in more depth later in the program.  Through their studies, which include online content, resources, homework, and testing, students will gain a thorough understanding of human anatomy and the interconnected systems necessary for human function.  Additionally, the role of the Surgical Neurophysiologist will be introduced to provide context to the material and introduce how it will be applied in a clinical setting.

Objectives: Upon completion of this course, students will be able to:

  • Demonstrate knowledge of human anatomy and physiology
  • Define the role of the surgical neurophysiologist
  • Summarize the role that neurological monitoring plays in surgeries
  • Describe the set-up of monitoring equipment
  • Differentiate modality (data) types and understand their applications
  • Identify types of surgeries most likely to include a monitoring component
  • List the types of data obtained through surgical monitoring
  • Analyze how anatomical systems intersect with surgical monitoring to provide data to improve patient care

There will be six (6) quizzes, each worth 10% of the grade for a total of 60%, and a final worth 40% of the grade. Students must achieve a minimum grade of 70% to pass the course.

Prerequisite Courses: None

Total Hours: 60 Clock Hours (42 Clock Hours Theory | 18 Clock Hours Lab)

Delivery: Classroom

Description: In the Advanced Intraoperative Neurophysiologic Monitoring course, students will continue building on the foundation knowledge learned in the Introduction course and apply this knowledge through hands-on practice utilizing monitoring equipment, in preparation for the practicum portion of the program.  To understand the duties of a surgical neurophysiologist, students will become familiar with the equipment, its various components, including hardware and software, and its use on patients, including setup using appropriate surgical supplies.  A thorough understanding of pre-operative patient interaction and its importance will be gained. Additionally, students will learn the procedures for obtaining baseline data, data interpretation and documentation of results, as well as how to communicate appropriately with the surgical staff and remote reading physician.

Objectives: Upon completion of this course, students will be able to:

  • Summarize quality patient care;
  • Interview the patient independently;
  • Outline the case needs with the surgeon(s);
  • Identify and follow all safety protocols;
  • Set up the monitoring equipment;
  • Place electrodes on the patient correctly based on surgery type;
  • Perform appropriate modalities based on the surgery type or the type requested by the surgeon;
  • Troubleshoot technical issues;
  • Interpret data in consultation with the remote reading physician;
  • Lead overall communication with the surgical team;
  • Recognize, document, and record all relevant events correctly;
  • Maintain and safeguard records;
  • Identify intraoperative changes and their significance;
  • Manage communication of significant changes in a timely manner to the surgical team after consulting with the reading physician;
  • Observe all relevant patient and personal safety precautions.

There will be a project & presentation worth 30% of the grade, a written final worth 30% of the grade, and an oral final worth 40% of the grade. Students must achieve a minimum grade of a 70% to pass the course.

Prerequisite Courses: Introduction to Intraoperative Neurophysiologic Monitoring

This institution is regulated by:

Office of Career and Technical Schools
10 N. Senate Avenue, Suite SE 308
Indianapolis, IN 46204
OCTS@dwd.in.gov
http://www.in.gov/dwd/2731.htm