What are the responsibilities and job description for the Electroencephalograph Tech (1.0 FTE) - EEG Diagnostics position at Minnesota Visiting Nurse Agency?
We are currently seeking a
Electronencephalograph Tech to join our EEG Diagnostics team. This full-time role will work day shift with shared on call rotation.
SUMMARY
Under general supervision, performs work involving the computerized recording of routine, sleep-deprived, long-term, portable, and ICU EEG recordings. Required to provide a safe environment while maintaining rapport with the patient and the family and to follow EEG Lab policies and procedures. / /
RESPONSIBILITIES
Provides a safe recording environment by verifying patient identity, cleaning electrodes after each procedures, following universal precautions for infection control, attending to patient needs appropriately, recognizing / responding to life-threatening situations, complying with biohazardous material handling procedures, maintaining instrument / equipment in good working order, and taking appropriate precautions to ensure electrical safety
Establishes rapport with the patient and patient’s family by using personal communication skills to achieve patient relaxation / cooperation, explaining all test procedures including activation procedures, explaining the electrodes application method (collodion or paste), interacting on a level appropriate to patient’s age and mental capacity, and maintaining respect and patient confidentiality
Evaluates the patient to determine the patient’s mental age, mental state, and comprehension level; notes the patient’s overall physical condition; decides appropriate method of electrode application; ascertains the patient’s capacity to cooperate with activation procedures; determines if hyperventilation is contraindicated; accommodates for disabilities or special needs; determines the need for additional physiological monitors; documents unusual or inappropriate behavior suggestive of seizure or pseudo seizure; determines the possible needs for medical immobilizations or emergency intervention; determines the need for and utilizing interpreter services per HHS guidelines
Prepares patient data sheet that includes patient information form EPIC (name, age, medical record number, doctor, etc.); notes pertinent patient history and familial medical history; lists current medications / sedation; notes time, date, aura, and circumstances of last seizure or symptoms; specifies the patient’s mental, behavioral, and consciousness states; diagrams skull defects or anomalies (if any); diagrams any modifications in electrode placement
Follows electrode application method including measuring and marking the head following the international 10 / 20 measurement system, adjusting electrode placement for anatomical defects or anomalies, prepping patients scalp prior to electrode application, applying electrodes with paste or with collodion and electrolyte and verifying electrode impedances are balances and below 10,000 Ohms, with no interelectrode impedances greater than 5,000 Ohms
Documents the working condition of a digital EEG instrument by calibrating system amplifiers, verifying standard filter settings, verifying sensitivity settings, imputing a biological (bio-cal) signal to all channels, and correcting or reporting deviations as appropriate
Obtains a standard EEG that includes at least 20 minute of technically acceptable recording (120 pages), eye opening and closing to check effect of stimuli on EEG, hyperventilation for a minimum of 3 minutes, when clinically appropriate, photic stimulation at frequencies appropriate for history and reactivity, mental stimulation / assessment procedures, periodic checks of electrode impedance, natural drowsiness and sleep, if possible, and notes on observed behavior, clinical seizure manifestations, etc
Customizes recording procedures by evaluating reason for referral, history, and observed waveforms, utilizing techniques to bring out or enhance clinical symptoms, selecting montages appropriate for abnormalities seen and / or expected, selecting appropriate instrument settings, encouraging drowsiness and sleep, applying additional electrodes to localize abnormal activity, monitoring respiration if appropriate, and monitoring ECG rhythms for abnormality
Understands and follows technical criteria for recording electrocerebral inactivity (brain death), neonatal and pediatric EEG, and in intensive care or cardiac care units
Differentiates artifacts from cerebral waveforms by recognizing possible artifactual waveforms, documenting, on the recording, patient movements, applying / recording leads for eye potentials and ECG, replacing electrodes exhibiting questionable activity or contact, and troubleshooting for possible electrical interference
When the EEG recording is finished, removes electrodes pate / glue from the patient’s scalp and hair, describes clinically significant behavior, documents sedation used, dosage, and effects, and reviews EEG for appropriate documentation of amplifier setting and montage changes
Understands and has working knowledge of functional neuroanatomy and neurophysiology, medication effects on the EEG background and waveforms, medical terminology and accepted abbreviations, signs, symptoms, and EEG correlates for adult and pediatric neurological disorders, seizure manifestations, classifications and EEG correlates, and psychiatric and psychological disorders and EEG correlates
Maintains and improves knowledge and skills by reviewing EEG tracings with EEGer on a regular basis, reading journal articles, studying textbooks related to the field, and attending continuing education courses in electroneurodiagnostics
Applies the principles of electronics and mathematics to recording by knowing how differential amplifiers work and understanding polarity of the waveforms, impedance, and analog to digital conversion
Recognizes normal and normal variant awake and asleep patterns for each age range, abnormal awake and asleep patterns for each age range, EEG patterns for levels of consciousness, and clinical seizure patterns
QUALIFICATIONS
Minimum Qualifications : /
Six months experience performing electroencephalograph tests
Completion of an approved training program in EEG testing
An approved equivalent combination of education and experience
Knowledge / Skills / Abilities : /
Strong communication skills
Ability to collaborate with as well as take direction from physicians and other clinical team members
License / Certifications : /
National Board Registration required within 24 months of employment
Title : Electroencephalograph Tech (1.0 FTE) - EEG Diagnostics
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